Pre-licensing visit·September 4, 2025

Licensing Program Analyst (LPA) Sandra Urena conducted a Pre-licensing visit and met with the Applicants Meri Zulalyan, Alen Ayvazyan. This is a new facility application for a Residential Facility for the Elderly (RCFE) for six (6) non-ambulatory residents; one (1) of which may be a bedridden resident(s). Fire Clearance was approved on 04/15/2025. The bedridden resident was approved to be in bedroom #1. At 09:40 a.m., 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. COMMON AREAS: The living room area is equipped with a television and is furnished appropriately. Required documents were posted in the common area. Smoke and carbon monoxide alarms were tested and functional at the time of the visit. Medications will be stored in a locked cabinet located next to the refrigerator in the kitchen area. The residents’ and staff files will be stored and locked in a cabinet located in the dining area. LAUNDRY: There is a laundry area equipped with a washer and dryer located inside a small, locked shed located outside the facility. Detergents and cleaning supplies will be stored inside and next to the washer and dryer. 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 will be stored and locked under the kitchen sink. Hot water temperature was recorded at 113.7 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 in the kitchen area, which was purchased on 04/03/2025. BEDROOMS: There are three (3) bedrooms for residents in care. All bedrooms are for double occupancy. All bedrooms were supplied with all required bedding and linens. There is sufficient lighting as well as closet and drawer space available. BATHROOMS: There is one (1) full bathroom, with shower area, no bathtub. Bathroom is equipped with toilet and shower grab bars, and non-skid mat. There are sufficient supplies of towels, paper goods and personal hygiene supplies. Hot water delivered was recorded at 113.7 degrees Fahrenheit. 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. The left passageway is cleared and has a self-latching gate. The self-latching mechanism is located inside the gate. An auditory device is in place to monitor the gate exit. There is a swimming pool which is gated, locked and inaccessible to residents in care. There is a shed located at the end of the patio, which was observed to be locked at the time of the visit. Residents will be using the front/main door and side gate as way to getting to the back yard. At the time of the visit the LPA observed one (1) ADU unit. The unit is identified by the address #8828, and is located on the right-hand side of the facility. The ADU unit is separated from the main address. The ADU was not part of Fire Clearance. At 1:00 p.m. the applicant completed Component III orientation. This report will be sent to the Centralized Application Bureau (CAB). You will be notified by the CAB Analyst when your license has been approved. You are not allowed to begin operating until you have been notified that your license has been approved by the CAB Analyst. Failure to comply could affect the approval of your license. Pre-Licensing is complete . Exit interview was conducted and reviewed with the applicant. A copy of the report was issued.