Facility Evaluation Report

Licensing Program Analyst (LPA) Huma Rahimi conducted an unannounced annual inspection visit to the above facility. LPA met the staff and Armine Dishoyan the Designee was contacted via a telephone. LPA explained the reason for the visit. At 9:50 AM the designee arrived at the facility. LPA and the designee conducted a physical plant tour and observed the following:

LPA observed the required postings in the entry area. The smoke alarms are operational that are located each bedroom, the hallway and kitchen. There are carbon monoxide detectors that functions properly. The fire extinguisher is in the kitchen. It was last serviced on 08/30/2025. During the visit the facility is at 69 degrees Fahrenheit. The facility is fire cleared for six (06) non-ambulatory residents; six (6) hospice waiver.

Kitchen: The kitchen appliances and fixtures were functional. The kitchen has a working gas stove, faucet, freezer, refrigerator, and microwave. LPA found enough at least two (2) days perishable and seven (7) days non-perishable food at the facility that is properly stored. All sharps/knives were stored in a locked drawer in the kitchen. Food storage and preparation areas are clean and inaccessible to pests. Garbage cans have tight fitting covers. Cleaning supplies, pesticides or toxic cleaning supplies were stored and locked away in the kitchen cabinet under the sink.

Bedrooms: There were four (4) bedrooms designated for residents' use. Bedroom #1 and bedroom #4 is shared. Room #2 and bedroom #3 of the bedrooms are private. All the bedrooms are used by residents were properly furnished with appropriate dresser, beddings, and linens with sufficient lighting.