Pre-licensing visit·October 27, 2025

On 10/27/25, at 09:20am, Licensing Program Analyst (LPA) Gina Saucedo conducted an announced Pre-licensing visit. LPA met with Administrator/Licensee, Palie Karamanougian. An application was submitted to Community Care Licensing Division-CCLD on 09/09/2024, Initial license for a Residential Care Facility for the Elderly (RCFE), 60 years and older. The requested capacity is for five (5) non-ambulatory and one (1) bedridden, total of up to six (6) residents and fire clearance was approved on 5/01/2025-Room number one (1) is for bedridden. Structure: The facility is a single-story building with four (4) bedrooms and three (3) bathrooms. One (1) of the bedrooms has a private bathroom. Entrance: There is only one (1) entrance being utilized. There is an Emergency Disaster Plan, Personal Rights and Theft and Loss Policy against the wall. Toxins, cleaning solutions, and laundry detergents are kept locked under the sink in the kitchen. Some other toxins/cleaning solutions will also be in the pantry where there is a washer and dryer. Living/Dining area: The living room is neat, clean, and organized with sufficient seating for both residents and staff. The dining area is also neat, clean, and organized. Both rooms are properly furnished and in good repair. The facility maintains a comfortable temperature of seventy (68) degrees. No firearms observed or will be maintained on the premises. There is a fireplace in the living/dining room area that is covered. LIC809C-continued Kitchen: Sufficient supplies of dishes, cups, and silverware located within the kitchen cabinets and drawers. Sharps are stored on the left side of the kitchen locked in one (1) of the cabinets. The kitchen appliances are working and are in good repair. First-aid kit observed as well. There is a working telephone on the premises. Emergency: Fire extinguisher located in the kitchen on the left side and is fully charged. Medications: Medication will be stored both in a kitchen area in a long white pantry against the wall. Daily medication will be kept in kitchen cabinet locked. Bedrooms: The bedrooms are properly furnished with bed, nightstand, applicable lightening, and seating. Window coverings are in good repair, not broken or damaged. Bathroom: The bathrooms are in proper condition and will be equipped with sufficient personal hygiene for each client. Towels and washcloths will not be shared. Hallways: Hallway is properly lighted. Extra linens/covers observed in storage cabinet within the passageway. Staff room: there is no designated staff room in the facility. Water Temperature: The water temperatures were measured in the bathrooms at 120, 109 and 110 Fahrenheit and are within regulations. LIC809C-continued Smoke detectors: Dual interconnected smoke detectors and carbon monoxide observed to be working properly and were tested. Garage: The garage is located outside separate from the facility and is currently being utilized for storage. There are two (2) dryers and washers observed to be in good repair. It is locked in a room next to the kitchen. There is another washer and dryer in one(1) of the bathrooms. Outside: The outside furnished with sufficient seating. A shaded area for residents/staff was observed as well. Pool: no bodies of water located at the facility. Administration: The facility had submitted an Emergency and Disaster Plan For Residential Care Facilities For The Elderly and Infection plan. The administrator has an enlarged Ombudsman sign and Yes sign for the facility. The Component III Orientation RCFE was shown/reviewed with the Administrator. Facility is in compliance with Title 22 Regulations at this time. This report will be forwarded to the Centralized Application Bureau (CAB). You will be notified by the CAB Analyst when your license has been approved. Exit interview conducted and copy of this report issued to the administrator.