Routine inspection·December 22, 2025

Licensing Program Analyst (LPA) Trevor Byrne arrived at the facility unannounced to conduct the required annual visit at 10:01 AM. LPA met with facility staff who contacted the facility Administrator Aram Muradyan. The Administrator arrived to the facility at 10:13 AM. Entrance interview was conducted and the reason for the visit was explained. Beginning at 10:14 AM the LPA, along with the Administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that facility is in compliance with Title 22 Regulations. The following was observed: BEDROOMS : There are four (4) bedrooms in the facility; two (2) are dual occupancy resident rooms, two (2) are single occupancy resident rooms. LPA and the facility Administrator toured all four (4) bedrooms. All resident rooms were observed to be furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. Bedrooms #1 and 4 contained direct exits to the outdoors of the facility. LPA observed the auditory alarms in bedroom#1 and 4 to be non-functional at the time of the visit. LPA informed the Administrator who agreed to replace/repair the auditory alarms. OUTDOOR SPACE: The facility has one (1) emergency exit gate located on the side of the facility; LPA observed clear passageways for emergency exit use. The facility had adequate shaded seating outdoors for resident use. LPA observed the outdoors of the facility to contain a properly secured swimming pool and a small fountain. LPA observed an appropriately secured washer/dryer room which contained the facility’s washer and dryer, cleaning chemicals, extra care supplies, a sink, and a toilet. LPA observed the outdoors of the facility to contain unsecured spray paint, lighter fluid, bug spray, and paint cans. LPA informed the Administrator who agreed to secure the items in a locked storage. Continued on LIC 809C. COMMON AREAS : This included the living room, hallway, and dining area. LPA observed the living room to be clean and properly furnished at the time of the visit. The living room contained a television, adequate seating, and an appropriately screened fireplace. The hallway was observed to be clean and free from any obstructions. The hallway contained closets that contained storage for linens and care supplies. LPA observed a hallway closet to contain an unsecured bottle of disinfectant spray. LPA informed the Administrator who immediately secured the bottle in appropriate storage. The dining area was observed to be equipped with adequate seating for resident use and contained locked storage for resident medications and files. LPA observed the dining area to contain a wall mounted fire extinguisher that was fully charged and purchased on 11/12/2024 which was more than twelve (12) months from the inspection date. LPA informed the Administrator who agreed to purchase a new fire extinguisher for the facility. The common areas contained all required postings. LPA observed RING cameras equipped with a microphone in the dining room and living room. LPA reviewed the admission agreements of facility residents which stated “Under no circumstances video surveillance will be permitted or utilized at Blythe assisted living.” LPA informed the Administrator that utilization of the cameras posed a personal rights risk to the clients due to the resident’s admission agreements and due to the auditory recording component of the cameras. The Administrator expressed understanding and removed the cameras from the facility at the time of the visit. The facility’s fire and carbon monoxide alarms were tested between 10:47 AM and 10:58 AM LPA observed three (3) fire alarms in the living room, dining area, and hallway that were not plugged in via hardwire or equipped with batteries. LPA informed the Administrator that fire alarms must be maintained in proper working order and not having the fire alarms in a function state poses an immediate safety risk to clients in care and violates the facility’s fire clearance. LPA informed the Administrator that this is a zero-tolerance violation and an immediate civil penalty of $500 is being assessed on today’s date (12/22/2025) for a violation of the facility’s fire clearance. The Administrator expressed understanding and immediately plugged the three (3) fire alarms into the hardwire. Additionally, the Administrator replaced the batteries in the three identified fire alarms at the time of the visit. Continued on LIC 809C. KITCHEN : The LPA observed the kitchen area to be clean. Kitchen appliances appeared to be in operable condition. The facility had a sufficient supply of two (2) days perishable and seven (7) days non-perishable food. LPA observed an under-sink cabinet to contain cleaning chemicals and drawers to contain knives and other sharp objects. LPA observed these cabinets and drawers to be unsecured with no staff member working in the kitchen. LPA informed the Administrator who stated that staff had stepped out of the kitchen for a moment. LPA informed the Administrator that knives, sharp objects, and chemicals must remain secured if not in use by a staff member. The Administrator expressed understanding and secured the drawers/cabinet at the time of the visit. BATHROOMS : There are three (3) bathrooms at the facility. One is designated as a shared/common resident bathroom, one (1) is a private resident bathroom, and one (1) is a staff bathroom/laundry room. Both resident bathrooms were observed to be clean and were equipped with nonskid surfaces. Grab bars were observed in all resident showers and near all resident toilets, all were properly secured. The water temperature was measured to be between 117.0 and 118.2 degrees Fahrenheit, which is in compliance with regulation. RECORD REVIEW: Record review began at 11:05 PM. Staff and resident records were reviewed for documents including, but not limited to: health screening, TB test, staff training records, fingerprint clearance, resident physician's report, needs and service appraisal, consent forms, and personal rights. three (3) staff files were reviewed. No staff files reviewed contained records of the initial forty (40) hours of training required prior to assisting residents. LPA requested to review a staff file for Staff #1 (S1) but was unable due to the file not being present at the facility. LPA reviewed the Administrator’s staff file which was observed to be missing the LIC 501, LIC 508, LIC 503, and proof of a negative TB test. Six (6) resident files were reviewed. Resident #1 (R1), Resident #2 (R2), and Resident #3 (R3)’s files were observed to be missing signed copies of the resident’s personal rights. R1’s file was observed to be missing a copy of their admission agreement. R2’s file was observed to be missing a signed telecommunication device notification and R2 was identified by their physician to have an auditory impairment. Additionally, Resident #4 (R4), Resident #5 (R5), and Resident #6 (R6)’s files were observed to be missing proof of a negative Tuberculosis (TB) test. LPA informed the Administrator of the missing documents and that files must be maintained at the facility. The Administrator expressed understanding and agreed to complete all required documentation and trainings for staff and resident files. Continued on LIC 809C. MEDICATION REVIEW: Medication review began at approximately 01:00 PM. Medications for three (3) of six (6) residents were observed. All medications were stored properly. No medications observed were documented on their respective centrally stored medication and destruction record sheets (CSMDR). LPA informed the Administrator that a log of the medications that residents are taking must be accurate and maintained at the facility. LPA informed the Administrator that the log must include: the name of the resident for whom the medication is prescribed, the name of the prescribing physician, the drug name, strength and quantity, the date filled, the prescription number and the name of the issuing pharmacy, and instructions, if any, regarding control and custody of the medication. LPA informed the Administrator that for every prescription and nonprescription PRN medication for which the licensee provides assistance there shall be a signed, dated written order from a physician, on a prescription blank, maintained in the residents file, and a label on the medication in addition to the CSMDR. The Administrator expressed understanding and agreed to complete a CSMDR for all facility residents. 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 to be conducted quarterly; LPA asked the Administrator when the facility’s last emergency disaster drill was conducted. The Administrator informed LPA that the facility had not yet conducted an emergency disaster drill. LPA informed the Administrator that a facility shall conduct a disaster drill at least quarterly for each shift. The Administrator expressed understanding and agreed to conduct a disaster drill. The facility’s emergency disaster plan is up to date and is adequate. Both the infection control plan and the emergency disaster plan were not reviewed/updated annually by the facility’s Administrator. LPA informed the Administrator who reviewed both plans at the time of the visit. INTERVIEWS: LPA interviewed two (2) residents. The residents interviewed stated that staff treat them well and are quick to respond when asked. No residents had concerns with the facility. LPA interviewed two (2) staff members. One (1) staff member interviewed was knowledgeable on their roles and responsibilities, the resident’s rights, the forms of abuse, and the appropriate reporting procedures for suspected abuse. One (1) staff member interviewed was unable to appropriately identify the resident’s rights but was knowledgeable on their roles and responsibilities, the different forms of abuse, and the appropriate reporting procedures for suspected abuse. Continued on LIC 809C. During today’s visit LPA obtained a copy of the facility’s LIC 500, resident roster, and current liability insurance. Pursuant to Title 22 of the CA Code of Regulations, the following deficiencies were cited and civil penalty assessed (refer to LIC 809-D): Exit interview conducted and copy of the report was issued and appeal rights provided.