Pre-licensing visit·October 20, 2025

On 10/20/25, 10:50 am, Licensing Program Analyst (LPA) Raymond Comer, conducted a scheduled pre-licensing inspection of the Facility. LPA met with Administrator, Narine Mamyan. Facility is licensed as a single-story building with resident bedrooms, three private bathrooms, and two public bathrooms. A fire clearance approved, dated 09/16/25, for six (6) non-ambulatory residents, all of which may be bedridden. All exits contain delayed egress alarms and were observed working properly. The purpose of today’s visit was to inspect the facility to ensure that it maintains compliance under California Code of Regulations, Title 22, Division 6. Component III was conducted with the applicant from 11:30 am 12:00 am . LPA toured the physical plant with the Administrator and observed the following: KITCHEN - LPA observed kitchen appliances, (Refrigerator, stove, microwave, etc) working properly. Knives and sharps were observed as stored in an overhead cabinet; locked and inaccessible to residents. Detergents and cleaning agents were observed as stored in lower cabinet underneath the large sink and inaccessible to residents. [LIC 809C]- Continued COMMONS- Living room, was appropriately furnished with adequate lighting. Dining room was furnished with large table and sufficient amount of chairs for residents and staff; All furnishings in the common areas were observed as being in good condition. Internet service is available and a functioning telephone was on the premises. Multiple closets were observed containing fresh linens and towels for residents. FIRE SAFETY - Facility is equipped with sprinkler system. Multiple smoke and carbon monoxide alarms are installed, hardwired, and interconnected throughout the Facility; alarms were tested and found as working properly. One (1) Fire extinguisher was observed hanging on dining room wall; purchase date: 7/16/25. Evacuation routes are clearly labelled and posted throughout the facility. BEDROOMS – All bedrooms contained bed, linens, night stand, chest of drawers, a chair, trash can with a lid, and closet space . All bedrooms have a direct emergency exit. BATHROOMS- All bathrooms contained hand soap, slip resistant floor mats, grab bars and a trash can. Water was measured at 110.2 degrees F; within the required temperature range. MEDICATIONS - Mediations will be stored in locked cabinets located on in the office area, adjacent to the living room; medication cabinets are inaccessible to residents. First aid kit was observed as fully stocked with required supplies. RECORDS - Staff and resident records will be stored in locked cabinets located on in the office area, adjacent to the living room; records cabinets are inaccessible to residents. LAUNDRY – Laundry room is located across from bedroom# 6; locked and inaccessible to residents. Laundry room contained a clothes washer, dryer, towels, and other supplies for resident needs. OUTDOORS- Backyard area has a shaded area with a table and chairs sufficient for residents and staff. The gate leading from the back yard to the front yard was not locked. Exit interview was conducted and a copy provided to Administrator. This report will be forwarded to the Centralized Application Bureau (CAB). Licensee will be notified by the CAB Analyst when facility license has been approved.