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Inspection visit

Routine inspection

EMVY BOARD AND CARE FACILITYLicense 19760845915 citations on this visit
15 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst(LPA) Christine Yee conducted an unannounced required Annual Inspection and used the complete CARE Inspection Tool. LPA met with Emma Kochinyan, Administrator. The reason for today's visit was provided. The home is a single family home consisting of a living room, a dining room, a kitchen, a family room, 3 resident bedrooms, 2 bathrooms and a attached garage. The facility is fire cleared for 5 NON-AMBULATORY residents and 1 BEDRIDDEN resident. Based on the review of the rooms, Bedroom #3, located at the back right corner of the home, has an outside exiting door with a ramp and would be the room designated for bedridden use. All 12 domains of the Care Inspection Tool was reviewed, 4 resident and 4 staff files were reviewed on today's visit. The following were observed: The kitchen was appropriated equipped with a refrigerator, oven, microwave, coffee maker. The water temperature was tested and read 109.6 degrees Fahrenheit. Sufficient perishable food for a minimum 2 day and non-perishable foods for 7 days were observed. The dining room was observed with a table and 4 chairs. 2 dining room chairs were stored in the garage. One of the 2 chairs were broken. Located in the dining room is the only fire extinguisher. It was last serviced on 3/31/25. continued on LIC809-C Page 2 The living room was furnished with a sofa and love seat. The family room was observed with a sofa and a coffee table. The family room was observed with a sofa and a coffee table. Bedroom #1 is currently rented as a private bedroom and was observed with a hospital bed, a night stand, a chair, a lamp ***dresser and a built in closet Bedroom #2 and Bedroom #3 were both observed with 2 hospital beds, 2 night stands, 2 lamps and a built in closet. No chairs were observed in both rooms. Bedroom #2 does not have any dressers. Bedroom #3 has curtains but one panel is sheer and the licensee will replace with a solid panel for privacy. Extra linens were observed in the linen closet in the hallway. The private bathroom located inside Bedroom #3 is equipped with a walk in shower, grab bars, a slip resistant mat, a toilet and a single sink vanity. Water temperature was tested and read 109 degrees Fahrenheit. The common bathroom located by Bedroom #1 is equipped with a walk in shower, a shower chair, grab bars, slip resistant mat, a toilet, a single sink vanity. Water temperature was tested and read 108.4 degrees Fahrenheit. The hardwired smoke detectors located inside the residents' rooms, hallway, and in the living room were tested and were operational. The only smoke/carbon monoxide combination detector is located in the resident hallway. The facility has current general liability insurance that meets Title 22 requirements. Per file review, all staff have current first aid training. The Administrator was unable to provide evidence of CEUs for courses taken for Administrator recertification or a copy of current Administrator Certificate. Per file review, the Physician's report for Resident #2 indicates that the resident is bedridden due physical and mental capacity. However, per observation of Resident #2 , the resident is able to turn, able to straighten up the upper body when slumped over during sleep and is able to seat up when transferred to a chair. The facility is fire cleared for one bedridden and the designated room for bedridden use is Bedroom #3. Resident #2 was placed in Bedroom #1, which is fire cleared for continued on LIC809-C Page 3 non-ambulatory. No citations were issued during the visit pending clarification needed from Resident #2's physician regarding the residents ambulatory status. The Licensee will obtain an updated medical assessment from the doctor of Resident #2 and submit the final determination to the Department. Once clarification is obtained, any deficiencies as a result of Resident #2's placement in bedroom #1 will be addressed on a return visit. Per tour of the attached garage, it is primarily used for storage of extra furniture, wheel chairs, drinking water, cleaning solutions and houses the washer and dryer. Per tour of the facility, inside and outside, a covered patio with seating was observed in the backyard. A metal ramp from Bedroom #3 and another ramp from the dining room was observed. Also located on the patio was a second refrigerator that contained more perishable foods. An apple and pomegranate tree was observed in the backyard. The trash cans were observed on the curb for trash pick up. The outside areas were clean. Deficiencies were cited under California Code of Regulation, Title 22, Division 6, Chapter 8 Exit interview was conducted, APPEALS RIGHTS were discussed and a copy was given.

Citations

15 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 1569.618(b)Type B

    Based on record review, the licensee did not comply with the section cited above in all 2 counts as no LIC308s were completed were not observed in staffs' files for the morning and night shift which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 1569.695(a)(1)Type B

    Based on observation and record review, the licensee did not comply with the section cited above as the facility sketch does not identify the meeting point which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87208(c)Type B

    Based on record review, the licensee did not comply with the section cited above as per review of the Plan of Operations, there was no bedridden plan observed which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87303(a)Type B

    Based on observation, the licensee did not comply with the section cited above as it was observed that the dining room table had only 4 dining chairs for use and 2 dining room chairs were stored in the garage. One of the dining room chairs stored in the garage was broken which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87307(3)(b)Type B

    Based on observation the licensee did not comply with the section cited above per tour of the facility, it was observed that bedroom #2 and bedroom #3 do not have chairs and bedroom #2 does not have any dressers, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87412(d)Type B

    Based on record review, the licensee did not comply with the section cited above in all counts as copies of CEUs and a current Administrator Certificate was requested and the Administrator could not provide evidence that they were recertified as an Administrator] which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87463(a)Type B

    Based on interview and record review the licensee did not comply with the section cited above in 3 out of 4 counts as Resident #1(last appraiisal 2/20/24), Resident #2 (last appraisal 9/10/23)and Resident #3 (last appraisal 5/24/24 have not beein reappraised since the last noted date, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87465(b)Type B

    Based on record review and interview with the Administrator, the licensee did not comply with the section cited above per review of Resident #4 medications, it was noted that Resident #4 was prescribed Ambien as needed on 7/16/25 but it was being dispensed daily as a routine medication without a change order which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87465(d)Type B

    Based on record review, the licensee did not comply with the section cited above as it was observed that Resident #4 has PRN Ambien and Acetaminophen and does not have a completed PRN Authorization by the physician on file. which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87465(d)(3)Type B

    Based on record review, the licensee did not comply with the section cited above as it was observed that Resident #4 who has PRN Ambien was given a daily dose from 7/16/25 and there is no documentation of the date it was dispensed, no doctor instructions, time it was dispensed and no results of the dose cocumented by the staff which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87470(b)(2)(C)Type B

    Based on record review and interview with the Administrator, the licensee did not comply with the section cited above in all 4 counts. Staff have not been provided with PPE training which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87618(b)(3)(A)Type B

    Based on interview and observation, the licensee did not comply with the section cited above as Resident #2 was observed with a oxygen concentrator for as needed use and 2 full tanks of oxygen was observed stored in the garage for a former resident which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87618(b)(3)(B)Type B

    Based on observation , the licensee did not comply with the section cited above as there were not signs observed posted on the doors that there is oxygen in use at the facility which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87632(d)(2)Type B

    Based on record review, the licensee did not comply with the section cited above as it was observed that Resident #4 has been receiving hospice services since 4/22/25 and it has not been reported to the Department which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87633(b)(6)Type B

    Based on record review], the licensee did not comply with the section cited above as it was observed that there is no hospice care plan or the specific services that will be provided in Resident #4's Hospice file in which poses/posed a potential health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the August 27, 2025 inspection of EMVY BOARD AND CARE FACILITY?

This was a inspection inspection of EMVY BOARD AND CARE FACILITY on August 27, 2025. 15 citations were issued: 15 Type B.

Were any citations issued to EMVY BOARD AND CARE FACILITY on August 27, 2025?

Yes, 15 citations were issued (0 Type A, 15 Type B). The first citation was for: "Based on record review, the licensee did not comply with the section cited above in all 2 counts as no LIC308s were com..."

What type of inspection was this?

This was a inspection inspection. inspection inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLDView original report

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.