Routine inspection·February 24, 2026

Licensing Program Analyst (LPA) Quoc Huynh arrived at the facility unannounced to conduct a required annual visit at 10:35AM. The LPA met with Staff and informed them of the reason for the visit. The Administrator Ruslan Melnikov arrived at 11:44AM. Entrance interview conducted. Beginning at 10:46AM, the LPA and Staff toured the physical plant areas inside and outside to ensure there are no health and safety hazards, and facility is in compliance with Title 22 Regulations. The following was observed: COMMON AREAS: At the time of the visit, living room and dining room furniture were observed to be in good condition. Required postings were observed in the entryway. The facility maintained a comfortable temperature throughout the visit and nightlights were observed throughout the hallways. KITCHEN: The LPA observed knives and cleaning supplies stored inaccessible. Kitchen appliances were clean and in operable condition. Food in the refrigerator and freezer were observed to be properly stored and of good quality. The facility had a sufficient supply of perishable and non-perishable food. Non-perishables and emergency food and water were stored in a nearby pantry. Report Continued on LIC 809-C BEDROOMS/RESTROOMS: There were seven (7) total bedrooms: six (6) private resident rooms and one (1) locked staff room. Bedrooms #1, #2, and #3 had a direct exit to the outside and the facility approved for one (1) bedridden resident. Bedrooms were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. Extra linens were stored in each residents’ room. There were seven (7) total restrooms in the facility: six (6) private and one (1) shared. Restrooms were clean and sanitary and in operating condition with grab bars and non-slip surfaces. All restrooms were sufficiently stocked with soap, paper products, and displayed hand washing signs. Hot water was tested and measured between 112.1 degrees F and 124.5 degrees F, which is not within the required range. OUTDOOR AREA: The rear yard had shaded patio areas equipped with furniture in good condition for resident and visitor use. Exits and passageways were free of obstruction. There were two (2) emergency side exits with a self-latching gate. The facility had a secured garage that contained general storage with operational laundry machines behind the garage. RECORDS: Record review began at 11:21AM. Resident records were reviewed for, but not limited to care plans, physician's report, admissions agreement, and consent forms. Two (2) residents did not have Physician’s Reports updated, one (1) resident did not have an Appraisal updated annually as required, and one (1) resident’s Appraisal was not signed nor dated. Resident #1 (R1) was observed to have full bed rails and was not on hospice. On 04/18/2025, a Complaint and Case Management visit was conducted, and the full bed rails were addressed with the Administrator. Personnel records were reviewed for, but not limited to health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. The Administrator provided the LPA with staff training between 11/01/2024 to 11/10/2024 and then provided the LPA with exact copies of the 2024 training with the dates whited out and changed to 2025. The Administrator then stated it was a mistake and that the updated staff training was with the second Administrator who was unavailable. The Administrator stated that they conduct the training that comes in the form of videos and discussions. Report Continued on LIC 809-C The LPA spoke with two (2) out of two (2) staff who confirmed they only received training in 11/2025 regarding emergency disaster and how to use the fire extinguisher, which was done within one (1) day. No additional training topics or hours were completed. INFECTION CONTROL/EMERGENCY DISASTER PLAN: During today's visit, LPA reviewed the facility's infection control plan and emergency disaster plan. Both documents were observed to be complete and reviewed annually as required. Fire extinguishers were observed and last serviced on 01/27/2026. No records of emergency disaster drills were observed or provided during the visit. Smoke and carbon monoxide detectors were tested at 1:25PM. Smoke detectors were operational and one (1) out of two (2) carbon monoxide detectors were missing their batteries. Staff stated they removed the battery due to the constant beeping and replaced the batteries during the visit. MEDICATIONS: Medication review began at 1:32PM. Medications were centrally stored and kept inaccessible in a medication closet. Medications were observed for two (2) residents. Medications were labeled and checked for expiration dates and were properly documented on the centrally stored medications and destruction record. No errors observed during the medication review. The LPA advised the facility that they could not longer prepare medications in advance. A civil penalty in the amount of $250 was issued for a repeat citation within 12 months (Refer to LIC 421FC). The Administrator was informed that failure to correct may result in additional civil penalties. Pursuant to Title 22 CA Code of Regulations and/or the Health and Safety Code, the following deficiencies were cited (Refer to LIC 809-D). Exit interview conducted. A copy of the appeal rights and report was reviewed and provided.