Routine inspection·March 18, 2026

Licensing Program Analyst (LPA) Leslie Ngo-Castaneda conducted an annual required visit and inspection of the facility. LPA met with staff, Seolrock and Knarik Vardanyan, and explained the reason for the visit. Seolrock is not associated or fingerprinted to be at the facility. Deficiency will be cited in LIC 9099-D. Approximately, around 1:20 PM staff designee, Ovsanna Khayalya, arrived and was explained for the reason of the visit. At 1:30 PM, with the assistance of of staff designee, LPA took a tour of the physical plant. Required postings were observed in the entry area. At 1:59 PM smoke alarms were tested and are operational. There are carbon monoxide detectors that functions properly. The fire extinguisher is beside the kitchen. During the visit the facility is at 72 degrees Fahrenheit. The facility is fire cleared for six (06) residents of which two (2) ambulatory; three (3) non-ambulatory, one (1) bedridden resident in bedroom #2. Approve for four (4) hospice waiver. Kitchen: The kitchen appliances and fixtures were functional. The kitchen has a working gas stove, faucet, freezer, refrigerator, and microwave. LPA found enough at least two (2) days perishable and seven (7) days non-perishable food at the facility that is properly stored. Frozen foods are wrap, dated, and stored properly as well. Knives were stored in a locked drawer in the kitchen. LPA observe R2 in refrigerator unlock and accessible to residents in the facility. Deficiency will be cited in LIC 9099-D. Bedrooms: There were five (5) bedrooms designated for clients' and staff use. Four (4) of the that are in use by residents were properly furnished with appropriate dresser, beddings, and linens with sufficient lighting. Room #1, bedroom #2, and bedroom #4 are properly furnished and is for private used. Room #3 is shared. Bedroom #5 is for staff use. Staff bedrooms are locked with no medication in sight. Continue to LIC 809-C Bathrooms: There are two (2) bathrooms designated for residents' and staff use. Bathrooms were properly supplied and had functional fixtures. Hot water temperature was measured at 105 degrees Fahrenheit for bathroom #1 located in the hallway beside bedroom #3. Bathroom #2 is for staff used. Towels and washcloths are not shared. There was enough clean linen available in the cabinets. Common Areas : These included the living room and dining area for residents. The common areas were properly furnished. The auditory alarms on all exit doors were on and functional at the time of the visit. Residents dining table fits enough for six (6). Surrounding Grounds : Entry and exits were free of obstruction. There was furniture appropriate for outdoor use. The outdoor area was free of hazards. The laundry area and detergents are located by the laundry room in the locked garage. Cleaning supplies are being stored in an locked cabinet in the garage. The facility does not have a swimming pool or body of water. Office space is in the entrance area beside the entrance of the facility. Properly labeled medications were locked in the kitchen cabinets. The facility has a garage and is used for storage. Resident Files : LPA conducted a file review of resident records to ensure compliance of licensing forms. Staff Files : LPA also conducted a file review of staff records to ensure forms and training are up to date and compliance with licensing forms. S2 is missing LIC 503 (health screening and TB test). Deficiency will be cited in LIC 9099-D. Medications : Medication and Medication Records (MMR) were review for proper documentation. R1 does not have CSMDR. R3 medication does not match CSMDR. Deficiency will be cited in LIC 9099-D. Pursuant to Title 22 Division 6 of the CA Code of Regulations, deficiencies observed during the visit. Deficiency will be cited in LIC 809-D. Exit interview conducted and a copy of the report issued.