Routine inspection·December 17, 2025

Licensing Program Analyst (LPA) Valeria Conway arrived at the facility unannounced to conduct a required annual visit at 9:05 A.M., LPA met with Licensee/Administrator Gulira Atakeeva and back up administrator, Amanbek Atakeev. Entrance interview conducted. Beginning at 9:25 A.M., the LPA, along with back up administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards, and facility is in compliance with Title 22 Regulations. The facility serves residents with dementia, and the auditory alarms on the exit doors functioned properly at the time of visit. Please note: the facility is a 2-story house; the upstairs area is inaccessible to residents in care and is used for staff only, therefore was not observed. The following was observed in the downstairs area: Hardwired combination smoke and carbon monoxide detectors were tested at 11:05 A.M. and were functional at the time of the visit. Fire extinguisher was observed to be fully charged and last serviced on 07/12/2025. BEDROOMS: There are 3 (three) total bedrooms, all of which are designated for shared resident use. The LPA observed the resident bedrooms, which were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. Continued on LIC 809 Continued from LIC 809 RESTROOMS: The LPA observed 2 (two) restrooms in the facility; 1 (one) is for shared use and 1 (one) is designated for private resident use. Resident restrooms were observed to be clean and sanitary and in operating condition with grab bars and slip-resistant surfaces. Hot water temperature was measured in both restrooms and measured within the required range. COMMON SPACES: In the common areas, walls and flooring were checked for cleanliness and good condition. At the time of the visit, living room and dining room furniture was observed to be in good condition. The LPA observed the required postings in the common area. A fireplace was observed to be inaccessible to residents in care. The facility maintained a temperature of 71 degrees. LPA observed cameras throughout the common areas only. Facility provides sufficient space to accommodate both indoor and outdoor activities. LPA observed a working phone available for residents use whenever needed. OUTDOOR SPACE: The backyard has a covered outdoor area equipped with furniture for residents’ use. Facility has a side gate observed to be self-closing and self-latching gate with clear passageways for emergency exit use. All exits and passageways were observed to be free of hazards. The facility does contain a pool, which was observed to be gated and locked in compliance with regulation at the time of the visit. KITCHEN : Kitchen appliances appeared to be in operable condition. The facility has a sufficient supply of perishable and non-perishable food. LPA conducted a review of expiration dates on product labels. Knives and cleaning supplies were observed to be locked and properly stored at the time of the visit. At 9:50 A.M. hot water measured at 110.8 degrees Fahrenheit. Garage/Laundry room: The facility has a laundry room. The laundry room leads to the garage where cleaning supplies and disinfectants are kept. The garage remains locked and inaccessible to the residents in care. LPA observed a low supply of emergency water, extra food and additional PPE supplies are stored. During today’s visit a staff purchased additional emergency water supplies to ensure compliance. Technical Violation (TV) issued. Continued on LIC 809-C Continued from LIC 809-C RECORD REVIEW: Staff and resident records were reviewed for documents including, but not limited to: health screening, TB test, staff training records, fingerprint clearance, resident physician's report, needs and service appraisal, and personal rights. Four (4) resident records were reviewed. LPA observed that Resident #1 (R1’s) most recently Needs and Services Plan was dated 10/25/2024, and the facility did not have an updated form on file. Four (4) staff files reviewed were complete and contained all required documents. MEDICATION REVIEW: Medications review began at approximately 12:30 P.M. Medications are centrally stored and locked in a file cabinet inside a pantry in the kitchen area. All medications including PRNs were labeled, stored, and locked inaccessible to residents in care. Medications were observed to be maintained and administered in compliance with regulation at the time of the visit. However, LPA observed that Resident #2 (R2) was missing their prescribed Senna medication for daily constipation. The administrator stated that R2’s family member had been notified of the low supply of the medication, that the last dosage was administered on 12/16/2025, and that the facility was awaiting a refill from R2’s family member. During the visit, the administrator contacted R2’s family member, who agreed to deliver the medication the same day. Technical violation (TV) issued. During today's visit, LPA gathered the following items: LIC 500 and a copy of the facility's liability insurance. LPA also reviewed the facility's emergency disaster plan, which was observed to be complete and updated annually, at the time of the visit. Emergency drills are conducted quarterly, with the last drill documented on 11/02/2025. The following deficiency was observed (See LIC 809-D) and cited from the California Code of Regulations, Title 22 and/or CA Health and Safety Code. Failure to correct the deficiency may result in civil penalties. Exit interview conducted. A copy of the report and appeal rights were provided.