Miamon Assistant Living

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Jose Tan conducted an Annual Required visit and inspection of this facility. LPA met the House Manager Narine Bogosyan and explained the reason for the visit. The facility is fire cleared for six (6) non-ambulatory residents, one (1) of which may be bedridden on Room #2, hospice waiver for six (6) residents. LPA conducted a physical plant tour at 9:15 AM., and observed the following: Kitchen: LPA observed the kitchen to be clean and clear of clutter. Appliances and fixtures were functional. LPA also observed a 7 day supply of non-perishable amount of food and a 2 days supply amount of perishable food in the facility. Cleaning products were observed to be locked in a the laundry room. Bedrooms: LPA observed a total of four (4) bedrooms designated for residents' use on two (2) private and two (2) shared bedrooms. Residents' bedrooms were observed clean and free of clutter, properly furnished with appropriate beds, night stands and chairs. Doors in bedrooms leading to the outside had auditory alarms that were observed functional. LPA observed night-lights through out the facility. Bathrooms: There are two (2) bathrooms designated for residents' use. Bathrooms were properly supplied and had functional fixtures. Hot water temperature was measured between 115.0°F. and 115.9°F. (continued to LIC 809-C) (continued from LIC 809) Common Areas: These included living room, and the dining area. The common areas were properly furnished. The dining area has a table with chairs to sit the capacity of the facility. The living room has a television with seating that was observed in good repair. LPA observed activities and games for the residents. Outside/Surrounding Grounds: LPA observed that the entry/exits were free of obstruction. There is a shaded area for residents to use and furniture appropriate for outdoor use. The patio area is sufficient in space for outdoor exercise and activities. Laundry/Garage: The laundry area is located in the garage. Laundry detergents and other cleaning agents were locked in a cabinet inside the garage. The garage was observed to be locked during visit. The garage is also used for facility storage. Smoke detectors/carbon monoxide. All resident rooms are equipped with smoke detectors and the facility's smoke detectors are hard wired and interconnected. The carbon monoxide detector is located in a hallway leading to bedrooms. Detectors were tested by and were observed operational. A fire extinguisher located by the kitchen was observed fully charged and last bought on 03/05/26. Medications: LPA observed medication in the cabinet adjacent to the kitchen and observed to be locked and inaccessible to residents. Medications are listed on the centrally stored medication and destruction record. First aid kit have complete tools and supplies. Client records: Client records are reviewed and 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. Disaster drill was last conducted on 04/10/26. 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, May 23, 2026

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Gary Tan conducted a Pre-Licensing Inspection with the applicant representative Nazeli Khechoyan. The applicant is "MIaMon Assistant Living". A fire clearance was approved on 11/14/24 for six (6) non-ambulatory residents, one (1) of which may be bedridden on Room #2. The facility has a total of four (4) bedrooms and two (2) bathrooms. A tour of the physical plant was initiated at approximately 9:26 AM and the following was observed: KITCHEN: The facility has a Kitchen that is equipped with a refrigerator, microwave, stove, dishwasher and sink. There was an adequate supply of perishable and nonperishable food. Knives were observed locked in a kitchen drawer. Cleaning supplies and other toxins will be stored in the cabinet in the garage which was locked during visit. BEDROOMS: There are four (4) bedrooms designated for client's use; two (2) private and two (2) shared. The applicant furnished the resident bedrooms with beds, night stand, chairs, dressers, bedding and linen. The bedrooms have sufficient lighting and storage. BATHROOMS: The facility has two (2) shared bathrooms for clients' use. The bathrooms were observed to have the proper fixtures, grab bars, and non-skid mats. The hot water temperature was measured at a range of 117.9°F to 118.4°F. LAUNDRY ROOM: The laundry area is located in the garage. Laundry detergents and other cleaning agents were locked in a cabinet inside the garage. The garage was observed to be locked during visit. (continued on LIC 809-C) (continued from LIC 809) COMMON AREAS: These included the living room and the dining area. Living room was furnished with chairs and side tables. The living room area was furnished with a television, a coffee table and sofa to sit the capacity of the facility. There were no visible immediate hazards. Cleaning supplies and chemicals are stored and locked in a cabinet in the garage. There is a working telephone line and internet accessible to residents. Dual smoke/carbon monoxide alarms were tested and observed to be operational. Fire extinguisher was last bought on 03/22/25. MEDICATIONS: The medication cabinet is located in the kitchen and has a locking mechanism. A complete first aid kit is located inside the medication cabinet. Staff/Resident Records: Staff and resident records will be kept in a filing 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 has a covered patio and backyard furniture to accommodate the residents. The Garage is attached to the house, locked and inaccessible to residents and currently being used as laundry area and storage. There is no body of water in the facility. Component III was conducted with the Administrator and Licensee Representative. No deficiencies were observed during visit. This report will be sent to Centralized Application Bureau (CAB). You will be notified by the CAB Analyst when the 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. Exit interview conducted. Copy of this report issued.the state’s words, verbatim · CDSS document, Apr 3, 2025

Type of visit: Office

Facility Type: RCFE Application Type: Initial Capacity: 6 Census (if any clients in care): N/A COMP II Participants: Licensee Nazeli Khechoyan and Administrator Musheg Rostomian Interview Method: Telephone interview On 3/14/2025, 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 14, 2025