Pre-licensing visit·March 4, 2026

Licensing Program Analyst (LPA) Michael Cava conducted a Pre-Licensing Inspection with the applicant/administrator, Antuan Nazaryan. An Application to operate a Residential Care Facility for the Elderly (RCFE) was received by Community Care Licensing (CCL) on September 25, 2025. A fire clearance was approved on January 29, 2026 for five (5) non-ambulatory residents and one (1) bedridden, for a total capacity of six. Per STD 850, Room #1 carries the bedridden fire-clearance. The applicant is also requesting a hospice waiver to retain six (6) residents. The smoke alarms and carbon monoxide detector are dual and inter-connected. The facility has one new fire extinguisher, located by the kitchen. Fire extinguisher was purchased on December 26, 2025. A tour of the physical plant was initiated at approximately 10:00am and the following was observed: KITCHEN: The kitchen area is equipped with a refrigerator, stove/oven, and sink. At this time, perishable food items not required as there are zero (0) residents. Applicant is advised to purchase perishable food items once facility is licensed and operational. There is an adequate supply of nonperishable food and dining ware to accommodate a maximum capacity of six (6). Applicant also keeps an emergency food supply and a five gallon bottle of water. Knives will be kept locked in a drawer. Cleaning supplies will be kept locked underneath the kitchen sink. BEDROOMS: There are three (3) bedrooms designated for client use. All three bedrooms are shared. The applicant furnished a model bedroom with with beds, night stand, chairs, dresser, extra bedding and linen. The bedrooms have sufficient lighting and closet space. Auditory alarms were checked and functional at the bedrooms that has an exit. BATHROOMS: The facility has two (2) bathrooms which were observed to have the proper fixtures, grab bars, and non-skid mats. The hot water delivered in the bathrooms measured between 105 to 108 degrees. COMMON AREAS: These include the living room, activity room and dining room. The living room is furnished with adequate seating/furniture, tables, and a television. There is a fireplace that is properly screened and locked. The activity room is equipped with a ramp and geared arts and craft. The dining area has a large dining room table to accommodate six (6). Floors and furniture are new and maintained. Hallways and passageways are clear of obstruction. LAUNDRY ROOM: The washer/dryer is located in the garage. Detergents will be kept locked in a cabinet in the garage, near the washer/dryer. MEDICATIONS: Medications and medication records will be kept locked in a cabinet by the activity room. RESIDENT/STAFF FILES: Files will also be kept locked in the medication cabinet in the activity room. GARAGE: The garage is attached to the home. Only entry is the main garage door, which will be kept locked at all times as detergents will be maintained inside. SURROUNDING GROUNDS: The driveway, passageways and entrance to the home was clear of obstruction. All entry and exit doors that has an auditory alert were checked and functional. The backyard of the facility has a patio and backyard furniture to accommodate the six (6) residents. The facility backyard has sufficient yard space. There is no swimming pool or any other bodies of water. In addition to the Pre-Licensing inspection, a Component III power point presentation was also held. Pursuant to Title 22, Division 6 of the CA Code of Regulations, the facility's physical environment is compliant and ready for licensure. CAB will be advised and a copy of this report provided.