Leo's Assisted Living

Type of visit: Case Management - Deficiencies

Licensing Program Analyst (LPA) Sandra Urena conducted an unannounced visit for a case management-deficiency visit. The purpose of the visit is to issue citations for deficiencies observed during two visits by the Los Angeles Fire Department Inspectors. The LPA was greeted by staff and the staff contacted the Administrator, who stated that they would be at the facility shortly. During today’s visit, LPA met with Irene Saroyan and the reason for the visit was explained. LPA Urena, along with the 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. On 08/29/2025, the Los Angeles Fire Department Inspector conducted a fire inspection visit and observed that the bedridden bedroom did not have a fireproof door as required per LAFD during the visit conducted for the fire inspection per the pending application for a change of ownership. Furthermore, the Inspector observed that the garage was illegally converted to office space, and the Licensee did not obtain a city or fire permit before the remodeling project. On 06/2/2026 the fire inspection permit was denied due to illegal construction without permits, garage conversion was nor permitted. However, per the Administrator the visit was conducted on Thursday, May 28, 2026. Pursuant to Title 22, California Code of Regulations and/or CA Health and Safety Code, the following deficiencies were cited (refer to LIC 809-D.) An immediate civil penalty was assessed for $500, and subject to CPs until the clearance is approved or deficiencies are corrected. Exit interview conducted, and a copy of this report and appeal rights were provided.the state’s words, verbatim · CDSS document, Jun 26, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87202(a) · Plan of correction due date: Jul 3, 2026

87202(a) Fire Clearance: (a)All facilities shall maintain.. licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the...city and county fire department, or district providing fire protection services, or the State Fire Marshal. This requirement is not met as evidenced by: Based on record review and observations conducted, the licensee did not comply with the section cited above as the licensee did not obtain a fire clearance and city permit for the conversion of the garage into an office space, and has not complied with new LAFD door regulations for the bedridden room, which poses an immediate health and safety risk to residents in care.the state’s words, verbatim · CDSS document, Jun 26, 2026

Plan of correction: The Administrator has agreed to do the following: Obtain an approved fire clearance after installing the fireproof door in the bedridden bedroom and restore the garage to function like a garage for parking a car/ for storage. Licensee will submit the corrections to CCL as soon as the corrections

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Sandra Urena arrived at the facility unannounced for a required one-year annual inspection. The LPA met with staff, Martina Bwalya and advised them about the visit. Staff called the Administrator Irene Saroyan, the LPA explained the reason for the visit. The Administrator informed the LPA that they were not feeling well and that they would be available via telephone if the LPA had any questions. Administrator said that staff would sign off the visit report. The LPA stated that they would call the Administrator back when the inspection was completed and would read the report to the Administrator over the phone. The LPA along with the 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. COMMON AREAS: At the time of the visit, the living room and dining room furniture was observed to be in good condition. The facility maintained a comfortable temperature of 77 degrees. The smoke detector(s) and carbon monoxide detector were tested and operational at the time of the visit. The fire extinguishers were observed to be purchased on 03/11/2026. The LPA observed required postings throughout the common space. There is a working telephone on premises, however the phone number listed in the Community Care Licensing (CCL) database FAS is disconnected. The LPA advised the Administrator to update the facility number as soon as permitted through Guardian system. Working auditory alarms were observed in all exit doors at the time of the visit. Night lights were present in the hallways. The facility has a sufficient amount of emergency food and water. The LPA observed a sufficient supply of Personal Protection Equipment (PPE). LPA observed cameras in the common areas, and throughout the exterior perimeter of the facility.KITCHEN: Kitchen appliances appeared clean and were in operable condition at the time of the visit. The facility has a sufficient supply of perishable and non-perishable food. Food labels were inspected and checked for dates and expiration dates and food labels had expiration date clearly marked. The knives and sharps stored in a locked drawer inaccessible to residents in care. Cleaning supplies were also observed locked and inaccessible under the kitchen sink. Continues on LIC 809C... BEDROOMS: There are four (4) resident bedrooms. Two (2) bedrooms are single occupancy, and two (2) bedrooms are double occupancy. Bedroom # 2 is currently empty. The LPA observed the resident bedrooms to be furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. At the time of the visit bedroom #1 and bedroom#4 were occupied as shared rooms. RESTROOMS: There are two (2) resident restrooms. The first restroom is located in the main hallway and the second restroom is located in bedroom #4. Restrooms were clean and sanitary and in operating condition with grab bars and non-skid surfaces. The bathrooms were sufficiently stocked with supplies and paper towels. Hand washing signs were observed inside the bathrooms. The hot water temperature was measured in both bathrooms; the first bathroom measured 118.3 degrees; and the second bathroom measured 119.5 degrees. LAUNDRY ROOM: The washer and dryer were observed inaccessible to residents in care in a locked room adjacent to the kitchen. Laundry detergents were observed locked and inaccessible inside the laundry room. OUTDOOR AREA: The backyard has a covered patio area equipped with furniture for resident use. Emergency exits and passageways were observed free of obstruction. No bodies of water were noted at the time of the visit. The property is gated. LPA observed the gated door to be single action lock. GARAGE: There is a detached garage located on the property. The LPA observed garage to be locked and being used as a staff office. Office was inaccessible to residents in care at this time. RECORDS: Records review began at 12:20 p.m. Residents’ records were reviewed for, but not limited to care plans, medical records, admissions agreement, consent forms. All records were in order. Personnel records were reviewed for, but not limited to health assessments, criminal record clearances, first aid/CPR training, and the annual appropriate training. All files were in order. MEDICATIONS: Medications review began at 1:30 p.m.; medications are centrally stored and locked in a cabinet in a locked file cabinet by the hallway; medications are labeled and checked for expiration dates. Medications are properly documented on the centrally stored medications and destruction record. No errors observed during the medication review.The LPA reviewed the following documents: - LIC500 Personnel Report-LIC9020 Client Roster-Certificate of Liability of Insurance - Emergency Drill Logs No deficiencies cited. Exit interview conducted. A copy of the report was issued.the state’s words, verbatim · CDSS document, Mar 11, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Sandra Urena arrived at the facility unannounced for a required one-year annual inspection. The LPA met with staff, Anahit Matovisian and advised them of the visit. Staff called the Administrator Irene Saroyan, who arrived shortly thereafter, and the LPA explained the reason for the visit. The LPA along with 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, the living room and dining room furniture was observed to be in good condition. The facility maintained a comfortable temperature of 77 degrees. The smoke detector(s) and carbon monoxide detector were tested and operational at the time of the visit. The fire extinguishers was observed to be in compliance and purchased on 02/18/2025. The LPA observed required postings throughout the common space. There is a working telephone on premises. Working auditory alarms were observed in all exit doors at the time of the visit. Night lights were present in the hallways. The facility has a sufficient amount of emergency food and water. The LPA observed a sufficient supply of Personal Protection Equipment (PPE). LPA observed cameras in the common areas, and throughout the exterior perimeter of the facility. KITCHEN: Kitchen appliances appeared clean and were in operable condition at the time of the visit. The facility has a sufficient supply of perishable and non-perishable food. Food labels were inspected and checked for dates and expiration dates and food labels had expiration date clearly marked. The knives and sharps stored in a locked drawer inaccessible to residents in care. Cleaning supplies were also observed locked and inaccessible under the kitchen sink. BEDROOMS: There are four (4) resident bedrooms. Two (2) bedrooms are single occupancy, and two (2) bedrooms are double occupancy. The LPA observed the resident bedrooms to be furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. At the time of the visit bedroom #1 and bedroom#4 were occupied as shared rooms. Continues on LIC 809C... RESTROOMS: There are two (2) resident restrooms. The first restroom is located in the main hallway and the second restroom is located in bedroom #4. Restrooms were clean and sanitary and in operating condition with grab bars and non-skid surfaces. The bathrooms were sufficiently stocked with supplies and paper towels. Hand washing signs were observed inside the bathrooms. The hot water temperature was measured in both bathrooms; the first bathroom measured 110.3 degrees Fahrenheit at 9:32AM; and the second bathroom measured 110.6 degrees Fahrenheit at 9:46AM. LAUNDRY ROOM: The washer and dryer were observed inaccessible to residents in care in a locked room adjacent to the kitchen. Laundry detergents were observed locked and inaccessible inside the laundry room. OUTDOOR AREA: The backyard has a covered patio area equipped with furniture for resident use. Emergency exits and passageways were observed free of obstruction. No bodies of water were noted at the time of the visit. The property is gated. LPA observed the gated door to be single action lock. GARAGE: There is a detached garage located on the property. The LPA observed garage to be locked and being used as a staff office. Office was inaccessible to residents in care at this time. RECORDS: Records review began at 12:20 p.m. Residents’ records were reviewed for, but not limited to care plans, medical records, admissions agreement, consent forms. All records were in order. Personnel records were reviewed for, but not limited to health assessments, criminal record clearances, first aid/CPR training, and the annual appropriate training. All files were in order. MEDICATIONS: Medications review began at 1:30 p.m.; medications are centrally stored and locked in a cabinet in a locked file cabinet by the hallway; medications are labeled and checked for expiration dates. Medications are properly documented on the centrally stored medications and destruction record. No errors observed during the medication review. The LPA reviewed the following documents: - LIC500 Personnel Report - LIC9020 Client Roster - Certificate of Liability of Insurance - Emergency Drill Logs No deficiencies cited. Exit interview conducted. A copy of the report was issued.the state’s words, verbatim · CDSS document, Mar 11, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Martha Arroyo arrived at the facility unannounced for a required one-year annual inspection today at 9:00AM. The last annual conducted at this facility was on 02/21/2023. When the LPA arrived, there was one (1) staff and four (4) residents present. The LPA met with staff, Anahit Matevosyan and advised them of the visit. Staff then called the Administrator, and at this time, the reason for the visit was explained. The Administrator, Irene Saroyan arrived at 9:25AM. Entrance interview. At 9:28AM, the LPA along with 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. KITCHEN: The LPA inspected the kitchen/food service area at 9:35AM. Kitchen appliances appeared clean and were in operable condition at the time of the visit. The facility has a sufficient supply of perishable and non-perishable food. Food labels were inspected and checked for dates and expiration dates and food labels had expiration date clearly marked. The knives and sharps stored in a locked drawer inaccessible to residents in care. Cleaning supplies were also observed locked and inaccessible under the kitchen sink. COMMON AREAS: At the time of the visit, the living room and dining room furniture was observed to be in good condition. The facility maintained a comfortable temperature. At 10:36AM, the smoke detector(s) and carbon monoxide detector were tested and operational at the time of the visit. The fire extinguisher was observed to be in compliance and newly purchased on 07/13/2023. Continued on LIC 809C... Continued from LIC 809... The LPA observed required postings throughout the common space. There is a working telephone on premises. Working auditory alarms were observed in all exit doors at the time of the visit. Night lights were present in the hallways. The facility has a sufficient amount of emergency food and water which was observed to be in good condition. The LPA observed a sufficient supply of Personal Protection Equipment (PPE). LPAs observed cameras in the common areas, and throughout the exterior perimeter of the facility. LAUNDRY ROOM: The washer and dryer were observed inaccessible to residents in care. Laundry detergents were observed locked and inaccessible inside the laundry room. OUTDOOR AREA: The backyard has a covered patio area equipped with furniture for resident use. Emergency exits and passageways were observed free of obstruction. No bodies of water were noted at the time of the visit. The property is gated. LPA observed the gated door to be single action lock. GARAGE: There is a detached garage located on the property. LPA observed garage being used as a staff office. Office was inaccessible to residents in care at this time. BEDROOMS: There are four (4) resident bedrooms. Two (2) bedrooms are single occupancy, and two (2) bedrooms are double occupancy. The LPA observed the resident bedrooms to be furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. RESTROOMS: There are two (2) resident restrooms. The first restroom is located in the main hallway and the second restroom is located in bedroom #4. Restrooms were clean and sanitary and in operating condition with grab bars and non-skid surfaces. The bathrooms were sufficiently stocked with supplies and paper towels; towels and washcloths are not shared. Hand washing signs were observed inside the bathrooms. The hot water temperature was measured in both bathrooms; the first bathroom measured 110.3 degrees Fahrenheit at 9:32AM; and the second bathroom measured 110.6 degrees Fahrenheit at 9:46AM. Continued on LIC 809C... Continued from LIC 809C... RECORDS: Records review began at 9:51AM; four (4) resident records were reviewed for, but not limited to: appraisals, medical records, admissions agreement, consent forms. All records were in order. Six (6) personnel records were reviewed for, but not limited to: personnel records, health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. All records were complete. The current Administrator’s file was also reviewed, and it was complete. Administrator’s certificate is active and expires on 05/17/2024. At the time of the visit, LPA obtained copies of current LIC 500, Client Roster, and Limited Liability Insurance. The last emergency disaster drill took place on 01/29/2024. MEDICATIONS: Medications review began at approximately 11:05AM; medications are centrally stored in a locked file cabinet by the hallway. All medications including PRNs were labeled, stored, and locked inaccessible to residents in care. PRNs have physicians order on file. Medications are properly documented on the centrally stored medications and destruction record. Exit interview conducted. No deficiencies cited. Report was reviewed and a copy was issued.the state’s words, verbatim · CDSS document, Mar 10, 2024

Allegation investigated: Resident sustained unexplained bruising while in care. Staff are unable to communicate with residents due to a language barrier

Licensing Program Analyst (LPA) Brian Balisi conducted a subsequent complaint visit to investigate the allegations listed above. During today’s visit, LPA met with caregiver Anahit Matevosyan and explained the reason for the visit. Administrator Irene Saroyan was contacted during the visit and stated they are not able to attend the visit due to a previous appointment, but caregiver Anahit will sign in their place. On 11/20/2023, from 12:45 p.m. – 02:30 p.m., LPA initiated an unannounced complaint investigation for the allegations listed above. During the visit, LPA toured the physical plant, interviewed staff, residents and reviewed and obtained pertinent documents relevant to the investigation. Additionally, LPA attempted to contact the reporting party on 11/15/2023, 11/16/2023,12/07/2023 and 12/12/2023, but was unsuccessful. Today LPA conducted physical plant, interviewed staff and one resident. Continued on 9099-C Unsubstantiated Continued from 9099 It was reported that Resident #1 (R1), sustained unexplained bruising while in care, as it was alleged that when R1 was relocated to a new facility (Magidow Family Home LIC #191840767) and assessed, the Administrator for that facility observed bruising on R1's back. On 12/12/2023 at approx. 01:00 p.m., LPA conducted telephone Interview with Administrator of Magidow Family Home, Birdie King, who revealed that R1 resided at their home for approximately 2 weeks and they never observed any bruising on the back of R1. Additionally interviews conducted and records reviewed at this facility revealed residents are checked every morning for any changes physically and they are typically bathed two times a week. No resident has ever been observed with bruises on their back. Based on information gathered over the course of the investigation the Department does not have sufficient evidence to confirm this allegation occurred. Therefore the allegation that R1 sustained unexplained bruising while in care has been deemed Unsubstantiated at this time. It was reported that Staff are unable to communicate with residents due to a language barrier, as it was alleged that staff was not able to understand R1. LPA's interview with two (2) residents revealed that each resident did not express any immediate or potential concerns with communicating with staff at the facility. LPAs interviews with staff revealed they were able to communicate regarding facility business, resident care needs and questions related to emergency response. Based on the information gathered over the course of this investigation, the department does not have sufficient evidence to determine this allegation occurred. Therefore the allegation that Staff are unable to communicate with residents due to a language barrier has been deemed Unsubstantiated at this time. Exit interview conducted and copy of report issued.the state’s words, verbatim · CDSS document, Dec 12, 2023 · control 29-AS-20231114162623