Routine inspection·July 28, 2025

Licensing Program Analyst(LPA) Christine Yee conducted an unannounced required Annual Inspection using the complete CARE Inspection Tool. LPA Yee was let into the home by Mirna Apkarian, Staff. Armenuhi Avetisyan, Administrator was contacted by telephone and she arrived at 11:16am to conduct the visit. The facility is a single storey home consisting of a living room, dining room, kitchen, 3 resident bedrooms, 2 common bathrooms of which one is designated for staff use, a staff room and a attached garage. The home is fire cleared for 5 non-ambulatory and 1 bedridden. Bedroom # is approved for bedridden use. On today's visit, LPA Yee reviewed all 12 domains of the CARE Inspection Tool, 4 residents files, 5 staff files and toured the physical plant, inside and outside and the following was observed: the living room, dining room and kitchen were appropriately furnished and equipped. On today's visit the refrigerator in the kitchen was turned off to troubleshoot the excess ice in the freezer and may have to be replaced. Per the Administrator, the refrigerator just started acting up yesterday, 7/27/25 and is scheduled for an inspection from a repair person this evening to determine if it needs to be replaced. The water tested in the kitchen read 118.6 degrees Fahrenheit. Sufficient perishable foods were observed in the garage refrigerator for 2 days and non-perishable foods for 7 days were observed in the hallway closet. Bedroom #1, located in the front of the home is currently used as a private room and was observed with a hospital bed, 2 night stands, 2 lamps, a chair and a built in closet. No dresser was provided at the request of the resident. The bed linens were provided as per the resident's personal request. Page 2 Bedroom #2 located adjacent to the attached garage was observed with 2 hospital beds, 2 night stands, 2 lamps, a four drawer dresser, a chair and a built in closet. One of the beds in the room was vacant and the other bed had linens as personally requested by the resident-no flat sheets or comforters. Bedroom #3 had 2 hospital beds 2 night stands, 2 lamps, 1 chair, no dressers at the request of the residents. A mattress cover, a fitted sheet and a blanket was observed. Flat sheet and comforter not observed on the beds as requested by the residents. Curtains need to be placed on the back window for privacy. The sliding glass door was equipped with an auditory device was operational. The warped screen door needs to be fixed to ensure that the door can be completely closed. The Licensee will rearrange the room to ensure that the beds are not blocking egress from the room in an emergency. Flat sheets, blankets, bath towels and extra fitted sheets were observed in the linen closet located in the hallway. The common bathroom, located by bedroom #2 was observed with a walk in shower, a toilet and a 2 sink vanity. Grab bars, a shower chair and a slip resistant mat was observed. The water temperature was tested and read 115.6 degrees Fahrenheit. The front bathroom with a large bath tub, a shower stall and toilet was locked and designated for staff use. The only fire extinguisher, purchased on 3/25/25 was mounted in the living room. Medications are stored in a locked cabinet in the kitchen. Cleaning solutions and disinfectants are stored in the garage and in a locked cabinet in the common bathroom. The first aid kit was reviewed and contained a tweezer, scissors and an external thermometer. A first aid manual was also observed. The hardwired smoke detectors located in all 3 bedrooms, one in the hallway and a combo smoke/carbon monoxide detector, also located in the hallway was tested and was operational. The facility has current general liability insurance that meets Title 22 requirements of $1 million per occurrence and $3 million total annual aggregate. a washer and dryer was observed in the locked garage. Page 3 No bodies of water were observed on the property. Located in the back is a covered patio with a table and chairs. The backyard and front yard were clean. The trash cans located in the front were observed to be tightly sealed. Deficiencies cited under California Code of Regulations, Title 22, Division 6, Chapter 8. Any deficiencies not addressed on today visit will be addressed on a return visit. Exit interview was conducted with Mirna Apkarian, Staff as the Administrator had to leave during the visit.