Routine inspection·March 17, 2026

Licensing Program Analyst (LPA) Nadia Shahbazian conducted an unannounced Required - 1 Year annual inspection visit. Upon arrival LPA met with Administrator/Levon Chalabyan and explained the purpose of the visit. The program is vendorized through the Frank D. Lanterman Regional Center. The Adult Residential Facility is licensed for five (05) non-ambulatory and one (1) bedridden resident. Facility has approved hospice waiver for one (01) resident. Current census is four (4) ambulatory residents. LPA toured the facility with the Administrator at 9:55 am and observed the following: Required postings were observed by the entry area in the dining room. The front entry is the main exit door for emergencies. There are three (3) additional exits (by the kitchen, room# 2 and in the dining room) leading to the backyard. There are two (2) fire extinguishers, one (1) in the kitchen, one (1) in the hallway. Both fire extinguishers were purchased on 05/31/2025. Facility conducts bimonthly fire and safety drills. The last fire drill was conducted on 02/03/2026 and earthquake drill was conducted on 03/02/2026. The dual smoke alarms and carbon monoxide detectors are hardwired and interconnected. At 10:05 am the smoke/carbon monoxide alarms were tested and observed to function properly. Kitchen: Appliances consisted of a refrigerator, stove, microwave and toaster oven. There is a breakfast nook with a table and six chairs. Knives, cutlery and other sharp kitchen utensils are stored and locked in the kitchen drawer. LPA found a sufficient amount of perishable (7 days) and non-perishable food supplies (2 days), stored in cabinets and refrigerator. LPA observed all food supplies marked with the purchase dates. Food storage and preparation areas and kitchen cabinets are maintained in clean and sanitary condition. (Continued on 809C) Common Areas : Include a living room, dining room and breakfast nook in the kitchen. The office area is located near the entrance/dining area. Dining room is furnished with a table and six (6) chairs. A non-functional fireplace with properly covered screen was observed in the dining room. The living room had a table and ample sitting for all the residents and staff. Television set and activity/gaming areas were observed in the living room. Bathrooms: There are two (2) full bathrooms for the residents' use and one (1) half bathroom for staff use. All toilets and sinks are maintained in sanitary, operating condition. Functional grab bars and non-slip mats were observed in resident bathrooms. Hot water temperature was tested between 112.6 - 113.1 degrees Fahrenheit. Bedrooms: There are six (6) bedrooms. Bedrooms designated for residents' use are #2,3,4,5,6. Bedroom#3 is a shared room (although currently is used as private use); bedroom #5 is currently vacant. All of the bedrooms were properly furnished with appropriate chairs, beddings, chest drawers, linens with sufficient lighting. A live-in staff is currently using bedroom #1 but there is awake staff at night. Bedroom #2 is designated as the bedridden room and has it's own exit door, leading to the backyard. Surrounding grounds : Entry/exit gates and pathways were free of obstruction. The outdoor area was free of visible immediate hazards. No bodies of water were observed at the facility. There is ample patio space for outdoor activities. There was a covered patio area with furniture appropriate for outdoor use, sufficient for number of residents. Facilities garage is detached and has a bathroom and shower; although is not in use. The garage is currently used as storage and is kept locked. LPA observed two (2) refrigerators supplied with labeled perishable food items. LPA also observed chemicals and gardening tools, locked in the garage. Continued on 809-C Laundry Room: Facility has brand new stackable washer and dryer, located in the hallway near the kitchen. All laundry detergents/chemicals and kitchen cleaners are stored in a locked cabinet in the laundry area, inaccessible to clients in care. Resident Files/Medications : All resident records and medications were observed locked, in separate hallway closets. A review of four (4) resident records to ensure compliance of licensing forms was conducted. Medications records for all four (4) residents were also counted and verified for accuracy of administration based on physician orders; P&I was also counted for three (3) residents. LPA observed a complete first aid kit and first aid manual in the medication closet. Staff Files : Records for five (5) staff members were reviewed to ensure all forms and training and first aid certificates are up to date. Required documents: Administrator Certificate was observed with expiration date of 09/10/2026. Liability insurance has expiration date of 12/06/2026 and surety bond was recently issued on 02/14/2026. LIC610E Emergency and Disaster Plan for RCFE was updated on 03/16/2026. Pursuant to Title 22 Division 6 of the CA Code of Regulations, no deficiencies observed during the visit. Exit Interview Conducted / A Copy of the Report provided to Administrator.