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Inspection visit

Routine inspection

BIRMINGHAM VILLALicense 197609357
Clean visit · 0 citations

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Nadia Shahbazian conducted an unannounced Annual Required visit and inspection of the facility. LPA met with Administrator - Christine Lekhlyan. LPA asked for copies of staff and resident rosters and files. The purpose of the visit was explained. The Residential Care Facility for the Elderly (RCFE) is licensed to serve 6 (six) non-ambulatory residents with hospice waiver for three (3) residents. Current census is three (3) and all residents receive services from the Frank D. Lanterman Regional Center. LPA utilized the Compliance and Regulatory Enforcement (CARE) tools. At 11:45am LPA toured the facility with the Administrator and observed the following: Required postings were observed in the dining room and office area. The facility is located in a residential area and consists of 7 bedrooms, 2.5 bathrooms, living room and dining room. The physical plant appeared clean, sanitary and comfortable with no visible immediate hazards. There are several exits doors throughout, including the kitchen, living room and bedroom#6, but facility uses the living room exit as the main exit. There are two fully charged fire extinguishers, one in the kitchen, one in the dining room, both purchased on 02/05/2025. All exits were equipped with functional alarms. Facility conducts monthly fire and safety drills, the last fire drill was conducted on 12/01/2025 and the earthquake drill was conducted on 12/16/2025. Smoke alarms and carbon monoxide detectors are interconnected and were tested at 11:50am and observed to function properly. Facility is equipped with cable, internet and land line telephones. Continued on LIC 809C Common Areas : Include a living room, dining room and locked hallway closet for storing chemicals and linens/supplies. The office area is located near the living room. Laundry washer and dryer are located in the office area but the laundry chemicals are locked in the hallway closet. Dining room is furnished with a table, eight (8) chairs and three (3) small refrigerators. LPA observed a properly screened, non-functional fireplace in the dining room. The living room had a table and ample sitting for all the residents and staff and has an exit door leading outside. Television set and activity/gaming areas were observed in the living room. Kitchen: There is a refrigerator, stove, microwave and toaster oven in the kitchen. 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 (2 days) and non-perishable (7 days) food supplies, properly stored in the kitchen and also in office area cabinet. Cleaning detergents were observed to be locked in the hallway cabinet. Bedrooms: There were six (6) bedrooms designated for clients' use and one (1) bedroom for live-in staff but there is always awake staff at all times. All bedrooms in use by residents were properly furnished with appropriate beds, chairs, closets and linens with sufficient lighting. Currently bedrooms #1, #4 and #5 are vacant. Bathrooms: There are two (2) full bathrooms and one (1) half bathroom designated for staff and residents. All bathrooms were properly equipped with required grab bars and non-skid mats and functional fixtures. Hot water temperature was tested between 107.2 and 109.6 degrees Fahrenheit. 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 was a covered patio area with furniture appropriate for outdoor use sufficient for number of clients. Facility has a detached garage with it's own separate exit. The garage was converted to a permitted Accessory Dwelling Unit (ADU), which is currently rented. Administrator will submit copies of the permits and a new facility sketch to LPA; a Technical Assistance advisory was provided. Continued on 809-C Resident Files : A review of resident records to ensure compliance of licensing forms was conducted at 11:05am. All required admission reports and current physician reports were observed in the files. Medication: First aid kit, first aid manual and medications are kept locked in a kitchen cabinet. Medications records for all three (3) residents were also verified for accuracy of administration based on physician orders. Medications for all three (3) residents were counted and compared to medication rosters. Staff Files : Staff files for four (4) staff 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, no deficiencies observed during the visit. A Technical Assistance advisory was provided to submit ADU permits and a new facility sketch. Exit Interview Conducted / A Copy of the Report provided to Administrator.

Citations

No citations recorded on this visit

The inspector found no violations of California child care regulations during this visit.

FAQ · About this visit

Common questions about this visit

What happened during the January 16, 2026 inspection of BIRMINGHAM VILLA?

This was a inspection inspection of BIRMINGHAM VILLA on January 16, 2026. The inspection found no deficiencies and no citations were issued.

Were any citations issued to BIRMINGHAM VILLA on January 16, 2026?

No citations were issued during this inspection. The facility was found to be in compliance with all applicable regulations.

What type of inspection was this?

This was a inspection inspection. inspection inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLDView original report

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