Facility Evaluation Report

Licensing Program Analyst (LPA) Sandra Urena arrived at the facility to conduct the annual inspection year Required inspection of the facility. LPA met with administrator Emma Arutiunian and explained the reason for the visit.

The LPA and the administrator conducted a tour of the physical plant at approximately 10:30 a.m. There are (6) bedrooms for residents and (1) bedroom for staff use only. Smoke alarms and carbon monoxide detector were not functioning at time of the visit. The administrator stated that the smoke and carbon monoxide alarm started emitting a sound at night and that could not be resolved by staff. The administrator contacted an alarm company to resolve the issue and stated that the company was going to resolve the issue same day of the visit later in the afternoon. The 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 extinguisher was fully charged and purchased in May 23, 2023.

KITCHEN: The kitchen appeared clean and the appliances and fixtures functional during the time of visit, sharp objects are stored in lock box that was kept on the kitchen counter. The LPA observed box to be locked at this time. Some cleaning supplies and disinfectants were observed stored inaccessible to residents under the sink. The LPA observed a sufficient amount of perishable and a seven-day supply of non-perishable food at the facility properly stored, however the facility lacked a water supply. The administrator stated that the water will be purchased by the end of the day and pictures of the water supply will be emailed to LPA by 07/27/2023.

BEDROOMS: The residents’ bedrooms were properly furnished with at least one chair, nightstand, and sufficient lighting for each resident. The bedrooms had appropriate and adequate and clean bedding and linens such as sheets, pillowcases, and blankets.