Routine inspection·April 30, 2024

This unannounced inspection is being conducted by Licensing Program Analyst (LPA) Sean Haddad for the purpose of conducting a Required – 1 Year Inspection. LPA met with Administrator (AD) Sona Hakobyan and discussed the purpose of the inspection. LPA reviewed Infection Control requirements. At about 10:00AM, LPA and AD conducted a tour of the inside and outside of the facility, common areas, resident rooms, kitchen, and medication room and observed the following: Structure: this is a large commercial facility. Facility is a 25-bedroom, 27-bathroom, 1 story building. There is a courtyard in the middle and a covered patio in the back with patio covers for the residents. Resident Bedrooms: the 7 resident bedrooms inspected are spacious and will easily accommodate the residents’ furnishings. Furniture for 7 resident bedrooms inspected. Bathrooms: the bathrooms were clean, faucets and toilets were operational. Water temperature: tested between 112 degrees F and 122 degrees in the 7 resident bathrooms inspected, prior to corrections. Linens & Hygiene Supplies: new linens and fully stocked linen closets were observed. Emergency Phone Numbers, Exit Plan & Menu: reviewed. Food Service: LPA observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food is available as required by regulations. Carbon Monoxide, Smoke Detectors, Fire Extinguisher: observed. Appliances: stove burners, microwave, washers, and dryers inspected. Knives: observed locked in the kitchen. Toxins: observed locked in the housekeeping room. Medication room: observed to be locked. First-Aid Kit and Activity Supplies: observed and available. The facility’s licensing fees have been paid. At about 11:00AM, LPA reviewed 7 resident files and 5 staff files, interviewed 5 residents and 5 staff, and inspected medications for 7 residents. Facility does not handle resident money. CONTINUED During the inspection, LPA and AD observed the following: based on documents, the facility does not have an Infection Control Plan; based on documents, the licensee did not ensure the files of S1, S2, S4, and S5 contained documentation of the required number of hours and topics of annual training; based on documents, the licensee's last emergency disaster drill was almost 4 months ago (not quarterly) and only involved 2 out of 3 shifts. A technical violation for water temperature was issued and the water heaters were adjusted down during the inspection. Based on the observations made during today’s inspection, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. See LIC809D. An exit interview was conducted and a copy of this report and appeal rights was discussed with and provided to facility representative.