La Senior Home

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Michael Cava conducted a Pre-Licensing Inspection with the applicant representative and administrators Tigran and Naira Gevorgyan. This is a Change in Location (CHOL) application to operate a Residential Care Facility for the Elderly (RCFE). The application was received by Community Care Licensing (CCL) on April 6, 2026. A fire clearance was approved on May 12, 2026 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 hard wired. The facility has two new fire extinguishers that was purchased on September 7, 2022. One fire extinguisher is located in dining room/kitchen area, and the other at the hallway. Prior to the Pre-Licensing inspection, a Component III power point presentation was held between 12:00pm to 1:00pm. A tour of the physical plant was initiated at approximately 1:00pm and the following was observed: KITCHEN: The kitchen area is equipped with two refrigerators, stove/oven, microwave and sink. There are no residents at this facility at this time, but applicants will supply the home with both perishable and non-perishable foods once residents move in. Knives will be locked in a kitchen drawer. BEDROOMS: There are six (6) bedrooms designated for client use. All rooms are for private, with bedroom #1 having a bedridden fire clearance (per STD 850). The applicant furnished the resident bedrooms with beds, night stand, chairs, dresser, bedding and linen. The bedrooms have sufficient lighting and closet space. BATHROOMS: The facility has three (3) bathrooms. Two bathrooms are designated for resident use, and one for staff. Bathrooms designated for the resident use were observed to have proper fixtures, grab bars, and non-skid mats. The hot water delivered in the bathrooms measured between 105 to 107 degrees. COMMON AREAS: These included the living room and dining room area. Living room is furnished with two couches, table and television. The dining room table is large enough to accommodate six (6). Floors were clean and in good repair. There were no visible immediate hazards. LAUNDRY ROOM: The laundry room is located by the kitchen. MEDICATIONS: Medications will be kept locked in a kitchen cabinet. OFFICE/STAFF WORKSTATION: Staff workstation, where resident and staff records will be maintained, is located opposite the dining room. GARAGE: The garage is attached to the home. Garage will be used as storage space for cleaning supplies, detergents and equipment. 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 where backyard furniture will be placed to accommodate the residents. There is a swimming pool that is fenced all around with a gate that will be kept locked at all times. The fence surrounding the swimming pool is approximately 5 feet high all around its parameters. In addition to the fence, the pool is covered with a thick material to prevent resident use. 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, May 14, 2026