Apex Senior Care

Type of visit: Required - 1 Year

At 12:30 PM, Licensing Program Analyst (LPA), Huma Rahimi conducted an unannounced Annual inspection visit and met the Administrator, Aida Torosyan, and explained the reason for the visit. LPA and the Administrator toured the facility and observed the following: Kitchen: LPA observed the kitchen is equipped with a refrigerator, oven, and a sink. Stove was observed in a good working condition. Adequate supplies of perishable and nonperishable food and dining ware to accommodate a maximum capacity of six (6) was available. All knives and sharps are observed to be locked in the kitchen cabinet and inaccessible to residents in care. LPA observed a Fire Extinguisher and was last purchased on 5/20/2026. Laundry: Laundry area is located by the kitchen. The washer/dryer appears to be in good condition. Laundry supplies, chemicals and detergents are kept locked in the hallway closet, and inaccessible to residents in care. Bedrooms: There are four (4) bedrooms designated for residents use. LPA observed that all bedrooms are furnished with beds, dressers and required bedding and linen. All residents also will have a call button available for an emergency assistance. The bedrooms have sufficient closet space and have sufficient lighting. Auditory alarms were tested and observed to be operational. The facility has an awake staff. Bathrooms: At 12:45 pm LPA observed all bathrooms are clean and in good repair. Properly supplied with toilet papers, soap and paper towels. LPA observed appropriate grab bar and had non-skid mat. LPA observed appropriate hand washing signs posted in each bathroom. Continue on LIC809-C All trash cans in bathrooms had fitted lids to protect from cross contamination. Hot water temperature measured at 138.2°F. Medications: LPA observed that the medications and files are stored in a locked cabinets by the dining/office areas and inaccessible to residents in care. Common Areas: The facility maintains a comfortable temperature at 74°F. The living room and dining area appeared clean and were properly furnished. No obstructions and or tripping hazards throughout the facility. Smoke detectors/carbon monoxide. Dual smoke and carbon monoxide detectors were located throughout the facility, and at 12:55 pm they were tested and observed to be operational. Outside areas: At approximately, 1:00 pm LPA toured the outside area of the facility. LPA observed appropriate outdoor furniture, with a covered shaded area for clients. The outdoor area was free of visible immediate hazards. LPA discussed the importance of maintaining the care and supervision to meet the needs of residents. There are no bodies of water. Between 1:10 pm to 2:30 PM, LPA reviewed records of three (3) residents and the Administrator. Residents and Administrator records were completed and updated. Administrative: LPA collected Certificate of Liability Insurance, and LIC500. A deficiency cited during today’s visit. Appeal rights issued and given. Exit interview conducted and copy of this report signed and delivered.the state’s words, verbatim · CDSS document, May 20, 2026

Allegation investigated: Staff do not assist resident with toileting. Staff do not ensure that residents' dietary needs are met. Staff do not assist resident with ambulating

At 9:00 AM, Licensing Program Analyst (LPA) Huma Rahimi conducted an unannounced initial complaint visit. LPA met with Staff #1 (S1) Yeghishe Torosyan, and the Administrator was contacted via telephone. LPA explained the reason for the visit. The Administrator arrived shortly after. During course of the investigation, interviews and record review were conducted. At 9:10 AM, LPA requested resident and staff roster. At 9:15 AM, LPA requested copies of pertinent information which include, but not limited to Physician Report, Admission Agreement, Appraisal Needs and Service Plan, Staff training etc., relevant to the investigation. At approximately 9:20 AM, LPA conducted a physical plant tour. Between 9:30 AM – 12:45 PM, LPA conducted an interview with the Administrator, Staff #2 (S2), a Witness, and three (3) out of five (5) residents who were available. Continue on LIC 9099C Unsubstantiated Allegation: Staff do not assist resident with toileting. It was alleged that staff failed to assist with toileting during nighttime hours. To investigate, LPA interviewed the Administrator, Staff #2 (S2), a Witness, and three (3) out of five (5) residents who were available. The Administrator and S2 denied the allegation and stated overnight staffing is in place and call lights are monitored with immediate response. Residents interviewed reported staff respond when called and provide assistance without delay. The Witness reported no knowledge of toileting concerns and expressed satisfaction with care. During the visit, LPA observed staff providing toileting assistance to residents in need and noted timely response to call lights. LPA also observed S2 arriving at the facility and relieving the night shift staff (S1) as part of normal staffing operations. Based on interviews and observation, there was insufficient evidence that toileting assistance was denied. This allegation is Unsubstantiated. Allegation: Staff do not ensure that residents’ dietary needs are met. It was alleged that Resident #1 (R1) received low-nutrition meals and that dietary needs were not met. To investigate, LPA interviewed the Administrator, Staff #2 (S2), a Witness, and three (3) out of five (5) residents who were available. The Administrator and S2 stated meals are prepared with appropriate portions and physician-ordered diets are followed. Four (4) out of five (5) residents in care are on special diets, and LPA observed staff providing diet-appropriate meals consistent with dietary orders. Residents reported meals include balanced options and that they are satisfied with food services. The Witness confirmed observing meals and expressed no concerns regarding nutrition. LPA reviewed R1’s physician report and observed that R1 is prescribed a soft and sized-texture diet. During the visit, LPA observed the facility following the physician’s dietary order by providing meals consistent with the required texture and nutritional guidelines. Dietary food served was appropriate for residents on special diets. Based on interviews, documentation review, and observation, there was insufficient evidence to support that dietary needs were not met. This allegation is Unsubstantiated. Continue on LIC 9099C Allegation: Staff do not assist resident with ambulating. It was alleged that staff failed to assist with ambulation and that R1 remained in bed for extended periods. To investigate, LPA interviewed the Administrator, Staff #2 (S2), a Witness, and three (3) out of five (5) residents who were available. The Administrator and S2 stated mobility assistance is provided and residents receive support with transfers and use of mobility devices as needed. Residents reported observing staff assisting with ambulation and transfers. The Witness confirmed awareness of resident care and reported no concerns regarding mobility assistance. During the visit, LPA observed staff assisting residents with ambulation and transfers in a timely manner and noted appropriate support for mobility needs. LPA also observed staff responding promptly to resident requests for assistance. Based on interviews and observation, there was insufficient evidence to support that ambulation assistance was denied. This allegation is Unsubstantiated. Appeal rights explained. Exit interview conducted. Copy of this report signed and delivered.the state’s words, verbatim · CDSS document, Mar 3, 2026 · control 31-AS-20260226094712

Type of visit: Prelicensing

At 10:00 AM, Licensing Program Analyst (LPA), Angela Panushkina conducted an announced Pre-Licensing visit to the above facility and met with the Administrator, Aida Torosyan,and explained the reason for the visit. Fire Clearance dated on 02/04/2024 is approved for two (2) Ambulatory residents in rooms #1 & 2 only, three (3) Non-ambulatory residents of which one (1) can be Bedridden in bedroom #3. The facility is a single-story building. LPA conducted a physical plant tour, inside and out, and observed the following: Kitchen: The LPA observed the kitchen is equipped with a refrigerator, oven, and a sink. Stove was observed in a good working condition. Adequate supplies of perishable and nonperishable food and dining ware to accommodate a maximum capacity of six (6) was available. All knives and sharps are observed to be locked and inaccessible to residents in care. LPA observed a Fire Extinguisher and was last purchased on 11/13/2024. Laundry: Laundry area is located by the kitchen. The washer/dryer appear to be in good condition. Laundry supplies, chemicals and detergents are kept locked in the hallway closet, and inaccessible to residents in care. Bedrooms: There are four (4) bedrooms designated for residents use. LPA observed that all bedrooms are furnished with beds, dressers and required bedding and linen. All residents also will have a call button available for an emergency assistance. The bedrooms have sufficient closet space and have sufficient lighting. Auditory alarms were tested and observed to be operational. The facility will have an awake staff. Bathrooms: At 10:45am LPA observed all bathrooms are clean and in good repair. Properly supplied with toilet papers, soap and paper towels. LPA observed appropriate grab bar and had non-skid mat. Continue on LIC809-C LPA observed appropriate hand washing signs posted in each bathroom. All trash cans in bathrooms had fitted lids to protect from cross contamination. Medications: Medications and files will be stored in file cabinets located by the dining/office areas. Both cabinets will be kept locked and inaccessible to residents in care. 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 facility. Smoke detectors/carbon monoxide. Dual smoke and carbon monoxide detectors were located throughout the facility, and at 10:55am they were tested and observed to be operational. Outside areas: At approximately, 11:00am LPA toured the outside area of the facility. LPA observed appropriate outdoor furniture, with a covered shaded area for clients. The outdoor area was free of visible immediate hazards. LPA discussed the importance of maintaining the care and supervision to meet the needs of residents. There are no bodies of water. Component III was conducted at 12:00pm. Pursuant to Title 22, Division 6 Chapter 2, the facility's physical environment appears to be compliant and ready for licensure. CAB will be advised and a copy of this report will be emailed. Exit interview conducted and copy of this report signed and delivered.the state’s words, verbatim · CDSS document, Mar 20, 2025

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: Name - Aida Torosyan CEO/Administrator Interview Method: Telephone interview On February 11, 2025, 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 the 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, Feb 11, 2025