Routine inspection·May 12, 2025

At 9:45 AM, Licensing Program Analyst (LPA) Huma Rahimi conducted an unannounced Annual Inspection visit to the above facility and met with the staff Ronald Lasam. The staff contacted the Administrator Vardan Baghdasaryan via telephone and LPA explained the reason for the visit. The Administrator arrived at the facility at 10:15 AM. The facility is a single-story building. LPA conducted a physical plant tour of the facility inside and outside and observed the following: KITCHEN: At 10:20 AM, LPA toured the kitchen. The kitchen area is equipped with a refrigerator, microwave oven, sink. Stove was observed in a good working condition. LPA observed adequate supplies of perishable and nonperishable food. LPA observed a knife and a scissor in the dash rack, and two other knives in the kitchen cabinet accessible to residents in care. Furthermore, LPA observed a Lysol disinfectant spray on the top of the medication cabinet which is placed next to the kitchen and LPA also observed vitamins and supplementals in one of the kitchen cabinets unlocked and accessible to residents in care.LPA also observed other chemicals and toxins and were locked under the sink and inaccessible to residents. BEDROOMS: At 10:25 AM, LPA observed that the facility has six (6) bedrooms of which five (5) bedrooms are for resident’s use and one (1) designated for staff which is locked and inaccessible to resident. Bedroom # two (2), and bedroom # three (3) are currently vacant. In bedroom #5 LPA observed medication of Resident #2 (R2) accessible and unlocked to residents in care. LPA observed all bedrooms properly furnished with beds, dressers and required bedding, chest drawer, and linen. The bedrooms have sufficient closet space and have sufficient lighting. Facility have a live-in and an awake staff. Continue on LIC 809C Between 11:40 AM to 1:15 PM, LPA reviewed records of four (4) residents and three (3) staff. Residents and staff records appeared to be complete and updated. Administrative: LPA collected Certificate of Liability Insurance, and LIC500. Deficiencies were issued today’s visit. Appeal right explained. Exit interview conducted and copy of this report signed and delivered. Bathrooms: The facility has three (3) bathrooms. All bathrooms contained fully stocked soap, paper towels, trash can, non-skid mats, and grab bars. LPA observed trash cans with tight fitting lids, Hot water temperature measured at 118.4°F. In two (2) out of three (3) bathrooms LPA observed disinfectant wipes accessible to residents in care. Common Areas : The facility maintains a comfortable temperature at 71°F. The living room and dining area appeared clean and were properly furnished. The living room has a television, comfortable furniture. No obstructions and or tripping hazards throughout the facility. Smoke detectors/carbon monoxide . Smoke detectors were located throughout the facility and are hard-wired. At 11:30 AM they were tested and observed to be operational. Carbon monoxide was located in a hallway and was also tested and observed to be operational. Outside space: LPA observed a covered area with with furniture in good repair. All outdoor spaces and paths were free from obstructions. The exit door was observed with inward latch that can be easily opened and accessible. Garage: LPA observed a garage with adequate incontinence supplies and with a working washing machine and dryer. LPA observed that garage was unlocked and all the laundry detergents and Colorax Beach were accessible to residents in care. Medication: LPA observed that medication are kept in a cabinet next to the kitchen and was locked and inaccessible to residents in care. During review of R3's random medication revealed that the facility was supposed to start Atorvastatin (High Cholesterol Medication) a new bottle on 05/03/2025. During today's visit LPA counted R3's medication and it was discovered that there was a discrepancy and ten (10) extra pills were in the bottle. LPA asked the Administrator and the staff for explaining and both staff could not provide sufficient information as to why there were extra pills. LPA also observed Centrally Stored Medication (LIC 622) records and did not observe a current/updated medication record with all the required information. There was a complete first aid kit located in the medical supply cabinet by the dinning area. Continue on LIC 809C