Pre-licensing visit·April 9, 2026

Licensing Program Analyst (LPA) Tihesha Smith conducted an announce pre-licensing visit at this facility. LPA Smith was greeted by Nirvana Ghaemi-Mahmoozadeh, Nona Virabyan, and Noraet Neshan (face recognition). Purpose of today’ s visit is to ins pect the facility to ensure that the facility is following the rules and regulations of California Code of Regulations, Title 22, Division 6. Today's site visit consisted of LPA Smith touring the physical plant inside and outside and the following was observed: The facility is a single-story building with a capacity of six (6). The common areas (kitchen, and combination living and dining room) were appropriately furnished, and lighting was adequate. The kitchen food preparation was observed to be sanitary. No perishable food currently however, a supply of nonperishable and canned food in kitchen cabinets. The sharps are stored and locked in kitchen drawer. Automated sink soap locked under kitchen sink cabinet. The appliances in the kitchen appeared to be new, clean and functional. The living and dining room furniture was observed to be functional with adequate seating at the table and on the sofas. A television is wall mounted in the living room area. Games and activities for residents are stored on living room table next to phone and first aid kit. The medications and toxins to be locked in hall closet across from main bathroom. Linens stored in closet near residents’ room. Laundry area is in kitchen closet. The laundry appliances observed to be new, clean and functional. (Cont from 809) There are two (2) fire extinguishers in the facility both observed to be charged: (1) fire extinguisher: attached to kitchen wall and the other attached to wall in residents ’ hallway. Dual Smoke and Carbon Monoxide detectors were observed all over the facility, tested, and observed to be operational at time of visit. Dementia alarms on exit doors observed to be functional at time of visit. Emergency exit plan/sketch is posted on the living room wall along with other posting requirements . Additional emergency postings to bedrooms will be added. The facility has a total of six (6) bedrooms as follows: four (4) residents ’ bedrooms with three (3) furnished with night stand, lamp, dresser, and chair and two (2) staff rooms. There are two (2) bathrooms in the facility. Bathrooms have trash cans, non-slip mats and grab bars. Bathroom water temperature measured at: 115 degrees Fahrenheit. Staff and residents’ files stored in cabinet in staff area in living Backyard has a patio area with large umbrella, table and eight (8) chairs that prov ide sufficient seating and are in good repair. Garage: Has additional refrigerator, stores of emergency food/water/supplies and equipment for facility only. Component III presentation was conducted at 11:25 am. and upon completion the administrator/licensee acknowledged understanding. No hazards observed during visit and facility is following title 22 regulations. A copy of this report will be sent to the CAB Specialist Exit interview conducted and copy of report given