Facility Evaluation Report

At 10:00 AM, Licensing Program Analyst (LPA) Huma Rahimi conducted an unannounced Annual Continuation visit to this facility; to continue with the Annual/Required visit initiated on 11/26/2025. LPA met with Ainura Amanzholova, Caregiver, who granted access to the facility. The Administrator Marine Grigoryan was contacted via a telephone and LPA explained the reason for the visit. Administrator arrived shortly after.

During today's visit, LPA reviewed medication and medication records for proper documentation and no discrepancies were observed. Moreover, LPA issued deficiencies which were observed during the initial annual inspection visit for the following:

Failure to submit incident reports to Community Care Licensing Division (CCLD).

Six (6) out of six (6) residents' file documents (consent forms, ID and emergency information, Appraisal Needs and Services Plan, LIC 613C personal rights and etc,) were missing signatures and dates.

Lack of proper pre-assessment/pre-placement of R3 and was accepted to the facility with a prohibited health condition.

Lack of proper training (prohibited health condition) of the staff.