Routine inspection·May 7, 2025

On 05/07/25, at 09:25am, Licensing Program Analyst (LPA) Gina Saucedo arrived at the facility to conduct an unannounced, annual visit. LPA was met by caregiver, Zhana Ghambaryan. The administrator Yelena Aladadyan arrived about 15 (fifteen) minutes later. There was also another staff present at the time of visit. The physical plant was toured inside and out at 10:15 am. Living/Dining Room Area: LPA observed the living room furniture to be clean and in good repair. The facility maintains a comfortable temperature at 71 degrees Fahrenheit. The fireplace is secured in the living room area covered by a black gate. Bedrooms : All three (3) bedrooms are shared. The three (3) resident rooms are numbered. Two (2) of the bedrooms have private bathrooms. LPA observed rooms to have bedding sheets, pillowcase, blankets, nightstands, televisions, and sufficient lighting for each of the residents sharing the room. Bathrooms: All three (3) bathrooms were toured and checked to make sure bathrooms were clean and in good repair. The hot water temperature measured within regulations of 116 degrees Fahrenheit and 117. The showers have non-slip bath mats and grab bars. There is another bathroom on your right hand side of the entrance of the facility. Medications were kept in a locked cabinet in the bedroom hallway. All medications were properly labeled and inaccessible to residents. There is a complete first aid kit located in the kitchen. LIC 809C-Continued Kitchen Area: LPA inspected the kitchen area. The refrigerator was clean and in good operation. Fire extinguisher was observed to be full and expires October 2025. Knives and sharp objects were kept centrally stored and locked in a cabinet located in the kitchen on your left-hand side. LPA observed sufficient supply of seven (7) day non-perishable and perishable foods in the cabinet. Garage: In addition, there is another refrigerator in the garage stored with extra food. The washer and dryer are also located in the garage. Cleaning supplies/toxins were kept locked in the garage being inaccessible to residents on the top shelf of the washer and dryer. Outside : LPA toured the outside area. LPA observed a covered shaded area for residents and appropriate outdoor furniture. The facility has no body of water on the premises. There is one (1) gate that is locked leading to the outside area towards the street. There are also ramps provided for wheelchair residents. There is a shed that contains extra wheelchairs and resident property. There is a side door on your left hand side of the entrance of the facility that leads to a living area which is empty. There are no residents and/or staff in that area. LPA was able to tour that area. Administration: The mitigation and the Infection control were reviewed and are kept in a binder and there was Covid 19 signs on the wall, hygiene sanitation signs, Personal Rights, Visitation Rights, Theft and Loss Policies, Emergency and Disaster Plan, Report of suspected abuse, Rights of Resident Council, Ombudsman and YES sign, surety bond was viewed, and it is up to date-08/10/24-08/10/25. The staff and the resident files were in a secure/private location in the dining hall area on your left hand side. The carbon monoxide is interconnected with the smoke detector was tested and it was operable. The facility has a signal system currently there is only one (1) dementia resident. An exit interview was conducted, no citation(s) were issued, and a copy of this report was given to the administrator.