Rinaldi Care 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 the administrator, Vahagn Harutyyunyan, and explained the reason for the visit. At approximately 9:20am, with the assistance of the administrator, LPA took a tour of the physical plant. The facility is a one story building. The fire clearance is for three (3) non ambulatory, two (2) ambulatory and one (1) bedridden. The smoke alarms and carbon monoxide are dual, hardwired and interconnected. There is one fire extinguishers located by the kitchen. It was purchased on 11/04/25. Kitchen: The kitchen appliances and fixtures were functional. LPA found a sufficient amount of perishable and non-perishable food properly stored. Knives were stored inaccessible in a drawer. Cleaning supplies were stored and locked and inaccessible underneath the kitchen sink. Bedrooms: There are four (4) bedrooms designated for residents' use. Bedroom #1 is for ambulatory clients only. Bedroom #2 has the fire clearance for bedridden. All bedrooms were observed to be properly furnished with appropriate beddings and linens with sufficient lighting and closet space. Bathrooms: There are two (2) bathrooms designated for residents' use. Both bathrooms were properly supplied and had functional fixtures. Hot water temperature was measured at 111 degrees Fahrenheit. No cleaning supplies were observed in either bathrooms during the day of the inspection. Common Areas: These included the living room and dining area. The living room was furnished with sufficient seating of couches, table and a television. The dining room table is large enough to seat up to six (6) clients. The fireplace is properly screened with a glass door and chained screen. No tools were present. Living room and dining room furniture where in good repair. Floors were mopped and clean. Exits and passageways were clear. Surrounding Grounds: Entry/exits to the front and back yards were free of obstruction. The outdoor area was free of hazards. Gates at both sides of the home presents no exterior lock and is clear to exit/evacuate in case of an emergency. There is no swimming pool or any other bodies of water. Laundry area: The laundry area is located at the side of the home. It was locked during the day of the visit. Staff Workstation/Office: Staff workstation located at the corner opposite the dining room. Medications, staff and resident files stored here. Resident Files: Resident files are kept locked in a cabinet at the staff workstation. LPA conducted a file review of resident records to insure compliance of licensing forms. Staff Files: Staff files are also kept locked in a cabinet at the staff work station. LPA conducted a file review of staff records to insure compliance with licensing forms. Medications: Medications are stored in a locked in a cabinet at staff workstation. Medication and Medication Records were reviewed for proper storage and documentation. Garage: The garage is not attached to the building. It is located at the back of the home. There is a gate and separate entrance to the garage. Currently the garage is used as storage. It was locked during the day of the visit. 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, Mar 14, 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 the administrator, Vahagn Harutyyunyan, and explained the reason for the visit. At approximately 9:00am, with the assistance of the administrator, LPA took a tour of the physical plant. The facility is a one story building. The fire clearance is for three (3) non ambulatory, two (2) ambulatory and one (1) bedridden. The smoke alarms and carbon monoxide are dual, hardwired and interconnected. There is one fire extinguishers located by the kitchen. It was purchased on 06/16/24. 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 inaccessible in a drawer. Cleaning supplies were stored and locked and inaccessible underneath the kitchen sink. Bedrooms: There are four (4) bedrooms designated for residents' use. Bedroom #1 is for ambulatory clients only. Bedroom #2 has the fire clearance for bedridden. All bedrooms were observed to be properly furnished with appropriate beddings and linens with sufficient lighting and closet space. . Bathrooms: There are two (2) bathrooms designated for residents' use. Both bathrooms were properly supplied and had functional fixtures. Hot water temperature was measured at 108 degrees Fahrenheit. No cleaning supplies were observed in either bathrooms during the day of the inspection. Common Areas: These included the living room and dining area. The living room was furnished with two couches, one table and a television. The dining room table is large enough to seat up to six (6) clients. Living room and dining room furniture where in good repair. Floors were mopped and clean. Exits and passageways were clear. Surrounding Grounds: Entry/exits to the front and back yards were free of obstruction. The outdoor area was free of hazards. Gates at both sides of the home presents no exterior lock and is clear to exit/evacuate in case of an emergency. Laundry area: The laundry area is located at the side of the home. It was locked during the day of the visit. Staff Workstation/Office: Staff workstation located at the corner opposite the dining room. Medications, staff and resident files stored here. Resident Files: Resident files are kept locked in a cabinet at the staff workstation. LPA conducted a file review of resident records to insure compliance of licensing forms. Staff Files: Staff files are also kept locked in a cabinet at the staff work station. LPA also conducted a file review of staff records to insure compliance with licensing forms. Medications: Medications are stored in a locked in a cabinet at staff workstation. Medication and Medication Records were reviewed for proper storage and documentation. Garage: The garage is not attached to the building. It is located at the back of the home. There is a gate and separate entrance to the garage. Currently the garage is used as storage. It was locked during the day of the visit. 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, Feb 19, 2025

Type of visit: Prelicensing

On 01/31/24, at 09:25am, Licensing Program Analyst (LPA), Gina Saucedo, conducted an announced visit to the facility for purpose of a pre-licensing evaluation. An application was submitted to CCLD on 08/09/2023, Initial license for a Residential Care Facility for the Elderly, 60 years and older. The requested capacity is for one (1) ambulatory, four (4) non-ambulatory of which may be ambulatory, and one (1) bedridden, total of up to six (6) residents. Facility is a single-story home. Today's site visit consisted of LPA touring the physical plant at 10:15 AM inside and outside and observed the following: Bedrooms Staff: There is no bedroom designated for awake staff. Bedrooms Residents: There is a total of four (4) bedrooms. BEDROOMS APPROVED FOR ONLY AMBULATORY SHALL NOT BE USED FOR NON-AMB, PER 85087. There shall be no more than two clients per bedroom. Bedrooms #1 (one) is for ambulatory occupancy, bedroom number two (2) is for bedridden occupancy, and is cleared by the Fire Safety Inspection Request. Bedroom number three (3) will be a shared bedroom and bedroom number four (4) has a private bathroom. All the bedrooms have proper bedding, chairs, night stands, lamps in addition to overhead lighting. 809C-continued Bathrooms: All bathrooms have a working toilet, wash basin, bath-tub/shower. The bathrooms have appropriate grab bars and non-skid mats. There is one bathroom that will accommodate non-ambulatory clients in a wheel chair There is a private bathroom in room number four (4). The dining/living room has enough seating for staff and residents. The furniture is in good condition. Linens & Hygiene Supplies: Adequate supply of linen stored in the cabinets next to the bedrooms. Emergency Phone Numbers, Exit Plan & Menu: The facility has a working phone number land line. Fire Extinguisher located near kitchen door mounted on wall. It is fully charged and has a date of January 05, 2024. Food Service: Dishes, cups and flat ware are stored in the kitchen cupboards, inspected and in good repair. Sharps are stored on your right side of the kitchen locked and secured. There are toxins under the sink also locked and secured. Food supply adequate stored in several cabinets and consists of the following cereal, canned goods, bottles of water. Dishwasher in kitchen properly installed and functioning. The refrigerator is in good condition and working. Smoke Detectors: There are smoke detectors/carbon monoxide through-out the house that were tested and work properly. They are hardwired and interconnected. There is a single carbon monoxide in the kitchen plugged in next to the sink. Water Temperature: The water temperature was tested for the bathrooms are they are within regulation-116.1-117.9 Fahrenheit. 809C-continued Medications, First-Aid Kit & Book Resident & Staff Files: A first aid kit has been inspected which has at least the following: thermometer, tweezers, scissors, antiseptic, bandages, gauze and current first aid manual, which are stored in the kitchen area. The resident/staff files will be kept in an office area next to the living room/dining room area. The medication will also be kept in this area secure, locked and inaccessible to the residents. Pool/Jacuzzi: There is no pool/jacuzzi in the facility. Fire clearance: Fire Clearance was approved on 01/17/2024 signed and dated. Signal system: The facility does have a signal system installed. Administration: The facility had submitted a Mitigation and Infection plan. The insurance plan, House Rules, Resident Rights, Rights of Resident by Council, Theft and Loss Policy and YES sign are at the entrance of the facility against the wall on your right side. Component III was shown to the Administrator, orientation process was completed. Structure: Overall Facility is a four (4) bedroom, two (2) bathroom, single-story house with a car attached garage in the back of the facility. The home has a gas fire place in the living room with a metal screen cover, and is inaccessible to the residents. There is a back yard where there is one (1) washer and dryer are located on your left-hand side of the facility along with toxins which is in a locked area and inaccessible to the residents. Pre-licensing: Facility is in compliance with Title 22 Regulations at this time. This report will be forwarded to the Centralized Application Bureau (CAB). You will be notified by the CAB Analyst when your license has been approved. Exit interview conducted and copy of this report issued.the state’s words, verbatim · CDSS document, Jan 31, 2024

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: Vahagn Harutyunyan, 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, Jan 9, 2024