Routine inspection·August 19, 2025

On 08/19/2025 Licensing Program Analyst arrived at the facility to complete an unannounced annual visit. LPA met with Licensee, Marine Voskanyan explained reason for visit and was permitted entry into the facility. LPA completed a tour of the facility inside and out. A health and safety check was completed on residents in care. 6 resident were present during visit. 5 of 6 residents receiving hospice and 1 receiving home health services. Pathways and doors inside home 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 6/27/2025. Resident rooms observed to have the required furnishings and with adequate lighting. Sharps were located in locked closet. LPA observed sufficient seating under covered patio areas. The following issues were observed during today’s visit: LPA observed 4 of 6 residents to be bedridden. Side gate observed unlocked with pool being accessible to residents in care. 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. ***Immediate civil penalties assessed in the amount of $500*** CONT... CONT... LPA requested the following documents to be submitted to CCL by 8/29/2025: 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 copy of liability insurance in order to update the facility file. ***TSP was offered to Licensee and accepted. Exit interview was conducted with Licensee. 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, Marine via email due to IT issues. A delivered and read receipt serves as confirmation.