Routine inspection·July 10, 2025

Licensing Program Analyst (LPA) Nadia Shahbazian conducted an unannounced Required - 1 Year annual inspection visit. Upon their arrival, staff on duty was Karine Maloyan/Care Staff. LPA explained the purpose of the visit. Administrator Elina Melkonian arrived at 8:45am. The program is vendorized through the Frank D. Lanterman Regional Center. The Adult Residential Facility is licensed for 6 non-ambulatory adults, ages 60 and above, one of whom may be bedridden. Facility has hospice waiver for for 6 residents. Current census is 6 residents, two of whom are ambulatory. LPA toured the facility with Administrator at 9:15 am and observed the following: Required postings were observed in the hallway and office area. The front entry is the main exit door and there two exit doors leading to the backyard. The physical plant appeared to be very clean and sanitary. The fire extinguisher is located in the kitchen and was recently purchased on 03/21/2025. Facility conducts quarterly fire and safety drills, the last fire drill was conducted on 05/04/2025. The last earthquake drill was conducted on 06/16/2025. Facility is equipped with two fire doors, one in living room and one in kitchen. The dual smoke alarms and carbon monoxide detectors are hardwired and interconnected. At 9:59 am the smoke/carbon monoxide alarms were tested and observed to function properly. Common Areas : Include a living room and dining area. The common areas were properly furnished with ample sitting/tables for appropriate number of clients. Television set and activity/gaming areas were observed in the living room. (Continued on 809C) Kitchen: The kitchen appliances consisted of a refrigerator, stove, oven, dishwasher and microwave and the fixtures were observed to be functional. Knives, cutlery and sharp kitchen objects are stored in locked kitchen drawer. The kitchen cleaning detergents were observed to be locked in the patio cabinet, inaccessible to clients in care. LPAs found a sufficient supply of perishable foods (2 days) and non-perishable food (7 days) supplies, with sufficient amount of dishes for the census of six (6). Bathrooms: There are two (2) bathrooms designated for staff and residents’ use. All toilets and sinks are maintained in sanitary, operating condition. LPA observed proper grab bars and non-skid mats in both bathrooms. Hot water temperature was measured at 111.2 and 115.7 degrees Fahrenheit. Bedrooms: There are six (6) private bedrooms designated for clients' use. All of the bedrooms were properly furnished with appropriate chairs, beddings. television sets, linens with sufficient lighting. Laundry Room: Laundry machines were located in the hallway. All toxins are stored in a locked cabinet in the patio, inaccessible to clients in care. First-Aid Kits/Medications: There are two complete first-aid kits with all required supplies and the first aid manual. Medications were locked in a cabinet in the hallway. Surrounding grounds : Entry/exit gates and pathways were free of obstruction. The outdoor area was free of visible immediate hazards. No pool or bodies of water were observed at the facility. There is ample patio space for outdoor activities. There was a covered patio area with furniture appropriate for outdoor use sufficient for all clients. There is a refrigerator for staff use in the patio, along with a locked cabinet for kitchen and laundry detergent/chemicals. There is a detached garage which currently is being used for storage. Resident Files : A review of resident records to ensure compliance of licensing forms was conducted. LPA reviewed and counted medications for 6 out of 6 residents and compared to MAR for accuracy of administration based on physician orders. P&I for six out of six residents was also counted for accuracy. Staff Files : Staff files were reviewed to ensure all forms and training certificates are up to date. 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 Administrator.