Routine inspection·March 24, 2026

Licensing Program Analyst (LPA) Nadia Shahbazian conducted an unannounced Required - 1 Year annual inspection visit. Upon arrival LPA was greeted by Elmer Manalang and explained the purpose of the visit. Administrator Tina Arutyunyan arrived around 11:05am. Residential Care Facility for Elderly (RCFE) is licensed for six (06) non-ambulatory residents ages 60 and above. Facility has a hospice waiver for four (04) and is approved for two (2) bedridden residents, to occupy bedroom#1. Current census is three (3) residents, two (2) of them are non-ambulatory. LPA toured the facility with the Administrator at 10:50 am and observed the following: Required postings were observed by the entry door and office area. The house is one-story, in a residential neighborhood and the physical plant appeared clean, sanitary and with no visible immediate hazards. The front entry is the main emergency door with four (4) additional exits (the kitchen, bedrooms #1, #2, and #3) leading to the backyard. There is one (1) fire extinguisher in the kitchen, purchased on 09/24/2025. Facility conducts quarterly fire and safety drills; the last fire/earthquake drill was conducted on 02/05/2026. The dual smoke alarms and carbon monoxide detectors are battery operated. Smoke/carbon monoxide detectors were tested in several rooms and were observed to be functional. Facility is equipped with fire sprinklers in every room and also facility has land-line telephone, cable, internet for resident's use. Common Areas : Living room is located upon entrance and is furnished with a table and ample sitting for all the residents and staff. There is a television and gaming area in the living room. The office area is located in one corner of the living room. Dining area is located in the kitchen, furnished with a table and six chairs. Continued on 809-C Kitchen: There are two (2) refrigerators, stove and a microwave 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 drawer. Chemicals, soaps and laundry detergents are kept in a locked 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 two (2) full bathrooms for the residents' use. One of the bathrooms is located between room#3 and #4. The other bathroom is shared bathroom between room#1 and #2. 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 109.9 - 111.7 degrees Fahrenheit. Bedrooms: There are four (4) bedrooms for resident use. Bedrooms #1 is a shared room, approved for 2 bedridden residents but currently is used as a private room. Bedroom #2 is currently vacant. Bedroom #3 and #4 are shared rooms, but currently are being used as private room. Bedrooms #1, #2 and #3 have exit doors, leading to the backyard. All of the bedrooms were properly furnisshed with appropriate chairs, beddings, chest drawers, linens with sufficient lighting. LPA observed call buttons in each bedroom. While preparing the report at approximately 9:59am, resident in room#4 pushed the call button and staff responded to call button within less than a minute. 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 number of clients. Facility has a detached garage with a bathroom which currently is used for live-in staff but facility has an awake staff at nights. Laundry machines were located in the backyard but all detergents/chemicals are stored in a locked cabinet in the kitchen. Medications: The medication are centrally stored and locked in a 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 two (2) residents were reviewed and medications were counted for accuracy of administration based on physician orders. Continued on 809-C Resident/Staff Files : LPA reviewed records for all three (3) residents to ensure compliance of licensing forms. Records for four (4) staff were reviewed to ensure all forms, and trainings and First Aid/CPR certificates are up to date. Administrative documents: Administrator Certificate Expiration date is 04/05/2027. LPA reviewed and obtained copy of Emergency and Disaster Plan for RCFE LIC610E. Liability insurance was also reviewed with expiration date of 03/06/2027. Pursuant to Title 22 Division 6 of the CA Code of Regulations no deficiencies were observed during the visit. Exit Interview Conducted / A Copy of the Report provided to Administrator.