Routine inspection·September 16, 2025

On 09/16/2025 at 9:15 AM, Licensing Program Analyst (LPA) Gina Saucedo and conducted an unannounced, Annual Inspection and met with Caregiver, Kumushai Mizamova. Ruzanna Manukyan, Designee Administrator was called and arrived about twenty (20) minutes after and was advised of visit. LPA asked for the census, staff and resident files. The physical plant was toured inside and out at 9:50am. Living/Dining Room Area: LPAs observed the living room furniture to be clean and in good repair. The facility maintains a comfortable temperature at 74 degrees Fahrenheit with a large television. Bedrooms : There are six (6) bedrooms. All six (6) bedrooms are used for residents. There are three (3) bedrooms on the right-hand side and three (3) bedrooms on your left-hand. LPAs observed rooms to have bedding sheets, pillowcase, blankets, nightstands, televisions, and sufficient lighting for each of the resident’s room. There are two (2) hallways, the hallway on your right-hand side has two (2) closets, one (1) with extra linen and hygiene. The other hallway has two (2) closets filled with linen and extra hygiene. Bathrooms: There are six (6) bathrooms that were toured and checked to make sure bathrooms were clean and in good repair. The hot water temperatures were measured within regulations of 103.1 and 113.9 degrees. The showers have non-slip bathmats and grab bars. There are three (3) bathrooms on your right-hand side and three (3) bathrooms on your left-hand side. LIC809C-continued Medications: There is a black and grey cabinet on your right-hand side of the facility that contains the medication, first aid and files. There is also a signal system in the facility. There are two (2) fire extinguishers fully charged and dated March-2025. One (1) is located by the kitchen and the other one (1) is located at the entrance of the facility. Kitchen Area: LPA inspected the kitchen area. There is one (1) refrigerator which was clean and in good operation. LPA observed sufficient supply of seven (7) day non-perishable and perishable foods in the cabinets. There is one (1) a washer and dryer enclosed inaccessible to the residents on the right hand side of the kitchen. The knives/sharps and chemicals are kept next to the kitchen area on your right-hand side, inaccessible to the residents. The chemicals are located under the sink locked and inaccessible to the residents. 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 unlocked leading to the outside area towards the street. The carbon monoxide and the smoke detector were tested, and they were operable, interconnected. There is no garage. Administration: The Liability Insurance was reviewed and will be renewed on 01/03/2026. There are several Covid 19 signs on the wall, hygiene sanitation signs, Infection Control, House Rules, Personal Rights, Ombudsman, Insurance and Disaster Plans on the wall at the entrance of the facility, Earthquake and Fire Drills were conducted and are located in a separate binder. Disaster Drill July 18, 2025 and Fire Drill July 08, 2025. An exit interview was conducted, no citation(s) were issued, and a copy of this report was given to the designee administrator.