Facility Evaluation Report

Licensing Program Analyst (LPA) Trevor Byrne arrived to the facility at 01:50 PM to conduct an unannounced Case Management – Other inspection at the facility today. LPA met with facility staff member Keyna Nkumbula (S1) who contacted the facility Administrator Elba Khachatryan via telephone call entrance interview conducted and the reason for the visit was explained.

During today’s visit LPA conducted a physical plant tour and interviewed five (5) of six (6) residents as one (1) resident was out of the facility at the time of the inspection. No immediate health and safety concerns were observed. All residents interviewed stated that they are fed well, staff were present at the facility all night, and medications were given. No residents interviewed had concerns with the facility at the time of the inspection.

CCLD had previously requested a copy of the facility's LIC 500 on 03/01/2025 and 03/02/2025. On 03/02/2025 the Administrator stated that they would provide a copy of the LIC 500 no later than end of day Monday 03/03/2025. As of the time of the visit the Administrator has still not provided CCLD with a copy of the facility's LIC 500.

No deficiencies were observed during today’s inspection. The Administrator did not respond to phone calls from the LPA at the time the report was delivered. S1 has signed this report on the facility's behalf. Exit interview conducted and copy of the report was issued.