Facility Evaluation Report

At 9:45 AM, Licensing Program Analyst (LPA) Huma Rahimi conducted an unannounced Annual Inspection visit to the above facility and met with the staff Ronald Lasam. The staff contacted the Administrator Vardan Baghdasaryan via telephone and LPA explained the reason for the visit. The Administrator arrived at the facility at 10:15 AM.

The facility is a single-story building. LPA conducted a physical plant tour of the facility inside and outside and observed the following:

KITCHEN: At 10:20 AM, LPA toured the kitchen. The kitchen area is equipped with a refrigerator, microwave oven, sink. Stove was observed in a good working condition. LPA observed adequate supplies of perishable and nonperishable food. LPA observed a knife and a scissor in the dash rack, and two other knives in the kitchen cabinet accessible to residents in care. Furthermore, LPA observed a Lysol disinfectant spray on the top of the medication cabinet which is placed next to the kitchen and LPA also observed vitamins and supplementals in one of the kitchen cabinets unlocked and accessible to residents in care.LPA also observed other chemicals and toxins and were locked under the sink and inaccessible to residents.

BEDROOMS: At 10:25 AM, LPA observed that the facility has six (6) bedrooms of which five (5) bedrooms are for resident’s use and one (1) designated for staff which is locked and inaccessible to resident. Bedroom # two (2), and bedroom # three (3) are currently vacant. In bedroom #5 LPA observed medication of Resident #2 (R2) accessible and unlocked to residents in care. LPA observed all bedrooms properly furnished with beds, dressers and required bedding, chest drawer, and linen. The bedrooms have sufficient closet space and have sufficient lighting. Facility have a live-in and an awake staff.