Routine inspection·October 30, 2025

Licensing Program Analyst (LPA) Nadia Shahbazian conducted an Annual Required visit and inspection of the facility. LPA met with Administrator - 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 with hospice waiver for three (3). Current census is six (6) and all residents are receiving services through Frank D. Lanterman Regional Center. The facility is a single-story structure located in a residential neighborhood. It consists of the following: Three (3) resident's rooms, two (2) common bathrooms, living room, dining room, kitchen, laundry room, a covered patio and a detached garage used for storage. At 11:25am, with the assistance of administrator, LPA took a tour of the physical plant. Required postings were observed by the entry door. The smoke and carbon monoxide detectors are hardwired and interconnected. At 10:48am smoke/carbon monoxide detectors were tested and observed to function properly. The fire extinguisher is located in the laundry room, purchased on 01/28/2025. Facility conducts emergency drills quarterly, the last Fire Drill was conducted on 09/03/2025 and the last earthquake drill was conducted on 08/04/2025. Kitchen: The kitchen appliances and work surfaces are clean and sanitary. Appliances consisted of refrigerator, stove/oven, microwave and counter-top oven and all appliances were observed to be functional. Facility has 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 and chemicals were observed to be stored in locked cabinet underneath the sink. The laundry area is located off the kitchen and during the visit, LPA observed the machines to be in working condition. There is an exit door in the kitchen, leading to the backyard. Continue on 809-C Bedrooms: There are three (3) shared bedrooms designated for residents' use. All of the bedrooms, in use by residents were were properly furnished with appropriate beds, chairs, dresser drawers, beddings and linens. Bedrooms 1 and 3 had ceiling fans and all the bedrooms had television sets. All bedrooms were observed to be extremely clean and organized. Bathrooms: There are two (2) bathrooms designated for residents' use, one is a half bathroom and the other is full bathroom. Both bathrooms had required functional fixtures, grab bars and the full bathroom had non-skid tiles in the shower. Hot water temperature was measured between 108.5 and 109.7 degrees Fahrenheit. Common Areas : These included a living room and dining room. There is a non-functional covered fireplace in the living room. In the living room there is a television, internet and wi-fi access for clients' use. The common areas were properly furnished with sofas, tables with ample seating for all residents and staff. Surrounding Grounds : There are no bodies of water present. There are two exit doors, one in the kitchen and one in the living room, used as emergency exits. All walkways and exit passages were free of obstruction. There is a covered patio with two sets of furniture. There is a detached garage, currently used to store emergency water, food and additional supplies. LPA observed two refrigerators, stocked with clearly marked perishable food supplies in the garage. Medication / Resident Files : Medication, first aid kit/manual are kept locked in a hallway closet. Medications for 3 out of 6 residents were counted and records were reviewed for accuracy of administration. LPA conducted a file review of 3 out of 6 resident records to ensure compliance of licensing forms and current physician records. P&I for 3 out of 6 residents were counted and compared to receipts. Staff Files : LPA conducted a file review of 5 staff records to ensure forms and training are up to date and compliant with licensing forms. Operational Requirement: Liability Insurance was reviewed with expiration date of 04/01/2026, 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. 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.