Pre-licensing visit·March 11, 2025

At 10:15am Licensing Program Analyst (LPA) Leizl de la Cerra conducted a Pre-Licensing Inspection with the administrator Ellen Nahapetyan and licensee Shake Nikoghosyan. The LPA will inspect the facility to ensure compliance with the rules and regulations under California Code of Regulations, Title 22, Division 6. Fire clearance was approved on 9/27/24 for five (5) non-ambulatory residents and one (1) bedridden resident, for a total capacity of six. The smoke alarms and carbon monoxide detector are dual and interconnected. The facility has one new fully charged fire extinguisher located in the kitchen that was purchased on 8/26/24. A complete first aid kit and a current edition of the first aid manual were observed. LPA acompanied by both administrator and licensee, conducted a facility tour at 10:30am of both the inside and outside premises and observed the following : KITCHEN: The facility has a kitchen area that is equipped with a stove, refrigerator and microwave oven. There was an adequate supply of perishable and nonperishable food and dining ware to accommodate a maximum capacity of six (6). Knives were observed locked in a kitchen drawer. Cleaning solutions were observed inside a locked cabinet underneath the kitchen sink. BEDROOMS: There are six (6) bedrooms designated for resident use. The applicant furnished each resident bedrooms with the following, beds with linens, night stands, desk lamps, sofas/chairs, dressers, flashlights and call pendants. The bedrooms have sufficient lighting and closet space. Per STD 850, Bedroom #3 has the appropriate fire clearance for bedridden resident. BATHROOMS: The facility has two (2) bathrooms. One designated for staff use and the other for the residents. The bathrooms were observed to have the proper fixtures, grab bars, and non-skid mats. The hot water delivered in the bathrooms measured at 106.3°F to 108°F. COMMON AREAS: These included the living room and dining room area. The living room has a couch, a table and television. The dining room table is large enough to seat up to six (6) residents. There is no fireplace. There were no visible immediate hazards. The facility maintains a comfortable temperature at 72°F. The living room and dining area appeared clean. LAUNDRY: The washer and dryer is located inside a closet located in the bedroom hallway by the staff bathroom. Detergents and cleaning supplies are kept locked inside the staff bathroom. MEDICATIONS: The medication cabinet is located in the kitchen. Medication cabinet will be kept locked and requires a magnetic key to access. Resident/Staff Records: Resident and staff records will be kept locked file cabinet located by the kitchen. SURROUNDING GROUNDS: 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 backyard of the facility has a patio and backyard furniture to accommodate the six (6) residents. The facility backyard has sufficient yard space. There is no swimming pool or any other bodies of water. In addition to the Pre-Licensing inspection, a Component III power point presentation was also held. Pursuant to Title 22, Division 6 of the CA Code of Regulations, the facility's physical environment appears to be compliant. CAB will be advised and a copy of this report provided.