Imperial Senior Care

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Michael Cava conducted an unannounced annual inspection. LPA met with the administrator, Hayk Margaryan, and advised him the visit. At approximately 11:45am, LPA took a tour of the physical plant. Required postings were observed in the entry area. The smoke alarms and carbon monoxide are dual and interconnected. There is one fire extinguisher located in the kitchen. It was purchased on August 10, 2025. KITCHEN: The kitchen is equipped with a refrigerator, microwave, stove/oven and sink. LPA observed an adequate supply of perishable and nonperishable food and dining ware to accommodate a maximum capacity of six (6). Sharps and knives are kept locked in a kitchen drawer. Cleaning supplies kept underneath the kitchen sink. BEDROOMS: There are three (3) bedrooms designated for resident use. All bedrooms are shared. Bedrooms were furnished with beds, night stand, chairs, dresser, bedding and linen. Bedrooms are observed to have sufficient lighting and closet space. Passageways and exits were clear of obstruction. Auditory alerts are functional for rooms with an exit door. BATHROOMS: The facility has two (2) bathrooms. Bedroom #2 has it's own bathroom. The second bathroom is located in the hallway. Both bathrooms were observed to have the proper fixtures, grab bars, and non-skid mats. The hot water delivered in the bathrooms was measured between 108 to 110 degrees. COMMON AREAS: These included the living room and dining room. The living room is equipped with sufficient seating of couches, a television and table. The dining room table is large enough to seat up to six (6) residents. Floors were mopped and clean and the furniture is in good repair. There's no fireplace. GARAGE: Facility has no garage LAUNDRY ROOM: The laundry room is located in the hallway where detergents and cleaning supplies are maintained and kept locked. SURROUNDING GROUNDS: 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 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 any other bodies of water. Medications: Medications are stored locked in a kitchen cabinet. Medications and medication records were reviewed for proper storage and documentation. Staff Office/Work Station: Licensee has a main office/staff work station at their facility next door where staff and resident records are maintained. Resident Files: LPA conducted a file review of resident records to insure compliance of licensing forms. Staff Files: LPA conducted a file review of staff records to insure forms and training are up to date and compliance with licensing forms. Pursuant to Title 22 Division 6 of the CA Code of Regulations, no deficiencies observed during the visit. Exit Interview Conducted and a copy of this report issued.the state’s words, verbatim · CDSS document, Apr 2, 2026

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Michael Cava conducted a Pre-Licensing Inspection with both administrators Hayk Margaryan and Hovhannes Papazyan. Application to operate a Residential Care Facility for the Elderly (RCFE) was received by Community Care Licensing (CCL) on May 30, 2024. The facility is a one story building. A fire clearance was approved on June 27, 2024 for six (6) non-ambulatory residents. No bedridden. 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 August 12, 2024. With the assistance of both administrators, a tour of the physical plant was initiated and the following was observed: KITCHEN: The facility has a Kitchen area is equipped with a refrigerator, stove/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. BEDROOMS: There are three (3) bedrooms designated for client use. All bedrooms are shared. Bedroom #2 was used as a model room during inspection. Bedroom #2 was furnished with a bed, night stand, chair with sufficient lighting and closet space. Applicant was advised to fully furnish the other two rooms once residents are admitted. BATHROOMS: The facility has two (2) bathrooms. Bedroom #21 has it's own bathroom with shower and tub. The other bathroom is located in the hallway. Both bathrooms were observed to have the proper fixtures, grab bars, and non-skid mats. The hot water delivered in the bathrooms was measured at 120 degrees. COMMON AREAS: These included the living room and dining room. The living room is equipped with two couches, a television and table. LPA observed a sufficient amount of board games for activities. The dining room table is large enough to seat up to six (6) residents. Both areas has sufficient space for mobility. Floors were clean and maintained. No fireplace. There were no visible immediate hazards. LAUNDRY ROOM: The laundry room is located in the hallway. It was observed with a locked door to make it inaccessible to the residents. The washer/dryer are brand new. Cleaning supplies will also be maintained locked in the laundry room. MEDICATIONS: Medications will be kept locked in a kitchen cabinet. Staff/Resident Records: Applicant will maintain all staff and resident records in their main office, located in their other licensed facility next door to this one. Applicant was advised that records will be readily available upon licensing request during business hours and licensing inspections. Garage: No garage. SURROUNDING GROUNDS: 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 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 any other bodies of water. 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, Feb 25, 2025

Type of visit: Office

COMP II by CAB successfully completed Method: Phone Call at CAB 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, Feb 7, 2025