Routine inspection·February 3, 2025

On 02/03/25, at 9:40am, Licensing Program Analyst (LPA), Gina Saucedo, arrived to conduct an unannounced, annual inspection at the facility. Upon arrival, LPA Saucedo met with Lead Caregiver Larisa Bobakova and disclosed the purpose of the visit. LPA spoke to the administrator Armenuhi Avetisyan via telephone. LPA asked for the census, resident, and staff files. A physical tour was conducted at 11:05 AM and observed the following: Facility is a single-story home: he Kitchen area was toured, and LPA observed there to be sufficient seven (7) day supply of non-perishable foods and perishable food for all residents. The kitchen area was clean at the time of the tour. There are two (2) fire extinguishers; one (1) is located against the wall on your right-hand side towards the backyard. The other is located by the entrance of the facility with an expiration of 04/2025. There is a telephone line on the counter in the kitchen another telephone line by the entrance of the facility. There is extra, food in the kitchen pantries. The medications are locked and inaccessible to the residents in a black cabinet on your left-hand side at the entrance of the facility. The first aid kit is located on the top, black cabinet where the medication is kept. The knives are at the top of the kitchen counter on your right-side in a locked black box and inaccessible to the residents. Outside/Backyard: The outside/backyard has furniture for the residents with proper seating. The facility does have a signal system. The facility does not have a pool/body of water. There is no garage. LIC 809C-continued Bedrooms: There is a total of six (6) bedrooms and six (6) bathrooms. Three (3) bedrooms and three (3) bathrooms that are located on the right side of the facility and three (3) bedrooms and three (3) bathrooms on the left side of the facility. There are two (2) bedrooms with a private bathroom. The other four (4) bedrooms do not have a private bathrooms but there are two (2) bathrooms on the left side and two (2) bathrooms on the right side. All bedrooms and bathrooms were toured and were properly furnished and have appropriate bedding, linens, toiletry, and lightning. The bathrooms have proper toiletry and grab bars. The bathroom temperatures of the water are within regulations reading at 114-117 degree Fahrenheit. There is two (2) pantries on your right side with extra linen and there is one (1) pantry on your left side with extra linen and one area that has the washer and dryer with chemicals locked and inaccessible to the residents. The dining/living room area has enough seating for the residents and the staff with a large television. The house temperature is at 73-degree Fahrenheit on both sides of the facility. The smoke detector/carbon monoxide is in the hallway and is operable. Administrative: There is an annual fee that is due right now. Towards the front of the facility on your left-hand side there is a facility sketch, House Rules, Disaster Plan, Resident Rights, Rights of Resident Council, Administrator License, Wifi connection instructions, Designation of facility, Resident Infection Control Plan and the surety bond with an expiration date of 04/2025. An exit interview was conducted, no citation(s) were issued, and a copy of this report was issued.