Routine inspection·November 12, 2025

At 9:35 AM, Licensing Program Analyst (LPA) Huma Rahimi conducted an unannounced annual inspection visit. LPA met with the Licensee Marine Hovhannisyan and the Administrator Nina Kharatyan was contacted via a telephone. LPA explained the reason for the visit. The Administrator arrived shortly after. The Administrator and LPA toured the facility inside and out and observed the following: KITCHEN: The facility has a Kitchen area that is equipped with a refrigerator, microwave oven, and a sink. Stove was observed in a good working condition. At 9:50 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 drawer and inaccessible to residents. LPA observed a Fire Extinguisher and were last purchased on 01/08/2025. The Fire Extinguisher was observed hanging on the wall in the kitchen. MEDICATION ROOM: The centrally stored medication were observed locked in a cabinet in the kitchen. Residents and staff files were observed locked in a cabinet in the kitchen and inaccessible to residents. BEDROOMS: There are five (5) bedrooms designated for resident’s use. Bedrooms number three (3) and four (4) are shared. Bedroom (3) is used for a bedridden resident and bedroom one (1) and two (2) are private. 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 hardwired and were tested and observed to be operational. Continue on LIC 809C BATHROOMS: There are three (3) bathrooms at the facility. L PA 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 The water temperature was noted at 108.7°. LAUNDRY ROOM: The laundry room is located in the backyard of the facility and there is an extra locked storage room where all the laundry detergents and PPE supplies were observed locked. The washer/dryer appear to be in good working condition. COMMON AREAS: The facility maintains a comfortable temperature at 77°F. The living room and dining area appeared clean and were properly furnished and has a television. No obstructions and or tripping hazards throughout the facility. LPA observed a working telephone for the facility. SURROUNDING GROUNDS: The facility has sufficient backyard space. LPA did observe appropriate outdoor furniture in the backyard of the facility that can accommodate six (6) residents, LPA observed a covered shaded area for residents with some games for outdoor activities . There is no swimming pool or any bodies of water at the facility. The exit was free of any obstruction or hazard. Garage/Storage: The facility does not have any extra garage and has two separate storage spaces. All the cleaning supplies are kept in a locked cabinet outside of the kitchen. SMOKE DETECTORS/CARBON MONOXIDE. Smoke detectors and carbon monoxide were located throughout the facility. At 10:20 AM, they were tested and observed to be operational. Between 10:30 AM to 12:00 PM, LPA reviewed six (6) resident and two (2) staff records. All residents and staff records appeared to completed. No deficiency issued during today's visit. Exit interview was conducted and with a copy of this report was provided to the Administrator.