A'Villa

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Sandra Urena arrived unannounced at the facility to conduct the required annual inspection. The LPA was greeted by staff and informed them of the reason for the visit. Administrator Anna Hakobyan arrived shortly thereafter. The LPA and the Administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. COMMON AREAS: At the time of the visit, living room and dining room furniture was observed to be in good condition. The facility maintained a comfortable temperature. Smoke detector(s) and carbon monoxide detector were tested and operational at the time of the visit. The fire extinguisher was fully charged and will expire on 06/15/2026. The LPA observed required postings throughout the common space. KITCHEN: Knives and cleaning supplies are stored inaccessible. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. The hot water temperature measured 112.8 degrees Fahrenheit. BEDROOMS: There are five (5) residents’ bedrooms. Four (4) are private and one (1) is shared, which were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. There is one designated staff rest room. There was a linen closet in the hallway with extra towels and linens. BATHROOMS: Bathrooms were clean and sanitary and in operating condition with grab bars and non-skid surfaces. The bathrooms were sufficiently stocked with soap and paper towels. The hot water temperature measured within the regulations. Continues on LIC 809C... OUTDOOR AREA: The backyard has a covered outdoor area equipped with furniture for client use. No bodies of water noted. The washer and dryer are inaccessible in the washer and dryer room. Cleaning supplies and disinfectants are kept in locked cabinets. RECORDS: Records review began at 1:15 p.m. Residents’ records were reviewed for, but not limited to care plans, medical records, admissions agreement, and consent forms. All records were in order. Personnel records were reviewed for, but not limited to health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. All files were in order. MEDICATIONS: Medications are centrally stored and locked in a closet located in the hallway. Medications are labeled and were checked for expiration dates. The medications are documented properly on the centrally stored medications and destruction record. No errors observed during the medication review. The LPA reviewed the following documents: - LIC500 Personnel Report - LIC9020 Client Roster - Certificate of Liability of Insurance _ Emergency Drill Logs No citations were issued. Exit interview conducted. A copy of the report was issued.the state’s words, verbatim · CDSS document, Apr 12, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Quoc Huynh arrived at the facility unannounced to conduct a required annual visit at 9:25AM. The LPA met with Licensee Anna Habokyan and explained the reason for the visit. Entrance interview conducted. Beginning at 9:30AM, the LPA and the Licensee toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. The facility is a Level 3 North Los Angeles Regional Center facility. The following was observed: KITCHEN: Knives and sharps are stored inaccessible in a locked drawer near the sink. Kitchen appliances were clean and in operable condition. The facility has a sufficient supply of perishable and non-perishable food, as well as emergency water. Hot water was tested and measured at 119.8 degrees F. Food in the refrigerator was observed to be properly stored with labels and dates. The laundry room is connected to the kitchen and stores all laundry and cleaning supplies in locked cabinets. COMMON AREAS: At the time of the visit, living room and dining room furniture was observed to be in good condition. The facility maintained a comfortable temperature throughout the visit. Smoke and carbon monoxide detectors and the common area fire door were tested at 9:50AM and were operational at the time of the visit. One fire extinguisher was observed in the facility and was purchased on 03/12/2025. Medications are stored in a locked closet in the hallway as well as facility files stored in a locked cabinet. There was a locked closet in the hallway which contained extra linens and general storage. Report Continued on LIC 809-C BEDROOMS/RESTROOMS: There are five total bedrooms; two shared resident bedrooms, 2 private resident bedrooms, and one private staff bedroom. Bedrooms were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. Extra linens are also stored in each residents’ closet. There are two total bathrooms in the facility; one private staff restroom and one shared resident restroom. Restrooms were clean and sanitary and in operating condition with grab bars and non-slip surfaces. All restrooms were sufficiently stocked with soap, paper products, and displayed hand washing signs. Hot water was tested and measured at 119 degrees F. OUTDOOR AREA: The backyard has two patio areas equipped with furniture and umbrellas for resident and visitor use. There are two driveway gates, and one main entry/exit gate used for emergency exits. One driveway gate is manually operated, the other driveway gate is remote, and the main entry/exit door remains unlocked on the inside and is locked from the outside. The facility has a fenced pool that remains locked at all times. The LPA observed a detached garage behind the facility which contained general storage, emergency food, and an extra freezer with food. The facility has an additional unit behind the facility where the Licensee and her family resides. RECORDS: Record review began at 9:55AM. Resident records were reviewed for, but not limited to care plans, physician's report, admissions agreement, and consent forms. All records were in order. Personnel records were reviewed for, but not limited to health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. All files were in order. MEDICATIONS: Medication review began at 11:23AM. Medications are centrally stored and kept inaccessible in the hallway. Medications were observed for two residents. Medications are labeled and checked for expiration dates. Medications are properly documented on the centrally stored medications and destruction record. No errors observed during the medication review. INFECTION CONTROL/EMERGENCY DISASTER PLAN: During today's visit, LPA Huynh reviewed the facility's infection control plan and emergency disaster plan. Both documents were observed to be complete and updated annually as required. Emergency disaster drills are conducted quarterly, with the last documented drill on 01/20/2025, and facility administrators plan on conducting their next drill tomorrow. No deficiencies cited. Exit interview conducted. A copy of today's report was provided.the state’s words, verbatim · CDSS document, Apr 25, 2025

Allegation investigated: Uncleared staff are providing care and supervision. Staff do not communicate effectively with the residents.

Licensing Program Analyst (LPA) Erica Mosley conducted an unannounced initial 10-day complaint visit to investigate the above allegations. Upon arrival at approximately 9:45 am, LPA Mosley were greeted by The Administrator Anna Hakobyan and the reason for the visit was explained. On 10/07/2024, the Department received a complaint regarding the following allegations, Uncleared staff are providing care and supervision, and staff do not communicate effectively with residents. LPA toured the physical plant areas inside and outside to ensure there are no immediate health and safety hazards and facility is in compliance with Title 22 Regulations. Report Continued on LIC9099C... Unsubstantiated On the allegation, Uncleared staff are providing care and supervision it is the concern of the Reporting Party (RP) that staff are not cleared to work at the facility. To investigate this complaint, LPA conducted in person interviews with the Administrator, four (4) Staff, four (4) out of six (6) residents between 10:00 am – 11:45 am. LPA also obtained pertinent documents to the investigation and reviewed facility records. File review was conducted on all staff. File review revealed that all staff are cleared, and all records are in order. All staff are listed on the LIC 500 personnel report along with the State Agency facility personnel report summary. Based on information obtained, there is insufficient evidence to support the allegations occurred. Therefore, the allegation uncleared staff are providing care and supervision is deemed unsubstantiated at this time. On the allegation, staff do not communicate effectively with residents it is the concern of the RP that staff are unable to effectively communicate with residents. To investigate this complaint, LPA conducted interviews with Residents, Staff, and Administrator. Interviews with four (4) residents currently residing at the facility revealed that the staff can effectively communicate and treat the residents with dignity and respect. Residents noted that one (1) staff needs to be spoken to slower than the other staff to fully comprehend what is being said but is not an issue. Residents stated that the staff are able to effectively understand and communicate the residents needs. Residents also noted that if they are not able to effectively communicate with a specific staff there is always a staff member on duty who can translate for them. In addition, residents stated that they do not have any issues communicating with staff or with their needs being met. Interviews with four (4) staff revealed that English is the primarily spoken language among the residents. All staff were able to communicate with the LPA basic knowledge and procedures in the event of an emergency. Staff noted that there is always one (1) staff who is fluent in English who can assist if needed, however rare. Staff also noted that staff who are not fluent in English are currently enrolled in an online English course to better communicate. Interview with Administrator revealed that staff are knowledgeable in their duties and can effectively communicate with residents. Some staff may require more patience in comprehension however basic conversation and understanding is sufficient. Administrator noted that staff are also enrolled into online English course to gain more English proficiency. Based on information obtained, there is insufficient evidence to support the allegations occurred. Therefore, the allegation staff do not communicate effectively with residents is deemed unsubstantiated at this time. Exit interview conducted. A copy of the report and appeal rights provided.the state’s words, verbatim · CDSS document, Oct 15, 2024 · control 29-AS-20241007223014

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Valeria Conway arrived at the facility at 11:52 a.m. to conduct an unannounced required annual. Upon arrival LPA met with Administrator Anna Hakobyan and explained the reason for the visit. There are three (3) residents at the time of the visit. The facility serves level 3 clients from North Los Angeles County Regional Center. At approximately 12:00 p.m., back up administrator Armine Melkonyan arrived at the facility. At 12:15 p.m. LPA toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. During physical plant tour LPA observed the required postings throughout the facility. Complete First aid kits were observed throughout the house with correspondent manual. Facility is a single-story residence and consists of a total of five (5) bedrooms and two (2) bathrooms designated for clients use. One (1) bedroom, room #4 is designated for staff use only. At 2:17 p.m. the carbon monoxide and smoke alarms were tested and all functioned properly. The fire extinguisher was fully charged and last purchased on January 8th, 2024. Last emergency drill (Fire) was conducted on 01/02/2024. Centrally stored medication and records reviewed at approximately 2:45 p.m. At 1:27 p.m. Staff and client files were reviewed. Required training and staff records observed on file for current employees. Required client records observed on file and up to date at the time of the visit. Continued on LIC 809-C Continued from LIC 809 Kitchen: LPA observed kitchen to be clean at this time and the appliances were clean and all and fixtures functional during the time of visit. LPA observed a sufficient amount of perishable and non-perishable food at the facility; properly stored. Sharp objects were observed stored in locked drawer to the right of the sink. No Cleaning supplies and toxins were observed in this area at this time. To the right of the kitchen was the laundry area. Cleaning supplies were observed to be stored and locked in cabinets above the washer and dryer and in a cabinet under the sink located in this area as well. The supply of dishes, utensils, pots, pans and drinkware is adequate. There are no pesticides (poisons), or toxins stored in any food storage area or preparation area with utensils. Bedrooms: The resident bedrooms were properly furnished with a bed, nightstand, and sufficient lighting for each resident. The bedrooms had appropriate and adequate bedding and linens such as sheets, pillowcases, mattress pads, and blankets. LPA observed a sufficient supply of linen and personal hygiene supplies in the hallway closet right outside of bedroom #1 The resident bathroom(s) has a shower with non-skid materials. The toilet and showers have grab bars. The hot water temperature was tested in the bathrooms and the kitchen and was found to be within the range of 105*F and 120*F. Common Areas: These included the living room, dining area and office area. The common areas were checked for cleanliness and furniture was checked for functionality during time of visit. Dining room furniture appeared to be relatively clean and functional at this time. Medications, first aid and facility files are to be stored in locked cabinet outside of bedroom #1. LPA observed a locked cabinet that stored a sufficient amount of PPE, linen and extra medical supplies outside of bedroom #2. Night lights were maintained in hallways and passageways to nonprivate bathrooms. All ramps were secure and non-slippery and were positioned at the level where wheelchairs and walkers may enter and exit the facility safely. Alarms on all exterior doors were engaged at the time of visit and functional. Continued on LIC 809-C Continued from LIC 809-C Outdoor Area: There was a shaded area with sufficient room for activities. LPA observed sufficient furniture designated for outdoor use. There is a gated swimming pool located in the backyard. Garage was accessible from the exterior of the building. Licensee opened garage from inside the house and LPA observed gardening material, extra medical supplies, a freezer with extra food and decorations for facility use. The exterior passageways were clean and clear of any obstructions. The entire property is fenced with a gated driveway. There is a door w/gate with a self-latching mechanism for persons to easily exit the property in the event of an emergency. Administrator resides in the home behind the facility that is located on the same property; however, the administrator’s personal home has a different address. Exit interview conducted and report issued to the Administrator.the state’s words, verbatim · CDSS document, Apr 18, 2024