Routine inspection·March 11, 2024

Licensing Program Analyst (LPA) Christine Yee conducted an unannounced required Annual Inspection using the complete CARE Inspection Tool and was let into the home by Naira Aghajanyan, staff. Rebeka Durgaryan, Administrator was contacted by staff and she arrived at 10:44 *am to conduct the visit. The reason for today's visit was provided. The home is a single storey family home consisting of 5 bedrooms, 3 full bathrooms, a living room, dining room, a den, office and a kitchen. The three back bedrooms are used by residents, the bedroom located by the front common bathroom is used for storage and the bedroom located by the front door is used as a staff room. The home has a fire place with the gas capped off and the fire grates dismantled. The facility is fire cleared for 1 BEDRIDDEN and 5 NON-AMBULATORY residents. Bedroom #2 is designated for Bedridden use. On today's visit all 12 domains of the CARE Inspection Tool was reviewed, 6 resident and 6 staff files were reviewed and a tour of the entire facility, inside and outside was conducted and the following were observed: the living room, dining room and kitchen all contained the required furnishings and appliances related to the designated use of the room. sufficient perishable foods for a minimum of 2 days and non-perishable foods for a minimum of 7 days were observed. Bedroom #1 located to the left back of the facility was observed with 2 hospital beds, 2 chairs, 2 small dressers with 2 lamps and a closet that was missing its doors. No night stands were provided The back den was observed with a sofa and a stand. The back door was opened and the auditory device was not operational Bedroom #2 was observed with 2 hospital beds, 1 tall dresser, 2 night stands, 1 lamp, 2 portable closets and 2 chairs. Overhead lighting was observed and provided sufficient lighting. The exit door was opened and the auditory device mounted on the door was not operational the common bathroom designated for resident use was observed with a shower stall, a sink, a toilet, grab bars, shower chair and a non-skid mat. Located in the residents' bathroom is the washing machine and dryer. Water was tested and the temperature read 119.6 degrees Fahrenheit Bedroom #3 was observed with 2 hospital beds equipped with full bed rails that were lowered, 1 tall dresser, 1 lamp, 1 chair and a closet. Administrator was advised that the full rails are not permitted but was advised that they are not used and confirmed by Staff #2. The fourth bedroom located by the dining room was observed used for storage of wheelchairs and a hospital bed. Administrator was advised that the hospital bed may not be used by any residents as this would put the facility in violation of their fire clearance and the recommendation was made to dismantle the bed or placed in storage elsewhere. The common bathroom was observed with a shower stall, a toilet and a sink. The bathroom contained 2 shower chairs, grab bars, a non-skid mat. Water temperature was tested and read 117.6 degrees Fahrenheit. The fifth bedroom is used for storage and a bed was also observed. Per the Administrator she and night staff use the room when working nights. The office located behind the dining room has cabinets for storage and a computer. The common bathroom located behind the dining room is equipped with a shower, a toilet and a sink and is designated solely for staff use. The facility has liability insurance that meets Title 22 requirements First Aid Kit and manual was observed and met Title 22 requirements. Plenty linens were observed in the closets located by the dining room The facility has 2 fire extinguishers, one located in the kitchen and one in the back den. The smoke/carbon monoxide combination detectors were tested and were operational The front yard was observed with tables and chairs and the back yard had chairs and a folded umbrella. Also located in the backyard was a storage shed. A ramp was observed in the back leading out from bedroom #2. Overall, the facility, inside and outside were observed to be clean and well maintained. Deficiencies cited under California Code of Regulations, Title 22, Division 6, Chapter 8. Any deficiencies not cited today will be addressed on a return visit. Exit Interview was conducted, APPEALS RIGHTS discussed and a copy was given.