Routine inspection·August 13, 2025

Licensing Program Analyst (LPA) Jose Tan, met with administrator Hermine Karapetyan for a One (1) Year Required visit for this facility. LPA explained the reason for the visit. A tour of the physical plant was conducted at 9:08 AM and the following was noted: There is only one entrance being utilized at the facility. Screening area is located immediately upon entrance. Sign in sheet, hand sanitizer, gloves and masks are available. The facility had submitted and approved Infection Control and Mitigation plan.The facility has a designated visitors' area at the backyard. The facility has a total of four (4) bedrooms and three (3) bathrooms. One (1) of the bathroom is designated for staff use only. KITCHEN: The facility has a Kitchen that is equipped with a refrigerator, microwave, stove, dishwasher and sink. There was an adequate supply of perishable and nonperishable food. Knives were observed locked in a kitchen drawer. Cleaning supplies and other toxins are stored in the cabinet in the bedroom hallway which was locked during visit. BEDROOMS: There are four (4) bedrooms designated for clients' use: two (2) shared and two (2) private. The residents' bedrooms are furnished with beds, night stand, chairs, dressers, bedding and linen and have sufficient lighting and storage. BATHROOMS: The facility has two (2) shared bathrooms for clients' use. The bathrooms were observed to have the proper fixtures, grab bars, and non-skid mats. The hot water temperature was measured at a range of 111.2°F to 116.8°F. (continued on LIC 809-C) (continued from LIC 809) LAUNDRY ROOM: The laundry room is located in the bedroom hallway. Laundry detergents and other cleaning agents were locked in a cabinet along the bedroom hallway by the fire door. The cleaning supply cabinet was observed to be locked during visit. COMMON AREAS: These included the living room and the dining area. Living room was furnished with chairs and side tables. The living room area was furnished with a television, a coffee table and sofas to sit the capacity of the facility. There were no visible immediate hazards. Dual smoke/carbon monoxide alarms were tested and observed to be operable. Fire extinguisher was last bought on 04/28/24 and located in the dining room area. The facility is equipped with closed circuit television system in the outside surroundings only. MEDICATIONS: The medication cabinet is located in the office adjacent to the living room and has a locking mechanism. A complete first aid kit is located in the kitchen. Resident Records: All residents record were reviewed and observed to be complete and updated. Staff records were also reviewed and observed to be complete and updated. SURROUNDING GROUNDS: The driveway, passageways and entrance to the home was clear of obstruction. All entry and exit doors have a functional auditory alert when the doors open. The backyard of the facility has a covered patio and backyard furniture to accommodate the residents. The Garage is converted into another resident room (room #4) and staff break room for staff where the refrigerators are also kept. There are two (2) tool shed on the side yard separated by a 5' gate and inaccessible to residents. There is a drive way in front of the facility which could park three (3) cars at a time. The swimming pool is appropriately fenced and was locked during visit. Disaster drill was last conducted on 05/29/25 . Required posting observed in facility (complaint hot line poster). Exit interview conducted. Copy of this report issued.