Facility Evaluation Report

At 12:30 PM, Licensing Program Analysts (LPAs), Huma Rahimi, and Angela Panushkina, conducted an unannounced annual inspection at the facility mentioned above. LPAs were greeted by the staff, Mari Akmakchyan, who granted access to the facility. LPAs explained the reason for the visit.

This facility is licensed for the capacity of six (6) Ambulatory residents.

Upon arrival, Mrs. Akmakchyan informed LPAs that the facility currently has five (5) residents, of which two (2) are bedridden and three (3) are ambulatory. LPAs were also informed that none of the residents are on Hospice.

At approximately, 12:35 PM, LPAs conducted a tour of the facility, and the following was observed:

Common Areas : The facility maintains a comfortable temperature at 73°F. The living room and dining area appeared clean and were properly furnished. No obstructions observed throughout the facility. The facility license was not posted and or available for review.

Kitchen: LPAs observed sufficient supplies of staple non-perishable for 1 week and perishable for 2 days. At 10:15am, LPAs observed resident medications/injectable in the refrigerator unlocked. All knives and other sharps were observed locked in the kitchen drawer. LPAs observed all other medication locked in the kitchen cabinet. There is a fire extinguisher by the kitchen that was last purchased on 10/1/2024.

Bedrooms: There are three (3) bedrooms designated for residents use and have sufficient lighting. All bedrooms have appropriate bedding and linens. LPAs observed two (2) half rail beds in room #1 and room #2, without Physician order. Physician's order for half bed rails were not available upon request. Moreover, LPAs observed a television stand that was blocking the emergency exit door.