Love Is Us

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Christine Yee conducted an unannounced Annual Inspection and used the complete CARE Inspection Tool to conduct the visit. LPA Yee was let into the home by Debbie Neria, staff. The Administrator was contacted by staff and she arrived at 11:38am to conduct the visit. The facility is a single storey ADU located in the back of the property. The home consists of a living room, dining room, a kitchen, 3 resident bedrooms with their own private bathrooms and a common powder room. Also located at the end of the hallway is the laundry closet with a washer and dryer. The back house and the front house have a separate addresses and are separated by a solid fence. However, there is a back gate that permits staff from both homes entry to both homes. The facility is fire cleared for 5 NON-AMBULATORY and 1 BEDRIDDEN resident. On today's visit, all 12 domains of the CARE Inspection Tool was reviewed. Also reviewed were 6 resident files, 4 staff files and the Emergency and Disaster Plan. The following was observed during today's visit: the living room, dining room and kitchen are equipped and furnished with the appropriate furniture and equipment for its designated use. all resident rooms are shared rooms and each are furnished with 2 hospital beds, night stand, 2 dressers, a built in closet. No chairs or lamps were observed. Per explanation provided, the residents don't want the lamps and the chairs were stored away due to residents climbing on the chairs. the beds were observed with a mattress cover, a fitted sheet and a blanket. There were no flat sheets or comforters observed on the beds. Per explanation provided, the residents do not like flat sheets and the comforters are in the closet due to the hot weather. continued on LIC809-C Page 2. located inside the resident rooms are private bathrooms equipped with a shower stall, a toilet and a vanity with a single sink. Grab bars, shower chairs and a slip resistant mat was observed. The water temperature taken in Bedroom #1 read 112.5, Bedroom #2 read 119.0 and Bedroom #3 read 119.7 degrees Fahrenheit. the water temperature tested in the kitchen read 115.20 degrees Fahrenheit. located at the end of the resident hallway is the laundry closet and houses a washer and dryer. also located in the hallway is a half bathroom equipped with a sink and a toilet and is primarily used by staff and visitors. A grab bar was observed. per review of the food supply, plenty of perishables for a minimum of 2 days and non-perishable foods for a minimum of 7 days were observed. However, a recommendation was made to supplement the non-perishable foods to accommodate staff during an emergency. the auditory device in bedroom #3 and the front door were tested and were operational. the only fire extinguisher located in the kitchen was purchased on 3/16/26 the first aid kit was reviewed and met requirements. the smoke detectors located in all the resident rooms, hallway and the only combination smoke/carbon monoxide detector located in the living room were tested and were operational. full bed rails were observed on the left bed in bedroom #1 and the right bed in bedroom #2 and no written physicians orders were observed. The back bed in bedroom #3 was equipped with a half bed rail and there was a physician's order on file. All staff have current first aid and CPR training. the facility has current general liability insurance that meets Title 22 requirements. Resident #4 who has been determined to bedridden was observed in bedroom #2. the outside area is furnished with a table, chairs and an umbrella for outside activities. Also located outside is a storage shed. Overall, all areas of the facility were observed to be clean. Deficiencies were cited under California Code of Regulations, Title 22, Division 6 and Health and Safety Code. Immediate civil penalties of $500 was issued. Exit interview was conducted, Appeals Rights were discussed and a copy was provided.the state’s words, verbatim · CDSS document, Sep 24, 2026

The state marks this report as 8 pages; the online copy we transcribed has 6. You can request the full file from the county licensing office.

Type of visit: Case Management - Deficiencies

Licensing Program Analyst(LPA) Christine Yee conducted an unannounced case management visit due to deficiencies noted during a visit conducted to the facility on 5/20/26. On that visit, LPA Yee was let into the home by Debbie Neria, House Manager. Also present during the 5/20/26 visit was Lydia Gonzalez, Staff. LPA Yee had met with Ani Ghazaryan, Administrator, who arrived at 10:48pm to conduct the 5/20/26 visit. The reason for today's visit was provided. During the 5/20/26 visit, LPA Yee reviewed the Personnel Roster and observed that Lydia Gonzalez, Staff is not associated to the home. She has been employed since 11/05/25. Department staff was also contacted during the visit to verify the criminal record clearance status for Lydia Gonzalez and was erroneously advised that she was associated to the facility and so the citation was not issued on the 5/20/26 visit. Further research was conducted related to the employee after the 5/20/26 visit and it was discovered that Lydia Gonzalez, who was initially associated to the facility on 9/11/23, had been disassociated at the written request of the Administrator, Ani Ghazaryn on 8/29/2024 due to Lydia Gonzalez quitting her job on 12/22/23. As of today's visit, she is still not associated to the facility. Deficiencies cited under California Code of Regulations, Title 2, Division 6, Chapter 8. CIVIL PENALTIES OF $500.00 WERE ASSESSED. Exit interview was conducted, APPEALS RIGHTS were discussed and a copy was given.the state’s words, verbatim · CDSS document, Jul 2, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87355(d)(3) · Plan of correction due date: Jul 3, 2026

Criminal Record Clearance: All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: Request a transfer of a criminal record clearance as specified in Section 87355(c) or 87355(c) or..This requirement was not met as evidenced by: Lydia Gonzalez was observed working at the home and is not associated to the facility. Civil Penalties of $500 was assessed.the state’s words, verbatim · CDSS document, Jul 2, 2026

Plan of correction: The Licensee will ensure that all staff, volunteers and anyone who is required to have a criminal record clearance is cleared and associated to the home prior to being present at the facility. Licensee will either go into Guardian to associate the facility or submit a completed LIC9182 with a valid and llegible copy of a government document, such as a driver license to the Regional Office to have Lydia Gonzalez and any staff that works a the facility associated prior to being present at the facility by 7/3/26 ***LIC9182 emailed to LPA Yee and the Dept on 7/2/26

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Quoc Huynh arrived at the facility unannounced to conduct a required annual visit. The LPA arrived at 11:46AM and was greeted by Staff, informed them of the reason for the visit, and Staff proceeded to notify the Licensee. The Licensee Ani Ghazaryan and Administrator Ara Ghazaryan arrived shortly thereafter. Entrance interview conducted. Beginning at 12:03PM, the LPA and Administrator toured the physical plant areas inside and outside to ensure there were no health and safety hazards, and the facility is in compliance with Title 22 Regulations. The following was observed: KITCHEN: Knives were stored inaccessible in a locked drawer near the sink and locked cleaning supplies stored under the sink. Food in the refrigerator was observed to be properly stored with labels and dates. There was a sufficient supply of non-perishable and perishable foods. OUTDOOR AREA: The facility was located in an Additional Dwelling Unit (ADU) behind a neighboring related facility. The facility was fenced off and separated from the neighboring facility. The exterior had one (1) patio area equipped with furniture for residents and visitors to use. There was one (1) entry and exit way with a gated door for everyday use and in emergencies. There was one (1) shed that contained facility supplies and general storage. Emergency food and water was located in the neighboring facility’s garage in addition to the shed and was adequate. Report Continued on LIC 809-C COMMON AREAS: At the time of the visit, the living room and dining room furniture was observed to be in good condition. Also located in the common areas was a desk and a locked cabinet which contained facility files. LPA observed nightlights throughout the facility. The facility maintained a comfortable temperature throughout the visit. BEDROOMS/RESTROOMS: There were three (3) total bedrooms, each with dual occupancy. Bedroom #3 had a direct exit to the outside and was approved for one (1) bedridden resident. Bedrooms were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. Extra linens were stored in each bedroom closet. There were four (4) total restrooms in the facility: three (3) private resident restrooms and one (1) shared common area restroom. Restrooms were clean and sanitary and in operating condition with grab bars and non-slip surfaces. All restrooms were sufficiently stocked with soap, paper products, and displayed hand washing signs. Each restroom had locked cabinets under the sink that contained cleaning supplies and hygiene products. Hot water was tested and measured between 108.5 degrees F and 113 degrees F. RECORDS: Record review began at 12:27PM. Resident records were reviewed for, but not limited to care plans, physician's report, admissions agreement, and consent forms. All records were in order and the LPA reminded the Licensee to ensure resident Appraisals were reviewed/updated annually. Personnel records were reviewed for, but not limited to health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. All files were in order. INFECTION CONTROL/EMERGENCY DISASTER PLAN: During today's visit, the LPA reviewed the facility's infection control plan and emergency disaster plan. Both documents were observed to be complete and updated annually as required. One (1) fire extinguisher was observed and was purchased on 06/24/2025. Emergency disaster drills are conducted quarterly, with the last documented drill on 07/16/2025. Smoke and Carbon Monoxide alarms were tested at 12:24PM and were operational in addition to the fire door. Report Continued on LIC 809-C MEDICATIONS: Medication review began at 1:25PM. Medications were centrally stored and kept inaccessible in the kitchen. Medications were observed for two (2) residents and were labeled and checked for expiration dates. Medications were properly documented on the centrally stored medications and destruction record. No errors observed during the medication review. The LPA had a discussion with the Licensee to ensure medications were administered according to the labels to avoid any discrepancies. Additionally, the LPA explained to the Licensee that they should not rely on the pharmacies to provide the Centrally Stored Medication and Destruction Records, and they understood. No deficiency cited. Exit interview conducted. A copy of today's report was reviewed and provided.the state’s words, verbatim · CDSS document, Sep 9, 2025

The state marks this report as 7 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analysts (LPA) Erica Mosley arrived at the facility unannounced to conduct a required annual visit and entered the facility at 10:02 a.m. Upon arrival, LPA Mosley was greeted by staff and administrator and inform them of the visit. The LPA met with Administrator ANI GHAZARYAN and explained the reason for the visit. The LPA 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 is a single-story family home located in the back of the property consisting of 2 homes. The home consists of a living room, dining room, a kitchen, three (3) resident shared bedrooms, three (3) bathrooms, and a private staff / guest half bathroom/ common powder room. The entry way to the back house is separated from the front house, which has a separate address, and separated by a solid fence. The facility is fire cleared for 5 NON-AMBULATORY and 1 BEDRIDDEN resident. RESTROOMS: The three (3) resident restrooms and a half restroom /powder room were clean, sanitary and in operating condition with grab bars and non-skid surfaces. The restrooms were sufficiently stocked with supplies and paper towels. The hot water temperature was measured between 10:10 a.m.to 10:26 a.m.; the first bathroom measured at 107.3 degrees Fahrenheit at 10:10 a.m, the second bathroom measured at 110.9 degrees Fahrenheit at 10:15 a.m the third bathroom measured 110.8 at 10:26 a.m. all within the required range. BEDROOMS: There are three (3) total bedrooms in the facility; all three (3) are designated as shared rooms. All resident rooms were observed to be furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. Report Continued on LIC 809C... Report Continued from LIC 809... KITCHEN: The LPA inspected the kitchen/food service area at 10:28 a.m. Knives and sharps were observed in a locked cabinet. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. Refrigerator and food pantry were checked for proper labels and expiration dates. The kitchen faucet was measured for hot water temperature, and it measured 115.6 degrees Fahrenheit at 10:32 a.m. COMMON AREAS: At the time of the visit, furniture in the common areas was observed to be in good condition. The facility maintained a comfortable temperature. At 1:03 p.m., smoke detector(s) and carbon monoxide detector were tested and operational at the time of the visit. The fire extinguisher was observed, fully charged and purchased on 4/20/2024. The LPA observed required postings throughout the common space. The last emergency disaster drill took place on 07/15/2024 and are conducted quarterly. Activities were observed in the common areas. GARAGE /FRONT YARD/ BACKYARD: The garage is attached to the main home and is maintained locked at all times. There is a washer and dryer on the premises that is locked at all times. Laundry detergent was observed in the locked washer and dryer area. LPA observed an adequate amount of emergency food, water, and cleaning supplies that are kept in a locked shed inaccessible to residents in care. The shed is located at the front yard. The backyard has a covered patio area with patio furniture including a table and chairs for resident use. All passageways were observed to be clear. LPAs observed one (1) self-latching gate. There were no bodies of water noted at the time of the visit. RECORDS :Resident Records were reviewed beginning at 10:41 a.m. and Personnel records at 11:42 a.m. Six (6) resident files were reviewed for, but not limited to, the following: signed admission agreements, current medical assessments with TB results, LIC627(c) Consent for Treatment form, and current needs and services plan. Report Continued on LIC 809C.. Report Continued from LIC 809C... Five (5) personnel files including the Administrator’s file were reviewed for, but not limited to: personnel records, health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. All records were in order. MEDICATIONS: Medications review began at approximately 3:15 p.m. The medications are locked in a cabinet in the kitchen. Medications for six (6) residents were reviewed. Medications reviewed were found to be self administered as prescribed and documented on the centrally stored medication and destruction records. INTERVIEWS: Two (2) staff interviews were conducted. Six (6) resident interviews were attempted. Two (2) resident interviews were conducted. Interviews were conducted between 4:00 p.m. to 4:30 p.m. Administrator was informed that Licensing fees are due this month on September 27th. Administrator was given information on how to pay online. No deficiencies were cited during today’s inspection. Exit interview conducted. Due to technical difficulties with the system a copy of the report was emailed to the Administrator for signature. A hard copy with the administrators signature will be in the physical file and e-file.the state’s words, verbatim · CDSS document, Sep 12, 2024