Helping Hands Senior Living

Allegation investigated: Staff yelled at resident.

Licensing Program Analyst (LPA) Erica Mosley conducted an unannounced initial 10-day complaint visit to investigate the above listed allegation. Upon arrival at approximately 9:45 a.m., LPA was greeted by staff and explained the purpose of the visit. Staff contacted the Administrator, Ani Palezyan, who stated they were unable to attend today’s visit due to illness. However, the Administrator was available telephonically and designated staff Elmira Tsaturyan to sign the report on their behalf. The purpose of the visit was explained, and an entrance interview was conducted. On 04/24/2026, the Department received a complaint regarding the following allegation, Staff yelled at resident. During today's visit LPA and staff briefly toured the physical plant areas inside and outside to ensure there are no immediate health and safety hazards, and facility is in compliance with Title 22 Regulations. Starting at 9:50 a.m. and throughout the visit LPA conducted seven (7) in person and telephonic interviews. Three (3) residents including Resident #1 (R1), One (1) Family member / Power of Attorney (POA), three (3) staff members including Staff #1 (S1) a file and record review and obtained copies of pertinent documents relevant to the investigation. Report continued on LIC 9099-C PAGE 2... Unsubstantiated (PAGE 2) Report continued from LIC 9099... On the allegation, Staff yelled at resident it is the concern of the Reporting Party (RP) that S1 yelled at R1 to use their walker. To investigate this complaint, LPA conducted in person interviews, telephonic interviews, file and record review and obtained copies of pertinent documentation relevant to the investigation. Interview with R1 revealed that the alleged incident was a misunderstanding. R1 stated that S1 did not yell at them. R1 explained that during an in home visit with a new provider, S1 was encouraging them to use their walker. R1 reported that S1 typically uses a “higher pitched voice.” R1 described the home as generally loud, stating that staff often speak loudly due to cultural communication styles and because one of the residents has a significant hearing impairment that requires others to speak at a higher volume or pitch. R1 stated that for someone unfamiliar with the dynamics of the home, the louder communication style could be perceived as shouting or yelling, but staff did not yell at them. Resident interviews revealed that staff do not yell at them. Residents reported they have never witnessed staff yelling at other residents. Residents stated they have not witnessed staff yell at R1, and specifically have not observed S1 yell at R1. Staff interviews revealed that staff do not yell at residents. Staff reported they have not witnessed any staff member yelling at other residents. Staff demonstrated knowledge of resident rights, types of abuse, and reporting procedures. Interview with S1 revealed that they do not yell at R1 and did not yell during the alleged incident. S1 stated they were encouraging R1 to use their walker, as R1 has an unsteady gait and is considered a fall risk. S1 reported that R1 frequently refuses to use the walker, and staff can only encourage its use because R1 has the right to make their own choices. Interview with the family member/POA of a resident revealed that facility staff treat the resident with dignity and respect. The POA reported that they visit the facility regularly and have never had any issues with staff. The POA stated that their family member has a significant hearing impairment, which requires staff to speak at a higher pitch or louder volume; however, staff are not yelling and are not disrespectful. The POA reported they have never witnessed staff yelling at residents and have never observed S1 yelling at residents. Report continued on LIC 9099-C PAGE 3... (PAGE 3) Report continued from LIC 9099... Record review revealed that R1’s Physician’s Report dated 08/25/2025 identifies R1 as ambulatory with motor impairment, use of a walker, unsteady gait, weakness, and fall risk. Although the allegations may have happened or are valid, there is insufficient evidence to prove the alleged violation did or did not occur. Therefore, the allegation of Staff yelled at resident is deemed unsubstantiated at this time. Exit interview conducted. Report was reviewed and a copy was provided.the state’s words, verbatim · CDSS document, May 1, 2026 · control 29-AS-20260424123520

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Trevor Byrne arrived at the facility unannounced to conduct the required annual visit at 09:56 AM. LPA met with facility staff who contacted the facility Administrator Ani Palezyan. The Administrator arrived to the facility at 10:25 AM. Entrance interview was conducted and the reason for the visit was explained. Beginning at 10:17 AM the LPA, along with staff #1 (S1) and later the 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: COMMON AREAS: This includes the living room, 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 for resident use including a tablet device and a television. The living room contained locked cabinets and drawers which contained resident medications and resident, staff, and facility files. LPA observed the living room to contain a complete first aid kit and the facility’s telephone. The hallway was observed to be clean and free from any obstructions. The hallway contained the facility’s washer and dryer. The dining area was observed to be equipped with adequate seating for resident use. The dining area contained all required postings and a locked storage closet which contained hygiene items and cleaning/laundry chemicals. The facility’s combination fire and carbon monoxide alarms were tested at 01:13 PM and were functional at the time of the visit. All exits in the facility were observed to contain functioning auditory alarms. Continued on LIC 809C. KITCHEN: The 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 under-sink cabinet to contain knives and other sharp objects stored in the same cabinet as cleaning chemicals. LPA informed the Administrator that utensils shall not be stored with toxic substances. The Administrator expressed understanding and immediately moved the chemicals to the dining area locked storage. LPA observed the kitchen to contain a wall mounted fire extinguisher to be fully charged and purchased on 07/10/2025. BEDROOMS: There are three (3) bedrooms in the facility; all are dual occupancy resident rooms. LPA and the facility Administrator toured all three (3) bedrooms. All resident rooms were observed to be furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. Bedrooms #2 and 3 contained a direct exit to the outdoors of the facility. BATHROOMS: There are two (2) bathrooms at the facility. One (1) is designated as a shared/common resident bathroom and one (1) is a private resident bathroom. Both resident bathrooms were observed to be clean and were equipped with nonskid surfaces. Grab bars were observed in all resident showers and near all resident toilets, all were properly secured. Water temperature was measured to be between 109.0 and 113.0 degrees Fahrenheit, which is in compliance with regulation. OUTDOOR SPACE: The facility has one (1) emergency exit gate located at the front of the facility; LPA observed clear passageways for emergency exit use. The facility has adequate shaded seating outdoors for resident use. LPA observed the outdoors of the facility to contain an extra refrigerator. LPA observed cameras located throughout the outdoors of the facility. RECORD REVIEW: Record review began at 11:00 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 all required documents and trainings. Five (5) resident files were reviewed. All resident files contained all required documentation and signatures. Continued on LIC 809C. MEDICATION REVIEW: Medication review began at 01:16 PM. Medications for three (3) of five (5) residents were observed. All medications were stored properly and were appropriately documented on their respective 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 10/01/2025. 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 two (2) residents. The residents interviewed stated that the staff treat them well and are attentive to their needs. The residents interviewed had no concerns with the facility. LPA interviewed one (1) staff member. The staff member interviewed was knowledgeable on their roles and responsibilities, the resident’s rights, the forms of abuse, and the appropriate reporting procedures for suspected abuse. During today’s visit LPA obtained a copy of the facility’s LIC 500, resident roster, and current liability insurance. Pursuant to Title 22 of the CA Code of Regulations, the following deficiency 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, Oct 27, 2025

The state marks this report as 6 pages; the online copy we transcribed has 5. You can request the full file from the county licensing office.

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Trevor Byrne conducted a Case Management - Other visit to the facility for the purpose of issuing an Exclusion order. LPA arrived at the facility at 11:15 AM and met with facility staff. Facility staff contacted the Administrator, Ani Palezyan, via telephone call. The Administrator stated that they were sick and unable to come to the facility at the time of the visit. Entrance interview conducted and the reason for the visit was explained. Community Care Licensing Division (CCLD) received a Decision and Order of Exclusion regarding Staff #1 (S1). The exclusion of S1 was ordered on 02/21/2025 and became effective on 03/06/2025. The order states, “S1 is prohibited from being a licensee, from employment in, presence in, and contact with clients, and from being an Administrator, from holding the position of member of the board directors, executive director, or officer of the licensee, or manager of a licensee or entity controlling a licensee, of any facility licensed by the department, from being certified or approved by a licensed foster family agency or county, or any resource family home, and from owning a beneficial ownership interest of 10 percent or more in a licensed facility, for the remainder of the Respondent’s life, until Respondent successfully petitions for reinstatement pursuant to Government Code section 11522.” A copy of the Decision and Order of Exclusion regarding S1 was printed and left at the facility. LPA informed the Administrator that S1 is not allowed to have contact with clients and is not allowed to be physically present at the facility. The Administrator stated that S1 has never worked for the facility but expressed understanding and confirmed that S1 will not be allowed on the facility premises. LPA informed the Administrator that S1 is still associated to the facility. The Administrator disassociated S1 from the facility at the time of the visit. Continued on LIC 809C. During today’s visit LPA obtained a copy of the facility’s LIC 500 Personnel Report. The Administrator was unable to come to the facility at the time of the visit but has designated staff member Elmira Tsaturyan (S2) to sign this report on their behalf. This report was read to the Administrator via telephone call. Exit interview conducted and a copy of this report and the Decision and Order of Exclusion was provided.the state’s words, verbatim · CDSS document, Mar 12, 2025

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Trevor Byrne conducted a pre-licensing visit to the above noted facility at 09:22 AM. The LPA met with applicant, Ani Palezyan. This is a change of ownership application. A dementia program was included in the plan of operation. A Hospice Waiver has been requested. The facility is one story. At 09:23 AM, a physical plant tour was conducted inside and out. An approved fire clearance was received, clearing them for five (5) non-ambulatory residents; and one (1) bedridden resident. The facility has three (3) shared rooms, Room #’s 1, 2, and 3. Rooms # 2 and 3 have direct exits to the outside and bedroom #3 is the bedridden approved room. All resident rooms are set up with beds, nightstands, lamps, chests of drawers, chairs and closet space. The beds are furnished with box springs, comfortable mattress and clean linen; which includes, a mattress pad, top and bottom linens, pillowcases, blanket and a bedspread. Lighting in the rooms appeared adequate. The bedrooms were large enough to allow for easy passage between the beds and furniture with a wheelchair or walker. In addition, no bedroom was used as a passageway to another room, bath or toilet. There are no staff rooms awake night staff only is required. All rooms were free of odors. All window screens were clean and maintained in good repair. There is one (1) shared resident bathroom in the hallway and one (1) private resident bathroom attached to room #1. The resident bathrooms have a shower with non-skid materials. The toilet and shower have grab bars and all were properly secured. The hot water temperature was tested in the bathrooms. The hot water temperature was measured as follows: bathroom #1= 111 F and bathroom #2 = 113.9, which falls within the allowable range of 105 F to 120 F. Continued on 809C. Resident and staff records are stored in a cabinet which is currently located in the living room. Medications are centrally stored in a locked cabinet in the living room. The first aid supplies were complete, including a thermometer and a current version of a first aid manual. They were stored on a shelf in the entryway to the facility. Kitchen knives are stored in a locked cabinet located under the sink in the kitchen. Stove burners are rendered inaccessible to the residents by removing them when not in use. The supply of dishes, utensils, pots, pans and drinkware is adequate. The freezer was maintained at zero degrees Fahrenheit (0 F) and the refrigerator was maintained at forty degrees Fahrenheit (40 F). There is a sufficient supply of two (2) days perishable and seven (7) days non-perishable foods. There are no pesticides, poisons, or toxins stored in any food storage area or preparation area with utensils. Appliances in the kitchen were clean and all appeared functional. Trash cans had tight fitting lids. Kitchen, laundry and house cleaning supplies are stored in a locked closet located in the dining area. No flies or other vermin were observed. The common areas were appropriately furnished, and the lighting was adequate. There are televisions and other entertainment equipment, games, and activity supplies in the living room and dining area. There was sufficient space to accommodate both indoor and outdoor activities. Night lights were maintained in hallways and passageways to nonprivate bathrooms. No ramps were observed at the facility. There was no fireplace observed at the facility. Alarms on all exterior doors were engaged at the time of visit and functional. In addition, the physical plant is consistent with the submitted facility sketch/floor plan. The facility had emergency lighting, which included flashlights, or other battery powered lighting, and batteries. The facility has a furnace, which is able to heat rooms that residents occupy to a minimum of 68 degrees Fahrenheit; and, they have central air conditioning and are able to cool rooms to a comfortable range, not to exceed 85 degrees Fahrenheit. The facility smoke alarm system is hard wired. The smoke detector and carbon monoxide detectors were tested at 10:54 AM and functioned properly during the time of visit. There is one (1) fire extinguisher throughout the house. It is fully charged and does not exceed the expiration date. Continued on LIC 809C. Hot water was tested in each bathroom, which included the private resident bathroom and the common bathroom, in addition to the kitchen; and the hot water ranged from 111 to 113.9 degrees Fahrenheit. The laundry area is located in the hallway. The supply of extra bed and bath linens is adequate. Personal hygiene items were adequate and are stored in a locked closet in the dining area. Extra incontinence supplies are stored in the locked closet in the dining area. There is a functioning telephone on the premises. The emergency exiting plans/sketch are posted near the doors to all resident rooms. The emergency telephone numbers as well as other required postings are posted in in the dining area. The exterior passageways were clean and clear of any obstructions. There is a covered area at the front of the house with tables and chairs where residents can sit. The entire property is fenced. The facility is separated from a house located at the front of the property that has a separate address and is not associated with the facility. There is no driveway gate located at this property. There is a door gate with a self-latching mechanism for persons to enter the front yard. There are no additional storage sheds located at the facility. There are not any bodies of water on the premises at the present time. There is no garage located at the facility. At 09:33 AM LPA Byrne observed a bottle of pesticides located unsecured and accessible to clients in care located on the floor of the backyard. Facility administrator Ani secured the bottle immediately. During today’s visit COMP III orientation was completed with facility administrator Ani Palezyan. The following items must be corrected prior to licensure. Submit proof of corrections, a statement of understanding, and a copy of this report, to LPA Trevor Byrne so that your application may be completed. 87705 Care of Persons with Dementia (f) The following shall be stored inaccessible to residents with dementia: (2) Over-the-counter medication, nutritional supplements or vitamins, alcohol, cigarettes, and toxic substances such as certain plants, gardening supplies, cleaning supplies and disinfectants. This report will be sent to the Centralized Application Bureau (CAB) once all corrections are received. You will be notified by the CAB Analyst when your license has been approved. You are not allowed to begin operating until you have been notified that your license has been approved by the CAB Analyst. Failure to comply could affect approval of your license.the state’s words, verbatim · CDSS document, Oct 22, 2024

Type of visit: Office

COMP II by CAB successfully completed Applicant/administrator participated in COMP II at CAB telephone call with analyst at CAB. Identification of the applicant and administrator was verified by presenting photo ID via phone. During COMP II, applicant and administrator confirmed the understanding of Title 22. Component II was successfully completed. Applicant and administrator were advised to email/fax signed LIC 809 with copy of photo ID to CAB. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Staff qualifications and responsibilities 3. Applicant and Administrator qualifications 4. Program policy: Abuse, admission agreement, medication management, reporting incidents to CCL, restricted & prohibited conditions 5. Grievances, Complaints, Community resources 6. Physical plant, food service 7. Application document review and technical assistance: Criminal record clearance, Health screening, Fire clearance, First Aid/CPR certificate, Administrator certificate, Financial verification, Pre-licensing inspection, Compliance history, Control of propertythe state’s words, verbatim · CDSS document, Jun 25, 2024