A Beautiful Chateau

Allegation investigated: Staff mismanage residents medication

Licensing Program Analyst (LPA) Trevor Byrne conducted an unannounced complaint investigation visit at the facility at 09:47 AM. LPA met with facility staff who contacted the Administrator Anahit Markaryan and Licensee Representative Marine Khachatryan. The Licensee Representative arrived at approximately 10:15 AM and the Administrator arrived shortly after. Entrance interview was conducted and the reason for the visit was explained. During today’s visit LPA conducted a physical plant tour, reviewed five (5) resident files, conducted a medication audit for two (2) residents, collected copies of pertinant documentation, and conducted interviews with the Administrator, Licensee Representative, one (1) staff member, and two (2) residents between 10:05 AM and 02:00 PM. Continued on LIC-9099C. Substantiated The allegation of “Staff mismanage residents medication” alleges that the facility mismanaged Resident #1’s (R1) Medication #1 (M1) which led R1 to running out of M1 and suffering a seizure and hospitalization as a result of missed M1 administration. LPA interviewed the Licensee Representative and Staff #1 (S1) who confirmed that R1 was hospitalized on 04/21/2026 due to R1 suffering seizure like symptoms. S1 stated that R1 had run out of M1 the day prior (04/20/2026). S1 and the Licensee Representative stated that they contacted R1’s primary care physician (PCP) when R1 had run out of medication but were informed by the PCP that they were unable to prescribe more M1 due to the length of time it had been since they evaluated R1. LPA reviewed R1’s hospital discharge paperwork from when R1 was originally discharged to the facility. LPA observed that R1 was discharged with a 30-day supply of M1 with administration beginning on 03/18/2026. LPA informed S1 and the Licensee Representative that based on administration instructions R1 should have run out of their initial prescription of M1 on 04/17/2026 if M1 was administered as prescribed. S1 and Licensee Representative were unable to provide an explanation as to why M1 ran out on 04/20/2026 instead of 04/17/2026. LPA conducted a medication review for R1 and one (1) additional resident. LPA observed that ten (10) medications across these two (2) residents had inaccurate pill counts based on the dates started. Additionally, LPA observed that six (6) medications did not have their start dates, date filled, and/or expiration dates properly logged on their respective Centrally Stored Medication and Destruction Record Sheets. Based on the information obtained during interviews and file review there is sufficient evidence to support the allegation of “Staff mismanage residents medication.” Therefore, the allegation is deemed Substantiated at this time. The following deficiencies were cited (refer to LIC 9099D). A copy of the report was printed, appeal rights were provided, and exit interview was conducted.the state’s words, verbatim · CDSS document, May 1, 2026 · control 29-AS-20260424152434

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87465(a)(4) · Plan of correction due date: May 15, 2026

87465 Incidental Medical and Dental Care (a)... by compliance with the following: (4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Based on interview and record review the licensee did not comply with the section cited above as R1 missed the administration of M1 and was hospitalized as a result which poses a potential health risk to clients in care.the state’s words, verbatim · CDSS document, May 1, 2026

Plan of correction: Licensee representative agreed to submit their plan on how they will ensure that refills of medications are ordered in a timely manner to prevent lapses in medication administration. Licensee representative agreed to submit their plan to CCLD no later than POC due date.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87465(h)(6) · Plan of correction due date: May 15, 2026

87465 Incidental Medical and Dental Care (h) The following requirements shall apply.. (6) The licensee shall be responsible for assuring that a record of centrally stored prescription medications...and includes: This requirement is not met as evidenced by: Based on record review the licensee did not comply with the section cited above as six medications did not have their start dates, date filled, and/or expiration dates properly logged on their respective CSMDRs which poses a potential health risk to clients in care.the state’s words, verbatim · CDSS document, May 1, 2026

Plan of correction: Licensee representative agreed to conduct an audit of all CSMDRs at the facility and to appropriately log all medications on their respective CSMDRs. Licensee representative agreed to submit completed copies of the CSMDRs to CCLD no later than POC due date.

Type of visit: Case Management - Deficiencies

Licensing Program Analyst (LPA) Trevor Byrne conducted an unannounced case management - deficiencies visit at the facility at 09:47 AM. LPA met with facility staff who contacted the Administrator Anahit Markaryan and Licensee Representative Marine Khachatryan. The Licensee Representative arrived at approximately 10:15 AM and the Administrator arrived shortly after, entrance interview was conducted and the reason for the visit was explained. During today’s visit LPA conducted a physical plant tour, reviewed five (5) resident files, conducted a medication audit for two (2) residents, and conducted interviews with the Administrator, Licensee Representative, one (1) staff member, and two (2) residents between 10:05 AM and 02:00 PM. During file review LPA observed R1’s resident file. LPA observed that R1 was hospitalized as a result of a seizure due to missed medication administration on 04/21/2026. LPA reviewed the facility’s file and did not observe an incident report submitted to Community Care Licensing Division (CCLD) for this incident. LPA interviewed the Licensee Representative and Staff #1 (S1) who confirmed that an incident report for the hospitalization was not submitted to CCLD. LPA informed the Licensee Representative and S1 that a written report shall be submitted to the licensing agency and to the person responsible for the resident within seven (7) days of the occurrence of any incident which threatens the welfare, safety or health of any resident. The Licensee Representative expressed understanding and agreed to submit the incident report and a statement of understanding confirming that they are aware of the reporting requirements timeframe and that they will adhere to the required timeframe when submitting future incident reports to CCLD. CONTINUED ON LIC 809C. During the physical plant tour LPA observed a storage shed in the backyard to be unlocked. LPA observed this shed to contain laundry sanitizer, soaps, laundry detergent pods, and cleaning chemicals. LPA informed the Licensee Representative that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. The Licensee Representative expressed understanding and secured the shed at the time of the visit. The following deficiencies were cited (refer to LIC 809D). A copy of the report was printed, appeal rights were provided, and exit interview was conducted.the state’s words, verbatim · CDSS document, May 1, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87309(a) · Plan of correction due date: May 1, 2026

87309 Storage Space and Access (a) ... the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances...are in locked storage... This requirement is not met as evidenced by: Based on observation the licensee did not comply with the section cited above as a shed in the back yard which contained laundry sanitizer, soaps, laundry detergent pods, and cleaning chemicals was left unsecured which posed an immediate health and safety risk to clients in care.the state’s words, verbatim · CDSS document, May 1, 2026

Plan of correction: The Licensee Representative secured the shed at the time of the visit. POC cleared.

From the deficiency page — Deficiency type: Type B · Section cited: CCR87211(a)(1)(D) · Plan of correction due date: May 15, 2026

87211 Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports... (1) ...within seven days... (D) Any incident which threatens the welfare, safety or health of any resident... This requirement is not met as evidenced by: Based on record review and interview the licensee did not comply with the section cited above as the facility did not submit an incident report to CCLD for the 04/20/2026 hospitalization of R1 which poses a potential health, safety, or personal rights risk to clients in care.the state’s words, verbatim · CDSS document, May 1, 2026

Plan of correction: Licensee Representative agreed to submit the incident report and a statement of understanding confirming that they are aware of the reporting requirements timeframe and that they will adhere to the required timeframe when submitting future incident reports to CCLD no later than POC due date.

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Trevor Byrne conducted a pre-licensing visit to the above noted facility. The LPA met with facility owner Marine Khachatryan, Eliza Makichyan Administrator of A Beautiful Villa – 195850687 and A Beautiful Chateau INC – 195850684, Kristine Manukyan Administrator of A Beautiful Manor INC – 195850686, and Consultant Narine Mamyan. This is a new facility. A dementia program was included in the plan of operation. A Hospice Waiver has been requested. The facility is a one story home. Beginning at 09:34 AM, a physical plant tour was conducted inside and out. An approved fire clearance was received, clearing them for six (6) of bedridden residents. The facility had two (2) private resident bedrooms, rooms #1 and 3, and two (2) shared rooms, rooms #2 and 4. The facility is equipped with fire sprinklers and all rooms are approved as bedridden rooms. All resident rooms are set up with beds, nightstands, lamps, chests of drawers, chairs, and closet space. The beds are furnished with box springs, mattress and clean linen; which includes, a mattress, 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 is required. All rooms were free of odors. All window screens were clean and maintained in good repair. There are two (2) bathrooms in the hallway. The resident bathrooms had a shower with non-skid materials. The toilets and showers had properly secured grab bars. The hot water temperature was tested in the bathrooms and the kitchen and was found to be within the range of 105*F and 120*F. Continued on LIC 809C. Resident and staff records are stored in the Administrative Office located at the front of the property. Medications are centrally stored in a locked cabinet in the kitchen. The first aid supplies were complete, including a thermometer and a current version of a first aid manual. Kitchen knives are stored in a locked drawer in the kitchen. Stove burners are rendered inaccessible via child proofing devices when not in use. The supply of dishes, utensils, pots, pans and drinkware is adequate. The freezer was maintained at a minimum of zero degrees Fahrenheit (0*F) and the refrigerator was maintained at a maximum of 40*F. The supply of non-perishable food is adequate. 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 locked cabinets located under the kitchen sink, and under the sink in the bathrooms. 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/or activity supplies in the living room. There was sufficient space to accommodate both indoor and outdoor activities. Night lights were maintained in hallways and passageways to nonprivate bathrooms. 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 flashlights and batteries. The facility had a furnace, which is able to heat rooms that residents occupy to a minimum of 68 degrees Fahrenheit; and, they have 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 facility fire doors and combination smoke and carbon monoxide detectors were tested and functioned properly during the time of visit. There is one (1) fire extinguisher throughout the house. It was fully charged and did not exceed the expiration date. Continued on LIC 809C. Hot water was tested in each bathroom, which included the resident bathrooms in addition to the kitchen; and, the hot water ranged from 111.7 to 111.9 degrees Fahrenheit. The laundry area is located in the kitchen. The supply of extra bed and bath linens is adequate. Personal hygiene items (shampoos, soaps) were adequate and are stored in a locked cabinet located under the bathroom sinks. There is a functioning telephone on the premises. The emergency exiting plans/sketch are posted throughout the facility and in each resident room. The emergency telephone numbers are posted in the common area of the facility along with other required postings. The exterior passageways were clean and clear of any obstructions. There is a shaded seating area at the front of the house with tables and chairs where residents can sit. The entire property is fenced. The gate to the driveway is moved automatically. There is a gate for persons to enter the front yard. There is an additional building located at the front of the property that is utilized as an administrative office for the facilities on the property. The Administrative office has its own address and is not a part of the facility. There are not any bodies of water on the premises at the present time. COMP III orientation was completed with the applicant during this pre-licensing inspection. 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.the state’s words, verbatim · CDSS document, Dec 17, 2025

Type of visit: Office

Facility Type: RCFE Application Type: Initial Capacity: 6 Census (if any clients in care): 0 COMP II Participants: Marine Khachatryan and Eliza Makichyan Interview Method: Telephone interview On 11/26/2025, 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 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. Admission Policies 3. Staffing requirements & Training 4. Restrictive/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing readinessthe state’s words, verbatim · CDSS document, Nov 26, 2025