Golden Years Boarding Care

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Trevor Byrne conducted an unannounced Case Management inspection at the facility beginning at 10:15 AM. LPA met with facility staff who contacted the Administrator Vahe Hovhan. The Administrator arrived to the facility at 10:25 AM entrance interview conducted and the reason for the visit was explained. During today’s visit LPA conducted a brief physical plant tour, conducted a file review for one (1) resident, obtained copies of pertinent documents, interviewed the facility Administrator, and one (1) resident between approximately 10:15 AM and 11:00 AM. On 08/18/2026, Community Care Licensing Division (CCLD) received a notification from the Administrator which informed CCLD that the facility had admitted Resident #1 (R1) into their care on 08/14/2026. Additionally, the Administrator informed CCLD that R1 was admitted to the facility with a prohibited health condition. LPA interviewed the Administrator who stated that R1 was not enrolled in hospice care when they arrived to the facility but as of today (08/19/2026) R1 has been enrolled with Hospice Company #1 (H1). LPA informed the Administrator that Persons who require health services for or have a health condition including, but not limited to, those specified in California Code of Regulations (CCR) section 87615, shall not be admitted or retained in a residential care facility for the elderly. The Administrator expressed understanding and agreed to comply with the requirements for assessing and determining suitability for admission for individuals with prohibited health conditions prior to admitting such residents into the facility in the future. Pursuant to Title 22 of the CA Code of Regulations and/or the Health and Safety Code, the following deficiency was cited (refer to LIC 809-D): Exit interview conducted and copy of the report was issued and appeal rights provided.the state’s words, verbatim · CDSS document, Aug 19, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87615(a)(1) · Plan of correction due date: Aug 20, 2026

87615 Prohibited Health Conditions (a) Persons who...have a health condition including...shall not be admitted or retained in a residential care facility for the elderly: (1) Stage 3 and 4 pressure injuries. This requirement is not met as evidenced by: Based on interview and record review the Licensee did not comply with the section cited above as R1 was admitted to the facility with a prohibited health condition and no hospice care plan in place which posed an immediate health concern to persons in care.the state’s words, verbatim · CDSS document, Aug 19, 2026

Plan of correction: Administrator agreed to submit a signed statement of understanding confirming that they will comply with the requirements for assessing and determining suitability for admission for individuals with prohibited health conditions prior to admitting such residents into the facility in the future... ...Additionally, the Administrator agreed to submit the completed hospice care plan to CCLD. The Administrator agreed to submit the signed statement and hospice care plan to CCLD no later than POC due date.

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Trevor Byrne conducted a pre-licensing visit to the above noted facility. The LPA met with applicant, Vahe Hovhan. This is a new facility. A dementia program was included in the plan of operation. A Hospice Waiver has been approved. The facility is a one story home. At 10:17 AM, a physical plant tour was conducted inside and out. An approved fire clearance was received, clearing them for five (5) non-ambulatory residents and one (1) bedridden resident. The facility has three (3) shared resident bedrooms. Bedroom #3 has a direct exit to the outside and is the bedridden approved room. All resident rooms are set up with beds, nightstands, lamps, chests of drawers, chairs and closet space. The beds are furnished with box springs, comfortable mattress and clean linen; which includes, a mattress pad, top and bottom linens, pillowcases, blanket (if needed) and a bedspread. Lighting in the rooms appeared adequate. The bedrooms were large enough to allow for easy passage between the beds and furniture with a wheelchair or walker. In addition, no bedroom was used as a passageway to another room, bath or toilet. There are no staff rooms awake night staff are required. All rooms were free of odors. All window screens were clean and maintained in good repair. There is one (1) bathroom in the hallway and two (2) private bathrooms attached to bedrooms #1 & 3. The resident bathrooms have showers with non-skid materials. The toilets and showers have grab bars. The hot water temperature was tested in the bathrooms and the kitchen and was found to be within the range of 105*F and 120*F. CONTINUED ON LIC 809C. Resident and staff records are stored in a filing cabinet which is currently located in the kitchen. Medications are centrally stored in a locked cabinet in the kitchen. The first aid supplies were complete, including a thermometer and a current version of a first aid manual. They were stored in the kitchen. Knives and other sharp objects are stored in a locked drawer in the kitchen. Stove burners are rendered inaccessible to the residents by removing them when not in use. The supply of dishes, utensils, pots, pans and drinkware is adequate. The freezer was not maintained at zero degrees Fahrenheit (0*F) and the refrigerator was not maintained at 40*F. The supply of non-perishable food is adequate. There are no pesticides, poisons, or toxins stored in any food storage area or preparation area with utensils. Appliances in the kitchen were clean and all appeared functional. Kitchen, laundry and house cleaning supplies are stored in a locked cabinet located in the washer/dryer closet. No flies or other vermin were observed. The common areas were appropriately furnished, and the lighting was adequate. There are televisions and other entertainment equipment, games, and activity supplies in the living room and dining area. There was sufficient space to accommodate both indoor and outdoor activities. Night lights were maintained in hallways and passageways to nonprivate bathrooms. Stairways, inclines, ramps and open porches and areas of potential hazard to residents with poor balance or eyesight were made inaccessible to residents unless equipped with sturdy hand railings and unless well-lighted. All ramps were secure and non-slippery and were positioned at the level where wheelchairs and walkers may enter and exit the facility safely. Alarms on all exterior doors were engaged at the time of visit and functional. In addition, the physical plant is consistent with the submitted facility sketch/floor plan. The facility had emergency lighting, which included flashlights and batteries. The facility has a furnace, which is able to heat rooms that residents occupy to a minimum of 68 degrees Fahrenheit; and, they have air conditioning and are able to cool rooms to a comfortable range, not to exceed 85 degrees Fahrenheit. The facility smoke alarm system is hard wired. The smoke detector and carbon monoxide detectors were tested and functioned properly during the time of visit. There is one (1) fire extinguisher throughout the house. It is fully charged and does not exceed the expiration date. CONTINUED ON LIC 809C. Hot water was tested in each bathroom, which included the resident bathrooms and common bathroom, in addition to the kitchen; and, the hot water ranged from 111.9 to 118.0 degrees Fahrenheit. The laundry area is located in a locked hallway closet. The supply of extra bed and bath linens is adequate. There is a functioning telephone on the premises. The emergency exiting plans/sketch are posted in each resident room. The emergency telephone numbers are posted in the dining area along with the other required postings. The exterior passageways were clean and clear of any obstructions. There is a covered patio area at the front of the house with a table and chairs where residents can sit. The entire property is fenced. The gate to the driveway is moved automatically. There is a gate for persons to enter the front yard. There is a property located at the back of the home that has its own address and is not associated with the facility. There are not any bodies of water on the premises at the present time. COMP III orientation was completed with the applicant during this pre-licensing inspection. The following items must be corrected prior to licensure. Submit proof of corrections, along with a copy of this report, to LPA Byrne so that your application may be completed. This report will be sent to the Centralized Application Bureau (CAB) once all corrections are received. You will be notified by the CAB Analyst when your license has been approved. You are not allowed to begin operating until you have been notified that your license has been approved by the CAB Analyst. Failure to comply could affect approval of your license. 87555 General Food Service Requirements (b) The following food service requirements shall apply: (21) Freezers of adequate size shall be maintained at a temperature of 0 degrees F (-17.7 degrees C), and refrigerators of adequate size shall maintain a maximum temperature of 40 degrees F (4 degrees C). They shall be kept clean and food stored to enable adequate air circulation to maintain the above temperatures.the state’s words, verbatim · CDSS document, Apr 27, 2026

Type of visit: Office

Facility Type: RCFE Application Type: Initial Capacity: 6 Census (if any clients in care): 0 COMP II Participants: Vahe Hovhan Interview Method: Virtual interview (Microsoft Teams) On March 13, 2026, 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, Mar 13, 2026

Type of visit: Office

Facility Type: RCFE Application Type: Initial Capacity: 6 Census (if any clients in care): 0 COMP II Participants: Vahe Hovhan Interview Method: Virtual interview (Microsoft Teams) On March 13, 2026, 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, Mar 13, 2026