Routine inspection·September 26, 2025

Licensing Program Analyst (LPA) Nadia Shahbazian conducted an Annual Required visit and inspection of the facility. LPA met with Administator - Michael Petrosian and explained the reason for the visit. The facility is licensed to serve Elderly residents ages 60 and above with developmental disabilities Facility is approved to serve (6) Non-Ambulatory residents, of which (6) may be Bedridden, with hospice waiver for (6) The home is vendorized by Frank D. Lanterman Regional Center. At 11:45am, with the assistance of administrator, LPA took a tour of the physical plant. Required postings were observed in the hallway. The smoke and carbon monoxide detectors are hardwired and interconnected. At 10:18am smoke/carbon monoxide detectors were tested and observed to function properly. The fire extinguishers are located in the kitchen and the hallway, both purchased on 01/28/2025. Kitchen: The kitchen appliances and work surfaces are clean and sanitary, all appliances were observed to be functional. LPA found a sufficient supply of perishable (2 days) and non-perishable (7 days) foods at the facility. Knives were stored in a locked drawer in the kitchen. There is a dining set on one corner of the kitchen. Bedrooms: There were five (5) bedrooms designated for residents' use. All of the bedrooms, in use by residents were were properly furnished with appropriate beddings and linens with sufficient lighting. Bathrooms: There are two (2) bathrooms designated for residents' use. Both bathrooms had required functional fixtures, grab bars and non-kid mats. Hot water temperature was measured at 107.2 and 109.4 degrees Fahrenheit. Continue on 809-C Common Areas : These included the dining area in kitchen, living room and dining room. There is a non-functional fireplace in the living room, behind a sofa, inaccessible to residents in care. In the living room, there are games, television, cable and internet access for clients' use. The common areas were properly furnished with ample seating for all residents and staff. Surrounding Grounds : There are no bodies of water present. There are exit doors in each bedroom, and in the hallway, leading to the backyard. Facility uses the side gate as the main emergency exit. All walkways and exit passages were free of obstruction. There is a covered patio with two sets of furniture, appropriate for outdoor use. There is a detached garage, currently used as storage. LPA observed a freezer and refrigerator, stocked with clearly marked perishable food supplies in the garage. There are locked cabinets for storage of chemicals and detergents in the garage. Attached to the garage, there is a room, only used as storage and is kept locked, inaccessible to residents.. Laundry Room : Washer and dryer are located in the laundry room, next to bedroom #5. Chemicals and detergents are locked in the laundry room, inaccessible to residents. Medications : Medication and Medication Records are kept locked in a hallway closet. Medications for 3 out of 6 residents were counted and records were reviewed for accuracy of administration. Resident Files : LPA conducted a file review of all 6 resident records to ensure compliance of licensing forms and current physician records. Staff Files : LPA conducted a file review of staff records to ensure forms and training are up to date and compliant with licensing forms. Operational Requir ement: Liability Insurance was reviewed with expiration date of 10/26/2026, in the amount of at least ($1,000,000) per occurrence and ($3,000,000) in total annual aggregate is in place. Surety Bond was reviewed with expiration date of 11/12/2026, approved in the amount of $10,000.00. Administrator Certificate expiration date is 08/10/2027. Facility conducts quarterly emergency drills; the last fire drill was conducted on 08/01/2025 and earthquake drill was conducted on 07/01/2025. 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 Issued.