Well Senior Living Tarzana

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA), Tihesha Smith conducted an unannounced Required 1-year inspection at this facility at 11:20 am. LPA was greeted by staff and disclosed the purpose of the visit. The administrator was contacted and arrived later.LPA conducted a tour of the physical plant to ensure there are no health and safety hazards, and the facility is following Title 22 Regulations. Common areas, including the kitchen and the combined living and dining room, were evaluated for their ability to safely meet residents' needs. These spaces were inspected for cleanliness, and furniture was assessed for functionality and condition. All common areas were found to be clean, sanitary, and furnished with seating sufficient to accommodate residents comfortably. LPA reviewed the food service areas, food storage and supply (perishable and nonperishable foods). The kitchen food supply was observed and sufficient for the four (4) residents currently residing there. Two (2) days of perishable food observed. The freezer is stocked with frozen foods. Food pantry is located next to the refrigerator and is stocked with vegetables and boxed foods. Resident medications locked in cabinets on other side of the refrigerator. Sharps are locked and stored in kitchen drawer next to stove and toxins are stored and locked under kitchen sink and observed to be inaccessible to residents. There is one (1) fire extinguisher in facility attached to the wall in dining room and observed to be charged. The laundry room is located near bedroom #2. The appliances observed to be functional. The cabinets above washer and dryer store paper towels and supplies. (cont from 809) The facility has a total of three (3) bedrooms and three (3) private bathrooms for residents in care. The residents’ bedrooms were properly furnished with at least one chair, nightstand, and sufficient lighting for each resident. The bedrooms had appropriate and adequate bedding and linens such as sheets, pillowcases, and blankets. Each bathroom has posted hand washing signs and the following items available: hand soap, paper towels, and trash cans. The hot water temperature was measured for the three (3) bathrooms to ensure it is within the required range for residents’ comfort and safety. The water temperature range was between 109.5 and 116-degrees Fahrenheit. Backyard has the following: Covered patio with table and chairs. Patio furniture observed to be in good repair with adequate seating for residents. Attached Garage but no indoor access: Used to store extra supplies for the facility. carbon monoxide and smoke detectors were tested at 2:38 pm and operable at time of visit. Facility grounds were free of hazards. At approximately 1:05 pm, LPA reviewed four (4) resident files and two (2) random staff files. Resident files included admission agreements and physician reports. Staff files had the appropriate training courses to include first aid and CPR. Pursuant to Title 22 Division 6 of the CA Code of Regulations, no deficiencies observed during the visit. Exit Interview Conducted /Copy of the Report Issued.the state’s words, verbatim · CDSS document, Oct 11, 2025

Type of visit: Prelicensing

At 9:00 a.m. on 07/02/2024, Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced annual inspection. LPA met with applicant Ashkan Davari and disclosed the reason for the visit. A file review was conducted prior to todays’ visit. LPA and the applicant toured the facility inside and out at 9:05 a.m. The facility is a single story building with three (03) bedrooms, three (03) bathrooms, kitchen, garage, common areas, and an outdoor area. It has an approved fire clearance for six (06) residents, of which five (05) may be nonambulatory and one (01) bedridden in any bedroom. The facility plans to serve residents with dementia and has a dementia care plan. Approved hospice waivers for five (05). At the main entrance, LPA observed a maintained front yard and a surveillance camera covering the front area. Postings were observed inside for confidential complaint contacts, Ombudsman contacts, theft and loss policy, non-discrimination notice, rights of family councils, rights of resident councils, personal rights, administrator certificate, emergency disaster plan, and facility sketch. Facility sketches with evacuation routes were posted in each bedroom as well. A screening station was set up at the front containing masks, gloves, and hand sanitizer. Walls, floors, windows, screens, and blinds were clean and in good repair. All windows had auditory alarms which were operable. At 9:15 a.m., LPA tested five (05) out of five (05) auditory alarms on exit doors to be operable. At 9:20 a.m. LPA measured the room temperature to be 76 degrees Fahrenheit. The living room contained new furniture in good repair along with board games, activities, and television. At approximately 9:25 a.m. LPA observed a fully charged fire extinguisher in the kitchen. It was purchased on 04/23/2024. A complete first aid kit was inspected at 9:30 a.m. It contained a manual, bandages, dressings, scissors, tweezers, and a digital thermometer. At approximately 9:35 a.m. the house telephone was called and deemed operational. At approximately 9:40 a.m., dual-functioning smoke and carbon monoxide detectors were tested and operational. The detectors were hardwired and functioned simultaneously. Night lights were present in hallways and bedrooms. A washing machine and dryer were located in the laundry room near Bedroom #2. Both were in working order. LPA observed an adequate supply of non-perishable food and emergency water in the kitchen pantry. The stove hood was clean. Appliances were new and in good condition. Sharps were locked below the counter near the stove. Cleaning solutions and detergent were locked under the sink. Medications were locked in a cabinet near the microwave. The facility has three (03) bedrooms. All bedrooms are shared and contained a chair, lamp, nightstand, storage, dresser, and emergency lighting. The bed in Bedroom #2 had adequate bedding, pillows, and sheets. All furnishings were clean and in good condition. Bedroom closets contained adequate supplies of fresh linens and towels. The facility has three (03) bathrooms. Each bedroom has a designated bathroom. All bathrooms contained liquid soap, paper towels, handwashing instruction sign, trash can with a tight fitting lid, grab bars near the toilet and shower, and non-skid mats and surfaces in the shower. At approximately 10:00 a.m. LPA measured the water temperature in the bathroom in Bedroom #3 to be 106.2 degrees Fahrenheit. LPA observed a covered patio area in the rear of the facility. The patio was clean and free of debris. The back yard contained fruit-bearing trees and a gardened area. Sturdy ramps led out from each room and exit door. The emergency exit path on the north side of the facility was free from obstructions. The exit gate was unlocked from the inside and locked from the outside. The garage was locked from the outside and contained tools and extra supplies. At 10:30 a.m. LPA and the applicant reviewed Component III. During today's inspection, the facility was in compliance with Title 22 regulations. No immediate health and safety risks were observed. Prelicensing is complete and this facility has no deficiencies. Exit interview conducted. Copy of report provided.the state’s words, verbatim · CDSS document, Jul 2, 2024

Type of visit: Office

Component II completion: Successful Facility Type: RCFE Application Type: Initial Capacity: 6 Census (if any clients in care): 0 COMP II Participants: Armine Eritsian (administrator), Ashkan Davari (applicant/licensee) Interview Method: Microsoft Teams On 5/31/24, 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, May 31, 2024