Routine inspection·May 10, 2022

Licensing Program Analysts (LPA) Jewel Baptiste conducted an unannounced visit for the purpose of conducting the required annual inspection. On today's visit LPA met administrator George Agopian who stated the facility do not have any residents at this time. The administrator stated the facility is not operating because they are in the final process with Frank D. Lanterman Regional Center, and it will take a couple of months for the regional center to provide residents. LPA and administrator toured the facility together. Facility is licensed to serve 6 clients 60 years and over. 6 of which shall be non- ambulatory. Hospice wavier approved for 6. The facility is a single-story building in a residential area, with a commercial kitchen, dining room, living room, 6 bedrooms, 2 bathroom, backyard with a shed and a garage. Facility has a fire sprinkler system throughout the facility. Administrator certificate observed for George Agopian # 6045376740, expires 8/31/2023. Administrator certificate was observed for Elina Melkonian #6045252740 expires 8/31/2023. LPAs discussed infection control practices with administrator, toured the facility inside and out, reviewed food supply. There are no staff files, and resident medications to review due to not accepting residents currently. Report continued on 809c Bedrooms 1-6 have the required furniture including bedframes, dressers, lamps, and chairs. Beds have the required linen and the linen is in good condition. LPA toured the kitchen and observed the facility do not have 7 days of perishables and 2 days nonperishable due to the facility not accepting residents at this time. Fire extinguisher was also observed in fully charged and located in the kitchen. Passageways and exits are free of obstruction. The front and backyard are well maintained. The Shed has emergency food supplies and the facility plan on buying more when they received their first resident. Bathrooms 1-2 are clean and have the required grab bars and skid matts. The hot water temperature measured at 109.1-114.1 degrees F. The facility temperature at the time the visit was comfortable. There is sufficient lighting throughout the facility. There are smoke detectors located throughout the facility, tested and operational. The facility also has fire doors that were tested in working condition. Carbon monoxide detector was also observed, tested and operational. Infection control signs were not observed throughout the facility, Administrator purchased signs during the visit. An action plan will be submitted to Licensing regarding how the licensee plan to stay operating, their process with the regional center and when they will start to receive residents by 5/14/22. Per California Code of Regulations, Title 22, and California Health and Safety Code, there were Technical Advisory observed during the visit. Exit interview held and a copy of the report was provided to administrator.