Routine inspection·February 6, 2025

On 2/06/25, Licensing Program Analyst (LPA) Ernand Dabuet conducted an unannounced required Annual visit with a primary focus on infection control. LPA was met by Zaruhi (Sara) Tekeian, House Manager and administrator Hasmik Tekeian, were informed the purpose of today’s visit was to conduct annual inspection. There are currently (2) residents in the facility . The facility is a double-story structure with a ramp and front porch located in a residential / commercial neighborhood. The facility is located in the back of the building near the alley. It consists of four (4) bedrooms (one (1) in loft), (2) full bathrooms, kitchen, living / dining room, shaded front yard, laundry room, loft and no garage. LPA and house manager Tekeian toured the physical plant. There are no bodies of water or firearm/ammunition on the premises. All resident rooms were checked. Beds and bedding were in good condition, adequate lighting provided, storage for resident's personal belongings was observed. Walls and floors were in good repair. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. Bathrooms were clean and operational, yet outside of Title 22 regulations. The water temperature measured at 110.3 F. A comfortable temperature is maintained in the facility. LPA observed the facility to be clean and appropriately furnished at the time of visit. Storage areas for personal hygiene, cleaning agents, toxins, and sharps were inaccessible to resident. The kitchen was inspected and there is enough perishable and non-perishable food available which is stored properly. Fire extinguisher was charged, smoke detectors and Carbon Monoxide were operable. Evaluation Report continues LIC 809-C During the visit, LPA observed the facility infection control practices. LPA observed screening protocols for visitors, staff and residents, sanitizing stations (located in common areas and restrooms). All mandated CCL posters were posted. Audit of (2) resident service files and (5) staff personnel files were determined to be maintained in order. The facility has current liability insurance coverage from 06/18/24 through 06/18/25 policy # 0100245575. A current administrator's certificate for Hasmik Tekeian #7027086740 - valid through 02/02/2026. DEFICIENCIES: Resident #2 had full bed rails and was not on hospice care nor had physician's orders for bed rails. Staff #2 had incomplete personnel file. Staff #2 had missing First Aid/CPR Training and TB Test Results. Staff #1 did not have criminal clearance background association transfer in LIS or Guardian. Exit interview held. A copy of the report, deficiencies, civil penalties, and appeal rights were provided to Hasmik Tekeian.