Follow-up on corrections·February 3, 2026

Licensing Program Analyst (LPA) Trevor Byrne arrived to the facility at 03:06 PM to conduct an unannounced Case Management – Deficiencies visit at the facility today. LPA met with facility Administrator Assistant Mariam Harutyunyan entrance interview conducted and the reason for the visit was explained. Administrator Kristine Harutyunyan later arrived to the facility and an entrance interview was conducted. During today’s visit between 03:10 PM and 04:23 PM LPA conducted a physical plant tour, interviewed Administrator, the Assistant Administrator, and one (1) Individual (I1). During the physical plant tour LPA observed bedroom #1’s ceiling to be in disrepair with visible water damage. LPA observed the ceiling to be missing a panel with insulation exposed. Additionally, LPA observed the room to smell of mildew. LPA reviewed the facility sketch and observed bedroom #1 to be designated as a staff bedroom. LPA interviewed the Assistant Administrator who informed LPA that residents had not resided in the room and staff had been relocated to bedroom #2 until repairs to bedroom #1 could be made. Assistant Administrator stated that the room has been made inaccessible to clients in care until repairs to the ceiling repair can be completed. Assistant Administrator stated that repairs are expected to be completed no later than 02/13/2026. LPA determined that the damage to the ceiling did not pose an immediate or potential health, safety, or personal rights risk to the clients in care. This is considered a technical violation and no citation is being issued at this time. Continued on LIC 809C. During interviews with the Assistant Administrator and during file review LPA observed that no incident report was submitted for the ceiling damage. Additionally, LPA observed the conversion of the facility’s garage into an ADU which was also not reported to Community Care Licensing Division (CCLD). LPA informed the Assistant Administrator that any incident which threatens the welfare, safety or health of any resident, or unexplained absence of any resident from the facility must be reported to CCLD within 7 days of the occurrence of the event. Additionally, LPA informed the Assistant Administrator that any construction or alterations to the facility should be reported to CCLD prior to beginning the proposed construction. Because no residents resided in bedroom #1 and because all proper building permits for the garage conversion appeared to be obtained LPA determined that the missing reports did not pose an immediate or potential health, safety, or personal rights risk to the clients in care. This is considered a technical violation and no citation is being issued at this time. LPA spoke with the Administrator, Assistant Administrator, and I1 and informed them that due to the garage conversion to an ADU, the former garage now has a separate address from the facility. LPA explained that the facility is required to submit an updated facility sketch which reflects that the garage is no longer part of the facility as a part of their plan of operation. The Assistant Administrator expressed understanding and agreed to submit an updated facility sketch to CCLD. Additionally, LPA informed the Administrator that the fire clearance for the facility states “Garage to remain a garage”. LPA explained that because proper permits were obtained for the conversion no fire clearance violation is being issued at this time. LPA explained that the facility may be required to obtain an updated fire clearance at a later time to reflect the construction changes and new address of the former garage. Pursuant to Title 22, California Code of Regulations, the following deficiency was cited (refer to LIC809-D). Exit interview conducted and copy of the report was issued and appeal rights were provided.