Post-licensing visit·March 8, 2024

Licensing Program Analyst (LPA) Galarza arrived unannounced to conduct an Post Licensing inspection. LPA met with caregiver staff Lediy Catarina Amaya who provided a tour of the entire facility. Licensee Nvard Gevorkian was explained the purpose of the visit telephonically. The Facility is licensed for six (6) elderly residents ages 60 and over. Currently there are three (3) residents residing at the facility. The inspection was completed using the CARE tools. Observations: LPA toured and inspected 6 resident rooms, 2 bathrooms, kitchen, 2-day perishable/7-day non-perishable food supply, medication storage area, activity areas, laundry area, garage, and outdoor areas were inspected. Sharps were observed secured in locked. The facility was free of odor, clean and in good repair. No obstructions were noted in hallways or living areas. Sufficient furniture and lighting was observed throughout the facility. The hot water temperature in the 2 bathroom sinks measured 125.5 DF & 129.9 DF, and the kitchen sink water measured 125.7 DF. A citation was issued. Centrally stored medications were reviewed. They were observed locked and inaccessible to residents. Resident file records were reviewed. Resident files contained required documentation including updated emergency information. Staff records were not reviewed because they were off-site. Per Title 22, All personnel records shall be available to the licensing agency to inspect, audit, and copy upon demand during normal business hours. LPA checked criminal record clearances and staff (S1) is not cleared or associated to this facility. Civil penalty was assessed. See Something Say Something complaint poster, Evacuation Routes and facility license were all posted as required. In the areas that were evaluated, deficiencies were observed. Refer to LIC 809D. This report was reviewed with Leidy Catarina Amaya Perez. A copy of the report and appeal rights were issued.