Routine inspection·September 24, 2025

At 12:45 PM, Licensing Program Analyst (LPA) Huma Rahimi, conducted an unannounced annual inspection at the facility mentioned above. LPA met with staff Hasmik Boyajyan and the Administrator Maryam Harutyunyan was contacted via telephone. LPA explained the reason for the visit. The Administrator arrived shortly after. Physical tour was conducted with the Administrator and LPA observed the following: KITCHEN: The facility has a Kitchen area that is equipped with a refrigerator, microwave oven and sink. There were adequate supplies of perishable and nonperishable food and dining ware to accommodate a maximum capacity of six (6). Knives were observed locked in a lock box. MEDICATIONS: LPA observed the medication locked and inaccessible to residents in care in a cabinet in the living room; There was a complete first aid kit available in the medication cabinet. LPA observed medications (XYZAL Allergy, Nystatin Triamcinolone Acetonide) unlocked and accessible to residents in care in bedrooms #5 and #1. SAFETY: The smoke alarms and carbon monoxide detector are battery operated. The facility has one new fire extinguisher that was purchased on 01/13/2025. BEDROOMS: There are six (6) bedrooms designated for client use. All six (6) bedrooms are private. Bedroom number one (1) is cleared for bedridden. All other rooms are cleared for non-ambulatory. All bedrooms are furnished with beds, night stand, chairs, dresser, bedding and linen. The bedrooms have sufficient lighting and closet space. Continue on LIC 809C BATHROOMS: The facility has four (4) bathrooms. Room three and four have a shared/common bathroom. The bathrooms were observed to have the proper fixtures, grab bars, and non-skid mats. The hot water delivered in the bathrooms measured between 108.0 degrees. One of the bathrooms is designated for staff use and LPA observed to be unlocked and accessible to residents in care with disinfecting wipes. COMMON AREAS: These included the TV and activity room which were equipped with living room furniture, a television, tables and chairs. There is a fireplace with a screen and a glass slide. It is non-operational. No fireplace tools or fixtures present. The dining area has a large dining room table to accommodate six (6). There were no visible immediate hazards. LAUNDRY ROOM: The laundry room is located in the in the hall beside room # 6. It was observed with two locked doors to make it inaccessible to the residents. OFFICE/STAFF WORKSTATION: Staff workstation is located at the end of the hallway by bedroom #5. SURROUNDING GROUNDS: The driveway, passageways and entrance to the home was clear of obstruction. All entry and exit doors have a functional auditory alert when the doors open. The front yard of the facility has a patio and outdoor furniture to accommodate the six (6) residents. The facility front yard has sufficient yard space. There is a closed jacuzzi that is fenced all around with a gate and was observed to locked and inaccessible to residents in care. The fence surrounding the jacuzzi is approximately 5 feet high all around its parameters. You will need a key to unlock the padlock to gain entry to the jacuzzi as it is kept locked at all times. Between 1:20 PM to 3:00 PM, LPA reviewed records of six (6) residents and two (2) staff. Residents and staff records appeared to be complete and updated. LPA reviewed R1's Physician report, and per R1's Physician, R1 is unable to inject or administrator his/her medication; however, the facility staff allowed R1 to inject him/herself for his/her diabetes. Administrative: LPA collected Certificate of Liability Insurance, and LIC500. Deficiencies issued during today’s visit. Exit interview conducted and copy of this report signed and delivered.