Oasis RCFE

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Trevor Byrne arrived at the facility unannounced to conduct the required annual visit at 10:17 AM. LPA met with facility staff who contacted the facility Administrator Varduhi Sirunyan. The Administrator arrived to the facility at 10:32 AM. Entrance interview was conducted and the reason for the visit was explained. Beginning at approximately 10:35 AM the LPA, along with the facility Administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that facility is in compliance with Title 22 Regulations. The following was observed: COMMON AREAS: This includes the living room, hallway, and dining area. LPA observed the living to be clean and properly furnished at the time of the visit. This room contained a television, adequate seating, an appropriately screened fireplace, and activities for resident use. The hallway was observed to be clean and free from any obstructions. The hallway contained storage closets which contained linens and care supplies. LPA observed the facility’s hallway fire door to be propped open with a door stop. The dining area was observed to be equipped with adequate seating for resident use. LPA observed one (1) window frame in the dining room to be in disrepair. LPA informed the Administrator who agreed to perform repairs to the identified frame. The living room and hallway contained all required postings The facility’s combination fire and carbon monoxide alarm was tested at 01:50 PM and functioned properly at the time of the visit. LPA observed the dining area to contain a wall mounted fire extinguisher which was fully charged and last serviced on 07/09/2025. LPA observed cameras located throughout the common areas of the facility. Continued on LIC 809C. OUTDOORS CONT.: LPA observed an ADU attached to the facility. LPA observed that due to the layout of the property tenants of the ADU had access to the clients in care. LPA observed that the two (2) adult individuals that resided at this ADU did not have appropriate fingerprint clearance and association to the facility. LPA informed the Administrator who stated that the tenants had finger print clearance through immigration but have no association to any operating facilities. The Administrator stated that the individuals had resided at the location for more than five (5) days. LPA informed the Administrator that any individual who has access to the clients, prior to working, residing, volunteering, or being present in a licensed facility, shall be finger print cleared and associated to the facility. LPA explained that since the tenants had resided in the ADU, had access to the clients, and were not associated to the facility a civil penalty in the amount of $1000 will be assessed on today’s date (02/12/2026). The civil penalty was calculated as $100 per individual per day for a maximum of five (5) days ($100 x 2 individuals x 5 days = $1000) LPA informed Administrator that failure to obtain finger print clearance and to associate the tenants to the facility may result in the assessment of additional civil penalties. RECORD REVIEW: Record review began at 12:04 PM. Resident records were reviewed for documents including, but not limited to: health screening, TB test, physician's report, needs and service appraisal, consent forms, and personal rights. Three (3) resident files were reviewed. All resident files contained all required documentation and signatures. LPA observed five (5) staff files. All staff files observed contained all required documentation and training. No deficiencies were observed during file review. MEDICATION REVIEW: Medication review began at 01:11 PM. Medications for three (3) of three (3) residents were observed. All medications were stored and documented appropriately on their respective Centrally Stored Medication and Destruction Sheets (CSMDRs). No deficiencies were observed during medication review. INFECTION CONTROL/EMERGENCY DISASTER PLANNING: During today’s visit, the LPA reviewed the facility's infection control practices and the facility's emergency disaster plan. The facility’s policies and procedures as they pertain to infection control are adequate. Emergency disaster drills are conducted quarterly; the facility’s last emergency disaster drill was conducted on 01/12/2026. The facility’s emergency disaster plan is up to date and is adequate. Both the infection control plan and the emergency disaster plan are reviewed/updated annually by the facility’s Administrator. Continued on LIC 809C. INTERVIEWS: LPA interviewed one (1) resident. The resident interviewed stated that staff treat them well and are attentive to their needs. The resident had no concerns with the facility. LPA interviewed one (1) staff member. The staff member interviewed was knowledgeable on their roles and responsibilities, the resident’s rights, the forms of abuse, and the appropriate reporting procedures for suspected abuse. During today’s visit LPA obtained a copy of the facility’s LIC 500, resident roster, and current liability insurance. The facility agreed to email LPA a copy of the facility's updated emergency disaster plan. Pursuant to Title 22 of the CA Code of Regulations, the following deficiencies and civil penalties were cited/assessed (refer to LIC 809-D): Exit interview conducted and copy of the report was issued and appeal rights provided. BEDROOMS: There are four (4) bedrooms in the facility; two (2) are dual occupancy resident rooms and two (2) are single occupancy resident rooms. LPA and the Administrator toured all resident bedrooms. All four (4) resident rooms observed were furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. Bedroom #4 was observed to contain a direct exit to the outdoors of the facility. LPA observed bedroom #4’s exit to be blocked by a bed at the time of the inspection. LPA informed the Administrator that the bed blocking the emergency exit and the facility hallway fire door being propped posed an immediate safety risk to clients in care and violated the facility’s fire clearance. LPA informed the Administrator that this is a zero-tolerance violation and an immediate civil penalty of $500 is being assessed on today’s date (02/12/2026) for a violation of the facility’s fire clearance. The Administrator expressed understanding and immediately moved the bed into a position that allowed easy access to the emergency exit. Additionally, the Administrator agreed to keep the hallway fire door closed until a magnetic latch connected to the facility’s fire alarm system could be installed. BATHROOMS: There are three (3) bathrooms at the facility, one (1) is a common resident bathroom, one (1) is a private resident bathroom, and one (1) is a staff bathroom. All bathrooms observed were clean and were equipped with nonskid surfaces. Grab bars were observed in all resident showers and near all resident toilets, all were properly secured. The water temperature was measured to be between 111.7 and 117.9 degrees Fahrenheit, which is in compliance with regulation. KITCHEN: The LPA observed the kitchen area to be clean. Kitchen appliances appeared to be in operable condition. The facility had a sufficient supply of two (2) days perishable and seven (7) days non-perishable food. LPA tested the water temperature in the kitchen and observed the temperature to be 114.1 degrees Fahrenheit, which is in compliance with regulation. LPA observed a washer/dryer room located adjacent to the kitchen. This room contained the facility’s washer and dryer, adequate emergency food and water supplies, and locked storage which contained cleaning chemicals and care supplies. OUTDOOR SPACE: LPA observed the facility back yard to contain an appropriately fenced off pool. The facility had adequate shaded seating outdoors for resident use. LPA observed all emergency exits to be clear from obstructions. LPA observed cameras located throughout the outdoor areas of the facility. Continued on LIC 809C.the state’s words, verbatim · CDSS document, Feb 12, 2026

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Trevor Byrne conducted a pre-licensing visit to the above noted facility. The LPA met with applicant, Varduhi Sirunyan This is a new facility application. A dementia program was included in the plan of operation. A Hospice Waiver has been requested. The facility is one story. At 09:19 AM, a physical plant tour was conducted inside and out. An approved fire clearance was received, clearing them for five (5) non-ambulatory residents; and, one (1) bedridden resident. The facility has two (2) private resident bedrooms, Rooms # 2 and 4 and two (2) shared rooms, Rooms # 1 and 3. Room number four (4) is the approved bedridden room and has a direct exit to the outside. Rooms # 1, 2, and 3 are set up with beds, nightstands, lamps, chests of drawers, chairs and closet space. The beds are furnished with box springs, comfortable mattress and clean linen; which includes, a mattress pad, top and bottom linens, pillowcases, blanket and a bedspread. Lighting in the rooms appeared adequate. Bedroom # 4 was observed to be missing all required furniture. The bedrooms were large enough to allow for easy passage between the beds and furniture with a wheelchair or walker. In addition, no bedroom was used as a passageway to another room, bath or toilet. There are no staff rooms, awake night staff is required. All rooms were free of odors. Ripped window screens were observed in the living room, bedroom #1, staff bathroom, the private bathroom attached to bedroom # 4. There is one (1) bathroom in the hallway and one private bathroom attached to bedroom #4. Bathroom number three (3) is designated as a staff bathroom. The resident bathrooms have a shower with non-skid materials. The toilet and shower have grab bars. The hot water temperature was tested in the bathrooms and the kitchen and was found to be within the range of 105*F and 120*F. Continued on LIC 809C. Resident and staff records are stored in a locked cabinet which is currently located in the kitchen. Medications are centrally stored in a locked cabinet in the kitchen. The first aid supplies were complete, including a thermometer and a current version of a first aid manual. They were stored in the infection control station at the entrance to the facility. Kitchen knives are stored in a locked drawer in the kitchen. Stove burners are rendered inaccessible to the residents by removing them when not in use. The supply of dishes, utensils, pots, pans and drinkware is adequate. The freezer was maintained at zero degrees Fahrenheit (0*F) and the refrigerator was maintained at 40*F. The supply of nonperishable food is adequate. There are no pesticides, poisons, or toxins stored in any food storage area or preparation area with utensils. Appliances in the kitchen were clean and all appeared functional. Trash cans had tight fitting lids. Kitchen, laundry and house cleaning supplies are stored in locked cabinets located in the kitchen and the laundry room. No flies or other vermin were observed. The common areas were appropriately furnished, and the lighting was adequate. There are entertainment equipment, games and activity supplies in the living room and dining area. There was sufficient space to accommodate both indoor and outdoor activities. Night lights were maintained in hallways and passageways to nonprivate bathrooms. All ramps observed were secure and non-slippery and were positioned at the level where wheelchairs and walkers may enter and exit the facility safely. The front pedestrian entrance and the sliding door in the living room were observed to be missing ramps. There is a fireplace in the living room. It is screened and there are no tools. Alarms on all exterior doors were engaged at the time of visit and functional. In addition, the physical plant is consistent with the submitted facility sketch/floor plan. The facility had emergency lighting, which included flashlights and batteries. The facility has a furnace, which is able to heat rooms that residents occupy to a minimum of 68 degrees Fahrenheit; and, they have central air conditioning and are able to cool rooms to a comfortable range, not to exceed 85 degrees Fahrenheit. The facility smoke alarm system is hard wired. The smoke detector and carbon monoxide detectors were tested and functioned properly during the time of visit. There is one (1) fire extinguisher throughout the house. It is fully charged and does not exceed the expiration date. Continued on LIC 809C. Hot water was tested in each bathroom, which included the resident bathrooms and any common bathrooms, in addition to the kitchen; and, the hot water ranged from 108 to 118.9 degrees Fahrenheit. The laundry area is located in a room adjacent to the kitchen. The supply of extra bed and bath linens is adequate. Personal hygiene items (shampoos, soaps) were adequate and are stored in a locked hallway closet. Extra incontinence supplies are stored in a hallway closet. There are two (2) functioning telephone on the premises. The emergency exiting plans/sketch are posted throughout the facility and in each resident room. The emergency telephone numbers along with other required postings are posted on the wall in the living room of the facility. The exterior passageways were clean and clear of any obstructions. There is a covered patio area at the back of the house with tables and chairs where residents can sit. The entire property is fenced. The back and sides of the house are separated from the front yard by a gate on the side of the facility. The gate to the driveway is moved automatically. There is a door w/gate with a self-latching mechanism for persons to enter the front yard. There is a separate address attached to the facility that is not associated with the facility. There is a pool located in the backyard of the facility. It is appropriately fenced and made inaccessible to residents when not in use. COMP III orientation was completed with the applicant during this pre-licensing inspection. The following items must be corrected prior to licensure. Submit proof of corrections, along with a copy of this report, to LPA Trevor Byrne so that your application may be completed. 87307 Personal Accommodations and Services (a) Living accommodations and grounds shall be related to the facility's function. The facility shall be large enough to provide comfortable living accommodations and privacy for the residents, staff, and others who may reside in the facility. The following provisions shall apply: (2) Resident bedrooms shall be provided which meet, at a minimum, the following requirements: (B) No room commonly used for other purposes shall be used as a sleeping room for any resident. This includes any hall, stairway, unfinished attic, garage storage area, shed or similar detached building Continued on LIC 809C. 87307 Personal Accommodations and Services (a) Living accommodations and grounds shall be related to the facility's function. The facility shall be large enough to provide comfortable living accommodations and privacy for the residents, staff, and others who may reside in the facility. The following provisions shall apply: (3) Equipment and supplies necessary for personal care and maintenance of adequate hygiene practice shall be readily available to each resident. The resident may provide the following items; however, if the resident is unable or chooses not to provide them, the licensee shall assure provision of: (A) A bed for each resident, except that married couples may be provided with one appropriate sized bed. Each bed shall be equipped with good springs, a clean and comfortable mattress, available pillow(s) and lightweight warm bedding. Fillings and covers for mattresses and pillows shall be flame retardant. Rubber sheeting shall be provided when necessary. 87307 Personal Accommodations and Services (a) Living accommodations and grounds shall be related to the facility's function. The facility shall be large enough to provide comfortable living accommodations and privacy for the residents, staff, and others who may reside in the facility. The following provisions shall apply: (3) Equipment and supplies necessary for personal care and maintenance of adequate hygiene practice shall be readily available to each resident. The resident may provide the following items; however, if the resident is unable or chooses not to provide them, the licensee shall assure provision of: (B) Bedroom furniture, which shall include, for each resident, a chair, night stand, a lamp, or lights sufficient for reading, and a chest of drawers. 87307 Personal Accommodations and Services (d) The following space and safety provisions shall apply to all facilities: (4) Stairways, inclines, ramps and open porches and areas of potential hazard to residents with poor balance or eyesight shall be made inaccessible to residents unless equipped with sturdy hand railings and unless well-lighted. 87303 Maintenance and Operation (c) All window screens shall be clean and maintained in good repair. Continued on LIC 809C. This report will be sent to the Centralized Application Bureau (CAB) once all corrections are received. You will be notified by the CAB Analyst when your 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.the state’s words, verbatim · CDSS document, Jan 10, 2025

Type of visit: Office

COMP II by CAB successfully completed Facility Type: RCFE Application Type: Initial Capacity: 6 Census (if any clients in care): 0 Method: Telephone call with CAB COMP II Participants: Varduhi Sirunyan, Administrator/Owner; Shannon Betker, analyst. Applicant/administrator participated in COMP II at CAB via telephone call with analyst at CAB. Identification of the applicant and administrator was verified by confirming driver’s license number. During COMP II, applicant and administrator confirmed the understanding of Title 22. Component II was successfully completed. Applicant and administrator were advised to email/fax signed LIC 809 with copy of photo ID to CAB. 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, Dec 12, 2024