Routine inspection·January 6, 2026

Licensing Program Analyst (LPA) Trevor Byrne arrived at the facility unannounced to conduct a required annual visit at 09:27 AM. LPA contacted the facility Administrator Ruzanna Sukiassyan. The Administrator informed the LPA that the facility does not currently have any residents and no staff were located on site. The Administrator arrived to the facility at 10:01 AM. Entrance interview conducted and the reason for the visit was explained. Beginning at 10:05 AM, the LPA, along with the facility Administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that facility is in compliance with Title 22 Regulations. The following was observed: BEDROOMS : There are four (4) bedrooms in the facility; three (3) are dual occupancy rooms and one (1) is a single occupancy room. LPA and facility Administrator toured all four (4) bedrooms. All bedrooms were observed to be furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. All bedrooms were observed to contain direct exits to the outside of the facility. BATHROOMS : There are three (3) bathrooms at the facility. Two (2) bathrooms are designated as shared resident bathrooms and one (1) is designated as a staff bathroom. All bathrooms were observed to be clean and in good repair and were equipped with nonskid surfaces. Grab bars were observed in all resident showers and near all resident toilets, all were properly secured. The water temperature was measured between 113.4 and 120 degrees Fahrenheit, which is in compliance with regulation. Continued on LIC 809C. KITCHEN : The LPA observed the kitchen area to be clean. Kitchen appliances appeared to be in operable condition. LPA observed a secured drawer which contained knives and other sharp objects. LPA observed secured cabinets designated to contain resident medication. LPA observed a camera covering the kitchen area. LPA confirmed with the facility Administrator that audio is not recorded. LPA observed a fire extinguisher mounted in the kitchen to be fully charged and last serviced on 02/05/2025. COMMON AREAS : This included the living room, hallway, and dining room. LPA observed the dining room to be clean and properly furnished at the time of the visit. The dining room contained a dining table with adequate seating for resident use. The living room was observed to be clean and in good repair. The living room contained adequate seating and activities for resident use. LPA observed an appropriately screened fireplace located in both the living room and dining room. The facility’s combination fire and carbon monoxide alarms, as well as the facility fire doors, were tested at 10:42 AM. LPA observed Bedroom #1 to be missing a fire alarm and Bedroom #1’s fire doors to failed to close at the time of the test. LPA observed cameras located throughout the common areas of the facility. LPA observed all required postings located at the front entrance to the facility. LPA observed the PUB 475 poster to be smaller than the required 20" x 26" in size. LPA observed unsecured cleaning chemicals throughout the facility. LPA informed the Administrator that all noted corrections will need to be made prior to accepting clients into the facility’s care. The Administrator expressed understanding and agreed to comply. OUTDOOR SPACE: The facility has three (3) emergency exit gates located on the perimeter fence of the facility; LPA observed clear passageways for emergency exit use. The facility had adequate shaded seating outdoors for resident use. LPA observed a locked storage building to contain facility maintenance supplies, and extra care supplies. An outdoor deck was observed to be connected to the living room and bedroom #1, bedroom #2, bedroom #3, and bedroom #4. All railings on the deck were properly secured and ramps appeared well lighted and non-slip. LPA observed cameras throughout the outdoor spaces of the facility. LPA observed an appropriately fenced off pool that was made inaccessible to potential clients in care. LPA observed a covered laundry area located on the side of the facility to contain a washer and dryer along with appropriate storage for cleaning chemicals. LPA observed a fountain at the front of the facility. Continued on LIC 809C. INFECTION CONTROL/EMERGENCY DISASTER PLANNING: During today’s visit, the LPA reviewed the facility's infection control practices and the facility's emergency disaster plan. The facility’s policies and procedures as they pertain to infection control are adequate. The facility’s emergency disaster plan is up to date and is adequate. Both the infection control plan and the emergency disaster plan are reviewed/updated annually by the facility’s Administrator. As there were no residents in the care of the facility at the time of the inspection file review, medication review, and interviews were not conducted during today’s inspection. During today’s visit LPA obtained a copy of the facility’s LIC 500, and liability insurance. LPA observed the liability insurance to be in the amount of at one million dollars ($1,000,000) per occurrence and two million dollars ($2,000,000) in the total annual aggregate. LPA informed the Administrator that the liability insurance is required to be in the amount of at least one million dollars ($1,000,000) per occurrence and three million dollars ($3,000,000) in the total annual aggregate. The Administrator agreed to obtain the proper liability insurance prior to accepting clients into the facility’s care. No deficiencies were cited during today’s inspection as no clients were in the care of the facility. Exit interview conducted and copy of the report was issued.