Facility Evaluation Report

At 9:15 AM Licensing Program Analyst (LPA), Huma Rahimi, conducted an unannounced annual inspection at the facility mentioned above. LPA met with staff, Aroksya Arzumanyan and the Administrator Khatchik Danielian, was contacted via phone. LPA explained the reason for the visit. Physical tour was conducted with the staff and LPA observed the following:

The facility is a single storey building and has three (3) bedrooms for residents use, one (1) office, and two (2) bathrooms. Fire cleared for six (6) non-ambulatory residents, one (1) of which maybe bedridden on Room #1. Hospice waiver for six (6) residents.

Kitchen: At 9:20 AM LPA toured the kitchen area and observed enough supplies of staple non-perishable for minimum 1 week and perishable for 2 days at the facility. Knives and sharps are observed to be locked in the kitchen drawer and inaccessible to residents. Toxins and cleaning solutions were locked under the sink.

Medications: LPA observed that the medication are kept in the filing cabinet in the dinning area and was observed to be locked and inaccessible to residents in care. Review of medication did not reveal any discrepancy during today's visit.

Bedrooms: LPA observed total of three (3) bedrooms designated for residents use. All bedrooms contained a nightstand, storage, and bed with adequate bedding. All furnishings were clean and in good condition. Facility has an awake staff at the facility.