Chatsworth Assisted Living

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Angela Panushkina conducted an announced annual inspection at 9:35am and met with Designee Rena Danielyan. LPA explained the purpose of the visit. At approximately 9:50am, LPA conducted a physical plant tour and observed the following: The facility kitchen areas were clean, stocked with required food supplies, and all sharps were locked in the kitchen drawer. Fire extinguisher is current (purchased 01/19/2026). All residents’ (5) bedrooms were properly furnished, had adequate lighting, and emergency call buttons. Exit door alarms and call systems were tested and found operational. Facility has awake night staff. Residents’ bathrooms contained required supplies, grab bars, non-skid mats, and hot water measured 108°F. The staff bathroom is separate and located near the garage. Medications are centrally stored, locked, and inaccessible. A locked mini-refrigerator for medication storage is also available. The first-aid kit has been inspected which has at least the following: tweezers, scissors, antiseptic, bandages, gauze, thermometer; including a current First Aid manual. The facility maintains a comfortable temperature at 77°F. Common areas are adequately furnished. At 10:45am, smoke and carbon monoxide detectors were tested and observed to be operable. Laundry machines in the garage were in good condition and supplies kept inaccessible. Outdoor space was safe, furnished, shaded, and free of hazards. No bodies of water were present. Between 11:00am and 12:0pm, five (5) resident files and three (3) staff files were reviewed and found complete and current, including admission agreements and medical assessments. Annual fees are paid. LPA collected the Certificate of Liability Insurance and LIC500 No deficiency issued during today's visit Exit interview conducted and copy of this report signed and delivered.the state’s words, verbatim · CDSS document, Sep 21, 2026

Type of visit: Required - 1 Year

At 09:15am Licensing Program Analyst (LPA), Angela Panushkina conducted an announced annual visit to the above facility. LPA met with the Designee, Rena Danielyan, and explained the reason for the visit. A tour of the physical plant was initiated at 09:30am and the following was observed: The facility is cleared for a maximum capacity of six (6) residents, of which five (5) can be Non-ambulatory and one (1) Bedridden resident. Bedridden is cleared for bedrooms #1, #2 and #3. Facility has Dementia Care Program. Hospice waiver for six (6) residents is also approved. Kitchen: The kitchen area is equipped with a refrigerator, microwave oven and sink. LPA observed there to be sufficient stock of one-week perishable foods and two-day non-perishable foods. Frozen foods are properly wrapped and stored appropriately. Food storage and preparation areas are clean and inaccessible to pests. All knives were observed to be locked in the kitchen drawer. The fire extinguisher was purchased on 01/10/2025 and located by the dining area. Bedrooms: The facility has a total of five (5) bedrooms, designated for residents’ use. The bedrooms are appropriately furnished with sufficient closet space and have sufficient lighting. Facility has awake staff at night. Emergency call buttons are available and provided to residents. All exit doors have an auditory alarm. LPA tested and observed all call buttons and auditory alarms are in good repair and operational. Bathrooms: Three (3) out of four (4) bathrooms are designated for residents’ use. Bathrooms have soap, paper towels and all trash cans have a lid. Extra towels and linens were readily available. LPA observed appropriate grab bars and non-skid mats in all bathrooms. The hot water temperature measured at 110.0°F. The facility has one (1) more bathroom (for staff use only), located by the garage. Continue on LIC809-C Medications: The medication are centrally stored in the hallway cabinet, by room #3 and kept locked and inaccessible to residents in care. LPA also observed a small, locked refrigerator, under the medication cabinet, that will be used to store medications only (if needed). There is a complete first-aid kit in the cabinet with all required supplies and with the first aid manual. Common Areas: The facility maintains a comfortable temperature at 78°F. LPA observed all common areas are furnished with adequate furniture to accommodate a maximum capacity of six (6) residents. There is a functioning telephone on the premises. Smoke detectors carbon monoxide is located throughout the facility and at 1:00pm they were tested and observed to be operational. Laundry: The laundry is located in the garage. The washer/dryer appears to be in good condition. Laundry supplies are kept inaccessible when not in use with supervision. Outside Area: The back of the facility has sufficient yard space. LPA observed appropriate outdoor furniture, with a shaded area covered for the residents. The outdoor area is free of visible immediate hazards. LPA discussed the importance of maintaining care and supervision to meet the needs of residents. There are no bodies of water. Between 10:30am to 11:30am, LPA reviewed records of three (3) residents and three (3) staff. Resident and staff records appeared to be complete and updated. Resident’s files contain signed admission agreements and a medical assessment, and all other required documentation. Annual fee is paid in full. LPA observed Administrator certificated renewed on 11/17/2024 with an expiration date of 11/26/2026. LPA collected Certificate of Liability Insurance and LIC500. No citations were issued during this visit. Exit interview conducted and copy of this report signed and delivered.the state’s words, verbatim · CDSS document, Sep 18, 2025

Type of visit: Prelicensing

At 10:00am Licensing Program Analyst (LPA), Angela Panushkina conducted an announced Pre-Licensing visit to the above facility and met with facility Licensee/Administrator, Georgiy Danielyan. Fire Clearance was approved on 03/29/24 for a maximum capacity of six (6) residents, of which five (5) can be Non-ambulatory and one (1) Bedridden resident. Bedridden is cleared for bedrooms #1, #2 and #3. Facility has Dementia Care Program. The purpose of today’s visit is to inspect the facility to ensure that the facility is in compliance with rules and regulations under California Code of Regulations, Title 22. The facility is a single-story building. Today's site visit consisted of LPA touring the physical plant inside and outside and observed the following: KITCHEN: The facility has a Kitchen area that is equipped with a new refrigerator, microwave oven and sink. At 10:15am, LPA observed adequate supplies of nonperishable food properly stored in the cabinets and inside the supply room. Perishable food items are not required at this time as there are no residents in the facility. Licensee will supply sufficient amount of perishable food upon arrival of the residents. LPA observed dining ware to accommodate a maximum capacity of six (6). All knives and sharps are observed to be locked in a kitchen drawer and inaccessible to residents in care. The facility has one (1) new fire extinguisher, appeared to be full and serviced and were last purchased on 01/11/24. BEDROOMS: There are five (5) bedrooms designated for residents use. All bedrooms are furnished with beds, dressers, chairs, night stands and required bedding and linen. The bedrooms have sufficient closet space and have sufficient lighting. Auditory alarms were tested and observed to be operational at 10:30am. Facility has an office/room for staff, but due to dementia resident will have awake staff at night. Emergency call buttons are available and will be provided to residents. Continue on LIC809C BATHROOMS: Facility has three (3) bathrooms. At 10:45am LPA observed all bathrooms are clean, in good repair and properly supplied with toilet papers, soap and paper towels. LPA observed appropriate grab bars and non-skid mats in all bathrooms. Trash cans had closed tight fitting lids throughout. At 10:45am, a water temperature was measured between 109.3-109.7°F. Bathrooms #4 by the garage is designated for staff use only. MEDICATION ROOM: The medication will be centrally stored in the hallway cabinet, by the room #3 and will be kept locked and inaccessible to residents in care. Facility staff/resident files will be kept centrally stored and locked in the cabinet located in the office. First-aid kit was checked to be complete and has the new manual available. COMMON AREAS: The facility maintains a comfortable temperature at 72°F. The living room and dining area appeared clean and were properly furnished. The facility has separate activity room were puzzles, coloring books, crayons, board games and other activity supplies are available. No obstructions and or tripping hazards throughout the facility. An emergency exit plan/sketch is posted along the hallway with other posting requirements. LAUNDRY ROOM: The laundry room is located in the garage, which is locked all the time. The washer/dryer appear to be new and in good condition. Laundry supplies along with other chemical items are kept locked inaccessible under supervision when not in use. SMOKE DETECTORS/CARBON MONOXIDE. Dual smoke detectors and carbon monoxide were located in the bedrooms and throughout the facility. At 11:00am they were tested and observed to be operational. SURROUNDING GROUNDS: The facility has gated entrance and sufficient yard space. LPA observed appropriate outdoor furniture, with a covered shaded area for residents. The backyard is fenced. There is an attached garage which is currently being used for storage/break room/laundry. LPA discussed the importance of maintaining the care and supervision to meet the needs of the residents. The property has properly fenced and locked pool, which is inaccessible to residents. The facility has land line located in the hallway area checked by an LPA to be operational. Continue on LIC809-C Component III was conducted with the Administrator. Based on inspection and observation, the physical plant is in compliance with Title 22 Regulations at this time. This report will be forwarded to the Centralized Application Bureau (CAB) and the applicant will be notified by the CAB Analyst when the license has been approved. Exit interview was conducted and a copy of this report was provided to the Applicant/Administrator.the state’s words, verbatim · CDSS document, Aug 23, 2024

Type of visit: Office

Facility Type: RCFE Application Type: Initial Capacity: 6 Census (if any clients in care): 0 COMP II Participants: Georgiy Danielyan, Licensee/Administrator Interview Method: Virtual interview (MS Teams) On 7/29/2024, 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, Jul 29, 2024