Aurora Lemarsh

Type of visit: Office

An informal meeting was held today at the Woodland Hills Regional Office to discuss recent deficiencies and provide guidance to ensure future compliance. Prior to the meeting, Licensee was given the chance to review the facility file. Present at today's meeting were the following: Sergey Azaryan - Administrator Nichelle Gillyard - Licensing Program Manager (LPM) Angela Panushkina - Licensing Program Analyst (LPA) The informal conference process was explained to the Licensee. The Licensee was also informed that this Informal Meeting can lead to an Administrative Action Process. BRIEF HISTORY: The facility Aurora Lemarsh has been in operation since licensure on 06/13/2025. From June 2025 to present, the Department received one (1) complaint, which was found Unsubstantiated. Continue on LIC809-C Additionally, a Case Management - Deficiency visit was also conducted in conjunction with a complaint control #31-AS-20260203081859. During the visit LPA was informed that the facility had seven (7) residents. LPA conducted physical plant tour and confirmed that there were seven (7) residents present. LPA conducted review of facility license, issued on 06/13/2025, and observed that the facility had been approved for a maximum capacity of six (6) residents. Deficiency and Civil Penalty of $500.00 was issued. LPA conducted review of the Licensing Information System (LIS) and observed that the Administrator is associated with the following facilities: Aurora Senior Living (LIC# 197610692) which was licensed on 02/07/25. The Administrator informed LPA and LPM that the facility is currently going through the Change of Ownership (CHOW), and during the entire transition the Administrator will be fully responsible for following all Title 22 Regulation and be in compliance. Aurora Raymer (LIC#197610915 - pending). Regional Office received an Unlicensed complaint (control #31-AS-20260202141503). On 02/09/26, the Department conducted an initial visit and based on their interviews and observation it was determined that two (2) out of the two (2) individuals residing in the home required care and supervision. Therefore, the complaint was found Substantiated. During todays meeting, all citations were discussed and the Department was informed that the facility currently has six (6) residents and all staff had been trained. Administrator, assured the Department that there will be no citations moving forward. Lastly, the Department requested current LIC500 (Personnel Report) to be submitted on or before 03/25/2026. Also, the Administrator will be referred to the Technical Support Program (TSP). Exit interview conducted and copy of this report signed and delivered.the state’s words, verbatim · CDSS document, Mar 23, 2026

Allegation investigated: Licensee does not maintain outdoor walkways in safe condition for residents

At 09:55am, Licensing Program Analyst (LPA), Angela Panushkina conducted an unannounced visit in response to the above-mentioned allegation. LPA met with the Staff #1, Helen Sandoval, who granted access to the facility. The Designee, Victorya Hayrapetyan, arrived shortly after and LPA explained the reason for the visit. At 10:00am, LPA requested residents and staff roster. At approximately 10:05am, LPA conducted a physical plant tour. Between 10:10am – 12:00pm, LPA conducted an interview with the Designee, one (1) staff, and seven (7) residents. Continue on LIC9099-C Unsubstantiated Allegation: Licensee does not maintain outdoor walkways in safe condition for residents It was alleged that there is an “extremely oversized” pine tree in the facility’s backyard that “poses a critical threat to resident safety due to a severe, constant slipping hazard” due to its “constant shedding of needles and sap.” It was also reported that these “coat the walkways” and create “treacherous footing” for residents. To investigate this allegation, LPA conducted physical plant tour and observed the facility front and back yard appeared to be well maintained, clean and free of hazards (slipping, shedding of needles and sap, etc.) for the residents. Interview with the Designee revealed that the facility has a gardener that is scheduled to come once a week (on Saturday). Designee also informed LPA that she was not aware of any complaints regarding this matter. Lastly, seven (7) residents interviewed expressed no concerns regarding this allegation. Therefore, based on LPAs' observation and interviews this allegation is deemed Unsubstantiated, at this time. No deficiency cited during today's visit. Exit interview conducted, appeal rights explained and copy of this report signed and delivered.the state’s words, verbatim · CDSS document, Feb 10, 2026 · control 31-AS-20260203081859

Type of visit: Case Management - Deficiencies

Licensing Program Analyst (LPA) Angela Panushkina conducted unannounced visit to this facility in conjunction with a complaint control #31-AS-20260203081859. LPA met with the Designee and explained the reason for the visit. During the visit, the Designee informed LPA that the facility's current census is seven (7). LPA conducted physical plant tour and confirmed that there are seven (7) residents currently residing here. LPA conducted review of facility license, issued on 06/13/2025, and observed that the facility had been approved for a maximum capacity of six (6) residents. Per the California Code of Regulations, Title 22, Division 6, Chapter 8, deficiencies are cited and noted on LIC 809D. Exit interview conducted, appeal rights and copy of report signed and delivered.the state’s words, verbatim · CDSS document, Feb 10, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87204(a) · Plan of correction due date: Feb 12, 2026

Limitations - Capacity and Ambulatory Status: (a) A licensee shall not operate a facility beyond the conditions and limitations specified on the license, including specification of the maximum number of persons who may receive services at any one time. Based on LPAs observation and interviews, the licensee did not comply with the section cited above by accepting the 7th resident, while the facility is licensed for capacity of six (6) only. This poses an immediate health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Feb 10, 2026

Plan of correction: Administrator will relocated one (1) resident from this facility to another licensed facility and provide current location and contact information to LPA by POC date. This is a zero tolarance and an immediate civil penalty of $500.00 will be assessed

Type of visit: Prelicensing

At 9:00am, Licensing Program Analyst (LPA), Angela Panushkina conducted an announced Pre-Licensing visit to the above facility and met with the Administrator - Lusine Tadevosyan and the Licensee - Sergey Azaryan and explained the reason for the visit. An application was submitted to Community Care Licensing Division (CCLD) for a Residential Care Facility for the Elderly (RCFE) to serve age range 60 and over. Fire Clearance approved on 01/22/2025 for five (5) Non-ambulatory where one (1) can be Bedridden in rooms #5 or #6. Dementia and Bedridden Plans are submitted. Emergency numbers are posted and readily available for review. Facility is a single-story home consisting of six (6) bedrooms and four (4) full bathrooms. There are six (6) private bedrooms designated for resident’s use. Facility will have live-in staff. LPA observed that all bedrooms are furnished with beds, dressers and required bedding and linen. The bedrooms have sufficient closet space and have sufficient lighting. Facility maintains a temperature of 68°F At 9:10am LPA observed all bathrooms are clean and in good repair. All bathrooms have a working toilet, wash basin and a shower. Properly supplied with toilet papers, soap and paper towels. At 9:20am, the hot water temperature measured at 120.0°F. All trash cans in bathrooms had fitted lids to protect from cross contamination. At 9:30am, LPA observed a Fire Extinguisher which was last purchased on 01/10/2025. Dishes, cups, and flatware are stored in the kitchen cupboards, inspected and in good condition. Knives were observed locked in the kitchen drawer. The first-aid kit has been inspected which has at least the following: tweezers, scissors, antiseptic, bandages, gauze, thermometer; including a current First Aid manual. LPA also observed medication cabinet in the kitchen kept locked and inaccessible to residents in care. Continue on LIC809-C Resident and staff files will be kept in a locked, metal cabinet by the computer desk, located in the living room area. Adequate supplies of two (2) days perishable and seven (7) days nonperishable foods, and dining ware to accommodate a maximum capacity of six (6) residents were available. Refrigerator, oven, microwave, dishwasher and washer/dryer were observed to be in good/working condition. The residence is equipped with central heating and air conditioning. Cleaning supplies, and toxins are locked under the kitchen sink and in the garage/laundry area and only accessible to staff. Smoke detectors and carbon monoxide were tested at 10:00am and observed to be functional. At 10:05am, LPA observed sufficient yard space with fenced backyard. The outdoor area was free of visible immediate hazards. There is a swimming pool that is fenced to keep residents out of the swimming pool area. The fence is approximately 5 feet high throughout the parameters. You will need a key to unlock the padlock to gain entry to the swimming pool as it is kept locked at all times. LPA discussed the importance of maintaining the care and supervision to meet the needs of residents. Component III was conducted at 10:20am. Pursuant to Title 22, Division 6 Chapter 2, the facility's physical environment appears to be compliant and ready for licensure. CAB will be advised, and a copy of this report will be emailed. Exit interview conducted and copy of this report signed and deliveredthe state’s words, verbatim · CDSS document, Jun 4, 2025

Type of visit: Office

Component II completion: Successful Facility Type: Residential Care Facility for the Elderly (RCFE) Application Type: Initial Capacity: 6 Census (if any clients in care): none COMP II Participants: Sergey Azaryan, Applicant Lusine Tadevosyan, Administrator Interview Method: Virtual interview (Microsoft Teams) On May 12, 2025, Applicant and 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. During COMP II, CAB analyst confirmed Applicant and 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, May 12, 2025