Facility Evaluation Report

LPA Sabrina Calzada arrived unannounced to conduct a required annual inspection and met with the Administrator, Christina Andreasyan. Also present was staff, Nina Aivazyan. LPA observed (3) residents in the common area and (2) resident resting in their rooms during the inspection. LPA was advised (1) resident was currently on an outing with their family member. The facility is licensed for (6) residents and has an approved hospice waiver for (4) residents. Currently, there are (2) residents under hospice care.

LPA and the administrator toured the interior/exterior of the facility including the common areas, (3) shared resident bedrooms, (2.5) resident bathrooms, staff room, kitchen, laundry and garage. LPA observed the facility to be clean, in good repair and odor free. Carpet is scheduled to be cleaned on 1/24/2026. The bathrooms have the necessary grab bars, skid-resistant flooring, soap, and paper towels. There is 2+ day perishable, including fresh produce, and 7+ day non-perishable food. The freezer/refrigerator temperatures displayed as 0/36*F, within regulation. Fire extinguishers were last serviced on 11/14/2025, and the smoke/monoxide alarms are functioning. Sharps and medications are locked in the kitchen, and toxins are secured in the laundry room. Hot water measured 114*F in the kitchen and the facility temperature displayed as 73*F. There are no blockages to any exit doors and all doors have audio alerts. Staff are aware of the utility shut off valves are located. There are sufficient linens/towels/blankets/PPE on site. Activities/Games are on site. All required posting are visible in the common area. There is one unlocked exit gate in the backyard. There is patio seating and a covered table with chairs. There are no pools.

LPA reviewed (3) resident and (2) staff files. Files were organized and contained required paperwork. Medications/orders were reviewed for (1) resident. No discrepancies noted. Staff has completed their required initial/annual training-documentation on file. There is current RCFE Administrator certificate #6072690740-exp 10/27/2026. Administrator to provide a current copy of liability insurance. LPA printed an updated copy of the license. There were no deficiencies observed and no citations issued in this report. Exit interview. Copy of report provided.