Pure Assisted Living

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Abeye Duguma met with Armine Dishoyan for a Required One (01) Year visit. LPA explained the reason for the visit. A tour of the physical plant was conducted at around 01:00p.m. and the following was noted: The facility has outdoor furniture with a covered shaded area for residents and visitors. The property does not have a swimming pool/body of water. The facility is fire cleared for six (6) non-ambulatory of which one (1) may be bedridden in Room #4 and a hospice waiver for five (5). The facility is currently occupying five (5) residents. The living room and dining room are neat and clean. The facility has a total of four (4) bedrooms and two (2) bathrooms. The bathroom was checked for cleanliness and proper operations. The residents' rooms are adequately furnished with appropriate lighting system. Hallways are well lit. Residents have enough personal hygiene product provided by the licensee. Towels and washcloths are not shared. There was enough clean linen available in the cabinets. 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. (continued on LIC 809-C) Knives and sharps are observed to be locked and inaccessible to residents. Laundry detergents, cleaning agents and other toxins are locked away. The facility maintains a comfortable temperature at 75°F. The smoke and carbon monoxide detectors are hardwired, interconnected and observed to be operational. Fire extinguisher is located near the kitchen and observed to be fully charged and last inspected February 18, 2026. The hot water temperature was measured at 115.3°F. 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, May 14, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Mariana Agban conducted an Annual Required visit and inspection of the facility. LPA met with Administrator Armine Dishovan and explained the reason for the visit. At approximately 09:30 am, with the assistance of staff, LPA took a tour of the physical plant. Required postings were observed in the kitchen/ entry area. The smoke alarm and carbon monoxide detectors were tested and they functions properly . The fire extinguisher is located in the kitchen. The purchase date is March 13, 2025. 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/office cabinets. Bedrooms: There were four (4) bedrooms designated for residents' use. Two(2) bedrooms are designated for private use, and two (2) room are shared. All four bedrooms, in use by residents, were properly furnished with appropriate beddings and linens with sufficient lighting. Bathrooms: There are two (2) bathrooms designated for residents' use. Both bathrooms were properly supplied and had functional fixtures. Hot water temperature was measured from the bathroom sink at 107.9 degrees Fahrenheit. No cleaning supplies or hazardous items were present in each bathroom during the inspection. (Continue on 809C) Common Areas: These included the living room and dining area. The common areas were properly furnished. The dining room table is large enough to sit the capacity of the facility. Seating such as couches where in good repair and sit the capacity of the facility. Surrounding Grounds: Entry/exits were free of obstruction. There was furniture appropriate for outdoor use. The outdoor area was free of hazards. LPA observed 2 storage sheds in the backyard. The laundry room is located in the backyard as well and it is locked and inaccessible to residents. The gate at the side of the home was checked to ensure no locks was installed, and that exit and passageway is clear for emergency evacuation. Resident Files: LPA conducted a file review of resident records to ensure compliance of licensing forms. Staff Files: LPA also conducted a file review of staff records to ensure forms and training are up to date and compliance with licensing forms. Medications: Medication and Medication Records were review for proper documentation. Temperature: Facility maintains a comfortable temperature of 73 degrees Fahrenheit 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 the Report Issued.the state’s words, verbatim · CDSS document, Aug 1, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Leizl de la Cerra conducted an annual required visit and inspection of the facility. At 10:30AM Armine Dishoyan met LPA at the entrance and LPA explained the reason for the visit. Resident and Staff Records reviews and interviews: At approximately 11:00AM to 3:00PM, six (6) out six (6) resident records were reviewed. Ten (10) staff records were reviewed to ensure compliance. Interview of two (2) staff was conducted. Interview of two (2) clients was conducted. Medications for two (2) residents were reviewed and appear to be given as prescribed. At 3:00PM LPA with the assistance of the administrator took a tour of the facility. Outside: LPA toured the outside area. LPA observed a shaded sitting area for residents. There is a locked detached storage/laundry room which is located outside. This storage room is where the two (2) washer and a dryer is located along with laundry chemicals. This room is also used for storing supplies such as toiletries, PPE supplies, incontinence supplies and wheelchairs. Additionally, there are two sheds with locks used also for storage. The facility does not have any bodies of water. Common Area: LPA observed the living room and furniture to be clean and in good repair. The fireplace located in the living room is covered and inaccessible to residents. The facility maintains a comfortable temperature at 78 degrees Fahrenheit. The air conditioner is operational. The facility smoke alarm system is hard wired and interconnected. The facility uses a dual Carbon Monoxide/Smoke alarm detectors all over the common areas of the facility. At 3:15PM they were tested and deemed operational. Facility maintains a telephone land line and it was observed to be operational. Required postings were observed in the hallway. The fire extinguisher is in the kitchen with purchase date of 11/14/2023. The facility is fire cleared for five (05) non-ambulatory residents; one (1) maybe bedridden in bedroom #4 and approve for six (6) hospice waiver. Continued to LIC809-C Kitchen: The kitchen appliances were functional. The kitchen has a working gas stove, faucet, refrigerator, and microwave. LPA found enough food for at least three (3) days perishable and seven (7) days non-perishable which are properly stored. Knives were stored in a locked drawer in the kitchen. Food preparation areas are clean. Garbage can have a tight fitting cover. Kitchen cleaning supplies were stored in a locked cabinet. Residents' dining table accommodates six (6) people. LPA observed a locked cabinet that contains all the residents' records, the staff records and the residents' medications. LPA observed the upper part of the cabinet and bottom part has locks and remained inaccessible to residents in care. Medications are centrally stored and locked in the cabinet. First-aid has all proper items and is current. Bedrooms: There are four (4) bedrooms that were properly furnished with appropriate dresser, night stand, chair, beddings, and linens with sufficient lighting. Extra linens and beddings are stored in the hallway closet. Bedroom #1 is occupied by one (1) resident. Bedroom #2 is occupied by one (1) resident. Bedroom #4 is occupied by two (2) residents which has a private bathroom. Bedroom #3 is approved and cleared for one (1) bedridden patient is occupied by two(2) residents. Bathrooms: There are two (2) bathrooms designated for residents use. The bathrooms were properly supplied and had functional fixtures. Grab bars and non-skid mats were observed. Hot water temperature was measured at 114.6 degrees. Garage: There is no garage. The facility was in compliance with Title 22 regulations. No immediate health and safety risks were observed during today’s visit. Exit interview conducted. Copy of report provided.the state’s words, verbatim · CDSS document, Jul 22, 2024