Ase Blessed Comfort Home

Allegation investigated: Staff mismanaged resident medication.

Licensing Program Analyst (LPA) Abeye Duguma conducted an unannounced initial complaint visit to this facility to investigate the above allegation. LPA met with administrator, Evelina Parsadanyan, and explained the reason for the visit. --- Staff mismanaged resident medication It was alleged that facility staff had been mismanaging Resident #1’s (R1) blood pressure medication, noting that R1’s blood pressure was elevated upon arrival to hospital. To investigate the allegation, LPA requested documents at 10:00a.m., interviewed two (2) staff from 11:00a.m. to 11:30p.m. and four (4) out of five (5) residents. LPA was unable to interview R1 as they were transferred to a skilled nursing facility. LPA attempted to contact R1 and their Responsible Party by phone but to no avail. (CONT on LIC9099-C) Unsubstantiated R1’s Physician’s Report states they are able to communicate and follow instructions. It also states that R1 is unable to store and administer own medications. A review of R1’s Hospice and Palliative Services Medication List states resident is taking Amlodipine Besylate once a day and to hold if blood pressure is less than one hundred ten (110) and Midodrine Hydrochloride three (3) times a day as needed and to hold if blood pressure is above one hundred (100). The Centrally Stored and Destruction records states medications were filled March 1, 2026. A review of staff schedule shows there is always at least one (1) caregiver and one (1) back-up such as an administrator and/or licensee present. A review of the Department’s records shows that facility submitted an incident report stating R1 had a change in condition, that hospice was notified and R1 was transported to hospital and subsequently transferred to a skilled nursing facility. During interviews, Staff #1 (S1) stated all residents are given their medications as prescribed and checked on every hour or more if needed. Staff #2 (S2) added R1’s blood pressure was checked every morning, afternoon and evening and medications were given accordingly. S2 stated R1 rarely fell below the blood pressure threshold. During interviews, all residents stated they are being given their medications as prescribed and feel there is sufficient staffing. Based on interviews and record review, there is not enough information to verify the allegations, therefore, the allegation is UNSUBSTANTIATED at this time. No health and safety hazards noted during the visit. Exit interview conducted. Copy of this report issued.the state’s words, verbatim · CDSS document, May 11, 2026 · control 31-AS-20260501144201

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Nadia Shahbazian conducted a Pre-Licensing Inspection and met with the Administrator Evelina Parsadanyan. An application to operate a Residential Care Facility for the Elderly (RCFE) was received by Community Care Licensing (CCL) on July 23, 2025. A fire clearance was approved on October 17, 2025 for six (6) non-ambulatory residents and one (1) bedridden resident in bedroom #4, facility has an approved hospice waiver to retain five (5) hospice residents. Facility is a one-story home in a residential area. The home is completely remodeled and consists of four (4) bedrooms, three (3) bathrooms, dining room and living room and a detached garage. With the assistance of the administrator, a tour of the physical plant was initiated at 2:25PM, and the following was observed: The required postings were observed in the hallway and office area, accessible to residents. The smoke and carbon monoxide detectors are dual and inter-connected. At 2:35PM, smoke/carbon monoxide detectors were tested and observed to be functional. Facility is equipped with three fire doors, one leading to bedrooms #1 and # 2, one leading to bedroom #4 and one near the living room hallway. The facility has a brand new fire extinguisher in the kitchen, purchased on 08/13/2025. KITCHEN: The kitchen is located across the entry door. Kitchen is equipped with brand new appliances, including a refrigerator, stove/oven, dishwasher and two microwave ovens. There was an adequate supply of non-perishable food items and supply of dishes/utensils in kitchen cabinets. Perishable food items are not required at this time, as there are no residents. Administrator was advised that facility needs to carry perishable food items once they admit residents for care. Knives were observed locked in a kitchen drawer. Cleaning supplies were observed locked underneath the kitchen sink. Continued on 809-C COMMON AREAS: The dining room is located near the kitchen and has a table large enough to seat six (6) residents. The living room is located near the office and is furnished with couches, table, television and a cabinet containing games and art/craft items. There are storages near dining room, living room and hallways. One of the storages in the hallway is used for storing extra food supplies and one is used for the electrical/cable equipment. Facility has a camera (with no sound) in common areas and offers land-line, cable and wi-fi access to residents. BEDROOMS: There are four (4) bedrooms designated for client use. Bedrooms #1 and #2 are located in the front and bedrooms #3 and #4 are located in the back of the house. Berdooms #1 and # 2 are private. All the bedrooms were furnished with beds, night-stands, chairs, closets, television sets, ceiling fans and supply of bedding and linens. The bedroom # 4 is designated as the bedridden room and it has it's own exit door. Bedroom #2 also has it's exit door. BATHROOMS: The facility has three (3) bathrooms, one of the bathrooms is located near the office and is designated for the staff use. There is a full bathroom across from bedroom #3 and one full bedroom near bardoom #1. The bathrooms were observed to have the proper fixtures, grab bars, and non-skid mats. The hot water delivered in the bathrooms measured at 107.1 and 109.0 degrees Fahrenheit. LAUNDRY ROOM: The laundry room is located in the hallway next to living room and will be kept locked, inaccessible to residents. LPA observed a brand new the stacked washer/dryer. The laundry chemicals and detergents were observed in a locked cabinet. OFFICE: A hallway next to the kitchen leads to the office. There are locked cabinets in the office to be used for confidential residents and staff files. MEDICATIONS: Medications will be kept locked in a cabinet near the office. There is a complete first aid kit and first aid manual in the medication cabinet. Continued on 809-C SURROUNDING GROUNDS: The driveway, passageways and entrance to the home was clear of obstruction. All entry and exit doors have functional auditory alerts, when the doors open. The backyard of the facility is large enough to hold outdoor activities. LPA observed two sets of patio furniture, set inside two separate covered patios. There is no swimming pool or body of water. There is a locked shed in the backyard, used to store additional supplies. There are two side gates and four exit doors (including the front door). There is an exit door in bedroom #4, one in bedroom#2 and one in living room. The living room exist leads to the backyard, the facility will be using the living room exit as the main emergency exit. The one car garage is detached and is located in the front of the house. LPA observed emergency water and supplies in the garage. In addition to the Pre-Licensing inspection, a Component III power point presentation was held. Pursuant to Title 22, Division 6 of the CA Code of Regulations, the facility's physical environment appears to be compliant and ready for licensure. CAB will be advised and a copy of this report provided.the state’s words, verbatim · CDSS document, Dec 8, 2025

Type of visit: Office

COMP II by CAB successfully completed Facility Type: RCFE Application Type: INTL Capacity: 6 Census : 0 Method: Telephone call with CAB COMP II Participants: Evelina Parsadanyan, Araksi, Antosyan (Licensee & Administrator), &Dianna Esparza (Analyst). Licensee & administrator participated in COMP II via Telephone call with CAB Analyst. Identification of licensee/administrator was verified by confirming driver’s license numbers. During COMP II, licensee/administrator confirmed the understanding of Title 22. Component II was successfully completed. Licensee/administrator were advised to email signed LIC 809 with copy of photo ID to CAB. During COMP II, CAB analyst confirmed licensee's/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, Nov 14, 2025