Pre-licensing visit·April 9, 2025

Licensing Program Analyst (LPA) Christine Yee conducted an announced Prelicensing and Component III visit to inspect the facility and to ensure that the facility is in compliance with Title 22 requirements. LPA Yee met with Karpis Arakelyan, Applicant and Elianora Yebeyan, Designated Administrator. The facility is a single storey family home consisting of a living room, dining room, kitchen, 4 bedrooms and 2 full bathrooms. Attached to the home is an accessory dwelling unit that is not part of the facility operations. It has a separate address of 7446 Mammoth Avenue. The facility is fire cleared for 5 NON-AMBULATORY and 1 BEDRIDDEN residents. Bedroom #1 is designated for bedridden use. The CARE Inspection tool was used on today's visit. The following was observed on today's visit: the living room was observed with a sofa, love seat, 2 end tables and a coffee table. The fire place was observed covered with a fire place screen. A large screen television is mounted over the fireplace. the dining room was observed with a table and 6 chairs the kitchen is equipped with a stove, a microwave, toaster, a large refrigerator and a small refrigerator for storage of medications, a small table with 4 chairs and a water filtration system. Sufficient plates, cups and bowls were observed for 6 residents. Pots and pans for preparation of meals were observed. Dish soap and cleaning solutions are stored in a locked cupboard under the kitchen sink. Sharp knives are stored in a locked drawer to the right side of the stove. Insufficient non-perishable foods for minimum of 7 days were observed. Perishable foods for a minimum or 2 days will be purchased prior to accepting the first resident. 4 buckets of emergency food was observed Located in the kitchen is a stacked washer and dryer for residents' laundry. Bedroom #1 was observed with 2 bed, 2 lamps, 1 folding chair, 2 night stands and a built in closet, 2 little covered trash cans. No dressers were observed. Bedroom #2 was observed with 2 beds, 2 night stands, 2 lamps and a built in closet. No dressers or chairs were observed. Bedroom #3 was observed with 2 beds, 2 large sized -2 drawer cupboard that were used for night stands and as a dresser, a built in closet. A chairs was observed. Bedroom #4, used as a office/staff bedroom was observed with a queen size bed, dresser, 2 lamps, a chair and filing cabinet. The following linens were observed on all 6 beds: a mattress cover, a fitted sheet, a flat sheet and a comforter. A total of 7 blankets were observed in the room closet and in the linen closet. Additional twin sized blankets will be purchased to allow for weekly changes. Extra flat sheets, pillow cases, fitted sheets, bath towels, hand towels and face towels were observed in the linen closet in the hallway. Medications will be centrally stored in one of the locked hallway cupboards. Hygiene products, board games and extra cleaning solutions were also stored in a locked hallway closet. A private bathroom located inside bedroom #2 is equipped with a walk in shower stall, a toilet and a single sink. Grab bars, slip resistant mat and a shower chair were observed in the shower, no grab bars were observed by the toilet. Water temperature was tested and read 118.8 degrees Fahrenheit. The common bathroom is equipped with a walk in shower stall, a toilet and a sink. Grab bars and a slip resistant mat were observed in the shower stall. No grab bars were observed by the toilet. Water temperature was tested and read 119.8 degrees Fahrenheit. the resident hallway did not have night lights. The combination smoke/carbon monoxide detectors located in all the bedrooms and hallway were tested and were operational. The only mounted fire extinguisher is located by the front door and kitchen. It was purchased on 4/8/25. The auditory devices mounted on the outside exiting glass doors located in the living room, bedroom #1, bedroom #2 and the front door were observed to be operational. postings were observed but was missing the facility visiting hours The facility has a land line telephone. Telephone # is (818)849-6025 the backyard has a covered patio furnished with 3 armchairs and a coffee table and located to the back left hand corner is a covered gazebo furnished with a table and 10 chairs and 2 foot rests. trash cans were on the streets for trash pickup on Thursday. the front yard was observed to be clean The following corrections need to be completed prior to licensure: purchase additional light warm blankets in quantities to allow for weekly changing or as needed post the facility's visiting hours purchase additional non-perishable foods to meet Title 22 requirement for a minimum of 7 days. update facility sketch to include the meeting point and the location of the shut off valves purchase dressers for bedroom #1 and bedroom #2 install grab bars by the toilets in the private and common bathroom place night lights in the hallway purchase a chair for bedroom #1 and bedroom #3 and 2 chairs for bedroom #2. The following needs to be addressed after licensure if not already addressed with the above corrections: provide an internet usage plan for residents include a fire safety plan for emergency preparedness and for bedridden residents Licensee will purchase General liability insurance in the amount of $1 million per occurrence and a total aggregate of $3 million dollars when licensed. A certificate of insurance naming the Department as the certificate holder to be provided to the Department. Licensee will purchase the required perishable foods for a minimum of 2 days prior to accepting the first resident. Licensee will contact LPA Yee when the corrections have been completed. Component III was conducted with Karpis Arakelyan and Elianora Yebeyan on today's visit. Exit interview was conducted.