Routine inspection·January 13, 2026

Licensing Program Analyst (LPA) Quoc Huynh arrived at the facility unannounced to conduct a required annual visit at 12:17PM. The LPA met with the Licensee Lusine Srmikyan and Coordinating Manager (CM) Marine Bekyan and informed them of the reason for the visit. Entrance interview conducted. Beginning at 12:42PM, the LPA and Licensee toured the physical plant areas inside and outside to ensure there are no health and safety hazards, and facility is in compliance with Title 22 Regulations. The facility is a single-story residential home on shared property with other related facilities. The following was observed: KITCHEN: The LPA observed knives and medications stored inaccessible in a locked drawer and cleaning supplies secured under the sink. Kitchen appliances were clean and in operable condition. The facility had a supply of perishable and non-perishable food, as well as emergency food and water stored in the office. Food in the refrigerator and freezer were observed to be properly stored with labels and dates. Grocery shopping occurs every two (2) weeks, sometimes more when needed. Report Continued on LIC 809-C COMMON AREAS: At the time of the visit, living room and dining room furniture was observed to be in good condition. Required postings were observed on the entryway wall. The facility maintained a comfortable temperature throughout the visit. Nightlights were observed throughout the hallways. There was a closet located in the hallway which contained laundry machines in operating condition. BEDROOMS/RESTROOMS: There were three (3) total bedrooms, each private. Bedrooms #1 and #3 had a direct exit to the outside and approved for one (1) bedridden resident. Bedrooms were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. Extra linens were stored in each bedroom. There were two (2) total restrooms in the facility: one (1) private and one (1) shared. Restrooms were clean and sanitary and in operating condition with grab bars and non-slip surfaces. All restrooms were sufficiently stocked with soap, paper products, and displayed hand washing signs. Hygiene products were secured in each restroom. Hot water was tested and measured between 118.8 degrees F and 119.3 degrees F which is within the required range per regulation. OUTDOOR AREA: The front yard had a shaded patio area equipped with furniture in good condition for resident and visitor use in addition to a secured shed with general storage. The front yard also led to the subsequent facility with one (1) emergency exit on the side. The sides of the property contained general storage and were secured by gates. Exits and passageways were free of obstruction. The facility had additional gates with access to the neighboring three (3) facilities that the Licensee also operates. MEDICATIONS: Medication review began at 1:05PM. Medications were centrally stored and kept inaccessible in the kitchen. Medications were observed for two (2) residents. Medications were labeled and checked for expiration dates and were properly documented on the centrally stored medications and destruction record. No errors observed during the medication review. Report Continued on LIC 809-C RECORDS: Record review began at 1:39PM. Resident records were reviewed for, but not limited to care plans, physician's report, admissions agreement, and consent forms. All records were in order. Personnel records were reviewed for, but not limited to health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. All records were in order. INFECTION CONTROL/EMERGENCY DISASTER PLAN: During today's visit, LPA reviewed the facility's infection control plan and emergency disaster plan. Both documents were observed to be complete and reviewed annually as required. Fire extinguishers were observed throughout the facility and were last serviced on 05/16/2025. Emergency disaster drills are conducted quarterly, with the last documented drill on 12/18/2025. Smoke and carbon monoxide detectors as well as fire doors were tested at 1:02PM and were operational. No deficiency cited. Exit interview conducted. A copy of the report was reviewed and provided.