Liebelove Care

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Angela Barutyan arrived at the facility unannounced to conduct a required annual visit at 01:40PM. LPA was greeted at the door by staff and the reason for the visit was explained. The Administrator, Galina Melkonyan arrived shortly thereafter. Entrance interview conducted. At 01:45PM, the LPA along with staff, toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. KITCHEN: The LPA inspected the kitchen/food service area at 01:45PM. Kitchen appliances appeared clean and were in operable condition at the time of the visit. The facility has a sufficient supply of perishable and non-perishable food. Food labels were inspected and checked for expiration dates and food labels had expiration date clearly marked. Knives and chemicals were locked inaccessible in the kitchen cabinet. Fire extinguisher was located by the kitchen area and was last purchased on 10/03/2025. BEDROOMS: There are six (6) private resident bedrooms. The LPA observed resident bedrooms to be furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. The facility has one common area between Bedroom #4 and Bedroom #5 that is used as a staff room. All direct exits were clear, and no obstructions were noted. RESTROOMS: There are four (4) restrooms of which two (2) are for resident-use, one (1) is for staff-use, and one (1) is for visitors and staff by the common area. Restrooms were clean, sanitary, and in operating condition with grab bars and slip-resistant surfaces. Report Continued on LIC 809-C Hot water temperatures were measured in restrooms and were between 111.2-116.8 degrees F, which is within the required range. At 01:55PM, LPA observed a razor/trimmer in the restroom near Bedroom #5. Staff stated the razor belongs to Resident #1 (R1). Upon record review, LPA observed that R1’s physician’s report signed and dated 10/03/2025, documents that R1 would be at risk if allowed access to personal care and hygiene items as well as sharp objects. Administrator stored the razor locked and inaccessible. COMMON AREAS: At the time of the visit, living room and dining room furniture was observed to be in good condition. There is one (1) fireplace which was observed adequately screened. The facility maintained a comfortable temperature. At 02:08PM, smoke detector(s), carbon monoxide detector, and fire doors were tested and were operational at the time of the visit. Auditory exit alarms were functioning at the time of the visit. The LPA observed required postings throughout the common spaces. OUTDOOR AREA: The backyard has a covered outdoor area equipped with furniture for client use. There is a side gate which was observed to self-latch. No bodies of water noted. The washer and dryer appeared operational and are located in the garage. RECORD REVIEW: Beginning at 02:12PM, LPA reviewed three (3) out of three (3) resident files and three (3) personnel files for documents including but not limited to: medical records, care plans, resident Admission Agreement, TB test, health screening, staff training and fingerprint clearance. All resident and personnel files were in order. MEDICATION REVIEW: At 03:20PM, LPA reviewed medications for one (1) resident. Medications are centrally stored and locked in the kitchen cabinet. All medications including PRNs were labeled, stored, and locked inaccessible to residents. PRNs have physicians order on file. Medications are labeled and checked for expiration dates. Medications are properly documented on the centrally stored medications and destruction record. No errors observed during the medication review. INFECTION CONTROL/EMERGENCY DISASTER PLANNING: During today's visit, LPA reviewed the facility's infection control policy as well as the emergency disaster plan. The facility’s policies and procedures as it pertains to infection control are adequate. Emergency disaster plan is updated annually as required. Emergency drills are conducted quarterly as is required, with the last drill conducted on 10/20/2025. The following deficiency was observed (See LIC 809-D) and cited from the California Code of Regulations, Title 22 and/or California Health and Safety Code. Administrator was informed that failure to correct the deficiency may result in civil penalties. Exit interview conducted. Appeal rights and a copy of the report were provided.the state’s words, verbatim · CDSS document, Dec 18, 2025

The state marks this report as 7 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Angela Barutyan arrived at the facility unannounced to conduct a required annual visit at 12:26PM. LPA was greeted at the door by staff and the reason for the visit was explained. The Administrator, Galina Melkonyan arrived at 12:45PM. Entrance interview conducted. At 12:28PM, the LPA along with staff and Administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. BEDROOMS: There are six (6) private resident bedrooms. The LPA observed resident bedrooms to be furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. The facility has one common area between bedroom #4 and bedroom #5 that is used as a staff room. All direct exits were clear, and no obstructions were noted. RESTROOMS: There are four (4) restrooms of which two (2) are designated for resident-use, one (1) is designated for staff-use, and one (1) is designated as a communal restroom by the common area. Restrooms were clean and sanitary and in operating condition with grab bars and slip-resistant surfaces. The restrooms were sufficiently stocked with supplies and paper towels; towels and washcloths are not shared. Between 12:33PM – 12:37PM, hot water temperature was measured in resident bathrooms and were between 112.7 degrees F – 116.1 degrees F, which is within the required range. KITCHEN: The LPA inspected the kitchen/food service area at 12:50PM. Kitchen appliances appeared clean and were in operable condition at the time of the visit. The facility has a sufficient supply of perishable and non-perishable food. Food labels were inspected and checked for expiration dates and food labels had expiration date clearly marked. Knives and chemicals were locked inaccessible in the kitchen cabinet. Fire extinguisher was located by the kitchen area and was last purchased on 09/30/2024. Report Continued on LIC 809-C COMMON AREAS: At the time of the visit, living room and dining room furniture was observed to be in good condition. There is one (1) fireplace which was observed adequately screened. The facility maintained a comfortable temperature. At 01:18PM, smoke detector(s), carbon monoxide detector, and fire doors were tested and were operational at the time of the visit. Auditory exit alarms were functioning at the time of the visit. The LPA observed required postings throughout the common spaces. OUTDOOR AREA: The backyard has a covered outdoor area equipped with furniture for client use. There is a side gate which was observed to self-latch. No bodies of water noted. The washer and dryer appeared operational and are located in the garage. MEDICATION REVIEW: At 12:54PM, LPA reviewed medications for three (3) residents. Medications are centrally stored and locked in the kitchen cabinet. All medications including PRNs were labeled, stored, and locked inaccessible to residents. PRNs have physicians order on file. Medications are labeled and checked for expiration dates. Medications are properly documented on the centrally stored medications and destruction record. No errors observed during the medication review. RECORD REVIEW: Beginning at 01:22PM, LPA reviewed six (6) out of six (6) resident files and four (4) personnel files for documents including but not limited to: medical records, care plans, resident Admission Agreement, TB test, health screening, staff training and fingerprint clearance. All resident and personnel files were in order. INFECTION CONTROL/EMERGENCY DISASTER PLANNING: During today's visit, LPA reviewed the facility's infection control policy as well as the emergency disaster plan. The facility’s policies and procedures as it pertains to infection control are adequate. Emergency disaster plan is updated annually as required. Emergency drills are conducted quarterly as is required, with the last drill conducted on 10/22/2024. No deficiencies cited at this time. Exit interview conducted. A copy of the report was issued.the state’s words, verbatim · CDSS document, Dec 4, 2024

Type of visit: Case Management - Legal/Non-compliance

Licensing Program Analysts (LPAs) Angela Barutyan and Trevor Byrne arrived at the facility unannounced to conduct a Case Management - Legal/Non-compliance visit at 12:50PM. The purpose of today’s visit was to ensure the facility was maintaining substantial compliance as discussed in the Non-Compliance Conference that took place on 08/24/2022. As a result of the non-compliance conference, the licensee is placed on frequent monitoring for a period of two years. The LPAs met with Licensee/Administrator Galina Melkonyan and explained the reason for the visit. During today’s visit, LPAs conducted a plant tour at 12:52PM of the facility which includes six (6) resident bedrooms, one (1) staff room, four (4) bathrooms, kitchen, and common areas to ensure there are no health and safety hazards. At 01:07PM, LPAs observed 7 (seven) expired food items in the kitchen. Staff disposed of all expired items immediately. At 01:20PM, LPAs began a medication review for 5 (five) out of 5 (five) residents. All medication records were in order. At 01:33PM, LPAs observed 1 (one) medication for Resident #1 (R1) not in its original packaging. The medication label is attached to the box, but the box was discarded and the facility did not have the label. LPAs explained to Licensee that all medications need to be stored in original packaging with the medication label affixed. During today’s visit, LPAs interviewed 2 (two) residents and 1 (one) staff. Pursuant to Title 22, CA Code of Regulations, the following deficiencies were cited (refer to LIC 809-D). Administrator was informed that failure to correct deficiencies may result in civil penalties. Exit interview conducted, report issued, and appeal rights provided.the state’s words, verbatim · CDSS document, Aug 6, 2024

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87465(h)(4) · Plan of correction due date: Aug 13, 2024

(h) The following requirements shall apply to medications which are centrally stored: (4) All centrally stored medications shall be labeled and maintained in compliance with state and federal laws. No persons other than the dispensing pharmacist shall alter a prescription label. Based on medication review, 1 (one) medication for a resident was not stored in its original packaging with the label, which poses a potential health and safety risk to residents in care.the state’s words, verbatim · CDSS document, Aug 6, 2024

Plan of correction: Administrator will submit a statement of understanding of the section cited above and submit to CCL by 08/13/2024. Administrator has a refill of the medication with the label and will follow the instructions on the label.

From the deficiency page — Deficiency type: Type B · Section cited: CCR87555(b)8 · Plan of correction due date: Aug 7, 2024

(b) The following food service requirements shall apply: (8) All food shall be of good quality. Commercial foods shall be approved by appropriate federal, state and local authorities. Food in damaged containers shall not be accepted, used or retained. Based on observation, 7 (seven) food items were expired which poses a potential health and safety risk to residents in care.the state’s words, verbatim · CDSS document, Aug 6, 2024

Plan of correction: Administrator discarded all food items immediately. POC is cleared.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Sandra Urena arrived at the facility unannounced to conduct a required annual visit at 10:45 a.m. The LPA was greeted by staff. Staff informed Administrator about the visit. The Administrator arrived shortly thereafter. The LPA met with Administrator Galina Melkonyan and explained the reason for the visit. The LPA toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. KITCHEN: Knives and chemicals were locked inaccessible in the kitchen cabinet. Appliances were in operable condition. The facility had a sufficient supply of perishable and non-perishable food. Fire extinguisher was located by the kitchen area and was last purchased on 10/13/2023. COMMON SPACES: At the time of the visit, living room and dining room furniture was observed to be in good condition. There is a fireplace in the living room, which is screened and inaccessible. The facility maintained a comfortable temperature of 72 degrees. Smoke detector(s) and carbon monoxide detector were tested and operational at the time of the visit. The LPA observed required postings throughout the common spaces. BEDROOMS: The facility has six (6) residents’ bedrooms. All bedrooms are private bedrooms. Bedrooms were furnished appropriately; beds were observed with clean linens and rooms had sufficient lighting. The facility has one common area between bedroom #4 and bedroom #5. All direct exits were clear, and no obstructions were noted. Continues on LIC 809C... RESTROOMS: The facility has three (3) common restrooms. One restroom by the entrance hallway, one restroom next to bedroom #1; this restroom is utilized to shower the residents. One restroom is between bedrooms #4 and #5. Restrooms were clean and sanitary with grab bars and non-skid surfaces. At 2:30 PM., water temperature measured at ...degrees Fahrenheit. Restrooms were fully stocked. Hand-washing signs were observed in all restrooms. All restrooms need trash cans with covers. OUTDOOR AREA: The backyard has a covered outdoor area equipped with furniture for client use. There is a side gate for client use and is single-latched. No bodies of water noted. The washer and dryer appeared operational and are located in the garage. Administrator agreed to remove two old mattresses and two commodes observed in the backyard. RECORDS: Records review began at 1:17 p.m., Residents’ records were reviewed for, but not limited to care plans, medical records, admissions agreement, consent forms. All records were in order. Personnel records were reviewed for, but not limited to health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. All files were in order. MEDICATIONS: Medications review began at 2:00 p.m.; medications are centrally stored and locked in two top cabinets in the kitchen area; medications are labeled and checked for expiration dates. Medications are properly documented on the centrally stored medications and destruction record. No errors observed during the medication review. INFECTION CONTROL: The facility has an adequate supply of Personal Protection Equipment (PPE) and the facility is able to obtain additional supplies as needed. The facility’s cleaning protocol is sufficient. If needed, the facility has the capacity to designate a single isolation room if the facility has a confirmed case of COVID-19. The LPA reviewed the following documents: - LIC500 Personnel Report - LIC9020 Client Roster No deficiencies cited at this time. Exit interview conducted. A copy of the report was issued.the state’s words, verbatim · CDSS document, Dec 20, 2023