Routine inspection·July 21, 2025

On 07/21/2025, Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced annual inspection visit. LPA met with caregiver Lee Collano initially, then licensee Alex Zitser arrived with administrator Marat Zitser. LPA explained the purpose of today's visit. Currently there are 6 residents in the facility and 2 staff at time of arrival. This is a split level facility approved all residents to be non-amblatory and 2 hospice residents. The physical plant was toured inside and outside of the facility to ensure the safety of the residents. Cameras are present through out the facility in the common areas only, and outside observing the perimeter areas of the facility. LPA observed the facility kitchen which is clean and observed appliances are in good repair. Knives are stored and locked in the kitchen in a drawer adjacent to the facility stove. Medications are observed to be locked in a cabinet adjacent to the refrigerator. Perishable and non-perishable food items are observed as low. During the visit the son of the administrator arrived to pick up the shopping list. There are additional refrigerator and freezer in the garage area which also carry additional food supplies which is also observed as low. First aid kit is observed as complete with required items. LPA observed that there are multiple fire extinguishers in place inspected 04/25/2019 but it is charged within the normal operating range. LPA observed 3 extinguishers. Smoke detectors, carbon monoxide detectors are observed in place through out the facility, facility is equipped with full fire sprinklers through out, and central heating/cooling system. Facility is also equipped with fire alarm pull station near the front door. PPE and additional food supplies are observed as in place. Laundry area is also observed as fully operational in the garage area. Emergency exit routes are observed inside and outside to be free and clear of obstructions. Last emergency/disaster drill is not documented nor conducted for at least a year which poses an immediate health and safety risk for residents in care. Water temperature was measured at 115F in a common resident bathroom in the hallway connecting to resident rooms on the lower level. Continued on next page... Page 2 LPA observed rooms numerous resident rooms and all appeared clean, free of odors, and contained all the required furniture per regulatory recommendations. Resident linen supplies are observed as in place in linen closet on the upper level. Cleaning supplies such as comet and fabuloso, are observed in the upper floor bathroom below the sink, this poses an immediate health and safety risk to residents. During today's visit LPA reviewed 6 resident files and 4 staff files. Per licensee Alexander Zitser, his son Marat Zitser is the administrator of the facility. His administrator certificate is observed as expiring 02/18/2027. Last disaster drill conducted in May 2025 . The following updated forms are requested to be submitted to CCLD by 07/28/2025 : • Copy of updated Administrator Certificate • Copy of facility's liability insurance • LIC308 Designation of responsible staff person • LIC610E Emergency Disaster Plan • LIC500 Staff Schedule • Copy of control of property or current lease Citations are issued on this day on the attached LIC809D pages. LIC9102TV are also issued on the attached pages. Report is reviewed with the licensee Alex Zitser and a copy is provided on this day.