Bellaire Senior Care

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Christine Yee conducted an unannounced required Annual Inspection and used the CARE Inspection Tool to conduct on today's visit. LPA Yee was let into the home by Ramila Sultanova, Staff. Erna Gevorgyan, Administrator was contacted by staff and she arrived at 11:05 am to conduct the visit. Also present during the visit was David Abramyan, Staff. The reason for today's visit was provided. The facility is a single storey family home consisting of a living room, dining room, kitchen, 3 bedrooms, 2 full bathrooms and a car port. The facility is fire cleared for 5 non-ambulatory and 1 bedridden resident. Bedroom #1(back) is designated for bedridden use for the one resident. Located in the back of the facility is an ADU with it's own address of 6521 Bellaire Avenue that is rented out. On today's visit, all 12 domains of the CARE Inspection Tool was reviewed, 4 Resident files and 5 staff files were reviewed and a tour of the physical plant was conducted. The following were observed on today's visit: the living room and dining room are furnished with the appropriate furniture and sitting for 6 residents the kitchen is equipped with a refrigerator, dishwasher, toaster oven, microwave and coffee maker. sufficient plates, cups and bowls were observed. knives were observed in a locked kitchen drawer. cleaning solutions, dish detergent and laundry detergent are locked in a cabinet under the kitchen sink Page 2. and in a locked cabinet in the common bathroom. Medications are locked in a cabinet in the kitchen. The facility has current general liability insurance that meets Title 22 requirements First Aid kit containing a pair of scissors, tweezer and thermometer and first aid manual was observed. All three bedrooms were observed with 2 hospital beds each, 2 chairs, 2 night stands, 2 lamps and a built in closet. Half bed rails were observed on the right bed in bedroom #2 and full bed rails were observed on the left bed in bedroom #3. Resident in bedroom #3 is receiving hospice services. bed linens were observed Located inside bedroom #1 is a private bathroom equipped with a walk in shower, a shower chair, grab bars and slip resistant mat, a toilet and a single sink. Hygiene products are stored in a locked dresser drawer placed in the bathroom. Water temperature was tested and read 110.0 degrees Fahrenheit. The common bathroom is equipped with a walk in shower, toilet and a single sink. A slip resistant mat and grab bars in the shower and the toilet were observed. The water temperature was tested and read 110.0 degrees Fahrenheit. 2 fire extinguishers were observed in the kitchen. the air conditioner was operational the hardwired combination smoke/carbon monoxide detector located in the resident hallway and the 3 smoke detectors located inside the resident bedrooms and in the dining room were tested and were operational. The auditory device on the 3 outside exiting doors - bedroom #1, kitchen and front door -were tested and were operational The backyard was observed with a table and six chairs under a covered patio. Also located under the covered patio was a washer and dryer. Overall the inside and outside of the facility were observed to be clean The trash cans were observed out on the curb for trash pick up. Deficiencies were cited under California Code of Regulations, Title 22, Division 6, Chapter 8 Exit interview was conducted, Appeals Rights were discussed and a copy was given.the state’s words, verbatim · CDSS document, Jul 9, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Christine Yee conducted an unannounced required Annual Inspection and used the CARE Inspection Tool on today's visit. LPA Yee met with Erna Gevorgyan, Administrator and the reason for today's visit was provided. Also present during the visit were Staff, David Abramyan and Ramila Sultanova. The facility is a single storey family home consisting of a living room, dining room, kitchen, 3 bedrooms, 2 full bathrooms and a car port. The facility is fire cleared for 5 non-ambulatory and 1 bedridden resident. Bedroom #1(back) is designated for bedridden use for the one resident. Located in the back of the facility is an ADU with it's own address of 6521 Bellaire Avenue that is rented out. On today's visit, all 12 domains of the CARE Inspection Tool was reviewed, 5 Resident files and 5 staff files were reviewed and a tour of the physical plant was conducted. The following were observed on today's visit: the living room and dining room are furnished with the appropriate furniture and sitting for 6 residents the kitchen is equipped with a refrigerator, dishwasher, toaster oven, microwave and coffee maker. sufficient plates, cups and bowls were observed. knives were observed in a locked kitchen drawer. cleaning solutions, dish detergent and laundry detergent are locked in a cabinet under the kitchen sink. Medications are locked in a cabinet in the kitchen, including the First Aid kit and first aid manual all three bedrooms were observed with 2 hospital beds each, 2 chairs, 2 night stands, 2 lamps and a built in closet. Full bed rails were observed on the beds located in bedroom #1 and bedroom #3. Residents are receiving hospice services. the hospitals beds were observed with a mattress cover, a fitted sheet and a light blanket. Flat sheets, blankets and comforters were observed in the residents dresser drawers and closet. Located inside bedroom #1 is a private bathroom equipped with a walk in shower, a shower chair, grab bars and slip resistant mat, a toilet and a single sink. Hygiene products are stored in a locked dresser drawer placed in the bathroom. Water temperature was tested and read 118.8 degrees Fahrenheit. The common bathroom is equipped with a walk in shower, toilet and a single sink. A slip resistant mat and grab bars in the shower and the toilet were observed. The water temperature was tested and initially read 120.2 and was re-tested at 7:23pm and it read 119.1 degrees Fahrenheit. 2 fire extinguishers were observed in the kitchen. The first aid kit was reviewed and contained gauze, band aids, the required tweezer, scissors and thermometer. the air conditioner was operational the hardwired combination smoke/carbon monoxide detectors located inside the 3 resident bedrooms, the hallway and in the dining room were tested and were operational. The auditory device on the 3 outside exiting doors-bedroom #1, kitchen and front door -were tested and were operational The backyard was observed with a table and six chairs under a covered patio. Also located under the covered patio was a washer and dryer. The trash cans were observed out on the curb for trash pick up. Deficiencies were cited under California Code of Regulations, Title 22, Division 6, Chapter 8 Exit interview was conducted, Appeals Rights were discussed and a copy was given.the state’s words, verbatim · CDSS document, Jul 17, 2025

Type of visit: Prelicensing

Licensing Program Analyst(LPA) Christine Yee conducted an announced Prelicensing and Component III visit to the facility. The complete CARE Inspection Tool was used on this visit. LPA Yee conducted the visit with Erna Gevorgyan, Administrator, Eva Terzian, Applicant and David Abramyan, Staff. The facility is a single storey family home consisting of a living room, dining room, kitchen, 3 bedrooms, 2 full bathrooms and a car port. The facility is fire cleared for 5 non-ambulatory and 1 bedridden resident. Bedroom #1 is designated for bedridden use for the one resident. Located in the back of the facility is an ADU with it's own address of 6521 Bellaire Avenue that is rented out. The following was observed on today's visit: the living room and dining room are furnished with the appropriate furniture and sitting for 6 residents the kitchen is equipped with a refrigerator, dishwasher, toaster oven, microwave and coffee maker. sufficient plates, cups and bowls were observed. sufficient utensils were observed in kitchen drawer knives were observed in a locked drawer. Cleaning supplies and dish soaps are stored in a locked cupboard under the kitchen sink sufficient perishable for a minimum of 2 days and non-perishable foods for a minimum of 7 days were observed. Medications are stored in a locked cupboard in the kitchen Bedroom #1, designated for bedridden use, was observed with 2 hospital beds, 2 night stands, 2 lamps, 2 chairs, 1 dresser, a closet. One of the hospital beds did not have a mattress and was not made up. Per information provided, the mattress was thrown out and needs to be replaced. The auditory device on the outside exiting door was barely audible and batteries were replaced to make them operational. Located inside the room is a private bathroom that is equipped with a walk in shower with grab bars, non-skid mats, a single sink and a covered trash can. Water temperature tested read 119.3 degrees Fahrenheit. Resident equipment were stored in the private bathroom and need to be removed. Bedroom #2 was observed with 2 hospital beds with bed rails placed along the center of the bed. The resident in the left bed is on hospice and the other is not. Also observed were 2 night stands, 2 lamps, 2 chairs and 4 little stands with small drawers that do not meet Title 22 requirements of 8 cubic feet for a dresser and a shared closet. Bedroom #3 was observed with 2 hospital beds, 2 night stands, 2 chairs, 2 lamps and a shared closet. The mattress on the bed located to the left of the room was observed with a caved in mattress and needs to be replaced. Incontinence products for all the residents were stored in the closet and needs to be relocated. The common bathroom was observed equipped with a shower, a toilet, a sink, grab bars and a non-skid mat. The water temperature was tested and read 120.6 degrees Fahrenheit. The hardwired smoke detectors and combination smoke/carbon monoxide detectors located in the resident rooms, hallway and dining room were tested and were operational the two fire extinguishers located in the kitchen were purchased on 1/11/24. The auditory device on the front door and kitchen door were operational the facility has central air and was in use during this visit first aid kit contained the required scissors, tweezers and thermometer and first aid manual are stored in the kitchen The facility has a land line and the telephone # is (323)284-8907 Resident and Family council posters, complaint poster, labor poster, personal rights poster were were observed. The outside covered patio was observed with a table and 6 chairs. The washer and dryer located in the outside patio was operational The front and backyard were clean. The following deficiencies/actions need to be completed: dressers meeting Title 22 requirements need to be purchased for bedroom #2 and #3 provide a mattress that is good condition for the beds located in bedroom #1 and bedroom #3. adjust the water temperature slightly to ensure that the water temperature is within 105-120 degrees Fahrenheit. Adjust the bed rail or remove the bed rail on the hospital bed located to the right side of bedroom #2. Ensure that a physician's order was obtained if the bed rail is retained. Applicant will purchase liability insurance meeting Title 22 requirements upon licensure. Applicant will make the noted corrections and provide evidence of the corrections. Component III was conducted with Erna Gevorgyan , Administrator and David Abramyan, Staff. Exit interview was conducted.the state’s words, verbatim · CDSS document, Jul 16, 2024

Type of visit: Office

Facility Type: RCFE Application Type: CHOW Capacity: 6 Census (if any clients in care): 4 COMP II Participants: Erna Gevorgyan(A), Eva Terzian (C) Interview Method: Telephone interview On June 28, 2024, applicant/administrator participated in COMP II. Identification of the applicant and administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant and administrator confirmed that they have read and understand community care facility licensing laws included in the Health and Safety Codes and the California Code of Regulations Title 22. Signed LIC 809 with copy of photo ID have been obtained. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Medications/Staffing requirements & Training 3.General provisions 4. Pre Licensing Inspection readinessthe state’s words, verbatim · CDSS document, Jun 28, 2024