No Place Like Home for Golden Ages

Type of visit: Required - 1 Year

On 04/27/26, at 09:20am, Licensing Program Analyst (LPA) Gina Saucedo arrived at the facility to conduct an unannounced, annual visit. LPA met with, unauthorized caregivers, Rebecca Leis and Janet Faraon. and were advised of the visit. Another caregiver arrived about an hour later named Alla Abajian. Emma Topadzuikyan, the administrator arrived about an hour and 1/2 later. LPA asked for the census, resident, and staff files. There is one (1) entrance being utilized at the facility. The facility has a total of six (06) resident bedrooms and three (03) bathrooms. Outside/Backyard: The facility has outdoor furniture with a covered shaded area for residents and visitors. The facility has a swimming pool/body of water that does not have any water. There is detached garage used as storage. There is also one (1) washer and dryer. Kitchen area: Kitchen is sufficiently stocked with at least seven (07) days perishable and seven (07) days non-perishable food. There is one (1) refrigerator with frozen foods wrapped and stored appropriately. Food storage and preparation areas are clean and inaccessible to pests. Knives and sharps are observed and were not locked and were accessible to residents. LIC 809C continued No firearms observed or will be maintained on the premises. The smoke alarm and carbon monoxide detector were tested and operational. They are hardwired. Living Room and Dining Room: The living and dining room are neat and clean. The facility maintains a comfortable temperature at 71°F. The smoke and carbon monoxide detectors are hardwired, interconnected and observed to be operational. The medication is locked and inaccessible to the residents in a black cabinet. Fire extinguisher is fully charged and last purchased 04/2025. There is a fire place that is enclosed with a fence. Bedrooms: Facility has six (6) bedrooms and were toured. The bedrooms are fully furnished with proper lighting and bedding. There are six (6) bedrooms. One (1) is currently vacant and the other five (5) are single, occupied. Bathrooms: There are three (3) full bathrooms. The bathrooms contained a trash can with tight-fitting lid. Two (2) of the bathrooms are in the hallways. One (1) bathroom is private. The hot waters were tested and measured around 113.5 within regulations. Administrative: The administrative Certification is current and expires 11/10/2027. The facility did not have insurance at the time of the visit. There were Rights of Resident Council and Personal Rights and the Ombudsman sign against the wall of the facility. The facility has cameras in common areas. Staff/Client Files: There were no staff files to review at the above facility. There were five (5) resident files that were reviewed. One (1) resident file was missing Physician's Report. Two (2) residents were missing resident appraisals, One (1) resident was Admission Agreement and Pre-placement Appraisal. The last fire drill was on 02/2026. An exit interview was conducted, several citation(s) were issued, appeal rights were provided and a copy of this report was given to the administrator.the state’s words, verbatim · CDSS document, Apr 27, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Abeye Duguma met with Alla Abajyan for a Required One (01) Year visit. LPA explained the reason for the visit. A tour of the physical plant was conducted at around 12:00 PM and the following was noted: There is one entrance being utilized at the facility. The facility has a total of four (04) bedrooms and three (03) bathrooms. The facility is fire cleared for six (06) non-ambulatory of which one (01) may be bedridden and a hospice waiver for two (02). The facility is currently occupying six (06) residents. The facility has outdoor furniture with a covered shaded area for residents and visitors. The facility has a swimming pool with appropriate fencing and locking mechanism. Laundry detergents, cleaning agents and other toxins are locked away. Kitchen is sufficiently stocked with at least two (02) days perishable and seven (07) days non-perishable food. Frozen foods are wrapped and stored appropriately. Food storage and preparation areas are clean and inaccessible to pests. Knives and sharps are observed to be locked and inaccessible to residents. The living and dining room are neat and clean. 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 near the living room area and observed to be fully charged. (continued on LIC 809-C) The residents' rooms are adequately furnished with appropriate lighting system. Hallways are well lit. Residents have enough personal hygiene product provided by the licensee. The bathroom was checked for cleanliness and proper operations. The hot water temperature was measured at 116.7°F. Towels and washcloths are not shared. There was enough clean linen available in the cabinets. 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, Apr 11, 2025

Allegation investigated: Unqualified staff are providing care and supervision to resident(s) in care. Staff did not ensure that resident was provided adequate medical attention as necessary.

Staff did not ensure that resident was provided adequate medical attention as necessary. Licensing Program Analyst (LPA) Rosaura Valenzuela conducted an unannounced visit for the above noted allegations. LPA met with caregiver Lilya Gerozgyan and explained the reason for the visit. It was reported that unqualified staff are providing care and supersivision to resident(s) in care. Resident #1 (R1)'s oxygen saturation was in the 80's and staff called 911. To investigate this allegation on 09/04/2024, between 12:15pm and 1:00pm, staff interviews were initiated. Interviews revealed that Staff #1 (S1) called Licensee to notify them that R1 had labored breathing. Licensee had another employee go to the facility and 911 was called. Facility is a board and care and is not a skilled nursing facility. Staff are not nurses. R1 is being seen by a nurse through home health. R1's nurse was notified of the situation. Between 1:00pm and 2:00pm, facility records were reviewed. Records revealed that R1 has several underlying medical conditions. Continue on 9099-C Unsubstantiated Based on interviews and records review there is not sufficient information to support this allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. It was alleged that staff did not ensure that resident was provided adequate medical attention as necessary. To investigate this allegation on 09/04/2024, between 12:15pm and 1:00pm, staff interviews were initiated. Interviews revealed that staff immediately called 911. R1 had low oxygen saturation and was lethargic. Staff are not nurses. Home health sends nurses to provide care to R1. R1 has several underlying medical conditions and is being closely monitored by their primary care physician and home health staff. Bases on interviews there is not sufficient information to support the allegation. Thus, the allegation is UNSUBSTANTIATED at this time. No health and safety issues noted at the time of this visit. Exit interview conducted and a copy of the report was issued.the state’s words, verbatim · CDSS document, Sep 4, 2024 · control 31-AS-20240826115332

Type of visit: Required - 1 Year

A Required One (1) year - Annual visit was conducted today by Licensing Program Analyst (LPA) Rosaura Valenzuela. LPA met with staff Alla Abajyan and explained the reason for the visit. LPA observed that four (04) residents were at the facility during visit. A tour of the physical plant was conducted at 2:30 PM and the following was noted: The front main door is the only entrance being utilized at the facility. The facility is a single story home with four (04) private client bedrooms and three (3) bathrooms. There is no body water in the facility. Bedrooms were toured and observed to be clean and properly furnished. Linen storage was also checked and observed to have ample supply of clean linen and towels. Bathrooms were observed to be clean and sanitary with necessary supplies. Hot water temperature measured at a range of 105.6°F to 117.8°F and within the required range. Physical plant was checked for cleanliness and condition. Facility was in good repair and observed to be clean and free of clutter during today's visit. Living, dining & family room furniture were also checked for functionality (wear and tear). Furniture was observed to be in good condition. Kitchen area was observed to be clean and sanitary. All toxins, cleaning solutions and disinfectants are locked in the cabinet below the kitchen sink. Knives and sharps are kept in the a locked storage located near the dining area. Food. The facility is observed to have sufficient food supply for the clients both perishable and non-perishable. . Temperature of facility wall thermostat is set at 75.0°F and observed to be within the required range. Fire extinguishers. The facility has a fire extinguisher in the living room next to the kitchen. Carbon monoxide and smoke alarms are hardwired and interconnected, tested and observed to be operable. Garage is attached to the house and access has to go through the Laundry room. Garage was observed to be locked and inaccessible to residents. The garage is also used as a storage for PPE and other supplies. Resident records were reviewed for physician report, admission agreements, etc. Resident records appeared to be complete and current. Medication was observed to be inaccessible to residents and stored in a secured cabinet. There is a complete First Aid kit. Staff records were reviewed. Staff present records were observed to be current and updated. No health and safety issues were noted at the time of this visit. Exit interview conducted and a copy of the report was issued..the state’s words, verbatim · CDSS document, Jul 25, 2024