Family Comfort Residential Care

Type of visit: Case Management - Annual Continuation

Licensing Program Analyst (LPA) Mariana Agban conducted an unannounced continuation of the annual inspection. LPA met with Ovsanna Khayalyan and disclosed the reason for the visit. LPA reviewed Medication and Medication Records for proper documentation. LPA also reviewed 4 residents' files. LPA observed that Resident#3(R3) has full bedrails without hospice or physician orders. The administrator was advised that extend the entire length of the bed is prohibited except for residents who are currently receiving hospice care. The administrator removed R3's full bed rails. Exit Interview Conducted, citation issued and a Copy of the Report delivered.the state’s words, verbatim · CDSS document, Jul 10, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Mariana Agban conducted an Annual Required visit and inspection of the facility. LPA met with staff Armine Manukyan, and explained the reason for the visit. Administrator, Elen Kirakosyan could not attend the annual for the day due to an emergency. Licensee Ovsanna Khayalyan came in her place. At approximately 1:15 pm, with the assistance of staff, LPA took a tour of the physical plant. Required postings were observed in the entry area. The smoke alarms are interconnected and battery-operated. There is a carbon monoxide detector that functions properly installed in the hallway between the resident rooms. The fire extinguisher is located in the kitchen. The purchase date is June 06, 2025. Kitchen: The kitchen appliances and fixtures were functional. LPA found a sufficient amount of perishable and non-perishable food at the facility, properly stored. Knives were stored in a locked drawer in the kitchen. Properly labeled medications were locked in one of the kitchen cabinets. Bedrooms: There were three (3) bedrooms designated for residents' use. All three (3) bedrooms are designated for share use. Bedrooms, in use by residents, were properly furnished with appropriate beddings and linens, with sufficient lighting. BATHROOMS: The facility has one (1) main bathroom that also has an access door to Room#3 and one (1) in bedroom #1 for the residents in that room to utilize. The hot water delivered in the bathroom sink was measured at 109.4 and 111.8°F. Common Areas: These included the living room and dining area. The common areas were properly furnished. The auditory alarms on all exit doors were on and functional at the time of the visit. Seating such as couches where in good repair and sat the capacity of the facility. There is a non-operational fireplace with a screen in the living room. No fireplace tools or fixtures present. Surrounding Grounds: Entry/exits were free of obstruction. There was furniture appropriate for outdoor use. The outdoor area was free of hazards. (Continue on 809C) Laundry Area: The washer and dryer appear to be in good condition. The laundry room is locked. Laundry cabinets were also locked, and thus laundry detergents are inaccessible to residents. Resident Files: LPA conducted a file review of one (1) out of 5 residents to ensure compliance with licensing forms. Staff Files: LPA also conducted a file review of three (3) staff members to ensure forms and training are up to date and in compliance with licensing forms. Due to time constraints, LPA was unable to complete the annual inspection during today's visit. The licensee was informed that a follow-up visit would be conducted. Today, the facility complies with Title 22 regulations. No immediate health and safety risks were observed. Exit interview conducted. Copy of report provided.the state’s words, verbatim · CDSS document, Jun 23, 2025

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Mariana Agban conducted a Pre-Licensing Inspection with facility Administrator Elen Kirakosyan and Lincensee Zhanna Narinyan and Ovsanna Khayalyan. An application to operate a Residential Care Facility for the Elderly (RCFE) was received by Community Care Licensing (CCL) on October 16,2023. A fire clearance was approved on Jan 30, 2024 for a maximum capacity of three (3) non-ambulatory, two (2) ambulatory and one(1) Bedridden. Hospice waiver has been approved for five (5) hospice residents. A tour of the physical plant was initiated at 9:55 am and the following was observed: The smoke alarms and carbon monoxide detector are hard wired and inter-connected. KITCHEN: The facility has a Kitchen area that is equipped with a refrigerator, microwave oven and sink. There were adequate supplies of perishable and nonperishable food and dining ware to accommodate a maximum capacity of six (6) residents. BEDROOMS: There are three (3) bedrooms designated for residents use. All three bedrooms are designated to be shared rooms. All bedrooms are furnished with beds, dressers and required bedding and linen. The bedrooms have sufficient closet space. Each bedroom had wearable lanyard emergency/ caregiver call button.BATHROOMS: The facility has one (1) main bathroom that also has access door with Room#3 and one (1) in the bedroom #1 for the residents in that room to utilize. The hot water delivered in the bathroom sink was measured at 107.4 and 109.8 F. COMMON AREAS: These included the living room and dining room, which were equipped with furniture, a television, sofa and chair. There is a fireplace with a screen and a glass slide. It is non-operational. No fireplace tools or fixtures present. The dining area has a dining table to accommodate six (6). There were no visible immediate hazards. LPA observed fire extinguisher located in the dining /kitchen area with date of purchase of 1/19/2024. The common areas were properly furnished. The auditory alarms on all exit doors were on and functional at the time of the visit. Laundry Area: The washer/dryer appear to be in good condition. The laundry room will kept locked. Laundry cabinets was locked and thus laundry detergents are inaccessible to residents. MEDICATION: The medication will be kept in a locked in the kitchen cabinet. (Continue 809C) SURROUNDING GROUNDS: The driveway, passageways and entrance to the home was clear of obstruction. There is a car port large enough to park two cars. The backyard of the facility has a patio and backyard furniture to accommodate the six (6) residents. The facility backyard has sufficient yard space. There is no swimming pool or bodies of water. The side gate was checked to insure it was clear of obstruction. LPA observed and inspected the attached garage. No hazards observed. Garage is used for storage only. Staff and resident files: Staff and resident files will be kept and maintained in a locked cabinet in the living room. In addition to the Pre-Licensing inspection, a Component III power point presentation was also held. Pursuant to Title 22, Division 6 of the CA Code of Regulations, the facility's physical environment appears to be compliant and ready for licensure. CAB will be advised and a copy of this report provided.the state’s words, verbatim · CDSS document, Jun 6, 2024

Type of visit: Office

Facility Type: RCFE Application Type: Initial Capacity: 6 COMP II Participants: Zhanna Narinyan, CEO; Elen Kirakosyan, Administrator Interview Method: Telephone interview On 5/24/24, 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. 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 24, 2024