Routine inspection·December 11, 2025

License Program Analysts (LPA) Luis De Leon conducted an unannounced annual required visit. LPA met with Caregiver Karine Chilingaryan who informed Administrator of today’s visit. Administrator Armen Markosian joined the visit a few minutes later . The purpose of today’s visit was explained. The facility is licensed to serve six (6) non-ambulatory residents, age 60 and over. The facility is approved for one (1) bedridden resident and six (5) hospice waiver. The LPA use the Compliance & Regulatory Enforcement Tool (CARE) during today’s inspection. The visit consisted as follows: FACILITY PHYSICAL PLANT The facility is in a residential area and is made up of four (4) Resident bedrooms, two (2) full bathroom including a private bathroom, living room, Dining room, laundry room in the garage, front and backyard, and a detached car garage. There were no body of water ob served in the property. REVIEW OF FILES Resident record review consisted of Admission Agreements, Identification and Emergency Info, Physicians Report, Consent Report, Individual Program Plan, Hospice plan for 2 residents, Personal Rights, and Centrally Store Medication. Staff record review consisted of Personnel Report, Health Screening, Criminal Record Statements, Fingerprint Clearance, and Training. LPA observed that S1-S4 were missing First Aid Certificate in file. In addition, S1 and S3 were missing Health Screening records. Deficiencies were noted and record in LIC-809D. Report continues on page LIC-809C... Observations during facility tour: Bedrooms were furnished with a bedframe, dresser, lamps, and chairs. LPA observed full bed rail for all four residents and physician’s orders for rails were on file for each resident. LPA observed that there was clean linen, bath towels, and personal hygiene with reasonable closet space available for Residents. Wall and floors are in good repair. Facility temperature was 73 degrees F as read from thermostat. Hallways were clean and free of obstructions. Kitchen appliances were in working order and clean. There is sufficient two (2) days of perishables and seven (7) day supply of non-perishable food. Dining room has sufficient seating area. Toilets, showers, and water faucets are found in compliance with Title 22 regulations for temperature and function. Restrooms were stocked and clean. The water temperature was tested and measured. It was found in compliance with Title 22 regulations between 105º and 120º F degrees. Sharps are locked inside a drawer in a kitchen island inaccessible to Residents. Also, disinfectants and cleaning supplies are locked and secured inaccessible to Residents under kitchen sink and in garage. Smoke detectors were observed in all bedrooms and carbon monoxide detectors were observed in living room around kitchen area. One (1) fire extinguisher was observed. Last fire drill and disaster drill was conducted on 10/1/2025. Front and back yards are free of hazards. Back yard has a shaded seating area for Residents to enjoy. The medications are centrally stored and locked in the staff room. The facility uses the Medication Administration Record (MAR) log to document medications given. LPA reviewed medications for all four (4) Residents. LPA observed that one prescribed medication was missing for one resident (R3). A deficiency is noted on LIC-809D. LPA conducted interviews with two staff and two residents. Per California Code of Regulations, Title 22, and California Health and Safety Code, the deficiencies observed during the visit are documented on the LIC-809D page. Exit interview was held and copies of reports LIC-809, LIC-809C, LIC 809D, and Appeal Rights were discussed and provided to Administrator Armen Markosian.