Routine inspection·August 13, 2024

On 08/13/24 at 11:55 AM, Licensing Program Analyst (LPA) Gina Saucedo, arrived to conduct an unannounced, annual inspection at the facility. Upon arrival, LPA Saucedo met with Caregiver-Armine Hayrapetyan and disclosed the purpose of the visit. The Administrator-Veronika Yebeyan was called and arrived at 12:05 PM. LPA asked for the census, resident, and staff files. A physical tour was conducted at 1:05 PM and observed the following: The Kitchen area was toured, and LPA observed there to be sufficient seven (7) day supply of non-perishable foods and perishable food for all residents. The kitchen area was clean at the time of the tour. The fire extinguisher is located against the wall on your left-hand side, next to the sink. It is fully charged with dated 10/2024. There is a telephone line on one of the counters in the kitchen. There is extra, food emergency kits in the kitchen and in the kitchen pantry. The sharps are locked and inaccessible to the residents in one(1) of the upper cabinets of the kitchen on your right hand side. The medication is also locked and inaccessible to the residents in one (1) of the upper cabinets closer to where the kitchen table is located. Outside/Backyard: The outside/backyard has furniture for residents with proper seating. The facility has a signal system. The facility has a pool that is fenced and locked that inaccessible to residents. LIC 809C-continued Bedrooms: There are six (6) bedrooms. Two (2) bedrooms have private bathrooms and single occupied. The other four (4) bedrooms are also single, occupied with no bathroom. All bedrooms and bathrooms were toured and were properly furnished and have appropriate bedding, linens, toiletry and lightning. There are two (2) other bathrooms for resident and staff use. The bathrooms have proper toiletry and grab bars. The bathroom temperatures of the water are within regulations reading at 112-degree Fahrenheit. The dining area/living room area is located next to the kitchen where there is enough seating for the residents and the staff. There is a large television and there is also internet access. There is a separate area for the laundry. The washer, dryer and toxins are in the right side of the facility towards the back in a large cabinet. There is also extra linen kept in this area. The carbon monoxide and fire alarms are located throughout the facility and are operable and interconnected. Administrative: There an annual fee of 495.00 due by 09/07/24. At the entrance of the facility there is COVID signs, resident roster, YES signs, LGBT, Emergency Response, house rules, facility sketch, Infection Control, Mitigation Plan and Hospice Approval form against the wall. The insurance plan is updated and is dated 01/23/2024-01/23/2025. An exit interview was conducted, no citation(s) were issued, and a copy of this report was given to the administrator.