Facility Evaluation Report

Licensing Program Analyst (LPA) Brian Balisi arrived to this facility today to conduct a One (1) year Required inspection of this facility with emphasis on infection control practices and procedures. LPA met with Caregiver Sona Hakobyan and explained the reason for the visit. LPA spoke with Administrator Hripsime Tavitian over the phone who stated it was okay for Sona to sign for the report.

A tour of the physical plant was conducted with Sona approximately between 1:00pm - 2:30pm LPA inspected facility for Fire Safety, Personal Accommodations and Services, and Food Service. The following was noted: There are (6) bedrooms for residents and (1) bedroom for staff use only. Smoke alarms and carbon monoxide detector were tested and functioned properly during time of visit. LPA observed all required postings in the entry area. The facility serves residents with dementia, the auditory alarms on the exit doors were tested and functioned properly at the time of visit. Fire extinguishers were fully charged and purchased in April of 2022.

Kitchen: The kitchen appeared clean and the appliances and fixtures functional during the time of visit. LPA observed a sufficient amount of perishable and non-perishable food at the facility properly stored; Sharp objects are stored in a locked drawer to the right of the sink. Some cleaning supplies and disinfectants were observed stored inaccessible to residents under the sink.

Bedrooms: The resident bedrooms were properly furnished with at least one chair, night stand and sufficient lighting for each resident. The bedrooms had appropriate and adequate bedding and linens such as sheets, pillowcases, mattress pads, and blankets.

Medications and resident files were observed stored in a locked file cabinet outside of staff room.