Routine inspection·December 18, 2025

Licensing Program Analyst (LPA) Christine Yee conducted an unannounced required Annual Inspection using the complete CARE Inspection Tool and met with Zhanna Davtian, Administrator. The reason for today's visit was explained. The facility is a single storey family home consisting of a living room, a dining room, a kitchen, 4 resident bedrooms, 3 full bathrooms and a attached garage. The bathroom located by the kitchen is designated for staff us. Previously located along the left side of the home and directly behind the garage was a fenced in swimming pool that has since been fenced off as part of the property for the ADU. The ADU has a separate address of 14648 Runnymede Street and is not part of the facility operations. The home is fire cleared for 5 NON-AMBULATORY and 1 bedridden resident. Bedroom #3 is designated for bedridden use. On today's visit, all 12 domains of the CARE Inspection tool was reviewed. Also reviewed were 6 resident and 7 staff files. A tour of the physical plant, inside and outside, was conducted and the following were observed: the living room and dining room were furnished with the appropriate furniture for 6 residents. The fireplace in the living room was covered with a fire screen. Bedroom #1 and Bedroom #3 were observed with 2 each of the following - hospital beds, chairs, night stands, lamps and a shared dresser and closet. continued on LIC809-C Page 2. Bedroom #2 and bedroom #4 were observed with 1 each of the following: hospital bed, chair, night stand, lamp, dresser and a closet. the beds were observed with a mattress pad, fitted sheet and a comforter. Flat sheets were not observed per resident preference. Extra bed linens, towels and blankets were observed in the walk in linen closet located in the hall way. the kitchen is equipped with a stove, refrigerator, dishwasher and 2 microwaves. Knives are stored in a locked wooden cash kept in a kitchen drawer. sufficient perishable foods for a minimum of 2 days and non-perishable foods for a minimum of 7 days were observed maintained on the premises. The laundry room, located by the kitchen was observed with a washing machine and dryer. Cleaning supplies, detergents and chemicals are stored in a locked cabinet in the laundry room and in the outside shed. All 3 bathrooms are equipped with a shower stall, toilet, grab bars, toilet risers, shower chairs, slip resistant mats and a single sink except the bathroom in the back, between bedroom #2 and bedroom #3, was observed with 2 sinks. Water temperature tested in the back bathroom read 123.7 degrees Fahrenheit and the front bathroom read 119.7 degrees Fahrenheit.. The hardwired smoke detectors and the combination detectors were tested and all were operational. The only fire extinguisher located by the front door was purchased on 2/24/25. The auditory devices on all four outside exiting doors were tested and were operational. The first aid kit and first aid manual was reviewed and met requirements. Medications and facility files were observed in 2 locked metal filing cabinets. All staff have current first aid training. The facility has the required general liability insurance and surety bond. The required posting were observed The backyard was observed with a table, chairs and a umbrella for outside activity. The back gate was observed with no locks. Also observed in the backyard was a storage shed. Trash cans were on the curb for trash pick up. Dried leaves were observed in the back and front yard due to the strong winds, otherwise the outside areas are well maintained. Deficiencies cited under California Code of Regulations, Title 22, Division 6, Chapter 8 Exit interview was conducted, Appeals Rights discussed and a copy was provided.