Comfort Nest

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Angela Barutyan arrived unannounced to conduct a required annual visit at 10:09AM. LPA met with staff and Administrator Ara Ghazaryan. Entrance interview conducted. LPA and 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. The following was observed: KITCHEN: The LPA inspected the kitchen/food service area at 10:11AM. Kitchen appliances appeared clean and were in operable condition at the time of the visit. Knives, sharps, and chemicals are stored locked and inaccessible to residents in care. The facility had a sufficient supply of perishable and non-perishable food. Food labels were inspected and checked for expiration dates; food labels had expiration date clearly marked. At 10:17AM, LPA observed six (6) expired food items (heavy whipping cream, chocolate milk, sour cream, milk, yogurt, ketchup, and mustard) that had expiration dates ranging from 01/2025-11/15/2025. Administrator and staff stated that the majority of the food items belonged to staff and discarded all expired items immediately. BEDROOMS: There are three (3) shared bedrooms. LPA observed the resident bedrooms to be furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. LPA observed the facility sketch on file to not match the physical plant. Bedroom #1 on the facility sketch contains an exit to the exterior, however, the room labeled Bedroom #3 had the direct exit. LPA and Administrator discussed the facility sketch errors and Administrator stated an updated and corrected facility sketch will be submitted to the Department. Report Continued on LIC 809C. RESTROOMS: There are two (2) resident restrooms. The first restroom is located in the hallway and the second restroom is attached to a resident room. LPA observed the hallway leading to the shared restroom without a night light. Administrator installed a night light in the hallway during the visit. Restrooms were clean, sanitary, and in operating condition with grab bars and slip-resistant surfaces. Hot water temperatures were measured in restrooms and were between 108.1-110.7 degrees F, which is within the required range. COMMON AREAS: At the time of the visit, living room and dining room furniture were observed to be in good condition. The facility maintained a comfortable temperature. The hardwired smoke detector(s) and carbon monoxide detector were tested at 10:33AM and all were operational at the time of the visit. The fire extinguisher was fully charged and last purchased on 09/18/2025. Laundry units are located in the hallway. Extra cleaning solutions, toxins, chemicals, and hazardous items were inaccessible and locked away in a locked hallway closet. LPA observed lighting in common areas to be dimly lit as seven (7) lights were not working. Administrator stated that the lights have been replaced multiple times but still do not work. Administrator stated they will repair the lights. The LPA observed required postings throughout the common space. There is a fireplace in the living room that was adequately screened. All auditory exit devices in common areas and bedrooms were functional and operating at the time of the visit. OUTDOORS/GARAGE: The garage is kept locked at all times. The facility has an adequate supply of emergency food and water which was observed to be in good condition. Cleaning supplies are kept in the garage locked and inaccessible to residents in care. The facility has two (2) extra refrigerators in the garage with extra food for daily use. The backyard has a covered outdoor area equipped with furniture for resident use. Emergency exits and passageways were observed free of obstruction. Auditory alarms were observed functioning at the time of the visit. No bodies of water were noted at the time of the visit. RECORD REVIEW: Beginning at 10:40AM, LPA reviewed five (5) out of five (5) resident and four (4) personnel files for documents including but not limited to: medical records, care plans, resident Admission Agreement, TB test, health screening, staff training and fingerprint clearance. LPA observed two (2) residents with full bed rails without receiving hospice services and no written order in the residents’ files. LPA interviewed Resident #1 (R1) who had the full bed rail and R1 stated that the bed rail is kept up at night and restrains them which makes it difficult to get out of bed. LPA informed Administrator that full bed rails are only permitted for residents receiving hospice care and with a doctor’s order. Administrator removed the full bed rails during the visit. LPA also observed one (1) bed equipped with half bed rails but no written order in resident files. All personnel files were in order. Report Continued on LIC809-C. MEDICATIONS: At 02:01PM, LPA reviewed medications for two (2) residents. Medications are centrally stored and locked in a cabinet in the kitchen area. All medications including PRNs were labeled, stored, and locked inaccessible to residents. PRNs were properly documented and logged. Medications were observed to be properly documented on the centrally stored medications and destruction record and were in compliance with regulation, state, and federal law. INFECTION CONTROL/EMERGENCY DISASTER PLANNING: During today's visit, LPA reviewed the facility's infection control policy as well as the emergency disaster plan. The facility’s policies and procedures as it pertains to infection control are adequate. Emergency disaster plan is updated annually as required. Emergency drills are conducted quarterly as required, with the last drill conducted on 10/25/2025. The following deficiencies were observed (See LIC 809-D) and cited from the California Code of Regulations, Title 22 and/or California Health and Safety Code. Administrator was informed that failure to correct deficiencies may result in civil penalties. Exit interview conducted. The report was reviewed, and a copy of the appeal rights and report were provided.the state’s words, verbatim · CDSS document, Nov 25, 2025

The state marks this report as 10 pages; the online copy we transcribed has 6. You can request the full file from the county licensing office.

Type of visit: Case Management - Health Checks

Licensing Program Analyst (LPA) Angela Barutyan conducted a Case Management - Health and Safety Check visit at the above facility at approximately 10:00AM to verify the relocation of Resident #1 (R1) from a closed facility (#195850385) to this facility, and to confirm R1’s health and safety following the transition. LPA met with staff and explained the purpose for the visit. Staff contacted Administrator Ara Ghazaryan and LPA explained the reason for the visit. At approximately 10:05AM, LPA Barutyan and staff conducted a tour of the physical plant to ensure compliance with Title 22 regulations, which included a tour of all resident rooms, common spaces, and outdoor area. R1 was observed in their room resting. LPA met with and interviewed R1 who stated they were happy and was observed to be well groomed. LPA observed R1’s personal belongings and medications centrally stored and locked at the facility. LPA conducted a medication review for R1 at 10:20AM, all medications reviewed were stored and documented per regulation. No immediate health or safety concerns were observed during the visit. At 10:30AM, LPA spoke with Administrator Designee Ani Ghazaryan telephonically who designated staff Charlene Guzman to sign this report. Exit interview conducted. A copy of the report was provided.the state’s words, verbatim · CDSS document, Sep 5, 2025

Type of visit: Required - 1 Year

(PAGE 1) Licensing Program Analyst (LPA) Erica Mosley arrived at the facility at approx. 9:50a.m. to conduct an unannounced required annual visit. Upon arrival, LPA Mosley was greeted by staff and called the Administrator to inform them of the visit. The Administrator arrived shortly thereafter. The LPA met with Administrator Ara Ghazaryan and explained the reason for the visit. The 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. The facility is a single-story family home consisting of a living room, dining room, kitchen, 3 bedrooms, 2 bathrooms and an attached garage. The facility is fire cleared for 5 AMBULATORY and 1 BEDRIDDEN. Bedroom #3 is the room designated for bedridden use. Per approved fire clearance, the garage may only be used as a garage. BEDROOMS: There are three (3) double occupancy / shared bedrooms. The LPA observed resident bedrooms, which were furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. Inside temperature was maintained at a comfortable level. RESTROOMS: The facility has two (2) resident restrooms, one (1) is designated as a shared restroom, and one (1) is designated as a private restroom. Restrooms were clean and sanitary and in operating condition with grab bars and non-skid surfaces. From approx. 10:23 a.m.- 10:32 a.m., hot water was measured in both restrooms at 117.3 F and 120.0-degree Fahrenheit. Both restrooms within the required range. The sinks had sufficient liquid soap, and paper towels. Continued on LIC 809-C 2nd page (PAGE 2) Report Continued from LIC 809 PAGE 1.... KITCHEN: At approx. 10:30 a.m. the LPA observed the kitchen/dining area. Knives are stored in a locked kitchen drawer. Kitchen appliances are in operable condition. The facility has a sufficient supply of two (2) day perishable and seven (7) day non-perishable food. Refrigerator and food pantry were checked for proper labels and expiration dates. At 10:35 a.m. the hot water measured at 118.6-degree Fahrenheit. Within the required range. Medications are stored in a locked cabinet. Cleaning solutions, toxins, chemicals, and hazardous items were inaccessible and locked away in a cabinet under the sink area. COMMON AREAS: The LPA observed the common areas to be clean and properly furnished. The LPA observed the fire extinguisher to be fully charged and purchased on 04/20/2024. At 12:09 p.m., fire alarms/ carbon monoxide detectors were tested and functioned properly at the time. Laundry units are located in the hallway. Extra cleaning solutions, toxins, chemicals, and hazardous items were inaccessible and locked away in a locked hallway closet. The LPA observed required postings throughout the common space. The last emergency disaster drill took place on 07/24/2024 and 07/25/2024 to accommodate all shifts and are conducted quarterly. Activities were observed in the common areas. There is a fireplace in the living room that was adequately screened. OUTDOOR SPACE / GARAGE: The garage is maintained locked at all times. LPA observed an adequate amount of emergency food and water. Cleaning supplies are kept in the garage locked and inaccessible to residents in care. The facility has two (2) extra refrigerators in the garage with extra food for daily use. LPA observed the back patio which has a covered patio area with furniture including a table and chairs for resident use. All passageways were observed to be clear. There are two (2) small storage units supplying extra supplies. There were no bodies of water noted at the time of the visit. RECORDS: Resident Records were reviewed beginning at 10:41 a.m. and personnel records at 11:20 a.m. Five (5) resident files were reviewed for, but not limited to, the following: signed admission agreements, current medical assessments with TB results, LIC627(c) Consent for Treatment form, and current needs and services plan. Five (5) personnel files including the Administrator’s file were reviewed for, but not limited to: personnel records, health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. All records were in order. Continued on LIC 809-C 3RD PAGE (PAGE 3) Report Continued from LIC 809C PAGE 2.... INTERVIEWS: Two (2) staff interviews were conducted. Two (2) resident interviews were conducted during the inspection. MEDICATIONS: Medications review began at approximately 12:15 pm. The medications are locked in a cabinet in the kitchen. Medications for five (5) residents were reviewed. Medications reviewed were found to be self-administered as prescribed and documented on the centrally stored medication and destruction records. Documents obtained during inspection: LIC 500 Staff Roster, LIC 9020 Resident Roster, and Current liability insurance. No deficiencies were cited during today’s inspection. Exit interview conducted. A copy of the report was provided.the state’s words, verbatim · CDSS document, Nov 19, 2024

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Christine Yee conducted an announced Prelicensing and Component III visit to ensure that the facility met Title 22 requirements. The visit was conducted with Ara Ghazaryan, Applicant. Also present during the visit was Ani Ghazaryan, sibling. The facility is a single story family home consisting of a living room, dining room, kitchen, 3 bedrooms, 2 bathrooms and a attached garage. The facility is fire cleared for 5 AMBULATORY and 1 BEDRIDDEN. Bedroom #3 is the room designated for bedridden use. Per approved fire clearance, the garage may only be used as a garage. The following were observed on today's visit: the living is furnished with sectionals for more than 6 residents and a coffee table. Located in the living room is a fire place currently screened with a rope mesh. A fire screen is needed. An auditory device was observed on the front door and the sliding glass door in the living room. the dining room is furnished with a table and six chairs and a desk The kitchen is equipped with a refrigerator, dish washer, microwave and a stove. Forks, spoons, teaspoons, dinner plates, salad plates, bowls, cups and glasses for 12 persons were observed. Pots and pans were observed for cooking. Medications are stored in a locked kitchen cabinet and knives in a locked drawer. Perishable foods for 2 days were not purchased and non-perishables foods did not meet the 7 day requirement and needs to be supplemented prior to accepting the first resident A fire extinguisher purchased on 7/26/23 is located on the wall between the kitchen and dining room Bedroom #1 has 2 hospital beds, 2 night stands, 2 chairs, 2 lamps, 2 built in closet. No dressers were observed. Located in the room is a full bathroom with a shower stall, a jacuzzi, a vanity with a sink. continued on LIC809-C Grab bars and a non-skid mat was observed. Water temperature was tested and it read 119.8 degrees. Bedroom #2 has 2 hospital beds, 2 night stands, 2 chairs, 2 lamps, 1 built in closet. The 2 little dressers located in the room does not meet the 8 cubic feet requirement. Bedroom #3 has 2 hospital beds, 2 chairs, 2 night stands, 2 lamps, 1 built in closet and 2 little dressers that do no meet the 8 cubic feet requirement. There is a sliding glass door that opens directly on to a ramp. The door is equipped with an auditory device that is operational. all the beds in the resident rooms were observed with a plastic mattress cover, a fitted sheet, a flat sheet, a blanket but no bed covers. An extra set of linens, 2 bath towels, 2 hand towels and 2 face towels stored in the bedroom closet. Extra face towels, hand towels and bed covers were purchased during the visit. all the windows and doors have blinds in good condition the common bathroom has a shower stall, a vanity with a single sink and a toilet. Grab bars and a non-skid mat was observed. Water temperature was tested and it read 119.8 degrees Fahrenheit. hygiene products/supplies such as toothpaste, shampoo, toothbrush, hair brush, nail file, cleaning solutions and disinfectants were observed in a locked hallway closet. Brooms, mops and buckets were also stored in the second hallway closet. toilet paper and paper towels were observed in the laundry room closet a carbon monoxide detector was observed in the hallway and was operational when tested the hardwired smoke detectors located in the resident bedrooms and the hallway was tested and were operational. night lights were observed in the hallway a first aid kit with the required items and a first aid manual were observed. the facility has a land line telephone. Telephone # is (818)849-5176 the backyard has 2 portable cabinets used for storage, a covered patio and was observed to be clean. However, the crates of tiles, toilet and mirror needs to be stored away. A table with chairs are needed for outside activities. Per Applicant, they were ordered but has not arrived. the front yard was observed with rattan chairs and bistro tables and was clean. continued on LIC809-C trash cans were observed to be tightly sealed the garage is used for storage. there were no bodies of water observed there were no window bars observed The following needs to be completed prior to licensure: dressers that meet regulation requirements need to be provided in each bedroom a fireplace screen needs to be placed in front of the fire place remove/store the bathroom sink, toilet and mirror or have it picked up applicant will purchase perishable foods for 2 days and supplement non-perishable foods to meet the 7 day requirement prior to accepting the first resident. ensure that labor law poster for employees, Long Term Care Ombudsman contact information,visiting hours, a sign that states that a copy of the Admission Agreement will be available upon request are posted ensure that liability insurance is purchased meeting Title 22 requirements - 1 million per incident for total aggregate of 3 million dollars, upon licensure. Applicant will provide evidence of corrections once it has been completed. Component III was also conducted with Ara Ghazaryan, Applicant. Exit interview was conducted and a copy of this report was providedthe state’s words, verbatim · CDSS document, Sep 29, 2023