Home for All Boarding Care 1

Type of visit: Post Licensing

Licensing Program Analyst (LPA) Quoc Huynh conducted a Post-Licensing visit to the above noted facility. The LPA arrived at 11:33AM and met with Staff who stated that the new Owner and Administrator were assisting a resident run an errand. The new Owner and Administrator arrived shortly thereafter and was informed that a Change of Ownership (CHOW) application does not clear them to operate the current facility. At 12:44PM the LPA contacted the facility’s Licensee who then arrived at approximately 1:37PM. Entrance interview conducted. Beginning at 11:38AM, the LPA and Staff 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 following was observed: KITCHEN: Knives were stored in a locked kitchen drawer. The supply of dishes, utensils, pots, pans and drinkware is adequate. The supply of nonperishable food, perishable food, and emergency food supply was in compliance. Appliances in the kitchen were clean, and all appeared functional. Food in the refrigerator and freezer were observed to be of good quality. First aid kit was observed to be complete, including a thermometer and a current version of a first aid manual. COMMON AREAS: At the time of the visit, living room and dining room furniture was observed to be in good condition. Required postings were located on a wall near the kitchen. The facility maintained a comfortable temperature throughout the visit. Night lights were observed throughout the facility. A garage was observed to be secured and contained laundry machines in good condition, general supplies, and emergency water. Report Continued on LIC 809-C INFECTION CONTROL/EMERGENCY DISASTER PLAN: During today's visit, LPA reviewed the facility's infection control plan and emergency disaster plan. Both documents were observed to be complete and reviewed annually as required. Emergency disaster drills are conducted quarterly, with the last documented drill on 04/21/2026. Smoke and carbon monoxide detectors were tested at 2:08PM and were operational. One (1) fire extinguisher was observed and was last purchased on 06/16/2025. The facility was advised that fire extinguishers must be serviced or re-purchased annually and in not doing so is a violation of fire safety. The facility obtained a new fire extinguisher during the visit. MEDICATIONS: Medication review began at 1:43PM. Medications were centrally stored and kept inaccessible in the kitchen. Medications were observed for R2. Medications were labeled and checked for expiration dates and were properly documented on the centrally stored medications and destruction record. It was observed that R2 was prescribed three (3) medications from a secondary pharmacy and physician. The new owner and Administrator stated that R2 contacted their physician and ordered the medications on their own, despite being prescribed the same medication through their primary care physician. The LPA requested physician’s orders where it was confirmed by a Department of Mental Health Social Worker that the three (3) additional medications were prescribed through a psychiatrist and they were unaware that R2 was already being provided the medications through their physician. On 04/01/2026, the Department received a CHOW application from the new Owner Gevorg Ghukasyan with the Administrator listed as Marine Ghukasyan. The Department was not previously notified of a CHOW. During today’s visit it was observed that the new Owner and Administrator were operating the facility without prior approval of licensure. The facility’s Licensee stated that Gevorg was hired as a caregiver and that Marine was the facility’s new Administrator; however, the Department was not notified of the Administrator change. The Licensee reported that with the CHOW application submitted, they presumed they did not need to take further steps. Document review of the new Owner/caregiver and the Administrator revealed documents submitted under the CHOW facility that was whited out, and the current facility name written over. It was also revealed that the new Owner/caregiver was associated and the facility did not begin to accept residents until after the CHOW was established. Additionally, the Administrator was not associated to the facility. Pursuant to Title 22 CA Code of Regulations and/or the Health and Safety Code, the following deficiencies were cited (Refer to LIC 809-D). Exit interview conducted. A copy of the appeal rights and report was reviewed and provided. BEDROOMS/BATHROOMS: The facility had four (4) bedrooms: three (3) shared resident rooms and one (1) live-in staff room. Bedrooms were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. Extra linens were stored in each residents’ bedroom. There were three (3) bathrooms: one (1) private, one (1) jack and jill, and one (1) half bath in the hallway. Restrooms were clean, 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. The hot water temperature was tested and measured within the required range of 105*F to 120*F. Per the Pre-Licensing visit conducted on 11/18/2025, it was determined that Bedroom #2 did not have access to a full bathroom with a shower without using another resident bedroom as a passageway. The Licensee agreed and provided an updated floor plan to utilize the room as an office. During today’s visit, it was observed that Bedroom #2 was utilized for live-in staff and that they were utilizing a vacant resident room’s private restroom to shower. OUTDOOR AREA: The exterior passageways were clean and clear of any obstructions. There was furniture in the rear with tables and chairs where residents can sit. The outdoor space is properly gated. There are no bodies of water on the premises at the present time. One (1) side gate with a self-latching mechanism was observed and led to the front yard. The LPA also observed an Additional Dwelling Unit (ADU) that was separated and unrelated to the facility. RECORDS: Record review began at 12:59PM. Resident records were reviewed for, but not limited to care plans, physician's report, admissions agreement, and consent forms. Resident #1’s (R1) Appraisal/Needs and Services Plan was not signed by the resident or their representative. Resident #2’s (R2) required records did not have the resident’s or their representative’s signature including the admission agreement. Personnel records were reviewed for, but not limited to health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. Report Continued on LIC 809-Cthe state’s words, verbatim · CDSS document, Jul 29, 2026

The state marks this report as 9 pages; the online copy we transcribed has 8. You can request the full file from the county licensing office.

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Quoc Huynh conducted a Pre-Licensing visit to the above noted facility. At 9:59AM, the LPA met with Applicant Mariam Panikyan. An application to operate a Residential Facility for the Elderly was submitted on 7/21/2025. A dementia program was included in the plan of operation. A Hospice Waiver for 6 (six) has been requested. The facility's fire clearance was approved on 9/26/2025 for six (6) non-ambulatory, with a total capacity of six (6) residents. Component II orientation was completed on 10/15/2025. Component III was completed with the Applicant during today's visit. The facility is a single-story home located in Van Nuys. Beginning at 10:03AM, a physical plant tour was conducted. The following was observed: KITCHEN: Knives were stored in a locked kitchen drawer. The supply of dishes, utensils, pots, pans and drinkware is adequate. The freezer was maintained at 0*F and the refrigerator was maintained at 40*F. The supply of nonperishable foods and emergency food supply is adequate. Cleaning supplies were stored in locked cabinets. There were no pesticides or toxins stored in any food storage area or preparation area. Appliances in the kitchen were clean and all appeared functional. Medication will be stored in a locked kitchen cabinet. Files will be stored in a locked file cabinet in the office area. First aid kit was observed to be complete, including a thermometer and a current version of a first aid manual. Report Continued on LIC 809-C COMMON AREAS: Common areas were appropriately furnished, and the lighting was adequate. There was a television, reading materials, and/or activity supplies in the living room. There was a fireplace that was properly screened. There was sufficient space to accommodate both indoor and outdoor activities. All ramps were secure and non-slippery and were positioned at the level where wheelchairs and walkers may enter and exit the facility safely. 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 but not limited to flashlights. Nightlights were observed throughout the common areas. The facility had emergency food and water available. The facility has central heating and air conditioning to maintain rooms to a comfortable temperature. At 10:29AM, the hardwired combination smoke and carbon monoxide detectors as well as fire door were tested and functioned properly. Fire extinguisher was fully charged and purchased on 6/16/2025. The supply of extra bed and bath linens as well as personal hygiene items were adequate. Extra incontinence supplies and other supplies were located in each restroom. There was a washer and dryer located in the locked garage and observed to be in good condition. There is a functioning telephone on the premises. All required postings were posted near the garage entrance. BEDROOMS/BATHROOMS: The facility had four (4) bedrooms. Resident rooms were set up with beds, nightstands, lamps, chairs, sufficient clothing storage and closet space. The beds were furnished with box springs, comfortable mattress and clean linen, which includes, a mattress pad, top and bottom linens, pillowcases, and blanket (if needed). 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. All rooms were free of odors. All window screens were clean and maintained in good repair. There were three (3) bathrooms: one (1) private, one (1) jack and jill, and one (1) half bath in the hallway. The bathrooms have a shower with non-slip mats. The toilet and shower have grab bars. The hot water temperature was tested and measured within the required range of 105*F to 120*F. Report Continued on LIC 809-C During today’s visit the LPA observed Bedroom #2 did not have access to a full restroom with a shower without using another Bedroom as a passageway. The Applicant proposed utilizing Bedroom #2 as an office with the remainder of the Bedrooms utilized as dual occupancy. The LPA will communicate with the Fire Inspector and verify the change. The Applicant will submit an updated floor plan upon clearance. OUTDOOR AREA: The exterior passageways were clean and clear of any obstructions. There was furniture in the rear with tables and chairs where residents can sit. The outdoor space is property gated. There are no bodies of water on the premises at the present time. One (1) side gate with a self-latching mechanism was observed. The LPA also observed an Additional Dwelling Unit (ADU) that was separated and unrelated to the facility. 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. No corrections required. Exit interview conducted. A copy of the report was reviewed and issued.the state’s words, verbatim · CDSS document, Nov 18, 2025

Type of visit: Office

Facility Type: Residential Care Facility for the Elderly Application Type: Initial Capacity: 6 Census (if any clients in care): 0 COMP II Participants: MARIAM PANIKYAN Interview Method: Telephone interview On October 15, 2025, 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 the understanding of the California Code Title 22 Regulations. 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. Admission Policies 3. Staffing requirements & Training 4. Restricted/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing readinessthe state’s words, verbatim · CDSS document, Oct 15, 2025