Facility Evaluation Report

At 9:00 a.m., Licensing Program Analyst (LPA) Huma Rahimi conducted an unannounced visit to the facility in conjunction with Complaint Control #31-AS-20260624143205. LPA met with Staff #1 (S1) Liana Babaian and Staff #2 (S2) Anna Bumiatyan, who granted access to the facility. The staff contacted the Administrator Designee by telephone, and LPA explained the purpose of the visit. The Administrator Designee arrived shortly thereafter.

During the physical plant tour, LPA observed that four (4) out of six (6) resident bedrooms did not contain chairs as required.

During an interview with Resident #3 (R3), LPA observed visible scratches/marks on the right side of R3’s neck. The Administrator Designee stated that R3 exhibits self-injurious behaviors. The Administrator Designee further stated that the self-injurious incident occurred on 06/17/2026; however, no incident report was submitted to the Community Care Licensing Division (CCLD) regarding this occurrence.

Deficiencies were issued and appeal rights were explained.

An exit interview was conducted, and a copy of this report was signed and delivered.