Routine inspection·August 16, 2024

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 he arrived at 11:51 am to conduct the visit. Jasmine Sargsyan, Licensee arrived 11:56 am to also participate in the visit. 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. All 12 domains of the CARE Inspection Tool was reviewed on today's visit. Also reviewed on today's visit were all 6 resident files and all 7 staff files. The following were observed on today's visit: the living room, dining room and kitchen were furnished and equipped with the appropriate furniture and equipment for its designated use and for the licensed capacity. The fire place in the front room was observed with a fire screen. All the bedrooms were equipped with 2 each of the following: 2 hospital beds, 2 chairs, 2 night stands, 2 lamps, 2 dressers in bedroom #1, 1 shared dresser in bedroom # 2 and bedroom #3 and a shared closet in all the bedrooms. The common bathroom by the front room has a toilet, sink and a tub with a shower. Grab bars, a shower chair and a non-skid mat was observed. Water temperature was tested and read 113.6 degrees Fahrenheit. The common bathroom located between bedroom #2 and #3 has a walk in shower, a toilet, and a sink Grab bars, a non-skid mat and a shower chair was observed. Water temperature was tested and it read 113.7 degrees Fahrenheit. the linen closet located in the bedroom hall was observed with extra linens, towels and blankets. medications are stored in a locked cabinet in the living room The laundry room located by the kitchen was observed with a washer and dryer. Cleaning solutions and disinfectants are locked in a cabinet in the laundry room the only fire extinguisher purchased on 7/10/24 is located on the wall between the kitchen and laundry room. Sufficient perishable foods for a minimum of 2 days and non-perishable foods for a minimum of 7 days were observed. The auditory devices on the front door, the sliding glass door in the living room and bedroom #3 were all operational. Hygiene products were observed stored in locked cabinets the laundry room and in the common bathroom. The facility has current liability insurance with limits meeting Title 22 requirements until September 2024. First aid kit with a pair of scissors, tweezer, thermometer and a first aid manual was observed. The interconnected smoke detectors and a smoke/carbon monoxide detector located in the bedroom hallway were tested and they were operational. Required posters were observed. Per tour of the backyard, a gazebo with tables and chairs were observed. 3 storage sheds were also observed. the trash cans stored in the front yard was observed to be in good condition and tightly sealed. The front and backyard were observed to be clean. Deficiencies were cited under California Code of Regulations, Title 22, Division 6, Chapter 8. Civil penalties were assessed. Exit interview was conducted, Appeals Rights were discussed and a copy was given.