Routine inspection·April 14, 2026

Licensing Program Analyst (LPA) Trevor Byrne arrived at the facility unannounced to conduct the required annual visit at 09:45 AM. LPA met with facility staff who contacted the facility Administrator Diana Tavmasyan. The Administrator arrived to the facility at 09:55 AM. Entrance interview was conducted and the reason for the visit was explained. Beginning at 09:56 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: 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 the kitchen to contain secured drawers which contained knives and other sharp objects. Additionally, LPA observed secured cabinets and a secured minifridge which contained resident medications. COMMON AREAS : This includes the entryway, hallway, and Administrator’s office. LPA observed the entryway to contain adequate seating, a dining table, a television, and activities for resident use. LPA observed the hallway to contain secured storage which contained staff personal items, a washer and dryer, cleaning supplies, laundry supplies, extra linens, and additional activities. LPA observed the hallway to contain a wall mounted fire extinguisher to be fully charged and last serviced on 01/10/2025 which is outside of the range required by regulation. LPA informed the Administrator who agreed to have the extinguisher serviced. LPA observed the Administrator’s office to contain resident, staff, and facility files. The Administrator’s office was observed to be secured from residents in care. CONTINUED ON LIC 809C. 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 Administrator toured all four (4) bedrooms. All four (4) resident rooms observed were furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. All bedrooms contained direct exits to the outdoors of the facility. BATHROOMS : There are two (2) common resident bathrooms at the facility. Both resident bathrooms observed were clean and were equipped with nonskid surfaces. Grab bars were observed in all showers and near all toilets, all were properly secured. The water temperature was measured to be between 111.6 and 117.1 degrees Fahrenheit, which is in compliance with regulation. OUTDOOR SPACE: The facility had adequate shaded seating outdoors for resident use. LPA observed all emergency exits to be clear from obstructions. LPA observed two (2) emergency exit gates at the facility. LPA observed cameras located throughout the outdoors of the facility. RECORD REVIEW: Record review began at 10:52 AM. 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. Five (5) resident files were reviewed. All resident files contained all required documentation and signatures. Five (5) staff files were reviewed. One (1) staff file was observed to be missing proof of a negative TB test, and one (1) staff file was observed to be missing confirmation of good physical health completed by a physician. LPA informed the Administrator that good physical health shall be verified by a health screening, including a chest x-ray or an intradermal test, performed by a physician. The Administrator expressed understanding and agreed to obtain a TB test and a completed health screening for the identified employees. MEDICATION REVIEW: Medication review began at 12:28 PM. Medications for three (3) of five (5) residents were observed. LPA observed two (2) medications to not be appropriately documented on their respective Centrally Stored Medication and Destruction Sheets (CSMDRs). LPA informed the Administrator who logged the medications at the time of the visit. All medications were observed to be stored properly. CONTINUED ON LIC 809C. 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; the facility was unable to provide LPA with a log of the last complete 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 are reviewed/updated annually by the facility’s Administrator. INTERVIEWS: LPA interviewed two (2) residents. The residents interviewed stated that the staff treat them well and are attentive to their needs. LPA interviewed two (2) staff members. Both staff members interviewed were knowledgeable on 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, updated disaster plan, and current liability insurance. Pursuant to Title 22 of the CA Code of Regulations, the following deficiencies were cited (refer to LIC 809-D): Exit interview conducted and copy of the report was issued and appeal rights provided.