Routine inspection (multi-day)·May 14, 2026

Licensing Program Analyst (LPA) Trevor Byrne arrived at the facility unannounced to conduct a continuation of the required annual visit at 01:40 PM. LPA met with facility staff who contacted facility Administrator Rebeka Durgaryan via telephone call. The facility Administrator arrived to the facility at 02:17 PM. Entrance interview conducted and the reason for the visit was explained. The following was observed: 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 04/08/2026. The facility’s emergency disaster plan is up to date but contained inaccurate information regarding the emergency supplies that were available at the facility. Both the infection control plan and the emergency disaster plan were reviewed/updated annually by the facility’s Administrator. INTERVIEWS: LPA interviewed one (1) staff member. The staff member interviewed was knowledgeable on their role and responsibilities, resident rights, the different forms of abuse and the appropriate reporting procedures for suspected abuse. CONTINUED ON LIC 809C. RECORD REVIEW: Record review began at 02:22 PM. Resident records were reviewed for documents including, but not limited to: TB test, physician's report, needs and service appraisal, consent forms, and personal rights. Six (6) resident files were reviewed. LPA observed one (1) resident file to be missing proof of a negative tuberculosis (TB) test. LPA informed the Administrator who agreed to obtain proof of a negative TB test for the identified individual. MEDICATION REVIEW: Upon arrival to the facility LPA observed an unsecured bag of medications located on the infection control point at the entrance of the facility. Facility staff secured the bag of medications at the time of the visit. Medication review began at 02:52 PM. Medications are stored centrally in a cabinet in the living room. Medications for three (3) residents were observed. All three (3) resident’s centrally stored medication and destruction record sheets (CSMDRs) contained errors including incorrect dates filled/started, prescription numbers, and quantity of medications. Additionally, LPA observed six (6) medications to not be logged on their respective CSMDRs. During today’s visit LPA obtained a copy of the facility’s LIC 500, emergency disaster plan, resident roster, and liability insurance. 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.