G & S Assisted Living

Type of visit: Prelicensing

Licensing Program Analysts (LPA) Nadia Shahbazian conducted a Pre-Licensing Inspection and met with Gor Mkrtchian/Administrator at 10:00am. An Application to operate a Residential Care Facility for the Elderly (RCFE) was received by Community Care Licensing (CCL) on May 9, 2025. A fire clearance was approved on June 24, 2025 for six (6) non-ambulatory residents and one (1) bedridden resident, for total capacity of six (6). The applicant has a hospice waiver to retain six (6) residents. Facility is an one story rental house, in a residential area. The entire house has been completely remodeled, all appliances and furnishings are brand new. The required posting were posted in the dining room, accessible to residents. The smoke alarms and carbon monoxide detectors are dual and inter-connected. At 10:23am, smoke and carbon monoxide detectors were tested and LPA observed two fire doors closing properly. One of the fire doors leads to the hallway and the other one leads to bedroom #3. The facility has a fire extinguisher kept in the kitchen, purchased today on 11/03/2025. Facility has several exit doors throughout the facility, one in the dining room, one in the living room, one in bedroom #1 and one in bedroom # 3. There is a clearly marked exit sign atop the living room exit door. Facility uses the living door room as the main fire exit. With the assistance of the administrator, a tour of the physical plant was initiated at 11:00am and the following was observed: Continued on 809-C KITCHEN: The kitchen is equipped with brand new appliances, including a refrigerator, stove/oven, and dishwasher and water filtering system. Knives were observed locked in a kitchen drawer. There was an adequate supply of non-perishable food items and supply of dishes in kitchen cabinets. Perishable food items are not required at this time, as there are no residents. Administrator was advised that facility needs to carry perishable food items once they admit residents for care. Medications will be kept locked in a kitchen cabinet. There is a complete first aid kit and first aid manual in the kitchen. COMMON AREAS: The dining room is located next to the kitchen, furnished with a table and six chairs. The living room/family room is a large space and is furnished with a coffee table and a large couch, appropriate for number of the residents. There is a non-operational fireplace in the living room, properly screened, no fireplace tools were present. Games and puzzles are observed in the living room. Facility has internet and wi-fi access for resident's use. BEDROOMS: There are three (3) shared bedrooms designated for client use. All the bedrooms were furnished with beds, night-stands, chairs, closets and supply of bedding and linens. The bedroom # 3 is designated as bedridden room and it has it's own exit door, leading to the backyard. Bedroom #1 also has an exit door, leading to the side gate. BATHROOMS: The facility has two (2) full bathrooms, one between bedrooms #1 and #2 and one inside bedroom #3. Both bathrooms were observed to have proper fixtures, grab bars, and non-skid mats. The hot water delivered in the bathrooms measured between 109.2 and 112.1 degrees Fahrenheit. LAUNDRY AREA: There is a brand new washer and dryer in the laundry area in the hallway. The laundry and kitchen detergents and chemicals are kept locked in a cabinet, across from the laundry area. OFFICE AREA: Facility's office is located behind the living room. LPA observed a locked filing cabinet, to maintain all resident and staff records. SURROUNDING GROUNDS: The passageways and entrance to the home was clear of any obstruction. All entry and exit doors have a functional auditory alerts, when the doors open. The backyard of the facility is large enough to hold outdoor activities. The patio furniture included table, chair and an umbrella. There is no swimming pool or body of water and no garage or drive way. 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 was provided to the administrator.the state’s words, verbatim · CDSS document, Nov 3, 2025

Type of visit: Office

Component II completion: Successful Facility Type: Residential Care Facility for the Elderly (RCFE) Application Type: Initial Capacity: 6 Census (if any clients in care): none COMP II Participants: Gor Mkrtchain, Applicant/Administrator Samvel Ogannisian, Applicant Interview Method: Virtual interview (Microsoft Teams) On October 16 ,2025, Applicants and Administrator participated in COMP II. Identification of the Applicants and Administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, Applicants 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 Applicants and 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, Oct 16, 2025