Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 0
May 12, 2024
Visit Reason
The inspection was a required one-year unannounced visit to evaluate the facility's compliance with licensing regulations.
Findings
The facility was found to be in good condition with no health or safety hazards noted. The physical plant was toured, and all safety equipment was operational. Residents' rooms were adequately furnished and clean, and medication and first aid kits were securely stored.
Report Facts
Hot water temperature: 112.8
Fire extinguisher last inspection date: Jun 14, 2023
Perishable food stock: 2
Non-perishable food stock: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Melania Abdessian | Administrator/Director | Met with Licensing Program Analyst during inspection |
| Abeye Duguma | Licensing Program Analyst | Conducted the inspection and met with facility administrator |
| Naira Margaryan | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 0
Jul 8, 2023
Visit Reason
An unannounced annual required inspection was conducted using the CARE Inspection Tool to evaluate compliance with licensing regulations.
Findings
The facility was found to be in good repair, sanitary, and appropriately furnished with no observed deficiencies. All inspected areas, including resident rooms, bathrooms, kitchen, and safety equipment, met regulatory standards. No citations were issued.
Report Facts
Residents' service files reviewed: 3
Staff personnel files reviewed: 3
Medication Administration Records reviewed: 3
Rooms inspected: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Melania Abdessian | Administrator/Licensee | Met with Licensing Program Analyst during inspection and received the Facility Evaluation Report |
| Alfonso Iniguez | Licensing Program Analyst | Conducted the inspection and authored the report |
| Eva M Alvarez | Licensing Program Manager | Named as Licensing Program Manager on the report |
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