NVM Comfort Homes

Type of visit: Required - 1 Year

On 02/10/26, at 9:30am, Licensing Program Analyst (LPA) Gina Saucedo conducted an Annual Required visit and inspection of the facility. LPA met with caregiver, Satenic and Leon Garo Kilajian, and advised them of the complaint. The administrator, Rima Agaronyan was called, and arrived shortly after. LPA asked for the census, resident, and staff files. A physical tour was conducted at 10:15 AM and observed the following: Kitchen: The kitchen appliances and fixtures were functional. LPA found a sufficient amount of perishable and non-perishable food at the facility. Food was properly stored. Knives and sharps were stored and locked. Cleaning supplies were stored in a locked cabinet underneath the kitchen sink. Additional cleaning supples and detergents were stored and locked in the garage. There is a fire extinguisher on your left hand side of the entrance of the facility in the kitchen area. It is fully charged and dated 09/2025. Bathrooms: There are two (2) bathrooms. One (1) bathroom is designated for resident's use, and the other one (1) is for staff use. The bathroom that is designated for resident use was properly supplied and had functional fixtures, grab bars and non-skid mat. Hot water temperature was measured at 115.5 degrees Fahrenheit. 809C-Continued Bedrooms: There are four (4) bedrooms designated for resident's use. One (1) bedroom is shared and three (3) bedrooms are private. All four (4) bedrooms were observed to be properly furnished with appropriate beddings and linens with sufficient lighting. Living Area/Dining Hall: These included the living room and dining area. The living room is furnished with three couches, recliner, table and television. The dining room table is large enough to seat up to six (6) residents. Furniture were observed to be in good repair. Floors were mopped and clean. Facility does not have a fireplace. There is signal alarms on all exit doors and were operational at time of the visit. Outside: The front and backyards were maintained and clean. No swimming pool or any other bodies of water. The backyard had patio furniture which is appropriate for outdoor use. Staff Area next to Kitchen/Medication: Staff workstation is located adjacent to the kitchen. There is a computer and printer available for the resident's use. There is a locked cabinet located at the corner side of the work station where medications, staff and resident files are kept. Complete first aid kit kept on top of the medication cabinet. Medication and Medication Records are also maintained and locked in the cabinet where resident and staff files are maintained. Garage/Laundry: The garage is attached to the home. Garage is used for laundry area and storage for extra perishable and non-perishable food supply. There is an extra refrigerator in the garage. Entry to the garage is kept locked and inaccessible to residents via the kitchen area. Laundry area is in the garage. There is one (1) washer and dryer. Resident Files/Staff Files: LPA conducted a file review of four (4) residents and two (2) staff files. Administration: There is an Ombudsman sign, YES sign, Personal Rights, Temporary Shelter Locations, Administration License, Emergency Disaster Plan, Facility Sketch, Rights of Resident Council. The last fire drill was January 2026. The liability insurance has an expiration date of 03/13/2026. An exit interview was conducted, no citation(s) were issued, and a copy of this report was given to the administrator.the state’s words, verbatim · CDSS document, Feb 10, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Michael Cava conducted an Annual Required visit and inspection of the facility. LPA met with staff, Satenic and Leongaro Kilajian, and advised them of the complaint. The administrator, Rima Agaronyan, was called, and joined shortly after. At approximately 9:15am, with the assistance of the administrator, LPA Cava took a tour of the physical plant. Required postings were observed in the entry area. The smoke alarms/Carbon monoxide detectors are dual, and battery operated. The fire extinguisher is located in the kitchen. The fire extinguisher was purchased on 09/27/24. Kitchen: The kitchen appliances and fixtures were functional. LPA found a sufficient amount of perishable and non-perishable food at the facility. Food was properly stored. Knives and sharps were stored and locked. Cleaning supplies were stored in a locked cabinet underneath the kitchen sink. Additional cleaning supples and detergents were stored and locked in the garage. Bedrooms: There are four (4) bedrooms designated for residents' use. Two (2) bedrooms are shared and two (2) bedrooms are private. All four bedrooms were observed to be properly furnished with appropriate beddings and linens with sufficient lighting. Bathrooms: There are two (2) bathrooms. One bathroom is designated for residents' use, and the other for staff use. The bathroom that is designated for resident use was properly supplied and had functional fixtures, grab bars and non-skid mat. Hot water temperature was measured at 111 degrees Fahrenheit. Common Areas: These included the living room and dining area. The living room is furnished with three couches, recliner, table and television. The dining room table is large enough to seat up to six (6) residents. Furniture were observed to be in good repair. Floors were mopped and clean. Facility does not have a fireplace. Exits, hallways and passageways were clear of obstruction. The auditory alarms on all exit doors were on and functional at the time of the visit. Surrounding Grounds: The front and backyards were maintained and clean. No swimming pool or any other bodies of water. The backyard had patio furniture which is appropriate for outdoor use. There is sufficient yard space in the backyard to hold exercise and outdoor activities. Staff Workstation: Staff workstation is located adjacent to the kitchen. There is a computer and printer available for the resident's use. There is a locked cabinet located at the corner side of the work station where medications, staff and resident files are kept. Complete first aid kit kept on top of the medication cabinet. Garage: The garage is attached to the home. Garage is used for laundry area and storage for extra perishable and non-perishable food supply. Refrigerator in garage is maintained for the perishable food items. Entry to the garage is kept locked and inaccessible to residents. Laundry: Laundry area is in the garage. Resident Files: LPA conducted a file review of resident records to insure compliance of licensing forms. Staff Files: LPA also conducted a file review of staff records to insure forms and training are up to date and compliance with licensing forms. Medications: Medication and Medication Records are also maintained and locked in the cabinet where resident and staff files are maintained. They were reviewed for proper storage and documentation. Pursuant to Title 22 Division 6 of the CA Code of Regulations, there were no deficiencies observed during the visit. Exit Interview Conducted and a Copy of this report Issued.the state’s words, verbatim · CDSS document, Mar 21, 2025

Allegation investigated: Resident sustained a pressure injury while in care Staff did not seek medical care for resident in care in a timely manner

Licensing Program Analyst (LPA) Michael Cava conducted a subsequent complaint visit to the facility to conclude the investigation regarding the above allegations. The ten-day visit to this investigation was made on 02/03/24. LPA met with the administrator, Rima Agaroynyan, and advised her of the complaint. LPA Cava’s investigation consisted of interviews with facility administrator, hospital staff, facility staff, residents and record review of hospital and facility records. In regards to the allegations, it was reported that Resident 1 (R1) was discharged from a Skilled Nursing Facility (SNF) to the Residential Care Facility for the Elderly (RCFE) on or around 11/10/23. At the time of discharge from the SNF, R1’s skin was intact. On or around 12/6/23, R1 was sent to ER with a pressured sore on the lower back. The licensee indicated that they had noted a wound over the past weeks. A referral had been sent for Home Health wound care, but when nurse got to the facility, R1's wound needed to be debrided and referred R1 to the emergency room (ER). R1 was sent back to the facility following this ER Unsubstantiated visit. On 12/20/23, R1 was admitted to the hospital for wound care. According to the administrator, Rima Agaronyan, R1 was admitted to the facility 11/10/23. The SNF never notified her of any wounds. Review of R1’s physician report and preplacement appraisal also do not indicate any wounds or skin break downs. After admission, on or around 11/10/23, while R1 was getting assistance with bathing, staff observed a wound. Home Health (HH) was notified on 11/11/23. The administrator was advised that a nurse will come out within 24 hours. When the HH Nurse came out to make an assessment, there was no indication by the nurse, at that time, of the wound being open. R1 was still sent to the hospital, but it was agreed that R1 can return to the facility as wound was not greater than stage 2. Review of the hospital records indicate the following: 11/10/23: R1 was discharged from Rehab to the board and care. 11/17/23: Home Health referral from primary care physician for physical therapy and wound care (nurse to apply cream to R1's wound). 12/05/23: R1 assessed to have stage 2 pressure ulcer. 12/06/23: R1's wound possibly progressed to unstageable. R1 was sent to Emergency Department (ED). 12/06/23: R1 sent to ED for evaluation. Chief Complaint- Pressure Ulcer Assessment. There was a Decubitus ulcer present, but no increased signs of warmth, signs of infection, discharge, significant tenderness or any indication for acute intervention. Case Manager met with the licensee and R1’s responsible person. They were all comfortable and agreed to have R1 going back to the facility. 12/20/23: HH nurse indicated wound not healing and has a lot of dead tissue. Referral to clinic. 12/20/23: There was another indication of wound progressing to possibly stage 3 and 4. Debrided to healthy bleeding tissue. R1 transported to the hospital. (Per hospital staff interview, nurse confirms R1 was sent back to the hospital on 12/20/23). Based on the information obtained, although there is record that R1 has a pressure injury, there is evidence that the licensee tended to, and monitored R1’s condition, until it progressed to a possible prohibited condition. There is also evidence that the administrator was in contact with HH regarding R1’s wound. Once R1’s wound did not show improvement, or had progressed, R1 was sent to the ED for immediate medical attention. Therefore, based on the information obtained, the above allegations are deemed Unsubstantiated at this time.the state’s words, verbatim · CDSS document, Feb 15, 2025 · control 31-AS-20240131142742

Type of visit: Collateral

Licensing Program Analyst (LPA) Leslie Ngo-Castaneda conducted an unannounced collateral visit in reference to complaint control #31-AS-20241025111603, regarding another licensed facility. Upon arrival LPA met with staff Satenic Kilajian. LPA explained the purpose of the visit. An entrance interview was conducted. At 10:30 AM LPA conducted a physical plant tour of the facility with the assistance of staff. At 10:45 AM. LPA Ngo-Castaneda reviewed and obtained copies of records relevant to the investigation. At 10:55 AM Licensee arrived Rima Agaronyan and explained the reason of the visit. LPA conducted an interview with R1 and S1. Copy of LIC 809 provided, exit interview conducted.the state’s words, verbatim · CDSS document, Dec 30, 2024

Allegation investigated: Staff did not allow a resident to leave their bed Staff inappropriately pushed a resident while in care Staff unlawfully evicted a resident

Licensing Program Analyst (LPA) Michael Cava conducted a complaint visit to the facility to investigate the above allegations. LPA met with the administrator, Rima Agaronyan, and advised her of the complaint. Today's investigation consisted of a physical plant inspection, interviews and record review. At approximately 09:11am to 10:11am, LPA made a physical plant inspection to insure the health and safety of the residents in care. Between 10:11am to 11:30am, interviews administrator, staff (S1) and five (5) of five residents were made. Between 11:30am to 12:00pm, a record review conducted. Staff did not allow resident to leave their bed/Staff inappropriately pushed resident while in care: In regards to the allegations, it was reported that Resident 1 (R1) was just left in bed. While attempting to get up to walk out of the facility and try and stretch to ease their back pain, facility staff demanded that R1 stay in bed, pushing them back into bed. No date and time provided to when this incident occurred. Moreover, there were no witnesses identified by the reporting party to corroborate the allegations. Unsubstantiated Interviews with both the administrator and S1 deny the allegations. R1 is never forced to stay in their room or in bed. R1 was always given the right to walk around the home during their brief stay at the facility. Administrator and S1 also confirmed that R1 would get staff supervision while walking outside of the home, as R1 cannot be left outside the home without supervision. Both administrator and staff also deny R1 ever being pushed in bed, or ever being aggressive to R1. Interviews with them reveal that it was R1, who was being aggressive towards staff on or around 04/18/24. Interviews with five (5) of the five residents at the facility also confirm that on or around 04/18/24, R1 was being aggressive towards staff, attempting to hit staff, and strike one of the caregivers (S1). Paramedics were called, and R1 was taken and admitted to the hospital for observation. Based on the information obtained, there wasn't enough evidence to prove that R1 was not allowed to leave their bed, or that staff inappropriately pushed R1. Therefore, the allegations are deemed Unsubstantiated at this time. Staff unlawfully evicted a resident: In regards to the allegation, it was reported that the licensee refused to take R1 back into facility, after R1 was cleared for discharge from the hospital. Interview with the administrator deny the allegation. Administrator stated R1 was sent to the hospital for back pain and agitation on or around 04/18/24. Administrator stated she needed to make a proper assessment of R1 first, before readmitting back to the facility, as R1 was previously aggressive towards her staff and the other residents, but she never issued an eviction. Interview made with R1's family and responsible person confirms that R1 was never evicted. R1's family indicated that they are in discussion with R1's case manager to place R1 at a more appropriate setting to address their aggressive behavior. R1's family also confirms that they decided to keep R1 at the hospital at this time and work with the case manager until they can place R1 at a more proper facility to better address their need. Based on the information obtained, there was insufficient evidence to corroborate the allegation of R1 being unlawfully evicted. Therefore, the allegations is deemed Unsubstantiated at this time.the state’s words, verbatim · CDSS document, Apr 23, 2024 · control 31-AS-20240421225937

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Michael Cava conducted an Annual Required visit and inspection of the facility. LPA met with the administrator, Rima Agaronyan, and explained the reason for the visit. At approximately 8:45am, with the assistance of the administrator, LPA Cava took a tour of the physical plant. Required postings were observed in the entry area. The smoke alarms/Carbon monoxide detectors are dual, and are battery operated. The fire extinguisher is located in the kitchen. The fire extinguisher was purchased on 09/21/23. Kitchen: The kitchen appliances and fixtures were functional. LPA found a sufficient amount of perishable and non-perishable food at the facility; properly stored. Knives and sharps were stored and maintained inaccessible to the residents in care. Cleaning supplies were stored in a locked cabinet underneath the kitchen sink. Bedrooms: There are four (4) bedrooms designated for residents' use. Two (2) bedrooms are shared and two (2) bedrooms are private. All four bedrooms were observed to be properly furnished with appropriate beddings and linens with sufficient lighting. Bathrooms: There are two (2) bathrooms. One bathroom is designated for residents' use, and the other for staff use. The bathroom that is designated for resident use was properly supplied and had functional fixtures. Hot water temperature was measured at 105 degrees Fahrenheit. LPA did not observe any cleaning supplies or hazardous objects maintained in the resident bathroom. Common Areas: These included the living room and dining area. The common areas were properly furnished. The auditory alarms on all exit doors were on and functional at the time of the visit. Surrounding Grounds: Entry/exits were free of obstruction and hazard. The front and backyards were maintained and clean. Passageways were clear of obstruction. The backyard had some furniture appropriate for outdoor use. Staff Workstation: Staff workstation is located adjacent to the kitchen. Computer and printer available for the resident's use. Garage: The garage is used for additional storage. It is also the laundry area. Entry to the garage is kept locked and inaccessible to residents. LPA observed extra medical supplies and walkers stored in the garage. There is an additional refrigerator where perishable items are maintained. LPA also observed non-perishable supply of food stored in the garage. Resident Files: Resident files are kept in a cabinet at staff working station. LPA conducted a file review of resident records to insure compliance of licensing forms. Staff Files: Staff files are kept along with resident files at staff work station. LPA also conducted a file review of staff records to insure forms and training are up to date and compliance with licensing forms. Medications: Medication and Medication Records are also maintained and locked in the cabinet where resident and staff files are maintained. They were reviewed for proper documentation. Pursuant to Title 22 Division 6 of the CA Code of Regulations, there were no deficiencies observed during the visit. Exit Interview Conducted and a Copy of this report Issued.the state’s words, verbatim · CDSS document, Feb 3, 2024