Routine inspection·May 12, 2026

Licensing Program Analyst (LPA) Sanjay Vaid conducted an unannounced annual inspection visit. LPA met with facility staff Jennie Ponce who allowed entry into the facility. Administrator was notified. The purpose of today's visit was discussed. The facility is licensed to serve (4) non-ambulatory and (2) bedridden, with a condition that the bedridden residents will stay in bedroom #2. LPA utilized the Compliance and Regulatory Enforcement tools for the visit today and observed the following: 1. Infection Control: Infection control practices and Personal Protective Equipment (PPEs) were observed. 2. Operational Requirement: Liability Insurance is updated and in the amount of at least ($1,000,000) per occurrence and ($3,000,000) in total annual aggregate is in place, policy expires 12/09/2026. 3. Physical Plant- This single-story home contains (3) bedrooms, (1) residents’ bathrooms, and (1) staff bathroom, living room, dining area, kitchen, laundry area, courtyard and detached garage. Resident rooms had the required furniture and in compliance. Bathrooms inspected were clean, operable, with the required grab bars and non-skid materials in the shower. Hot water temperature was measured in a range from 106.4 degrees Fahrenheit. Adequate linen and personal hygiene supplies were observed. Medications were centrally stored, locked and inaccessible to residents in care. Auditory device alarms are operational. Smoke detectors and carbon monoxide detectors were tested and operable. Fire extinguishers were fully charged and replaced when needed. The outdoor area has a covered area and seating. (continued on 809C) 4. Staffing: The facility has sufficient staffing, and the night supervision staff have current CPR/first aid certification. 5. Personnel Record-Training: All the staff files are maintained in the facility. Staff employed are over the age of 18 and are fingerprint cleared and associated to the facility. Some staff have required ongoing training. Administrator Ara Postaldjian Certificate expires 09/15/2027. 6. Resident Records-Incident Reports: Resident files are maintained at the facility and have the following documents in their files - Admission Agreements, Identification & Emergency Information, Pre-admission appraisal/Appraisal Needs & Services Plan. 7. Resident Rights-Information: The Complaint, ombudsman and CCLD poster are not posted. entry. Visiting hours are included in admission agreement. 8. Planned Activities: Facility has sufficient space to accommodate indoor and outdoor activities. There are sufficient supplies and equipment to meet resident's physical capability. 9. Food Service: The kitchen was inspected and did have sufficient supply of 2-day perishable & 7-day non-perishable food. Kitchen, food preparation area, and storage areas were observed to be very clean and sanitary. Pesticides and cleaning supplies are kept away from the food preparation areas. Kitchen is kept clean and free from rodents. 10. Incidental Medical and Dental: Medication is centrally stored and locked in the medication cabinet near the kitchen. Four (4) centrally stored resident medications were reviewed, which contained 30-day supply of medications. All medications are administered according to physician’s orders, 11.Disaster preparedness: The last fire drill was conducted on 03/2026, quarterly. The facility has an Emergency Disaster Plan posted at the facility. 12. Resident with Special Health Needs: One (1) resident is receiving home health services. Zero (0) resident is currently on postural support. Individual Service Plans and Appraisals are on file. Zero (0) deficiencies observed during today’s visit. An exit interview was held. A copy of this report was provided to Administrator.