Royalty Assisted Living

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Tihesha Smith conducted an unannounced Required 1 year visit to this facility. LPA was greeted by staff. Administrator, Stella Avetyan was notified by phone and arrived later. LPA conducted a tour of the physical plant at approximately 10:25am to ensure there are no health and safety hazards, and facility is in compliance with Title 22 Regulations. The facility is a single story building and has a total of seven (7) rooms and three (3) bathrooms. Five (5) of seven (7) rooms are shared resident rooms and two (2) of the seven (7) rooms are for staff. One (1) staff room has an ensuite. Common areas were observed for the ability to safely serve the needs of the residents. These included the kitchen, dining room, and living room. The common areas were checked for cleanliness and furniture was checked for functionality. Common areas observed to be furnished with some seating for residents. The kitchen appeared clean and the appliances and fixtures functional. LPA Smith observed a sufficient amount of perishable and non-perishable food at the facility for the ten (10) residents currently residing at the facility. Sharps are stored in locked kitchen drawer. Medications in locked cabinet in kitchen and the facility has a first aid kit station attached to the wall near front door. A wall of locked cabinets in the dining/living room contains the following: Emergency food supply/canned goods Linens Toxins Due to time constraints unannounced annual inspection will be conducted at a later date and will address deficiencies observed including those cleared at time of visit. Exit interview conducted/copy of report sent.the state’s words, verbatim · CDSS document, Mar 1, 2026

Type of visit: Case Management - Annual Continuation

Licensing Program Analyst, (LPA) Leizl de la Cerra, made an unannounced site visit to this facility as a continuation of the Required 1 Year Annual Inspection conducted on 11/13/2024. LPA met with caregiver, Karine, and the purpose of visit was disclosed. The administrator was contacted, who arrived shortly thereafter. The following remaining inspection domains were observed, reviewed and inspected: Staff records: LPA conducted records review of the facility staff . LPA reviewed three (3) staff records to insure compliance. Medications: Residents medication are centrally stored in the medication room which is inaccessible to residents. Two (2) centrally stored resident medications were reviewed. First Aid kit is complete. Exit interview conducted and a copy of the report was signed by administrator. Copy of report was issued..the state’s words, verbatim · CDSS document, Nov 21, 2024

Allegation investigated: Staff do not allow residents to call 9-1-1 Staff did not provide proper restroom accomodations to residents in care

At 9:30 a.m. on 11/15/24 Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced complaint visit. LPA met with staff and later the administrator and disclosed the reason for the visit. To investigate the allegations above, LPA Christopher Alemoh conducted an initial visit on 11/16/23 and interviewed one (01) out of three (03) staff and seven (07) out of nine (09) residents and collected and reviewed records including but not limited to physician reports, appraisal needs and service plan, admission agreements, and the Client Roster between 3:00 p.m. and 5:00 p.m. LPA Alemoh conducted a subsequent visit on 01/23/24 and conducted a physical plant tour at 9:35 a.m., requested copies of facility documents relevant to the investigation at 10:20 a.m. and interviewed residents and staff between 10:50 a.m. to 3:00 p.m. Today, LPA Reed interviewed five (05) out of nine (09) residents and one (01) staff between 10:00 a.m. and 11:15 a.m., toured the facility at 10:15 a.m., and reviewed records including but not limited to face sheets and physician reports at 11:30 a.m. Unsubstantiated Regarding the allegation "Staff do not allow residents to call 9-1-1” it was alleged staff did not call 9-1-1 after Residents #1 (R1) slipped and fell. Additionally, the owner does not want residents calling 9-1-1. Interview with the administrator at 10:15 a.m. today revealed 9-1-1 was not required for R1’s fall as they were not injured. The administrator further stated that residents are allowed to call 9-1-1 from their cell phones or the house phone. The administrator never told residents they were not allowed to call 9-1-1. LPA called the house telephone at 10:30 a.m. today and determined the phone to be operational. Interviews with five (05) out of five (05) residents interviewed revealed they were all allowed to call 9-1-1. Interview with Resident #6 (R6) at 11:15 a.m. revealed staff called 9-1-1 recently for a resident in need. Interview with Resident #4 (R4) at 10:50 a.m. today revealed Staff #2 (S2) has called 9-1-1 for residents in the past. Based on interviews and observations, staff allow residents to call 9-1-1. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. Regarding the allegation "Staff did not provide proper restroom accommodations to residents in care" it was alleged that R1 fell in a bathroom due to a wet floor. Additionally, a restroom had a door which did not close. During facility tour today, LPA observed two (02) out of two (02) bathrooms to be sanitary and in good repair. Both doors to the bathrooms closed properly. No floors were wet. Interviews with five (05) out of five (05) residents revealed the bathrooms are clean and safe to their likings. Interview with Staff #1 (S1) at 10:00 a.m. today revealed the bathrooms are cleaned everyday, at least two (02) to three (03) times each day. Based on observations and interviews, the facility restrooms are suitable for residents. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. Exit interview conducted. Copy of report provided.the state’s words, verbatim · CDSS document, Nov 15, 2024 · control 31-AS-20231108105614

Allegation investigated: Staff handled resident in care in a rough manner Staff threw resident's phone away Staff did not clean resident's room Children present in the facility pose a risk to residents in care

At 9:30 a.m. on 11/15/24 Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced complaint visit. LPA met with staff and later the administrator and disclosed the reason for the visit. To investigate the allegations above, LPA Christopher Alemoh conducted an initial visit on 11/16/23 and interviewed one (01) out of three (03) staff and seven (07) out of nine (09) residents and collected and reviewed records including but not limited to physician reports, appraisal needs and service plan, admission agreements, and the Client Roster between 3:00 p.m. and 5:00 p.m. LPA Alemoh conducted a subsequent visit on 01/23/24 and conducted a physical plant tour at 9:35 a.m., requested copies of facility documents relevant to the investigation at 10:20 a.m., and interviewed residents and staff between 10:50 a.m. to 3:00 p.m. Today, LPA Reed interviewed five (05) out of nine (09) residents and one (01) staff between 10:00 a.m. and 11:15 a.m., toured the facility at 10:15 a.m., and reviewed records including but not limited to face sheets and physician reports at 11:30 a.m. Unsubstantiated Regarding the allegation "Staff handled resident in care in a rough manner" it was alleged the administrator pulled the arm of Resident #1 (R1) and hurt them on 11/11/23. Interview with the administrator today at 10:15 a.m. revealed they nor any other staff have hurt or handled any residents roughly. Interviews with Staff #1 (S1) at 10:00 a.m. today and five (05) out of five (05) residents present in the facility confirmed that no staff have hurt residents. No residents recalled staff pulling R1’s arm. No records were available indicating staff harmed R1 on 11/11/23. Based on observations, record review, and interviews, there is insufficient evidence to prove staff handled R1 in a rough manner. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. Regarding the allegation "Staff threw resident's phone away " it was alleged the administrator grabbed R1’s phone and threw it. Interview with the administrator revealed they never threw R1’s phone. Interviews with S1 and five (05) out of five (05) residents revealed they had never seen any staff throw R1’s phone or anyone else’s phone. No residents or staff recalled the encounter between R1 and the administrator. LPA observed the administrator and S1 treating residents respectfully today. No records were available indicating staff threw R1’s phone. Based on observations, record review, and interviews, there is insufficient evidence to prove staff threw R1’s phone. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. Regarding the allegation "Staff did not clean resident's room” it was alleged staff do not clean R1’s room. Interview with S1 revealed they clean all rooms in the house every day. R1 instructed S1 to not clean their room. LPA observed R1’s room during the plant tour. R1’s room appeared to be clean. Other resident rooms, bathrooms, and common areas were clean as well. Interviews with the administrator and five (05) out of five (05) residents revealed the facility is clean to their likings. Based on observations and interviews, staff clean all rooms, have offered to clean R1’s room, and have respected R1’s preference. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. Regarding the allegation "Children present in the facility pose a risk to residents in care" it was alleged S1 took their children to the facility on 11/12/23 and they were annoying. Interview with S1 revealed they had brought their granddaughter to the facility for an hour on one occasion. No residents had issue with the granddaughter present. The granddaughter was supervised and had contact with residents. Interviews with five (05) out of five (05) residents revealed they did not recall any children present in the facility. LPA Reed did not observe any children present today. LPA Alemoh did not observe any children present on 11/16/23 or 01/23/24. Based on observations and interviews, no children present posed a risk to residents in care. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. Exit interview conducted. Copy of report provided.the state’s words, verbatim · CDSS document, Nov 15, 2024 · control 31-AS-20231113085558

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Leizl de la Cerra conducted an unannounced Required 1 year visit to this facility. LPA was greeted by staff. Administrator, Estela Avetyan was notified by phone and arrived thereafter. A tour of the physical plant was conducted from 2:00PM to 3:00PM with staff member, Kara who escorted LPA throughout the facility. The facility has seven (7) private bedrooms, in which five (5) bedrooms are designated for residents, one (1) room is for staff use, one (1) empty room, with no clients and two (2) full bathrooms. Smoke detectors and carbon monoxide detectors were tested and functioned properly during time of visit. LPA observed three (3) fire extinguishers that appeared to be fully charged. Last disaster drill was conducted on Sept. 19, 2024. Kitchen: The kitchen appeared clean and the appliances and fixtures functional during the time of visit. LPA observed a sufficient amount of perishable and non-perishable food at the facility; properly stored. Sharp objects and cleaning supplies are stored in a locked cabinet. . Medications are placed in a locked cabinet in the kitchen area. Bedrooms: The resident bedrooms were properly furnished with at least one chair, night stand and sufficient lighting for each resident. The bedrooms had appropriate and adequate bedding and linens such as sheets, pillowcases, mattress pads, and blankets. Bathrooms: LPA observed all bathrooms appear to be clean, properly supplied and had functional fixtures. LPA observed grab bars and non-skid mats in all bathrooms. Residents have sufficient amounts of supplies for personal hygiene. The hot water was measured within requirement of title 22 regulations. Common Areas: These included the living room and dining area. The common areas were checked for cleanliness and furniture was checked for functionality. All areas were clean, sanitary and in good repair. Surrounding Grounds (Outdoors): There was a shaded area with proper furniture for outdoor use. There are no bodies of water on the premises. LPA conducted a file review for five (5) residents between 3:15PM to 4:30PM. While reviewing the records LPA observed various forms in residents files that were incomplete and/or missing required information. Due to time constraints, LPA was unable to complete the annual visit at this time. LPA did not finish reviewing staff records or medication documentation at the time of this visit. A follow-up visit will be conducted at a later date to complete the annual inspection. Deficiency observed (refer to LIC809-D). Exit Interview Conducted. Appeal Rights and a copy of this report issued.the state’s words, verbatim · CDSS document, Nov 13, 2024

Allegation investigated: Facility staff failed to obtain emergency services timely illegal eviction

At 10:15a.m. Licensing Program Analyst (LPA) Antonia Alvizar- Ettima conducted an unannounced subsequent visit to deliver the finding for the above noted allegations. LPA met with the Caregiver and explained the reason for the visit. During initial visit on 06/14/2023 at 11:10a.m. LPA conducted a physical plant tour. At 10:15AM LPA requested copies of facility documents relevant to the investigations. At 10:40AM LPA spoke with staff, Estela Avetyan via-phone because was not at the facility. At 10:50AM LPA and Karine toured the physical plant. Between 11:00AM-11:45AM, LPA interviewed staff (S1 - S3) asking questions relevant to the nature of the complaint. During Licensing Visit conducted on 06/11/2024 at 10:35a.m. LPA Alvizar-Ettima request staff and resident rosters. At 10:50a.m. LPA and Caregiver conducted a physical plan tour. Between 11:00a.m. – 12:30p.m. LPA interviewed six (6) out of six (6) residents. R1 had already passed away. Unsubstantiated At about 11:25a.m. Administrator, Lidush Avetian and Director, Estela Avetyan arrived to the facility and joined the visit. Prior to this visit on 06/10/2024 LPA reviewed R1’s facility records, including but not limited to R1’s incident and/or Death Report(s), Physician’s Report and other documents previously obtained from the facility. 1. Facility staff failed to obtain emergency services timely It was alleged that resident #1 (R1) was unresponsive and staff refused to call 911. Staff interviews reveal that R1 was receiving services from 3rd party health care provider, due to R1 participating to the Program of All-Inclusive Care for the Elderly (PACE) Program. R1’s incidental medical care services were regulated and provided by the “PACE” Medicare and Medicaid program. Facility staff was instructed by the “PACE” representatives to call them when R1 needs emergency services. However, regardless of instructions received from “PACE” they always call 911 for resident(s) if needed and at the same time, they notify residents health care providers. Facility Administrator indicated that staff never refuses to call 911. Specifically, for R1 they have called 911 several times in the past. Six (6) out of six (6) residents interviews coincided with staff information about calling emergency services as they needed. R3 indicated seeing Emergency Medical Technicians (EMT) attending R1 and walking up and down the hallway. Residents did not address any concerns about facility staff requesting timely emergency services. The information revealed from the interviews, and record review, does not support the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. 2. Illegally evicted It was alleged that R1 was illegally evicted because of behavior issues. Staff interviews reveal that R1 was not evicted. Staff indicated that R1 smoked in the room and had behavioral problems. Administrator indicated that they verbally warrant R1 that violation of house rules, continuation of unacceptable behavior, and smoking in the room may bring to eviction. No written eviction notice was issued to R1. R2, who was R1’s roommate stated that they did tell R1 that it would not be a good thing to smoke in the room. Six (6) out of six (6) residents interviews revealed that staff never tried to evict them and R1 was never evicted from the facility. A review of R1’s file and other facility records, did not reveal any information to support the allegation. Based on interviews and documents review there is an insufficient information to support the allegations. Therefore, the allegation is UNSUBSTANTIATED at this time. No health and safety hazard were noted during this visit. Exit interview is conducted and copy of report was provided to Administrator.the state’s words, verbatim · CDSS document, Jun 11, 2024 · control 31-AS-20230607163242

Allegation investigated: Staff do not allow residents to possess personal belongings Staff do not maintain facility at a comfortable temperature for residents Licensee does not communicate with residents regarding their care Staff do not ensure that resident's dietary needs are met Staff speak inappropriately to residents Licensee is preventing resident from obtaining medical care Staff are not addressing a resident's behavior Facility is not providing snacks

On 02/22/2024 at 09:40 am Licensing Program Analyst (LPA), Lorena Casillas conducted an unannounced complaint visit to investigate the above stated allegations. LPA was granted entry by Staff #1 (S1). LPA met with Administrator Estela Avetyan and explained the reason for the visit. At 10:00 AM LPA Casillas conducted a physical plant tour. During the investigation, interviews and record reviews were made. LPA requested resident roster, Liability Insurance, Bond and LIC 500. LPA requested copies of pertinent information relevant to the investigation including but not limited to resident records, staff records, and copy of lunch menu. Continued on 9099-C Unsubstantiated Allegation #1: Staff do not allow residents to possess personal belongings. It is alleged staff removed Resident’s #1 (R1) portable heater due to the electricity bill. On 02/22/2024 LPA conducted interviews with the Administrator, three (3) staff, and six (6) out of eight (8) residents. LPA collected R1’s Resident Personal Property and Valuables (LIC 621) which did not list the item mentioned in this allegation. During interviews with staff it was stated that R1 purchased a portable heater but then tried to return it to the store where it was purchased, when R1 returned to the facility the portable heater was not in their possession. LPA observed that there was no portable heater in R1’s room. Interview with R1 revealed that R1 disposed of the portable heater. Interviews with residents confirmed that residents are allowed to have personal belongings that are kept in their rooms. Based on interviews and LPA's observation this allegation is deemed Unsubstantiated at this time. Allegation #2: Staff do not maintain facility at a comfortable temperature for residents. It is alleged that staff do not maintain the facility at a comfortable temperature, that facility is cold, and residents are not allowed to turn on the heater. On 02/22/2024 LPA conducted interviews with the Administrator, three (3) staff, and six (6) out of eight (8) residents. LPA conducted a physical plant walk through and checked the facility temperature. When LPA arrived at the facility, the temperature on the thermostat was 68 degrees Fahrenheit. LPA observed the central heater to start up automatically and throughout the visit the temperature was at a comfortable 73 degrees Fahrenheit. During six (6) out of eight (8) resident interviews LPA asked about the facility temperature and residents denied issues regarding the temperature in the facility. Based upon the information obtained and LPA observations this allegation is deemed Unsubstantiated at this time. Allegation #3: Licensee does not communicate with residents regarding their care. It is alleged that staff do not communicate with residents regarding their care due to a language barrier. Regarding the allegation, it was reported that a staff speak very limited English and are unable to understand instructions or requests for assistance. Interviews with staff indicated that they do speak English with an accent, but it does not hinder them from taking care of the residents. Various resident interviews indicated that staff can communicate effectively with residents and staff do provide the care that they require. LPA Casillas observed staff assisting residents with their request without any problems. Based on interviews and observation the allegation is deemed Unsubstantiated at this time. Continued on LIC9099-C Allegation #4: Staff do not ensure that resident's dietary needs are met. It is alleged that staff do not ensure that residents’ dietary needs are met. Regarding this allegation, it was reported that residents are given on the daily, half a peanut butter sandwich for lunch and that for dinner residents are given frozen pizza or a sandwich. It is alleged that staff do not provide a balanced meal for residents and that the only drink offered is water. LPA conducted interviews with the Administrator, three (3) staff, and six (6) out of eight (8) residents. According to staff and menu, breakfast is served between 7:30-9:00 a.m, lunch is served between 11:30 a.m and 01:00 p.m, and dinner is served between 4:30-6:00 p.m. At times residents do not want to eat the food offered and an alternative is offered instead. LPA toured the facility and observed two days of perishable foods and seven days stock of non-perishable foods along with fresh orange juice, milk and water. LPA collected a copy of the menu and confirmed that the food listed is available in facility stock. Based on interviews and observations this allegation is deemed Unsubstantiated at this time. Allegation #5: Staff speak inappropriately to residents. It is alleged that staff speak inappropriately to residents. Regarding the allegation, it is reported that staff tell residents to “leave them alone”. LPA conducted interviews with the Administrator, three (3) staff, and six (6) out of eight (8) residents. Interviews with the Administrator and staff revealed that no staff speak inappropriately to any residents, furthermore staff and Administrator deny ever telling residents to “leave them alone”. Interviews with residents revealed that staff do not speak to residents inappropriately, therefore this allegation is deemed Unsubstantiated at this time. Allegation #6: Licensee is preventing resident from obtaining medical care. It is alleged that Licensee is preventing residents from obtaining medical care. Regarding this allegation it is reported that staff tell residents to stop calling the ambulance for help. LPA conducted interviews with the Administrator, three (3) staff, and six (6) out of eight (8) residents. Interviews with the Administrator and staff revealed that no staff has told residents to stop calling ambulance services. Interviews with residents also confirmed that staff have not told residents to stop calling anyone for help, that they can leave facility to go to their medical appointment as they please, and they have never been denied seeking any medical attention, therefore this allegation us deemed Unsubstantiated at this time. Continued on LIC9099-C Allegation #7: Staff are not addressing a resident's behavior. It is alleged that staff are not addressing a resident’s behavior. Regarding this allegation, it was reported that R1 has been subject to outburst of behaviors from R2. R1 alleges that staff have not addressed R2’s behavior causing him to be arrested. On 02/22/2024 LPA conducted interviews with the Administrator, three (3) staff, and six (6) out of eight (8) residents. Interviews with the Administrator and staff revealed that R1 is the one causing the disturbances, with R2. Staff interviews revealed that they intervene by calling the police anytime that there is a need. Interview with residents confirmed that R1 argues with R2 and the police have had to be called often on R1 for their behavior not R2, furthermore R1 admitted to being the aggressor and that staff talk to R1 regarding his behavior, therefore this allegation is deemed Unsubstantiated. Allegation #8: Facility is not providing snacks. It is alleged that the facility is not providing snacks for residents. LPA conducted interviews with the Administrator, three (3) staff, and six (6) out of eight (8) residents. According to the staff and menu, breakfast is served between 8:00-8:30 a.m, lunch is served between 11:30 a.m and 12:30 p.m, and dinner is served between 4:30-6:00 p.m., all residents are offered snacks in between meals at 10:00 am, 2:00 pm and 7:00 pm. At times residents do not want to eat the snacks provided and an alternative is offered instead. LPA toured the facility and observed two days of perishable foods and seven days stock of non-perishable foods, the pantry was observed to have a variety of snacks for residents to eat. LPA collected a copy of the menu and confirmed with staff and residents that snacks are available to residents. Based on interviews and observations this allegation is deemed Unsubstantiated at this time. No citations issued at this time. Exit interview conducted. A copy of this report was given to Administrator.the state’s words, verbatim · CDSS document, Feb 22, 2024 · control 31-AS-20240213083051

Allegation investigated: Staff cashed a resident's social security check who does not live at the facility anymore

At 9:45 a.m. on 02/20/2024, Licensing Program Analysts (LPAs) Nicholas Reed and Raymond Comer conducted an unannounced complaint visit. LPAs met with Staff #1 (S1) and disclosed the reason for the visit. S1 and LPAs called the licensee at approximately 10:10 a.m. and disclosed the reason for the visit. To investigate the allegation above, LPAs interviewed five (05) out of five (05) residents and two (02) out of two (02) staff between 10:00 a.m. and 11:30 a.m., requested records pertinent to the investigation at 11:15 a.m. including but not limited to the staff list, resident list, admission agreement, medical assessment, and care plan, and toured the facility at 10:00 a.m. Regarding the allegation ”Staff cashed a resident's social security check who does not live at the facility anymore” it was alleged that Resident #1 (R1) was missing their Social Security check for the month of October 2023. When R1 spoke with Social Security, they were informed it had been cashed. Substantiated S1 and the licensee stated they did not know of any attempts of R1 to contact the facility regarding a refund. Based on interviews, the facility is willing to refund R1’s check and was not aware of any attempted phone calls requesting a refund. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. No immediate health and safety hazards were observed during this visit. Exit interview conducted. Appeal rights discussed. Copy of report provided. R1 left the facility on or prior to 09/25/2023. Interview the administrator of R1’s new facility at 8:30 a.m. today revealed R1 had spoken with Social Security and has been unable to pay rent at the new facility since October of 2023. Interview with the licensee today at 10:30 a.m. revealed that the facility had mistakenly cashed R1’s check for the month of October 2023. The licensee agreed to take all necessary action to reimburse R1. Based on interviews, the facility cashed R1’s check after they were no longer a resident. Therefore, the allegation is deemed SUBSTANTIATED at this time. Deficiency is cited on the attached LIC 9099-D page. No immediate health and safety hazards were observed during this visit. Exit interview conducted. Appeal rights discussed. Copy of report provided.the state’s words, verbatim · CDSS document, Feb 20, 2024 · control 31-AS-20240212094252

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87468.1(a)(3) · Plan of correction due date: Mar 1, 2024

87468.1 Personal Rights of Residents in All Facilities (a) Residents... shall have all of the following personal rights: (3)To be free from... withholding residents’ money This requirement is not met as evidenced by: Based on interviews, the licensee did not comply with the section cited above in (01) out of (06) residents which poses a potential Health, Safety, or Personal Rights risk to persons in care.the state’s words, verbatim · CDSS document, Feb 20, 2024

Plan of correction: Licensee has agreed to reimburse the resident by refunding the October 2023 check to the Social Security Administration by the POC due date.

Type of visit: Required - 1 Year

On 11/15/2023 at 8:30 AM, Licensing Program Analyst (LPA) Christopher Alemoh conducted an unannounced Required – Annual Continuation Inspection and met with Karine Charchoghlyan, Caregiver. LPA contacted Administrator Lidush A. she was unavailable due to a doctors appt. LPA continued visit with designee Karine .C. Seven (7) residents and two (2) staff were present during this inspection. The home consists of 1 floor level with: 1 staff room, 6 resident rooms, 2 restrooms, kitchen, dining room, and laundry room. The administrator accompanied LPA inside and outside the facility during this inspection. Outside grounds were toured and no bodies of water were observed. Walkways around the home were clear of hazards. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. There are no security bars or weapons on the premises. All windows have screens. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, shower was free of mold/mildew and a non-skid mat was in place, hot water temperature properly measured between. Facility has two (2) restrooms both located in the middle hallway. LPA observed Restroom #1 temp measured at 106.2-107F. Restroom #2 temp measured at 108F. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. hand washing signs posted and visible. Laundry Room is in an alcove in the middle hallway both washer and dryer are in good working order. All chemicals and solutions are stored above the appliances locked and secured in a cabinet. Common areas were clean and clear of hazards, doorways were free of obstructions. (Contd From 809) LPA toured the kitchen area and observed a two-day supply of perishable and a seven-day supply of non-perishable food. Knives and toxics were kept in locked storage cabinet. First Aid kit was available. One fire extinguisher was observed in the kitchen area. A second fire extinguisher is located near the entryway by the front door. Both extinguishers were serviced on. LPA tested all carbon monoxide detectors and smoke detector located in the kitchen area. Both devices were functional. LPA observed that all bedrooms and hallways are equipped with a carbon monoxide and smoke detector. Four (4) staff records were reviewed, 4 out of 4 staff records had current first aid certificates and had required criminal record clearances or criminal record exemptions. Nine (9) resident records were reviewed and, 9 out of 9 client records had Admission Agreements, Medical Assessments, Pre-appraisals (or Reappraisals) and/or Needs & Services Plans. An exit interview was conducted, Plans of Corrections were reviewed and developed with the Licensee. A copy of this report and appeal rights were discussed and left with Caregiver Karine Charchoghlyan.the state’s words, verbatim · CDSS document, Nov 15, 2023