Routine inspection·September 3, 2024

At 1:45 PM Licensing Program Analysts (LPAs), Huma Rahimi and Leslie Ngo-Castaneda, conducted an unannounced annual inspection at the facility mentioned above. LPAs met with the staff, Marine Abrahamyan and the Administrator Gurgen Karapetyan, Administrator, arrived shortly after. LPAs explained the reason for the visit. Physical tour was conducted with the Administrator and LPAs observed the following: KITCHEN: The facility has a Kitchen area that is equipped with a refrigerator, microwave oven and sink. At 1:50 PM, LPAs observed adequate supplies of perishable and nonperishable food and dining ware to accommodate a maximum capacity of six (6). LPAs observed a scissor accessible to residents in care in the kitchen on the counter top by the sink. All other knives and sharps are observed to be locked in a kitchen cabinet and inaccessible to residents. Fire Extinguisher was last purchased on 09/03/2024. BEDROOMS: There are five (4) bedrooms designated for residents use. All bedrooms are furnished with beds, dressers and required bedding and linen. The bedrooms have sufficient closet space and have sufficient lighting. Auditory alarms were tested and observed to be operational. Facility a bedroom designated for staff use only. LPAs observed medication bottle in the staff room unlocked and accessible to residents in care. Additionally, LPAs observed medications in bedroom # five (5) in resident's position. BATHROOMS: At 2:10 PM LPAs observed all bathrooms are clean and in good repair. Properly supplied with toilet papers, soap; and paper towels. LPAs observed appropriate grab bar and had non-skid mat. LPAs observed medications in bathroom # 1 which is attached to bedroom number one (1). Continue on LIC809-C COMMON AREAS: The facility maintains a comfortable temperature at 72°F. The living room and dining area appeared clean and were properly furnished. All exits were free of obstruction or hazards. MEDICATION ROOM: The medication and facility staff/resident files will be kept in a locked cabinet located kitchen cabinet. However, LPAs observed medications (Advil and Alcohol First Aid Antiseptic) accessible to residents in care in bedroom # 5. Additionally, the pantry in the hall was also observed unlocked with medications. LAUNDRY ROOM: The laundry room is located outside by bedroom #1 and LPAs observed combination lock on the door. The washer/dryer appear to be in good condition. Laundry supplies are kept inaccessible when not in use with supervision. SURROUNDING GROUNDS: The back of the facility has sufficient yard space. LPAs observed appropriate outdoor furniture, with a covered shaded area for residents . The backyard is fenced. LPAs discussed the importance of maintaining the care and supervision to meet the needs of residents. There are no bodies of water. The garage is attached and currently being used for storage and LPAs observed it unlocked with paint and other tools accessible to residents in care. SMOKE DETECTORS/CARBON MONOXIDE. Smoke detectors and carbon monoxide were located throughout the facility. At 2:15 PM, they were tested and observed to be operational. Between 2:30 PM to 3:30 PM, LPAs reviewed records of four (4) residents and two (2) staff. Residents and staff records appeared to be complete and updated. Administrative: LPAs collected Certificate of Liability Insurance, and LIC500. A deficiency is cited during today’s visit. Appeal rights explained. Exit interview conducted and copy of this report signed and delivered.