Routine inspection·September 21, 2023

Licensing Program Analyst (LPA) Christine Yee conducted an unannounced required Annual Inspection using the complete CARE Inspection Tool and was let into the facility by Anahit Derdzyan, Staff. Staff contacted Mary Petikyan, Administrator via telephone and she arrived a little later to conduct the visit. The reason for today's visit was explained. The facility is a single storey family home consisting of a living room, dining room, kitchen, 4 bedrooms, 3 full bathrooms and a attached garage. The facility is fire cleared for 5 NON-AMBULATORY and 1 BEDRIDDEN resident. The following were observed on today's visit: the living room is furnished with 2 sofas, coffee table, television and side tables. the dining room has a table with 6 chairs and a little desk with a chair. the kitchen is equipped with a refrigerator, 2 ovens and a microwave. Food supplies were reviewed and there were sufficient perishable foods for 2 days and insufficient non-perishables for 7 days. Facility also has 2 containers of emergency rations. Cleaning solutions are stored in a locked cabinet under the kitchen sink and in the locked linen closet Bedroom #1 was observed with 2 hospital beds, 2 night stands, 2 chairs, 2 lamps, 2 portable closets and no dressers. Room has a direct exit to the left side of the house Bedroom #2 was observed with 1 hospital bed, 1 night stand, 1 lamp, 1 chair, a closet and a dresser. Located in the room is a bathroom equipped with a sink, a shower and a toilet. Grab bars and a non-skid mat was observed. Water temperature was tested and read 115.7 degrees Fahrenheit. Bedroom #3 was observed with a hospital bed, a night stand, a chair, a lamp and a closet. There were no dressers. Bedroom #4 was observed with 2 hospital beds, 2 night stands, 2 lamps, 2 chairs, a built-in closet and a portable closet. No dressers were observed. The bedroom is designated for bedridden use and has a French door that opens on to a ramp. Located in the room is also a bathroom with a shower stall, a toilet and a sink. Grab bars and non-skid mat was observed. Water temperature was tested and read 114.5 degrees Fahrenheit. Located in the hallway is a laundry closet with a washer and dryer that were observed in use. the common bathroom has a shower, toilet and a sink. Grab bars, a shower chair and a non-skid mat were observed. Water temperature was tested and read 117.5 degrees Fahrenheit. The attached garage is primarily used for storage of diapers, water, food and extra furniture. Extra linens were observed in the linen closet. the facility has 2 fire extinguisher, both purchased on 7/18/23. One is located in the dining room and one by bedroom #1. there are auditory devices on the outside exit doors and were operational first aid kit was reviewed and contained band aid, gauze, tweezer, scissors, and thermometer. First aid manual was also observed. The smoke/carbon monoxide combination detectors were tested and were operational. The facility has a land line telephone and the facility number is (818)386-8160 The facility's liability insurance meets Title 22 requirements and is current. Per tour of the backyard, a table with chairs, an umbrella and potted plants were observed. Both the front and backyard were clean. Trash cans were observed on the street due to it being trash collection day. Deficiencies cited under California Code of Regulations, Title 22, Division 6, Chapter 8 Exit interview was conducted, APPEALS RIGHTS were discussed and a copy was given