Brightstar Senior Home

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, Nareneh Ohanian, and advised her of the reason for the visit. At approximately 10:15am, LPA took a tour of the physical plant. The facility is a one story building. The smoke alarms and carbon monoxide detector are dual and inter-connected. The facility has one fire extinguisher, located by the kitchen. Kitchen: The kitchen appliances and fixtures were functional. LPA found a sufficient amount of perishable and non-perishable food sealed and properly stored. Knives were locked and stored in a kitchen drawer. Cleaning supplies are locked underneath the kitchen sink. Bedrooms: There are four (4) bedrooms designated for client use. All four bedrooms can be shared, with bedroom #3 having the bedridden fire clearance (per STD 850). Bedrooms, are observed to be properly furnished with appropriate beddings and linens with sufficient lighting and closet space. BATHROOMS: The facility has three (3) bathrooms. Bedroom #4 has it's own bathroom with shower. There is a full bath in the hallway, next to bedroom #1. There is another full bath in between rooms #2 and #3. All bathrooms were observed to have the proper fixtures, grab bars, and non-skid mats. The hot water delivered in the bathrooms measured at 118 to 120 degrees. COMMON AREAS: These included the living and dining room. The living room has sufficient seating furnished with a large and small couch and coffee table. The dining room table is large enough to seat six (6) individuals. There is a fireplace with a screen and a glass slide. No key or fireplace fixtures present. LAUNDRY ROOM: The laundry room is located adjacent to the first common bathroom in the hallway. It will be kept locked at all times as cleaning supplies and detergents will be maintained there. MEDICATIONS: The medication closet is located near the front entrance. It was locked. Medication and Medication Records were reviewed for proper storage and documentation. OFFICE/STAFF WORKSTATION: Staff Office/Workstation is located between rooms #2 and #3. Resident Files: LPA conducted a file review of resident records to insure compliance with licensing forms. Staff Files: LPA conducted a file review of staff records to insure compliance with licensing forms. GARAGE: No garage, car port only. SURROUNDING GROUNDS: The driveway, passageways and entrance to the home was clear of obstruction. All entry and exit doors have a functional auditory alert when the doors open. The backyard of the facility has a patio and backyard furniture to accommodate the six (6) residents. The facility backyard has sufficient yard space. There is no swimming pool or any other bodies of water. There are two storage sheds that are locked and used to keep supplies. Side gate/exit is clear of obstruction. 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, Aug 1, 2026

Allegation investigated: Facility is not operating within license capacity. Staff are using cameras with audio in the facility.

Licensing Program Analyst (LPA) Leslie Ngo-Castaneda conducted an unannounced subsequent visit to this facility to deliver findings. LPA met with facility licensee, Narineh Ohanian, who granted access to the facility. Initial investigation was conducted by LPA Ngo-Castaneda on 6/22/2026, with assistance from staff LPA toured the physical plant at 1:17 PM. LPA interviewed six (6) out of six (6) residents and one (1) staff member from 1:16 PM until 2:00 PM. LPA reviewed the residents’ records from 2:00 PM until 2:10 PM. On 7.16.2026, LPA conducted a subsequent visit and delivered findings for the above allegations. Allegation: Facility is not operating within license capacity Continue to LIC 9099-C Substantiated This is an amendment to the original report issued on 7.16.2026 to issue an immediate Civil Penalty of $500.00 due to fire clearance. The licensee/administrator was informed that additional civil penalties might be assessed based on Health and Safety Code It is alleged that the facility is operating over their approved capacity. Staff interviewed on 6.22.2026 denied the allegation and stated that they only have six (6) residents at the facility. Interview with licensee and staff today, confirmed that there was seven (7) residents on 6.10.2026. Interviews with the residents revealed that the facility had seven (7) residents at one point. Residents were unable to provide a time frame. However, they stated the resident had left the facility. Per residents and facility staff, the seventh (7th) resident was at the facility due to emergency placement. Interview conducted with Local Ombudsman Representative revealed that on 6.10.2026, seven (7) residents residing at the facility were observed. Per document review, the facility is licensed to serve six (6) residents over the age of 60, no exceptions or contact to Community Care Licensee was noted to request an exception or an increase of capacity. Based on LPA observations, interviews which were conducted, and record review, the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be substantiated. An immediate civil penalty of $500 was assessed today for a violation resulting in an immediate hazard to the health and safety for fire clearance, a civil penalty is prescribed by California Health and Safety Code Section 1548(c), 1568.0822(c), 1569.49(c), 1596.99(c), or 1597.58(c). Allegation: Staff are using cameras with audio in the facility. It is alleged that the facility staff are using cameras with audio in the facility. During the physical plant tour, LPA Ngo-Castaneda observed a Ring indoor camera in the living room and the kitchen. These cameras were observed to be able to do a two-way talk audio that can be removed by turning it off. Interviews with residents revealed that they are aware of the cameras in the facility and have not witness staff or licensee conversing through the cameras. Interviews with the staff revealed that only the licensee has access to the cameras and were not aware of the audio option. During today’s visit, LPA verified and observed that the licensee can respond to the camera through the app on their phone. During today’s visit, LPA observed the camera’s app on licensee’s phone and observed that audio can be turned on and listened in by the licensee. Therefore, the allegation was substantiated. Exit interview was conducted and a copy of this report, LIC9099D, and appeal rights were provided.the state’s words, verbatim · CDSS document, Jul 16, 2026 · control 31-AS-20260619095620

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87204(a) · Plan of correction due date: Jul 17, 2026

A licensee shall not operate a facility beyond the conditions and limitations specified on the license, including specification of the maximum number of persons who may receive services at any one time. An exception may be made in the case of catastrophic emergency when the licensing agency may make temporary exceptions to the approved capacity. This was not met as evidence by: Based on the interviews, the licensee/administrator did not ensure to operate within the capacity of the facility by admitting a 7th resident which poses an immediate risk to Health, Safety, or Personal Rights of the persons in care.the state’s words, verbatim · CDSS document, Jul 16, 2026

Plan of correction: The licensee will certify in writing that moving forward will operate within their capacity and will not accept additional residents, unless a request and approval has been made to the department for an exception.

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87468.2(a)(1) · Plan of correction due date: Jul 17, 2026

Additional Personal Rights of Residents in Privately Operated Facilities (a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (1) To have a reasonable level of personal privacy in accommodations, medical treatment, personal care and assistance, visits, communications, telephone conversations, use of the Internet, and meetings of resident and family groups. Based on observations licensee did not ensure that cameras in common areas do not have an audio option which poses an immediate risk to the health, safety, or personal rights of the persons in care.the state’s words, verbatim · CDSS document, Jul 16, 2026

Plan of correction: Licensee remove cameras in the facility.

Allegation investigated: Staff did not seek timely medical attention for a resident Unqualified staff is providing care and supervision

Licensing Program Analyst (LPA) Michael Cava conducted a complaint visit to the facility to investigate the above allegations. LPA met with staff, Aida Nazaryan, and advised her of the complaint. The administrator, Narineh Ohanian was advised and intervewied over the phone. Today's investigation consisted of interviews with residents and staff, record revew, and a physical plant inspection. Staff did not seek timely medical attention for a resident: In regards to the allegation, it's being reported that on or around 01/05/26, Resident 1 (R1) fell out of bed around 3AM, but the licensee did not provide immediate medical attention in calling the paramedics to assess R1 while R1 was complaining of pain. Between 10:00am to 11:00am, LPA made a physical plant inspection. Between 11:00am to 12:00pm, LPA conducted, interviews with the administrator and two (2) of two staff who all deny the allegation. Administrator and staff confirm R1 fell at 3:00am on 01/05/26, and Unsubstantiated immediate attention was provided. R1 was assessed by staff, and no injuries observed at the time. R1 was asked if they would like the paramedics to be called to transport to the hospital for further assessment, but R1 declined. It wasn't until noon time when R1 was exhibiting some pain and discomfort that paramedics were called, and R1 was taken to the hospital for an assessment. Administrator aware of injuries incurred from the fall. R1's discharge is pending, but R1 will not be returning to facility. Between 12:00pm and 1:00pm, LPA conducted a record review. Between 1:00pm and 2:00pm, LPA conducted interviews with five (5) of five residents. Residents interviewed expressed no concerns of their needs not being met. Moreover, these residents could not corroborate with the allegation of staff not seeking timely medical attention for R1. Therefore, based on the information obtained, the allegation of Staff not seeking timely medical attention for R1 is Unsubstantiated at this time. Unqualified staff is providing care and supervision: In regards to the allegation, it was reported that staff at the facility are not licensed caregivers. Interviews with the administrator and two (2) of two staff were made between 11:00am to 12:00pm. Interviews with the administrator and staff deny the allegation, stating they've received the required first aid and staff training to satisfy requirement. In addition, LPA conducted a record review of staff records between 12:00pm to 1:00pm to confirm staff has met the required training to satisfy licensing requirement. Based on the information obtained, there was insufficient evidence to prove that Unqualified staff is providing care and supervision. Therefore, the allegation is deemed Unsubstantiated at this time.the state’s words, verbatim · CDSS document, Jan 15, 2026 · control 31-AS-20260108101655

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Michael Cava conducted a Pre-Licensing Inspection with the applicant representative/administrator, Narineh Ohanian. An Application to operate a Residential Care Facility for the Elderly (RCFE) was received by Community Care Licensing (CCL) on November 6, 2024. A fire clearance was approved on February 20, 2025 for five (5) non-ambulatory residents and one (1) bedridden resident, for a total capacity of six. The applicant is also requesting a hospice waiver to retain six (6) residents. The smoke alarms and carbon monoxide detector are dual and inter-connected. The facility has one new fire extinguisher, located by the kitchen. It was was purchased on February 11, 2025. A tour of the physical plant was initiated at approximately 9:50am and the following was observed: KITCHEN: The facility has a Kitchen area that is equipped with a refrigerator, stove/oven, microwave oven and sink. There were adequate supplies of perishable and nonperishable food and dining ware to accommodate a maximum capacity of six (6). Knives were observed locked in a kitchen drawer. BEDROOMS: There are four (4) bedrooms designated for client use. All four bedrooms can be shared, with bedroom #3 having the bedridden fire clearance (per STD 850). The applicant furnished the resident bedrooms with beds, night stand, chairs, dresser, bedding and linen. Each bedrooms have sufficient lighting and closet space. Additional linen and towels are kept in the linen closet, out in the hallway BATHROOMS: The facility has three (3) bathrooms. Bedroom #4 has it's own bathroom with shower. There is a full bath in the hallway, next to bedroom #1. There is another full bath in between rooms #2 and #3. All bathrooms were observed to have the proper fixtures, grab bars, and non-skid mats. The hot water delivered in the bathrooms measured at 116 degrees. COMMON AREAS: These included the living and dining room. The living room is furnished with a large and small couch and coffee table. The dining room table was large enough to seat six (6) individuals. There is a television placed by the dining room, with an activity table with board games underneath. There is a fireplace with a screen and a glass slide. No key or fireplace fixtures present. There is a sign in table by the dining room table, where the first aid and first aid manual is kept. LAUNDRY ROOM: The laundry room is located adjacent to the first common bathroom in the hallway. It will be kept locked at all times as cleaning supplies and detergents will be maintained there. MEDICATIONS: The medication closet is located near the front entrance. It has a lock. Staff and resident records will also be maintained there. OFFICE/STAFF WORKSTATION: Staff Office/Workstation is located between rooms #2 and #3. GARAGE: No garage, car port only. SURROUNDING GROUNDS: The driveway, passageways and entrance to the home was clear of obstruction. All entry and exit doors have a functional auditory alert when the doors open. The backyard of the facility has a patio and backyard furniture to accommodate the six (6) residents. The facility backyard has sufficient yard space. There is no swimming pool or any other bodies of water. There are two storage sheds that will be locked and used to keep supplies. Side gate/exit is clear of obstruction. In addition to the Pre-Licensing inspection, a Component III power point presentation was also held. Pursuant to Title 22, Division 6 of the CA Code of Regulations, the facility's physical environment is compliant and ready for licensure. CAB will be advised and a copy of this report provided.the state’s words, verbatim · CDSS document, Jun 13, 2025

Type of visit: Office

COMP II by CAB successfully completed Method: Phone Call at CAB Applicant/administrator participated in COMP II at CAB telephone call with analyst at CAB. Identification of the applicant and administrator was verified by presenting photo ID via phone. 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. Staff qualifications and responsibilities 3. Applicant and Administrator qualifications 4. Program policy: Abuse, admission agreement, medication management, reporting incidents to CCL, restricted & prohibited conditions 5. Grievances, Complaints, Community resources 6. Physical plant, food service 7. Application document review and technical assistance: Criminal record clearance, Health screening, Fire clearance, First Aid/CPR certificate, Administrator certificate, Financial verification, Pre-licensing inspection, Compliance history, Control of propertythe state’s words, verbatim · CDSS document, Apr 10, 2025