Routine inspection·February 12, 2026

Licensing Program Analyst (LPA) Trevor Byrne arrived at the facility unannounced to conduct the required annual visit at 10:17 AM. LPA met with facility staff who contacted the facility Administrator Varduhi Sirunyan. The Administrator arrived to the facility at 10:32 AM. Entrance interview was conducted and the reason for the visit was explained. Beginning at approximately 10:35 AM the LPA, along with the facility 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: COMMON AREAS : This includes the living room, hallway, and dining area. LPA observed the living to be clean and properly furnished at the time of the visit. This room contained a television, adequate seating, an appropriately screened fireplace, and activities for resident use. The hallway was observed to be clean and free from any obstructions. The hallway contained storage closets which contained linens and care supplies. LPA observed the facility’s hallway fire door to be propped open with a door stop. The dining area was observed to be equipped with adequate seating for resident use. LPA observed one (1) window frame in the dining room to be in disrepair. LPA informed the Administrator who agreed to perform repairs to the identified frame. The living room and hallway contained all required postings The facility’s combination fire and carbon monoxide alarm was tested at 01:50 PM and functioned properly at the time of the visit. LPA observed the dining area to contain a wall mounted fire extinguisher which was fully charged and last serviced on 07/09/2025. LPA observed cameras located throughout the common areas of the facility. Continued on LIC 809C. OUTDOORS CONT.: LPA observed an ADU attached to the facility. LPA observed that due to the layout of the property tenants of the ADU had access to the clients in care. LPA observed that the two (2) adult individuals that resided at this ADU did not have appropriate fingerprint clearance and association to the facility. LPA informed the Administrator who stated that the tenants had finger print clearance through immigration but have no association to any operating facilities. The Administrator stated that the individuals had resided at the location for more than five (5) days. LPA informed the Administrator that any individual who has access to the clients, prior to working, residing, volunteering, or being present in a licensed facility, shall be finger print cleared and associated to the facility. LPA explained that since the tenants had resided in the ADU, had access to the clients, and were not associated to the facility a civil penalty in the amount of $1000 will be assessed on today’s date (02/12/2026). The civil penalty was calculated as $100 per individual per day for a maximum of five (5) days ($100 x 2 individuals x 5 days = $1000) LPA informed Administrator that failure to obtain finger print clearance and to associate the tenants to the facility may result in the assessment of additional civil penalties. RECORD REVIEW: Record review began at 12:04 PM. Resident records were reviewed for documents including, but not limited to: health screening, TB test, physician's report, needs and service appraisal, consent forms, and personal rights. Three (3) resident files were reviewed. All resident files contained all required documentation and signatures. LPA observed five (5) staff files. All staff files observed contained all required documentation and training. No deficiencies were observed during file review. MEDICATION REVIEW: Medication review began at 01:11 PM. Medications for three (3) of three (3) residents were observed. All medications were stored and documented appropriately on their respective Centrally Stored Medication and Destruction Sheets (CSMDRs). No deficiencies were observed during medication review. 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 conducted quarterly; the facility’s last emergency disaster drill was conducted on 01/12/2026. The facility’s emergency disaster plan is up to date and is adequate. Both the infection control plan and the emergency disaster plan are reviewed/updated annually by the facility’s Administrator. Continued on LIC 809C. INTERVIEWS: LPA interviewed one (1) resident. The resident interviewed stated that staff treat them well and are attentive to their needs. The resident had no concerns with the facility. LPA interviewed one (1) staff member. The 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. During today’s visit LPA obtained a copy of the facility’s LIC 500, resident roster, and current liability insurance. The facility agreed to email LPA a copy of the facility's updated emergency disaster plan. Pursuant to Title 22 of the CA Code of Regulations, the following deficiencies and civil penalties were cited/assessed (refer to LIC 809-D): Exit interview conducted and copy of the report was issued and appeal rights provided. BEDROOMS : There are four (4) bedrooms in the facility; two (2) are dual occupancy resident rooms and two (2) are single occupancy resident rooms. LPA and the Administrator toured all resident bedrooms. All four (4) resident rooms observed were furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. Bedroom #4 was observed to contain a direct exit to the outdoors of the facility. LPA observed bedroom #4’s exit to be blocked by a bed at the time of the inspection. LPA informed the Administrator that the bed blocking the emergency exit and the facility hallway fire door being propped posed an immediate safety risk to clients in care and violated 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 (02/12/2026) for a violation of the facility’s fire clearance. The Administrator expressed understanding and immediately moved the bed into a position that allowed easy access to the emergency exit. Additionally, the Administrator agreed to keep the hallway fire door closed until a magnetic latch connected to the facility’s fire alarm system could be installed. BATHROOMS : There are three (3) bathrooms at the facility, one (1) is a common resident bathroom, one (1) is a private resident bathroom, and one (1) is a staff bathroom. All bathrooms observed were 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 111.7 and 117.9 degrees Fahrenheit, which is in compliance with regulation. 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 tested the water temperature in the kitchen and observed the temperature to be 114.1 degrees Fahrenheit, which is in compliance with regulation. LPA observed a washer/dryer room located adjacent to the kitchen. This room contained the facility’s washer and dryer, adequate emergency food and water supplies, and locked storage which contained cleaning chemicals and care supplies. OUTDOOR SPACE: LPA observed the facility back yard to contain an appropriately fenced off pool. The facility had adequate shaded seating outdoors for resident use. LPA observed all emergency exits to be clear from obstructions. LPA observed cameras located throughout the outdoor areas of the facility. Continued on LIC 809C.