A Plus Board and Care

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Angela Barutyan arrived at the facility unannounced to conduct a required annual visit at 10:36AM. LPA met with staff and Administrator Iren Stepanyan who arrived at 11:07AM. Reason for the visit was explained. Entrance interview conducted. Beginning at 11:05AM, LPA, along with the Administrator, toured the physical plant areas inside and outside to ensure there are no health and safety hazards. The following was observed: KITCHEN/LAUNDRY: LPA observed the kitchen area. Knives are stored in a locked kitchen drawer. Kitchen appliances are in operable condition. The facility has a sufficient supply of perishable and non-perishable food. LPA observed a fire extinguisher which was fully charged but with an unknown date of purchase. Staff purchased and installed a new fire extinguisher during the visit. Washer, dryer, and laundry supplies were observed by the kitchen and kept inaccessible to residents. BEDROOMS: There are four (4) bedrooms total of which two (2) are for single resident-use and two (2) are for shared resident-use. LPA observed resident bedrooms to be furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. LPA observed full bed rails equipped for two (2) residents who are not receiving hospice services. Administrator obtained half-rail orders for the two (2) residents during the visit and stated the full rails will be replaced to half rails. Bedrooms had functioning auditory exit alarms. Continued on LIC-809-C. RESTROOMS: There are two (2) restrooms of which one (1) is attached to Bedroom #2 and one (1) is in the hallway. Restrooms were clean, sanitary, and in operating condition with grab bars and slip-resistant surfaces. At 11:32AM, LPA measured the hot water in the hallway bathroom to be 139.7 degrees F, which is above the required range of 105-120 F. Staff lowered the water heater and at 12:09PM, LPA re-measured the water to be 136.9 F. Water heater was lowered again and at 03:14PM, LPA measured hot water at 94.8 F. Staff raised the water heater and at 03:52PM, LPA measured the hallway bathroom for a final time to be 93.6 F. Administrator stated they will raise the water heater and monitor the hot water to be within range, and also install a caution sign above the faucet for hot water above 125 F. COMMON AREAS: LPA observed common areas to be clean and properly furnished. LPA observed cameras in common areas and Administrator disabled the audio component during the visit. At 11:40AM, fire alarms/carbon monoxide detectors were tested and functioned properly. All exits have functioning auditory devices which were operational during the visit. LPA observed required postings. OUTDOOR SPACE: LPA observed the back patio which has a covered outdoor area for resident use. There is a gate on the side of the house designated for an emergency exit. Passageways were freed and cleared of obstruction. There is a gated and locked pool which was inaccessible to residents. LPA observed a locked garage containing additional storage and supplies. MEDICATION REVIEW: At 11:47AM, LPA reviewed medications for three (3) residents. Medications are centrally stored in a locked filing cabinet in the dining room. All medications including PRNs were labeled, stored, and locked inaccessible to residents. No errors observed during medication review. RECORD REVIEWS: Beginning at 01:32PM, LPA reviewed six (6) out of six (6) resident files and three (3) personnel files for documents including but not limited to: medical records, care plans, resident Admission Agreement, TB test, health screening, staff training and fingerprint clearance. LPA observed six (6) out of six (6) resident files with a pre-placement appraisal but missing an appraisal/needs and services plan. Administrator stated the appraisals will be completed. LPA observed one (1) staff member without first aid/CPR training and without a criminal record clearance transfer. Administrator stated the staff member will complete their training and be associated to the facility. LPA also observed staff training to be completed by Administrator Stepanyan, however, the Administrator does not have two (2) years of experience to provide training. Administrator stated that staff will be re-trained by a qualified trainer. During the visit, LPA obtained copies of valid liability insurance, LIC 500, and resident roster. Continued on LIC-809-C. INFECTION CONTROL/EMERGENCY DISASTER PLANNING: During today's visit, LPA reviewed the facility's infection control policy as well as the emergency disaster plan. The facility’s policies and procedures as it pertains to infection control are adequate. Emergency disaster plan is updated annually as required. Emergency drills are conducted quarterly as required with the last drill conducted on 02/09/2026. Pursuant to Title 22, CA Code of Regulations, the following deficiencies were cited (refer to LIC 809-D). Civil penalty was issued in the amount of $500 for criminal record clearance. Administrator was informed that failure to correct deficiencies may result in additional civil penalties. Exit interview conducted, report issued, and appeal rights provided.the state’s words, verbatim · CDSS document, Apr 7, 2026

The state marks this report as 11 pages; the online copy we transcribed has 7. You can request the full file from the county licensing office.

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Angela Barutyan conducted a pre-licensing visit to the facility noted above at 10AM. LPA met with Administrator Arusyak Ohanyan, Applicant Araksya Hovhannisyan, and Applicant Representatives Lusine Tadevosyan and Iren Stepanyan. The applicant has obtained fire clearance for a total capacity of six (6) residents. LPA inspected facility for Fire Safety, Personal Accommodations and Services, and Food Service. The facility is one story. The facility has four (4) bedrooms total; three (3) are shared resident bedrooms and one (1) private bedroom. Three (3) resident bedrooms are cleared for nonambulatory and one (1) bedroom, Bedroom #2, is cleared for bedridden. The combination smoke alarm/carbon monoxide detectors and fire door were tested and functioned properly. LPA observed one (1) fire extinguisher to be fully charged and purchased on 04/23/2025. Resident bedrooms are equipped with clean mattresses, pillows, and bedding. Bedrooms have sufficient lighting. There is a sufficient supply of linens, including blankets, bath towels and wash cloths. The facility has two (2) bathrooms for resident use; one (1) is in the hallway and one (1) is attached to Bedroom #2. Bathrooms contained appropriate slip-resistant surfaces and grab bars. Hot water temperature was measured in all bathrooms, and they measured between 108.0 – 109.6 degrees Fahrenheit, which is within the required range. LPA observed trash cans with tight fitting lids at the time of the visit. Report Continued on LIC 809C... Report Continued from LIC 809C... LPA toured the kitchen area at approximately 10:13AM. The hot water temperature was measured in the kitchen sink, and it measured 110.5 degrees Fahrenheit. Appliances and all equipment appear to be clean and in good repair. The kitchen has a sufficient supply of plates, cups, cookware, utensils, and non-perishable foods. Kitchen knives and sharps are locked in a cabinet drawer. LPA observed emergency food and water supply and laundry unit in the kitchen pantry. Additional cleaning supplies, toxins, detergents, disinfectants, and cleaning supplies were stored locked in kitchen cabinets. The living areas and dining areas are clean and properly furnished. All window screens and coverings are in good repair. LPA observed enough seating for six (6) residents at the same time in the dining room table. A working telephone is present. There are activity supplies in the living room. Night-lights were present in the hallways. Medications will be stored and locked in a cabinet in the office area in the living room as well as facility records and First aid kit. First aid kit was observed to have bandages, thermometer, scissors, tweezers and a current first aid manual. There will be no firearms/ammunition stored on the property. The facility has required postings, including Emergency Exit Plan, Licensing Complaint Poster, Resident Personal Rights, and Theft and Loss Policy. The exterior passageways were free of obstructions. Emergency side gate was self-latching. LPA observed a gated and locked pool in the backyard that is inaccessible. LPA observed the backyard, which has a covered outdoor area with a table and chairs for client use. Camera was observed in the outside perimeter only. Auditory exit alarms were functioning properly. Physical plant is consistent with the submitted facility sketch/floor plan. Comp III was conducted with Applicant. Pre-Licensing is complete and this facility has no deficiencies. This report will be sent to the Centralized Application Bureau (CAB). You will be notified by the CAB Analyst when your license has been approved. You are not allowed to begin operating until you have been notified that your license has been approved by the CAB Analyst. Failure to comply could affect approval of your license. Exit interview conducted. The report was reviewed, and a copy was provided.the state’s words, verbatim · CDSS document, Apr 24, 2025

Type of visit: Office

Facility Type: RCFE Application Type: Initial Capacity: 6 Census (if any clients in care): 0 COMP II Participants: Name, Title Interview Method: Telephone interview On 03/18/2025, applicant/administrator participated in COMP II. Identification of the applicant and administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant and administrator confirmed that they have read and understand community care facility licensing laws included in the Health and Safety Codes and the California Code of Regulations Title 22. Signed LIC 809 with copy of photo ID have been obtained. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Admission Policies 3. Staffing requirements & Training 4. Restrictive/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing readinessthe state’s words, verbatim · CDSS document, Mar 18, 2025