Epic Assistance Care Home

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Jessica Cho arrived at the facility unannounced for the purpose of conducting the Required 1-Year annual evaluation using the CARE Inspection Tool. LPA was greeted and granted entry by Caregiver Linzy McCallum after introducing self and stating the reason for the visit. Administrator Liza Mesdjian was also notified by telephone regarding the visit. Administrator Silvana Huerta arrived on premise approximately 11:30am to assist with the inspection. Administrator Liza has a valid certificate expiring July 29, 2026 and August 26, 2026 for Admin Silvana per the Active Administrator Certificate List. The following was observed during the inspection accompanied by Caregiver McCallum: The facility is located in a residential neighborhood comprised of six private resident bedrooms, six resident half bathrooms, two full resident bathrooms, and a shared staff bedroom occupied by two staff. LPA observed six residents in care, two of which are on hospice. LPA observed two staff on duty. Facility is operating within the conditions and limitations specified on the license. LPA toured the physical plant. LPA inspected all common areas, the attached two car garage and all bedrooms. The resident bedrooms' were appropriately furnished, beds and bedding supplies were in good condition, adequate lighting was provided, and sufficient storage space for each residents' personal belongings were observed. Facility appeared clean, sanitary, and in good repair as well as all bathrooms. Slip resistant mats were observed to be available in the bathrooms. The hot water temperature in the resident bathrooms were not within the required range measuring at 131.5, 101.4, 129.7, 99.8, 99.5, 99.3, 98.9, and 98.9 degrees Fahrenheit. Toxins, disinfectants, sharps, and medications were secured and inaccessible. LPA observed ample two-day supply of perishables and seven-day supply of non-perishable food. LPA toured the exterior portion of the facility. The outdoor passageway is free of obstruction, and there are sufficient seating and shading. LPA observed two secured gate exits that were operable. The first aid kit contains all necessary elements. The fire extinguisher was mounted, charged, and serviced on April 3, 2026. The auditory devices and dual functioning smoke/carbon monoxide detectors were tested and operational. Facility maintains emergency food and water. A working telephone number (949) 770-1097 was tested and remains available. Complaint Poster, 'See Something, Say Something,' (PUB 475) was available and posted in the correct size. LPA reviewed six residents and two personnel files. No discrepancies noted. Present staff are background cleared and associated to the facility. Staff are pending completion of their 40 hour annual training for this year. The Emergency Disaster Plan (LIC610E) was reviewed. Disaster drills of various scenarios are conducted quarterly with the last date on March 15, 2026. Medications were audited for two of six residents. No discrepancies noted on administration and documentation. LPA provided consultation on the following: to annually review the LIC610E and complete page 9, to update the disaster plan, and to ensure all disaster supplies are available, to ensure documentation of start date of all medications, and to dispense medications according to the corresponding calendar date. Based on the observations made during today's visit, a deficiency is being cited. Technical Violations are being issued. An exit interview was conducted with Administrator Silvana Huerta, and a copy of this report including the appeal rights were provided at exit.the state’s words, verbatim · CDSS document, Jun 5, 2026

The state marks this report as 6 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility to conduct the required annual inspection. LPA was greeted and granted entry by facility caregiving staff after introducing himself and stating the purpose of the visit. Administrator Liza Mesdjian was notified via telephone and was unable to attend the visit in person but was presented with the present report over the phone before agreeing to have a staff member sign on her behalf. There are currently six residents in care, two of which are receiving hospice care at this time. LPA observed residents relaxing in the facility's common living areas or in their respective bedrooms. LPA accompanied by facility staff toured the physical plant. The facility is a one-story house with an attached garage. The facility has six private rooms along with one staff room. There are two shared bathrooms as well as multiple en-suite half bathrooms throughout the facility. Bedrooms appear clean and sanitary. Two residents are currently using half-rails for postural support. A third resident sleeps in a bed equipped with full rails. Appropriate physician orders and/or hospice plans of care on file for all three residents. All resident bedrooms have the required furnishings. Bathrooms appear clean and sanitary. Hot water temperature measured at 119F in one bathroom and one half-bathroom with faucets used for personal grooming. A third measurement in the second shared bathroom was found to be 138F. Water heater adjusted during the visit. Type B citation issued. LPA observed the kitchen has a minimum two (2) day perishable and seven (7) day non-perishable food supply. Sharp items, cleaning products and the medication central storage all verified to be secured. CONTINUED ON FORM LIC809-C CONTINUED FROM FORM LIC809 Fire extinguishers are charged and mounted, with up-to-date maintenance documented on the attached tags. LPA tested the smoke and carbon monoxide detectors which were found to be operational. The attached garage is inaccessible to residents and used for laundry as well as additional storage of food and supplies. LPA and facility staff toured the outside of the facility. LPA observed an shaded outdoor seating area with furniture for resident use. There are self-latching gates on both sides of the property and the routes of egress are free of clutter and obstructions. There are no bodies of water on the premises. Facility does not utilize locked perimeters or delayed egress. LPA reviewed six resident records which included all necessary components. LPA reviewed resident medication records and prescription orders for all residents with no discrepancies observed. One resident's assessment however indicates that he needs assistance with self-administration of medication. There is a physician note on his medication list stating that he may manage his own supplements and vitamins, however medication and ointments are also present in the room. Staff is provided with a Technical Violation Advisory Note informing them that the resident's assessment needs to be more precise in defining which substances are safe for the resident to handle. Information on the updated requirements for an annual medical assessment also provided. The RCFE Complaint poster PUB475 is also observed to be printed on an 8x10 sheet of paper rather than the required 20x26. Type B deficiency cited. Oxygen is not currently in use. There are no bedridden residents present on the premises. LPA reviewed staff records for two caregivers present. None of the two staff members has a current CPR/First aid certificate. Type B deficiency cited. Initial and annual training reviewed and up-to-date. All staff are background cleared and associated to the licensed location accurately. Disaster drills are conducted quarterly. Based on the observations made during today’s visit, three deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted and a copy of this report was provided to a facility representative along with appeal rightsthe state’s words, verbatim · CDSS document, May 1, 2025

The state marks this report as 8 pages; the online copy we transcribed has 5. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Alvaro Ramirez, Jr. conducted an unannounced visit for the Required 1 Year Inspection. LPA explained the purpose of today’s visit, and was greeted and granted entry by Caregiver Lianthon Harsan. Administrator (AD) Liza Mesdjian arrived shortly after. For today’s visit, LPA observed a total of six residents in care and two staff members on duty. LPA observed the Administrator's Certificate for facility AD Liza Mesdjian which expires on July 29, 2024. LPA Ramirez toured the interior and exterior portions of the facility with caregiver Harsan. At 9:14 AM LPA observed residents having scrambled eggs, oatmeal, coffee and milk for breakfast. The facility is a single level structure and is licensed for six non-ambulatory residents, of which six may be on hospice and zero bedridden. There are a total of seven bedrooms, of which six are resident bedrooms and one staff bedroom. Each resident bedroom has their own private bathroom. There are a two full restrooms for staff. LPA Ramirez toured each bedroom in the facility and observed that bedrooms were provided with furniture in good repair, clean linens, adequate storage space, and kept free of tripping hazards. Smoke and carbon monoxide detector and auditory exit alarms were tested and operational. Restrooms were observed to be in good repair, toilets were operational, and grab bars and non-skid floor mats were provided. Water temperature tested between 114.0-114.4 degrees Fahrenheit. Facility met the minimum two-day perishable and seven-day non-perishable food supplies. Sharp items and knives were locked and inaccessible to residents in care. Fire extinguisher was charged, mounted and located by the dining room. CONTINUED ON LIC809-C.. LPA Ramirez observed the emergency disaster and evacuation plan, which is posted by dining room. Facility had back-up emergency food and water supply. LPA observed that First Aid Kit had all the required components. LPA observed that medications and toxins were locked and inaccessible to residents in care. For the exterior portion, LPA Ramirez observed a shaded area, patio furniture, and the grounds were free of any hazards. There are two gates in the backyard, which both are self-closing and self-latching. No bodies of water were observed. LPA reviewed six resident files and two staff files. LPA interviewed residents and staff present. For today's visit no deficiencies were issued per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted with AD Mesdjian. A copy of this report was provided at the time of exit.the state’s words, verbatim · CDSS document, May 29, 2024