Pre-licensing visit·June 10, 2026

At 9:00 AM, Licensing Program Analyst (LPA), Huma Rahimi conducted an announced Pre-Licensing visit to the above facility and met with Tatevik Stepanyan, the Administrator. LPA explained the reason for the visit. At the time of this visit LPA did not observe any residents present in the facility. Fire Clearance e-mail confirmation from the Fire Inspector to the Licensing Department dated 05/29/2026 and received for six (6) Non-ambulatory residents of which one (1) is Bedridden in bedroom #5. The purpose of today’s visit is to inspect the facility to ensure that the facility is in compliance with rules and regulations under California Code of Regulations, Title 22, Division 6. The facility is a single-story building. Today's site visit consisted of LPA touring the physical plant inside and outside and observed the following: During today's visit, LPA observed four (4) residents residing at the facility. The facility is single story building with seven (7) bedrooms of which six (6) are private resident rooms and one (1) is designated for staff. There are total of three (3) bathrooms, a kitchen, and a garage. KITCHEN: The facility has a Kitchen area that is equipped with a refrigerator, oven, and a sink. Stove was observed in a good working condition. At 9:20 AM, LPA observed adequate supplies of perishable and nonperishable food and dining ware to accommodate a maximum capacity of six (6). All knives and sharps are observed to be locked in a drawer in the kitchen and inaccessible to residents. LPA observed a Fire Extinguisher hanging on the kitchen wall and was purchased on 06/08/2026. MEDICATION ROOM: The centrally stored medication are kept locked in the kitchen cabinet. Facility staff and residents files are kept locked in a cabinet in the living room. Continue on LIC 809C BEDROOMS: There are total of seven (7) bedrooms and six (6) are designated for residents use and one (1) bedroom for staff use. LPA observed the staff room to be kept locked and inaccessible to residents in care. LPA observed that all bedrooms are furnished with beds, dressers and required bedding and linen. The bedrooms have sufficient closet space and have sufficient lighting. A uditory alarms were installed and observed to be functional during today's visit. The facility has an awake staff. BATHROOMS: There are three (3) bathrooms at the facility of which two (2) are designated for residents use and one (1) for staff and visitors. The staff and visitors bathroom was observed to be locked and inaccessible to residents in care. L PA observed all bathrooms are clean and in a good repair. Properly supplied with toilet papers, soap and paper towels. LPA observed appropriate grab bar and had non-skid mat. The water temperature was noted at 125.4°. The facility will keep a log of water temperature for five (5) days and submit it to LPA with the appropriate water temperature between 105° to 120°. LAUNDRY ROOM: The laundry room is located adjacent to the bedroom #1 and the laundry detergents were observed locked and inaccessible to residents in care. The washer/dryer appear to be in good working condition. All cleaning supplies and toxins were observed locked and inaccessible to resident in care under the kitchen sink. COMMON AREAS: The facility maintains a comfortable temperature at 72°F. The living room and dining area appeared clean and were properly furnished and has a television. No obstructions and or tripping hazards throughout the facility. LPA observed a working telephone for the facility. SURROUNDING GROUNDS: The facility has sufficient front yard space. LPA did not observe appropriate outdoor furniture in the backyard of the facility to accommodate six (6) residents; however, LPA observed the proof of the purchase and will be delivered by 06/12/2026. There is no swimming pool or any bodies of water at the facility. The exit was free of any obstruction or hazard. Garage/Storage: The facility uses the garage for storage of extra supplies and refrigerator. LPA observed two extra storage areas in the backyard for gardening tools/supplies and other toxins which are kept locked and inaccessible to residents in care. Continue on LIC 809C SMOKE DETECTORS/CARBON MONOXIDE. Smoke detectors and carbon monoxide were hard-wired and located throughout the facility. At 10:15 AM, they were tested and observed to be operational. Component III was conducted with the Licensee/Administrator. Facility is in compliance with Title 22 Regulations at this time. This report will be forwarded to the Centralized Application Bureau (CAB) and be notified by the CAB Analyst when your license has been approved. Exit interview was conducted and with a copy of this report was provided to the Administrator and applicant.