A & A Assisted Living Homes

Type of visit: Required - 1 Year

At 10:30a.m., Licensing Program Analyst (LPA) Antonia Alvizar-Ettima conducted an unannounced Required One (1) year inspection to the facility. LPA met the Administrator who granted entry to the facility and explained the reason for the visit. At approximately 10:45a.m., LPA and Administrator conducted a physical plant tour inside and out. During the tour, LPA observed that the facility is a home located in a residential community. Required postings were observed in the entry area and hallway. The dual smoke/carbon monoxide detectors are functioning properly located in each bedroom, dining area and hallways. The fire extinguisher is in the dining room and laundry area with purchased date of 05/03/2025. During the visit the facility is set at 75 degrees Fahrenheit. The facility is fire cleared for six (6) non-ambulatory residents; of which one (1) may be bedridden; six (6) hospice waiver. Fire Emergency drill was last conducted on 01/06/2026. The facility is currently occupying six (6) residents. LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following: Kitchen: LPA observed kitchen appliances and fixtures were functional. The kitchen has a working gas stove, freezer, refrigerator, microwave and dish washer. LPA found at least two (2) days perishable and seven (7) days non-perishable food at the facility that is properly stored. Frozen foods are wrapped and stored properly as well. Knives were stored in a locked drawer in the kitchen. Food storage and preparation areas are clean Cont. on LIC 809-C Cont. from LIC 809 and inaccessible to pests. Garbage cans have tight fitting covers. Toxic cleaning supplies were stored and locked away under kitchen sink. Medications: are in a centrally stored and locked medication cabinet in kitchen cabinet, including over-the-counter medicines; medications are properly labeled and checked for expiration dates. Each centrally stored prescription and PRN medication has been logged in the medications logged with proper documentation from the resident’s doctor. First-aid has all proper items and were observed to be stored in entry area and an extra one in the locked cabinet. Laundry Area: the washer and dryer located in the staff room/office. LPA observed the staff room/office to be inaccessible to residents where the laundry detergents and some cleaning solutions are stored. Bedrooms: LPA observed five (5) bedrooms designated for residents' and staff use. Bedrooms #3 - #4 are for private use, bedrooms #1 - #2 are shared and a staff room. All the resident’s bedrooms were properly furnished with appropriate dresser, bedding, and linens with sufficient lighting. Hallways are well lit. Linens are stored in hallway closet and observed to have ample supply of clean linen, comforters, and towels in facility. Bathrooms: LPA observed two (2) bathrooms to be clean, sanitary and with necessary supplies. The appropriate grab bars and mats in the shower. Hot water temperature measured at a range of 110.3°F to 113.2°F and within the required range. Resident’s personal hygiene supplies are kept separate in plastic containers. Towels and washcloths are not shared. Common Areas: These included the dining area and living room for residents. The common areas were properly furnished and observed to be in good repair. Residents dining table fits six (6) residents. No obstructions and/or tripping hazards throughout the facility. There are no issues with Fire Clearance. Surrounding Grounds: Entry and exits were free of obstruction. The facility has appropriate outdoor furniture with a shaded covered area for residents and visitors. The outdoor area was enclosed, and no bodies of water were observed. Staff Files: they have criminal record clearances and are associated to facility. Staff have current first aid and training documentation showing training completed. Administrator's certificate was observed to be current. Resident Records: All six (6) resident records were reviewed. Residents’ records are complete and current at this time. Residents were also interviewed. Facility is within CA code of Regulations Title 22 or Health and Safety Code. No deficiencies cited during today’s visit. Exit interview conducted. Copy of this report was provided to the administrator.the state’s words, verbatim · CDSS document, Mar 23, 2026

Type of visit: Required - 1 Year

On 4/02/2025, Licensing Program Analyst (LPA) de la Cerra arrived at the facility at 10:30AM to conduct an unannounced annual inspection. LPA met with the facility administrator and LPA informed administrator the purpose of the visit. At approximately 11:00AM LPA and administrator toured the facility and the following was observed. The facility is a single-story building that consist of five (5) bedrooms and two (2) bathrooms. LPA observed two (2) fire extinguishers, both were observed to be fully charged and was purchased on 4/12/24. LPA observed the required facility postings in the bedroom hallway. The facility provides a telephone for clients to use and LPA observed the phone to be operational. LPA observed dual smoke/carbon monoxide detectors that are hard wired and interconnected. Administrator tested the dual smoke/carbon monoxide detector @1:00pm and was observed to be operational. Administrator showed LPA the fire drill and earthquake drill log and both were conducted on 1/07/2025. Bedrooms: There are four (4) bedrooms designated for residents to use . All bedrooms are furnished with a night stand, a chair, a lamp, a closet and a bed with clean bedding and linens. All bedrooms appear to be clean and very well maintained. Bathrooms: LPA observed two (2) bathrooms that are in good repair. LPA observed the functional and appropriate fixtures. The hot water temperature measured between 108°- 112°F. LPA observed the appropriate grab bars and non-skid mat in the shower area and by the toilet. Common Areas: The living room appeared clean and were properly furnished. No obstructions and or tripping hazards observed in the common area. Laundry Area: LPA also observed the washer and dryer located in the staff room/office. LPA also observed the staff room/office to be inaccessible to residents where the laundry detergents and some cleaning solutions are stored. Surrounding Grounds: There are no bodies of water at this facility. LPA observed a seating area at the front of the house with shade available for residents to use. LPA also observed additional seating area at the back of the facility. All the outdoor furniture were observed to be clean and well maintained. Facility Records: At 12:05PM LPA conducted review of resident records and staff records. LPA reviewed five (5) out of five (5) resident records and three (3) staff records to ensure compliance. The facility files were kept in locked in the staff room/office. Medications: The medications were kept in locked cabinet in the kitchen area and are inaccessible to residents in care. The first-aid kit is complete. At approximately 1:00PM medications and medication records were reviewed for proper documentation. The facility keeps a Medication Administration Record (MAR) for all the residents. Administrative: LPA requested for copies of the following; liability insurance good until 5/09/2025,, administrator certificate, LIC9020 and LIC500. No deficiencies cited during today's visit. Copy of this report was provided to the administratorthe state’s words, verbatim · CDSS document, Apr 2, 2025

Type of visit: Required - 1 Year

On 01/17/24 Licensing Program Analyst (LPA) Christopher Alemoh conducted an Annual required visit and inspection of the facility. LPA met with staff, Armenuhi Davtyan, and explained the reason for the visit. The facility has five (5) bedrooms and two (2) bathrooms designated for residents. One (1) bedroom is designated for staff/office only and will remain locked at all times. Facility is surrounded by a 5 ft tall gate. LPA entered facility through an accessible side gate. The facility also has an approved hospice waiver for six (6) residents. The Annual Licensing fees are current. At the time of visit there was three (3) staff and five (5) residents present. Facility is following a mitigation plan. At 11:35 am, with the assistance of (S1) Administrator Armenuhi Davtyan, LPA took a tour of the physical plant. Required postings were observed in the entry area. The smoke alarms are hardwired and interconnected. There are carbon monoxide detectors that function properly. The fire extinguisher is located in entryway near kitchen. LPA observed a second extinguisher in staff office. The charge date is 12/14/23. Kitchen: The kitchen appliances and fixtures were functional. LPA found a sufficient amount of perishable and non-perishable food at the facility; properly stored. Knives were stored in a locked cabinet in the kitchen. Properly labeled medications were locked and secured in an over he counter cabinet inaccessible to residents. All MARS data signed and dated. Laundry room Located in the staff office. Both machines were in good condition and operational. Cleaning products were stored next to the machines in a tall off white cabinet locked. Bedrooms: There were five (5) bedrooms designated for residents' use. Two (2) rooms will be shared, and two (2) rooms were private at the time of the visit. LPA observed rooms to have bedding sheets, pillowcase, blankets, mattress pads, which are in good condition. There is at least one chair, a night stand, and sufficient lighting for each client. The mattresses and bedsprings were also checked for condition. Window covering and window screens are in good repair for each room. (Cont. from 809) Bathrooms: There are two (2) bathrooms designated for residents' use. Both bathrooms were properly supplied and had functional fixtures. Hot water temperature was measured at 114 degrees Fahrenheit. Cleaning supplies are being stored in the hallway in a tall off- white cabinet. Common Areas: These included the living room and dining area. The common areas were properly furnished. The auditory alarms on all exit doors were on and functional at the time of the visit. Outside grounds were toured and no bodies of water were observed. Patio furniture under a shaded area was accessible to clients. Walkways around the home were clear of hazards. There are no security bars or weapons on the premises. At 01:00 PM LPA conducted a file review. 5 staff records were reviewed, 5 out of 5 staff records had current first aid certificates and had required criminal record clearances or criminal record exemptions. 5 resident records were reviewed and, 5 out of 5 client records had Admission Agreements, Medical Assessments, Pre-appraisals (or Reappraisals) and/or Needs & Services Plans. No deficiencies cited. An exit interview was conducted, A copy of this report and appeal rights were discussed and left with Administrator Armenuhi Davtyan.the state’s words, verbatim · CDSS document, Jan 18, 2024