Routine inspection·December 23, 2025

Licensing Program Analyst (LPA) Sandra Urena conducted an unannounced required annual inspection visit and met with the Licensee Christina Gabuzyan, and the LPA explained the reason for the visit. The facility was approved for six (6) non-ambulatory residents, one (1) bedridden resident in bedroom #3. The LPA, and the Applicant 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. KITCHEN: Kitchen knives are stored locked and inaccessible in a locked 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. Kitchen cleaning supplies are stored and locked under the kitchen sink. Hot water temperature was recorded at 116.8 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. Two fire extinguishers were observed; one is located by the office and another one is located in the kitchen area. Both were serviced on 10/08/2025. BEDROOMS: There are three (3) bedrooms for residents in care. Rooms 1, 2 and 3 are shared rooms; all bedrooms are cleared for non-ambulatory purposes, and bedroom #3 is cleared for one bedridden resident. All bedrooms were supplied with all required bedding and linens. There is sufficient lighting as well as closet and space available. BATHROOMS: There is one full bathroom, with shower and a bathtub. Bathroom is equipped with toilet and shower grab bars, and non-skid mats. There are sufficient supplies of towels, paper goods and personal hygiene supplies. Hot water delivered was delivered at 115.6 degrees Fahrenheit. Continues on LIC 809C... COMMON AREAS: The living room area is equipped with a television, and the fireplace is non-functional and is permanently covered. 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 in a locked cabinet in the office area. The residents’ and staff files are stored and locked cabinets located in the office area. LAUNDRY: There is a laundry area equipped with washer and dryer. The washer and dryer are located in the hallway between the restroom and bedroom # 1. Detergents and cleaning supplies will be stored in a locked cabinet next to the washer and dryer. SURROUNDING GROUNDS/OUTDOOR AREA: 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. Left passageway is cleared and has a self-latching gate. The self-latching mechanism is located on the outside of the gate facing the street. exit. RECORDS: Records review began at 12:15 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 01:36 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. No errors observed during the medication review. The LPA reviewed the following documents: - LIC500 Personnel Report - LIC9020 Client Roster - Certificate of Liability of Insurance _ Emergency Drill Logs At the time of the visit the LPA observed one (1) ADU unit. The unit is identified by the address #15801 ½. and is located on the left-hand side of the facility. The ADU unit is separated from the main address by a fence and is not accessible to residents in care. Exit interview was conducted and reviewed with the applicant. A copy of the report was issued.