Impressive Care

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Trevor Byrne arrived at the facility unannounced to conduct the required annual visit at 09:30 AM. LPA met with facility staff who contacted the Administrator Armine Tagaryan. The Administrator arrived to the facility at approximately 09:40 AM. Entrance interview was conducted and the reason for the visit was explained. Beginning at approximately 09:45 AM, the LPA, along with facility Administrator, toured the physical plant areas inside and outside to ensure there are no health and safety hazards, and that facility is in compliance with Title 22 Regulations. The following was observed: KITCHEN: LPA observed the kitchen area to be clean. Kitchen appliances appeared to be in operable condition. The facility had a sufficient supply of two (2) days perishable and seven (7) days non-perishable food. LPA observed a secured drawer which contained knives and other sharp objects. LPA observed a secured cabinet located under the sink which contained cleaning supplies. LPA observed the kitchen to contain a wall mounted fire extinguisher that was fully charged and was last serviced on 09/03/2025. COMMON AREAS: This included the living room, entryway, hallway, and dining area. LPA observed the living room to be clean and properly furnished at the time of the visit. The living room contained activities and a television for resident use. Additionally, the living room contained the facility's complete first aid kit. LPA observed the entryway to contain all required postings and a fire extinguisher that was fully charged and last serviced on 09/03/2025. LPA observed a hallway closet which contained extra linens and care supplies. The dining area was observed to contain adequate seating for resident use. All furniture in the facility was observed to be clean and in good repair. Smoke detectors, carbon monoxide detectors, and the fire door were tested at 10:14 AM and were functional at the time of the visit. CONTINUED ON LIC 809C. BEDROOMS: There are three (3) bedrooms in the facility and all are designated for resident use. LPA and facility Administrator toured all three (3) resident rooms. All resident rooms were observed to be furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. Bedroom #3 is the bedridden approved room and contained a direct exit to the outdoors of the facility. Auditory alarms were observed on facility exits and all were functional at the time of the visit. BATHROOMS: There are two (2) bathrooms at the facility. One (1) is designated as shared resident bathroom and one (1) is designated as a private resident bathroom. All bathrooms were observed to be clean and in good repair and all were equipped with nonskid surfaces. Grab bars were observed in all bathrooms and all were properly secured. The water temperature was measured to be between 126.0 and 127.4 degrees Fahrenheit, which is outside of the range required by regulation. OUTDOOR SPACE: The facility had two (2) emergency exit gates located in the front yard of the property; LPA observed clear passageways for emergency exit use. The facility had adequate shaded seating outdoors for resident use. The backyard contained one (1) secured shed which contained cleaning chemicals. LPA observed an appropriately fenced off pool that was locked and inaccessible to residents in care. RECORD REVIEW: Record review began at 10:20 AM. 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, consent forms, and personal rights. Four (4) staff files were reviewed. All staff files contained the required documents and trainings. Three (3) resident files were reviewed. All resident files contained all required documentation. No deficiencies were observed during record review. MEDICATION REVIEW: Medication review began at 12:08 PM. Medications are stored centrally and securely in a cabinet in the living room. Medications for three (3) residents were observed. All medications observed were documented appropriately on their centrally stored medication and destruction record sheets. No deficiencies were observed during medication review. CONTINUED ON LIC 809C. INFECTION CONTROL/EMERGENCY DISASTER PLANNING: During today’s visit, the LPA reviewed the facility's infection control practices and the facility's emergency disaster plan. The facility’s policies and procedures as they pertain to infection control are adequate. Emergency disaster drills are conducted quarterly; the facility’s last emergency disaster drill was conducted on 07/20/2026. The facility’s emergency disaster plan is up to date and is adequate. Both the infection control plan and the emergency disaster plan are reviewed/updated annually by the facility’s Administrator. INTERVIEWS: LPA interviewed one (1) staff and one (1) resident. The resident interviewed stated that the staff treat them well and are attentive to their needs. The resident interviewed had no concerns with the facility. The staff member interviewed was knowledgeable on their role and responsibilities, the resident rights, the different forms of abuse, and the appropriate reporting procedures for suspected abuse. The staff interview was conducted with the assistance of the Administrator acting as a translator. During today’s visit LPA obtained a copy of the facility’s updated emergency disaster plan, LIC 500, resident roster, and liability insurance. Pursuant to Title 22 of the CA Code of Regulations and/or the Health and Safety Code, the following deficiency was cited (refer to LIC 809-D): Exit interview conducted and copy of the report was issued and appeal rights provided.the state’s words, verbatim · CDSS document, Aug 20, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Trevor Byrne arrived at the facility unannounced to conduct the required annual visit at 10:15 AM. LPA met with facility staff who contacted the Administrator Armine Tagaryan. The Administrator arrived to the facility at 10:26 AM. Entrance interview conducted and the reason for the visit was explained. Beginning at 10:27 AM, the LPA, along with facility Administrator, toured the physical plant areas inside and outside to ensure there are no health and safety hazards, and that facility is in compliance with Title 22 Regulations. The following was observed: KITCHEN: LPA observed the kitchen area to be clean. Kitchen appliances appeared to be in operable condition. The facility has a sufficient supply of two (2) days perishable and seven (7) days non-perishable food. LPA observed a secured drawer to contain knives and other sharp objects. LPA observed a secured cabinet located under the sink which contained cleaning supplies. LPA observed the kitchen to contain a wall mounted fire extinguisher that was fully charged and was last serviced on 09/09/2024. OUTDOOR SPACE: The facility has two (2) emergency exit gates located in the front yard of the property; LPA observed clear passageways for emergency exit use. The facility has adequate shaded seating outdoors for resident use. The backyard contains one (1) secured shed that was observed to contain cleaning chemicals. LPA observed an appropriately fenced off pool that was locked and inaccessible to residents in care. Continued on LIC 809C. COMMON AREA: This includes the living room, entryway, hallway, and dining area. LPA observed the living room to be clean and properly furnished at the time of the visit. The living room contains activities, a television, and recliners for resident use. Additionally, the living room contains the facility's complete first aid kit. LPA observed the entryway to contain all required postings and a fire extinguisher that was fully charged and last serviced on 09/09/2024. LPA observed a hallway closet to contain extra linens. The dining area was observed to contain adequate seating for resident use. All furniture in the facility was observed to be clean and in good repair. Smoke detectors, carbon monoxide detectors, and the fire door were tested at 10:45 AM and were functional at the time of the visit. BEDROOMS: There are three (3) bedrooms in the facility; one (1) is a dual occupancy room and two (2) are single occupancy rooms. All are designated for resident use. LPA and facility Administrator toured all three (3) resident rooms. All resident rooms were observed to be furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. Bedroom #3 is the bedridden approved room and contains a direct exit to the outdoors of the facility. Auditory alarms were observed on facility exits and all were functional at the time of the visit. BATHROOMS: There are two (2) bathrooms at the facility. One (1) is designated as shared resident bathroom and one (1) is designated as a private resident bathroom. All bathrooms were observed to be clean and in good repair and all were equipped with nonskid surfaces. Grab bars were observed in all bathrooms and all were properly secured. The water temperature was measured between 116.8 and 118.0 degrees Fahrenheit, which is in compliance with regulation. RECORD REVIEW: Record review began at 11:05 AM. 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, consent forms, and personal rights. Four (4) staff files were reviewed. All staff files contained the required documents and trainings. Three (3) resident files were reviewed. All resident files contained all required documentation. No deficiencies were observed during record review. Continued on LIC 809C. MEDICATION REVIEW: Medication review began at 12:44 PM. Medications are stored centrally and securely in a cabinet in the living room. Medications for three (3) residents were observed. All medications observed were documented appropriately on their centrally stored medication and destruction record sheets. No deficiencies were observed during medication review. INFECTION CONTROL/EMERGENCY DISASTER PLANNING: During today’s visit, the LPA reviewed the facility's infection control practices and the facility's emergency disaster plan. The facility’s policies and procedures as they pertain to infection control are adequate. Emergency disaster drills are conducted quarterly; the facility’s last emergency disaster drill was conducted on 07/07/2025. The facility’s emergency disaster plan is up to date and is adequate. Both the infection control plan and the emergency disaster plan are reviewed/updated annually by the facility’s Administrator. INTERVIEWS: LPA interviewed one (1) staff and one (1) resident. The resident interviewed stated that the staff treat them well and are attentive to their needs. The resident interviewed had no concerns with the facility. The staff member interviewed was knowledgeable on their role and responsibilities, the resident rights, the different forms of abuse, and the appropriate reporting procedures for suspected abuse. The staff interview was conducted with the assistance of the Administrator acting as a translator. During today’s visit LPA obtained a copy of the facility’s LIC 500, resident roster, and liability insurance. No deficiencies were observed during today’s inspection. Exit interview conducted and copy of the report was issued.the state’s words, verbatim · CDSS document, Sep 3, 2025

Allegation investigated: Staff yelled at resident Staff did not allow resident to use the phone

Licensing Program Analyst (LPA) Trevor Byrne conducted an unannounced follow-up complaint investigation visit at the facility at 09:29 AM. LPA met with facility staff who contacted the facility Administrator Armine Tagaryan. The Administrator arrived to the facility at 09:45 AM. Entrance interview conducted and the reason for the visit was explained. During the initial visit on 05/02/2024, LPA Peraldi conducted a physical plant tour to ensure there are no health and safety hazards, collected copies of pertinent documents, and conducted interviews with the Administrator, one (1) staff member, and one (1) witness between 02:40 PM. and 03:40 PM. During today’s visit LPA Byrne conducted a physical plant tour, interviewed two (2) residents, obtained copies of pertinent documentation, and delivered findings to the facility Administrator. Continued on LIC 9099C. Unsubstantiated The allegation of “Staff yelled at resident” alleges that facility staff would yell at resident #1 (R1) to not say things to their family members. Two (2) current facility residents were interviewed. Both residents stated that facility staff are kind and denied ever being yelled at by facility staff. One (1) staff member was interviewed, staff #1 (S1). S1 denied ever yelling at residents in care and stated that they have never witnessed other staff members yelling at residents. LPA Byrne interviewed the facility Administrator who denied staff ever yelling at residents in care. The Administrator stated that R1 was afforded privacy when speaking with visitors in person or via telephone call. The Administrator stated that when visitors would come to see R1 they would close the door for privacy while speaking. One (1) witness interviewed, witness #1 (W1) denied ever witnessing staff yelling at residents in care. W1 described the staff at the facility as “nice” and “helpful”. W1 had no concerns with the quality of care at the facility. Although the allegation may have happened or is valid there is insufficient evidence to support the allegation of, “Staff yelled at resident.” Therefore, the allegation is deemed Unsubstantiated at this time. The allegation of “Staff did not allow resident to use the phone.” alleges that facility staff would not allow R1 to contact family members via telephone call. LPA Byrne interviewed two (2) current residents who denied ever being restricted access to use of telephones. Both residents had no concerns with the facility. The Administrator stated that R1 had access to a personal cellphone that was tethered to their bedside. The Administrator stated that facility staff would assist R1 in answering the phone when calls came in and would give privacy to the resident during their conversations. Additionally, the Administrator stated that the facility received calls up to two (2) times a day on the facility phone for R1. The Administrator stated that staff would give the facility phone to R1 and would provide them with privacy. S1 denied ever restricting R1 access to their personal phone or the facility phone. S1 confirmed that privacy for R1’s phone calls was always afforded. LPA Peraldi interviewed W1 who stated that most residents have access to their personal phones, but they have never witnessed facility staff restricting access to the facility phone for residents use. Although the allegation may have happened or is valid there is insufficient evidence to support the allegation of, “Staff did not allow resident to use the phone.” Therefore, the allegation is deemed Unsubstantiated at this time. No deficiencies were cited during today’s investigation. A copy of the report was printed and exit interview was conducted.the state’s words, verbatim · CDSS document, Apr 24, 2025 · control 29-AS-20240424134628

Allegation investigated: Staff handled a resident in a rough manner.

Licensing Program Analyst (LPA) Trevor Byrne conducted an unannounced follow-up complaint investigation visit at the facility at 09:29 AM. LPA met with facility staff who contacted the facility Administrator Armine Tagaryan. The Administrator arrived to the facility at 09:45 AM. Entrance interview conducted and the reason for the visit was explained. During the initial visit on 05/02/2024, LPA Peraldi conducted a physical plant tour to ensure there are no health and safety hazards, collected copies of pertinent documents, and conducted interviews with the Administrator, one (1) staff member, and one (1) witness between 02:40 PM. and 03:40 PM. During today’s visit between 09:50 AM and 11:30 AM LPA Byrne conducted a physical plant tour, interviewed two (2) residents, reviewed one (1) resident file, obtained copies of pertinent documentation, and delivered findings to the facility Administrator. Continued on LIC 9099C. Unsubstantiated The allegation of “Staff handled a resident in a rough manner.” alleges the facility Administrator had pulled resident #1’s (R1) hair and thrown them against a railing at the facility. Two (2) current facility residents were interviewed. Both residents stated that the staff were kind and denied staff ever handling the in a rough manner. One (1) staff member was interviewed, staff #1 (S1). S1 denied residents of the facility ever being handled in a rough manner. S1 denied R1 ever having their hair pulled or being thrown by any other staff including the Administrator. LPA Byrne interviewed the facility Administrator who denied ever pulling R1’s hair or throwing them against a railing at the facility. One (1) witness interviewed, witness #1 (W1) who stated that they have never witnessed or heard of staff members at the facility handling residents in a rough manner. W1 described the staff at the facility as “nice” and “helpful”. W1 had no concerns with the quality of care at the facility. LPA Byrne reviewed the resident file for R1. LPA did not observe any hospital paperwork or incident reports referencing any altercations or injuries to R1. Although the allegation may have happened or is valid there is insufficient evidence to support the allegation of, “Staff handled a resident in a rough manner.” Therefore, the allegation is deemed Unsubstantiated at this time. No deficiencies were cited during today’s investigation. A copy of the report was printed and exit interview was conducted.the state’s words, verbatim · CDSS document, Apr 24, 2025 · control 29-AS-20240425173113

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Trevor Byrne arrived at the facility unannounced to conduct a required annual visit at 09:49 AM. LPA met with facility administrator Armine Tagaryan. Entrance interview conducted and the reason for the visit was explained. Beginning at 09:52 AM, the LPA, along with facility administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that facility is in compliance with Title 22 Regulations. The following was observed: KITCHEN: The LPA observed the kitchen area to be clean. Kitchen appliances were in operable condition. The facility has a sufficient supply of two (2) days perishable and seven (7) days non-perishable food. LPA observed a secured drawer to contain knives as well as a secured cabinet located under the sink which contained cleaning supplies. BEDROOMS: There are three (3) bedrooms in the facility; one (1) is a dual occupancy room and two (2) are single occupancy rooms. All are designated for resident use. LPA and facility administrator toured all three (3) resident rooms. All resident rooms were observed to be furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. Three (3) resident beds were observed to contain full bed rails. Auditory alarms were observed on facility exits and all were functional at the time of the visit. BATHROOMS: There are two (2) bathrooms at the facility. Both bathrooms are designated as shared resident bathrooms. All bathrooms were observed to be clean and in good repair and all were equipped with nonskid surfaces. Grab bars were observed in all showers and near all toilets, all were properly secured. The water temperature was measured between 121.6 and 124.7 degrees Fahrenheit, which is in compliance with regulation. Report Continued on LIC 809-C COMMON AREAS/GARAGE: This includes the living room. LPA observed the living room to be clean and properly furnished at the time of the visit. The living room contains a dining table with chairs and recliners for resident use. LPA observed a hallway closet to contain extra linens and craft supplies. The Garage is attached to a facility located at the front of the property (Noble Care: 197608760). LPA observed the garage to contain a washer and dryer, emergency water supplies, and extra care supplies. OUTDOOR SPACE: The facility has two (2) emergency exit gates located in the front yard; LPA observed clear passageways for emergency exit use. The facility has adequate shaded seating outdoors for resident use. The backyard contains one (1) secured shed that was observed to contain cleaning supplies. LPA observed an appropriately fenced off pool that was inaccessible to residents in care. RECORD REVIEW: Record review began at 10:58 AM. 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, TB tests, consent forms, and personal rights. Three (3) staff files were reviewed. All staff files contained the required documents and trainings. Four (4) resident files were reviewed. One (1) resident file reviewed revealed that the resident had not been reappraised by their physician following a change in condition. All other resident files contained all required documentation. MEDICATION REVIEW: Medication review began at 12:08 PM. Medications are stored centrally and securely in a cabinet in the living room. Medications for two (2) residents were observed. All medications observed were documented appropriately on their centrally stored medication and destruction record sheets. No deficiencies were observed during medication review. INFECTION CONTROL/EMERGENCY DISASTER PLANNING: During today’s visit, the LPA reviewed the facility's infection control practices and the facility's emergency disaster plan. The facility’s policies and procedures as it pertains to infection control are adequate. Emergency disaster drills are to be conducted quarterly; the facility’s last emergency disaster drill was conducted on 04/08/2024 which is not in compliance with regulations. The facility’s emergency disaster plan is up to date and is adequate. Both the infection control plan and the emergency disaster plan were reviewed/updated on 09/06/2024 by the facility’s administrator. Report Continued on LIC 809-C INTERVIEWS: LPA interviewed one (1) staff and three (3) residents. All residents interviewed stated that the staff treat them well and are attentive to their needs. No residents interviewed had concerns with the facility. The staff member interviewed was knowledgeable on their role and responsibilities, resident rights, the different forms of abuse and the appropriate reporting procedures for suspected abuse. The staff interview was conducted with the assistance of the administrator acting as a translator. Fire extinguishers were observed to be last serviced on 08/31/2023 which is outside of the annual requirement. Smoke detectors and carbon monoxide detectors were tested at 10:50 AM and were functional at the time of the visit. During the test LPA observed the fire door, separating resident rooms from the rest of the facility, to fail to close which poses an immediate health and safety risk to residents in care. This is a zero-tolerance violation and an immediate civil penalty of $500 is being assessed. During today’s visit LPA obtained a copy of the facility’s LIC 500, resident roster, and liability insurance. Pursuant to Title 22 of the CA Code of Regulations, the following deficiencies and civil penalty were cited (refer to LIC 809-D): Exit interview conducted and copy of the report was issued and appeal rights provided.the state’s words, verbatim · CDSS document, Sep 6, 2024