Facility Evaluation Report

At 9:30 AM, Licensing Program Analyst (LPA) Huma Rahimi conducted an unannounced annual visit. LPA met with the staff Anahit Niazyan and the Administrator Designee was contacted via telephone. LPA was informed that the Administrator is unable to come to the facility due to a sickness; however, the Administrator Designee will arrive shortly. LPA explained the reason for the visit. LPA and the Administrator Designee toured the facility inside and out.

Kitchen: At 9:45 AM, LPA and Administrator Designee toured the kitchen and the kitchen is equipped with a refrigerator, microwave oven and sink. There were adequate supplies of perishable and nonperishable food and dining ware to accommodate a maximum capacity of six (6). Knives were observed locked in the kitchen drawer.

MEDICATIONS: LPA observed the medication locked and inaccessible to residents in care in a cabinet in the dinning room.

SAFETY: The smoke alarms and carbon monoxide detector are battery operated. The facility has a fire extinguishers that was purchased on 09/2/2025. One fire extinguisher is located on the kitchen wall.

BEDROOMS: There are five (5) bedrooms designated for resident’s use. Bedroom # (3) is shared. All other four (4) bedrooms are private. Bedroom number one is cleared for bedridden. All other rooms are cleared for non-ambulatory. All bedrooms are furnished with beds, night stand, chairs, dresser, bedding and linen. The bedrooms have sufficient lighting and closet space. Continue on LIC 809C