Harmony Life Homes

Allegation investigated: Staff did not accord resident with privacy.

Licensing Program Analyst (LPA) Nadia Shahbazian conducted an unannouced initial complaint visit to investigate the above stated allegation. LPA met with the Caregiver-Darejan Razmadze who called Licensee Levon Martirosyan over the telephone. LPA explained the reason for the visit to the staff and Licensee. At approximately 11:20 Am Ruzanna Bojukyan-Administrator arrived to the facility. LPA requested client and staff roster, copies of pertinent information which include, but not limited to Physician Report, Admission Agreement, Appraisal Needs and Services Plan, Incident Reports and dcuments, relevant to the course of investigation. At approximately 11:20 AM, LPA conducted a physical plant tour, no health and safety issues were observed . Between 11:25 AM to 1:10 PM, LPA conducted interviews with the staff, and five (5) out of five (5) residents. Continued on 9099-C Unsubstantiated Allegation: Staff did not accord resident with privacy. It is alleged that the Licensee has barged into Resident 1 (R1)'s room on multiple occasions and has followed R1 outside of the facility. Licensee mentioned that all residents have call pendants but staff check on residents every hour. Licensee mentioned that they are also a caregiver, who assists with daily care but they always ask for permission before entering a room. Interview with two staff revealed that they check on residents every hour or upon receiving assistance calls. Staff mentioned that several residents leave the doors open but they always enter resident’s rooms by asking permission. Staff also mentioned that if the door to a resident’s room or bathroom is closed, they always knock and wait for permission to enter. LPA also observed one (1) staff member who asked for permission to enter resident’s room. During interviews with residents, four (4) out of five (5) residents stated staff are nice and courteous; they always announce before entering rooms. Interview with R1 revealed that on several occasions Licensee barged in to the room but could not recall exact dates or times. R1 stated on one occasion Licensee waited outside with R1, while they were waiting for transportation but has never followed R1 anywhere. R1 stated within the last two weeks they have had a better relationship with the Licensee, who has not come in to the room but staff are always there to assist. Based on interviews with staff and residents, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. Exit interview conducted and copy of this report was provided.the state’s words, verbatim · CDSS document, Jul 6, 2026 · control 31-AS-20260630115504

Allegation investigated: Staff did not provide resident with copies of resident's records.

On Thursday, 05/28/26, Licensing Program Analyst, (LPA) Raymond Comer, conducted an initial 10-day complaint visit to investigate the above allegation. LPA presented official CDSS identification badge, LPA met with Staff caregiver, Darejan Razmadze, and the Licensee was contacted via telephone. LPA explained the reason for the visit and the Licensee arrived at 10:20 am. At 10:25 am, LPA conducted a physical plant tour; no health and safety issues were observed. To investigate the allegation, Between 10:35 am and 11:15 am, LPA interviewed the Licensee and Administrator. Between 11:30 am, and 12:10 pm, LPA interviewed four (4) residents, which include resident#1. Between 12:40 pm, and 1:10 pm, LPA interviewed two (2) responsible family members. At 1:15 pm, LPA obtained and reviewed Facility roster, Personnel roster, Resident#1 (R1) Physician Report, Appraisal, and other relevant documentation. [LIC9099C] Continued Unsubstantiated Allegation: Staff did not provide resident with copies of resident's records. It was alleged that Staff neglected to provide Resident#1 (R1) with documents requested from their file in a timely manner. To investigate the allegation, LPA Comer spoke with both the Licensee and Staff house Manager which refute the claim and stated that on 5/11/26, R1 was provided copies of all requested documents maintained in R1's resident file. Per Licensee, R1 received all requested documents on 5/11/26, however R1 refused to sign a statement of receipt of said documents. LPA Comer's interviews with R1 revealed the following: R1 confirms receiving the majority of all requested records on 5/11/26, several days before R1 submitted their written request on 5/14/26. R1 confirmed to LPA Comer that they did refuse to sign a statement confirming receipt of documents. All four (4) out of a total of four (4) residents were interviewed which revealed the following: Three (3) out of four (4) residents state that staff provide adequate and timely communications to their doctor and responsible family members. LPA Comer's interviews with the responsible family members of two (2) residents revealed the following: Staff provide adequate and timely communication regarding status of resident health and safety, and have no issues receiving resident-related documentation in a timely manner, when requested. LPA Comer's review of documents reviewed the following: R1's file contains an internal memorandum, dated 5/11/26, which shows that R1 was provided copies of documents, as requested. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. Exit interview conducted and a copy of this report was provided to the Licensee.the state’s words, verbatim · CDSS document, May 28, 2026 · control 31-AS-20260519150858

Type of visit: Prelicensing

At 09:30 AM, Licensing Program Analyst (LPA) Huma Rahimi, conducted an announced Pre-Licensing visit to the above facility and met with the Administrator Lusine Tadevosyan, and the Applicant/Licensee, Levon Martirosyan and explained the reason for the visit. At the time of this visit LPA did not observe any residents present in the facility. Fire Clearance dated 10/09/2025 and received for five (5) Non-ambulatory, and one (1) Bedridden (room #3) residents. 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, Division 6. 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 refrigerator, microwave oven, and a sink. Stove was observed in a good working condition. At 09:45 AM, LPA observed adequate supplies of perishable and 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. LPA observed a Fire Extinguisher and was last purchased on 09/22/2025. It was observed hanging on the wall in the living room. LPA observed that all cleaning supplies to be locked in the laundry area next to the kitchen. The washer/dryer appear to be in good working condition. MEDICATION ROOM: The centrally stored medication will be kept in the locked cabinet in the kitchen. Residents and staff files will be kept locked in the the facility's office which in the main entrance of the facility. BEDROOMS: There are total of four (4) bedrooms. The facility will not have a live-in staff. Four (4) bedrooms are designated for resident’s use. Bedrooms number one (1) and three (3) are shared. Room # two (2) and four (4) are private. Continue on LIC 809C All bedrooms are furnished with beds, dressers and required bedding and linen. The bedrooms have sufficient closet space and have sufficient lighting. Auditory alarms were tested and observed to be operational. BATHROOMS: There are three (3) bathrooms at the facility. Bathroom number one (1) will be used by staff and visitors only. Two (2) out of three (3) bathrooms will be used by residents only. 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 The water temperature was noted at 92.8°.The Administrator is going to keep a log for five days of water temperature between 105°F to 120°F. COMMON AREAS: The facility maintains a comfortable temperature at 68°F. The living room and dining area appeared clean and were properly furnished and has a television. No obstructions and or tripping hazards throughout the facility. LPA observed a working telephone for the facility. SURROUNDING GROUNDS: The facility has sufficient backyard space. LPA did observe appropriate outdoor furniture in the backyard of the facility that can accommodate six (6) residents, LPA observe a covered shaded area for residents. There is no swimming pool or any bodies of water at the facility. The exit was free of any obstruction or hazard. Garage/Storage: LPA observed a garage which will be used as a storage for extra supplies. LPA also observed an extra storage which will be used to keep the extra beds and wheelchairs. Both the garage and storage areas will be kept locked and inaccessible to residents in care. SMOKE DETECTORS/CARBON MONOXIDE. Smoke detectors and carbon monoxide were located throughout the facility. At 10:05 AM, they were tested and observed to be operational. Component III was conducted with the Licensee/Administrator. Continue on LIC 809C The licensee will need to complete the following: 1. Hot water temperature log for five (5) days. Please submit the above item within five (5) days. The facility is ready for operation upon completion of requested item in this report and final approval of the application. The licensee/Administrator should notify the Licensing agency of the admission of their first resident. Exit interview was conducted and with a copy of this report was provided to the Applicant/Administrator.the state’s words, verbatim · CDSS document, Nov 19, 2025