A Burbank Residential Care

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Nadia Shahbazian conducted an unannounced Required - 1 Year annual inspection visit. Upon arrival LPA met with Administrator/Levon Chalabyan and explained the purpose of the visit. The program is vendorized through the Frank D. Lanterman Regional Center. The Adult Residential Facility is licensed for five (05) non-ambulatory and one (1) bedridden resident. Facility has approved hospice waiver for one (01) resident. Current census is four (4) ambulatory residents. LPA toured the facility with the Administrator at 9:55 am and observed the following: Required postings were observed by the entry area in the dining room. The front entry is the main exit door for emergencies. There are three (3) additional exits (by the kitchen, room# 2 and in the dining room) leading to the backyard. There are two (2) fire extinguishers, one (1) in the kitchen, one (1) in the hallway. Both fire extinguishers were purchased on 05/31/2025. Facility conducts bimonthly fire and safety drills. The last fire drill was conducted on 02/03/2026 and earthquake drill was conducted on 03/02/2026. The dual smoke alarms and carbon monoxide detectors are hardwired and interconnected. At 10:05 am the smoke/carbon monoxide alarms were tested and observed to function properly. Kitchen: Appliances consisted of a refrigerator, stove, microwave and toaster oven. There is a breakfast nook with a table and six chairs. Knives, cutlery and other sharp kitchen utensils are stored and locked in the kitchen drawer. LPA found a sufficient amount of perishable (7 days) and non-perishable food supplies (2 days), stored in cabinets and refrigerator. LPA observed all food supplies marked with the purchase dates. Food storage and preparation areas and kitchen cabinets are maintained in clean and sanitary condition. (Continued on 809C) Common Areas: Include a living room, dining room and breakfast nook in the kitchen. The office area is located near the entrance/dining area. Dining room is furnished with a table and six (6) chairs. A non-functional fireplace with properly covered screen was observed in the dining room. The living room had a table and ample sitting for all the residents and staff. Television set and activity/gaming areas were observed in the living room. Bathrooms: There are two (2) full bathrooms for the residents' use and one (1) half bathroom for staff use. All toilets and sinks are maintained in sanitary, operating condition. Functional grab bars and non-slip mats were observed in resident bathrooms. Hot water temperature was tested between 112.6 - 113.1 degrees Fahrenheit. Bedrooms: There are six (6) bedrooms. Bedrooms designated for residents' use are #2,3,4,5,6. Bedroom#3 is a shared room (although currently is used as private use); bedroom #5 is currently vacant. All of the bedrooms were properly furnished with appropriate chairs, beddings, chest drawers, linens with sufficient lighting. A live-in staff is currently using bedroom #1 but there is awake staff at night. Bedroom #2 is designated as the bedridden room and has it's own exit door, leading to the backyard. Surrounding grounds: Entry/exit gates and pathways were free of obstruction. The outdoor area was free of visible immediate hazards. No bodies of water were observed at the facility. There is ample patio space for outdoor activities. There was a covered patio area with furniture appropriate for outdoor use, sufficient for number of residents. Facilities garage is detached and has a bathroom and shower; although is not in use. The garage is currently used as storage and is kept locked. LPA observed two (2) refrigerators supplied with labeled perishable food items. LPA also observed chemicals and gardening tools, locked in the garage. Continued on 809-C Laundry Room: Facility has brand new stackable washer and dryer, located in the hallway near the kitchen. All laundry detergents/chemicals and kitchen cleaners are stored in a locked cabinet in the laundry area, inaccessible to clients in care. Resident Files/Medications: All resident records and medications were observed locked, in separate hallway closets. A review of four (4) resident records to ensure compliance of licensing forms was conducted. Medications records for all four (4) residents were also counted and verified for accuracy of administration based on physician orders; P&I was also counted for three (3) residents. LPA observed a complete first aid kit and first aid manual in the medication closet. Staff Files: Records for five (5) staff members were reviewed to ensure all forms and training and first aid certificates are up to date. Required documents: Administrator Certificate was observed with expiration date of 09/10/2026. Liability insurance has expiration date of 12/06/2026 and surety bond was recently issued on 02/14/2026. LIC610E Emergency and Disaster Plan for RCFE was updated on 03/16/2026. Pursuant to Title 22 Division 6 of the CA Code of Regulations, no deficiencies observed during the visit. Exit Interview Conducted / A Copy of the Report provided to Administrator.the state’s words, verbatim · CDSS document, Mar 17, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Nadia Shahbazian conducted an unannounced Required - 1 Year annual inspection visit. Upon arrival at 9:30am, LPA met with Direct Service Provider (DSP)/Anahit Zalinyan. LPA explained the purpose of the visit. Administrator/Levon Chalabyan arrived at 10:10 am. The program is vendorized through the Frank D. Lanterman Regional Center. The Adult Residential Facility is licensed for six (06) non-ambulatory with a hospice waiver for one (01). Current census is four (4) ambulatory residents. LPA toured the facility with the Administrator at 10:30 am and observed the following: Required postings were observed by the entry area. The front entry is the main exit door with three (3) additional exits (by the kitchen, room# 2 and in the dining room) leading to the backyard. The physical plant appeared clean, sanitary and with no visible immediate hazards. There are two (2) fire extinguishers, one (1) in the kitchen, one (1) in the hallway. Both fire extinguishers were fully charged on 05/06/2024. Facility conducts bimonthly fire and safety drills, the last fire drill was conducted on 01/03/25. LPA reviewed the facility liability insurance which expires on 12/06/2025. The dual smoke alarms and carbon monoxide detectors are hardwired and interconnected. At 10:49 am the smoke/carbon monoxide alarms were tested and observed to function properly. (Continued on 809C) Common Areas: Include a living room, dining room and breakfast nook in the kitchen. The office area is located near the entrance/dining area. Dining room is furnished with a table and ten (10) chairs. A properly covered screen covered the non-functional fireplace in the dining room. The living room had a table and ample sitting for all the residents and staff. Television set and activity/gaming areas were observed in the living room. Kitchen: There is a refrigerator, stove, macrowave and toaster oven in the kitchen with a breakfast nook with table/chairs for six clients. Knives, cutlery and other sharp kitchen utensils are stored and locked in the kitchen cabinet. Food storage and preparation areas are clean and sanitary. LPA found a sufficient amount of perishable and non-perishable food supplies, properly stored in locked storages in the kitchen and also in the garage. Laundry Room: Laundry machines were located near the kitchen halway. All laundry detergents/chemicals and kitchen cleaners are stored in a locked cabinet in the laundry area, inaccessible to clients in care. First-Aid Kit/Medications: All medications were observed to be locked in a hallway cabinet. In the same cabinet, LPA observed two (2) complete first-aid kits with all required supplies and the first aid manual. Bathrooms: There are two (2) full bathrooms for the residents and one (1) half bathroom for staff. All toilets and sinks are maintained in sanitary, operating condition. Functional grab bars and non-slip mats were observed in resident bathrooms. Hot water temperature was tested between 112.8 - 113.2 degrees Fahrenheit. (Continued on 809-C) Bedrooms: There are six (6) bedrooms. Bedrooms designated for clients' use are #2,3,4,5. All of the bedrooms were properly furnished with appropriate chairs, beddings, chest drawers, linens with sufficient lighting. All client bedrooms are currently furnished for single occupancy (5 total). A live-in staff is currently using bedroom for clients as staff quarters. The administrator will ensure no staff will use client bedrooms. Bedroom #3 will be furnished for double occupancy, to be used for residents only. Bedroom#1 will be used for staff room. Surrounding grounds: Entry/exit gates and pathways were free of obstruction. The outdoor area was free of visible immediate hazards. No bodies of water were observed at the facility. There is ample patio space for outdoor activities. There was a shaded patio area with furniture appropriate for outdoor use sufficient for all clients. Facility has a detached garage which currently is used as storage. LPA observed two (2) refrigerators supplied with labeled perishable food items. LPA also observed chemicals and gardening tools, locked in the garage. At 3:05 pm, LPA initiated a review of facility Staff and Client files. Resident Files: A review of resident records to ensure compliance of licensing forms was conducted. Medications records for residents were also verified for accuracy of administration based on physician orders. Resident P&I and medications were reviewed. Staff Files: Staff files were reviewed to ensure all forms and training certificates are up to date. Pursuant to Title 22 Division 6 of the CA Code of Regulations, no deficiencies observed during the visit. Exit Interview Conducted / A Copy of the Report provided to Administrator.the state’s words, verbatim · CDSS document, Mar 5, 2025

The state marks this report as 4 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Abeye Duguma met with co-administrator, Levon Chalabyan, for a Required One (01) Year visit. LPA explained the reason for the visit. A tour of the physical plant was conducted at around 2:00 PM and the following was noted: There is one entrance being utilized at the facility. The facility has a total of five (05) bedrooms for residents and three (03) bathrooms. The facility is fire cleared for six (06) non-ambulatory with a hospice waiver for one (01). The facility is currently occupying three (03) residents. The facility has outdoor furniture with a covered shaded area for residents and visitors. The facility does not have a swimming pool/body of water. The garage is currently being used for storage. Laundry detergents, cleaning agents and other toxins are locked away. Kitchen is sufficiently stocked with at least two (02) days perishable and seven (07) days non-perishable food. Frozen foods are wrapped and stored appropriately. Food storage and preparation areas are clean and inaccessible to pests. Knives and sharps are observed to be locked and inaccessible to residents. The living and dining room are neat and clean. The facility maintains a comfortable temperature at 70°F. The smoke and carbon monoxide detectors are hardwired, interconnected and observed to be operational. Fire extinguisher is located near the kitchen, observed to be full and last purchased on 06/07/2023. (continued on LIC 809-C) The residents' rooms are adequately furnished with appropriate lighting system. Hallways are well lit. Residents have enough personal hygiene product provided by the licensee. The bathroom was checked for cleanliness and proper operations. The hot water temperature was measured at 117°F. Towels and washcloths are not shared. There was enough clean linen available in the cabinets. LPA observed medication and first aid kit to be locked and inaccessible to residents. No health and safety hazards noted during the visit. Exit interview conducted. Copy of this report issued.the state’s words, verbatim · CDSS document, Mar 8, 2024

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Antonia Alvizar conducted an Annual Required visit and inspection of the facility. LPA met with Staff, Roza Proshyan then later Administrator, Levon Chalabyan joined us and explained the reason for the visit. LPA utilized the Compliance and Regulatory Enforcement (CARE) tools. At 8:30 am, with the assistance of Administrator, Chalabyan LPA took a tour of the physical plant. Required postings & readily available for review were observed in the entrance and dining area. Smoke alarms and carbon monoxide detectors are interconnected also tested and function properly. There are two (2) Fire Extinguisher in the facility. One is near the kitchen and another is in the hallway and they are all fully charged. Fire extinguisher purchased dated 06/07/2023. The last fire drill was conducted on 11/03/2023. The following was observed: Structure: The facility is a single story house with four (4) resident bedrooms, two (2) full bathrooms, one (1) half bathroom, two (2) staff rooms, kitchen, living room, dining area, laundry room, back yard for shade with table and chairs and a detached garage. There's no bodies of water on the premises. All outdoor and indoor passageways are free of obstruction. Kitchen: The kitchen appliances and fixtures were functional. Knives, cutlery and other sharp kitchen utensils are stored and locked in the kitchen cabinet. Bedrooms Residents: There were four (4) bedrooms designated for clients' use. All bedrooms in use by residents were properly furnished with appropriate beddings and linens with sufficient lighting. Hygiene for each resident observed, ample supply of clean linen and storage space. Two (2) bedrooms are in use by staff. Bathrooms: There are two (2) full bathrooms and one (1) half bathroom designated for staff and residents. All bathrooms were properly supplied and had functional fixtures. Hot water temperature was tested between 113 to 115 degrees Fahrenheit. Food Service: LPA found a sufficient amount of 2 days perishable and 7 days non-perishable food at the facility properly stored. There are three refrigerators in the home, one in the kitchen and two in the garage for additional food storage. Dishes, cups and flat ware are stored in the kitchen cabinet, inspected and in good repair. Toxins: All the cleaning solutions are locked and stored in the laundry room and garage. Medications, First-Aid Kit & Book: Properly labeled medications and centrally stored and locked in a hallway cabinet and is only available for staff to use but inaccessible to clients. LPA reviewed the first-aid kit and book, the first aid kit has all required supplies. Common Areas: These included the living room and dining area. All furnishings are in good repair, lighting is good, walls, ceiling and floors are also in good repair. Surrounding Grounds: Entry/exits were free of obstruction. The outdoor area was free of hazards. No bodies of water were observed at the facility. There was a shaded patio area with functioning furnisher. Resident Files: LPA conducted a file review of resident records to insure compliance of licensing forms. Staff Files: LPA also conducted a file review of staff records to insure forms and training are up to date and compliance with licensing forms. Staff and some residents were also interviewed using the CARE Tools questionnaire. Pursuant to Title 22 Division 6 of the CA Code of Regulations, no deficiencies observed during the visit. Exit Interview Conducted / A Copy of the Report provided to Administrator, Levon Chalabyan.the state’s words, verbatim · CDSS document, Dec 9, 2023