Routine inspection·March 16, 2022

Licensing Program Analyst(LPA) Jewel Baptiste conducted an unannounced visit for the purpose of an annual required visit. LPA met with Co-Administrator Levon Chalabyan and explained the purpose of today's visit. Administrator Chalabyan assisted LPA with today's visit. Facility is licensed to serve 6 over the age of 60. 6 of which is non-ambulatory and 1 can be bedridden. Hospice waiver approved for 1 resident. Facility is a one story house in a residential area. LPA made a complete tour of facility which included: 6 bedrooms, 2 1/2 bathrooms, living room, kitchen, dining room, laundry area, outdoor area, and garage. Administrator certificate #6008374740 expires 9/10/22. The following was observed, reviewed, and inspected: Bedrooms #1-5 are designated for residents. Bedroom #6 is designated for staff. Each bedroom contained the required furniture and linens as mandated, ample supply of perishable and non-perishable food items, first aid kit reviewed, toxins and sharp objects were locked and inaccessible to clients, sufficient linen supply, license and required documents were posted in the office area, trash cans with tight fitting lids, all smoke detectors and carbon monoxide detectors were tested and operable, fire extinguisher(s) fully charged, front and back yard clean and free of debris. Water temperature measured between 117- 118.3 degrees F. Staff files were reviewed. Medication for 2 residents was reviewed. Staff files, and P & I funds were reviewed. The last disaster drill was conducted on 3/4/22 . Per California Code of Regulations, Title 22, and California Health and Safety Code, there were no deficiencies observed during the visit. Exit interview held and a copy of the report was provided to administrator.