Facility Evaluation Report

Licensing Program Analyst (LPA) Sandra Urena arrived at the facility to conduct an unannounced required annual visit. LPA was greeted by staff who called the Licensee and the Administrator. The Licensee, Nino Gelashvili and Administrator Gohar Ambartsumyan arrived shortly thereafter. LPA Urena explained the reason for the visit. The LPA and the Licensee toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations.

KITCHEN: Knives are stored in a locked drawer next to the stove. Kitchen appliances were in operable condition. The refrigerator and freezer need a thermometer to monitor the temperatures. The facility has a sufficient supply of perishable and non-perishable food. Cleaning supplies were observed on top and under the kitchen sink unlocked and accessible to residents in care. Staff locked the cabinet door at the time of the visit. Hot water in the kitchen sink faucet measured at 115.8 degrees Fahrenheit (F). The LPA observed medications (insulin injections) located in the door area of the refrigerator and the freezer, and not locked in a secured box. The medications were accessible to residents in care and pose an immediate danger to residents in care. COMMON AREAS: At the time of the visit, living room and dining room furniture was observed to be in good condition. Cameras were observed at the time of the visit; however, Licensee stated that they are not working at the moment. Smoke detector and carbon monoxide were tested at 12:10 p.m. and operational at the time of the visit. The fire extinguisher was fully charged and last purchased on 04/14/2024. Exits have functioning auditory devices, however, at the time of the visit they were not activated. The licensee activated them at the time of the visit. The LPA observed required postings throughout the common space, however the CCL poster, “If you see something, say something” poster was missing at the time of the visit. Licensee stated that one of the residents probably took it down. The Licensee post it in a location where it won’t be removed by residents in care.