Pre-licensing visit·May 15, 2026

Licensing Program Analyst (LPA) Sandra Urena conducted a Pre-licensing visit and met with the Applicant Gayane Shishikyan. This is a new facility application for a Residential Facility for the Elderly (RCFE) for six (6) non-ambulatory residents; of which five (5) residents may be a bedridden. Waiver was granted for hospice care for six (6) residents. Fire Clearance was approved on 04/17/2026. Rooms #1, 2, 3, and 4 were approved for bedridden. At 9:30 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 comfortable seating area. 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 will be stored in a locked cabinet next to the dining area. The residents’ and staff files will be stored and locked in a cabinet located in the office area. LAUNDRY: There is a laundry area equipped with washer and dryer located in the garage. Detergents and cleaning supplies will be stored in a cabinet in the garage. A seven-day supply of non-perishable food was available. The emergency supplies will be stored in the garage. The garage is attached to the house, but the entrance door is outside. KITCHEN: Kitchen knives are stored locked and inaccessible in a locked kitchen drawer. 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 117.5 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 in the dining room area and was purchased on 02/26/2026. Kitchen area needs a barrier to prevent residents from wondering into the kitchen area. Continues on LIC 809C... BEDROOMS: There are four (4) bedrooms for residents in care. All bedrooms were approved by the LAFD to be used for bedridden residents. Rooms # 2 and 3 will be used as private rooms. All bedrooms are cleared for non-ambulatory. All bedrooms were supplied with all required bedding and linens. There is sufficient lighting as well as closet and drawer space available. All bedrooms need to be equipped with a night stand lamp, and signal system emergency or call button shall be present in each room. Motion detected night-lights will be installed in the hallway leading to bedrooms #1, 2, and 3. A small ramp to level the exit to the backyard in bedrooms #3 and 4. BATHROOMS: There are two (2) full bathrooms, with shower areas. 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 at 117.5 degrees Fahrenheit. Continues on LIC 809C... 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. Right passageway is cleared and has a self-latching gate. The self-latching mechanism is located on the inside of the gate. An auditory device will be installed to monitor the exit gate. Pre-Licensing is incomplete with deficiencies to be resolved by 05/20/2026. Follow up Pre-licensure LIC809 will be generated upon resolution. 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 approval of your license. Exit interview was conducted and reviewed with the Applicant. A copy of the report was issued.