Essential Care Assisted Living

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Type of visit: Required - 1 Year

On 01/20/26, 2:05pm, Licensing Program Analyst (LPA) Raymond Comer conducted an unannounced Annual visit to this facility. An entry to the facility was allowed by the estate manager working at the property. At the time of this visit there were no residents in the facility. LPA spoke with the Administrator over the phone and was informed that the facility has had no residents since January 2025. However, the licensee does not want to close facility. The reason of this visit was discussed over the phone. Facility is licensed as a single-story residence, approved for six (6) non-Ambulatory, with one (1) bedridden. Hospice waiver for six (6). Facility has four (4) resident bedrooms, and two (2) bathrooms. At 2:25pm LPA conducted a tour of the physical plant and observed the following: Physical plant was inspected for cleanliness and condition. Facility’s main door is the primary entry/exit access. Alternative exits are located in all bedrooms. Visitor sign-in sheet, hand sanitizer, gloves and masks are available. Room temperature is comfortable; wall thermostat displays a setting of 75.0°F. within the required range. An approved Mitigation and Infection Control plan is on file. Hand washing, coughing etiquette, and other necessary signage are prominently displayed throughout the facility. Required postings observed to be current. Disaster drills were last conducted on 12/2024. [LIC 809C]-Continued--- Kitchen: At 2:25pm, LPA observed kitchen as clean, equipped with a functional stove, refrigerator, with adequate supply of perishables and non-perishable food. Open pantry space stores dry food, condiments, and can goods. Emergency food is stored in a kitchen cabinets. Food is observed as properly labeled and stored. Kitchen cabinets store dishes, plastic, paper goods and utensils. Knives/Sharps are stored in a locked top drawer inaccessible to residents. No pesticides, nor toxins observed. Medications are stored in a secured and locked cabinet located in the living room. A stocked first aid kit and manual was observed atop the med cart.i Laundry LPA observed laundry room located in outside patio area. Laundry space observed to be clean and clear from obstructions. Soaps and other cleaning agents are stored and inaccessible to residents. LPA observed a storage cabinet containing towels, clean linen and blankets appearing sufficient for residents. Commons: LPA observed all common areas of the facility, including the living room and dining room. LPA observed common areas to be clean and organized. Living room is supplied with sitting area, television, stored games, and reading materials. Fireplace in the living room area is screened, preventing access. No fireplace tools present. Furniture and fixtures are clean and good condition. Facility telephone is observed as operational. Bedrooms: Bedrooms are clean with sufficient lighting, properly furnished with sufficient closet space, bedding, linens, and adequate furnishings. Bathrooms were observed to be clean and sanitary with necessary supplies and required safety fixtures (grab bars, anti-slip floor stripping). Hand towels and washcloths are not shared. Hot water temperature measured at 110.0°F. Within the required range. Outdoor (backyard) area observed to have a shaded patio, with table with sufficient seating for the residents. Outdoor furniture observed to be in good condition. Backyard contains a swimming pool whose perimeter is fenced. Entry gate secured and locked, inaccessible to residents. [LIC 809C]-Continued--- Outdoor (backyard) area observed to have a shaded patio, with table with sufficient seating for the residents. Outdoor furniture observed to be in good condition. Backyard contains a swimming pool whose perimeter is fenced. Entry gate secured and locked, inaccessible to residents. Facility records were not reviewed as the facility has no residents since January 2025 and no staff is working in the facility. Exit interview was completed over the phone and the final report will be sent to the Administrator for manual signature.the state’s words, verbatim · CDSS document, Jan 20, 2026

Allegation investigated: Staff are impeding Ombudsman's access to the home to contact residents.

On 9/26/25, at 8:15 am, Licensing Program Analyst, (LPA) Raymond Comer, conducted an unannuouned, initial10- day visit to investigate the above allegation. LPA met with Administrator,Verzhine Khachtryan, presented official CDSS badge identification, and reason for the visit was disclosed. At 8:25 am, LPA conducted a physical plant tour; LPA observed that Long Term Care Ombudsman (LTCO) information was publicly posted. However, the facility's local LTCO phone number was not displayed on the posting. To investigate this allegation, LPA reviewed facility resident roster, and staff roster. From 8:35 am to 11:30 am, LPA conducted interviews with the Reporting Party, (RP) and Administrator. Allegation: It was reported that staff did not allow the Ombudsman entrance into the facility. [LIC9099C]- Continued Substantiated LPA conducted Interviews with the Administrator which revealed the following. On Monday, 9/15/25, LTCO representative (A1) arrived and requested facility access. The Administrator stated they were not on site at that time. A facility staff spoke to A1; however, A1 was denied access into the facility by staff. Based on LPA interviews with the Administrator, the allegation is SUBSTANTIATED. Deficiency cited (refer to LIC 9099-D). Appeal Rights provided. Exit interview conducted and report issued.the state’s words, verbatim · CDSS document, Sep 26, 2025 · control 31-AS-20250923105953

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87468.1(a)(11) · Plan of correction due date: Sep 26, 2025

Personal Rights (a)Residents...shall have all of the following personal rights: (11) To have their visitors, including ombudspersons...permitted to visit privately during reasonable hours and without prior notice...This requirement is not met as evidenced by: Based on interviews conducted, licensee did not comply with the section cited above as Staff denied Ombudsman facility access, which posed an immediate health and safety risk to persons in care.the state’s words, verbatim · CDSS document, Sep 26, 2025

Plan of correction: Administrator agreed to schedule vendorized training for all staff by 10/10/25 and submit to CCL the vendor information and scheduled date of training. Training certifications to be submitted to CCL upon completion

Allegation investigated: Facility did not provide scheduled activities for residents. Facility did not provide adequate food service for residents. Facility was not kept free from insects/pests Facility staff withheld fluids to control resident's incontinence. Resident using couch in common area as a sleeping room.

Licensing Program Analyst (LPA) Michael Cava conducted a subsequent visit to the facility to conclude the investigation regarding above allegations. LPA met with administrators Verzhine Khachtryan, and advised her of the complaint. Today's investigation consisted of interviews with the administrator and a physical plaint inspection. Facility did no provide scheduled activities for residents: In regards to the allegation, it was reported that the licensee did not provide activities for the residents in care. Interview with the administrator deny the allegation stating her activities include board games, puzzles and chess. Moreover, when the weather permits, outdoor exercises are conducted as frontyard is large enough to hold activities. Administrator adds birthday/pool parties are also held. LPA conducted a plant inspection and observed sufficient yard space where outdoor activities can be held. LPA also also observed Unsubstantiated magazines, board games chess and puzzles available. LPA was unable to interview any residents at the time of investigation as facility census is currently zero. According to the administrator, she did not receive any complaints from her past residents or their families regarding activities. Based on the information obtained, there was insufficient evidence to prove that the facility did not provide scheduled activities for residents. Therefore, the allegation is deemed Unsubstantiated at this time. Facility did not provide adequate food service for residents: In regards to the allegation, it was reported that food was awful, the same jar of oatmeal was fed to the residents for three days. Sandwiches were given for lunch and dinner no variety of foods. Interview with the administrator deny the allegation, stating facility offers a variety of food with snacks in between. Food service range from American food to cultural. Residents can choose what they would want to eat. LPA made an inspection of the kitchen, and despite the census being zero, licensee maintains a sufficient amount of perishable and non-perishable food. LPA was unable to interview any residents at the time of investigation as facility census is currently zero. According to the administrator, she did not receive any complaints from her past residents or their families in regards to food service. Based on the information obtained, there was insufficient evidence to prove that the facility did not provide adequate food service for the residents. Therefore, the allegation is deemed Unsubstantiated at this time. Facility was not kept free from insects/pests: In regards to the allegation, it was reported that a resident found a brown maggot in the bathroom. No other information was provided in regards to insects or pests in the facility. According to the administrator, she's never received any complaints of insects or pests at the facility when she had residents. LPA conducted a physical plant inspection of the physical plant. The facility is a one story building with four bedrooms and two bath. No insects/pests were observed during the plant inspection. LPA was unable to interview any residents at the time of investigation as facility census is currently zero. According to the administrator, she did not receive any complaints from her past residents or their families in regards to insects for pests. Based on the information obtained, there was insufficient evidence to prove the facility is not kept free from insects and pests. Therefore, the allegation is deemed Unsubstantiated at this time. Facility staff withheld fluids to control resident's incontinence: In regards to the allegation it was reported that Resident 2 (R2) was not served or given water in the evening because R2 is incontinent and staff wanted to avoid any incontinent accidents at night. Interview with staff deny the allegation. She acknowledge that R2 was incontinent, but had a diaper, which was checked on throughout the night to insure that no change was needed. Administrator stated that goes the same for her other two residents that required incontinent care. LPA was unable to interview any residents at the time of investigation as facility census is currently zero. According to the administrator, she did not receive any complaints from residents or their families in regards to withholding fluids to control a resident's incontinent care. Based on the information obtained, there was insufficient evidence to prove that staff withheld fluids to control a resident's incontinence. Therefore, the allegation is deemed Unsubstantiated at this time. Resident using couch in common area as a sleeping room: In regards to the allegation, it was reported that there was another person, a non-resident, who would visit the facility, and sleep on the facility couch. The complaint report did not identify who this person is. Interviews with the administrator deny the allegation. The only persons that she identifies that comes and works at her facility is her assistant administrator and her husband. They would never sleep while on duty, or while there are residents in care. LPA was unable to interview any residents at the time of investigation as facility census is currently zero. According to the administrator, she did not receive any complaints from residents or their families in regarding individuals/non residents using the couch in common areas as a sleeping room. Based on the information obtained, there was insufficient evidence to prove that there was an individual/non resident using the couch in common areas as a sleeping room. Therefore, the allegation is deemed Unsubstantiated at this time.the state’s words, verbatim · CDSS document, Mar 19, 2025 · control 31-AS-20250220154740

Type of visit: Required - 1 Year

On 12/31/24, 9:15 am, Licensing Program Analyst (LPA) Raymond Comer conducted an unannounced Annual visit to this facility. LPA met with Facility Administrator, Khachatryan Verzhine, and reason for the visit was discussed. Facility is licensed as a single-story residence, approved for six (6) non-Ambulatory, with one (1) bedridden. Hospice waiver for six (6). Facility has four (4) resident bedrooms, and two (2) bathrooms. At 9:25 am, LPA conducted a tour of the physical plant with the Administrator and observed the following: Physical plant was inspected for cleanliness and condition. Facility’s main door is the primary entry/exit access. Alternative exits are located in all bedrooms. Visitor sign-in sheet, hand sanitizer, gloves and masks are available. Covid 19 prevention protocols are posted. Room temperature is comfortable; wall thermostat displays a setting of 75.0°F. within the required range. An approved Mitigation and Infection Control plan is on file. Hand washing, coughing etiquette, and other necessary signage are prominently displayed throughout the facility. Required postings observed to be current. Disaster drills were last conducted on 12/2024. Fire Detection/Protection system is present in the facility. Dual Smoke and Carbon monoxide detectors function properly. LPA observed a fire extinguisher located on the wall near the kitchen. Extinguisher displays service date: 12/2024. [LIC 809C]-Continued--- Kitchen: At 10:05 am, LPA observed kitchen as clean, equipped with a functional stove, refrigerator, with adequate supply of perishables and non-perishable food. Open pantry space stores dry food, condiments, and can goods. Emergency food is stored in a kitchen cabinets. Food is observed as properly labeled and stored. Kitchen cabinets store dishes, plastic, paper goods and utensils. Knives/Sharps are stored in a locked top drawer inaccessible to residents. No pesticides, nor toxins observed. Medications are stored in a secured and locked cabinet located in the living room. A stocked first aid kit and manual was observed in medication cabinet. Laundry At 10:25 am, LPA observed laundry room located in outside patio area. Laundry space observed to be clean and clear from obstructions. Soaps and other cleaning agents are stored and inaccessible to residents. LPA observed a storage cabinet containing towels, clean linen and blankets appearing sufficient for residents. Commons: LPA observed all common areas of the facility, including the living room and dining room. LPA observed common areas to be clean and organized. Living room is supplied with sitting area, television, stored games, and reading materials. Fireplace in the living room area is screened, preventing access. No fireplace tools present. Furniture and fixtures are clean and good condition. Facility telephone is observed as operational. Bedrooms: Bedrooms are clean with sufficient lighting, properly furnished with sufficient closet space, bedding, linens, and adequate furnishings. Bathrooms were observed to be clean and sanitary with necessary supplies and required safety fixtures (grab bars, anti-slip floor stripping). Hand towels and washcloths are not shared. Hot water temperature measured at 106.0°F. Within the required range. Outdoor (backyard) area observed to have a shaded patio, with table with sufficient seating for the residents. Outdoor furniture observed to be in good condition. Backyard contains a swimming pool whose perimeter is fenced. Entry gate secured and locked, inaccessible to residents. [LIC 809C]-Continued--- Resident records: Records are stored in living room area cabinets, which are locked and inaccessible to residents. Records were reviewed for current IPP and/or Needs and Services plans, physician report, and admission agreements. Resident records appeared to be complete and current. Staff records: Records are stored in living room area cabinets, which are locked and inaccessible to residents. Criminal record clearances were present, and Staff are associated to this facility. Staff records appear to be complete and current. There were no immediate health and safety hazards observed at the time of this inspection. Exit interview conducted and a copy of this report was given to the Administrator.the state’s words, verbatim · CDSS document, Dec 31, 2024

Type of visit: Required - 1 Year

On 04/19/24, 9:01 AM Licensing Program Analyst (LPA) Raymond Comer conducted a required unannounced Annual visit to this facility. LPA met with Administrator, Khachatryan Verzhine, and reason for the visit was discussed. Facility is licensed as a single-story residence, Five (5) non-Ambulatory, with one (1) bedridden for a total of six (6) Residents. Hospice waiver for six (6). Facility has three (3) resident bedrooms, one (1) bedroom area for staff use, and two (2) bathrooms. At 9:10AM, LPA conducted a tour of the physical plant with the Administrator and observed the following: RESIDENT RECORDS are stored in secure and locked cabinet in dining room area and are inaccessible to residents. All Resident records were reviewed, and the following documents and information were missing: Physician’s Report and Resident needs and assessment plan documentation. STAFF RECORDS are stored in secure and locked cabinets in dining room area and are inaccessible to residents. Staff Records were reviewed and the following documents in information were missing: LIC 503 (Health Screening), LIC 501 (Personnel Record), and LIC 9052 (Employee Rights) documentation. LIC 809C-continued At 10:45 AM, LPA conducted a tour of the physical plant with the Administrator and observed the following: PHYSICAL PLANT was inspected for cleanliness and condition. Facility’s main door is the primary entry/exit access. Screening area is located immediately upon entrance. Visitor Sign-in sheet, hand sanitizer, gloves and masks are available. Covid 19 prevention protocols are posted. Hand washing, coughing etiquette, and other necessary signage are posted throughout the facility. Room temperature is comfortable; wall thermostat displays a setting of 70.0°F. within the required range. Alternative exits are located in Bedrooms #2, #3, and #4 exiting to back yard. All trash cans are observed to be covered. An approved Mitigation and Infection Control plan was submitted by the Facility. Required postings are prominently displayed and observed to be current at the facility. COMMON AREAS: Entry and exit doors have a functional auditory alert when the doors open. Living room and Dining room areas are furnished with table large enough to accommodate the capacity of the facility. Living room is supplied with sitting area, television, stored games, and reading materials. LPA observed a fireplace in the living room area that is screened, preventing access. No fireplace tools present. Furniture and fixtures are clean and good condition. Facility telephone is observed as operational. KITCHEN area is clean and clear of clutter. LPAs observed a refrigerator, microwave, stove/oven, dishwasher and sink to be operational. Knives/Sharps are stored in a locked top drawer inaccessible to residents. Plates, cups, utensils, and two-day supply of perishable food is properly stored. A seven-day supply of nonperishable food is located in kitchen cabinet and properly stored. Dish Soap and cleaning solutions are stored in locked lower cabinet underneath the kitchen sink. FIRE DETECTION/SUPPRESSION SYSTEMS are present at facility. Dual smoke/carbon monoxide alarms are installed, hardwired and interconnected. Detectors were tested and function properly. Fire extinguisher is located on the wall near the kitchen and dining room. Purchase inspection service date: 04/22/2023. LIC 809C-continued LIC 809C-continued MEDICATIONS are stored in a secured and locked cabinet located in the living room. Medications are inaccessible for residents. Two (2) first aid kits and manual are stored in medication cabinet. LAUNDRY area is located outside in storage area. Laundry space observed to be clean and clear from obstructions. Soaps and other cleaning agents are stored and inaccessible to residents. A supply of linen and towels are observed to be in adequate supply. BEDROOMS: Bedroom#1 and Bedroom#2 are shared resident rooms. Bedroom#3 is a private resident room, and Bedroom#4 is used by Staff. All Bedrooms are observed as clean with sufficient lighting, properly furnished with bedding, linens, at least one chair, and nightstand. BATHROOMS were observed to be clean and sanitary with necessary supplies and required safety fixtures (grab bars, anti-slip floor stripping). Hot water temperature measured at 104°F. Within the required range. GARAGE is detached from the house and observed to be locked and inaccessible to residents. Garage is storage for miscellaneous items. OUTDOORS: Backyard area observed to be clean and clear from debris and obstruction. Outdoors maintains a shaded area with patio furniture observed to be in good condition and sufficient seating for residents. Backyard contains a swimming pool whose perimeter is fenced, and entry gate secured and locked, inaccessible to residents. (See LIC809D for Deficiencies Cited) . An Exit Interview was Conducted, A copy of the Facility Report and Appeal Rights were provided to the Administrator.the state’s words, verbatim · CDSS document, Apr 19, 2024

Allegation investigated: Facility did not allow the Ombudsman entrance into the facility. Facility administrator was not available on several occasions.

Licensing Program Analyst (LPA) Rosaura Valenzuela conducted an unannounced visit for the above noted allegations. LPA met with Assistant Administrator Caren Hairpetian and explained the reason for the visit. It was reported that facility did not allow the Ombudsman entrance into the facility. To investigate this allegation on 02/21/2024, between 12:30pm and 1:00pm, staff interviews were initiated. Interviews revealed that no one ever saw or spoke to any Ombudsman. Staff deny not allowing the Ombudsman entrance into the facility because there is a ringer, camaras, a land line phone, and in the day time the facility gate is always open. On this day of the visit, LPA did not have any trouble accessing the faciility. LPA met the Licensee, the Assistant Administrator and caregivers. LPA was allowed entry into the facility. LPA did not observe any health or safety issues. Based on interviews and observation there is not sufficient information to verify this allegation. Therefore, this allegation is UNSUBSTANTIATED at this time. Unsubstantiated It was alleged that facility administrator was not available on several occasions. To investigate this allegation between 12:30pm and 1:00pm, staff interviews were initiated. Interviews revealed that Licensee/Administrator had a baby on Nov. 29, 2023. The Administrator does come to the facility for at least 20 hours a week, but is not present full-time. The Assistant Administrator and live in caregivers are present all the time. Between 2:27pm and 3:00pm, LPA conducted a physical plant tour. LPA verified that staff have their own room. Based on interviews and observation, there is not sufficient information to verify this allegation. Thus, the allegation is UNSUBSTANTIATED at this time. Exit interview conducted and a copy of the report was issued.the state’s words, verbatim · CDSS document, Feb 21, 2024 · control 31-AS-20240214092554