Routine inspection·June 2, 2025

On 6/02/2025 at approximately 9:30 AM, Licensing Program Analyst (LPA), Angelica Segovia conducted an unannounced annual visit to the facility. LPA was greeted by the Administrator Antuan Nazaryan and stated the reason for their visit. LPA asked for the census, Staff/Resident Roster, and Liability Insurance. LPA conducted a physical plant tour at approximately 11:40 AM and the following was noted: The facility is a single-story building with three (3) bedrooms and two (2) bathrooms currently occupying five (5) residents. There is no designated staff room. The facility has an approved fire clearance for six (6) non-ambulatory residents of which one (1) may be bedridden. Sign in sheet, hand sanitizer, gloves and masks are available upon entrance. Common areas: The living room and dining room were observed to be neat, clean, and organized. The rooms were observed to be properly furnished and in good repair. The facility maintains a comfortable temperature at 78°F. LPA observed a fire extinguisher to be located in the kitchen and dated 07/12/2024. LPA observed required postings such as Long-Term Care Ombudsman, Emergency Disaster Plan, and Personal Rights located alongside the entrance leading towards the kitchen. A fireplace was observed to be covered and inaccessible to residents. A working telephone was observed. Kitchen: The kitchen was observed to be clean and free from pests. Sufficient supplies of seven (7) day nonperishable foods and two (2) day perishable foods were observed. Knives/sharps were observed to be kept in a locked kitchen drawer. The cleaning solutions/toxins were observed to be kept locked in a kitchen cabinet. Kitchen appliances were observed to be working and in proper condition. (Continue to LIC 809-C) Bedrooms: The residents’ rooms are adequately furnished with appropriate furniture and lighting system. Hallways/passageways are lighted appropriately. Extra linens/covers were observed stored in storage closet located near the entrance. Bathrooms: The bathrooms were checked for cleanliness and proper operation. The hot water temperature was measured within regulations at 120.0 °F. LPA observed there to be appropriate slip-resistant strips and grab-rails within the bathrooms, all in good repair. Garage: The garage cannot be accessed from inside of the facility and is located towards the front of the facility. LPA observed the garage to be used for storage purposes and laundry. Laundry Room: The laundry room was observed to be located within the garage. LPA observed cleaning solutions and toxins stored in a locked storage cabinet and inaccessible to residents. The laundry appliances were observed to be working and in proper condition. Backyard: The backyard of the facility is equipped with a designated shaded area with outdoor furniture for residents. There is no body of water located at the facility. Medications: The medications were observed stored in a locked cabinet located aside the dining room. First-aid kit observed to be equipped with but not limited to bandages, scissors, digital thermometer, tweezer and First-Aid Manuel. Smoke detectors and carbon monoxide observed to be working properly and were tested. Residents/Staff Records: LPA observed staff and resident files to be kept locked in a filing cabinet located aside the dining room. LPA conducted a complete file review of resident records. Resident records appeared to be complete and updated. Staff records: LPA conducted a complete file review of staff records. There were no immediate health and safety hazard observed during the day of inspection. Exit interview conducted and a copy of this report was provided to the Administrator.