Routine inspection·August 2, 2023

Licensing Program Analyst(LPA) Christine Yee conducted an unannounced required Annual Inspection using the complete CARE Inspection Tool. LPA Yee was let into the facility by Gayane Yeghiazaryan, Staff. Arman Sargsyan, Administrator was contacted by telephone and arrived at around 10:40 am to conduct the visit. Also participating in today's visit was Jasmine Sargsyan, Licensee. The facility is a single storey home consisting of a living room, dining room, kitchen, 3 bedrooms, 3 full bathrooms and a attached garage that was converted into a office/living quarters. The facility is fire cleared for 6 non-ambulatory residents. The following were observed on today's visit: the living room and dining room were clean and had the appropriate furnishing and seating for 6 residents. Centrally stored medications are stored in the locked cupboard located in the living room. Staff medications and vitamins were observed stored in 2 unlocked drawers located in living room. the kitchen was clean and all appliances were operational. Sufficient perishable and non-perishable foods were observed. Recommendation was made to increase non-perishables foods to include working staff during an emergency. Knives were stored in a locked black box. adjacent to the kitchen is the laundry room equipped with a washer and dryer. Also located in the laundry room is a locked cabinet used to store the cleaning solutions Bedroom #1 (double occupancy) has 2 hospital beds with full bed rails, 2 night stands, 2 chairs, 2 lamps but no dressers and a shared closet. Both occupants are on hospice. Oxygen in use on today's visit. Oxygen in use posted on the door. Per information provided, the local fire department was not notified in writing. Bedroom #2 (double occupancy) has 2 hospital beds with full bed rails, 2 chairs, 2 night stands, 2 lamps, a shared closet and no dressers. One occupant on hospice. Bedroom #3 (double occupancy) currently vacant, has one hospital bed, 2 night stands, 2 chairs, 2 lamps and a shared closet. Shared drawer observed in the closet. Facility supplies stored in the resident closet needs to be relocated. extra bed linens, blankets, towels and comforters were observed in the linen closet the common bathroom located to the left of the entry way to the resident rooms has a tub with a shower, a sink. Grab bar and a non-skid mat was observed. The toilet was enclosed with metal frame, to assist with mobility. Water temperature was tested and read 117.3 degree Fahrenheit. the second common bathroom located between bedroom #2 and bedroom #3 has a shower with grab bars, a shower chair, non-skit mat and a toilet with a metal frame. Water temperature tested read 119.2 degrees Fahrenheit. The only fire extinguisher, purchased on 7/26/23, is located in the kitchen and expires on 7/25/24 First Aid kit was reviewed and had a tweezer and scissors. A separate thermometer and First aid manual was observed. The required posters were observed. The interconnected smoke detectors located in resident bedrooms and hallway were tested and were operational. The only carbon monoxide detector is located in the bedroom hall and is operational. The auditory devices installed on the back glass doors were operational. There were no bodies of water observed. The wood left on the front yard needs to be discarded. The backyard has a covered gazebo with a coffee table and chairs. The metal beds and wheel chairs stored in the back yard by bedroom #3, need to be discarded or stored. The large piece of metal stored along the left side of the home needs to be stored or discarded. Deficiencies cited under California Code of Regulations, Title 22, Division 6, Chapter 18. Exit interview was conducted, Appeals Rights were discussed and a copy was provided.