Routine inspection·February 25, 2026

Licensing Program Analyst (LPA) Leslie Ngo-Castaneda conducted an annual required visit and inspection of the facility. LPA was greeted with facility administrator, Armine Harutyunyan, and was advised for the reason of the visit. At 9:20 AM, with the assistance of administrator, LPA took a tour of the physical plant. Required postings were observed in the entry area. At 11:20 AM, the smoke alarms were tested and are operational that are located in the kitchen. There are carbon monoxide detectors that functions properly. The fire extinguisher is in the kitchen. The charge date is 10.9.2025. During the visit the facility is at 72 degrees Fahrenheit. The facility is fire cleared for six (6) residents, one (1) maybe bedridden in bedroom #1; bedroom #1 and bedroom #4 non-ambulatory residents; bedroom #2 and bedroom #3 are only for ambulatory; six (6) 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. Food storage and preparation areas are clean and inaccessible to pests. Garbage cans have tight fitting covers. Cleaning supplies, pesticides or toxic cleaning supplies were stored and locked away in the kitchen below the sink. Continue to LIC 809-C Bedrooms: There are four (4) bedrooms at the facility, all of the bedrooms are going to be used for residents. Bedroom #1 is shared where only one (1) resident is currently in the bedroom. Bedroom #2 and bedroom #3 are private. Bedroom #4 is shared and is currently vacant. All bedrooms were furnished with beds, night stand, dresser, beddings, and linens. The bedrooms have sufficient lighting. BATHROOMS: The facility has two (2) bathrooms. Bathroom #1 is located by the hallway in between bedroom #2 and bedroom #3. Hot water measured at 113.9 degrees Fahrenheit. Bathroom #2 is located beside bedroom #1. Hot water measured at 109.8 degrees Fahrenheit. The bathrooms were observed to have the proper fixtures, grab bars, and non-skid mats. Common Areas: LPA toured all common areas of the facility. These included the living room and dining area for residents. The common areas were properly furnished. Residents dining table fits enough for six (6). LPA observed common areas to be very clean and tidy. LPA observed the floors to be in very good condition. No obstructions and or tripping hazards throughout the facility. Furniture in common area was observed to be in good repair. There are no issues with Fire Clearance. Insecticide was found in an unlock cabinet in the hallway that is accessible to residents. Deficiency will be cited in LIC 809-D. Infection control : Facility mitigation plan to make sure licensee was following current infection control recommendations. LPA obtain a copy and reviewed the infection control plan during this visit. Surrounding Grounds : Entry and exits were free of obstruction. There was furniture appropriate for outdoor use. The outdoor area was free of hazards. The facility does not have a swimming pool or bodies of water. There is not garage in the facility, just a car port. Laundry service: There is enough linen available to change weekly or more if need. Cleaning supplies are being stored in a locked shed by the patio. Continue to LIC 809-C 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. Office is beside the dining area. Records were checked for expired or missing certificates and clearances: LPA conducted a file review of staff for criminal record clearances and current First Aid. The administrator file was reviewed for current first aid, fingerprint clearance, administrator certificate, and HIV/AIDS and TB training. Medications are in a centrally stored and locked place, including over-the-counter medicines; medications are properly labeled and checked for expiration dates. Each centrally stored prescription and PRN medication has been logged in the medications log with proper documentation from the clients’ doctor. Proper medication dispensing instruction are followed and checked for contamination. First-aid has all proper items and is current. R2 medication in the refrigerator was kept unlock and accessible to the residents. Deficiency will be cited in LIC 809-D. Resident records were reviewed for requirements and legibility: LPA reviewed client’s files for current appraisal. Planned activities are offered. Facility is within CA code of Regulations Title 22 or Health and Safety Code. Deficiencies were found, exit interview conducted, copy of report has been issued and discussed.