Routine inspection·April 28, 2026

Licensing Program Analysts (LPAs) Quoc Huynh and Angela Barutyan arrived unannounced at 9:58AM for a required one-year visit. The LPAs met with Executive Director (ED) Maya Mnoyan and explained the reason for the visit. Entrance interview conducted. RECORDS: Resident records were reviewed at 11:23AM. The LPAs reviewed ten (10) files for, but not limited to: admissions agreements, medical assessment, appraisals, and consent forms. Resident records were observed to be incomplete as appraisals, consent forms, and personal rights did not have signatures. The LPAs reviewed ten (10) personnel records for, but not limited to: job application, health assessments, TB results, criminal record statements and clearances, first aid/CPR certification, and appropriate trainings. One (1) caregiver was observed to have a first aid/CPR training that expired in 10/2025 and stated they were not aware it had expired. INFECTION CONTROL/EMERGENCY DISASTER: The LPAs reviewed the facility's Infection Control Plan and Emergency Disaster Plan. LPAs noted that the facility is in compliance with regulation with both plans reviewed annually. The facility conducts emergency disaster drills as required, with the last drill documented on 04/25/2026. Fire alarm system is tested annually with the last inspection on 03/10/2026 by KO Fire Inc. At 2:43PM, the LPAs and ED 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 following was observed: Report Continued on LIC 809-C KITCHEN: Facility dining room and commercial kitchen were inspected and found to be in compliance with Title 22 regulations. Facility uses Sysco Foods for food deliveries which occurs every Thursday. There was a sufficient supply of perishable and non-perishable food. The LPA observed the walk-in refrigerator and freezer; food appeared to be of good quality and labeled with expiration dates. Kitchen sinks had signage of tap water delivering above 125 degrees F. Emergency food and water were observed. RESIDENT ROOMS: The LPA observed ten (10) randomly selected rooms and no immediate health or safety hazards were observed. Restrooms were clean, with properly installed grab-bars in resident bathrooms and non-skid strips in shower tubs. Appropriate furniture was also observed in the units. Water temperature was tested throughout the units and measured between 115.7 degrees F and 121.4 degrees F. The LPAs advised the ED to lower the hot water temperature. COMMON AREAS: The facility had five (5) total floors with common areas that consisted of resident units, a movie theater, gym, patios/courtyards, lounges and activity space, library, laundry rooms, beauty shop, and common restrooms. The LPAs observed common areas to be clean, clear of obstructions/hazards, and furniture was in good condition with patios/courtyards providing shade for residents. Required postings were observed by the elevators on the first floor. There were no bodies of water observed during today’s visit. There were fire extinguishers throughout the facility, which were serviced on 02/02/2026. MEDICATION: The LPAs reviewed medications for five (5) residents. Medications are maintained inaccessible to residents in the medication room on the second and third floors. Resident medications reviewed were not maintained on the centrally stored medication and destruction records (CSMDR). As needed (PRN) medications were logged incorrectly and were not included on the CSMDR. Pursuant to Title 22 CA Code of Regulations, the following deficiencies were cited (Refer to LIC 809-D). Exit interview conducted. A copy of the report and appeal rights were reviewed and provided.