Routine inspection·November 6, 2025

Licensing Program Analyst (LPA) Brian Balisi arrived at the facility unannounced to conduct a required annual visit. Upon arrival, the LPA met with staff and explained the reason for the visit. Licensee Andranik Kapikyan arrived shortly after. LPA toured the physical plant areas inside and outside to ensure there are no health and safety hazards and the facility is in compliance with Title 22 Regulations. At approx 09:40 a.m. LPA inspected the kitchen/food service area.  Kitchen appliances appeared clean and to be in  operable condition at the time of the visit.  The facility has a sufficient supply of perishable and non-perishable food. Food labels were inspected and checked for dates and expiration dates. Knives and sharps were observed locked and inaccessible to residents in care. LPA observed five (5) resident bedrooms , which were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. The resident bathrooms were clean and sanitary and in operating condition with grab bars and non-skid surfaces. The bathrooms were sufficiently stocked with supplies and paper towels. The hot water temperature was measured between 105 - 120 degrees Fahrenheit. LPA observed personal hygiene supplies,  toiletries and activities to be  stored and inaccessible in a closet in the hallway bathroom. At the time of the visit, the common area furniture's were observed to be in good condition.  A sufficient supply of clean linen and towels were observed stored in a hallway closet.  The facility maintained a comfortable temperature of 72 degrees Fahrenheit. At approx. 10:20 a.m. LPA observed residents sitting in living room talking and watching television. All exits have functioning auditory devices and were operational at the time of the visit. The LPA observed required postings throughout the common areas. There is an attached garage observed inaccessible to residents in care.  LPA observed laundry area before the garage entrance. Laundry supplies were observed inaccessible to residents in care. LPA observed  garage to store, emergency food, extra incontinent supplies, linen, PPE , as well as additional furniture and medical equipment for facility use.  The backyard has a covered outdoor area equipped with furniture including a table and chairs for resident use. The LPA observed one (1) self-latching gate with clear passageways clear of obstruction. LPA did not observe any bodies of water during the visit. There is gated doorway leading into the front entrance of facility. LPA observed gate to be unlocked during the visit. At approx 11:15 a.m. Administrator exited the facility due to not feeling well and stated staff will sign in their place. Records review,  six (6) resident records were reviewed for, but not limited to: appraisals, medical records, admissions agreement, consent forms.  At approx 11:30am , LPA did not observed the following: Resident #1 (R1) did not have a signed admissions agreement No records onsite to review for Resident #5 (R5) and Resident #6 (R6). Four (4)  Personnel records were reviewed for, but not limited to: personnel records, health assessments, criminal record clearances, first aid/CPR training, and the appropriate training.   Staff files were observed to be in order at this time . Last emergency disaster drill conducted 09/01/2025. At approx 01:15 p.m. LPA was unable to conduct medications review due to Centrally Stored Medication log onsite to review. Infection control: Upon entry, the facility has a central entry point for symptom screening, temperature checks, and sanitation station. At this time, the staff will continue to keep up signs that promotes good hand hygiene and symptoms of a communicable disease. The facility has an adequate supply of Personal Protection Equipment (PPE), and the facility is able to obtain additional supplies as needed. The facility’s cleaning protocol is sufficient. If needed, the facility has the capacity to designate a single isolation room if the facility has a confirmed case of an infectious disease. The facility’s policies and procedures as it pertains to infection control are adequate. LPA obtained the following documents at the time of visit: Facility’s liability insurance.  Interviews were conducted during the visit. Pursuant to Title 22, California Code of Regulations, the following deficiency is cited (refer to LIC 809-D). The Administrator was informed that additional civil penalties might be assessed based on Health and Safety Code 1569.49(e) and 1569.49(f). Exit interview conducted with staff along with Administrator via phone, appeal rights discussed, and a copy of this report issued.