Happy Days Assisted Living

Allegation investigated: Staff did not seek medical assistance for resident in care in a timely manner.

At 10:10 AM, Licensing Program Analyst (LPA) Huma Rahimi conducted an unannounced subsequent complaint visit. LPA met with the staff, Owen White, and the Administrator Romeo Balasanyan was contacted via telephone and LPA explained the reason for the visit. The Administrator arrived shorlty after. To investigate the allegation above LPA conducted an initial visit on 05/29/2025 and subsequent visit on 09/01/26. LPA obtained copies of client and staff roster and other pertinent information including but not limited to Physician’s Report, Admission Agreement, Appraisal Needs and Services Plan, etc., relevant to the investigation. LPA conducted a physical plant tour.Interviews were conducted with the Administrator and four (4) out of four (4) residents. On 09/01/2026, LPA conducted an additional interview with Resident #5 (R5) and obtained and reviewed R1's Centrally Stored Medication Record (CSMR), Urgent Care Records, and e-mail communication between the Administrator and R1's Power of Attorney (POA). Continue on LIC 9099C Substantiated Allegation: Staff did not seek medical assistance for resident in care in a timely manner It was alleged that staff failed to seek timely medical assistance for Resident #1 (R1). LPA interviewed R1, the Administrator, four (4) residents on 05/29/2025, and R5 on 09/01/2026, and reviewed R1’s urgent care record dated 05/05/2025. The Administrator stated that on 05/01/2025, a home health shower aide observed an abrasion on R1’s left leg and notified the Administrator. Although R1 denied pain and initially declined further medical evaluation, the Administrator did not seek or arrange medical services for R1. R1 was not evaluated by a medical provider until 05/05/2025, when R1’s POA transported R1 to urgent care. The 05/05/2025 documented a possible infected left leg laceration, with redness and poor healing. The record also indicated the wound had not been properly cleaned or dressed. Based on interviews and record review, facility staff were aware of R1’s wound on 05/01/2025 but did not ensure timely medical evaluation or appropriate wound care. Therefore, based on the preponderance of evidence, the allegation that staff failed to seek timely medical assistance for R1 is Substantiated. Exit interview conducted. Appeal rights discussed. Copy of report provided.the state’s words, verbatim · CDSS document, Sep 8, 2026 · control 31-AS-20250522163035

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87468.1(a)(16) · Plan of correction due date: Sep 10, 2026

87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities......the following personal rights (16) To receive or reject medical care or other services.This requirement was not met as evidenced by: Based on interviews and record reviews the Licensee did not comply with the section cited by not ensuring that R1 received timely medical attention after facility staff became aware of R1’s leg wound.the state’s words, verbatim · CDSS document, Sep 8, 2026

Plan of correction: The Licensee will train all staff on timely recognition and response to residents’ medical needs, including calling 911 and allowing emergency medical transport when medically indicated. The Licensee failed to allow or arrange for immediate emergency medical transportation when indicated, resulting in a delay in R1 receiving medical evaluation and treatment. This failure poses an immediate health and safety risk to residents in care.

Type of visit: Case Management - Deficiencies

Licensing Program Analyst (LPA) Huma Rahimi, met with staff, and the Administrator was contacted via phone. LPA explained the reason for the case management visit. The purpose of the case management visit is to address deficiencies observed during the course of complaint #31-AS-20250522163035. The deficiencies were not alleged but were observed by LPA. During the investigation, LPA determined that on 05/01/2025, facility staff were notified by a home health shower aide that R1 had an abrasion on the left leg. R1 was subsequently transported by the POA to urgent care on 05/05/2025, where the wound was documented as a possible infected left leg laceration with redness and poor healing. However, the facility did not submit an Unusual Incident/Injury Report to the Community Care Licensing Department (CCLD) regarding R1’s injury or urgent care visit. Based on Title 22 Regulations, a written Unusual Incident/Injury Report shall be submitted to CCLD within seven (7) days of occurrence. LPA informed the Administrator of the requirement to report unusual incidents and injuries to CCLD in a timely manner and directed the Administrator to submit the required incident report regarding R1’s injury and urgent care visit. Exit interview conducted. Appeal rights discussed. Copy of report provided.the state’s words, verbatim · CDSS document, Sep 8, 2026

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87211(a)(1)A,B&D · Plan of correction due date: Sep 15, 2026

7211(a)(1)A,B&D-Reporting Requirements: (a) Each licensee shall furnish to the licensing agency such... (1) A written report shall be submitted to the licensing agency ... ... any of the events specified in (A), (B) & (D)... This requirement is not met as esubmitted to LPA by POC date. Licensee will aslo review the section cited. videnced by: Based on interviews and record review, the Licensee did not comply with the section cited above by failing to notify CCLD regarding R1’s injury and subsequent urgent care visit within the required timeframe. This poses a potential health and safety risk to persons in care.the state’s words, verbatim · CDSS document, Sep 8, 2026

Plan of correction: Licensee shall ensure a written report is submitted to the licensing agency and to the person responsible for the resident within seven (7) days of the occurrence of any of the events. R1's incident reports shall be

Allegation investigated: Licensee did not provide proper notice of rent increase to resident in care. Licensee did not ensure that resident in care received therapy as necessary. Licensee retaliated against resident in care. Staff mismanaged resident's medications while in care. Licensee did not ensure that communications from resident's representative were answered promptly and appropriately. Staff let an unauthorized person remove resident from the facility.

At 10:10 AM, Licensing Program Analyst (LPA) Huma Rahimi conducted an unannounced subsequent complaint visit. LPA met with the staff and the Administrator Romeo Balasanyan was contacted via telephone and LPA explained the reason for the visit. The Administrator arrived shorlty after. To investigate the allegations above LPA conducted an initial visit on 05/29/2025. LPA obtained copies of client and staff roster and other pertinent information including but not limited to Physician’s Report, Admission Agreement, Appraisal Needs and Services Plan, etc., relevant to the investigation. LPA conducted a physical plant tour.Interviews were conducted with the Administrator and four (4) out of four (4) residents. During today's visit, LPA conducted an additional interview with Resident #5 (R5) and obtained and reviewed R1's Centrally Stored Medication Record (CSMR), and e-mail communication between the Administrator and R1's Power of Attorney (POA). Continue on LIC 9099C Unsubstantiated Allegation: Licensee did not provide proper notice of rent increase to resident in care. It was alleged that the Licensee did not provide proper notice of a rent increase to Resident #1 (R1). LPA conducted interviews with the Administrator and four (4) out of four (4) residents. LPA also reviewed R1’s Admission Agreement and the facility’s Plan of Operation. During today's visit, LPA conducted an additional interview with Resident #5 (R5). The Administrator informed LPA that R1 was admitted to the facility on 01/28/2025, and upon admission, an Admission Agreement was executed between R1’s Power of Attorney (POA) and the Administrator. The Administrator further stated that a verbal agreement was made establishing a total monthly rent of $4,000, of which $2,000 was documented in the Admission Agreement as the resident’s share, with the remaining $2,000 expected to be paid by the PACE program upon completion of R1’s enrollment into the program. However, R1’s POA did not complete the required admission process for the PACE program and repeatedly failed to follow up to obtain an approval, resulting in a rent shortfall of $2,000 per month. Due to this unmet payment arrangement, on 04/29/2025, the Administrator issued a written notice to R1’s POA addressing the outstanding balance and the adjustment in financial responsibility, consistent with the facility’s billing expectations and payment structure. LPA reviewed the facility’s Plan of Operation, which states that the monthly rate is based on a negotiated agreement between the client and/or representative and the Administrator. LPA also reviewed R1’s Admission Agreement, which reflects a monthly rate of $2,000 for basic services and specifies that any rate changes require 60-day written notice, including the reason for the change. The Administrator reported that the written notice issued on 04/29/2025 became effective on 06/28/2025, providing approximately 60 days’ notice. Based on record review and interviews, the Licensee provided written notice consistent with the terms outlined in the Admission Agreement. Therefore, there is insufficient evidence to support the allegation that proper notice of a rent increase was not provided. Therefore, this allegation is deemed Unsubstantiated at this time. Continue on LIC 9099C Allegation: Licensee did not ensure that resident in care received therapy as necessary. It was alleged that the Licensee failed to ensure Resident #1 (R1) received necessary therapy services. LPA conducted interviews with the Administrator and four (4) out of four (4) residents. During today’s visit, LPA conducted an additional interview with R5. The Administrator denied the allegation and stated that therapy services are coordinated through a home health agency and provided at the facility. The Administrator reported that one therapy session on 04/02/2025 was declined by R1 but was subsequently rescheduled for 04/04/2025. R1 reported consistently receiving therapy services and denied missing any therapy sessions. Residents interviewed on 05/29/25 and during today’s visit, did not report concerns regarding therapy services. Based on interviews conducted, there is insufficient evidence to support the allegation. Therefore, this allegation is deemed Unsubstantiated at this time. Allegation: Licensee retaliated against resident in care. It was alleged that the Licensee retaliated against Resident #1 (R1) by attempting to increase the rent. LPA conducted interviews with the Administrator and four (4) out of four (4) residents and reviewed relevant records. During today's visit, LPA conducted an interview with R5. The Administrator denied the allegation and stated that the rent increase was based on the agreed-upon monthly rate and financial arrangements discussed at the time of admission. Record review indicates that a written notice of the rent increase was issued to R1’s POA with an effective date consistent with the terms outlined in the Admission Agreement and facility procedures. R1 denied any retaliation and reported satisfaction with care at the facility. Residents interviewed did not report concerns regarding retaliation or differential treatment. Based on interviews and records reviewed, there is insufficient evidence to support that the rent increase was retaliatory in nature. Therefore, this allegation is deemed Unsubstantiated at this time. Continue on LIC 9099C Allegation: Staff mismanaged resident's medications while in care. It was alleged that staff mismanaged Resident #1’s (R1) medications while in care. LPA interviewed R1, the Administrator, and four (4) out of four (4) residents on 05/29/2025. During today’s visit, LPA conducted an additional interview with R5. LPA also reviewed email communication between the Administrator and R1’s POA dated 04/23/2025 through 04/30/2025 regarding medication refills. The Administrator stated that R1’s family was responsible for obtaining medication refills and that medications were previously picked up from CVS Pharmacy and delivered to the facility. The family changed the pharmacy to Amazon Pharmacy on 04/30/2025 due to delivery concerns. R1 reported receiving medications daily without issue. Residents interviewed on 05/29/2025 did not report medication concerns. R5 also reported no medication concerns and stated that R5 had not missed any medication refills. LPA’s review of the email communication was consistent with the Administrator’s statements regarding medication refills. Based on interviews and record review, there is insufficient evidence to support the allegation that staff mismanaged R1’s medications. Therefore, this allegation is deemed Unsubstantiated at this time. Allegation: Licensee did not ensure that communications from resident's representative were answered promptly and appropriately. It was alleged that the Licensee failed to communicate promptly and appropriately with Resident #1’s (R1) POA. LPA interviewed the Administrator, and four (4) out of four (4) residents on 05/29/2025. During today’s visit, LPA conducted an additional interview with R5. The Administrator stated that communication with R1’s POA was maintained following R1’s admission on 01/28/2025. The Administrator reported that communication challenges began after incidents involving R1 leaving the facility with a family member on 04/09/2025, the POA’s visit to the facility on 04/19/2025, and a heated video conference on 04/29/2025 that the Administrator ended to de-escalate the situation. R1 reported no concerns regarding communication and was satisfied with the care provided. Residents interviewed on 05/29/2025 and R5 did not report communication concerns. Based on interviews, there is insufficient evidence to establish that the Licensee failed to respond to R1’s representative promptly or appropriately. Therefore, this allegation is deemed Unsubstantiated at this time. Continue on LIC 9099C Allegation: Staff let an unauthorized person remove resident from the facility. It was alleged that staff allowed an unauthorized individual to remove R1 from the facility without proper consent. LPA conducted interviews with the Administrator and four (4) out of four (4) residents. During today's visit, LPA conducted an interview with R5. The Administrator acknowledged that on 04/09/2025 R1 left the facility with a family member for a dinner and stated that although prior instructions were provided by the POA. R1 expressed a desire to leave and staff did not prevent departure due to personal rights considerations. Additionally, R1 stated that they left the facility voluntarily with a family member and reported no concerns. Interview with all residents did not express any concerns regarding the allegation. Based on interviews conducted, there is insufficient evidence to support the allegation. Therefore, this allegation is deemed Unsubstantiated at this time. Exit interview conducted. Appeal rights discussed. Copy of report provided.the state’s words, verbatim · CDSS document, Sep 1, 2026 · control 31-AS-20250522163035

The state marks this report as 6 pages; the online copy we transcribed has 5. You can request the full file from the county licensing office.

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, Romeo Balasanyan, and explained the reason for the visit. At approximately 12:00pm, LPA took a tour of the physical plant. The facility is a one story building. Required postings were observed in the entry area. The smoke alarms and carbon monoxide are dual and interconnected. There is one fire extinguishers located in the kitchen. It was purchased on June 21, 2025 Kitchen: The kitchen appliances and fixtures were functional. LPA found a sufficient amount of perishable and non-perishable food properly stored. Knives were stored in a locked drawer in the kitchen. Cleaning supplies were stored locked underneath the kitchen sink. Bedrooms: There are three (3) bedrooms designated for residents' use. All three bedrooms are shared. Bedrooms were observed to be properly furnished with appropriate beddings and linens with sufficient lighting. Bathrooms: There are two (2) bathrooms designated for residents' use. Both bathrooms were properly supplied and had functional fixtures, grab bars and non-skid mats. Hot water temperature was measured between 109 and 114 degrees Fahrenheit. No cleaning supplies were observed in either bathrooms during the day of the inspection. Common Areas: Common areas include the living room and dining room. The living room and family room is furnished with sufficient seating, couches, recliners, tables and television. The dining room table is large enough to seat up to six (6) individuals. Floors were mopped and clean. Furniture is in good repair. Surrounding Grounds: Entry/exits to the front and back yards were free of obstruction. There is furniture in the backyard appropriate for outdoor use. There is a self storage building in the backyard with extra water and supples. The outdoor area was free of hazards. Laundry area: The laundry area is located by the kitchen. It was kept locked during the visit. Staff Workstation/Office: There is a staff workstation located at the corner of the dining room where resident and staff records are kept. Resident Files: LPA conducted a file review of resident records to insure compliance of licensing forms. Staff Files: LPA also conducted a file review of staff records to insure forms and training are up to date and compliance with licensing forms. Medications: Medications are stored in a locked cabinet in the kitchen. Medication and Medication Records were reviewed for proper storage and documentation. Garage: There is no garage. 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, Feb 27, 2026

Allegation investigated: Licensee does not ensure that staff has a criminal record clearance

At approximately 2:00 p.m. on 02/11/26 Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced complaint visit. LPA met with the administrator and disclosed the reason for the visit. To investigate the allegation above, LPA conducted an initial visit on 01/15/26 and interviewed staff and residents between 12:15 p.m. and 1:45 p.m., toured the facility inside and out at 12:30 p.m., and conducted a record review of pertinent records, including but not limited to staff training records and staff and client rosters at 1:30 p.m. Today, LPA toured the facility at approximately 2:30 p.m. Regarding the allegation "Licensee does not ensure that staff has a criminal record clearance" it was alleged Person #1 (P1) worked a 24-hour shift without first obtaining a criminal background clearance. Interview with the administrator at 12:15 p.m. on 01/15/26 revealed P1 did not obtain a criminal background clearance prior to being in the building. P1 did not perform any staff duties, but P1 was paid for their shift in the facility. Substantiated P1 shadowed with the administrator and Staff #1 (S1) on 01/04/26 and was supervised from midnight to 8:00 a.m. on 01/05/26. The administrator provided care to residents during P1’s time in the facility. Interview with Resident #1 (R1) at 1:00 p.m. on 01/15/26 revealed P1 cleaned during their shift. Interviews with R1, Resident #2 (R2) at 1:25 p.m., and Resident #3 (R3) at 1:45 p.m. on 01/15/26 revealed P1 did not provide any assistance with activities of daily living. Record review revealed all staff present for today’s visit had criminal background clearances, however no staff file was available for P1. Based on interviews and record review, although P1 did not perform any staff duties and was supervised, the administrator confirmed they did not obtain a criminal background clearance prior to entering the facility. Therefore, the allegation is deemed SUBSTANTIATED at this time. A deficiency is issued on the corresponding LIC 9099-D page. A civil penalty in the amount of $100 is issued on the corresponding LIC 421-BG page. No immediate health or safety hazards were observed during today’s visit. Exit interview conducted. Appeal rights discussed. Copy of report provided. Interview with S1 at 1:20 p.m. on 01/15/26 confirmed they shadowed with P1 on 01/04/26. Record review of staff trainings records revealed the administrator, S1, and Staff #2 (S2) all had required trainings. Interview with Resident #1 (R1) at 1:00 p.m. on 01/15/26 revealed P1 cleaned during their shift. Interviews with R1, Resident #2 (R2) at 1:25 p.m., and Resident #3 (R3) at 1:45 p.m. on 01/15/26 revealed P1 was “getting familiar with the home” and did not perform staff duties. R1 also stated P1 was supervised by the administrator and S1. Interviews with R2 and R3 confirmed P1 did not provide any care for them. Based on interviews and record review, P1 shadowed with staff and did not perform duties requiring training. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. No immediate health or safety concerns were observed during today’s visit. Exit interview conducted. Copy of report provided.the state’s words, verbatim · CDSS document, Feb 11, 2026 · control 31-AS-20260106151445

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87355(e) · Plan of correction due date: Feb 12, 2026

87355 Criminal Record Clearance (e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility. This requirement was not met as evidenced by: Based on interviews and record review, the licensee did not comply with the section cited above in one (01) out of four (04) staff, Person #1 (P1), which posed an immediate risk to the Health, Safety, or Personal Rights to persons in care.the state’s words, verbatim · CDSS document, Feb 11, 2026

Plan of correction: Licensee to provide a written statement regarding the cited section and provide proof of correction by the POC due date.

Type of visit: Prelicensing

At 10:30am Licensing Program Analysts (LPA) Leizl de la Cerra conducted an announced Pre-Licensing Inspection to the above facility and met with administrator, Romeo Balasanyan The LPA will inspect the facility to ensure compliance with the rules and regulations under California Code of Regulations, Title 22, Division 6. Fire Clearance was approved on 04/29/2024 for a maximum capacity of six (6) residents, of which five (5) are for non-ambulatory and one (1) for a bedridden resident in bedroom #3. The facility is a single-story building with no garage. At 11:00am, with the assistance of the administrator, LPA conducted a facility tour of both the inside and outside premises and observed the following: KITCHEN: The kitchen is equipped with a refrigerator, stove, microwave oven and sink. LPA observed adequate supplies of nonperishable food and 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. BEDROOMS: There are three (3) bedrooms designated for resident use. Bedroom #3 is cleared for one (1) bedridden. All bedrooms are furnished with a night stand, a chair, a lamp, a chest of drawers, a closet and a bed with clean bedding and linens. All bedrooms have sufficient closet space and have sufficient lighting. BATHROOMS: LPA observed two (2) bathrooms that are clean and in good repair. Properly supplied with toilet papers, soap and paper towels. The hot water temperature measured between 114°- 118°F. LPA observed the appropriate grab bars by the toilet and in the shower areas. LPA observed non-skid mats in the shower area. Continued to LIC809-C COMMON AREAS: The facility maintains a comfortable temperature at 70°F. The living room and dining area appeared clean and were properly furnished. No obstructions and or tripping hazards throughout the common area. SURROUNDING GROUNDS: LPA observed the backyard provided a covered seating area with the appropriate outdoor furnitures, available for residents to use. LAUNDRY AREA: LPA observed laundry area located by the kitchen area. The washer/dryer appear to be in good condition. Cleaning solutions, laundry detergents and other hazardous cleaning materials are kept inaccessible in a locked cabinet located in the kitchen area. The medications, resident files and staff files will be kept in locked cabinet in the kitchen area which is inaccessible to residents in care. The first-aid kit is complete. The facility smoke alarm system is hard wired and interconnected. The fire extinguisher is located in the kitchen area and was observed to be fully charged and was last purchased on 04/15/24. The facility uses a dual Carbon Monoxide/Smoke alarm detectors all over the common areas of the facility. Alarms were tested and observed to be operational. Component III Orientation was conducted with the administrator/applicant during the visit. LPA de la Cerra will notify the Centralized Applications Bureau (CAB) Analyst of the completed Pre-Licensing inspection. The CAB Analyst will notify applicant when license is approved. Exit interview was conducted and a copy of the signed report has been emailed to the applicant.the state’s words, verbatim · CDSS document, Dec 3, 2024

Type of visit: Office

Facility Type: RCFE Application Type: Initial Capacity: 6 Method: Telephone call with CAB COMP II Participants: Balasanyan, Romeo On 11/13/24, the applicant/administrator participated in COMP II at CAB via telephone call with analyst at CAB. Identification of the applicant and administrator was verified by confirming driver’s license number. During COMP II, applicant and administrator confirmed the understanding of Title 22. Component II was successfully completed. Applicant and administrator were advised to email/fax signed LIC 809 with copy of photo ID to CAB. 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, Nov 13, 2024