Routine inspection·March 24, 2026

Licensing Program Analyst (LPA) Sandra Urena arrived at the facility unannounced to conduct a required annual inspection. The LPA were greeted by staff and informed them of the reason for the visit. The staff contacted the Administrator to inform them of the visit. The Administrator Jasmin Sargsyan arrived shortly thereafter. The LPA and the staff toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. COMMON AREAS: At the time of the visit, living room and dining room furniture was observed to be in good condition. The facility maintained a comfortable temperature of 76 degrees. Smoke detector(s) and carbon monoxide detector were tested and operational at the time of the visit. The two (2) fire extinguishers were fully charged and were last serviced 07/29/2025. The LPAs observed required postings throughout the common space. KITCHEN: Knives and cleaning supplies are stored inaccessible. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. The hot water temperature measured at 114.1 degrees Fahrenheit. BEDROOMS: The facility has five (5) residents’ bedrooms and one (1) staff bedroom. Bedrooms were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. There was a linen closet in the hallway next to the kitchen area and in between bedrooms # 4, and #5, with extra towels and linens. All rooms were observed to be clean. The staff’s bedroom was observed to be locked at the time of the inspection. Bedrooms’ #1, #2, #3 need a new exit ramp installed outside the sliding glass doors leading to the back outdoor area. Continues on LIC 809C... BATHROOMS: Bathrooms were clean and sanitary and in operating condition with grab bars and non-skid surfaces. The bathrooms were sufficiently stocked with soap and paper towels, grab bars, non-skid mats, and trashcans with tight-fitting lids. Handwashing signs were posted. The hot water temperature measured in the restrooms at 115.1 degrees Fahrenheit. LAUNDRY ROOM: The washer and dryer are in a room adjacent to the kitchen. All cleaning liquids and materials are locked in a cabinet above the washer and dryer. The facility has an attached garage. The door leading to the garage was locked at the time of the visit. OUTDOOR AREA: The backyard has a shaded area with outdoor furniture No bodies of water noted. The wooden fence on the right side of the property needs to be repaired. The Administrator stated that they are working with the next-door neighbor to come into an agreement to replace the fence and split the cost. However, the wooden fence in need of repair is only on the side of the facility, and the neighbor’s fence appears to be in good condition. Administrator stated that they will have the wooden fence on the side of the facility removed within two weeks of today's visit, till they decide the type of fence that will be installed. Removal of the facility fence will not pose a danger to residents in care. RECORDS: Residents’ records were reviewed for, but not limited to care plans, medical records, admissions agreement, consent forms. All records were in order. Personnel records were reviewed for, but not limited to health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. All files were in order. MEDICATIONS: Medications review began at 12:41p.m. Medications are centrally stored and locked in the medication room; medications are labeled and checked for expiration dates. Medications are properly documented on the centrally stored medications and destruction record. No errors observed during the medication review. The LPA reviewed the following documents: - LIC500 Personnel Report - LIC9020 Client Roster - Certificate of Liability - Emergency Drills No citations were issued. Exit interview conducted. A copy of the report was issued.