Routine inspection·August 15, 2025

On 8/15/2025 Licensing Program Analyst arrived at the facility to complete an unannounced annual visit. LPA met with Care Giver, Sharron Camera explained reason for visit and was permitted entry into the facility. Licensee, Keghoughy Handian arrived a some time later. LPA completed a tour of the facility inside and out. A health and safety check was completed on residents in care. 5 resident was present during visit. 2 residents currently on hospice. Pathways and doors were clear and free from obstruction. Facility was without odor. Common areas were adequately furnished, and adequately lit. Smoke detectors and carbon monoxide detectors were present and operational at time of visit. Fire extinguisher last serviced on 8/15/25 . Last fire drill on conducted on 7/15/25. Resident rooms observed to have the required furnishings and with adequate lighting. Sharps, chemicals and medications were located in locked cabinets/closets and cupboards. LPA observed sufficient seating under covered patio areas. The following issues were observed during today’s visit: 1 non-ambulatory resident observed to reside in bedroom #5 (ambulatory room). 1 bedridden resident observed in bedroom #1. Hallway bathroom observed with broken cabinet/drawer handles in need of repair. Bedroom #5 observed with a 4x6 inch hole at bottom of door screen in need of repair. Garage door observed with pad lock with facility 7 day non-perishable food source inaccessible to residents in care. Bedroom # bathroom sink stopper broken and in need of repair. Side yard gates (2) not opening/closing properly in need of repair. Dryer exhaust in need of cleaning. 4 inch drop off sidewalks observed in need of filling. Resident records not available for review/accessible during visit. CONT... CONT... Deficiencies cited per California Code of Regulations, Title 22, deficiencies are being cited on the attached 809D. If not corrected, the violation with have a direct risk to the health, safety and/or personal rights of residents in care. ****An immediate civil penalty assessed for fire clearance deficiencies in the amount of $500.**** LPA requested the following documents to be submitted to CCL by 8/22/25: current copy of Administrator’s Certificate, Administrator Organization (LIC 309), Designation of Administrative Responsibility (LIC 308), Emergency Disaster Plan (LIC 610-D), Personnel Report (LIC 500), Register of Facility Clients/Residents (LIC 9020) and a current copy of liability insurance in order to update the facility file. ***Licensee was offered and accepted TSP*** Exit interview was conducted with Licensee, Kay. A plan of correction was developed by Licensee and reviewed by LPA. A copy of this report, deficiencies, and appeal rights were discussed and provided to Licensee.