Routine inspection·February 24, 2023

Licensing Program Analyst(LPA) Christine Yee conducted an unannounced required annual inspection, with emphasis on the infection control procedures and practices and was let into the home by Naira Aghajanyan, Staff. LPA Yee's temperature was taken upon entry. Rebeka Durgaryan, Administrator was contacted via telephone and she arrived at 9:36am to conduct the visit. The reason for today's visit was explained. The home is a single storey home consisting of 5 bedrooms, 3 full bathrooms, a living room, dining room, office and a kitchen. The home has a fire place and is not used. Gas is capped off and fire grates dismantled. During this inspection, a tour of the home, inside and outside was conducted beginning at 11:00am and the following was observed: Coronavirus poster on front door with safety advices and tips Coronavirus poster on wall by the front door Plenty of Personal Protective Equipment were stored in 3 outside storage cabinets Hand sanitizers were observed around the home Facility has cameras located in the dining room, living room and 4 cameras located outside. Licensee is the only one who has access to the recorded information Continued on LIC809-C Staff were observed wearing surgical mask There were sufficient perishable and non-perishable foods Medications were centrally stored in 2 locked filing cabinets Sharp knives were stored in a locked case in kitchen drawer First aid kit was reviewed and met Title 22 requirements. First aid manual was observed Per tour of the 3 resident rooms, a hospital bed, lamps, night stands, chairs and closets were observed except, bedroom #3 is missing a dresser. The front bedroom is used by staff Per tour of the 2 full bathrooms-back and front- utilized by residents, non-skid mats were observed. The front bathroom was missing grab bars. The interconnected Smoke and carbon monoxide combo detectors were tested and were operational. The facility has 2 fire extinguishers - kitchen and in the back lounge were fully charged and expires on May 5, 2023 Water was tested in the front and back bathroom and the water temperature read 140.6 and 137.4 degrees, respectively The backyard was observed to be clean and the front yard was set up with rattan chairs, a table with an umbrella for shade. Deficiencies cited under California Code of Regulations, Title 22, Division 6, Chapter 8. Exit interview was conducted, Appeals Rights discussed and a copy of the report was provided.