Routine inspection·March 18, 2022

Licensing Program Analyst (LPA) Wendell Smith conducted an unannounced annual required visit. LPA met with the administrator Rima Agaronyan and explained the reason for this visit. A tour of the physical plant was conducted. The facility has a fire clearance for six non-ambulatory residents, one of which may be bedridden in room 2 or 4. The facility has four resident bedrooms two of which are intended for double occupancy (rooms 1 & 4). Rooms 2 & 4 designated for resident use have direct exits to the outside. All bedrooms were appropriately furnished. There is one bathroom designated for resident use. All rooms share a bathroom located in the hall. The bathroom has a shower with grab bars where appropriate. There are non-skid mats in the shower. The common areas were appropriately furnished and lighting was adequate. Resident and staff records will be stored in a locked closet in the entry area. Medications were stored in a locked cabinet in the kitchen. The first aid supplies are stored in the same cabinet as the medications. First aid kit is compliant with regulations at the time of the visit. Kitchen knives are stored in a secured drawer in the kitchen. Stove burners are functional. The supply of perishable and nonperishable food is adequate. The supply of dining and cook ware is adequate. Appliances in the kitchen were clean and functional. Kitchen and house cleaning supplies are stored in the laundry room. Laundry supplies are stored in the laundry room. The facility smoke alarm system is hard wired and functional. There is one fire extinguisher in the kitchen area. The fire extinguisher is fully charged. There is a functional carbon monoxide detector in the hallway. The smoke alarm is also a carbon monoxide detector. The exterior passageways were free of obstructions. There is a patio area at the back of the house with furniture appropriate for outdoor use. The back of the property is fenced or walled. There is a gate on the side of the house that is unlocked and connects to the front yard. The front of the property is not fenced. Exit Interview conducted.