Routine inspection·September 16, 2025

Licensing Program Analyst (LPA) Trevor Byrne arrived at the facility unannounced to conduct the required annual visit at 02:11 PM. LPA met with facility staff who contacted facility Administrator Armine Tagaryan. The Administrator arrived to the facility at 02:23 PM. Entrance interview conducted and the reason for the visit was explained. Beginning at 02:24 PM, the LPA, along with the facility Administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that facility is in compliance with Title 22 Regulations. The following was observed: KITCHEN : The LPA observed the kitchen area to be clean. Kitchen appliances appeared to be in operable condition. The facility has a sufficient supply of two (2) days perishable and seven (7) days non-perishable food. LPA observed a secured drawer to contain knives and other sharp objects. LPA observed a secured cabinet located under the sink to contain cleaning supplies. BEDROOMS : There are five (5) bedrooms in the facility; two (2) resident bedrooms are dual occupancy rooms and two (2) resident rooms are single occupancy rooms. One (1) bedroom is designated as a staff room. LPA and facility Administrator toured all four (4) resident rooms. All resident rooms were observed to be furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. The staff room was observed to be locked and inaccessible to residents in care. Report Continued on LIC 809-C BATHROOMS : There are three (3) bathrooms at the facility. Two (2) bathrooms are designated as shared resident bathrooms, and one (1) bathroom is designated as a staff bathroom. Both resident bathrooms were observed to be clean and in good repair and were equipped with nonskid surfaces. Grab bars were observed in resident showers and near resident toilets, all were properly secured. The water temperature was measured between 112.8 and 113.1 degrees Fahrenheit, which is in compliance with regulation. The staff bathroom was observed to be clean and appliances appeared to be in good condition. COMMON AREAS : This includes the living room, hallway, and dining room The living room was observed to be clean and in good repair. The living room contained adequate seating, a television, and activities for resident use. LPA observed a hallway closet to contain extra care supplies. LPA observed cameras in the common areas of the facility, LPA confirmed with the Administrator that audio is not recorded. LPA observed the dining room to be clean and properly furnished at the time of the visit. The dining room contained a dining table with adequate seating for resident use. All furniture throughout the facility was observed to be clean and in good repair. The facility’s combination fire and carbon monoxide alarms and fire door were tested at 02:52 PM and were functional at the time of the visit. GARAGE: LPA observed the garage to be inaccessible to clients in care. The garage contained a washer and dryer, emergency water supplies, and extra care supplies. LPA observed a storage room attached to the garage to contain an extra refrigerator and freezer and an adequate emergency food supply. OUTDOOR SPACE: The facility has two (2) emergency exit gates located in the front yard; LPA observed clear passageways for emergency exit use. The facility has adequate shaded seating outdoors for resident use. LPA observed an appropriately fenced off pool that was inaccessible to residents in care. LPA observed cameras throughout the outdoors of the facility. Due to time constraints LPA will return at a later date to conduct file review, medication review, and interviews. During today’s visit LPA obtained copies of the facility’s LIC 500, resident roster, and current liability insurance. No deficiencies were observed during today’s inspection. Exit interview conducted and a copy of the report was issued.