Routine inspection·February 23, 2026

Licensing Program Analyst (LPA) Trevor Byrne arrived at the facility unannounced to conduct the required annual visit at 10:01 AM. LPA met with facility staff who contacted the Administrator Luiza Hekimyan. The Administrator and the facility backup Administrator Tina Arutyunyan arrived to the facility at approximately 11:05 AM. Entrance interview conducted and the reason for the visit was explained. Beginning at approximately 10:30 AM, the LPA, along with facility staff toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that facility is in compliance with Title 22 Regulations. The following was observed: COMMON AREAS : This included the dining area, living room, hallway, and office. LPA observed the dining area to be clean and properly furnished at the time of the visit. The dining area contained a dining table with adequate seating for resident use and the facility’s adequate emergency water supply. The living room was observed to be clean and contained adequate seating for resident use. Additionally, the living room contained an adequately screened fireplace and activities for resident use. LPA observed the hallway to contain closets which contained non-perishable foods, care supplies, and extra linens. The office was observed to contain facility, resident, and staff files. The facility’s fire and carbon monoxide alarms were tested between 11:22 AM and 11:24 AM and functioned properly at the time of the test. All exits in the facility were observed to contain auditory alarms. BATHROOMS : There are three (3) bathrooms at the facility. Two (2) bathrooms are designated as shared resident bathrooms and one (1) bathroom is designated as a staff bathroom. Both resident bathrooms were observed to be clean and in good repair and were equipped with nonskid surfaces. Grab bars were observed in all resident showers and near all resident toilets, all were properly secured. The water temperature was measured to be between 111.7 and 105.8 degrees Fahrenheit, which is within the range required by regulation. LPA observed all bathrooms to contain unsecured personal grooming supplies. CONT. KITCHEN : The LPA observed the kitchen area to be clean. Kitchen appliances appeared to be in operable condition. The facility had a sufficient supply of two (2) days perishable and seven (7) days non-perishable food. LPA observed a secured drawer which contained knives and other sharp objects, a secured cabinet which contained resident medications, and a properly secured under-sink cabinet which contained cleaning supplies. LPA observed the laundry closet located adjacent to the kitchen. The laundry closet contained a washer and dryer and properly secured cabinets which contained laundry chemicals. LPA observed a fire extinguisher mounted in the kitchen to be fully charged and purchased on 09/24/2025. BEDROOMS : There are seven (7) bedrooms in the facility; six (6) are single occupancy resident rooms and one (1) is a staff room. LPA toured all six (6) resident bedrooms. All resident rooms were observed to be furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. All bedrooms contained direct exits to the outdoors of the facility. Bedroom #1 and 2 contained unsecured grooming supplies. OUTDOOR SPACE: The facility has three (3) emergency exit gates. Two (2) are located in the front yard and one (1) is located in the backyard; LPA observed clear passageways for emergency exit use. The facility had adequate shaded seating outdoors for resident use. LPA observed all rails to be appropriately secured at the time of the visit. LPA observed cameras throughout the outdoor areas of the facility. LPA observed the garage to be locked and inaccessible to clients in care. The garage was observed to contain cleaning supplies, extra care supplies, household tools, and chemicals. RECORD REVIEW: Record review began at 11:30 AM. Staff and resident records were reviewed for documents including, but not limited to: health screening, TB test, staff training records, fingerprint clearance, resident physician's report, needs and service appraisal, consent forms, and personal rights. Four (4) staff files were reviewed. One (1) staff file was observed to be missing from the facility. LPA informed the Administrator that all personnel records shall be maintained at the facility and shall be available to the licensing agency for review. The Administrator expressed understanding and printed the missing employee file at the time of the visit. Six (6) resident files were reviewed. Three (3) residents were identified by their physician as having their safety at risk if allowed access to personal care and hygiene items. LPA informed the Administrator that due to the condition or the habits of the residents in the facility the licensee is required to centrally store the grooming supplies so as not to pose a safety hazard to the clients identified. The Administrator agreed to place all grooming and personal hygiene items throughout the facility into secured storage. CONT. MEDICATION REVIEW: Medication review began at 01:38 PM. Medications for three (3) of six (6) residents were observed. All medications were stored properly and were appropriately documented on their respective centrally stored medication and destruction record sheets. LPA observed two (2) residents to have PRN medications without completed PRN authorization forms. LPA informed the Administrator that each resident needs a completed PRN authorization form that shows if the resident is able to determine and communicate their need for a prescription or nonprescription PRN medication. The Administrator expressed understanding and agreed to complete PRN authorization forms for all identified individuals. INFECTION CONTROL/EMERGENCY DISASTER PLANNING: During today’s visit, the LPA reviewed the facility's infection control practices and the facility's emergency disaster plan. The facility’s policies and procedures as they pertain to infection control are adequate. Emergency disaster drills are conducted quarterly; the facility’s last emergency disaster drill was conducted on 01/03/2026. The infection control plan and the emergency disaster plan are reviewed/updated annually by the facility’s Administrator. INTERVIEWS: LPA interviewed two (2) residents. The residents interviewed stated that the staff treat them well and are attentive to their needs. LPA interviewed two (2) staff members. Both staff members interviewed were knowledgeable on the resident’s rights, the forms of abuse, and the appropriate reporting procedures for suspected abuse. During today’s visit LPA obtained a copy of the facility’s disaster plan, LIC 500, and resident roster. LPA was unable to obtain proof of liability insurance during today's visit. LPA informed the Administrator that all residential care facilities for the elderly shall maintain liability insurance in the amount of at least one million dollars ($1,000,000) per occurrence and three million dollars ($3,000,000) in the total annual aggregate. The Administrator expressed understanding and agreed to provide a copy of the active liability insurance once obtained. Pursuant to Title 22 of the CA Code of Regulations, the following deficiencies were cited (refer to LIC 809-D): Exit interview conducted and copy of the report was issued and appeal rights provided.