Facility Evaluation Report

Licensing Program Analyst (LPA) Christine Yee conducted an unannounced required Annual Inspection using the complete CARE Inspection Tool and was given entry into the home by Mariam Baghdoyan, Staff. LPA Yee contacted Asmik Nadrian via telephone and was informed that she would not be able to conduct the visit. Marine Arshakyan was contacted by the Administrator and she arrived at 10:08am to conduct the visit. Due to staff having difficulties locating files, Asmik Nadrian, Administrator arrived later to participate in the visit.

The home is a single storey family home consisting of a living room, dining room, a kitchen, 4 resident bedrooms, 3 bathrooms and a attached garage. The home is fire cleared for 5 non-ambulatory and 1 bedridden resident. Bedroom #4 is the room designated for bedridden use.

The following was observed on today's visit:

The dining room and living room have the appropriate furniture for 6 residents and was clean

The kitchen has a stove, refrigerator and a microwave were observed to be operational. Medications and knives are stored in a kitchen cabinet. At the time of the inspection, the cabinet was observed unlocked with magnet hanging on the refrigerator next to the cabinet. Cabinet was locked when pointed out.

insufficient perishable and non-perishable foods were observed in the kitchen and in the garage. Some of the canned foods such as soups and vegetables had expired.

Bedroom # 1 was observed furnished with the resident's own furniture consisting of a full size day bed, 2 dressers, night stand, chair and a built in closet. Located in the room is a bathroom equipped with a shower stall, toilet and sink. No grab bars or non-skid mats were observed. Water temperature was tested and read 137.5 degrees Fahrenheit.

Bedroom #2 has 2 hospital beds, 3 night stands, no lamps, no chairs, no dressers. Sufficient lighting was observed. Left bed was observed with a full bed rail for resident on hospice.