Facility Evaluation Report

Licensing Program Analyst(LPA) Christine Yee conducted an unannounced required Annual Inspection using the complete CARE Inspection Tool. LPA Yee was let into the facility by Gayane Yeghiazaryan, Staff.

Arman Sargsyan, Administrator was contacted by telephone and arrived at around 10:40 am to conduct the visit. Also participating in today's visit was Jasmine Sargsyan, Licensee.

The facility is a single storey home consisting of a living room, dining room, kitchen, 3 bedrooms, 3 full bathrooms and a attached garage that was converted into a office/living quarters. The facility is fire cleared for 6 non-ambulatory residents.

The following were observed on today's visit:

the living room and dining room were clean and had the appropriate furnishing and seating for 6 residents. Centrally stored medications are stored in the locked cupboard located in the living room. Staff medications and vitamins were observed stored in 2 unlocked drawers located in living room.

the kitchen was clean and all appliances were operational. Sufficient perishable and non-perishable foods were observed. Recommendation was made to increase non-perishables foods to include working staff during an emergency. Knives were stored in a locked black box.

adjacent to the kitchen is the laundry room equipped with a washer and dryer. Also located in the laundry room is a locked cabinet used to store the cleaning solutions

Bedroom #1 (double occupancy) has 2 hospital beds with full bed rails, 2 night stands, 2 chairs, 2 lamps but no dressers and a shared closet. Both occupants are on hospice. Oxygen in use on today's visit. Oxygen in use posted on the door. Per information provided, the local fire department was not notified in writing.

Bedroom #2 (double occupancy) has 2 hospital beds with full bed rails, 2 chairs, 2 night stands, 2 lamps, a shared closet and no dressers. One occupant on hospice.