7 Heaven

Type of visit: Case Management - Annual Continuation

Licensing Program Analyst(LPA) Christine Yee conducted a subsequent announced Prelicensing and Component III visit to complete the inspection of the home to ensure that the home meets Title 22 requirements. LPA Yee met with Kristine Abasyan, Applicant and Ripa Tavitian, Consultant. On today's visit, the last domain of the CARE Inspection Tool - Physical Plant and Environmental Safety, was reviewed, all 4 Bedrooms, Kitchen, Garage and outside areas were toured and the following were observed: Bedroom #1 was re-organized and contains 2 beds, 2 night stands, 2 lamps, 2 dressers, 2 folding chairs and a built in closet. The window blinds were observed to be new. The private bathroom is equipped as previously noted. The water temperature in the private bathroom located inside the room was initially tested and read 131 degrees Fahrenheit and was later re-tested and read 104.4 degrees Fahrenheit when the thermostat was adjusted. Bedroom #2 is rented as a private room and contained a hospital bed, a night stand, a folding chair, a lamp, a dresser, a built in closet, a covered trash can and a flash light. Window blinds were replaced. Bedroom #3 is a shared room and contains 2 of each: beds, night stand, lamps, folding chairs, dressers and built in closet. New blinds were observed. Bedroom #4 is rented as a single room with one each of: a full sized bed, a night stand, a lamp, a folding chair and a built in closet. Located inside the room is a private bathroom with a shower stall with a shower chair, grab bars, a slip resistant mat, a toilet and a single sink vanity. The water temperature was initially tested and read 124.4 degrees and was later retested after adjusting the thermostat and read 109.6 degrees Fahrenheit. continued on LIC809-C the common bathroom consists of a walk in shower, a toilet and a single sink vanity. Grab bars, shower chair and a slip resistant mat were observed. The water temperature when tested read 109.6 degrees Fahrenheit. The kitchen was toured and is equipped with a stove, a microwave, refrigerator and toaster. Per review of the food supply, perishable foods for a minimum of 2 days were observed in the refrigerator. Initially, insufficient non-perishable foods for a minimum of 7 days were observed in the garage and it was replenished during the visit. Sufficient water was also observed after additional water was purchased. Disinfectant, cleaning solutions, hygiene products and laundry detergent is stored in a locked cabinet in the garage. Extra bedding, bath towels, face towels, hand towels, blankets, comforters are stored in a cabinet in another cabinet. Centrally stored medications are kept in a locked cabinet located in the living room. General Liability insurance was observed. The facility has insurance for $2 million per occurrence and a total annual aggregate for $4 million dollars from 9/24/24-9/24/25. The required postings were shown to LPA and will be posted once license is issued. Current labor poster, Long Term Care Ombudsman Poster and Complaint were observed. The facility visiting hours were posted on the front door. The facility will retain the telephone # currently in place from the former owner. The facility has an IPad dedicated for facility use and a written internet usage policy Per tour of the backyard, a covered gazebo was observed furnished with a wicker sofa and 5 wicker arm chairs and 2 coffee tables. The following corrections were addressed during this visit: the facility sketch has been updated to indicate assembly point, the rails in bedroom #2 were removed, the Emergency Disaster Plan was updated, fire arms policy was updated on the Admission Agreement to indicate that all firearms on the premises are prohibited, Rights of Family council, current labor poster and visiting hours were observed. The appropriate number of beds for the approved capacity was observed. The following correction needs to be made prior to licensure: the water temperature in the private bathroom located in bedroom #1 read 104.4 degrees Fahrenheit and needs to be within the range of 105 - 120 degrees Fahrenheit. the hose in the backyard and front yard needs to rolled up. Applicant will notify LPA Yee once the corrections have been completed. The Applicant will ensure that files are created for all residents, volunteers and staff once they are licensed. Component III was conducted with Kristine Abasyan, Applicant and Ripa Tavitian, Consultant. Exit interview was conducted.the state’s words, verbatim · CDSS document, Aug 29, 2025

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Christine Yee conducted an announced Prelicensing and Component III visit to ensure that the home met Title 22 requirements. LPA Yee met with Kristine Abasyan, Designated Applicant and Ripa Tavitian, facility's Consultant, who was assisting with today's visit. Hermine Nshanian, Designated Administrator was not feeling well and was not able to join in today's visit. The home is a single storey family home consisting of a living room, dining room, a kitchen, 4 resident bedrooms, 3 bathrooms and a attached garage. The home is fire cleared for 5 non-ambulatory and 1 bedridden resident. Bedroom #4 is the room designated for bedridden use. On today's visit all domain's of the CARE Inspection Tool were reviewed except for the Physical Plant and Environmental Safety domain. The Plan of Operations, Infection Control and Emergency Disaster Preparedness Plan were reviewed. A return visit will have to be scheduled to complete the last domain and to conduct the Component III visit. The following was observed on today's visit: The living room was furnished with 2 sofas, 2 love seat, arm chair, a metal filing cabinet for centrally stored medications and a smaller filing cabinet for other use. Also located in the living room was a desk with a monitor and a printer and a television. The blinds on the living room window are warped and the blinds on the sliding glass door are missing slates. Cobwebs were observed on the ceiling and in the corners were cleaned during the visit. Page 2. A fire extinguisher purchased on 9/24/24 was mounted in the living room and one in the attached garage. The dining room was furnished with a table and 6 chairs. Bedroom #1 was toured and observed with 1 hospital bed with full bed rails,a night stand, a lamp, a chair, a chest of drawers that don't meet the 8 cubic feet requirement and a built in closet. The front corner of the left wall was scratched and needs to be painted. The slate on the top of the window blinds need to be secured. The bed was observed with a mattress cover, a fitted sheet and a throw blanket. Observed in the closet were 10 pillow cases, 5 fitted sheets and 4 bath towels. No flat sheets, twin blankets, comforter, hand towels or face towels were observed. Located inside Bedroom #1 is a private bathroom equipped with a shower stall, a shower chair, a grab bar, a slip resistant mat and a toilet riser handle. The water was tested and read 105.6 degrees Fahrenheit. The first aid kit was reviewed and contained the required supplies, including a pair of scissors, a tweezer and a thermometer There were no files created for the residents and staff under the new ownership. The facility has internet and a tablet for resident's use was observed. The facility tour was ended due to many deficiencies noted. Additional inspection is needed for Bedroom #2 and a complete inspection is needed for Bedroom #3 and Bedroom #4. Outside areas also need to be toured. As of today's visit the following deficiencies were observed and need to be addressed: the facility sketch needs to be updated to reflect the assembly point all full bed rails need to be removed, unless the residents are on hospice and the care plan addresses the use of full bed rails. the Emergency Preparedness Plan needs to be updated to provide plan details instead of general statements The rights of Family council and a current 2025 Labor poster needs to be posted. The Admission Agreement needs to be updated to include the facility's policy on firearms. Bedroom #2, designated for double occupancy was observed with a single bed with full bed rails. Additional beds need to be purchased for a total of 6 residents. The visiting hours need to be posted . Page 3 A subsequent visit is needed to complete the Prelicensing and Component III visit. Corrections of the deficiencies observed today will be reviewed on the return visit. Anything that is not addressed on today's visit will be addressed on the return visit. Exit interview was conducted. .the state’s words, verbatim · CDSS document, Jul 2, 2025