Facility Evaluation Report

At 12:30 PM, Licensing Program Analyst (LPA) Huma Rahimi conducted an unannounced annual Inspection visit to the above listed facility. LPA met with the staff Irma Chavezdefranco and the staff contacted the consultant, Victoria Hayratepyan who informed LPA that the facility is currently in the process of change of ownership. LPA explained the reason for the visit and LPA was informed that the current owner/Administrator will be informed to conduct today's annual inspection. LPA contacted the Administrator via telephone and explained the reason for the visit. LPA was informed that the Administrator is unable to come and also does not have a designee to conduct today's visit. LPA and staff conducted the physical plant tour of the facility and observed the following:

KITCHEN: The kitchen is equipped with a refrigerator, microwave, stove/oven and dishwasher. LPA observed adequate supplies of perishable and nonperishable food and dining ware to accommodate a maximum capacity of six (6). LPA observed two knives on the kitchen counter unlocked and accessible to one (1) resident in care. LPA also observed a pair of scissors on a magnet holder on the fridge in the kitchen unlocked and accessible. An additional knife was observed in the kitchen drawer locked; however, the magnetic key was observed accessible on the fridge in the kitchen. LPA observed that all cleaning supplies unlocked under the sink cabinet in the kitchen. LPA observed a Fire Extinguisher and was last purchased on 12/001/2025. It was observed hanging on the wall in the kitchen.

MEDICATION ROOM: LPA observed centrally stored medication locked standing cabinet in the kitchen. Residents and staff files were observed locked in the living room.