C&C Senior Living

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Trevor Byrne arrived at the facility unannounced to conduct the required annual visit at 10:17 AM. LPA met with facility staff who contacted the facility Administrator Claudia Heshmati. The Administrator arrived to the facility at 10:38 AM and the facility designee, Kevin Ohanian arrived later during the visit. Entrance interview conducted and the reason for the visit was explained. Beginning at 10:40 AM the LPA, along with facility Administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that facility is in compliance with Title 22 Regulations. The following was observed: COMMON AREAS: This included the living room, hallway, and dining area. LPA observed the living room to be clean and properly furnished at the time of the visit. The living room contained all required postings, a fireplace that was appropriately screened, a television, and activities for resident use. LPA observed the hallway to be clean and free from obstructions. The hallway contained closets which contained additional linens, emergency water, and activities. Additionally, LPA observed a locked closet which contained the facility’s washer/dryer and cleaning/laundry chemicals. The dining area was observed to be equipped with adequate seating for resident use. The facility’s fire and carbon monoxide alarms, along with the fire doors, were tested at 10:54 AM and were functional at the time of the visit. LPA observed cameras throughout the common areas of the facility. CONTINUED ON LIC 809C. KITCHEN: The LPA observed the kitchen area to be clean. Kitchen appliances appeared to be in operable condition. The facility had a sufficient supply of two (2) days perishable and seven (7) days non-perishable food. LPA observed a secured drawer which contained knives and other sharp objects. LPA observed a fire extinguisher mounted on the wall that was last serviced on 07/02/2024 which is outside of the required timeframe. The kitchen contained a locked under sink cabinet which contained cleaning supplies and an additional locked cabinet which contained resident medications and facility files. BEDROOMS: There are four (4) bedrooms in the facility. LPA and the facility Administrator toured all four (4) bedrooms. All resident rooms were observed to be furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. Bedroom #4 contained a direct exit to the outdoors of the facility. LPA observed bedroom #2 to contain cameras. The Administrator informed LPA that the cameras were installed at the request of the resident’s family. During file review LPA did not observe documentation in the resident’s file which showed that the family had the legal authority to make decisions on the residents behalf. Additionally, LPA did not observe any documentation from the residents family requesting cameras to be installed in the resident’s room. BATHROOMS: There are two (2) bathrooms at the facility. One (1) a shared/common resident bathroom and one (1) is a private bathroom. Both resident bathrooms were observed to be clean and were equipped with nonskid surfaces. Grab bars were observed in all resident showers and near all resident toilets. All were properly secured. The water temperature was measured to be between 109.9 and 113.4 degrees Fahrenheit, which is within the range required by regulation. OUTDOOR SPACE: The facility has one (1) emergency exit gate located in the front yard of the facility; LPA observed clear passageways for emergency exit use. The facility had adequate shaded seating outdoors for resident use. All ramps and railings were appropriately secured. LPA observed cameras located on the outdoors of the facility. CONTINUED ON LIC 809C. RECORD REVIEW: Record review began at 11:29 AM. Staff and resident records were reviewed for documents including, but not limited to: health screening, TB test, staff training records, fingerprint clearance, resident physician's report, needs and service appraisal, consent forms, and personal rights. Six (6) staff files were reviewed. One staff file was observed to contain a blank health screening which was missing proof of a negative tuberculosis (TB) test, a physician’s signature, ability to perform duties, etc. Two (2) staff files were observed to be missing up to date first aid/CPR cards. One (1) staff training record was observed to be missing the number of hours completed per training subject. Four (4) resident files were reviewed. Two (2) resident files were observed to be missing proof of a negative TB test. One (1) resident medical assessment was observed to be missing all even numbered pages and was missing information including ambulatory status of the resident. Two (2) resident files were observed to be missing a signed copy of the personal rights of residents. Two (2) resident files were observed to be missing pre-admission appraisals of the residents. MEDICATION REVIEW: Medication review began at 01:41 PM. Medications for two (2) of four (4) residents were observed. All medications were stored properly but no medications were appropriately documented on the resident’s centrally stored medication and destruction record sheets. INFECTION CONTROL/EMERGENCY DISASTER PLANNING: During today’s visit, the LPA reviewed the facility's infection control practices and the facility's emergency disaster plan. The facility’s policies and procedures as they pertain to infection control are adequate. Emergency disaster drills are conducted quarterly; the facility’s last emergency disaster drill was conducted on 03/27/2026. The facility’s emergency disaster plan is up to date and is adequate. Both the infection control plan and the emergency disaster plan are reviewed/updated annually by the facility’s Administrator. INTERVIEWS: LPA interviewed two (2) residents. The residents interviewed stated that the staff treat them well and are attentive to their needs. LPA interviewed one (1) staff member. The staff member interviewed was knowledgeable on their roles and responsibilities, the resident’s rights, the forms of abuse, and the appropriate reporting procedures for suspected abuse. During today’s visit LPA obtained a copy of the facility’s LIC 500, resident roster, emergency disaster plan, and current liability insurance. Pursuant to Title 22 of the CA Code of Regulations, the following deficiencies were cited (refer to LIC 809-D): Exit interview conducted and copy of the report was issued and appeal rights provided.the state’s words, verbatim · CDSS document, Jun 22, 2026

The state marks this report as 10 pages; the online copy we transcribed has 9. You can request the full file from the county licensing office.

Allegation investigated: . Staff forcefully took resident’s personal phone.

Licensing Program Analyst (LPA) Christine Yee conducted an unannounced complaint visit to investigate the above allegation and was let into the home by Sherre Willougby, Staff. Claudia Heshmati, Administrator was contacted via telephone at 10:19am to advise her of today's visit. LPA Yee was advised that Kevin Ohanian, designated Staff was on the way to the home. He arrived at 10:57am to conduct tthe visit. The reason for today's visit was provided. On today's visit, LPA Yee conducted a face to face interview with Kevin Ohanian at 12:51pm, Staff #2 at 1:13pm and a telephone interview with the Administrator at 12:56pm. An interview with Resident #1 was attempted at 1:06pm and again at1:49pm and was unsuccessful as the resident kept asking to go home. Resident #5 was interviewed at 2:04pm. Resident #2-Resident #4 could not be interviewed due continued on LIC9099-C Unsubstantiated issues with their ability to retain their attention on the questions asked. 3 resident files were also reviewed. Per interviews conducted with Kevin Ohanian, the Administrator, Staff #2, Resident #5, they have not seen any staff or been told by any one that a staff forcefully took away Resident #1's cell phone. Per Mr. Ohanian and the Administrator, resident's are permitted to retain their cell phones and make calls. They do not tell residents that they cannot keep their cellphones. They do put away Resident #4's cell phone at night, at the request of the family. Per information provided, the family does not want the resident to sleep with the cell phone under their pillow or close to the bed due to the radio frequency waves emitted by the cell phone. Staff will remove the phone to get it charged. Per interviews conducted, they all deny that a staff would forcefully grab any residents' phone. Per interview conducted with Witness #1 at 9:51am, prior to today's visit, they do not know if staff grabbed Resident #1's cell phone and almost broke their wrist. They were informed that's what was told to them. They have not seen Resident #1 since the resident moved into the facility. They also have not called Resident #1 regularly as the resident gets agitated and wants to go home when any family member or friend calls. Per Witness #1, Resident #1 cannot go home because the primary caregiver had surgery and cannot care for Resident #1 at this time. The caregiver needs to recover. Per Witness #1, the resident has a known tendency to make things up and isn't sure if the incident actually happened. Per LPA's 's observation of the Resident #1, the resident was initially observed laying in bed and later observed eating lunch. No bruises or bandages were in use by the resident. The cell phone was found in the drawer of the resident's night stand. Based on today's investigation there was insufficient evidence to support the allegation - Staff forcefully took resident’s personal phone, therefore the allegation is unsubstantiated at this time. Exit interview was conducted.the state’s words, verbatim · CDSS document, Aug 6, 2025 · control 29-AS-20250731104643

Type of visit: Case Management - Deficiencies

Licensing Program Analyst (LPA) Christine Yee conducted an unannounced case management visit due to the deficiencies noted during a visit to the facility. LPA Yee met with Kevin Ohanian, Staff. The reason for today's visit was provided. The following was observed during the visit: residents who were residents of the previous ownership do not have new files, medical assessments or completed admissions agreement and Resident #1 and Resident #3, who were both admitted to facility in mid-July 2025 do not have any files. Resident #3 was observed on a oxygen concentrator and a little tank of oxygen was stored in a corner by the foot of the hospital bed and no oxygen in use signs were observed in the facility. Also per Staff and the Administrator, the local fire department was not notified verbally or in writing Per interview with staff, Resident #3 was hospitalized on the date they were admitted, and on and off since, and none of the hospitalization was reported to the Department within 7 days of the occurrence. Deficiencies were cited under California Code of Regulations, Title 22, Division 6, Chapter 8. Exit interview was conducted, Appeals Rights were discussed and a copy was provided.the state’s words, verbatim · CDSS document, Aug 6, 2025

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87506(a) · Plan of correction due date: Aug 13, 2025

Resident Records. A separate, complete, and current record shall be maintained for each resident in the facility, readily available to facility staff and to licensing agency staff and shall contained specified information. This requirement was not met as evidenced by: Resident #2, #4,#5 do not have new files created due to the change in ownership and Resident #1 and Resident #3 do not have any files as of this visit.the state’s words, verbatim · CDSS document, Aug 6, 2025

Plan of correction: The Licensee will ensure that files are created for all residents, staff and volunteer and maintained in the facility at all times. Licensee will create files for all residents and ensure that it contains all the required documents by 8/13/25. The Licensee will self certify that files have been completed and contain all the documents required under Section 87506.

From the deficiency page — Deficiency type: Type B · Section cited: CCR87618(b)(3)(A) · Plan of correction due date: Aug 13, 2025

Oxygen Administration - Gas and Liquid: In addition to Section 87611(b), the licensee shall be responsible for the following: In addition to Section 87611(b), the licensee shall be responsible for the following: Ensuring that the use of oxygen equipment meets the following requirements: A report shall be made in writing to the local fire jurisdiction that oxygen is in use at the facility. This requirement was not met as evidenced by: Resident #3 uses oxygen and the Licensee did not report its use to the local fire department as of this visitthe state’s words, verbatim · CDSS document, Aug 6, 2025

Plan of correction: Licensee will ensure that all use of oxygen is reported to the local fire jurisdication. The LIcensee will draft a letter to the local fire jurisdication and send confirmation that the fire department was notified by 8/13/25.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87618(b)(3)(B) · Plan of correction due date: Aug 13, 2025

Oxygen Administration - Gas and Liquid: In addition to Section 87611(b), the licensee shall be responsible for the following: In addition to Section 87611(b), the licensee shall be responsible for the following: Ensuring that the use of oxygen equipment meets the following requirements: "No Smoking-Oxygen in Use" signs shall be posted in the appropriate areas. This requirement was not met as evidenced by: There were "No Smoking-Oxygen in Use" posted any where in the facility.the state’s words, verbatim · CDSS document, Aug 6, 2025

Plan of correction: The Licensee will create "No Smoking-Oxygen in Use" signs and post them in the appropriate areas by 8/13/25 Evidence that the signs have been posted will be sent the Department by 8/13/25

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Christine Yee conducted an announced Prelicensing and Component III visit to ensure that the home is in compliance with Title 22. The CARE Inspection Tool was utilized. LPA Yee met with Claudia Heshmati, Designated Applicant and Kevin Kalantar Ohanian, Corporate Officer. The facility is a single storey family home consisting of a living room, a dining room, a kitchen, 4 resident bedrooms and 2 full bathrooms. The facility is fire cleared for 5 NON-AMBULATORY and 1 BEDRIDDEN residents. Bedroom #4 is the bedroom designated for bedridden use. The following was observed on today's visit: The following were observed on today's visit: The living room and dining room are furnished with the appropriate furnishing and seating for 6 residents. The kitchen has a stove, dishwasher and refrigerator. Sufficient plates, cups, utensils for 6 residents were observed. Pots, pans, storage containers were observed. Perishable foods for a minimum of 2 days will be purchased prior to accepting the first resident and sufficient non-perishable for a minimum of 7 days was observed maintained on the premises. Located in the kitchen is the only fire extinguisher that was purchased on 7/2/24. Employment Poster was posted in the dining room and the required posting were observed in the living room. Page 2 Bedroom #1, directly by the front door, was observed with 2 hospital bed, 2 night stands, 2 lamps, 2 folding chairs, 2 dressers, television and 2 closets. The required bed linens were observed on the beds. Bedroom #2 is a private room and contains 1 bed, 1 folding chair, 1 night stand, 1 lamp, a television and a dresser. Also located in the room is the resident's personal massage chair Bedroom #3 is a shared room and was observed with 2 beds, 2 chairs, 2 night stands, 2 lamps, 2 dressers, a television and a shared closet. Located inside the room is a private bathroom equipped with a tub with shower, a toilet and 2 sink vanity. Grab bars were observed in the shower and behind the toilet. Slip resistant map was observed. Water temperature was tested and read 112.8 degrees Fahrenheit. Bedroom #4 is a private room with a hospital bed with half bed rails, a night stand, a lamp, a chair, dresser, television and a closet. A door in the room leads directly to a ramp located outside. The window blind on the right window was broken. The common bathroom is equipped with a shower stall, a bath tub, a toilet, and a single sink. Grab bars were observed in the shower and behind a toilet. A grab needs to be installed for the bath tub. The water temperature was tested and read 113.4 degrees Fahrenheit. The laundry room was observed with a washer and dryer. Cleaning solutions, laundry detergent, hygiene products were stored on a shelf in the room. Per the Applicant, the room is always locked. The auditory device on the outside exiting doors - front door, kitchen door and bedroom #4 were tested and were operational. The backyard has a covered patio furnished with a coffee table, a rattan love seat, 2 arm chairs and a bench for activities. The creeping plant along the back wall needs to be trimmed and the weeds need to be removed from the back yard. The front yard was clean. 2 rattan chairs and a coffee table were observed in the front patio. Trash cans in the front yard were observed to be tightly sealed. A first aid kit and first aid manual was observed. The only carbon monoxide located above the door of bedroom #4 was tested and was operational. The hard wired smoke alarms located in the 3 resident rooms and the hallway was tested and Page 3 was operational. The facility has a land line phone. The telephone # is (818)387-8161. The following corrections need to be completed prior to licensure: the right side blinds in bedroom #4 needs to be replaced. the vines on the back wall needs to be trimmed and the weeds removed. a grab bar and a slip resistant mat needs to be placed for the bath tub. the LIC610 - Emergency and Disaster Plan needs to be completed to include all emergency telephone numbers. The facility will update their Admission Agreement to include their policy on the prohibition or the retention of firearms. The Emergency Disaster Preparedness Plan needs to be revised to include additional information on the planned sheltering in place procedures, being self reliant for a period of 72 hours, transportation needs, communication needs, provisions for emergency power, operating of assistive medical devices, assisting residents with self administration of medications. The following needs to be completed upon licensure: create new resident, staff and volunteer files under the new license and name purchase liability insurance with limits of a $1 million per occurrence and a total annual aggregate of $3 million. Component III was conducted with Claudia Heshmati, Applicant and Kevin K Ohanian, Corporate Officer. Applicant will notify LPA Yee once the corrections have been completed Exit interview was conducted and a copy of this report was provided.the state’s words, verbatim · CDSS document, May 30, 2025

Type of visit: Office

Facility Type: RCFE Application Type: CHOW Capacity: 6 Census: 3 COMP II Participant: Claudia Heshmati, CEO/Administrator Interview Method: Telephone interview On 5/2/25, applicant/administrator participated in COMP II. Identification of the applicant/administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant/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, May 2, 2025