Facility Evaluation Report

Licensing Program Analysts (LPAs) Christine Yee and Martha Arroyo conducted an unannounced Annual Continuation Visit to the facility to continue the annual inspection visit initiated on 01/27/2025. Upon arrival, there was one (1) staff and four (4) residents present. The LPAs met with staff, Marina Martirosian, and explained the reason for the visit. The LPAs contacted the Licensee Representative, Alexander Otiashvili via telephone and were informed that they were unavailable to join in today’s visit. Entrance interview.

The LPAs toured the physical plant areas inside and outside to ensure there are no health and safety concerns. The power has been restored to the facility as of 07/09/2025. No immediate safety concerns were observed during today’s inspection. The following was observed during the plant tour:

KITCHEN: The LPAs inspected the kitchen/food service area. Knives and sharps were observed in a locked drawer at the time of the visit. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. Staff stated they plan on going grocery shopping within the next few days.

COMMON AREAS: At the time of the visit, furniture in the common areas was observed to be in good condition. The facility maintained a comfortable temperature. The smoke detector(s) and carbon monoxide detector were tested and operational at the time of the visit. The fire extinguisher was observed to be new with a purchase date of 01/26/2025. The LPAs observed required postings throughout the common space.

RESTROOMS: There is one (1) restroom by the main hallway for resident use, which was clean and sanitary and in operating condition with grab bars and non-skid surfaces.