Comfort Cove Assisted Living

Type of visit: Case Management - Other

On 3/30/26 Licensing Program Analyst (LPA) Perchui Milena Khurshudyan conducted a Case Management visit at the facility. Upon arrival, LPA met with the Caregiver who granted access to the facility. LPA introduced herself by showing the department badge and explained the reason for the visit. The Administrator, Ilanit Asseraf got contacted over the phone and arrived shortly after. The purpose of today’s visit is to evaluate the facility’s request to increase the approval of Hospice Waiver capacity from two (2) to six (6) residents. During today’s visit, LPA conducted a physical plant tour of the facility, observed overall operation, and assessed whether the facility is able to safely accommodate additional residents receiving hospice services. LPA observed the facility to be clean, organized, and in good repair. Residents’ rooms, common areas, bathrooms, kitchen, and outdoor areas were observed to be in a safe and comfortable manner, exits were free from obstructions. LPA also observed staff providing care and supervision to residents. Staff were observed to be professional and responsive to residents’ needs. Residents appeared comfortable, happy, and staff interacted with residents in a respectful manner. LPA interviewed residents who stated they are satisfied with the care and supervision provided at the facility. Residents did not express any concern regarding staff support and daily care. LPA also interviewed staff regarding daily duties and supervision of residents on hospice and understanding of their care needs. LPA also reviewed staff training records and determined that staff have completed all required training courses. Continue on LIC809-C Based on today’s visit and LPA’s observations, the facility request to increase the hospice waiver from two (2) to six (6) residents will be granted. No Deficiency issued during today’s visit. Exit interview conducted, a copy of this report signed and delivered.the state’s words, verbatim · CDSS document, Mar 30, 2026

Type of visit: Prelicensing

On 9/12/2025 at 9:30AM Licensing Program Analyst (LPA), Perchui Milena Khurshudyan conducted an announced Pre-Licensing visit to the above facility and met with facility Licensee/Administrator Asseraf Ilanit Daisy. Fire Clearance was approved on 04/08/2024 for a maximum capacity of six (6) residents, of which five (5) can be Non-ambulatory and one (1) Bedridden resident for bedroom #1 or bedroom #2. Facility has a Dementia Care Program. The purpose of today’s visit is to inspect the facility to ensure that the facility is in compliance with rules and regulations under California Code of Regulations, Title 22. The facility is a single-story building. Today's site visit consisted of LPA touring the physical plant inside and outside and observed the following: KITCHEN: The facility has a Kitchen area that is equipped with a new refrigerator, microwave oven and sink. At 10:00AM, LPA observed adequate supplies of nonperishable food properly stored in the cabinets and inside the supply room. Perishable food items are not required at this time as there are no residents in the facility. LPA observed dining ware to accommodate a maximum capacity of six (6). All knives and sharps are observed to be locked inside a kitchen cabinet and inaccessible to residents in care. The facility has five (5) new fire extinguisher, appeared to be full and serviced and were last purchased on 04/18/2025. BEDROOMS: There are five (5) bedrooms in the facility of which four (4) are designated for residents use, and one (1) for staff only. All bedrooms are furnished with beds, dressers, chairs, night stands and required bedding and linen. The bedrooms have sufficient closet space and have sufficient lighting. Auditory alarms were tested and observed to be operational at 10:30AM. Facility will have awake staff at night. Emergency call buttons will be provided to residents. Continue on LIC809C LAUNDRY ROOM: The laundry room is located in a separate area next to the kitchen. The washer/dryer appears to be new and in good condition. Laundry supplies along with other chemical items will be kept locked inside the cabinets and under supervision when not in use. BATHROOMS: Facility has four (4) bathrooms. At 10:45AM LPA observed all bathrooms are clean, in good repair and properly supplied with toilet papers, soap and paper towels. LPA observed appropriate grab bars and non-skid mats in all bathrooms. Trash cans had closed tight fitting lids throughout the facility. Water temperature was within regulation, and it was measured by an LPA at 10:55AM to be at 116°F degrees. All bathrooms are designated for Staff and residents use. COMMON AREAS: The facility maintains a comfortable temperature at 74°F. The living room and dining area appeared clean and were properly furnished. The facility has activity puzzles, coloring books, crayons, board games and other activity supplies available for residents. No obstructions or tripping hazards throughout the facility. An emergency exit plan/sketch is posted along the hallway with other posting requirements. Facility has décor fireplace in the living room which is non operational. No fire-arms observed or will be maintained on the premises. MEDICATION ROOM: The medication will be centrally stored inside the locket cabinet located in the laundry area. Facility staff/resident files will be kept centrally stored and locked in the cabinet located in the office room. First-aid kit was checked to be complete and has the new manual available. The facility will have two (2) staff members for each shift (AM and PM). SMOKE DETECTORS/CARBON MONOXIDE. Dual smoke detectors and carbon monoxide throughout the facility. At 11:10 AM they were tested and observed to be operational. Continue on LIC809-C SURROUNDING GROUNDS: The facility has a gated entrance and sufficient yard space. LPA observed appropriate outdoor furniture, with a covered shaded area for residents. The backyard is fenced. There is a garage which is currently being used for storage. LPA discussed the importance of maintaining care and supervision to meet the needs of the residents. The facility has land line, checked by an LPA to be operational. Component III was conducted with the Administrator. Based on inspection and observation, the physical plant is in compliance with Title 22 Regulations at this time. This report will be forwarded to the Centralized Application Bureau (CAB) and the applicant will be notified by the CAB Analyst when the license has been approved. Exit interview was conducted and a copy of this report was provided to the Applicant/Administrator.the state’s words, verbatim · CDSS document, Sep 12, 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: Ilanit Asseraf, Applicant/Administrator Interview Method:Virtual interview (Microsoft Teams) On August 8, 2025, 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, Aug 8, 2025