Aspiring Care Facility

Type of visit: Required - 1 Year

On 7/13/26 Licensing Program Analyst (LPA) J. Leffall arrived unannounced to conduct an Annual Inspection. LPA introduced self, stated the purpose of the visit, and was greeted by Administrator (A1) Marine Voskanyan. LPA was granted entry. 5 residents were present during inspection. LPA toured facility with A1. The facility was observed to be at a comfortable temperature, clean, in good repair, and no passageway obstructions or fire hazards were observed inside. An adequate supply of perishable and non-perishable food was observed. Samples of resident’s medications were checked and observed locked in cabinet. Clients’ MARS was reviewed. 1 medication was administered but not initialed on the MAR dated 7/13/26 and one regularly scheduled medication was not on the MAR and is listed as a PRN. Fire extinguisher reviewed with a purchase date of: 7/27/25. Fire drill completed on 7/3/26. Clients' bedrooms were toured and reviewed. Cleaning chemicals were observed stored and locked in closet. Residents bedrooms observed to be adequately furnished with bed, dresser, and adequate lighting. All bathrooms are toured and observed to be operational. Residents bathrooms observed to have a non-skid mat in shower. Hot water temperature was tested at a range of 116.6 to 117.6 degrees in 2 bathrooms. Outside of facility toured. Outside observed free of debris. Side gate was self-closing and self-latching. Outside was observed with adequate outdoor seatings available for clients. Freezer temperature observed at -2 degrees F and refrigerator temperature maintained at 35 degrees F. Smoke detectors and carbon monoxide were tested and observed to be operational. Samples of staff files reviewed to have all the required documents. All client files reviewed to have all of the required documents The following deficiency are being cited on the attached 809D in accordance with California Code of Regulations, Title 22, Division 6. Exit Interview conducted. LPA is requesting the following documents be submitted to the Fresno CCL office by 7/27/26: Current copy of Administrator Certificate, Designation of Facility Responsibility (LIC308), Administrator Organization (LIC 309), Affidavit regarding Client/Resident Cash Resources (LIC 400), Liability Insurance-RCFE, Emergency and Disaster Plan (LIC 610E), Personnel Report (LIC500), Register of Facility Clients/Residents for (LIC9020A) A copy of this report with Appeal Rights were provided to Administrator, whose signature on this form confirms receipt of this report.the state’s words, verbatim · CDSS document, Jul 13, 2026

Type of visit: Required - 1 Year

On 08/19/2025 Licensing Program Analyst arrived at the facility to complete an unannounced annual visit. LPA met with Licensee, Marine Voskanyan explained reason for visit and was permitted entry into the facility. LPA completed a tour of the facility inside and out. A health and safety check was completed on residents in care. 6 resident were present during visit. 5 of 6 residents receiving hospice and 1 receiving home health services. Pathways and doors inside home were clear and free from obstruction. Facility was without odor. Common areas were adequately furnished, and adequately lit. Smoke detectors and carbon monoxide detectors were present and operational at time of visit. Fire extinguisher last serviced on 6/27/2025. Resident rooms observed to have the required furnishings and with adequate lighting. Sharps were located in locked closet. LPA observed sufficient seating under covered patio areas. The following issues were observed during today’s visit: LPA observed 4 of 6 residents to be bedridden. Side gate observed unlocked with pool being accessible to residents in care. Deficiencies cited per California Code of Regulations, Title 22, deficiencies are being cited on the attached 809D. If not corrected, the violation with have a direct risk to the health, safety and/or personal rights of residents in care. ***Immediate civil penalties assessed in the amount of $500*** CONT... CONT... LPA requested the following documents to be submitted to CCL by 8/29/2025: current copy of Administrator’s Certificate, Administrator Organization (LIC 309), Designation of Administrative Responsibility (LIC 308), Emergency Disaster Plan (LIC 610-D),Personnel Report (LIC 500), Register of Facility Clients/Residents (LIC 9020) and a copy of liability insurance in order to update the facility file. ***TSP was offered to Licensee and accepted. Exit interview was conducted with Licensee. A plan of correction was developed by Licensee and reviewed by LPA. A copy of this report, deficiencies, and appeal rights were discussed and provided to Licensee, Marine via email due to IT issues. A delivered and read receipt serves as confirmation.the state’s words, verbatim · CDSS document, Aug 19, 2025

Type of visit: Required - 1 Year

On 07/24/2024 Licensing Program Analysts (LPAs) K. Kaur and M. Vega arrived at facility unannounced to complete an annual inspection. LPAs introduced self, stated the purpose of the visit, and was granted entry to the facility by Licensee/ Administrator, Marine Voskanyan. The facility has 1 resident, who was present during the inspection. LPAs toured the facility with the administrator. Facility is maintained at a comfortable temperature, clean and in good repair. LPA observed Facility required postings on entry wall. Living room is equipped with adequate sofas and recliners for seating. LPAs toured 5 resident rooms and 1 staff room. Residents' bedrooms were observed to be adequately furnished with bed, dresser, chair and adequate lighting. Mattresses and linen were in good condition. Extra linen and towels are available in the hallway closet. LPAs observed grab bars installed by toilet and shower, non-skid mats in place. At 1:43 pm LPAs did not observe "No Smoking-Oxygen" signage on residence bedroom door. Fire extinguisher was observed to be serviced on 6/6/2024. Tour continued to kitchen, a 7-day supply of non-perishable foods and 2-day supply of perishable foods was observed. The dining room is equipped with table and chairs. At 2:12 PM LPAs observed staff medication on the kitchen counter. 2:03 PM LPAs observed unlocked chemicals and cleaning supplies in laundry room cabinet. LPAs toured garage and observed stored equipment. LPAs observed Residential Care Facility for the Elderly (RCFE) Complaint Poster (PUB 475) in dining area. LPAs observed fencing around pool. Backyard gate is self-closing and self-latching. Covered patio and seating observed with adequate outside space for rest and recreational. Smoke alarm and Carbon monoxide detectors installed and operational. Resident's records contained signed Admission Agreement, Personal Rights, and current Physician's Report and ID Documentation. At 3:30 PM during Medication review LPAs observed Licensee did not complete the Centrally Stored Medication and destruction record. Staff files were reviewed for good health. Staff files had health screenings/ TB Clearance. It was verified that current staff on duty are CPR certified. Last Fire Drill conducted on 1/03/2024. Continued to 809C... Deficiencies are being cited on the attached 809D in accordance with California Code of Regulations, Title 22, Division 6. LPA is requesting the following documents be submitted to the Fresno CCL office by 7/31/2024: Current copy of Administrator Certificate, Designation of Facility Responsibility (LIC308), Administrator Organization (LIC 309), Affidavit regarding Client/Resident Cash Resources (LIC 400), Emergency and Disaster Plan, Personnel Report (LIC500), Register of Facility Clients/Residents LIC9020. An exit interview was conducted with Licensee. Report signed on-site; a copy of this report, 809D with appeal rights was provided via email due to technical difficulties.the state’s words, verbatim · CDSS document, Jul 24, 2024

The state marks this report as 8 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.

Type of visit: Post Licensing

On 6/11/24 Licensing Program Analyst (LPA) M. Garza conducted an unannounced Post-Licensing inspection. LPA met with Administrator, Marine Voskanyan. LPA completed tour of the facility inside and out including the kitchen, bedrooms, bathrooms and laundry area. LPA observed the facility to be free of odor, clean and in good repair. LPA observed sufficient furniture and lighting throughout the facility. LPA observed the required 7-day non-perishable and 2-day perishable foods. Medications and knives locked and inaccessible to residents. Facility has 2 water heaters. Hot water measured at 113.8 in the kitchen. Fire extinguisher was charged with a service date of 6/6/24. LPA reviewed resident/staff and medication records. Records complete and current. LPA observed the following posted in the facility: Resident Council Rights, See Something Say Something complaint poster, Reporting Requirements per AB40, Resident Bill of rights, Ombudsman Poster, Resident Personal Rights and facility license posted as required. The following issues were observed during todays visit: Chemicals/items that could pose a danger to residents observed through out the facility (R1's room, R1's bedroom, backyard, office, laundry room and garage) all unlocked and accessible to resident in care. Water temperature in R1’s bathroom observed at 94.5 degrees F. Back doors observed with auditory alarms not functioning and door locked. Deficiencies and TV’s provided per Title 22. Exit interview completed with Administrator, Marine. A copy of the report, deficiency, TV’s and appeal rights provided.the state’s words, verbatim · CDSS document, Jun 11, 2024