Routine inspection·March 19, 2025

Licensing Program Analyst (LPA) Nadia Shahbazian conducted an unannounced Required - 1 Year annual inspection visit. Upon arrival at 8:30am, LPA met with Tina Arutyunyan-Administrator and explained the purpose of the visit. Facility is licensed for six (06) non-ambulatory residents with a hospice waiver for four (04). Current census is three (3) residents, two (2) of them are non-ambulatory. LPA toured the facility with the Administrator at 10:10 am and observed the following: Required postings were observed by the living room and office areas. The front entry is the main exit door with four (4) additional exits (the kitchen, bedrooms #1, 2, and 3) leading to the backyard. The physical plant appeared clean, sanitary and with no visible immediate hazards. There are two (2) fire extinguishers, one (1) in the kitchen, one (1) in the office/living room. Both fire extinguishers were fully charged on 01/23/2025. Facility conducts quarterly fire and safety drills; the last fire drill was conducted on 02/052025. The dual smoke alarms and carbon monoxide detectors are hardwired and interconnected, in addition facility is equipped with fire sprinklers in every room. Smoke/carbon monoxide alarms are tested by the Burbank Fire Department annually, the last inspection was on 01/23/2025. Continued on 809-C Common Areas : Include a living room with television and gaming area, dining area in the kitchen. The office area is located near the living room. The living room had a table and ample sitting for all the residents and staff. Kitchen: There are two (2) refrigerators, stove, macro wave, dishwasher in the kitchen with a dining table/chairs for six clients. Knives, cutlery and other sharp kitchen utensils are stored and locked in the kitchen cabinet. Food storage and preparation areas are clean and sanitary. LPA found a sufficient amount of perishable food supplies for two (2) days and non-perishable food supplies for seven (7) days in the kitchen . Bathrooms: There are three (3) full bathrooms for the residents. All toilets and sinks are maintained in sanitary, operating condition. Functional grab bars and non-slip mats were observed in resident bathrooms. Hot water temperature was tested between 109 - 110.3 degrees Fahrenheit. Bedrooms: There are four (4) bedrooms for resident use. Bedrooms #1 and #2 are private with their own bathroom and exit doors. Bedroom #3 has an exit door and bedroom# 4 has its own bathroom and exit door. All of the bedrooms were properly furnished with appropriate chairs, beddings, chest drawers, linens with sufficient lighting. LPA observed call buttons in each bedroom. LPA pushed the call button in rooms #3 and #4 and staff responded to call buttons within two (2) minutes. Surrounding grounds : Entry/exit gates and pathways were free of obstruction. The outdoor area was free of visible immediate hazards. No bodies of water were observed at the facility. There is a shaded patio area in the front yard, with furniture appropriate for outdoor use, sufficient for all clients. Facility has a detached garage with a bathroom which currently is used for staff use only. Laundry machines were located in the backyard and were recently purchased a month ago. All laundry detergents/chemicals are stored in a cabinet in the laundry area. LPA observed the cabinet for the chemicals to be unlocked. A citation will be issued for health and safety issue. Continued on 809-C Medications: The medication are centrally stored and locked in the kitchen cabinet. LPA observed a complete first-aid kit in the office area, with all required supplies and the first aid manual. Medication records for three (3) residents were reviewed and counted for accuracy of administration based on physician orders. LPA observed several supplements and medications for the staff, in an unlocked kitchen drawer. A citation will be issued for health and safety issue. Resident Files : A review of resident records to ensure compliance of licensing forms was conducted. Staff Files : Staff files were reviewed to ensure all forms and training certificates are up to date. Pursuant to Title 22 Division 6 of the CA Code of Regulations deficiencies were observed during the visit and citations were issued with appeal rights. Staff immediately corrected the deficiencies; Administrator will ensure that staff are retrained and will submit proof of correction to LPA. Exit Interview Conducted / A Copy of the Report provided to Administrator.