Inspection visit

Routine inspectionSeptember 25, 2023

ARARAT BOARD AND CARELicense 19760982927 citations on this visit

27 citations recorded

Inspector’s narrative

What the inspector wrote

LIcensing Program Analyst (LPA) Christine Yee conducted an unannounced required Annual Inspection using the complete CARE Inspection Tool and met with Mariam Panadzhyan, Licensee. The reason for today's visit was explained. The facility is a single storey family home consisting of a living room, dining room, kitchen, 5 bedrooms and 3-1/2 bathrooms. Per information provided on today's visit, the Licensee extended the back wall of the home by adding a full bathroom to the staff room and a 1-1/2 bathroom for visitor use about 3 years ago. The Department was not notified of the addition. Per Licensee, no permits were obtained for the extension. The previously attached garage located in front of the facility, was converted to an alternate dwelling unit prior to licensure of the facility and has its own address and access. Also located in the back is a separate building used for food storage and the laundry room. The facility is fire cleared for 5 NON-AMBULATORY and 1 BEDRIDDEN resident. Bedroom #4 is designated for bedridden use. The following was observed on today's visit: The dining room, living room and kitchen all have the appropriate furniture and equipment. Sufficient perishable and non-perishable foods were observed in the kitchen and in the back storage building. Located in the kitchen is the first fire extinguisher purchased on 7/29/23 Bedroom #1 is a shared room and has 2 beds, 1 chair, 1 night stand, 2 lamps, 2 dressers. The exit door is not equipped with a auditory device. Located in the bedroom is the second fire extinguisher Bedroom #2 has 2 beds, 1 lamp, 1 chair, 1 night stand and no dresser. Bedroom #3 is a shared room and has 2 beds, 3 night stands, 2 chairs, 2 lamps, 2 built in closets and 1 dresser. Bed by the back wall had no blankets or flat sheets. Bedroom #4, designated for bedridden use has 2 beds, 2 portable closets, 1 chair, 2 night stands, 1 lamp, 1 dresser. The back door opens out on to a ramp. Licensee needs to relocate the night stand that is partially blocking the door. No auditory device was observed on the door. No blankets or flat sheets were observed on the bed closest to the bedroom door. A bed must be removed from bedroom #2 and bedroom #4 as this will take the facility over capacity. located inside bedroom #4 is a private bathroom with a shower stall, a bath tub, a sink. No grab bars or non-skid mats were observed in the tub or the shower stall. Per the Licensee, the bathroom is not used. Water temperature was tested and read 118.5 degrees Fahrenheit. The common bathroom is equipped with a shower, shower chair, grab bars, non-skid mat. Water temperature was tested and read 118.6 degrees Fahrenheit. The staff room is an office with a sofa. The medications and knives are stored in a locked filing cabinet. Located inside the office is a private bathroom that was added without a permit Located by the back exit door is the visitor's bathroom that was added without a permit. Per tour of the front yard, it was observed to be clean. Trash cans were observed tightly sealed. Seating was also observed by the front door. Per tour of the back yard, a table with 5 chairs were observed set up under the roof of the back building. The back yard was clean. The smoke/carbon monoxide combination detectors were tested and were operational. the first aid kit was reviewed and met Title 22 requirements. no first aid manual was observed or could be provided for verification. per review of staff records, Gayane Ademyan does not have first aid training and LPA was not able to verify current first aid training for Karine Sargsyan. Astkhik Kebabjian, new staff who started today, does not have a criminal record clearance. Deficiencies cited under California Code of Regulations, Title 22, Division 6, Chapter 8. Any citations not issued on today's visit will be cited on a return visit. IMMEDIATE CIVIL PENALTIES WERE ASSESSED. Exit Interview was conducted, Appeals Rights discussed and a copy was given.

Citations

27 citations recorded^*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

1569.158(d)Type B
Based on observation, the licensee did not comply with the section cited above per inspection of the facility postings that there is no information posted regarding the right to create a family council which poses/posed a potential health, safety or personal rights risk to persons in care.
1569.158(g)(2)Type B
Based on record review, the licensee did not comply with the section cited above per review of resident records and Admission Agreement that there is no written information provided to the families regarding the right to form a family council which poses/posed a potential health, safety or personal rights risk to persons in care.
1569.267(d)Type B
Based on record review, the licensee did not comply with the section cited above per request to review facility training logs and Licensee was not able to provide evidence of ongoing taff training which poses/posed a potential health, safety or personal rights risk to persons in care.
1569.319(a)Type B
Based on interview, the licensee did not comply with the section cited above per information provided during the interview that the Administrator did not know that a dedicated computer, tablet or any internet access device that can support real time interactive application, equipped with videoconferencing was to be provided for resident use and no one asked which poses/posed a potential health, safety or personal rights risk to persons in care.
1569.319(b)(1)Type B
Based on interview, the licensee did not comply with the section cited above per information provided during the interview that the facility does not have a plan in place that will allow residents to access the device for discussion of personal or confidential information with a reasonable level of personal privacy which poses/posed a potential health, safety or personal rights risk to persons in care.
1569.319(b)(2)Type B
Based on interview, the Licensee did not comply with the section cited above per information provided that the facility does not have a plan in place to ensure that the device is available to residents in a manner that permits shared access among the residentsi in the facility during reasonable hours, which poses/posed a potential health, safety or personal rights risk to persons in care.
87303(e)(4)Type B
Based on observation, the licensee did not comply with the section cited above per tour of all 3-1/2 bathrooms inspected, the private bathroom located inside Bedroom #4 did not have grab bars in the bath tub or in the shower stall which poses/posed a potential health, safety or personal rights risk to persons in care.
87305(a)Type A
Based on observation and interview, the licensee did not comply with the section cited above per review of facility sketch and tour of the physical plant that there were 2 additional bathrooms added and without notification to the Department and without permits which poses an immediate health, safety or personal rights risk to persons in care.
87307(a)(3)(C)Type B
Based on observation, the licensee did not comply with the section cited above per tour of the residents' bedrooms, residents beds had a mattress cover, fitted sheet and a comforter. Beds did not have a flat sheet, blanket/comforter. An extra fitted sheet and a flat sheet were stored in the bottom of the dresser drawers. The quantity does not allow for weekly changing or as needed which poses/posed a potential health, safety or personal rights risk to persons in care.
87355(e)(1)Type A
Based on record review and interview, the licensee did not comply with the section cited above per information obtained, Ashkhik Kebabjian, present at the facility for her first day of work today-9/25/23, was not cleared and associated to the facility prior to being present at the facility which poses an immediate health, safety or personal rights risk to persons in care.
87465(a)(8)(A)Type B
Based on observation, the licensee did not comply with the section cited above since the Licensee could not provide a copy of the First Aid Manual to LPA for review, which poses/posed a potential health, safety or personal rights risk to persons in care.
87465(b)Type B
Based on record review, the licensee did not comply with the section cited above per review or of Resident #6 file, it was observed that there is no PRN Authorization letter on file to establish that the physician has determined that Resident #6, who is diagnosed with Alzheimer, is able to to determine his/her need for the PRN Medication - Acetominophen, SM Stool Softener and Vitamin B-1 which poses/posed a potential health, safety or personal rights risk to persons in care.
87465(e)(1-4)Type B
Based on record reivew, the licensee did not comply with the section cited above per information reviewed revealed that the facility does not have any physician's orders on file for any of the centrally stored medications] which poses/posed a potential health, safety or personal rights risk to persons in care.
87465(h)(1)(C)Type A
Based on observations, the licensee did not comply with the section cited above per tour of the facility, it was observed that the Licensee stored prescribed insulin, Lantus in the butter compartment of the refrigerator without securing the medication from other residents which poses an immediate health, safety or personal rights risk to persons in care.
87465(h)(2)Type A
Based on observation, the licensee did not comply with the section cited above per tour of the facility, LPA observed that the file cabinet used to store the medications were left unlock and in an unlocked office while staff were assisting other residents and while they were outside the facility which poses an immediate health, safety or personal rights risk to persons in care.
87465(h)(5)Type B
Based on observation, the licensee did not comply with the section cited above per review of medications for Resident #****, medications were prepared and stored in 2 pill boxes labeled Monday through Sunday which poses/posed a potential health, safety or personal rights risk to persons in care.
87468.1(a)(4)Type B
Based on observation, the licensee did not comply with the section cited above that there is no poster or information posted for contacting Community Care Licensing which poses/posed a potential health, safety or personal rights risk to persons in care.
87468(c)(1)Type B
Based on observation, the licensee did not comply with the section cited above per review of posted posters by kitchen, there was no posters advising the residents in care of Additional Personal Rights of Residents in Privately Operated Facilities which poses/posed a potential health, safety or personal rights risk to persons in care.
1569.157(f)(3)Type B
Based on record review and observation, the licensee did not comply with the section cited above per review of the Admission Agreement and postings, there is no information provided by the facility regarding the formation of a resident council provided in the Admission Agreement or posted in the facility which poses/posed a potential health, safety or personal rights risk to persons in care.
1569.157(h)Type B
Based on observation, the licensee did not comply with the section cited above per review of posting, there is no Rights of Resident Council posted in a prominant place at the facility which poses/posed a potential health, safety or personal rights risk to persons in care.
87307(a)(3)(B)Type B
Based on observation, the licensee did not comply with the section cited above per tour of the 4 resident bedrooms, Bedrooms #2 and Bedroom #3 do not have a chest of drawers that meet Title 22 requirements of 8 cubic feet for 2 of the residents, which poses/posed a potential health, safety or personal rights risk to persons in care.
87465(a)(5)Type A
Based on interview , the licensee did not comply with the section cited above per information received, the Licensee is administering insulin injections to Resident #5 which poses an immediate health, safety or personal rights risk to persons in care.
87468(c)Type B
Based on observation, the licensee did not comply with the section cited above per inspection of posters on the facility wall, there were no personal rights posted in the facility which poses/posed a potential health, safety or personal rights risk to persons in care.
87468(c)(2)Type B
Based on observation, the licensee did not comply with the section cited above per review of facility posting by the kitchen that the facility does not provide information on the appropriated reporting agency in case of a complaint, with contact information which poses/posed a potential health, safety or personal rights risk to persons in care.
87468(c)(2)(A)Type B
Based on observation, the licensee did not comply with the section cited above per review of posting, that the facility does not have the required complaint poster meeting the above requirements posted in the main entry way of the facility, which poses/posed a potential health, safety or personal rights risk to persons in care.
87303(f)(2)Type A
Based on interview, the licensee did not comply with the section cited above as per information provided, the used needles for Resident #5 are tossed in the trash can which poses an immediate health, safety or personal rights risk to persons in care.
87705(j)Type B
Based on observation, the licensee did not comply with the section cited above per tour of the physical plant, all fiive doors exiting to the outside were not equipped with auditory devices and the facility retains residents with dementia which poses/posed a potential health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the September 25, 2023 inspection of ARARAT BOARD AND CARE?

This was a inspection inspection of ARARAT BOARD AND CARE on September 25, 2023. 27 citations were issued: 6 Type A (serious) and 21 Type B.

Were any citations issued to ARARAT BOARD AND CARE on September 25, 2023?

Yes, 27 citations were issued (6 Type A, 21 Type B). The first citation was for: "Based on observation, the licensee did not comply with the section cited above per inspection of the facility postings t..."

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 CCLD View original report

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Data from CCLD public records. Last updated May 25, 2026. If you believe any information is inaccurate, report it here.

Routine inspection·September 25, 2023