Future Senior Living

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Michael Cava conducted an Annual Required visit and inspection of the facility. LPA met with staff, Genya Sukiasyan, and explained the reason for the visit. The administrator, Nelli Berberyan, was notified over the telephone, but she was unable to attend the annual. . At approximately 12:00pm, LPA took a tour of the physical plant. Required postings were observed in the living room and entry area. The smoke alarms and carbon monoxide detector are dual, hard wired and inter-connected. The facility has one new fire extinguisher, located by the kitchen. It was purchased on 01/06/26. Kitchen: The kitchen appliances and fixtures were functional. LPA found a sufficient amount of perishable and non-perishable food properly stored. Knives were stored in a locked drawer. Cleaning supplies were stored locked underneath the kitchen sink. Bedrooms: There are four (4) bedrooms designated for client use. Bedroom #1 and #4 are shared rooms, Bedrooms #2 and #3 are private rooms. Bedrooms designated for resident use were properly furnished with appropriate beddings, linens, beds, night stand, chairs and dresser. Resident bedrooms have sufficient lighting and closet space. Bathrooms: There are three (3) bathrooms designated for residents' use. Bedroom #4 has it's own bathroom. All bathrooms were properly supplied and had functional fixtures. Hot water temperature was measured between 107 and 109 degrees Fahrenheit. No cleaning supplies were observed in any of the bathrooms during the day of the inspection. Common Areas: These included the living room, activity room, and dining room. The living room is observed with sufficient seating of couches, recliner, table, and a television. The dining room table is large enough to seat six (6). There is an activity room located adjacent to the dining area. Surrounding Grounds: Passageways and entrance were clear of obstruction. All entry and exit doors have a functional auditory alert. The left side of the home and backyard of the facility has no access to the residents. There is an ADU on the left side of the facility, that has it's own private entrance. No accessibility to the residents. The exterior, right side of the facility is for resident use only. This side is furnished with outdoor furniture and has sufficient yard space. Laundry area: The laundry room is located by the garage. Detergents and softeners were locked. Staff Workstation/Office: Staff workstation is located at the corner of the activity room. Resident and personnel files maintained in a locked filing cabinet there. Resident Files: LPA conducted a file review of resident records to insure compliance of licensing forms. Staff Files: LPA also conducted a file review of staff records to insure forms and training are up to date and compliance with licensing forms. Medications: The medication cabinet is located in the kitchen. Medication and Medication Records were reviewed for proper storage and documentation. Garage: The garage is attached to the building. It is used as extra storage space. No resident access there as there is a locked door to gain entry through the laundry room, to get to the garage. Pursuant to Title 22 Division 6 of the CA Code of Regulations, there were no deficiencies observed during the visit. Exit Interview Conducted, and a copy of this report issued.the state’s words, verbatim · CDSS document, Apr 16, 2026

Allegation investigated: Staff are over medicating resident Staff are not meeting resident's diapering needs Staff did not ensure resident's medication was not accessible to other residents Staff are inappropriately limiting visitation time for resident

Licensing program Analyst (LPA) Michael Cava conducted a subsequent visit to the facility to conclude the investigation regarding the above allegation. The ten day visit was made by LPA Cava on 10/08/25. LPA met with the administrator, Nelli Berberyan, and advised her of the complaint. Today's investigation consisted of interviews with the administrator, staff, and residents. LPA also conducted a physical plant inspection and record review. Staff are over medicationg resident: In regards to the allegation, it's being reported that Resident 1 (R1) is being over medicated with Trazadone and Hydroxzine, as R1 has been agitated and did not allow for any of the other residents and live in staff to sleep. Between 8:45am to 9:45am, LPA interviewed the administrator and one (1) of one staff. Both acknowledge R1 has a PRN prescription for both medications. Both stated they had to administer the medication on 10/07/25 and 10/08/25 for yelling and agitation. Between 9:45am to 10:45am, LPA Unsubstantiated conducted a record review of R1's medications and medication records. R1's medications are bubble pack. Review of R1's PRN Medication Log reveal that these medications were administered on 10/07/25 and 10/08/25 for agitation and yelling. Between 10:45am to 12:00pm, LPA interviewed four (4) of four residents. Interviews with these residents do not corroborate with the allegation. Moreover, during the ten day visit, LPA spoke with R1's family, who was at the facility at that time. R1's family raised no concerns regarding care and supervision, or of staff over medicating R1. Based on the information obtained, there wasn't enough evidence to prove that staff are over medicating R1. Therefore, the allegation is deemed Unsubstantiated at this time. Staff are not meeting resident's diaper needs: In regards to the allegation, it's being reported that on or around 10/06/25, R1 was observed to have dried gauze and stool on the buttock area. No witnesses were identified to corroborate this allegation. R1 is confirmed to be receiving hospice care by the reporting party. Between 8:45am and 9:45am, interviews with administrator and one (1) of one staff confirm that R1 is receiving hospice care, and as part of R1's hospice care plan, there is treatment for a Stage II Pressure Injury (PI) to R1's buttock. Administrator stated hospice nurse comes to check and treat R1's PI two to three times per week. Part of the treatment is to apply the gauze to R1's PI. Both administrator and staff deny ever leaving R1 with dried gauze or stool as they come into communication with hospice during the nurse's visits. Between 9:45am and 10:45am, LPA conducted a record review of R1's hospice care plan to confirm service. Between 10:45am to 12:00pm, LPA conducted interviews with four of four residents. These residents expressed no concerns regarding care and supervision and had no complaints of their needs not being met. Based on the information, there was insufficient evidence that staff are not meeting resident's diaper needs. Therefore, the allegation is deemed Unsubstantiated at this time. Staff did not ensure resident's medication was not accessible to other residents: In regards to the allegation, it's being reported that medications are not centrally stored and locked. According to the reporting party, a bottle of a prior resident's cream was left in R1's bathroom, accessible to the other residents in care. Between 8:45am to 9:45am, LPA interviewed administrator and one (1) of one staff who deny the allegation. Between 10:45am and 12:00pm, LPA conducted interviews with four (4) of four residents, who could not confirm the allegation. Between 12:00pm to 1:30pm, LPA conducted a physical plant inspection. Facility is a four (4) bedroom three (3) bathroom building. No medications were observed in any of these locations or any other common areas during the physical plant inspection. LPA checked the medication cabinet in the kitchen to be locked. Based on the information obtained, there was insufficient evidence to corroborate the allegation of staff no ensuring resident medications are not accessible to other residents. Therefore, the allegation is deemed Unsubstantiated at this time. Staff are inappropriately limiting visitation time for resident: In regards to the allegation, it is being reported that visitation hours are only limited to thirty minutes per family visit. According to the reporting party, this is not enough time as they travel from a distance to come to this facility. Between 8:45am to 9:45am, LPA interviewed the administrator and one (1) of one staff. Both deny the allegation, stating family and friends can stay and visit for as long as the visiting hours permits. Visiting hours are between 9am to 6pm. Administrator stated, if a resident's family or friend needs additional time after visiting hours, she will accommodate, so long as the visiting time is reasonable and no overnight stay. Also visitors are asked to be mindful in keeping the peace with the other residents. Interviews with four (4) of four residents, between 10:45am to 12:00pm, do not corroborate with the allegation. No residents had any concerns that their friends and family visits have ever been limited to thirty minutes. During the ten day visit made by LPA Cava, R1's family was interviewed. According to R1's family, they've never been limited to thirty minute visitations. Based on the information received, there was insufficient evidence to prove that staff are limiting visitation time for the residents. Therefore, the allegation is deemed Unsubstantiated at this time.the state’s words, verbatim · CDSS document, Oct 22, 2025 · control 31-AS-20251007083918

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Michael Cava conducted an Annual Required visit and inspection of the facility. LPA met with staff, Genya Sukiasyan, and explained the reason for the visit. The administrator, Nelli Berberyan, was notified over the telephone. At approximately 9:45am, LPA took a tour of the physical plant. Required postings were observed in the living room and entry area. The smoke alarms and carbon monoxide detector are dual, hard wired and inter-connected. The facility has one new fire extinguisher, located by the kitchen. 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. Cleaning supplies were stored locked underneath the kitchen sink. Bedrooms: There are four (4) bedrooms designated for client use. Bedroom #1 and #4 are shared rooms, Bedrooms #2 and #3 are private rooms. Bedrooms designated for resident use is properly furnished with beds, night stand, chairs, dresser, bedding and linen. All resident bedrooms have sufficient lighting and closet space. Bathrooms: There are three (3) bathrooms designated for residents' use. Bedroom #4 has it's own bathroom. All bathrooms were properly supplied and had functional fixtures. Hot water temperature was measured between 105 and 108 degrees Fahrenheit. No cleaning supplies were observed in any of the bathrooms during the day of the inspection. Common Areas: These included the living room, activity room, and dining room. The living room is observed with two couches, recliner, center table, and a television. The dining room table is large enough to seat six (6). There is an activity room located adjacent to the dining area. Furniture were in good repair, and the floors were mopped and clean. Surrounding Grounds: Passageways and entrance were clear of obstruction. All entry and exit doors have a functional auditory alert. The left side of the home and backyard of the facility has no access to the residents. There is an ADU on the left side of the facility, that has it's own private entrance. No accessibility to the residents. The exterior, right side of the facility is for resident use only. This side is furnished with outdoor furniture and has sufficient yard space. Laundry area: The laundry room is located by the garage. No toxins and detergents present. Staff Workstation/Office: Staff workstation is located at the corner of the activity room. Resident and personnel files maintained in a locked filing cabinet there. Resident Files: LPA conducted a file review of resident records to insure compliance of licensing forms. Staff Files: LPA also conducted a file review of staff records to insure forms and training are up to date and compliance with licensing forms. Medications: The medication cabinet is located in the kitchen. Medication and Medication Records were reviewed for proper storage and documentation. Garage: The garage is attached to the building, located adjacent to the laundry room. It is used as extra storage space. No resident access there as there is a locked door to gain entry through the laundry room, to get to the garage. Pursuant to Title 22 Division 6 of the CA Code of Regulations, there were no deficiencies observed during the visit. Exit Interview Conducted, and a copy of this report issued.the state’s words, verbatim · CDSS document, Jul 16, 2025

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Michael Cava conducted a Pre-Licensing Inspection with the administrator Nelli Berberyan. An Application to operate a Residential Care Facility for the Elderly (RCFE) was received by Community Care Licensing (CCL) on October 5, 2023. A fire clearance was approved on March 22, 2024 for six (6) non-ambulatory for a total capacity of six. The applicant is also requesting a hospice waiver to retain six (6) residents. The smoke alarms and carbon monoxide detector are dual, hard wired and inter-connected. The facility has one new fire extinguishers that was purchased on April 15, 2024. The fire extinguisher is located by the kitchen. A tour of the physical plant was initiated at approximately 9:15am and the following was observed: 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). Knives were observed locked in a kitchen drawer. In addition to the non-perishable (canned foods), the applicant has two buckets of an emergency food supply, good for about twenty years. BEDROOMS: There are four (4) bedrooms designated for client use. Bedroom #1 and #4 are shared rooms, Bedrooms #2 and #3 are private rooms. The applicant furnished the resident bedrooms with beds, night stand, chairs, dresser, bedding and linen. The bedrooms have sufficient lighting and closet space. BATHROOMS: The facility has three (3) bathrooms. Bedroom #4 has it's own bathroom. One bathroom is located in the hallway, across from bedroom #1 is for staff and visitors only. Another bathroom, reserved for the resident's use, is located in the hallway, across from bedroom #3. The bathrooms reserved for resident's use were observed to have the proper fixtures, grab bars, and non-skid mats. The hot water delivered in the bathrooms measured at 105 degrees. COMMON AREAS: These included the livint room/ tv, activity room, and dining room. The living room is observed with brand new furniture (couches and table), and a television. There is no fireplace with a screen and a glass slide. The activity room is located adjacent to the dining area. Chairs, tables, ping pong table and sufficient board games were observed. The dining area has a large dining room table to accommodate six (6). There were no visible immediate hazards. LAUNDRY ROOM: The laundry room is located by the garage. It was observed with a locked door requiring a key to gain access. The washer/dryer are brand new. MEDICATIONS: The medication cabinet is located in the kitchen. It has a locking mechanism. First aid kit and first aid manual is also maintained there. OFFICE/STAFF WORKSTATION: Staff workstation is located at the corner of the activity room. Resident and personnel files will be maintained in a locked filing cabinet there. GARAGE: The garage is attached to the building, located adjacent to the laundry room. It is used as extra storage space. No resident access there as there is a locked door to gain entry through the laundry room, to get to the garage. SURROUNDING GROUNDS: The driveway, passageways and entrance to the home was clear of obstruction. All entry and exit doors have a functional auditory alert when the doors open. The left side of the home and backyard of the facility has no access to the residents. There is an ADU on the left side of the facility, that has it's own private entrance, leaving no accessibility to the residents. The exterior, right side of the facility is for resident use only. It was observed with outdoor furniture and has sufficient yard space. In addition to the Pre-Licensing inspection, a Component III power point presentation was 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, Apr 17, 2024

Type of visit: Office

COMP II by CAB successfully completed Method: Phone Call at CAB Census (if any clients in care): Applicant/administrator participated in COMP II at CAB telephone call with analyst at CAB. Identification of the applicant and administrator was verified by presenting photo ID via phone. During COMP II, applicant and administrator confirmed the understanding of Title 22. Component II was successfully completed. Applicant and administrator were advised to email/fax signed LIC 809 with copy of photo ID to CAB. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Staff qualifications and responsibilities 3. Applicant and Administrator qualifications 4. Program policy: Abuse, admission agreement, medication management, reporting incidents to CCL, restricted & prohibited conditions 5. Grievances, Complaints, Community resources 6. Physical plant, food service 7. Application document review and technical assistance: Criminal record clearance, Health screening, Fire clearance, First Aid/CPR certificate, Administrator certificate, Financial verification, Pre-licensing inspection, Compliance history, Control of propertythe state’s words, verbatim · CDSS document, Mar 28, 2024