Facility Evaluation Report

At 9:45 AM Licensing Program Analyst (LPA), Huma Rahimi, conducted an unannounced annual inspection at the facility mentioned above. LPA met with the staff Nora Karapatyan and the Administrator was contacted via telephone. LPA explained the reason for the visit. Physical tour was conducted with the Administrator and LPA observed the following:

Kitchen: At 9:55 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. All knives and sharps observed to be locked in a kitchen drawer. LPA observed a fire extinguisher hanging on the wall by the kitchen and was purchased on 04/27/2026.

Medications: At 10:00 AM LPA observed medications are centrally stored and locked in a closet in the hallway and inaccessible to residents in care. During the medication review, LPA could not verify the accuracy of the medication administration due to the lack of incomplete Centrally Stored Medication Record (CSMR) Form. Administrator informed LPA that the Administrator did not complete the form and was unable to provide a reason.

Bedrooms: The facility has six (6) bedrooms in total. All bedrooms were clean and odorless. Furniture was in good repair. Bedroom #3 was designated for a bedridden resident. One of the bedrooms located near the kitchen is designated for staff and LPA observed free of hazard and obstruction. LPA observed full bed rails for Resident #5 (R5), in bedroom #2 without Physician's order on file.