Routine inspection·April 3, 2025

Licensing Program Analyst (LPA) Nadia Shahbazian conducted an unannounced Annual Required visit and inspection of the facility. Upon arrival at 11:15 am, LPA met with Lena Badalyan/Caregiver and explained the purpose of the visit. LPA telephoned Administrator/Christine Lekhlyan, who designated Lena Badalyan to sign the report. LPA asked for copies of staff and resident rosters and files.The facility is licensed to serve six (6) non-ambulatory residents and approved for six (6) hospice waivers. Current census is one (1); the resident receives services from the Frank D. Lanterman Regional Center. At 11:45 am, with the assistance of staff, LPA toured the physical plant area inside and outside to ensure there are no health and safety hazards. Mandated postings were observed by the entry door and in the office area. Smoke alarms and carbon monoxide detectors are interconnected and were tested to be functioning properly. There were two (2) fire extinguishers, both purchased on 12/16/2024, one in the kitchen and one by the rear exit door. There are two (2) exits leading to the backyard, the main entry door is used as emergency exit. All exits were equipped with functional alarms and were free on obstruction. Continued on 809-C Common Areas : These included separate living room and dining area, located near the kitchen. The common areas were properly furnished with ample chairs/sofas for six (6) residents and staff. LPA observed a gaming area in the living room, along with a television set. Facility offers cable, internet and telephone for resident use. Kitchen: The kitchen is equipped with a refrigerator, stove/oven, dishwasher, microwave. All appliances and fixtures were observed to be clean and in functional condition. LPA found sufficient supply of perishable foods for two (2) days and non-perishable foods for seven (7) days. Knives and sharp objects were stored in a locked drawer in the kitchen. Properly labeled medications were locked in a kitchen cabinet. First Aid Kit with First Aid Manual were observed in a locked kitchen cabinet as well. The kitchen cabinets were observed to have ample dishes and cook ware. Chemicals and detergents were locked in a cabinet underneath the kitchen sink. Bathrooms: There are three (3) bathrooms designated for residents' use and one (1) bathroom for staff use. All bathrooms were sanitary and had the required grab bars and non-skid mats and functional fixtures. Hot water temperature was measured at 113.4 - 113.9 degrees Fahrenheit. Bedrooms: There were six (6) private bedrooms designated for residents' use and one (1) for night staff. All bedrooms in use by residents were properly furnished with appropriate beddings, chairs, linens and sufficient lighting. Bedroom #2 has a non-functional fireplace. All bedrooms were observed to be clean, sanitary, with ample supply of linens. Continued on 809-C Surrounding Grounds : The backyard was large enough for activities and included appropriate furniture with ample seating for six (6) residents. The outdoor area was free of hazards and obstructions; no body of water was observed. The side exit door was observed to be unlocked from inside. The detached garage is currently used as office space. LPA observed all resident and staff files locked in a cabinet in the office area. Laundry room is adjacent to the garage/office and was kept locked. Resident Files : LPA conducted a file review of resident records to ensure compliance of licensing forms. Staff Files : LPA conducted a file review of staff records to ensure forms and training certificates are up to date and compliant with licensing forms. Medications : Medication and medication records were reviewed for proper documentation. LPA counted the medications and ensured proper dosage were given to the resident. Pursuant to Title 22 Division 6 of the CA Code of Regulations, no deficiencies observed during the visit. Exit Interview Conducted / A Copy of the Report provided to the designee staff.