Our Sweet Home

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, Norma Alfeche and Manuel Soriano, and explained the reason for the visit. At approximately 10:30am, with the assistance of staff, LPA took a tour of the physical plant. Required postings were observed in the entry area. The smoke alarms are battery operated. The carbon monoxide detector, that is installed in the dining room, functions properly. The fire extinguisher is located in the kitchen. It was purchased on September 24, 2024. 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 were stored in a locked drawer in the kitchen. Cleaning supplies were all locked underneath the kitchen sink during the day of the visit. Bedrooms: There are six (6) bedrooms, of which five (5) bedrooms are designated for residents' use. Room #5 is a shared room. Rooms #1, #2, #3 and #4 are private. The sixth bedroom is reserved for staff. LPA observed resident rooms to be properly furnished with appropriate beddings and linens with sufficient closet space and lighting. Bathrooms: There are three (3) bathrooms designated for residents' use. Bathrooms were properly supplied with grab bars non-skid mats and had functional fixtures. Hot water temperature was measured between 117 and 119 degrees Fahrenheit. Common Areas: These included the living room, family room and dining area. The living room, located at the front entrance, is furnished with a couch, recliner, television and table with four additional chairs. The fireplace in the living room is non-functional. There is a screen and a glass door in place. No fireplace tools were present. The family room has three couches, a table and a television. The dining room table was large enough to seat up to six (6) residents. Floors were mopped and clean. Furniture is in good repair. Passageways and hallways were clear of obstruction. The auditory alarms on all exit doors were tested and functional at the time of the visit. Surrounding Grounds: Entry/exits were free of obstruction. There was furniture appropriate for outdoor use. There is no swimming pool or any other bodies of water. Back gate was checked to insure no improper locks are in place. Laundry Area: The laundry area is located by the living room. Detergents and cleaning supplies were kept locked in a cabinet. Garage: Facility has no garage. Only a car port. Resident Files: Resident files are kept secured in the medication cabinet, located at the kitchen. LPA conducted a file review of resident records to insure compliance of licensing forms. Staff Files: Staff files are also kept secured in the medication cabinet. LPA also conducted a file review of staff records to insure forms and training are up to date and compliance with licensing forms. Medications: The medication cabinet is located in the kitchen. It was observed locked during the visit. Medication and Medication Records were review for storage and documentation. documentation. Pursuant to Title 22 Division 6 of the CA Code of Regulations, there were no deficiencies observed during the day's visit. Exit Interview Conducted and a Copy of this Report Issued.the state’s words, verbatim · CDSS document, Sep 9, 2025

Allegation investigated: Resident sustained injuries while in care due to lack of care and supervision Facility did not report incident(s) as required. Staff did not meet resident's hygiene needs. Staff did not properly dispose of soiled incontinence products

Licensing Program Analyst (LPA) Michael Cava conducted a subsequent complaint visit to the facility to conclude the investigation regarding the above allegations. LPA met with the administrator, Tina Arutyunyan, and advised her of the complaint. LPA Cava's investigation consisted of interviews with staff and residents, a physical plant inspection, and record review. Resident sustained injuries while in care due to lack of care and supervision/Facility did not report incident(s) as required: In regards to the allegation, it was reported that Resident 1 (R1) had wandered day and night, while at the facility, and experienced falls due to lack of getting their medicaitons. R1 did not get their medicine until approximately eight days after admission. As a result of these falls, R1 sustained bruising to the arms, legs, hips and head. Moreover, R1's falls and injury was not reported to licensing and their responsible party. Interviews with the administrator and two (2) of two staff deny both allegations. Interviews with administrator Unsubstantiated and staff reveal that R1 only lived in the facility for approximately two months. Within that two months, R1 only had one confirmed fall. Staff and administrator confirmed that the fall happened sometime in July 2023. Staff 1 (S1) was present during R1's fall, which they went to assist R1 immediately after a loud sound coming from R1's room made. S1 assessed R1, and only observed small bruising. Administrator, R1's hospice agency, and family were all notified. Medical attention and first aid was applied. LPA conducted a record review, and observed that an incident report was completed and submitted July 10, 2023. Regarding R1's medications, administrator stated R1 had medication with them at admission, when they were discharged from the skilled nursing where R1 was previously residing. As soon as hospice was initiated, prescriptions refills were made and filled. Administrator assured there were no lapse in medications. LPA also conducted a review of R1's medication records and did not observe any lapse. Based on the information obtained, it could not be proven that R1's injuries were caused due to lack of care and supervision, and facility failed to report an incident as required. Therefore, allegations are deemed Unsubstantiated at this time. Staff did not meet resident's hygiene needs: In regards to the allegation, it was reported that R1 was not given proper nutrition, bathing and showers. R1 was only sprayed with deodorant in perfume. Review of R1's files does indicate assistance with bathing. Interviews with the administrator and two (2) of two staff reveal that R1's hospice nurse would come to the facility twice a week to provide R1 with bathing/shower service. In addition to the bathing and showering, staff would give R1 a bed/sponge bath in between the hospice visits. Interviews made with six (6) of six residents reveal no complaints about their hygiene needs not being met. Review of R1's hospice care plan, and interview with hospice nurse confirm that bathing was part of the care plan, and that it was made twice a week. Based on the information obtained, there wasn't enough evidence to prove that staff did not meet R1's hygiene needs. Therefore, the allegation is deemed Unsubstantiated at this time. Staff did not properly dispose of soiled incontinence products: In regards to the allegation, it was reported that facility bathrooms and outside patio are never clean. Dirty diapers aren't disposed of properly. Interviews with (2) of two staff both confirm that facility bathrooms are cleaned everyday. Staff state they insure soiled diapers are disposed of, and bathrooms are checked on often in the day to insure it is maintained and clean. Interviews made with six (6) of six residents have no complaints of the bathrooms not being maintained and clean. In conjunction with today's investigation, LPA conducted an annual visit and inspection of the physical plant. The facility has three (3) bathroom, which were observed clean during the day's visit. Based on the information obtained, there wasn't enough evidence to confirm that staff do not properly dispose of soiled incontinent products. Therefore, the allegation is deemed Unsubstantiated at this time. Administrator advised and a copy of this report given.the state’s words, verbatim · CDSS document, Aug 28, 2024 · control 31-AS-20240723091150

Type of visit: Required - 1 Year

In conjunction with a complaint investigation (complaint control #31-AS-20240723091150) Licensing Program Analyst (LPA) Michael Cava conducted an Annual Required visit and inspection of the facility. LPA met with the administrator, Tina Arutyunyan, and explained the reason for the visit. At approximately 11:06am, with the assistance of the administrator, LPA took a tour of the physical plant. Required postings were observed in the entry area. The smoke alarms are battery operated. The carbon monoxide detector, that is installed in the dining room, functions properly. The fire extinguisher is located in the kitchen. It was purchased on September 12, 2023. 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 were stored in a locked drawer in the kitchen. Properly labeled medications were locked in one of the kitchen cabinets. No cleaning supplies were observed present in the kitchen during the day's inspection. Bedrooms: There are six (6) bedrooms, of which five (5) bedrooms are designated for residents' use. Room #5 is a shared room. Rooms 1 to 4 are private. LPA observed rooms that are occupied by the residents to be properly furnished with appropriate beddings and linens and sufficient lighting. There is one room, designated for staff use. Bathrooms: There are three (3) bathrooms designated for residents' use. Bathrooms were properly supplied and had functional fixtures. Hot water temperature was measured between 111 and 115 degrees Fahrenheit. Common Areas: These included the living room, family room and dining area. The living room, located at the front entrance, is furnished with a couch and table with four additional chairs. The fireplace in the living room is non-functional. There is a screen and a glass door in place. No fireplace tools were present. The family room has three couches and a television. The dining room table was large enough to seat up to six (6) residents. Floors were mopped and clean. Passageways and hallways were clear of obstruction. The auditory alarms on all exit doors were tested and functional at the time of the visit. Surrounding Grounds: Entry/exits were free of obstruction. There was furniture appropriate for outdoor use. The outdoor area was free of hazards. Laundry Area: The laundry area is located by the living room. Detergents and cleaning supplies were kept locked. Resident Files: Resident files are kept secured in the medication cabinet, located at the kitchen. LPA conducted a file review of resident records to insure compliance of licensing forms. Staff Files: Staff files are also kept secured in the medication cabinet. LPA also conducted a file review of staff records to insure forms and training are up to date and compliance with licensing forms. Medications: The medication cabinet is located in the kitchen. It was observed locked during the visit. Medication and Medication Records were review for storage and documentation. documentation. Pursuant to Title 22 Division 6 of the CA Code of Regulations, there were no deficiencies observed during the day's visit. Exit Interview Conducted and a Copy of this Report Issued.the state’s words, verbatim · CDSS document, Aug 28, 2024

Allegation investigated: Staff did not assist resident in a timely manner Staff threatened resident in care

Licensing Program Analyst (LPA) Michael Cava conducted a complaint visit at the facility to investigate the above allegations. LPA met with staff, Norma Alfeche and Manuel Soriano and advised them of the complaint. Staff notified the administrator, Tina Arutyunyan of the complaint over the telephone, and she was advised of the allegations. Today's investigation consisted of interviews with the administrator, staff and residents. LPA also conducted a physical plant inspection of the facility to insure the health and safety of the residents in care, and a record review. Staff did not assist Resident 1 (R1) in a timely manner: In regards to the allegation, it was reported that Resident 1 (R1) slipped, fell, and remained on the floor for over thirty minutes. Interviews with the administrator and staff deny the allegation. According to the administrator, R1 only lived at the facility for approximately a month, but never expressed any complaints or concerns regarding the lack of supervision. Interviews with five (5) of five residents also do not corroborate Unsubstantiated with the allegation as residents expressed no concerns regarding lack of supervision, or ever witnessing R1's fall. LPA conducted a phone interview with R1, who no longer resides at this facility. Phone call was made to the facility where R1 currently resides at. Per R1, staff never mistreated them and staff was able to meet all their needs. No complaints or concerns regarding the care provided at this facility. R1 did confirm of a fall they experienced while at the facility, but denies ever being left on the floor for a long period of time. R1 added that staff assisted right away after the fall. Furthermore, R1 stated they didn't require an immediate medical attention after the fall. Based on the information received, there was insufficient evidence to prove staff did not assist resident in a timely manner. Therefore, the allegation is deemed Unsubstantiated at this time. Staff threatened resident in care: In regards to the allegation, it was reported that because R1 was having trouble paying facility fees, staff confronted R1 by putting their belongings in trash bags and threatened to place the trash bags out on the street. Interviews with the administrator and staff deny the allegation. The administrator did state that R1 could not afford the monthly rent at this facility, but was able to assist R1 in finding a facility more suitable for R1's needs and finances. Interviews with five (5) of five residents at the facility do not corroborate with the allegation. There were no concerns made by these residents that staff had ever threatened them or mistreated them. LPA conducted a phone interview with R1, who no longer resides at this facility. Phone call was made to the facility where R1 currently resides at. R1 denies ever being threatened or being treated inappropriately by facility staff. R1 confirmed that rent was high at this facility, but was provided assistance to locate another facility suitable to their finances. No further concerns were expressed by R1. Furthermore, LPA made a phone interview with placement agency that was able to assist in R1's placement. They confirmed that the place R1 transferred to satisfied their needs, and was more suitable to their finances. They also expressed no concerns from R1. Based on the information received, there was insufficient evidence to prove that staff threatened a resident in care. Therefore, the allegation is deemed Unsubstantiated at this time.the state’s words, verbatim · CDSS document, Feb 13, 2024 · control 31-AS-20240205145009

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

Licensing Program Analyst (LPA) Michael Cava conducted Case Management (CM) visit and inspection of the facility to insure facility compliance. On May 27, 2022, a Non Compliance Conference (NCC) was held at the Woodland Hills Regional office. As a result of that NCC, the facility was placed on a three year compliance plan. LPA met with staff, Norma Alfeche and explained the reason for the visit. LPA spoke with the administrator, Tina Arutyunyan, and advised her of the NCC visit. At approximately 9:15am, with the assistance of staff, LPA took a tour of the physical plant. Required postings were observed in the entry area. The smoke alarms are battery operated. The carbon monoxide detector, is installed in the dining room, functions properly. The fire extinguisher is located in the kitchen. It was purchased on September 12, 2023. 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 cleaning supplies were stored in a locked drawer. Properly labeled medications were locked in one of the kitchen cabinets. Bedrooms: There were six (6) bedrooms designated for residents' use. Room #5 is a shared room. Rooms 1 to 4 are private. LPAs observed rooms that are occupied by the residents to be properly furnished with appropriate beddings and linens and sufficient lighting. There is one room, designated for staff. Bathrooms: There are three (3) bathrooms designated for residents' use. Bathrooms were properly supplied and had functional fixtures. Hot water temperature was measured between 105 and 110 degrees Fahrenheit. Common Areas: These included both living rooms 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. The living room area at the front entrance has a table with four chairs, a television, sign in desk, and fireplace. The fireplace was observed with a screen and glass covering. There were no tools present. According to staff, the fireplace is never in use. LPA did not observe any keys or turn on switch to operate the fireplace, accessible to residents at the time of the visit. The second living room is located towards the back of the facility. It is observed with a couch and television. The alarm at the exit door from the back living room was tested and operational. The dining room has a dining table capable of seating up to six (6) individuals. Surrounding Grounds: Entry/exits were free of obstruction. There was furniture appropriate for outdoor use. The outdoor area was free of hazards. The laundry area is located by the second living room towards the back of the home. Detergents and cleaning supplies were kept locked. 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 compliance with licensing forms. Medications: Medications, medication records, staff and resident records are maintained locked in a kitchen cabinet. Medications and medication records were reviewed for storage and proper documentation. Pursuant to Title 22 Division 6 of the CA Code of Regulations, there were no deficiencies observed during the day's visit. Exit Interview Conducted and a Copy of the Report Issued.the state’s words, verbatim · CDSS document, Jan 9, 2024

Type of visit: Required - 1 Year

Licensing Program Analysts (LPAs) Leslie Ngo-Castaneda and Huma Rahimi and Michael Cava conducted an Annual Required visit and inspection of the facility. LPAs met with the administrator, Tina Arutyunyan, and staff Norma Alfeche and Manual Soriiano and explained the reason for the visit. At approximately 12:46pm, with the assistance of staff, LPAs took a tour of the physical plant. Required postings were observed in the entry area. The smoke alarms are battery operated. The carbon monoxide detector, that is installed in the dining room, functions properly. The fire extinguisher is located in the kitchen. It was purchased on September 12, 2023. 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 were stored in a locked drawer in the kitchen. Properly labeled medications were locked in one of the kitchen cabinets. Bedrooms: There were five (5) bedrooms designated for residents' use. Room #5 is a shared room. Rooms 1 to 4 are private. LPAs observed rooms that are occupied by the residents to be properly furnished with appropriate beddings and linens and sufficient lighting. Room #3 is currently vacant. There is one room, designated for staff use. Bathrooms: There are three (3) bathrooms designated for residents' use. Bathrooms were properly supplied and had functional fixtures. Hot water temperature was measured between 110 and 111 degrees Fahrenheit. Common Areas: These included the living room and dining area. The common areas were properly furnished. The auditory alarms on all exit doors were tested and functional at the time of the visit. Surrounding Grounds: Entry/exits were free of obstruction. There was furniture appropriate for outdoor use. The outdoor area was free of hazards. The laundry area is located by the living room. Detergents and cleaning supplies were kept locked. 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 were review for storage and documentation. documentation. Pursuant to Title 22 Division 6 of the CA Code of Regulations, deficiencies were cited (refer to LIC 809-D). Exit Interview Conducted / Appeal Rights Discussed / A Copy of the Report Issued.the state’s words, verbatim · CDSS document, Sep 28, 2023