Judd Assisted Living

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Abeye Duguma met with Liana Avanesyan for a Required One (01) Year visit. LPA explained the reason for the visit. A tour of the physical plant was conducted at around 09:30 AM and the following was noted: The facility is fire cleared for six (6) non-ambulatory of which one may be bedridden in bedroom #2 and a hospice waiver for six (6). The facility is currently occupying five (5) residents. There is outdoor furniture with a covered shaded area for residents and visitors. LPA did not observe a swimming pool/body of water. The living and dining room are neat and clean. Hallways are well lit. The residents' rooms are adequately furnished with appropriate lighting system. The facility has a total of three (3) bedrooms and two (2) bathrooms. The bathroom was checked for cleanliness and proper operations. Residents have enough personal hygiene product provided by the licensee. Towels and washcloths are not shared. There was enough clean linen available in the cabinets. Kitchen is sufficiently stocked with at least two (2) days perishable and seven (7) days non-perishable food. Frozen foods are wrapped and stored appropriately. Food storage and preparation areas are clean and inaccessible to pests. (continued on LIC 809-C) Knives and sharps are observed to be locked and inaccessible to residents. Laundry detergents, cleaning agents and other toxins are locked away. The facility maintains a comfortable temperature at 74°F. The smoke and carbon monoxide detectors are hardwired, interconnected and observed to be operational. Fire extinguisher is located between living room and kitchen area, observed to be fully charged and last purchased August 4, 2025. The hot water temperature was measured at 108.4°F. LPA observed medication to be locked and inaccessible to residents. Facility maintains a complete first aid kit. No health and safety hazards noted during the visit. Exit interview conducted. Copy of this report issued.the state’s words, verbatim · CDSS document, May 21, 2026

Allegation investigated: Staff are refusing to accept a resident back into the facility

On 12/29/25, Licensing program analyst (LPA) Tihesha Smith made an unannounced 10-day complaint visit to this facility. LPA met with staff and disclosed the reason for the visit. Staff are refusing to accept a resident back into the facility It was alleged that staff are refusing to accept Resident #1 (R1) back at the facility. To investigate this allegation, LPA Smith requested copy of facility documents to include but not limited to admissions agreement, personnel report and client roster. LPA Smith interviewed staff between 12:35-2:05 and toured the facility at approximately 1:40 pm. Interview with staff revealed the following: Staff #1 refused R1 back during call with hospital case manager and any S1 revealed refused to take resident back based Substantiated on conservator’s direction however, per staff admission the resident still resided in the home and had not signed a new admissions agreement with another facility. LPA Smith did not locate any new reappraisals, behavior change notes, or discharge documents from the facility in R1’s records. Based on interviews there is sufficient information to support the allegation, therefore, the allegation is deemed SUBSTANTIATED at this time Deficiency cited on 9099D Exit interview conducted. Copy of report providedthe state’s words, verbatim · CDSS document, Dec 29, 2025 · control 31-AS-20251219113708

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87468.1 · Plan of correction due date: Jan 10, 2025

(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights:[…](2) to be accorded safe, healthful and comfortable accommodations […] This requirement was not met: Based on: staff refused resident admission back to the facility when hopital called to discharge the resident which denies resident safe/ stable accomodations. This poses a potential risk to residents in care.the state’s words, verbatim · CDSS document, Dec 29, 2025

Plan of correction: Administrator/staff will register for the following training Personal rights enforcement Eviction law & resident retention Admission & retention rules POC:01/15/25

Type of visit: Required - 1 Year

On 06/16/2025 at approximately 10:00 AM, Licensing Program Analyst (LPA), Angelica Segovia conducted an unannounced annual visit to the facility. LPA was greeted by the caregiver and stated the reason for their visit. The Administrator, Liana Avanesyan arrived shortly after to assist with today’s visit. LPA asked for the census, Staff/Resident Roster, and Liability Insurance. LPA conducted a physical plant tour at approximately 12:00 PM and the following was noted: The facility is a single-story building with three (3) bedrooms and two (2) bathrooms currently occupying five (5) residents. There is no designated staff room. The facility has an approved fire clearance for six (6) non-ambulatory residents of which one (1) may be bedridden. Hospice waiver for six (6). Sign in sheet, hand sanitizer, gloves and masks are available upon entrance. Common areas: The living rooms and dining room were observed to be neat, clean, and organized. The rooms were observed to be properly furnished and in good repair. The facility maintains a comfortable temperature at 74°F. LPA observed a fire extinguisher to be located near the kitchen and dated 07/16/2024. LPA observed required postings such as Long-Term Care Ombudsman, Emergency Disaster Plan, and Personal Rights to be located alongside the living room leading towards the kitchen. A fireplace was observed to be covered and inaccessible to residents. A working telephone was observed. Kitchen: The kitchen was observed to be clean and free from pests. Sufficient supplies of seven (7) day nonperishable foods and two (2) day perishable foods were observed. Knives/sharps were observed to be kept in a locked kitchen drawer. The cleaning solutions/toxins were observed to be kept locked underneath the kitchen sink. Kitchen appliances were observed to be working and in proper condition. (Continue to LIC 809-C) Bedrooms: The residents’ rooms are adequately furnished with appropriate furniture and lighting system. Hallways/passageways are lighted appropriately. Extra linens/covers were observed stored within storage closets located in the hallway’s passageway. Bathrooms: The bathrooms were checked for cleanliness and proper operation. The hot water temperature was measured within regulations at 114.8 °F. Laundry Room: The laundry appliances were observed to be located in the kitchen. LPA observed cleaning solutions and toxins stored underneath the kitchen sink locked and inaccessible to residents. The laundry appliances were observed to be working and in proper condition. Garage: The garage cannot be accessed from inside of the facility and was observed to be located in the front leading towards the entrance. LPA observed the garage to be used for storage purposes and extra food. Backyard: The backyard of the facility is equipped with a designated shaded area with outdoor furniture for residents. There is no body of water located at the facility. Medications: The medications were observed stored in a locked cabinet located in the kitchen. LPA observed staff and resident files to be kept locked in a cabinet located aside the dining area. First-aid kit observed. Smoke detectors and carbon monoxide observed to be working properly and were tested. Residents/Staff Records: LPA conducted a complete file review of resident records. Resident records appeared to be complete and updated. Staff records: LPA conducted a complete file review of staff record. Staff records appeared to be complete and updated. There were no immediate health and safety hazard observed during the day of inspection. Exit interview conducted, Appeals Rights given, and a copy of this report was provided to the Administrator.the state’s words, verbatim · CDSS document, Jun 16, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Gary Tan met with Administrator Liana Avanesyan for a one (1) year required visit for this facility. Purpose of the visit was stated. There is only one entrance being utilized at the facility. Screening area is located about ten (10) feet upon entrance by the living room. Sign in sheet, hand sanitizer, gloves and masks are available. The facility had submitted and approved Mitigation and Infection Plan. Hand washing, coughing etiquette, physical distancing and other necessary signs were posted in the bathroom and all over the facility. A tour of the physical plant was conducted with the Administrator at 3:25 PM. The facility has three (3) bedrooms and two (2) bathrooms currently occupying four (4) residents. The facility is fire cleared for six (6) non-ambulatory residents, one of which maybe bedridden in Room #2. Hospice waiver for six (6) residents. Physical environment was checked for cleanliness and condition. Walls, windows, ceilings, floors and floor coverings, and doors were checked, the following was noted: Living and dining room furniture were also checked. The living room is neat and clean along with the dining room. The facility maintains a comfortable temperature at 77°F. Dual smoke/carbon monoxide detector is hardwired, tested and observed to be operational. There was a fire extinguisher located in the kitchen area. Fire extinguisher was observed to be full and last bought on 07/16/24. 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 to LIC 809) (continued from LIC 809-C) The garage is detached to the home and being used as storage for frozen and emergency food, old equipment, and PPE. The garage was observed to be locked and inaccessible to residents. Laundry is in the kitchen. Laundry detergents, cleaning solutions and other chemicals and toxins are locked and secured in the garage. 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. Dishwashing liquids and other cleaning supplies were stored in the garage. All sharps and knives were also observed to be locked in the medication cabinet. The Clients' rooms are adequately furnished with appropriate furniture and lighting system. Hallways/passageway are lit to non-private rooms. Clients have sufficient amounts of personal hygiene product which is provided by the licensee. Staff Room: Staff room is observed to be locked. No medications are observed in the staff room. The bathrooms were checked for cleanliness and proper operation. LPA observed the appropriate grab bars for each toilet, bathtub and shower. The hot water temperature measured at 109.2°F. Towels and washcloths are not shared. There is enough clean linen available in stock at the cabinet. Medications: LPA observed medication in a locked kitchen cabinet and inaccessible to residents. Medications are listed on the centrally stored medication and destruction record. There is a complete first aid kit located in the medication cabinet. Client records: Client records are reviewed and appeared to be complete and updated. Staff records: LPA also conducted a complete file review of staff records. Staff record appeared to be complete and updated. Disaster drill was last conducted on 07/09/24. Required posting are observed to be complete and current and displayed properly at the facility. Exit interview conducted and copy of this report issued.the state’s words, verbatim · CDSS document, Jul 16, 2024