Pre-licensing visit·January 18, 2023

On January 18, 2023, Licensing Program Analyst (LPA) Cassie Yang arrived at the facility to conduct a prelicensing inspection. LPA met with Directors: Hovhannes Danielyan and Tadevos Danielyan and explained the purpose of the visit. The facility has (0) residents at this time. LPA conducted an inspection of the care home to ensure compliance with Title 22 regulations. There are five (5) resident bedrooms in the first floor, and four (4) rooms located one the second floor for staff. The facility has a fire clearance for 6 ambulatory residents in Room 1-5. Room #1 is approved for one (1) ambulatory, room #2 is approved for one (1) ambulatory, room #3 is approved for two (2) ambulatory, room #4 is approved for one (1) ambulatory and room #5 is approved for one (1) ambulatory resident. LPA observed Administrator Certificate #6063121740 to be active on CCLD website. LPA observed the facility to have two garages. LPA advised the facility to reverse the locks in the garage so residents cannot access the items in the garage such as detergents and/or gardening tools. LPA advised the facility to have the certificate posted on the wall. LPA advised the facility to post hand washing signs in the bathroom. LPA advised facility to have personal protective equipment such as surgical mask and hand sanitizers to be stationed throughout the facility. LPA and Directors toured the second floor and checked the kitchen area for the ability to prepare and store food. LPA observed the space for medication, toxics and sharps to have locks. LPA observed the facility to have 2+ days of perishables and 7+ days of non-perishable foods. During today's visit, LPA and Directors discussed the eviction regulation. LPA provided a copy of the regulation to Directors. Deficiencies were observed but corrected at the time of visit. Comp III has been completed. Exit interview conducted and a copy of the report was left at the facility.