Routine inspection (multi-day)·January 14, 2026

Licensing Program Analyst (LPA) Sandra Urena arrived at the facility unannounced to conduct a Case Management Annual Continuation Inspection. At 10:10 a.m. LPA Urena arrived at the facility and rang the doorbell several times, however, there was no response. The LPA called the Administrator, Armenui Simityan and informed them the reason for the visit. The Administrator stated that they do not have any staff or residents at the current time, and that it would take her about 30 minutes to get to the facility. The LPA stated that they would wait for Administrator to arrive. At 11:15 a.m., the LPA, along with the Administrator, toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that the facility is in compliance with Title 22 Regulations. COMMON AREAS: The LPA observed common areas to be relatively clean and properly furnished. The LPA observed the fire extinguisher to be purchased 01/14/2026. The fire alarms/carbon monoxide detectors were tested and functioned properly. All exits have functioning auditory devices and were operational at the time of the visit. Facility telephone was observed during the time of the visit. Medications and first aid kits are located in a locked storage cabinet located in the hallway leading to bedrooms #4 and #3. KITCHEN: Knives are stored in a locked kitchen cabinet. Kitchen appliances are in operable condition. The facility has a sufficient supply of perishable and non-perishable food. Laundry units are located next to the kitchen. Cleaning solutions and chemical items were inaccessible and locked away inside cabinets in the laundry area. Continues on LIC 809C... BEDROOMS: The facility is a single-story residential home with six (6) bedrooms, five (5) for resident use and one (1) for staff use and three (3) bathrooms. The bedrooms were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. Inside temperature was maintained at a comfortable level. RESTROOMS: Restrooms are relatively clean and sanitary and in operating condition with grab bars and non-skid mats, sinks had sufficient liquid soap, and paper towels. Signs are posted throughout the facility restrooms to promote hand washing. Cleaning solutions, toxins, chemicals and hazardous items were inaccessible and locked away in the restroom cabinets. OUTDOOR SPACE: The back patio has a covered outdoor area for resident use. There are gates on each side of the house designated for an emergency exits. Passageways were free and clear from obstruction. There are no bodies of water on the premises. The garage is attached to the house and remains inaccessible to residents. RECORDS: Residents’ records and Personnel records were not reviewed at this time due to facility not having any residents or staff at the time of the inspection visit. MEDICATIONS: Medications were not audited at this time due to facility not having any residents residing at the time of the inspection visit. No deficiencies cited at this time. Exit interview conducted. A copy of the report was issued.