Partners in Care of Addison Way

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Janira Arreola conducted an unannounced annual required visit. LPA was granted entry and met with Staff Edelyn Dinjotian, who was informed of the purpose of the visit. At the time of the visit there was (3) staff and (6) clients present. The facility is a one story home with (4) resident bedrooms and (2) bathrooms, and (1) half bath. No pools or firearms are housed at the facility. LPA observed (2) caregiver rooms that are not noted on the facility sketch, the licensee agree to update the sketch with the staff rooms and submit to LPA by 11/26/2025. A technical note was documented. Physical plant, floors, windows, and doors were clean. Fixtures and furniture were present and in good repair. The outdoor area and passage ways free of obstruction or hazards. LPA observed hygiene supplies for residents, PPE supplies, and clean linens. There are designated locked areas for sharps, dangerous objects, cleaning supplies, and medications. The smoke detector and carbon monoxide are operational and the fire extinguishers were charged and inspected. Staff regularly test the hot water temperature which read 109F. There are emergency supplies such as a complete first aide kit, emergency food, and water. LPA observed facility kitchen had the ability to prepare food in a clean environment and possessed equipment in good working condition. LPA observed the facility met the required 2-day supply of perishable and 7-day supply of non-perishable foods. Facility has a department approved emergency and disaster plan and infectious control plan. The facility's last documented fire drill will be sent to the LPA by the end of the business day. Required postings were found in the facility. The listed administrator, possesses a current administrator's certificate. LPA reviewed (3) staff files and training. All staff have criminal clearance and updated training along with CPR/First Aid Certification. (4) client files were reviewed, and possessed all required paperwork. LPA observed resident medications which are locked, filled, and stored in their originally received containers. The medication was accounted for on Medication Administration Records for clients. No deficiencies were cited at the time of the visit. An exit interview was conducted where this report was reviewed and provided.the state’s words, verbatim · CDSS document, Nov 21, 2025

The state marks this report as 4 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analysts (LPAs) Janira Arreola and Debbie Palacios conducted an unannounced annual required visit. LPA was granted entry by Staff, Archie Dinjotian. The Administrator and Licensee, Marjorie Hechanova was available over the phone during the visit. The staff was informed of the purpose of the visit. At the time of the visit there were (2) staff and (5) residents present. The facility is a one story home with (4) bedrooms and (3) bathrooms for clients. No pools or firearms are being kept at the facility. The residents served are elderly ages 60 and above. LPAs conducted a tour of the interior and exterior, reviewed facility documents and conducted a staff and resident interviews. LPAs observed the following: Infection Control: The LPAs observed the hand washing stations and hygiene supplies. LPAs observed PPE equipment and cleaning supplies to do regular cleaning of the facility. LPAs reviewed the facility's infection control plan which met department requirements. Physical Plant: Physical plant, floors, windows, and doors were observed to be clean. Fixtures and furniture were in good repair were present. The outdoor area was observed to be free of hazards. Laundry equipment was observed to be in good working condition. The sharp and dangerous objects were observed to be locked and inaccessible to residents. The smoke detector and carbon monoxide was operational, and the hot water temperature 112F. Food Service: LPA observed facility kitchen had the ability to prepare food in clean environment and possessed equipment in good working condition. LPA observed the facility met the required 2-day supply of perishable and 7-day supply of non-perishable foods. Care & Supervision/Administration: Adequate staff are present for the supervision of clients during the visit. LPAs also reviewed the staff scheduled showing adequate staff coverage. Facility sketch, exit routes, personal rights, complaint information and emergency phone numbers were found posted in the facility. The listed administrator had proof of submitting their renewal for administrator's certificate. Licensee, Gerry Hechanova had a current administrator's certificate. Record Review and Resident/Staff Files: LPAs reviewed (3) staff files and training. All staff have criminal clearance and updated training along with CPR/First Aid Certification. (2) client files were reviewed, and possessed all required paperwork. Health Related Services/ Incidental Medical Services: All client medication was locked in file cabinets. LPAs reviewed medications for (2) resident and found all medication listed on MARS and all required labeling was found to be in place. Disaster preparedness: LPA reviewed the facility's emergency and disaster plan. LPA reviewed documentation showing the facility's last fire drill was conducted on 10/5/2024, which met the department requirements. LPA observed all facility exits were clear from obstructions. LPA observed emergency supplies in the and first aid kit with all required items. No deficiencies were cited at the time of the visit. An exit interview was conducted where a copy of this report was provided.the state’s words, verbatim · CDSS document, Nov 14, 2024

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Jacqueline Shaw Ross conducted an announced Pre-licensing visit at Partners In Care Of Addison Way for licensure. The LPA was greeted and granted entrance into the home by Licensee, Marjorie Hechanova, and her husband Gerry Hechanova. Application: The application is for an Residential Care Facility for the Elderly. The fire clearance has been granted for six (6) non-ambulatory clients of which two (2) may be bedridden. Buildings and Grounds: The home is a four (4) bedroom, two and one half (2 1/2) bathroom one story home, composed of a laundry room, a living room, kitchen and dining area, a bonus room for storage, garage and a backyard area. The exterior pathways of the home were observed to be clutter free with no obstructions present. There are no pools or other bodies of water located at the home. Interior passageways were clear and free of obstruction. The bedrooms are completely furnished with a bed, night stand, dresser, chair, adequate lighting and privacy is available. Night lights were observed in the hallways. The facility currently has linens, towels and a sufficient amount of hygiene products for clients. According to Licensee, there are no weapons stored in the home. Rooms, furniture ,beds, mattresses are all in good repair. The dining and living room areas are clutter free and appropriately furnished. The hot water temperature was tested and measured at 115 degrees Fahrenheit, which was within regulatory limits. Outdoor areas had sufficient room for activities and leisure. A washing machine and dryer are available and in working order. Smoke and Carbon Monoxide detectors were tested and operable. The phone number designated for the facility is (818) 400-4667. The fire inspection was conducted and approved on 7/31/2023. The emergency exits are free of obstruction. Continue on LIC809C.... Storage and Supplies: Medications will be stored inaccessible to any unauthorized individuals. Secured areas are available for facility files and client files. The First Aid kit was observed to be available and complete. Cleaning supplies will be stored away in a locked closet. Linens, personal hygiene supplies, and equipment are all in good repair and sufficient for approved census. Bathrooms were observed to have grab bars, non-slip bath mats, closed-lid waste baskets, and hand-washing signage posted by the sinks. Two (2) fire extinguishers are available and fully charged. Food Service: The kitchen was observed to have dishes, silverware, pots, and pans. Utensils and dishware are sufficient for the requested capacity. The refrigerator and stove are in working order. Sharps are stored in a secured kitchen drawer, available only to authorized individuals. The refrigerator temperature measured 40 degrees. Forms: The following forms were observed to be posted at the home: Emergency Disaster Plan (LIC 610D), Personal Rights, and Facility Sketch (LIC 999), Labor Law Information as well as other signage throughout the facility. The LPA will inform the Centralized Applications Bureau (CAB) the home is ready for licensure. This report was discussed with and a copy provided to Licensee, Marjorie Hechanova.the state’s words, verbatim · CDSS document, Nov 8, 2023