Routine inspection·August 11, 2025

At 11:15 AM Licensing Program Analyst (LPA), Huma Rahimi, conducted an unannounced annual inspection at the facility mentioned above. LPA met with the Licensee Diana Karapetyan and LPA explained the reason for the visit. Physical tour was conducted with the Licensee and LPA observed the following: KITCHEN: The facility has a Kitchen area that is equipped with a refrigerator, microwave oven and sink. At 11:20 AM, LPA observed adequate supplies of perishable and nonperishable food and dining ware to accommodate a maximum capacity of six (6). All 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. Medication: LPA observed centrally stored medication to be locked and in accessible to residents in care in a cabinet in the dinning room. Staff and residents files/records are kept in the facility office in a locked cabinet. 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. LPA observed that one of the exits in bedroom #4 was blocked by a chest drawer and a chair. Facility has a bedroom designated for staff use only. BATHROOMS: At 11 26 AM, LPA observed all bathrooms are clean and in good repair. Properly supplied with toilet papers, soap; and paper towels. LPA observed appropriate grab bar and had non-skid mat. Hot water temperature measured at one of the bathrooms at 127.8°F. Continue on LIC809-C COMMON AREAS: The facility maintains a comfortable temperature at 76°F. The living room and dining area appeared clean and were properly furnished. During the visit LPA observed that one of emergency exit being blocked by a chair. LAUNDRY ROOM: The laundry room is located outside by bedroom #1 and LPA 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. LPA observed appropriate outdoor furniture, with a covered shaded area for residents . The backyard is fenced. There are no bodies of water. The garage is attached and currently being used for storage and LPA observed to be locked and inaccessible to resident sin care. SMOKE DETECTORS/CARBON MONOXIDE. Smoke detectors and carbon monoxide were located throughout the facility. At 11:35 AM, they were tested and observed to be operational. Between 12:00 PM to 2:30 PM, LPA reviewed records of six (6) residents and two (2) staff. Residents and staff records appeared to be complete and updated. Administrative: LPA collected Certificate of Liability Insurance, and LIC500. Deficiencies cited during today’s visit. Appeal rights explained. Exit interview conducted and copy of this report signed and delivered.