Newcastle Board and Care

Type of visit: Prelicensing

At 9:00 AM, Licensing Program Analyst (LPA), Huma Rahimi conducted an announced Pre-Licensing visit to the above facility and met with Tatevik Stepanyan, the Administrator. LPA explained the reason for the visit. At the time of this visit LPA did not observe any residents present in the facility. Fire Clearance e-mail confirmation from the Fire Inspector to the Licensing Department dated 05/29/2026 and received for six (6) Non-ambulatory residents of which one (1) is Bedridden in bedroom #5. 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: During today's visit, LPA observed four (4) residents residing at the facility. The facility is single story building with seven (7) bedrooms of which six (6) are private resident rooms and one (1) is designated for staff. There are total of three (3) bathrooms, a kitchen, and a garage. KITCHEN: The facility has a Kitchen area that is equipped with a refrigerator, oven, and a sink. Stove was observed in a good working condition. At 9:20 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 drawer in the kitchen and inaccessible to residents. LPA observed a Fire Extinguisher hanging on the kitchen wall and was purchased on 06/08/2026. MEDICATION ROOM: The centrally stored medication are kept locked in the kitchen cabinet. Facility staff and residents files are kept locked in a cabinet in the living room. Continue on LIC 809C BEDROOMS: There are total of seven (7) bedrooms and six (6) are designated for residents use and one (1) bedroom for staff use. LPA observed the staff room to be kept locked and inaccessible to residents in care. LPA observed that 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 installed and observed to be functional during today's visit. The facility has an awake staff. BATHROOMS: There are three (3) bathrooms at the facility of which two (2) are designated for residents use and one (1) for staff and visitors. The staff and visitors bathroom was observed to be locked and inaccessible to residents in care. LPA observed all bathrooms are clean and in a 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 125.4°. The facility will keep a log of water temperature for five (5) days and submit it to LPA with the appropriate water temperature between 105° to 120°. LAUNDRY ROOM: The laundry room is located adjacent to the bedroom #1 and the laundry detergents were observed locked and inaccessible to residents in care. The washer/dryer appear to be in good working condition. All cleaning supplies and toxins were observed locked and inaccessible to resident in care under the kitchen sink. COMMON AREAS: The facility maintains a comfortable temperature at 72°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 front yard space. LPA did not observe appropriate outdoor furniture in the backyard of the facility to accommodate six (6) residents; however, LPA observed the proof of the purchase and will be delivered by 06/12/2026. There is no swimming pool or any bodies of water at the facility. The exit was free of any obstruction or hazard. Garage/Storage: The facility uses the garage for storage of extra supplies and refrigerator. LPA observed two extra storage areas in the backyard for gardening tools/supplies and other toxins which are kept locked and inaccessible to residents in care. Continue on LIC 809C SMOKE DETECTORS/CARBON MONOXIDE. Smoke detectors and carbon monoxide were hard-wired and located throughout the facility. At 10:15 AM, they were tested and observed to be operational. Component III was conducted with the Licensee/Administrator. Facility is in compliance with Title 22 Regulations at this time. This report will be forwarded to the Centralized Application Bureau (CAB) and be notified by the CAB Analyst when your license has been approved. Exit interview was conducted and with a copy of this report was provided to the Administrator and applicant.the state’s words, verbatim · CDSS document, Jun 10, 2026

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: Tatevik Stepanyan CEO/ Administrator Interview Method: Telephone interview On May 12, 2026, 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 Readiness 9. Pre-licensing Facility Grounds Inspection and Operational Readinessthe state’s words, verbatim · CDSS document, May 12, 2026

Allegation investigated: Unlicensed care being provided

At 2:00 pm, Licensing Program Analyst (LPA) Huma Rahimi, conducted an unannounced subsequent complaint visit at the above location. Upon arrival the LPA met with the housekeeper who granted access to the facility. LPA contacted the Operator via telephon and explained the reason for the visit. The Operator stated tht they are unable to come to the property to sign the report and designated the housekeeper to receve and sign today's report. On 04/14/2026, an initial complaint visit was conducted, and LPAs Huma Rahimi and Leslie Ngo-Castaneda interviewed the Operator. It was determined that one (1) out of sevene (7) individuals residing in the home required and was receiving elements of care and supervision. Elements of care and supervision include assistance with ADL's, arranging medical and dental services. Notice of Violation of Law (NOVL) was also issued, and Operator was advised to cease the operation. Continue on LIC 9099C Substantiated The purpose of today’s visit is to confirm that Resident #1 (R1) is no longer residing at this home. At 2:20 pm, LPA conducted a physical plant tour and observed that R1 is no longer residing at the home. LPA also conducted a telephonic interview with the Operator who confirmed that R1 has been relocated and provided R1's current location. Therefore, based on LPA's observation, during today’s visit, the plan of correction is complete at this time. Although, R1 has been already relocated, this complaint will remain Substantiated based on an initial finding. No citation was issued. Exit interview conducted and a copy of this report signed and delivered.the state’s words, verbatim · CDSS document, May 7, 2026 · control 31-AS-20260410104334