Facility Evaluation Report

On 03/03/25, at 12:30pm, Licensing Program Analyst (LPA) Gina Saucedo arrived at the facility to conduct an unannounced, Plan Of Correction (POC) and was greeted by Kyzylgul Almamatova, Caregiver. The purpose of the POC visit is to make sure deficiencies were corrected on reports issued on 12/11/2024. The designated administrator, Karen Mesropyan arrived about twenty (20) minutes later.

At 12:35 PM LPA toured the home and requested the following:

LPA reviewed all three (3) resident files and all three (3) staff files. All three (3) resident files were completed and POC’s were cleared-Admission Agreement, Pre Placement Appraisal, Resident Appraisal, Physician's Report and tuberculosis clearance and Needs and Appraisal. Two (2) out of three (3) files were completed. Staff # 2 (S2) is still missing health screening. LPA received the training required by staff and the CPR-Cardiopulmonary resuscitation for clearance of POC. An additional staff has been hired and has a completed file at the facility.

The medication, sharps, and chemicals were locked and inaccessible to residents-POC was cleared.

The garage door and where they keep the sharps was repaired-POC cleared.

Two (2) citations will be issued on 809-D for The Liability insurance Coverage that is required and S2 missing Health Screening.

An exit interview was conducted, citation(s) were issued, appeals rights and a copy of this report was given to the designated administrator.