Covello Assisted Living

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Sandra Urena arrived unannounced at the facility to conduct the required annual inspection. The LPA was greeted by staff and informed them of the reason for the visit. Administrator Mary Mkrtchyan arrived shortly thereafter. The LPA and the Administrator 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. COMMON AREAS: At the time of the visit, living room and dining room furniture was observed to be in good condition. The facility maintained a comfortable temperature. Smoke detector(s) and carbon monoxide detector were tested and operational at the time of the visit. The fire extinguisher expired on 06/12/2026. The Lincensee will provide proof of a new fire extinguisher by 07/30/2026. The LPA observed the required postings in the common area; however the LIC 9020 lacks the following information for one resident: Physician Contact and two residents lack Responsible Person Contact information. LIC 500 is missing Date Employed for each staff. The Emergency Disaster Plan was not posted, licensee agreed to post updated Emergency contact page by 07/30/2026. KITCHEN: Knives and are stored inaccessible to residents in cared. Kitchen appliances were in operable condition. The facility had insufficient supply of perishable and non-perishable food. The hot water temperature measured 114.8 degrees Fahrenheit. A bottle of cleaning supply was observed in an unlocked cabinet under the kitchen sink. BEDROOMS: There are three residents’ bedrooms. Bedrooms #1 and #2 are approved for bedridden residents and bedroom #3 for non-ambulatory. During the physical plant inspection, the LPA observed the following: Beds were not furnished appropriately with appropriate bedding and linens. All three bedrooms’ closet need a divider to separate the clothes for each resident. Bedroom #2, it was observed that the fire exit/sliding door was blocked by bedroom furniture (night stands). One bed in bedroom #2 was observed to have full bed rails (which were in the down position during the visit), however there is no documentation on any of the residents’ files that support the need of full bed the rails. Licensee agreed to remove the bed rails and and move the night stands by 07/30/2026. BATHROOMS: The facility has two full bathrooms. One private bathroom in room #1 and one hallway bathroom. The hallway bathroom was observed to have cleaning supplies under the sink and next to the toilet, and a broken toilet paper holder. Bathrooms were relatively clean; toilets were in operating condition with grab bars and non-skid surfaces. The bathrooms lacked paper towels. The hot water temperature measured 114.8 degrees Fahrenheit. OUTDOOR AREA: There side fire exit gate was observed to be locked with a piece of wire from the outside preventing the exit from inside the facility, the licensee immediately removed the wire. No bodies of water noted. The washer and dryer are inaccessible in the garage area. RECORDS: Residents’ records were reviewed for, but not limited to care plans, medical records, admissions agreement, consent forms. Three out of three files were incomplete: missing signatures, Medical assessments, incomplete information, no or/ incomplete consent forms. Personnel records were reviewed for, but not limited to health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. Two out of two staff files were missing the following information: LIC 501,503, 508, TB test. Three (3) files were missing the CPR/First Aid Certificate. MEDICATIONS: Medications are centrally stored and locked in the kitchen area; medications are labeled and checked for expiration dates. The medications were not documented properly on the centrally stored medications and destruction record. The following errors were observed during the medication audit. Three(3) out of three (3) medication bottles (pills) did not match with the Centrally Stored and Destruction Record information. The LPA reviewed the following documents: - LIC500 Personnel Report - LIC9020 Client Roster - Certificate of Liability of Insurance-Licensee will email the certificate. _ Emergency Drill Logs Civil Penalties and Citations were issued. Exit interview conducted. A copy of the report was issued.the state’s words, verbatim · CDSS document, Jul 29, 2026

Type of visit: Prelicensing

On June 19, 2025, Applicant Gevork Kharatian emailed pictures for the deficiencies found during the initial pre-licensing conducted on 06/12/2025. Deficiencies have been corrected and CAB was notified on 06/30/2025 that deficiencies have been cleared.the state’s words, verbatim · CDSS document, Jun 30, 2025

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Sandra Urena conducted a Pre-licensing visit and met with the Applicant Gevork Kharatian. This is a new facility application for a Residential Facility for the Elderly (RCFE) for six (6) non-ambulatory residents; one (1) of which may be a bedridden resident(s). Fire Clearance was approved on 05/01/2025. Bedridden was approved in either bedroom #1 or #2. At 10:45 a.m., the LPA, and the applicant toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that the facility will be following Title 22 Regulations. COMMON AREAS: The common areas include the living room area, dining room area and sun room. The living room area is equipped with appropriate furniture. There is a dedicated area for the posting of required documents at the entrance of the facility and the wall between bedroom #2 and the sun room sliding door. The Applicant will obtain a CCL Poster (If You See Something, Say Something) that meets the department’s size regulation and will replace the current poster. The poster will be place by the entrance door next to the Ombudsman poster. Smoke and carbon monoxide alarms were tested and functional at the time of the visit. Medications will be stored in a locked cabinet by the foyer area. The residents’ and staff files will be stored and locked in a file cabinet located in the storage room next to the kitchen. The fireplace was observed to be non-functional and covered with a fire screen that is bolted to the wall. LAUNDRY AREA: The washer and dryer are located in a storage area located adjacent to the kitchen area. Detergents and cleaning supplies will be stored on a shelf on top of the washer and dryer. Continues on LIC 809C... KITCHEN: Kitchen knives are stored locked and inaccessible in a locked kitchen drawer. A seven-day supply of non-perishable food was available. The supply of dishes is adequate. Appliances in the kitchen were clean and all appeared functional. Kitchen cleaning supplies will be stored and locked under the kitchen sink. Hot water temperature was recorded at 118.6 degrees Fahrenheit. Trash cans have a tight-fitting lid. There were no pesticides or toxins stored near food, or preparation area. The first aid supplies were complete, including a thermometer and a current version of a first aid manual. A fire extinguisher is located next to the dining room table. The fire extinguisher was purchased on 06/12/2025. BEDROOMS: There are three (3) bedrooms for residents in care. Rooms # 1 was approved as a shared room for two (2) ambulatory residents. Room #2 was approved as a shared room for one (1) bedridden resident, and one (1) non-ambulatory. Room # 3 was approved as shared bedroom for two (2) non-ambulatory residents/ and or a bedridden resident. All bedrooms were supplied with all required linens. There is sufficient lighting. The following deficiencies will be corrected per the Applicant: Bedspreads/comforted for all beds. A minimum of eight cubic feet of drawer space will be provided for all bedrooms. Smaller night stands will be purchased to allow for ample room in bedrooms #2 and #3. Chairs for all bedrooms are on route to be delivered. BATHROOMS: There are two (2) full bathrooms. Bathrooms are equipped with toilets and shower grab bars, and non-skid mats. There are sufficient supplies of towels, paper goods and personal hygiene supplies. Hot water delivered was at 119.6 degrees Fahrenheit. The following deficiencies need to be corrected: Install mirrors in both bathrooms, hand washing signs posted, one shower chair, one trash can with cover. SURROUNDING GROUNDS/OUTDOOR AREA: The exterior passageways were clean. The patio is furnished with outdoor furniture for residents’ use, and shade is available. The building has a central entrance for residents and visitors. Right passageway is cleared and has a self-latching gate. The self-latching mechanism is located on the outside of the gate facing the street. There is a crawl space located on the left -hand side of the exit sun room door leading to the patio. Deficiency: The crawl space needs a cover that is flushed and covers the opening of the crawl space, so that it does not become a danger to residents in care. Area to be cleared of spider webs. Continues on LIC 809C... ADMINISTRATION: Emergency exiting plans need to be created and posted. Re-do floor plan and send to CAB to be updated. Pre-Licensing is incomplete with deficiencies to be resolved by 06/19/2025. Follow up Pre-licensure LIC809 will be generated upon resolution. · The Applicant will obtain a CCL Poster (If You See Something, Say Something) that meets the department’s size regulation and will replace the current poster. · Bedspreads/comforted for all beds. A minimum of eight cubic feet of drawer space will be provided for all bedrooms. Smaller nightstands will be purchased to allow for ample room in bedrooms #2 and #3. Chairs for all bedrooms. · Install mirrors in both bathrooms, handwashing signs posted, one shower chair, one trashcan with cover. · The crawl space needs a cover that is flushed and covers the opening of the crawl space, so that it does not become a danger to residents in care. Area to be cleared of spiderwebs. · Emergency exiting plans need to be created and posted. The applicant completed Component III orientation. This report will be sent to the Centralized Application Bureau (CAB). 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. Exit interview was conducted and reviewed with the applicant. A copy of the report was issued.the state’s words, verbatim · CDSS document, Jun 12, 2025