Eclipse Senior Care

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Huma Rahimi conducted an unannounced annual inspection visit to the above facility. LPA met the staff and Armine Dishoyan the Designee was contacted via a telephone. LPA explained the reason for the visit. At 9:50 AM the designee arrived at the facility. LPA and the designee conducted a physical plant tour and observed the following: LPA observed the required postings in the entry area. The smoke alarms are operational that are located each bedroom, the hallway and kitchen. There are carbon monoxide detectors that functions properly. The fire extinguisher is in the kitchen. It was last serviced on 08/30/2025. During the visit the facility is at 69 degrees Fahrenheit. The facility is fire cleared for six (06) non-ambulatory residents; six (6) hospice waiver. Kitchen: The kitchen appliances and fixtures were functional. The kitchen has a working gas stove, faucet, freezer, refrigerator, and microwave. LPA found enough at least two (2) days perishable and seven (7) days non-perishable food at the facility that is properly stored. All sharps/knives were stored in a locked drawer in the kitchen. Food storage and preparation areas are clean and inaccessible to pests. Garbage cans have tight fitting covers. Cleaning supplies, pesticides or toxic cleaning supplies were stored and locked away in the kitchen cabinet under the sink. Bedrooms: There were four (4) bedrooms designated for residents' use. Bedroom #1 and bedroom #4 is shared. Room #2 and bedroom #3 of the bedrooms are private. All the bedrooms are used by residents were properly furnished with appropriate dresser, beddings, and linens with sufficient lighting. Continue on LIC 809C Bathrooms: There are two (2) bathroom designated for residents' use. The bathrooms were properly supplied and had functional fixtures. Hot water temperature was measured at 114.4 degrees Fahrenheit for bathroom #1 located in the hallway beside room #2. There was enough clean linen available in the cabinets in the hallway. MEDICATION ROOM: The centrally stored medication are observed in the hallway in a locked cabinet inaccessible to residents in care. LPA reviewed records and medication of the residents and did not observe any discrepancies. Common Areas: COMMON AREAS: The facility maintains a comfortable temperature at 69°F. The living room and dining area appeared clean and were properly furnished and has a television. No obstructions and or tripping hazards throughout the facility. LPA observed a working telephone for the facility. Surrounding Grounds: Entry and exits were free of obstruction. There was furniture appropriate for outdoor use. The outdoor area was free of hazards. The facility has a swimming pool, it's fenced and lock. The garage attached and is used for storage. Laundry Area: There is enough linen available to change weekly or more if need. Cleaning supplies are being stored in a locked cabinet in the laundry area and is located in the garage. SMOKE DETECTORS/CARBON MONOXIDE. Smoke detectors and carbon monoxide were located throughout the facility. At 10:00 AM, they were tested and observed to be operational. Between 10:30 AM to 11:45 AM, LPA reviewed records of three (3) residents and two (2) staff. All residents and staff records were updated and completed. Administrative: LPA collected Certificate of Liability Insurance, and LIC500. No deficiency observed and issued during today's visit. Exit interview conducted. Copy of this report signed and delivered.the state’s words, verbatim · CDSS document, Nov 4, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Leslie Ngo-Castaneda conducted an annual required visit and inspection of the facility. LPA was greeted by Hasmik Mkrtchyan and was advised the reason for the visit. At 9:48AM Armine Dishoyan who is the designee met with LPA, explained the reason for the visit. At 9:50 AM, with the assistance of designee, LPA took a tour of the physical plant. Required postings were observed in the entry area. The smoke alarms are operational that are located each bedroom, the hallway and kitchen. There are carbon monoxide detectors that functions properly. The fire extinguisher is in the kitchen. The charge date is 8.14.2024. During the visit the facility is at 72 degrees Fahrenheit. The facility is fire cleared for six (06) non-ambulatory residents; six (6) hospice waiver. Kitchen: The kitchen appliances and fixtures were functional. The kitchen has a working gas stove, faucet, freezer, refrigerator, and microwave. LPA found enough at least two (2) days perishable and seven (7) days non-perishable food at the facility that is properly stored. Frozen foods are wrap, dated, and stored properly as well. Knives were stored in a locked drawer in the kitchen. The menu was posted for review, snacks and beverages are available for the resident in the facility when they want. Food storage and preparation areas are clean and inaccessible to pests. Garbage cans have tight fitting covers. Cleaning supplies, pesticides or toxic cleaning supplies were stored and locked away in the kitchen cabinet under the sink. Bedrooms: There were four (4) bedrooms designated for residents' use. Bedroom #1 and bedroom #4 is shared. Room #2 and bedroom #3 of the bedrooms are private and vacant. All the bedrooms are used by residents were properly furnished with appropriate dresser, beddings, and linens with sufficient lighting. Continue to LIC 809-C Bathrooms: There are two (2) bathroom designated for residents' use. The bathrooms were properly supplied and had functional fixtures. Hot water temperature was measured at 119.1 degrees Fahrenheit for bathroom #1 located in the hallway beside room #2. Bathroom #2 is inside bedroom #1. Hot water temperature was measured at 114.2 degrees Fahrenheit. There was enough clean linen available in the cabinets in the hallway. Common Areas: LPA toured all common areas of the facility. These included the living room and dining area for residents. The common areas were properly furnished. Residents dining table fits enough for six (6). LPA observed common areas to be very clean and tidy. LPA observed the floors to be in very good condition. No obstructions and or tripping hazards throughout the facility. Furniture in common area was observed to be in good repair. There are no issues with Fire Clearance. Infection control: Facility mitigation plan to make sure licensee was following current infection control recommendations. LPA obtain a copy and reviewed the infection control plan during this visit. Surrounding Grounds: Entry and exits were free of obstruction. There was furniture appropriate for outdoor use. The outdoor area was free of hazards. The facility has a swimming pool, it's fenced and lock. The garage attached and is used for storage. Laundry service: There is enough linen available to change weekly or more if need. Cleaning supplies are being stored in a locked cabinet in the laundry area and is located in the garage. Staff Files: LPA also conducted a file review of staff records to ensure forms and training are up to date and compliance with licensing forms. Office space is outside beside the swimming pool. Records were checked for expired or missing certificates and clearances: LPA conducted a file review of staff for criminal record clearances and current First Aid. The administrator file was reviewed for current first aid, fingerprint clearance, administrator certificate, and HIV/AIDS and TB training. Continue to LIC 809-C Medications are in a centrally stored and locked place, including over-the-counter medicines; medications are properly labeled and checked for expiration dates. Each centrally stored prescription and PRN medication has been logged in the medications log with proper documentation from the clients’ doctor. Proper medication dispensing instruction are followed and checked for contamination. First-aid has all proper items and is current. Resident records were reviewed for requirements and legibility: Planned activities are offered. Facility is within CA code of Regulations Title 22 or Health and Safety Code. No deficiencies were found, exit interview conducted, copy of report has been issued and discussed.the state’s words, verbatim · CDSS document, Nov 12, 2024

Allegation investigated: Staff would not allow authorized representative to use hospice company of choice

At 09:00 AM, Licensing Program Analyst (LPA) Huma Rahimi, conducted an unannounced initial complaint visit. LPA met with Staff #1 (S1) who could not communicate in English and LPA contacted the Administrator via telephone and informed them of the visit. LPA was provided access to the facility and shortly after the Designee Armine Dishoyan, arrived and LPA disclosed the reason for the visit. During course of the investigation, interviews and record review were made. At 09:35 AM, LPA requested resident and staff roster. At 9:45 AM, LPA requested copies of pertinent information which include, but not limited to Physician’s Report, Appraisal Needs and Services Plan, Hospice file, Admission Agreement and, etc., relevant to the investigation. At approximately 10:00 AM, LPA conducted a physical plant tour. Between 10:30 AM – 1:30 PM, LPA conducted an interview with the Administrator, An Officer of Los Angeles Police Department, One (1) out of three (3) residents who was able to communicate, and a family member of a resident. Continue on LIC 9099C Unsubstantiated Staff would not allow authorized representative to use hospice company of choice: It was alleged that the residents are forced to sign up with certain Hospice and Palliative care in order to be enrolled in the facility. To investigate this allegation LPA conducted an interview with the Designee and LPA was informed that the facility has a list of four (4) to five (5) Hospice and Palliative care agencies that they work with. The facility provides choices of Hospice and Palliative care to the residents or Power of Attorney (POA) of the residents to choose. Furthermore, LPA was informed that if a resident or the POA chooses an Hospice and Palliative care of their own choice they are allowed to do so and there are no restrictions. At 1:30 PM, LPA contacted an Hospice Director of Nurses who confirmed that the facility provides at least three options to resident and their families for the services and the final agreement is always being signed by a family member of a resident or a resident themselves. Lastly, interview with one (1) out of three (3) residents who was able to communicate and a POA of a resident confirmed the information and did not have any concerns regarding the above allegation. Based on interviews, file reviews, and LPA's observation/inspection this allegation is deemed Unsubstantiated at this time.the state’s words, verbatim · CDSS document, Jul 18, 2024 · control 31-AS-20240716084315

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Huma Rahimi conducted unannounced visit to this facility in conjunction with a complaint control #31-AS-20240716084315. LPA met with Staff #1 (S1) who granted access to facility. The designee was contacted At 9:35 AM, the designee, Armine Dishoyan, arrived and LPA explained the reason for the visit. LPA was also informed that S1 have been working at this facility for a one (1) day. However, LPA reviewed LIS and did not observe S1 being fingerprint cleared and associated with the facility. Per the California Code of Regulations, Title 22, Division 6, Chapter 8, A deficiencies is 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, Jul 18, 2024

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87355(e)(1) · Plan of correction due date: Jul 19, 2024

Criminal record clearance: (e) All individuals subject to a criminal record review... (1) Obtain a California clearance or a criminal record exemption as required by the Department. This requirement is not met as evidenced by: Based on interview,record review, and observation the licensee did not comply with the section cited above by hiring one (1) staff member on 07/18/2024 without fingerprint clearance, which poses an immediate health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Jul 18, 2024

Plan of correction: Licensee agreed to complete S1's fingerprints and associate the staff to the facility. Copy of proof will be submitted to LPA by POC date. Civil penalty assessed.

Type of visit: Post Licensing

At 9:30 am, Licensing Program Analyst (LPA) Huma Rahimi made a comprehensive Post Licensing visit to this facility and met with caregiver Anna Sahakyan. LPA observed three (3) residents present at the facility at the time of the visit. Administrator designee, Armine Dishoyan, arrived at the facility around 10:00 am. LPA informed the Administrator designee about the reason of today’s visit. LPA toured the physical plant areas outside and inside, the resident's bedrooms, bathroom and personal accommodation. LPA reviewed the food service areas and food supply (perishable & nonperishable) as well as received the residents and staff records. The storage of toxic and hazardous items were locked and inaccessible to residents in care. The medication were observed locked in a cabinet located in the hallway adjacent to Room 4. The fire extinguisher was checked and the hot water temperature was measured in one of the bathrooms. The temperature measured at 114 degrees Fahrenheit in one of the bathrooms, which is the required range for residents comfort and safety. All required forms & poster were displayed on the facility's entrance wall. LPA observed the facility's temperature to be comfortable and was measured at 71 degrees Fahrenheit. No citations were issued. Exit Interview was conducted. Report was issuedthe state’s words, verbatim · CDSS document, Dec 18, 2023

Type of visit: Prelicensing

At 9:00 am, Licensing Program Manager (LPM), Nichelle Gilyard, and Licensing Program Analysts (LPAs), Huma Rahimi and Leslie Ngo-Castaneda conducted an announced Pre-Licensing visit to the above facility and met with Administrator Nerses Dishoyan and Armine Dishoyan (facility designee). LPM and LPAs team conducted an entrance interview with the Administrator. At the time of this visit LPAs did not observed any residents present in the facility. Fire Clearance dated 08/04/2023 and received for five (5) Non-ambulatory and one (1) Bedridden (room #1) residents. In addition, approved Hospice waiver for six (6) residents was received on 08/29/2023. 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, Division 6. The facility is a single-story building. Today's site visit consisted of LPM and LPAs touring the physical plant inside and outside and observed the following: KITCHEN: The facility has a Kitchen area that is equipped with a refrigerator, microwave oven, sink , and small refrigerator with a lock for medication. Stove was observed in a good working condition. LPAs observed adequate supplies of nonperishable food and dining ware to accommodate a maximum capacity of six (6). All knives and sharps are observed to be locked in a kitchen cabinet and inaccessible to residents. Administrator/Licensee was informed that the locking mechanism shall be maintained and inaccessible at all times. Fire Extinguisher was last purchased on 06/21/23, and was full. BEDROOMS: There are four (4) bedrooms designated for residents use. Bedroom (1) is Bedridden and three (3) are Non-ambulatory. LPAs observed a model which was furnished with beds, dressers and required bedding and linen. The bedrooms have sufficient closet space and have sufficient lighting. Chest drawers were not observed, and the Administrator is going to soon purchase. Facility will have a no live-in staff at the facility. Bedroom # 4 is shared and the alarm is required. Continue on LIC809-C BATHROOMS: At 9:35am LPAs and LMP observed all bathrooms are clean and in good repair. Properly supplied with toilet papers, soap and paper towels. LPAs observed Bathroom # 1 needs a grab bar and door alarm and the other bathroom was observed to have appropriate grab bar and a non-skid mat . The water temperature was noted at 130°. The Administrator is going to keep a log for five days of water temperature between 105°F to 120°F. COMMON AREAS: LPAs observed all common areas to be clean in good repair. The facility maintains a comfortable temperature at 75°F. The living room and dinning rooms were properly furnished. No obstructions and or tripping hazards throughout the facility. MEDICATION ROOM: The medication and facility staff/resident files will be kept in a locked cabinet located in the hallway adjacent to Room 4. LAUNDRY ROOM: The laundry room is located outside in the garage behind the kitchen. LPM and LPAs observed a door with a lock. The washer/dryer appear to be in good condition. Laundry supplies are kept inaccessible when not in use with supervision. SURROUNDING GROUNDS: The back of the facility has sufficient yard space. LPM and LPAs did not observe appropriate outdoor furniture, LPAs and LPM observe a covered shaded area for residents. The backyard is fenced. LPM and LPAs discussed the importance of maintaining the care and supervision to meet the needs of residents. There is a swimming pool that is fenced all around with a gate that will be kept locked at all times. The fence surrounding the swimming pool is approximately 5 feet high all around its 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. SMOKE DETECTORS/CARBON MONOXIDE. Smoke detectors and carbon monoxide were located throughout the facility. They were tested and observed to be operational. Component III was conducted with the Administrator. The licensee will need to complete the following: 1. Hot water temperature log for five (5) days. 2. Proof of chest drawer purchased 3. Photos of blinds for all rooms 4. Bathroom # 1 grab bar and alarm 5. Outdoor furniture, submit a photo Please submit the above items within ten (10) days. The facility is ready for operation upon completion of requested items in this report and final approval of the application. The licensee/Administrator should notify the Licensing agency of the admission of their first client. Exit interview was conducted and with a copy of this report was provided to the Applicant/Administrator.the state’s words, verbatim · CDSS document, Oct 19, 2023

Type of visit: Office

Facility Type: RCFE Application Type: Initial Capacity: 6 Census (if any clients in care): COMP II Participants: Nerses Dishoyan, admin/licensee Interview Method: Telephone interview On October 4, 2023, applicant/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. Signed LIC 809 with copy of photo ID have been obtained.the state’s words, verbatim · CDSS document, Oct 4, 2023