Pre-licensing visit·January 12, 2026

On 01/12/2026 at 10:20 am, Licensing Program Analyst (LPA) Lorena Casillas conducted an announced Pre-Licensing Inspection with applicant Arshavir Balasanyan and Administrator Miriam Balasanyan. An application to operate a Residential Care Facility for the Elderly (RCFE) was received by Community Care Licensing (CCL) on 04/30/2025. A fire clearance was approved on 07/10/2025, for five (5) non-ambulatory residents and one (1) bedridden resident for a total capacity of six (6). The purpose of today’s visit is to inspect the facility to ensure that it maintains compliance under California Code of Regulations, Title 22, Division 6. The Component III presentation was conducted from 10:45 pm until 12:45 pm with both applicant and Administrator. A tour of the physical plant was initiated at approximately 12:50 pm and the following was observed: KITCHEN: The facility has a kitchen area that is equipped with a refrigerator, microwave oven and sink. There was an adequate supply of seven (7) day nonperishable foods. LPA observed the kitchen to be clean and clear of clutter. All appliances were operative. Cleaning solutions are locked under the sink. Knives are kept in a locked kitchen drawer inaccessible to residents. LPA observed enough dinnerware to accommodate all residents. BATHROOMS: The facility has two (2) bathrooms. All bathrooms were observed to have the proper fixtures, and non-skid mats. The hot water delivered in the bathrooms measured 105.6˚F. Continued on LIC809-C BEDROOMS: The facility has four (4) bedrooms for resident use. Bedroom #1 is designated for one (1) bedridden resident. Bedrooms #2 through #4 are designated for five (5) non-ambulatory residents. The applicant furnished the resident bedrooms with beds, nightstand, chairs, dresser, bedding and linens. All rooms had sufficient lighting. COMMON AREAS: These include the living room and dining room areas, which are equipped with living room furniture, a television, tables, and chairs. The dining room table is large enough to accommodate up to six (6) residents. There were no visible immediate hazards. The combination carbon dioxide and smoke alarms are hard-wired and inter-connected. Alarms were tested and were operational. The facility has one fire extinguisher that was purchased on 7/03/2025, is fully charged and located in the kitchen. LAUNDRY ROOM: Washer and dryer are located in the kitchen area. Cleaning detergents and supplies are locked under the kitchen sink. MEDICATIONS: Medications and first aid kit are stored in a locked cabinet located in the kitchen. SURROUNDING GROUNDS: The driveway, passageways and entrance to the home were clear of obstruction. The backyard of the facility has a patio and backyard furniture. The facility backyard has sufficient yard space to accommodate outdoor activities. There is an empty swimming pool that is behind a secure and locked fence. STAFF/RESIDENT FILES : Staff and resident records will be stored in a locked cabinet, located in the living room. The applicant was advised to ensure that resident and staff records will be accessible to the licensing agency upon request or during inspection. Facility will have awake staff. Facility has an approved fire clearance that specifies that “ADU is not part of this fire clearance”. However, the facility sketch reflects that ADU is a garage. Applicant and Administrator were both advised that an updated facility sketch needs to be submitted to identify that the facility does not have a garage, in order to move forward. Sketch will be submitted to LPA Casillas via email. Exit Interview was conducted, and a copy of this report was given to Administrator.