Routine inspection·September 22, 2023

Licensing Program Analyst (LPA) Christine Yee conducted an unannounced required Annual Inspection using the complete CARE Inspection Tool and was let into the home by Tagui Gabriyelyan, Staff. Armenui Arzumanyan, Administrator was contacted by staff and she arrived at 10:07am to conduct the visit. The reason for today's visit was explained. The facility is a single storey home located in the back of the property consisting of 2 separate buildings with separate addresses. The home consists of a living room, dining room, kitchen, a den, 5 bedrooms and 4 full bathrooms. The facility is fire cleared for 1 AMBULATORY resident in bedroom #1, 4 NON-AMBULATORY residents in Bedrooms #2 and #3 and 1 BEDRIDDEN resident in Bedroom #4. The following were observed on today's visit: the living room, dining room and den all have the appropriate seating and furnishings. The fire place located in the den is wood burning and is not used the kitchen is observed with a oven, microwave, toaster oven and stove. the only fire extinguisher is located inside the pantry located in the kitchen food supply was reviewed and sufficient perishable foods for 2 days and non-perishable foods for 7 days were observed. Bedrooms #1 has a bed, a chair, a dresser, a night stand, a lamp and a closet. Window blinds are broken. Bedroom #2 has a chair, a dresser, a night stand, 1 closet and a lamp and no bed. Bed is in storage due to use of a hospice bed that was returned. Blinds are broken. Located inside the room is a full bathroom with a shower, toilet and a sink. Grab bars, shower chair and a non-skid mat was observed Water temperature was tested and read 114.5 degrees Fahrenheit. Bedroom #3 has 2 beds, 2 chairs, a sofa, 2 night stands, 2 lamps, a walk-in closet, a table with 2 chairs and no dressers. The blinds on the windows and on the back door were broken. Located in the room is a bathroom with a jacuzzi tub, 2 sink vanity, a shower stall, a toilet and a bidet. Grab bars, a shower chair and no non-skid mat were observed. Water temperature tested read 113.9 degrees Fahrenheit Bedroom #4 has a bed, a chair, a night stand, a lamp, a dresser and a closet. The blinds are broken. Located inside the room is a full bathroom with a shower stall, a sink, and a toilet. Grab bars and non-skid mat was observed. Water temperature was tested and read 118.1 degrees Fahrenheit. Bedroom #5 has a bed, a chair, a lamp, a night stand, and a portable closet. The blinds are broken The common bathroom has a shower, a sink, a toilet. Grab bars and non-skid mat was observed. Water tested 115 degrees Fahrenheit. First aid kit and first aid manual were observed and met Title 22 requirements. The smoke/carbon monoxide combination detectors were tested at 3:57pm and were operational Deficiencies cited under Californina Code of Regulations, Title 22, Division 6, Chapter 8. Immediate civil penalties were assessed. Exit interview were conducted, APPEALS RIGHTS discussed and a copy was provided.