Sunshine Senior Living

Allegation investigated: Staff does not ensure residents are provided adequate use of bathrooms in the facility Staff does not ensure residents are accorded personal privacy Staff does not ensure residents personal property is respected.

Licensing Program Analyst (LPA) Michael Cava conducted a subsequent complaint visit to the facility to conclude the investigation regarding the above allegations. The initial visit to this compaint was made by LPA Cava on 08/12/26. Today LPA met with the administrator, Ovsanna Khayalyan, and staff, Naira Khachatryan. They were both advised of the reason for the visit. During the course of the day's investigation, interviews with the administrator and staff were held between 9:15am - 10:00am, interviews with five (5) residents held between 10:00am - 12:00pm, a physical plant inspection between 12:00pm - 1:00pm and record review between 1:00pm - 2:00 pm. Investigation reveal the following: Staff does not ensure residents are provided adequate use of bathrooms in the facility: In regards to the above allegation, it was reported that the facility only has two (2) bathrooms for six (6) residents and the staff would not allow residents to use the second bathroom. The RP stated that the staff kept one of the bathrooms as a staff only bathroom. There was one time when there was a line for the Unsubstantiated bathroom, Resident 1 (R1) defecated on self because the line was too long to wait. No times or dates identified to when this incident had happened. Also, no witnesses were identified to corroborate with this allegation. Review of the facility sketch, past annual inspection reports, and a physical plant inspection reveal that the facility has two (2) bathrooms. Bathroom #1 located in the hallway beside bedroom #3 is for resident use. Bathroom #2 is for staff use. This is also identified during past annual inspections. Interviews with the five residents reveal no complaints or concerns regarding the use of the bathroom. These residents stated they've never encountered having to wait in line for a long period of time to use the bathroom designated to them. These residents also denied ever witnessing another resident defecate on themselves because the line was too long to wait and use the bathroom. Based on the information obtained through interviews and FAS and record review of previous annual inspections, there isn't enough evidence to prove that Staff does not ensure residents are provided adequate use of bathrooms in the facility. Therefore, the allegation is deemed Unsubstantiated at this time. Exit interview conducted and a copy of this report given. Staff does not ensure residents are accorded personal privacy: Regarding the allegation, it was reported that staff would walk into R1's room and invade their personal privacy without knocking on the door. R1 could not recall specific dates of when these occurrences have happened. Also no witnesses were provided to corroborate and confirm this allegation. Interviews with the administrator and staff deny the allegation stating that prior to entering a resident's room, they would knock the door and wait to be allowed access into the room before entering. Both also stated that they would make an announcement to the resident after being granted entry, letting the resident know that they are inside the room. Interviews with the five (5) residents also deny the allegation. These five residents stated that the administrator and staff respect their privacy, and always knock prior to entering their rooms. Based on the information obtained through interviews with the administrator, staff and residents, there isn't enough evidence to prove that Staff does not ensure residents are accorded personal privacy . Therefore, the allegation is deemed Unsubstantiated at this time. Exit interview conducted and a copy of this report given. Staff does not ensure residents personal property is respected: Regarding the allegation, it was reported that staff would walk into R1's room and go through their personal paperwork without asking. R1 could not recall specific dates of when this occurrence has happened. No witnesses identified to corroborate this allegation. Also nothing was reported missing. Interviews with the administrator and staff deny the allegation stating they never review or go through any of the resident's paperwork without authorization from the resident. Even with discharge papers or doctor prescriptions or notes, both administrator and staff stated that they would not go through without permission by the residents. Interviews with the five residents deny the allegation stating they've never encountered this from the administrator and staff. These residents confirmed that the staff and administrator respect their privacy. Based on the information obtained through interviews with the administrator, staff and residents, there isn't enough evidence to prove that Staff does not ensure residents personal property is respected. Therefore, the allegation is deemed Unsubstantiated at this time. Exit interview conducted and a copy of this report given.the state’s words, verbatim · CDSS document, Aug 26, 2026 · control 31-AS-20260806091750

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Leslie Ngo-Castaneda conducted an annual required visit and inspection of the facility. LPA met with staff, Seolrock and Knarik Vardanyan, and explained the reason for the visit. Seolrock is not associated or fingerprinted to be at the facility. Deficiency will be cited in LIC 9099-D. Approximately, around 1:20 PM staff designee, Ovsanna Khayalya, arrived and was explained for the reason of the visit. At 1:30 PM, with the assistance of of staff designee, LPA took a tour of the physical plant. Required postings were observed in the entry area. At 1:59 PM smoke alarms were tested and are operational. There are carbon monoxide detectors that functions properly. The fire extinguisher is beside the kitchen. During the visit the facility is at 72 degrees Fahrenheit. The facility is fire cleared for six (06) residents of which two (2) ambulatory; three (3) non-ambulatory, one (1) bedridden resident in bedroom #2. Approve for four (4) hospice waiver. Kitchen: The kitchen appliances and fixtures were functional. The kitchen has a working gas stove, faucet, freezer, refrigerator, and microwave. LPA found enough at least two (2) days perishable and seven (7) days non-perishable food at the facility that is properly stored. Frozen foods are wrap, dated, and stored properly as well. Knives were stored in a locked drawer in the kitchen. LPA observe R2 in refrigerator unlock and accessible to residents in the facility. Deficiency will be cited in LIC 9099-D. Bedrooms: There were five (5) bedrooms designated for clients' and staff use. Four (4) of the that are in use by residents were properly furnished with appropriate dresser, beddings, and linens with sufficient lighting. Room #1, bedroom #2, and bedroom #4 are properly furnished and is for private used. Room #3 is shared. Bedroom #5 is for staff use. Staff bedrooms are locked with no medication in sight. Continue to LIC 809-C Bathrooms: There are two (2) bathrooms designated for residents' and staff use. Bathrooms were properly supplied and had functional fixtures. Hot water temperature was measured at 105 degrees Fahrenheit for bathroom #1 located in the hallway beside bedroom #3. Bathroom #2 is for staff used. Towels and washcloths are not shared. There was enough clean linen available in the cabinets. Common Areas: These included the living room and dining area for residents. The common areas were properly furnished. The auditory alarms on all exit doors were on and functional at the time of the visit. Residents dining table fits enough for six (6). Surrounding Grounds: Entry and exits were free of obstruction. There was furniture appropriate for outdoor use. The outdoor area was free of hazards. The laundry area and detergents are located by the laundry room in the locked garage. Cleaning supplies are being stored in an locked cabinet in the garage. The facility does not have a swimming pool or body of water. Office space is in the entrance area beside the entrance of the facility. Properly labeled medications were locked in the kitchen cabinets. The facility has a garage and is used for storage. Resident Files: LPA conducted a file review of resident records to ensure compliance of licensing forms. Staff Files: LPA also conducted a file review of staff records to ensure forms and training are up to date and compliance with licensing forms. S2 is missing LIC 503 (health screening and TB test). Deficiency will be cited in LIC 9099-D. Medications: Medication and Medication Records (MMR) were review for proper documentation. R1 does not have CSMDR. R3 medication does not match CSMDR. Deficiency will be cited in LIC 9099-D. Pursuant to Title 22 Division 6 of the CA Code of Regulations, deficiencies observed during the visit. Deficiency will be cited in LIC 809-D. Exit interview conducted and a copy of the report issued.the state’s words, verbatim · CDSS document, Mar 18, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Michael Cava attempted to conduct a Required Annual visit at the facility. At arrival, LPA waited at the front door for approximately ten minutes but no answer. LPA called telephone number on file, and was able to get a hold of the administrator, Eduard Hakobyan. He stated his application for the Assisted Living Waiver (ALW) was just approved, but there are no residents currently in the facility. He adds he would like to continue to carry his license with the state, but facility is not operating at this time. LPA observed the home from the outside. Property appears to be vacant, and not operating. No cars parked in driveway, and trash was empty. LPA will make another visit to facility on a later date to complete annual. This report will be left at the front of the home, and will be mailed. Note that on previous annual visits, the facility also had zero residents as the licensee was awaiting their approval for the ALW program.the state’s words, verbatim · CDSS document, May 6, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Michael Cava conducted an Annual Required visit and inspection of the facility. LPA met with the administrator, Eduard Hakobyan and explained the reason for the visit. The facility is currently and has been vacant since their license was approved. Although license is active, the licensee isn't operating at this time. Licensee is still awaiting process of the Assisted Living Waiver (ALW) application. Also, facility has gone under remodeling to replace/repair the floors in the living room and in room #1, caused by flooding. At approximately 09:15am, with the assistance of the administrator, LPA took a tour of the physical plant. The facility is a one story building. The smoke alarms are interconnected and battery operated. It is dual with the carbon monoxide detector. The fire extinguisher is located in the kitchen. Kitchen: The kitchen appliances and fixtures are functional. Because no residents at this time, licensee doesn't store any perishable and non-perishable food. Licensee advised to store a sufficient amount of perishable and non-perishable food items once they admit their clients. Bedrooms: There are five (5) bedrooms. Four (4) bedrooms are designated for residents' use, and one is for staff. Rooms #1 and #4 are private. Rooms #2 and #3 are shared. Room #1 is having the floors replaced due to flooding, therefore, it is not furnished at this time. Once floors are repaired, furniture will be put back in place. Rooms #2, #3 and #4 were properly furnished with appropriate beddings and linens with sufficient lighting. Bathrooms: There are two(2) bathrooms. One designated for staff and one designated for residents. The bathroom designated for residents was properly supplied and had functional fixtures. Hot water temperature was measured at 120 degrees Fahrenheit. No cleaning supplies stored in the bathrooms. Common Areas: These included the living room and dining area. Currently the living room floor is under repair due to flooding, therefore the furniture had to be moved at this time. Once repairs are completed, administrator will put back the furniture. The dining room area has a dining room table, large enough to seat up to six (6) individuals. No fireplace or open heaters. Air conditioning and heating unit is centralized. Internal temperature is 72 degrees during the inspection. Surrounding Grounds: Entry/exits were free of obstruction. Floors in the dining room, kitchen, hallway and bedrooms were mopped and clean. There was furniture appropriate for outdoor use. There is no swimming pool or any other bodies of water. The outdoor area was free of hazards. Garage: The garage is attached to the building. There is a passageway, through the kitchen. Passageway through the kitchen will be inaccessible to the residents. Garage will be used for extra storage for detergents and cleaning supplies. Laundry: The laundry area is also located in the garage. Resident Files: No files to review at this time Staff Files: No files to review at this time. Medications: No medications and medication documents to review at this time. Pursuant to Title 22 Division 6 of the CA Code of Regulations, there were no deficiencies observed during the visit. Exit Interview Conducted and a Copy of the Report Issued.the state’s words, verbatim · CDSS document, Oct 16, 2024