Facility Evaluation Report

Licensing Program Analyst (LPA) Trevor Byrne arrived at the facility unannounced to conduct a required annual visit at 09:27 AM. LPA met with facility staff and contacted the facility Administrator Naira Spry. The Administrator stated that they are unable to come to the facility during today’s inspection, but the Owner/Licensee Representative Tigran Gevorgyan (LIC) would be arriving to conduct the visit. LIC arrived to the facility at approximately 10:00 AM. Entrance interview conducted and the reason for the visit was explained.

Beginning at 09:30 AM the LPA, along with facility staff #1 (S1) toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that facility is in compliance with Title 22 Regulations. The following was observed:

COMMON AREAS : This includes the living room/dining area, hallway, and office area. LPA observed the living room/dining area to be clean and properly furnished at the time of the visit. The living room contains a television, activities for resident use, and a fireplace that is appropriately screened and contains no tools. Additionally, the living room/dining area contained a table and adequate seating for resident use. The hallway was observed to be clean and free from obstructions. The office area was observed to contain a locked storage cabinet that contained facility files. Additionally, the office area contained an unlocked storage dresser that contained the facility’s first aid kit and caregiver’s personal items. LPA observed this dresser to contain unsecured resident medications including prescription inhalers, ointments, and staff supplements. Facility staff secured all medications at the time of the visit. The facility’s combination fire and carbon monoxide alarms were tested at 01:02 PM and were functional at the time of the visit. Continued on 809C.