Routine inspection·August 22, 2025

Licensing Program Analyst (LPA) Christine Yee conducted an unannounced required Annual Inspection using the complete CARE Inspection Tool. LPA Yee was let into the home by Gohar Hovhannisyan, Staff. Siranush Bagdasarian, Administrator was contacted by staff and she arrived at 10:29am to conduct the visit. The facility is a single storey family home consisting of a living room, a dining room, a kitchen, 3 resident bedrooms, 2 common bathrooms and a attached garage. The facility is fire cleared for 5 non-ambulatory and one bedridden resident. Bedroom #3 is the room designated for the one bedridden resident. No bodies of water were observed on the property. On today's visit all 12 domains of the CARE Inspection Tool was reviewed, 6 resident files and 5 staff files were also reviewed. A tour of the physical plant, inside and outside, was conducted. The following was observed on today's visit: the living room, dining room and kitchen were all appropriately furnished and equipped for it's designated use. The fire place had the required fire screen. all three bedrooms were all equipped with 2 each of the following: hospital beds, night stands, dressers, lamps, chairs and a built in closet. All the windows had blinds for privacy. The common bathroom by the resident rooms is equipped with a tub/shower, grab bars, shower chair, slip resistant mat, a toilet, another grab bar and a single sink vanity. Water temperature was tested and read 111.4 degrees Fahrenheit. continued on LIC809-C the second bathroom, located by the kitchen, is equipped with a shower stall, a toilet and single sink vanity and is designated for staff use. Water temperature was tested and read 115 degrees Fahrenheit. the attached garage is used primarily for storage and also houses the washer and dryer. Detergents, disinfectants , hygiene products and cleaning solutions are stored in a locked cabinet. the perishable and non-perishable food supply stored in the garage and in the kitchen refrigerator were reviewed and met Title 22 requirements. The facility also has a single bucket containing emergency food supply. Per information provided, it contains 120 servings. the facility has 2 fire extinguishers purchased on 8/17/25 and they are located in the the dining room and in the resident hallway. the only carbon monoxide detector is located in the dining room. It was tested and was operational the first aid kit was reviewed and met Title 22 requirements. First aid manual was observed. the smoke detectors located in the 3 resident bedrooms, hallway and living room were tested and were operational. the auditory devices on the four outside exiting doors - Bedroom #3, front door, kitchen door and the sliding glass door in the living room were operational. All residents in the home were visually observed to be doing well. The backyard has a covered patio with wicker chairs and a coffee table. The backyard was observed to be well maintained. the trash cans stored in the front yard were observed to be tightly sealed. The front yard was also observed to be clean and well maintained. Exit interview was conducted and a copy of this report was provided.