Routine inspection·July 24, 2025

Licensing Program Analyst (LPA) Zabel Chochian conducted a required annual visit. LPA met with the new Executive Director (ED), Lilit Mnatsakanyan, and explained the reason for the visit. The facility is a (five) 5 story building including an underground garage. At approximately 10A.M., LPA observed the posting of required documents near the entrance of the facility. The common areas were observed to be properly furnished and relatively clean at the of the visit. 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 at the time of visit. A physical plant tour of the inside and outside of the facility with the ED. There are fire sprinklers and fire doors throughout the facility. Emergency/disaster drills are conducted monthly. Last fire drill was conducted on 07/15/2025. LPA inspected the common areas throughout the facility including the Activity room, Lobby, reading room, lounge, café, health center. All the rooms have been appropriately furnished. All exits in Memory care have functioning auditory devices and were operational at the time of the visit. There is an evacuation chair in each stair well on each side of the building. LPA inspected eight (8) randomly selected rooms in all four (4) floors including the memory care unit. resident rooms are set up with beds, nightstands, lamps, chests of drawers, chairs and closet space. The beds are furnished with box springs, comfortable mattress and clean linen; which includes, a mattress pad, top and bottom linens, pillowcases, and a bedspread. All rooms had a comfortable room temperature of 75 degrees Fahrenheit. Hot water temperature was measured in all eight (8) bathrooms and they were between the temperature range of 105-120 degrees Fahrenheit. Lighting in the rooms appeared adequate. All rooms were free of odors. All window screens were clean and maintained in good repair. The resident bathroom(s) have a shower with non-skid materials. The toilets were in working conditions and the showers observed with grab bars. (Continued on LIC 809-C) The kitchen was observed to be inaccessible to residents in care. Knives are kept inaccessible to residents in care. Kitchen appliances were observed to be in operable condition. The facility has a sufficient supply of perishable and non-perishable food. Dining room furniture were observed to be in good condition and appeared to be relatively clean. The supply of dishes, utensils, pots, pans and drink ware is adequate. The freezer was maintained at zero degrees Fahrenheit (0*F) and the refrigerator was maintained at 40*F. There are no pesticides (poisons) or toxins stored in any food storage area or preparation area with utensils. No flies or other vermin were observed. At approximately 1:06PM - 1:12PM, LPA observed ice cream, sauces, vegetables and other items stored in the freezer uncovered. Also, pies and other deserts observed in the refrigerator that were made a day or two ago according to the Executive Chef, were observed uncovered in the refrigerator. Resident records review began at 2:30 P.M. Eight (8) resident records were reviewed for, but not limited to: appraisals, medical records, admissions agreement, consent forms. Staff records review began at 1:30 P.M, Eight (8) personnel records were reviewed for, but not limited to: personnel records, health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. All records were observed to be in order at this time. The first aid supplies were complete, including a thermometer and a current version of a first aid manual. the main two (2) first aid kits were observed in the memory care director office and the health service office. Medications are stored in a medication cart which are kept in each floor and inaccessible to residents in care. Medications review began at approximately 12P.M. Medications are documented on a centrally stored log printed by the pharmacy and maintained in a folder in a drawer in the medication room. Random sample review of residents medication completed during visit. Current procedures in place by ED and LVN with regards to record keeping. Centrally Stored records are being moved into binders for easy access. Entry/exits were free of obstructions. The outdoor areas were clean and free of hazards. The patios and balconies observed have proper furnishings. There were no bodies of water noted. Pursuant to Title 22 of the CA Code of Regulations, the following deficiency was cited (refer to LIC 809-D): Exit inter view conducted and copy of the report and appeal rights provided.