Routine inspection·August 11, 2025

Licensing Program Analyst (LPA) Mariana Agban conducted an Annual Required visit and inspection of the facility. LPA met with staff, Gayane Karapeyan, and explained the reason for the visit. Administrator Ani Mkrtchyan was contacted and arrived shortly after. At approximately 1:30 PM, with the assistance of staff, LPA took a tour of the physical plant. Required postings were observed in the entry area. The smoke alarms are interconnected and battery-operated. There is a carbon monoxide detector that functions properly installed near the dining area and kitchen. The fire extinguisher is located in the kitchen. The charge date is July 24, 2025. Kitchen: The kitchen appliances and fixtures were functional. LPA found a sufficient amount of perishable and non-perishable food at the facility, properly stored. Knives were stored in a locked drawer in the kitchen. Bedrooms: There were four (4) bedrooms designated for residents' use. Two(2) bedrooms are designated for private use, and two (2) rooms are shared. Currently, Room#1 is vacant. All bedrooms, in use by residents, were properly furnished with appropriate beddings and linens with sufficient lighting. Bathrooms: There are two (2) bathrooms designated for residents' use. Both bathrooms were properly supplied and had functional fixtures. Hot water temperature was measured from the bathroom sink at 110.9 degrees Fahrenheit. No cleaning supplies or hazardous items were present in each bathroom during the inspection. Common Areas: These included the living room and dining area. The common areas were properly furnished. The dining room table is large enough to seat the capacity of the facility. Seating such as couches where in good repair and sat the capacity of the facility. LPA observed that properly labeled medications were locked in one of the hallway cabinets. (Continue on 809C) Surrounding Grounds: Entry/exits were free of obstruction. There was a shaded area with appropriate furniture for outdoor use. The outdoor area was free of hazards. The gate at the side of the home was checked to ensure no locks were installed, and that exits and passageways were clear for emergency evacuation. Resident Files: LPA conducted a file review for three out of three residents and observed that R1 and R3 do not have a physician report on file. LPA was unable to complete the annual inspection during today's visit. The administrator was informed that a follow-up visit will be conducted. Exit interview conducted. Citations issued, Copy of report provided.