Happy Residents Living Center

Allegation investigated: Staff does not ensure food is nutritious and well-balanced for residents Staff did not ensure residents personal belongings were safely secured Staff does not allow resident to leave the facility unassisted Staff threatened resident with eviction Staff does not assist resident with arranging medical care Staff does not assist resident with self administered medications Licensee does not ensure staff are able to communicate with residents in care Staff does not ensure residents receive prompt responses to requests for assistance

Licensing Program Analyst (LPA) Jose Tan conducted an unannounced subsequent complaint visit to this facility to further investigate the above allegations. LPA met with Co Administrator Hermine Nshanian and explained the reason for the visit. LPA conducted physical plant tour at 9:13 AM, requested copies of facility documents relevant to the investigation at 9:38 AM, reviewed records between 9:45 AM to 10:45 AM and interviewed staff and residents between 10:45 AM to 1:00 PM. Regarding the allegation that Staff does not ensure food is nutritious and well-balanced for residents, it was alleged that the food provided is not well-balanced and is of poor quality, LPA's record review between 9:45 AM to 10:45 AM revealed that the facility menu provides well balanced meal which includes fruit, vegetable and yogurt. LPA's interview with six (6) current residents between 10:45 AM to 1:00 PM revealed that six (6) out of six (6) residents interviewed believe that the food is good, nutritious and of good quality. (continued on LIC 9099-C) Unsubstantiated (continued from LIC 9099) Regarding the allegation that Staff did not ensure residents personal belongings were safely secured, it was alleged that staff took R1's black socks. LPA record review revealed that there were no black socks declared on R1's Personal belongings inventory list. LPA's interview with staff also revealed that no one among the staff took anything from any resident at any time. Regarding the allegation that Staff does not allow resident to leave the facility unassisted, it was alleged that staff do not allow R1 to go out on R1's own. LPA's interview with the Administrator and staff today revealed that R1 attends intervention meeting 2x a week and R1 calls own Access transportation and picked R1 up. LPA interview with a resident who is a former friend of R1 confirmed that R1 called own transportation and always go on R1's own all the time and did not need any assistance from anyone. LPA's interview with six (6) current residents revealed that no staff stopped them from leaving the facility and they can go out anytime they wanted to. Regarding the allegation that Staff threatened residents with eviction, it was alleged that the Administrator verbally threatened to evict R1 for using curse words in the home. LPA's record review of video footage taken by the Administrator revealed that R1 seemed to be always angry and cursing staff and other residents at the facility. LPA's interview with Administrator revealed that the Administrator did not threaten R1 at any time but reminded R1 to watch R1's language because it was upsetting other residents. Regarding the allegation that Staff does not assist resident with arranging medical care, it was alleged that staff are not assisting R1 with scheduling physical therapy appointments. LPA's record review today revealed that R1 was not on Home Health services nor in any kind of therapy. LPA's interview with the Administrator also revealed that the Administrator was not aware that R1 needed physical therapy at any time R1 was at the facility. Regarding the allegation that Staff does not assist resident with self-administered medications, it was alleged that staff do not check R1's blood sugar levels, LPA's interview with staff revealed that R1 had patch type (Free style Libre) sugar monitoring system that could only be looked up on R1's own phone and for privacy purposes no staff can look at it unless R1 allowed the staff. (continued on LIC 9099-C2) (continued from LIC 9099A-C) Regarding the allegation that Staff did not ensure resident received a signed copy of the admission agreement, it was alleged that Resident #1 (R1) does not recall signing an admission agreement upon moving in and is unaware of her monthly rent amount. LPA's record review today revealed that R1 had a signed admission agreement at the facility and it clearly stated the amount and condition of stay at the facility. LPA's interview with six (6) current resident at the facility revealed that all six (6) of them received a copy of their admission agreement from the Administrator. Regarding the allegation that Staff provided resident with another residents prescribed medications, it was alleged that R1 was given a prescribed medication that was not prescribed to R1 but to another person. LPA's record review today revealed that all six (6) current residents and two (2) discharged residents and another six (6) current residents and one (1) former resident from the attached sister facility revealed that no one among those residents both Medication Administration Record (MAR) and actual medication did not have the prescribed medication R1 alleged. LPA's interview with the Administrator and staff also revealed that they have no way of obtaining that prescribed medication and it was R1 who insisted to own Physician to issue the alleged prescribed medication. Based on the information gathered during this and prior visit, these allegations are deemed unsubstantiated at this time. Exit interview conducted. Copy of this report issued. (continued from LIC 9099C-C) Regarding the allegation that Licensee does not ensure staff are able to communicate with residents in care, it was alleged that R1 does not have her own personal phone and relies on the facility phone for communication. LPA tested the land line phone at the facility and observed to be working. LPA's interview with staff also revealed that it was actually R1 who used the land line a lot when R1 was still living at the facility. Regarding the allegation that Staff does not ensure residents receive prompt responses to requests for assistance, it was alleged that Resident #2 (R2) has fallen out of own bed and wheelchair multiple times and yelling for help before staff assist R2). LPA's interview with R2 today revealed that R2 does not recall falling in bed and or wheelchair and yelling for help. Further, R2 stated that staff always look out and take good care of R2. LPA's interview with five (5) other residents revealed that all of them did hear or witness R2 falling or yelling for help. Based on the information gathered during this and prior visit, these allegations are deemed unsubstantiated at this time. Exit interview conducted. Copy of this report issued.the state’s words, verbatim · CDSS document, May 8, 2026 · control 31-AS-20251210095605

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Jose Tan conducted an unannounced visit at this facility for a One (1) Year Required visit for this facility. LPA met with Co-Administrator Hermine Nshanian and explained the reason for the visit. A tour of the physical plant was conducted at 12:26 PM and the following was noted: There is only one entrance being utilized at the facility. Screening area is located immediately upon entrance. Sign in sheet, hand sanitizer, gloves and masks are available. The facility had submitted and approved Infection Control and Mitigation plan. The facility has a designated visitors' area at the front yard. and has sufficient stock of PPE in the storage room. The facility has three (3) bedrooms and three (3) bathrooms currently occupying six (6) residents. One (1) bathroom is designated for staff use. The facility is fire cleared for six (6) non-ambulatory residents, one (1) of which maybe bedridden. Hospice waiver for six (6) residents. Living and dining room furniture were also checked. The living room is neat and clean. The facility maintains a comfortable temperature at 72°F. The smoke detectors are hardwired and interconnected and observed to be operational. There is a carbon monoxide installed at the facility. Fire extinguisher is located in the dining area and observed to be full and last bought on 12/04/25. The backyard of the facility has outdoor furniture, with a covered shaded area for clients. There is no body of water in the facility. (continued on LIC 809-C) (continued on LIC 809-C) There is no garage at the facility, only car port located at the front and side. There is a sitting area in the front and back yard for residents to conduct outdoor activities. There are two (2) tool shed at the backyard being used as a storage tools and old equipment and PPE and other supplies. Laundry area is located at the back. Laundry detergents, cleaning agents and other toxins are stored in a locked cabinet in the laundry area. Food Service/Kitchen area was sufficiently stocked with two (2) days perishable and seven (7) days non-perishable food. Frozen foods are properly wrapped and stored appropriately. Food storage and preparation areas are clean and inaccessible to pests. Knives and sharps are observed to be locked in a kitchen drawer and inaccessible to residents. The Clients' rooms are adequately furnished with appropriate furniture and lighting system. Hall ways/passage ways are lit. Clients have sufficient amounts of personal hygiene product which is provided by the licensee. The bathroom was checked for cleanliness and proper operation. LPA observed the appropriate grab bars in the toilet and shower. The hot water temperature was measured at 118.0°F. Towels and washcloths are not shared. There was enough clean linen available in stock at the cabinet. Medications: LPA observed medication in the hallway cabinet to be locked and inaccessible to residents. There is a complete first aid kits located in the kitchen. Client records: Client records are reviewed. Residents 1 & 2 (R1 & R2) did not have medical assessment on file. Staff records: LPA conducted a complete file review of staff records. Staff records appeared to be complete and updated. Disaster drill was last conducted on 01/28/26. Required posting observed in facility (complaint hot line poster). Citation issued. Exit interview conducted. Copy of this report issued.the state’s words, verbatim · CDSS document, Feb 18, 2026

Allegation investigated: Staff did not meet the needs of a resident while in care

Licensing Program Analyst (LPA) Jose Tan conducted an unannounced subsequent complaint visit at this facility to further investigate the above allegation. LPA initially met staff with Nurik Korman who called the administrator and explained the reason for the visit. Administrator arrived 20 minutes later. LPA conducted a physical plant tour at 9:15 AM, requested copies of facility documents relevant to the investigation at 9:40 AM and interviewed residents and staff between 10:00 AM to 12:00 PM. It was alleged that the staff never provided care to Resident #1 (R1) during R1's time at this facility. LPA's record review revealed that R1 was on hospice since 03/13/25 but came to facility on 04/18/25 from a skilled nursing facility (SNF). LPA's interview with the Administrator revealed that R1 arrived on 04/18/25 and left the morning of 04/19/25, stating that R1 did not want to stay at this facility and would like to go back to R1's old facility with friends. Further interview with the Administrator also revealed that staff fed and changed R1's diaper during R1's overnight stay at the facility and they were not paid for R1's stay. (continued on LIC 9099-C) Unsubstantiated (continued from LIC 9099) LPA's records review also revealed that no one among the six (6) current residents were here during R1's overnight stay at the facility. LPA's interview with five (5) residents revealed that five (5) out of six (6) residents stated that they were being taken care of and get all the care they need and staff are respectful and very good to them. One (1) resident was on hospice and unable to be interviewed. Based on the information gathered during this and prior visit, the allegation is deemed unsubstantiated at this time. Exit interview conducted. Copy of this report issued.the state’s words, verbatim · CDSS document, Oct 8, 2025 · control 31-AS-20250609010348

Allegation investigated: Staff did not properly maintain the home

Licensing Program Analyst (LPA) Jose Tan conducted an unannounced subsequent complaint visit to this facility to further investigate the above allegations. LPA met with Hermine Nshanian and explained the reason for the visit. LPA arrived at the facility at around 9:50 AM, rang the bell and someone responded. LPA asked to be allowed entry but there was no response. A man inside the compound passed by the gate twice and did not open the gate. LPA called the licensee and was told that his sister would arrive in 20 minutes, a lady arrived at 10:39 AM. LPA conducted a physical plant tour at 10:45 AM, requested copies of facility documents relevant to the investigation at 11:00 AM, reviewed records between 11:00 AM to 11:30 AM and interviewed staff and residents between 11:30 AM to 12:30 PM. Regarding the allegation Staff did not properly maintain the home, it was alleged that the home smelled like they were cooking meth. Regarding the allegation Staff did not properly maintain the home, it was alleged that the home smelled like they were cooking meth. (continued on LIC 9099-C) Unsubstantiated (continued from LIC 9099) LPA's observation during physical plant tour revealed that there was no trace or any kind of smell emanating from anywhere at the facility that nearly resembles meth or any non-food cooking. Further, there was nothing suspicious in any place at the facility that nearly resembles laboratory or any kind of illegal activity. Based on the information gathered during this and prior visit, the allegation is deemed unsubstantiated at this time. Exit interview conducted. Copy of this report issued.the state’s words, verbatim · CDSS document, Aug 21, 2025 · control 31-AS-20250609010348

The state marks this report as 3 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.

Type of visit: Case Management - Deficiencies

LPA conducted an unannounced case management visit at this facility to issue citation for the deficiency discovered during the course of the investigation of complaint control number 31-AS-20250609010348 wherein the staff working at the facility did not have fingerprint clearance and per interview with staff, staff had been working at the facility for two (2) weeks. Citation issued. Appeal rights discussed and given. Exit interview conducted. Copy of this report issued.the state’s words, verbatim · CDSS document, Aug 21, 2025

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87355(e) · Plan of correction due date: Aug 21, 2025

(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility This requirement is not met as evidenced by: Based on LPA's record review and interview the licensee did not ensure that the staff working at the facility is fingerprint cleared and associated at the facility. This poses a health and safety risk to the residents in care.the state’s words, verbatim · CDSS document, Aug 21, 2025

Plan of correction: The staff left the facility and will not come back until fingerprint clearance was obtained and associated at the facility. The co - administrator let go of the staff to obtain fingerprint clearance.

Type of visit: Prelicensing

Licensing Program Analysts (LPAs) Nadia Shahbazian and Michael Cava conducted a Pre-Licensing Inspection with the applicant representative and administrator, Art and Hakop Nshanian. An Application to operate a Residential Care Facility for the Elderly (RCFE) was received by Community Care Licensing (CCL) on May 14, 2024. A fire clearance was approved on September 13, 2024 for five (5) non-ambulatory residents and one (1) bedridden resident, for a total capacity of six. The applicant will also be requesting a hospice waiver to retain six (6) residents. The smoke alarms and carbon monoxide detector are dual and inter-connected. The facility has a brand new fire extinguisher purchased on 09/13/24. Fire extinguisher is located at the kitchen. . With the assistance of both the administrator and applicant representative, a tour of the physical plant was initiated and the following was observed: KITCHEN: The facility has a Kitchen area that is equipped with a refrigerator, stove/oven, microwave oven and sink. There was an adequate supply of non-perishable food items observed. Perishable food items not required at this time as there are no residents. Administrator was advised facility needs to carry perishable food items once they admit residents for care. Knives were observed locked in a kitchen drawer. Cleaning supplies observed locked underneath the kitchen sink. BEDROOMS: There are three (3) bedrooms designated for client use. All three bedrooms will be shared. One bedroom, Room #3 was used as a model room, which was furnished with two beds, 2 night stand, 2 chairs, a shared dress drawer, bedding and linen. The bedrooms have sufficient lighting. Per STD 850, all bedrooms qualify for a bedridden resident. BATHROOMS: The facility has three (3) bathrooms. Bedroom #1 has it's own bathroom with shower. The other two bathrooms are located in the common area, by the kitchen and dining room. The bathrooms were observed to have the proper fixtures, grab bars, and non-skid mats. The hot water delivered in the bathrooms measured at 107 degrees. COMMON AREAS: These included the living room and dining room areas. The living room has a couch, chair, table, and television. There is a fireplace in the living room, properly screened. Fireplace is non-operational, and there were no fireplace tools present. The dining room has a table large enough to seat six (6) residents. LAUNDRY ROOM: The laundry area is located in a separate, covered space, located in tha backyard. It will kept locked and inaccessible to residents. MEDICATIONS: Medications will be kept locked in a kitchen cabinet. 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 backyard of the facility is large enough to hold outdoor activities. There was backyard furniture appropriate . There is no swimming pool. 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, Dec 20, 2024

Type of visit: Office

Facility Type: RCFE Application Type: Initial Capacity: 6 Interview Method: Telephone interview On 11/15/2024, applicant/administrator participated in COMP II. Identification of the applicant / administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant / 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, Nov 15, 2024