Routine inspection·September 28, 2023

Licensing Program Analysts (LPAs) Leslie Ngo-Castaneda and Huma Rahimi and Michael Cava conducted an Annual Required visit and inspection of the facility. LPAs met with the administrator, Tina Arutyunyan, and staff Norma Alfeche and Manual Soriiano and explained the reason for the visit. At approximately 12:46pm, with the assistance of staff, LPAs took a tour of the physical plant. Required postings were observed in the entry area. The smoke alarms are battery operated. The carbon monoxide detector, that is installed in the dining room, functions properly. The fire extinguisher is located in the kitchen. It was purchased on September 12, 2023. Kitchen: The kitchen appliances and fixtures were functional. LPA found a sufficient amount of perishable and non-perishable food at the facility; properly stored. Knives were stored in a locked drawer in the kitchen. Properly labeled medications were locked in one of the kitchen cabinets. Bedrooms: There were five (5) bedrooms designated for residents' use. Room #5 is a shared room. Rooms 1 to 4 are private. LPAs observed rooms that are occupied by the residents to be properly furnished with appropriate beddings and linens and sufficient lighting. Room #3 is currently vacant. There is one room, designated for staff use. Bathrooms: There are three (3) bathrooms designated for residents' use. Bathrooms were properly supplied and had functional fixtures. Hot water temperature was measured between 110 and 111 degrees Fahrenheit. Common Areas : These included the living room and dining area. The common areas were properly furnished. The auditory alarms on all exit doors were tested and functional at the time of the visit. Surrounding Grounds : Entry/exits were free of obstruction. There was furniture appropriate for outdoor use. The outdoor area was free of hazards. The laundry area is located by the living room. Detergents and cleaning supplies were kept locked. Resident Files : LPA conducted a file review of resident records to insure compliance of licensing forms. Staff Files : LPA also conducted a file review of staff records to insure forms and training are up to date and compliance with licensing forms. Medications : Medication and Medication Records were review for storage and documentation. documentation. Pursuant to Title 22 Division 6 of the CA Code of Regulations, deficiencies were cited (refer to LIC 809-D). Exit Interview Conducted / Appeal Rights Discussed / A Copy of the Report Issued.