Casa Beaumont

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Kristin Kontilis conducted an unannounced required Annual Inspection to the above-named facility. At the time of arrival, there were six (6) residents in care and two (2) staff on duty. Administrators Anton Zamyatin and Katerina Zamyatina arrived shortly thereafter. LPA explained the purpose of the visit. The facility is a Residential Care Facility for the Elderly (RCFE) and is home to non-ambulatory residents with a dementia diagnosis. There is one (1) resident currently on hospice. Entrance interview conducted: A tour of the physical environment and accommodations were assessed, and the following was noted: LPA observed the required posting of the complaint poster and Resident’s Rights. LPA inspected the two-story facility for fire safety, personal accommodations and food service. Two first aid kits along with additional first aid supples were observed to be complete. Medications and First Aid kits are in a locked cabinet located in the hallway. The physical environment was checked for cleanliness and condition. Walls, windows, ceilings, doors, floors and floor coverings were checked. The facility was seen to be in good repair inside and outside. Fire inspection was most recently conducted on 2/6/2026. There are ten (10) dual carbon monoxide detectors/smoke alarms throughout the facility all in good working order. The kitchen area was sufficiently stocked with two-day perishables and seven days of non-perishables. Snacks and beverages are readily available for Residents. LPA observed the kitchen cabinets, refrigerator, stove, and counters are clean. Please continue to 809-C. Residents participate independently and at will in games, music entertainment, exercise program, neighborhood walks, and one-on-one socialization among other residents. The front yard consists of walkways, sitting areas, and garden areas. The backyard has a concrete patio, sitting areas, and garden areas. The backyard is conducive for outdoor visitation. The recycling bin, green waste bin, and trash bins are standard bins with flip lids. Chemicals and cleaning supplies are kept in a locked cabinet at the entrance into the facility. The kitchen, living room, and dining area are neat and clean. The facility maintains a comfortable temperature. Hallways, bedroom doors, and walls are in good repair. There are five bedrooms of which one is shared. Bedroom #1 has shared bedroom with a private bathroom and an exit into the backyard. Each bedroom has a bed, a nightstand, and lights and/or nightstand lamps to provide sufficient lighting. There are two bathrooms each with a shower room located in the hallway with access available to all residents. The bathrooms have secure grab bars and no skid flooring. All staff have a criminal record clearance and have been properly associated to the facility. The second floor of the facility is the administrative office where all confidential documents are kept in locked cabinets. The live-in staff room is also located on the second floor and remains locked 24 hours/day and is inaccessible to residents in care. Medications are administered as prescribed. Exit interview conducted. No deficiencies noted. Copy of report issued at the time of the visit.the state’s words, verbatim · CDSS document, Jul 7, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Kristin Kontilis conducted an unannounced required Annual Inspection to the above-named facility. At the time of arrival, there were five (5) residents in care and two (2) staff on duty. Administrator Anton Zamyatin arrived at approximately 12:57 pm. Katerina Zamyatina, Administrator arrived at approximately 1:04 pm. LPA explained the purpose of the visit. The facility is a Residential Care Facility for the Elderly (RCFE) and is home to non-ambulatory residents with a dementia diagnosis. There are two (2) residents currently on hospice. Entrance interview conducted: A tour of the physical environment and accommodations were assessed, and the following was noted: LPA observed the required posting of the complaint poster and Resident’s Rights. LPA inspected the two-story facility for fire safety, personal accommodations and food service. Three first aid kits were observed to be complete. The physical environment was checked for cleanliness and condition. Walls, windows, ceilings, doors, floors and floor coverings were checked. The facility was seen to be in good repair inside and outside. Fire inspection was most recently conducted on 2/17/2025. There are seven (7) dual carbon monoxide detectors/smoke alarms throughout the facility all in good working order. The kitchen area was sufficiently stocked with two-day perishables and seven days of non-perishables. Snacks and beverages are readily available for Residents. LPA observed the kitchen cabinets, refrigerator, stove, and counters are clean. Please continue to 809-C. Medications and first aid kits are kept in a locked cabinet in the hallway next to the dining area. Residents participate independently in music entertainment, exercise program, neighborhood walks, and one-on-one socialization among the residents. The front yard consists of walkways, sitting areas, and garden areas. The backyard has a concrete patio, sitting areas, and garden areas. The backyard is conducive for outdoor visitation. The recycling bin, green waste bin, and trash bins are standard bins with flip lids. Chemicals and cleaning supplies are kept in a locked cabinet at the entrance into the facility. The kitchen, living room, and dining area are neat and clean. The facility maintains a comfortable temperature. Hallways, bedroom doors, and walls are in good repair. There are five bedrooms of which one is shared. Bedroom #1 has shared bedroom with a private bathroom and an exit into the backyard. Each bedroom has a bed, a nightstand, and lights and/or nightstand lamps to provide sufficient lighting. There are two bathrooms each with a shower room located in the hallway with access available to all residents. The bathrooms have secure grab bars and no skid flooring. All staff have a criminal record clearance and have been properly associated to the facility. The second floor of the facility is the administrative office where all confidential documents are kept in locked cabinets. The live-in staff room is also located on the second floor and remains locked 24 hours/day. Medications are administered as prescribed. Exit interview conducted. No deficiencies noted. Due to technical issues, copy of report issued via email at the time of the visit.the state’s words, verbatim · CDSS document, Jul 1, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Kristin Kontilis conducted an unannounced required Annual Inspection to the above-named facility. At the time of arrival, there were six (6) residents in care and two (2) staff on duty. Administrator Anton Zamyatin arrived at approximately 1:35 pm. Katerina Zamyatina, Adminsitrator arrived at approximately 2:00 pm. LPA explained the purpose of the visit. The facility is a Residential Care Facility for the Elderly (RCFE) and is home to non-ambulatory residents with a dementia diagnosis. There are three (3) residents currently on hospice. Entrance interview conducted: A tour of the physical environment and accommodations were assessed, and the following was noted: LPA observed the required posting of the complaint poster and Resident’s Rights. LPA inspected the two-story facility for fire safety, personal accommodations, and food service. Two first aid kits were observed to be complete. The physical environment was checked for cleanliness and condition. Walls, windows, ceilings, doors, floors and floor coverings were checked. The facility was seen to be in good repair inside and outside. Fire inspection was most recently conducted on 2/12/2024. There are seven (7) dual carbon monoxide detectors/smoke alarms throughout the facility all in good working order. The kitchen area was sufficiently stocked with two-day perishables and seven days of non-perishables. Snacks and beverages are readily available for Residents. LPA observed the kitchen cabinets, refrigerator, stove, and counters are clean. Medications and first aid kits are kept in a locked cabinet in the hallway next to the dining area. Residents participate independently in music entertainment, exercise program, neighborhood walks, and one-on-one socialization among the residents. The front yard consists of walkways, sitting areas, and garden areas. The backyard has a concrete patio, sitting areas, and garden areas. The backyard is conducive for outdoor visitation. The recycling bin, green waste bin, and trash bins are standard bins with flip lids. Chemicals and cleaning supplies are kept in a locked cabinet at the entrance into the facility. Please continue to 809-C. The kitchen, living room, and dining area are neat and clean. The facility maintains a comfortable temperature. Hallways, bedroom doors, and walls are in good repair. There are five private bedrooms. Bedroom #1 has a private bathroom and an exit into the backyard. Each bedroom has a bed, a nightstand, and lights and/or nightstand lamps to provide sufficient lighting. There are two bathrooms each with a shower room located in the hallway with access available to all residents. The bathrooms have secure grab bars and no skid flooring. All persons associated with the facility have a criminal record clearance and have been properly associated to the facility. The second floor of the facility is the administrative office where all confidential documents are kept in locked cabinets. The live-in staff room is also located on the second floor and remains locked 24 hours/day. Co-administrator Anton Zamyatin stated Oleg Nenakhov has been designated as the Co-administrator to assist in administrative duties and responsibilities as well as providing care and supervision to the residents in care. Medication review revealed unexplainable discrepancies for three medications administered to Resident 1 (R1) as follows: Hydrochorothiazide 25mg short one tablet and Losartan Potassium F/C 100mg short two tablets. Additionally, it is likely that the total quantity of Quetiapine Fumarate 25mg was entered incorrectly on the Centrally Stored Medication Accounting Record (MAR). The medication start date was 4/13/2024 with 180-count upon the start date. During today’s inspection, the inventory count for Quetiapine Fumarate 25mg was 60 tablets remaining in the container and the MAR reflected 236 tablets had been administered since the start date of 4/13/2024. Technical assistance was given at the time of the inspection to include documentation on the MAR if a medication is discarded or if an unusual event occurs involving the accuracy of medications being administered. The following deficiencies were observed (see LIC809-D) and cited from the California Code of Regulations, Title 22 and California Health and Safety Code. Exit interview conducted. Copy of report issued at the time of the visit.the state’s words, verbatim · CDSS document, Jun 11, 2024