Facility Evaluation Report

On 7/12/23 Licensing Program Analyst (LPA) Mariana Agban conducted an Annual Required visit and inspection of the facility. LPA met with the administrator, Gayane Khachaturova and staff Narine Sahakyan and Gayane Arakelyan. They were advised of the reason for the visit.

At 9:30 am, with the assistance of Administrator, LPA took a tour of the physical plant. Required postings were observed in the entry area. The smoke alarms and carbon monoxide detectors are dual. Smoke alarms are hardwired and interconnected. The fire extinguisher is located in the kitchen.It was purchased on 5/8/23.

Kitchen: The kitchen appliances and fixtures were functional. LPA found a sufficient amount of perishable and non-perishable food at the facility; properly stored. Knives were stored in a locked drawer in the kitchen. Properly labeled medications were locked in a closet by the kitchen.

Bedrooms: There were (5) bedrooms designated for residents' use. All five rooms are for private use. All rooms were properly furnished with appropriate beddings and linens with sufficient lighting. There is also a sufficient supply of linen and towels stored in the linen closet.

Bathrooms: There are two (2) bathrooms designated for residents' use. One (1) bathroom is attached to a private room. All the bathrooms were properly supplied and had functional fixtures. Hot water temperature was measured and it ranged between 110-117 degrees Fahrenheit. LPA observed a bottle of Colrox cleaning solution under bathroom cabinet and was accessible to residents in the bathrooms. Administrator immediately took the bottle and stored away from residents.

Common Areas : These included the living room and dining area. The common areas were properly furnished. The auditory alarms on all exit doors were on and functional at the time of the visit.

Garage/Storage Room : LPA observed garage/ storage room door class is broken and unlocked. Upon entrance LPA observed the laundry area, and cleaning solutions are on the floor and accessible to residents. LPA advised Administrator of the immediate health and safety hazard of this area. Administrator immediately started to fix the broken door and lock the room.

Temperature :of facility wall thermostat was set at 76.0°F and observed to be within the required range.