Routine inspection·September 20, 2025

Licensing Program Analyst (LPA) Christian Gutierres conducted an unannounced annual visit at the facility using the CARE inspection tool. LPA met with Caregiver Gohar Armani and explained the reason for the visit. Licensee Nvard Gevorkian arrived shortly. The facility is licensed to serve 6 residents, 60 years and over; of which 6 may be non-ambulatory and 1 bedridden in bedroom #1 with a hospice waiver for (6). Facility consists of a living room, a dining room, a kitchen, 4 resident bedrooms, 2 bathrooms, a laundry area, a backyard, and a detached garage. LPA toured the facility and observed the following: Each resident bedroom has the required furniture and bedding. Th Smoke detectors were observed throughout the facility and are properly operating. LPA observed carbon monoxide detector not working. The facility has one (1) fully charged fire extinguishers which is kept in laundry area in kitchen. Cleaning supplies and toxic substances were observed to be inaccessible in locked kitchen drawers. Freezers are maintained at a temperature of 0-degree F and the refrigerators at a maximum of 40 degrees F. Facility was observed to have sufficient supply of 2 days perishable & 7 days non-perishable foods. LPA observed medication crushed and being put in R6’s cottage cheese. There are no firearms or weapons stored at the facility. The hot water temperature in the bathrooms were measured between the required range of 105-120 degrees F. Each bathroom was observed clean, with grab bars and skid mats. Clean towels and extra clean linen are in each resident’s room. The facility does not have a swimming pool or bodies of water on the premises There is a shaded seating area for the residents outside. Passageways and exits are free of obstruction. Garage had extra food and hygiene supplies. SEE LIC 809C Five (5) staff files were reviewed and included criminal clearance record, and health screening with TB. Four (4) out of Six (6) residents files were reviewed and included physician’s reports and appraisal needs and service plan. R6 was missing physician report and R4 was missing appraisal needs and service plan. Fire/earthquake drill was conducted July 25th, 2025. The medications are centrally stored and locked in a cabinet in kitchen. While conducting medication review LPA discovered medication missing along with medication administration record (MAR) log discrepancy. Per California Code of Regulations, Title 22, and California Health and Safety Code, the deficiencies observed during the visit are documented on the LIC809Ds. Exit interview was held and a copy of the report along with appeal rights were provided.