Facility Evaluation Report

Licensing Program Analyst (LPA) Quoc Huynh arrived at the facility unannounced to conduct a post-licensing continuation visit at 9:40AM. The LPA met with the Licensee Naira Nikoyan and explained the reason for the visit. Entrance interview conducted.

At 10:10AM, the LPA and the Licensee briefly toured the physical plant areas inside and outside to ensure there are no health and safety hazards, and the facility is in compliance with Title 22 Regulations. At this time, no immediate health and safety hazards were observed.

During the initial visit on 07/11/2025, the LPA observed the following:

PHYSICAL PLANT: In the food pantry located in the hallway, the LPA observed expired non-perishable foods dated from 10/27/2022 to 05/28/2025. The Licensee was unaware of the expired food and stated they would update the pantry. Resident #1 (R1) resided in the second living room and was observed to have oxygen administered. Residents in Bedroom #3 also had oxygen stored in their room for use as needed. The LPA did not observe signage stating oxygen was in use for these areas, but did observe one signage for Bedroom #1. The Licensee stated that R1 was not receiving oxygen, and the LPA pointed out the operating oxygen machine attached to the foot of R1’s hospital bed. The Licensee stated Resident #2 (R2) and Resident #3 (R3) were not currently receiving oxygen but utilize it sometimes.