Routine inspection·July 17, 2025

Licensing Program Analyst (LPA) Michael Cava conducted an Annual Required visit and inspection of the facility. LPA met with staff, Haukuhi, and explained the reason for the visit. The administrator, Nelli Berberyan, was notified over the telephone. At approximately 11:30am, LPA took a tour of the physical plant. The facility is a one story building. Required postings were observed in the dining room and entry area. The smoke alarms and carbon monoxide detector are dual, hard wired and inter-connected. The facility has one new fire extinguisher, located at the front entry. Kitchen: The kitchen appliances and fixtures were functional. LPA found a sufficient amount of perishable and non-perishable food at the facility; properly stored. Knives were stored in a locked cabinet Bedrooms: There are five (5) bedrooms designated for residents to use. Bedroom #5 is a shared room, bedrooms #1 - #4 are private rooms. All resident bedrooms are furnished with bed, chair, night stand, dresser and required bedding and linen. The bedrooms have sufficient closet space and have sufficient lighting. Bathrooms: The facility has two (2) bathrooms with grab bar and non-skid mats for residents and staff to use. Water temperature was within regulation ranging between 110°F – 112°F. All bathrooms were properly supplied and had functional fixtures. No cleaning supplies were observed in any of the bathrooms during the day of the inspection. Common Areas : These included the living room and dining room. The living room has a couch and center table. The dining room is adjacent from the living room. Dining room table is large enough to seat six. The television is positioned in the dining room area. Furniture were in good repair, and the floors were mopped and clean. Surrounding Grounds : The entrance to the home is gated. The passageways and entrance to the home was clear of obstruction. All entry and exit doors have a functional auditory alert when the doors open. The right side of the facility has no access to the residents. There is an approved Accessory Dwelling Unit (ADU) on the right side of the facility, that has it's own private entrance. The exterior left side and backyard of the facility is for resident use only and has sufficient yard space and furniture appropriate for outdoor use. Laundry area : The laundry room is located outside the home. Detergents and cleaning supplies are kept in a locked cabinet in the home. Staff Workstation/Office : There is a small staff work station located by the dining room table where staff and resident files are kept. Resident Files : LPA conducted a file review of resident records to insure compliance of licensing forms. Staff Files : LPA also conducted a file review of staff records to insure forms and training are up to date and compliance with licensing forms. Medications : The medication are kept locked in a cabinet in the living room area. Medications and medication records were reviewed for proper storage and documentation, Garage: The garage is used for storage. It is kept locked at all times. Pursuant to Title 22 Division 6 of the CA Code of Regulations, there were no deficiencies observed during the visit. Exit Interview Conducted, and a copy of this report issued.