Routine inspection·December 22, 2025

Licensing Program Analyst (LPA) Angela Barutyan arrived at the facility unannounced to conduct a required annual visit at 11:10AM. LPA met with staff and Administrator Kristina Adamyan upon arrival. Entrance interview conducted. At 11:12AM, the LPA along with staff and Administrator 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. KITCHEN: The LPA inspected the kitchen/food service area at 11:12AM. Kitchen appliances appeared clean and were in operable condition at the time of the visit. The facility had a sufficient supply of perishable and non-perishable food. At 11:13AM, LPA observed the knives stored accessible to residents as the lock on the drawer was inoperable. Administrator stated that the lock will be replaced. LPA observed locked and inaccessible cleaning solutions under the sink. Fire extinguisher by the kitchen area was fully charged and last purchased on 12/01/2025. At 11:18AM, LPA observed a fruit fly infestation in the pantry. Administrator stated they have hired a monthly exterminator service and that there are fruit fly traps by the kitchen sink. LPA advised to install fruit fly traps in the pantry as well. Administrator stated they will call an exterminator to address the fruit flies. BEDROOMS: There are five (5) resident bedrooms; four (4) are designated for single-use and one (1) is designated for shared-use. LPA observed resident bedrooms to be furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. At 11:27AM, LPA observed the direct exit in Bedroom #3 obstructed with a metal pipe in the sliding door, preventing it from opening. Staff removed the metal pipe immediately. Bedroom #3 has a bedridden fire clearance, and LPA explained that the direct exit cannot be obstructed due to fire clearance and immediate health/safety hazards. Report Continued on LIC809-C. At 11:35AM, LPA observed Bedroom #4 with a heavily stained mattress with no mattress cover, rubber sheeting, or pads. The mattress had one sheet that was lifted in the corners with the mattress exposed. Administrator stated the mattress will be replaced and a waterproof cover will be installed on the mattress. At 11:43AM, LPA observed the vinyl floorboards in Bedroom #4 to be peeling and a potential fall hazard. LPA observed a locked staff room in the hallway. Auditory exit alarms were functional. RESTROOMS: There are four (4) restrooms of which three (3) are designated for resident-use and one (1) is designated for staff and visitor use. At 11:27AM, LPA observed the slip-resistant mat in the hallway bathroom to be in unsanitary and inoperable condition. Administrator stated the mat will be replaced. At 11:41AM, LPA observed the restroom attached to Bedroom #4 to not have appropriately running hot water, the toilet lid removed and on the floor, toilet in unsanitary condition, restroom not stocked with necessary supplies such as toilet paper and a trash bag in the trash can, the trash can with the lid removed and on the toilet, and the sink in unsanitary condition. Staff repaired the hot water which LPA measured from 11:56AM-12:02PM to reach 105.1 degrees F. At 12:31PM, LPA observed the hallway restroom with an unsanitary sink. Hot water temperatures were measured in resident restrooms and were between 105.1-106.5 degrees F, which is within the required range. Restrooms were equipped with functional grab bars. OUTDOOR AREA: The backyard has a covered outdoor area equipped with furniture for resident use. At 12:38PM, LPA observed a shed in the backyard containing extra mattresses and beds with a nonfunctional lock. LPA observed the mattresses in disrepair and unsanitary as they were covered in dirt. Administrator stated that the mattresses were meant to be thrown away and are not for resident-use. There is a side gate which was observed to self-latch. At 12:40PM, LPA observed the emergency exit passageway obstructed with trash bins and a ladder. Staff removed the obstructions during the visit. No bodies of water noted. COMMON AREAS: At the time of the visit, living room and family room furniture were observed to be in good condition. There is one (1) fireplace which was observed adequately screened. The facility maintained a comfortable temperature. At 12:41PM, LPA observed the window screens for the sliding exit doors in the family room and Bedroom #4 to be uninstalled and removed from its tracks. Administrator stated they did not know why the screens were removed and stated that they will be reinstalled. At 12:52PM, smoke detectors and carbon monoxide detectors were tested and were operational at the time of the visit. LPA observed required postings throughout the common spaces. Report Continued on LIC809-C. GARAGE: LPA observed a locked garage adjacent to the kitchen that contained a washer and dryer, additional refrigerator/freezer, additional food and supplies, and an office area. INTERVIEWS: During today’s visit, LPA interviewed four (4) residents and three (3) staff. MEDICATION REVIEW: Will be reviewed during annual continuation. RECORD REVIEW: Will be reviewed during annual continuation. INFECTION CONTROL/EMERGENCY DISASTER PLANNING: Will be reviewed during annual continuation. Due to time constraints, the annual inspection will be finished on a later date. Pursuant to Title 22, CA Code of Regulations, the following deficiencies were cited (refer to LIC 809-D). Civil penalty was issued in the amount of $500 for fire clearance violation. Administrator was informed that failure to correct deficiencies may result in additional civil penalties. Exit interview conducted, report issued, and appeal rights provided.