Routine inspection·October 11, 2024

Licensing Program Analyst (LPA) Evelin Rios arrived at the facility above to conduct an annual required visit. LPA was greeted by the administrator Emanuel Yazichyan. LPA explained the reason for the visit. Administrator stated the facility has not admitted any residents. This facility is licensed as an Residential Care Facility for the Elderly with approved fire clearance for (5) non-ambulatory residents and one (1) bedridden resident, for a total capacity of six (6) residents. Facility has a Hospice waiver for four (4) residents. LPA confirmed annual licensee fee has been paid. LPA conducted a physical plant tour of the facility. In the kitchen LPA observed appliances such as the refrigerator, stove and dishwasher operational. LPA observed fire extinguishers through out the facility, fully charged. Administrator tested the dual carbon monoxide and fire detectors at 11:19 a.m. LPA observed detectors operational. LPA discussed with the Emanuel the administrator certification requirement. LPA requested required documentation for administrator certification, 1st aid and CPR be emailed to LPA. Administrator informed LPA they have applied for the Assisted Living Waiver (ALW) but if they do not admit residents through the ALW program they are considering congregate living. LPA also did not observe portable or permanent closets and drawer space in the resident bedrooms. Administrator informed LPA the large furniture is on hold near by for safe keeping while the home is vacant. Inspection Tool not used for today's visit. LPA informed administrator to update CCL if they decide to cease operation. Pursuant to Title 22 Division 6 Chapter 8 of the CA Code of Regulations, there were no deficiencies observed during today's visit. Exit interview conducted. Copy of the report provided.