Routine inspection·May 13, 2026

At 09:55 a.m. Licensing Program Analyst (LPA) Esther Cortez arrived at the facility unannounced to conduct a required annual visit. The LPA was greeted by staff and informed them of the reason for the visit. Administrator Marine Ghukasyan was contacted telephonically and the reason for the visit was explained. The Administrator arrived shortly thereafter. At 10:20 a.m. the LPA conducted a tour of the physical plant with the Administrator to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. The following was noted: The home is a single story family home consisting of a living room, dining room, family room, kitchen, 3 resident bedrooms, one office/staff room, 2 full bathrooms and a attached garage. The LPA observed fire extinguishers at the home, which were fully charged and last serviced 09/19/2024. All smoke alarms and carbon monoxide detectors were tested, and functioned properly. The LPA observed all required postings in the living room of the home. Kitchen : The kitchen appeared clean and the appliances and fixtures functional during the time of visit. LPA observed a sufficient amount of perishable and non-perishable food at the facility; Sharp objects are stored in a locked drawer on the left side of the stove and cleaning supplies are stored in a in a locked cabinet under the sink. At 10:23 a.m. the LPA observed two food cabinets with locks, during the visit the locks were unlocked, however when questioned staff stated that they are locked at night due to a resident removing the food at night. Locks were removed during the visit. Report will continue on LIC809-C, 2nd page. Bedrooms: All resident bedrooms were properly furnished with at least one chair, nightstand and sufficient lighting for each resident. At 10:32 a.m. the LPA observed a door lock latch in room #2 on the door leading outside near the top. The LPA could not unlock it without the assistance of staff. Door lock was removed during the visit. Bathrooms: The LPA observed all bathrooms, properly supplied and had functional fixtures. The LPA observed grab bars and non-skid mats in all bathrooms. At 10:47 a.m. water temperature in resident’s restroom was measured at 112.5 degrees Fahrenheit. Common Areas: These included the living room, family room and dining area. The common areas were checked for cleanliness and furniture was checked for functionality during time of visit. There is a fireplace in between the living room and family room, which is covered with a screen. There were no obstructions and/or tripping hazards throughout the inside of the facility. At 11:30 a.m. the LPA observed a door lock latch on the front door. Lock was removed during the visit. The garage: The LPA observed the garage where additional supplies and the emergency water is stored. Cleaning supplies and disinfectants are kept in the garage. The garage is locked. Surrounding Grounds (Outdoors) : The LPA observed appropriate outdoor furniture, with a covered shaded area for residents. There are no bodies of water on the premises. At 10:59 a.m. the LPA observed the outdoor wooden walkway outside of room #2 with multiple boards uneven with visible gaps between them, some boards appear loose, and a few sections look sunken. Record Review: At 12:07 p.m. a review of facility files was initiated. The LPA reviewed five (5) out of five (5) resident files. The LPA observed documentation of Infection Control, Disaster prevention and last Disaster drill (conducted on 03/14/2026). The LPA advised to conduct disaster drills for every shift. The LPA obtained Client Roster, Staff Roster, and Insurance Liability. The LPA reviewed five (5) out of five resident files and four (4) out of four staff files. All documents reviewed appeared complete and current. I nterviews: The LPA conducted three (3) resident Interviews. No immediate concerns were voiced. Report will continue in LIC809-C, 3rd page. Medications: At 3:00 p.m. a medications review was initiated for two out of five residents and the following was observed. The medications were stored in a locked cabinet in the kitchen and inaccessible to the residents. During Resident #1 (R#1's) audit, the following was observed: Loratadine 10 mg not documented on the Facility Centrally Stored Medication and Destruction Record (CSMDR), Insulin's instructions documented wrong, 2 units documented when its 16units, Lantus instructions documented wrong -16 units documented when its 15, and Pravastin's strength and quantity was not documented. During Resident #2 (R#2's) audit, the following was observed: Novolog was documented as Humolog according to the Administrator and documented as started but has not started medication and is still currently using Humolog. New order of Lantus was documented as started but not started and resident is still on the old order. Lorazepam medication filled in March is present but not being given or documented on the CSMDR, according to the Administrator it was discontinued but does not have a discontinued order and has not destroyed/discard the medication. At 3:58 p.m. the LPA observed Insulin pen with a needle, and observed staff dispense of the insulin pen needle in the kitchen trash can. 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 and appeal rights provided to Administrator.