Routine inspection·January 6, 2026

Licensing Program Analyst (LPA) Sandra Urena conducted an unannounced annual required inspection visit. LPA Urena was greeted by staff and staff contacted the Administrator Meri Tarposhyan on the phone, and the LPA explained the reason for the visit. The Administrator stated that they would arrive at the facility within the next 20 minutes. The LPA, and the Administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that the facility will be following Title 22 Regulations. COMMON AREAS: These include a living room area equipped with a television. There is a dedicated area for the posting of required documents at the entrance of the facility. Smoke and carbon monoxide alarms were tested and functional at the time of the visit. Medications are stored and locked in a closet located next to the refrigerator in the kitchen area. The residents’ and staff files are stored and locked in the same closet as the medications. LAUNDRY ROOM: There is a laundry area equipped with washer and dryer. The laundry room is located in the hallway. Detergents and cleaning supplies are stored and locked in the same closet. KITCHEN: Kitchen knives are stored locked and inaccessible in a kitchen drawer. A seven-day supply of non-perishable food was available. The supply of dishes is adequate. Appliances in the kitchen were clean and all appeared functional. Hot water temperature was recorded at 118.5 degrees Fahrenheit. Trash cans have a tight-fitting lid. There were no pesticides or toxins stored near food, or preparation area. The first aid supplies were complete, including a thermometer and a current version of a first aid manual. A fire extinguisher is located near the backdoor, which was purchased on 05/26/2025. BEDROOMS: There are four (4) bedrooms for residents in care. Bedroom #1 was approved for (1) ambulatory resident and bedrooms # 2, 3 and 4 were approved for five (5) bedridden or non-ambulatory residents. There is sufficient lighting as well as closet space available. The closets in bedrooms #1, 2 and 4 will be cleared of supplies to make space for residents’ clothing and personal items. At the time of the visit, the LPA observed seven (7) beds. Two (2) beds in room #1, two (2) beds in room # 2, one (1) bed in room #3 and two (2) beds in room #4. The LPA advised and cautioned the Administrator about having seven (7) residents, since their license is approved for six (6) residents. Currently room #2 is vacant, with no residents. The Administrator stated that they left the two beds in room #2 for the future resident to choose either the hospital bed or a regular bed. Once the new resident is admitted they will remove the second bed. BATHROOMS: There are three (3) full bathrooms, with shower area. One of the three bathrooms is located in the hallway, one is located in bedroom #1 and another one is located in bedroom#4. Bathrooms are equipped with toilets and shower grab bars, and non-skid mats. There are sufficient supplies of towels, paper goods and personal hygiene supplies. Hot water delivered was measured at 118.2 degrees Fahrenheit. SURROUNDING GROUNDS: The exterior passageways were clean. The patio is furnished with outdoor furniture for residents’ use, and shade is available. The building has a central entrance for residents and visitors. The backdoor requires a ramp with handrails to provide access to the residents to get to the backyard/outdoor area. At the time of the visit the LPA observed two ADU units. One unit is identified by the address #6854 and is located on the left-hand side of the facility, it is fully enclosed with fencing at least 6’ feet tall. The second ADU is identified by the address #6854 and is located behind the facility and is separated by fencing at least 6’ feet tall. Neither ADU’s are associated with the facility. RECORDS: Records review began at 12:30 p.m. Residents’ records were reviewed for, but not limited to care plans, medical records, admissions agreement, consent forms. All records were in order. Personnel records were reviewed for, but not limited to health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. All files were in order. MEDICATIONS: Medications review began at 1:20 p.m.; medications are centrally stored and locked in a cabinet in the kitchen area next to the refrigerator; medications are labeled and checked for expiration dates. The medications are documented properly on the centrally stored medications and destruction record. Errors were observed during the medication audit. Three medication bottles had less pills than the correct count. The LPA reviewed the following documents: - LIC500 Personnel Report - LIC9020 Client Roster - Certificate of Liability of Insurance _ Emergency Drill Logs Citations were issued. Exit interview conducted. A copy of the report was issued