Thompson Terrace

Type of visit: Case Management - Incident

On 9/14/2026 at 10:58AM, Licensing Program Analyst (LPA) Gina Saucedo conducted an unannounced Case Management visit pertaining to an incident that occurred on 09/11/26. Let it be noted, this is the second visit to the above facility due to an incident at Mountain Villa (197609508) to verify that this current facility is ready to receive residents from Mountain Villa as it pertains to all the required title 22 regulations. LPA was greeted by the Administrator, Narine Saroyan and stated the reason for their visit. Let it be noted, the above facility currently has three (3) residents that were transferred from the hospital that previously resided at Mountain Villa. On 09/14/26, at 11:21AM, conducted a physical tour to check on the health and safety of the three (3) residents. Kitchen: Sufficient supplies of dishes, cups, and silverware located within the kitchen cabinets and drawers. Sharps are stored on the left side of the kitchen locked and inaccessible to the residents. Sufficient supply of food such as: canned goods, bottles of water, cereal were observed. Kitchen appliances are working and are in good repair. First-aid kit observed as well. There is a working telephone on the premises. Emergency: Fire extinguisher located in the kitchen on the right side and dated 5/04/2026. Medications: Medication is stored both in a cabinet in the hallway and is locked and inaccessible to residents. LIC809C-continued Bedrooms: The bedrooms are properly furnished with bed, nightstand, applicable lightening, and seating. Window coverings are in good repair, not broken or damaged. Bathroom: The bathrooms are in proper condition and is equipped with sufficient personal hygiene for each resident. Hallways: Hallway is properly lighted. Extra linens/covers observed in storage cabinet within the passageway. There is only one (1) entrance being utilized. Required postings such as: Personal Rights of Residents, Rights of Family Council, Theft and Loss Policy, LGBT Bill of Rights, Ombudsman, YES are posted along hallway. Toxins, cleaning solutions, and laundry detergents are kept locked under the sink in the kitchen inaccessible to residents and in the pantry where the washer and dryer is kept. Living/Dining area: The living room is neat, clean, and organized with sufficient seating for both residents and staff. The dining area is also neat, clean, and organized. Both rooms are properly furnished and in good repair. The facility maintains a comfortable temperature of seventy (70) degrees. Smoke detectors: Dual interconnected smoke detectors and carbon monoxide observed to be working properly and were tested with Fire doors. Garage: There is no garage. Pool: no bodies of water located at the facility. Exit interview conducted and copy of this report issued to the administrator.the state’s words, verbatim · CDSS document, Sep 14, 2026

Type of visit: Prelicensing

On 09/02/26, at 09:05am, Licensing Program Analyst (LPA) Gina Saucedo conducted an announced Pre-licensing visit. LPA's met with Administrator/Licensee Ashot Tounian. An application was submitted to Community Care Licensing Division-CCLD on 03/10/2026, Initial license for a Residential Care Facility for the Elderly (RCFE), 60 years and older. The requested capacity is for six (6) non-ambulatory and one (1) may be bedridden, total of up to six (6) residents and fire clearance was approved on 5/04/2026-Room number four (4) is for bedridden. Structure: The facility is a single-story building with five (5) bedrooms and three (3) bathrooms. Entrance: There is only one (1) entrance being utilized. Required postings such as: Personal Rights of Residents, Rights of Family Council, Theft and Loss Policy, LGBT Bill of Rights, Ombudsman, YES are posted along hallway. Toxins, cleaning solutions, and laundry detergents are kept locked under the sink in the kitchen inaccessible to residents and in the pantry where the washer and dryer is kept. Living/Dining area: The living room is neat, clean, and organized with sufficient seating for both residents and staff. The dining area is also neat, clean, and organized. Both rooms are properly furnished and in good repair. The facility maintains a comfortable temperature of seventy (70) degrees. No firearms observed or will be maintained on the premises. Resident/staff files: Resident and staff files will be kept locked in filing cabinet in office area. LIC809C-continued Kitchen: Sufficient supplies of dishes, cups, and silverware located within the kitchen cabinets and drawers. Sharps are stored on the left side of the kitchen locked and inaccessible to the residents. Sufficient supply of food such as: canned goods, bottles of water, cereal were observed in the garage. Kitchen appliances are working and are in good repair. First-aid kit observed as well. There is a working telephone on the premises. Emergency: Fire extinguisher located in the kitchen on the right side and dated 5/04/2026. Medications: Medication will be stored both in a cabinet in the hallway and will be locked and inaccessible to residents. Bedrooms: The bedrooms are properly furnished with bed, nightstand, applicable lightening, and seating. Window coverings are in good repair, not broken or damaged. Bathroom: The bathrooms are in proper condition and will be equipped with sufficient personal hygiene for each resident. Hallways: Hallway is properly lighted. Extra linens/covers observed in storage cabinet within the passageway. Staff room: there is no designated staff room in the facility. Water Temperature: The water temperature was measured in the bathrooms at 106.2 Fahrenheit and is within regulations. LIC809C-continued Smoke detectors: Dual interconnected smoke detectors and carbon monoxide observed to be working properly and were tested with Egress doors. Garage: There is no garage. Outside: The outside is clean, free of hazards, and will be properly furnished with sufficient seating. A shaded area for residents was observed as well. Pool: no bodies of water located at the facility. Administration: The facility had submitted an Emergency and Disaster Plan For Residential Care Facilities For The Elderly and Infection plan. The Component III Orientation RCFE was shown/reviewed with the Administrator. Facility is in compliance with Title 22 Regulations at this time. This report will be forwarded to the Centralized Application Bureau (CAB). You will be notified by the CAB Analyst when your license has been approved. Exit interview conducted and copy of this report issued to the administrator.the state’s words, verbatim · CDSS document, Sep 2, 2026

Type of visit: Office

On 8/21/26 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 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, Aug 21, 2026