Terner Home

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Gary Tan conducted an Annual Required inspection of this facility today. LPA met with the administrator, Siranush Bagdasrian and explained the reason for the visit. A tour of the physical plant was conducted at 9:01 AM and the following was noted: There is only one entrance being utilized at the facility. Screening area is located immediately upon entrance. Sign in sheet, hand sanitizer, gloves and masks are available. The facility had submitted and approved Infection Control and Mitigation plan. The facility has a designated visitors' area at the backyard. The facility has sufficient stock of PPE in the storage room. The facility has four (4) bedrooms and three (3) bathrooms currently occupying six (6) residents. One (1) bathroom is designated for staff use. The facility is fire cleared for six (6) non-ambulatory residents, one (1) of which may be bedridden. The facility is also has an approved hospice waiver for six (6) residents. 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. Bedrooms: All four resident rooms were properly furnished with appropriate beddings and linens with sufficient lighting. Bathrooms: The bathrooms in use for residents were observed to have grab bars, non-skid mats and properly supplied with hygiene products. Hot water temperature was measured at a range of 116.8°F 117.4°F. LPA did not observe any toxins or cleaning supplies in any of the bathrooms during the day's visit. (continued on LIC 809-C) (continued from LIC 809) Common Areas: These included the living room and dining area. The common areas were properly furnished. The dining room area and table is large enough to accommodate up to six (6) residents. The auditory alarms on all exit doors were on and functional at the time of the visit. The fireplace is non-operational and there was a glass and screen door in place. There are two (2) fire extinguishers, one (1) is located in the dining area and one (1) is near the main entrance. Fire extinguishers were last inspected on 11/03/25. Dual smoke/carbon monoxide alarms are hardwired and inter connected, tested and observed to be operational. 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 in bedroom hallway and was locked at the time of the visit. Detergents and cleaning supplies are kept in a cabinet, locked and inaccessible. There is no body of water at the facility. Garage: The garage was converted to and additional dwelling unit (ADU) with an approved certificate of occupancy dated 02/25/2020 and has a separate address. Resident Files: Resident files are kept in a locked closet by the dining room. LPA conducted a file review of resident records to insure compliance of licensing forms. Staff Files: Staff files are kept in a locked closet, also by the dining room. LPA conducted a file review of staff records to insure forms and training are up to date and compliance with licensing forms. Medications: Medications are kept in a locked closet in the dining room. Medications and Medication Records were reviewed for proper storage and documentation. There are two (2) complete first aid kits located in the medication closet. Disaster drill was last conducted on 08/30/25. Required posting observed in facility (complaint hot line poster). 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, Dec 19, 2025

Allegation investigated: Staff left resident in soiled diapers. Staff did not provide transfer assistance to resident in care. Staff spoke inappropriately to resident in care.

Licensing Program Analyst (LPA) Abeye Duguma conducted an unannounced subsequent complaint visit to this facility to investigate the above allegations. LPA met with administrator, Siranush Bagdasarian, and explained the reason for the visit. ---Staff left resident in soiled diapers It was alleged that Resident #1 (R1) has been left to sit in a diaper for hours after having a bowel movement. R1 was unable to state exactly how long they were left to lay in a soiled diaper. To investigate the allegation, on 10/07/2025, LPA requested documents at around 10:30a.m., interviewed three (03) staff from 11:30a.m. to 1:30p.m. and three out of five (05) residents from 1:30p.m. to 3:00p.m. On 10/28/2025, LPA conducted a physical plant tour and interviewed three (03) additional residents. (CONT. on LIC9099-C) Unsubstantiated During the physical plant tour, LPA did not experience any malodor and observed at least two (02) staff providing care and supervision to six (06) residents. A review of Home Health documents states twice per week assistance with personal care, bathing, grooming, walking, feeding and light housekeeping. During interviews with staff, all staff stated they change residents three (03) times a day or more if needed and do not leave residents soiled for an extended time. During interviews with residents, all residents, including R1, stated staff check on frequently throughout the day and are not left soiled for an extended time. Based on interviews and observations, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. ---Staff did not provide transfer assistance to resident in care. It was alleged that in the years she has resided at the assisted living, she has only been placed in a wheelchair twice. To investigate the allegation, on 10/07/2025, LPA requested documents at around 10:30a.m., interviewed three (03) staff from 11:30a.m. to 1:30p.m. and three out of five (05) residents from 1:30p.m. to 3:00p.m. On 10/28/2025, LPA conducted a physical plant tour and interviewed three (03) additional residents. During the physical plant tour, LPA observed at least two (02) staff providing care and supervision to six (06) residents. LPA also observed resident being transferred from bed to chair. A review of Home Health documents states twice per week assistance with personal care, bathing, grooming, walking, feeding and light housekeeping. During interviews with staff, all staff stated they offer transfer assistance daily, encourage R1 to get out of bed and to the dining table. Staff added R1 often refuses and cannot force R1 against their will. During interviews with residents, R1 stated they are not left in their chair or refused transfer assistance. R1 added they have been transferred to their chair several times. Resident #2 (R2) also stated staff assist them daily with transferring in and out of bed. All other residents do not require assistance. Based on interviews, record review and observations, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. (CONT. on LIC9099-C) ---Staff spoke inappropriately to resident in care It was alleged that staff would say things like “shut up” and “Fuck you”. To investigate the allegation, on 10/07/2025, interviewed three (03) staff from 11:30a.m. to 1:30p.m. and three out of five (05) residents from 1:30p.m. to 3:00p.m. On 10/28/2025, LPA interviewed three (03) additional residents. During interviews with resident, all residents, including R1, stated staff do not say things to them like “shut up” or “fuck you” and treat them with respect and dignity. During interviews with staff, all staff stated they treat residents with respect and dignity. Staff added they do not tell residents “fuck you” of “shut up”. Based on interviews, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. No health and safety hazards noted during the visit. Exit interview conducted. A copy of the report was issued.the state’s words, verbatim · CDSS document, Oct 28, 2025 · control 31-AS-20251006125554

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Gary Tan conducted an Annual Required inspection of this facility today. LPA met with the administrator, Siranush Bagdasrian and explained the reason for the visit. A tour of the physical plant was conducted at 12:39 PM and the following was noted: There is only one entrance being utilized at the facility. Screening area is located immediately upon entrance. Sign in sheet, hand sanitizer, gloves and masks are available. The facility had submitted and approved Infection Control and Mitigation plan. Signs to wear a mask and other Covid 19 prevention protocol signs were posted inside. Hand washing, coughing etiquette, physical distancing and other necessary signs were posted in the bathroom and all over the facility. The facility has a designated visitors' area at the backyard. The facility has sufficient stock of PPE in the storage room. The facility has four (4) bedrooms and three (3) bathrooms currently occupying six (6) residents. One (1) bathroom is designated for staff use. The facility is fire cleared for six (6) non-ambulatory residents. Hospice waiver for six (6) residents. 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. Bedrooms: All four resident rooms were properly furnished with appropriate beddings and linens with sufficient lighting. (continued on LIC 809-C) (continued from LIC 809) Bathrooms: The bathrooms in use for residents were observed to have grab bars, non-skid mats and properly supplied with hygiene products. Hot water temperature was measured at a range of 116.8°F 117.4°F. LPA did not observe any toxins or cleaning supplies in any of the bathrooms during the day's visit. Common Areas: These included the living room and dining area. The common areas were properly furnished. The dining room area and table is large enough to accommodate up to six (6) residents. The auditory alarms on all exit doors were on and functional at the time of the visit. The fireplace is non-operational and there was a glass and screen door in place. There are two (2) fire extinguishers, one (1) is located in the dining area and one (1) is near the main entrance. Fire extinguishers were last bought on 10/24/24. 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 in bedroom hallway and was locked at the time of the visit. Detergents and cleaning supplies are kept in a cabinet, locked and inaccessible. Garage: The garage was converted to and additional dwelling unit (ADU) with an approved certificate of occupancy dated 02/25/2020 and has a separate address. Resident Files: Resident files are kept in a locked closet by the dining room. LPA conducted a file review of resident records to insure compliance of licensing forms. Staff Files: Staff files are kept in a locked closet, also by the dining room. LPA conducted a file review of staff records to insure forms and training are up to date and compliance with licensing forms. Medications: Medications are kept in a locked closet in the dining room. Medications and Medication Records were reviewed for proper storage and documentation. There are two (2) complete first aid kits located in the medication closet. 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, Oct 24, 2024

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, Siranush Bagdasrian 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. Required postings were observed in the entry area. The facility has two fire extinguishers. One is located in the dining room, and the other by the front entrance. Fire extinguishers were purchased on 08/15/23. Smoke detectors and Carbon Monoxide detector were tested and function properly. 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. Bedrooms: There were four (4) bedrooms designated for residents' use. Bedrooms #1 and #3 are shared. Bedrooms #2 and #4 are private. All four resident rooms were properly furnished with appropriate beddings and linens with sufficient lighting. Bathrooms: There are three (3) bathrooms. Two are designated for residents' use, and one is for staff. The bathrooms in use for residents were observed to be properly supplied and had functional fixtures. Hot water temperature was measured at 107 degrees Fahrenheit. LPA did not observe any toxins or cleaning supplies in any of the bathrooms during the day's visit. Common Areas: These included the living room and dining area. The common areas were properly furnished. The dining room area and table is large enough to accommodate up to six (6) residents. The auditory alarms on all exit doors were on and functional at the time of the visit. The floors were clean and in good repair. The fireplace is non-operational, but there was a glass and screen door in place. Tools for fireplace were not present. 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 in the hallway near the resident rooms. It was locked at the time of the visit. Detergents and cleaning supplies are kept in a cabinet, locked and inaccessible. Garage: The garage was converted to and additional dwelling unit (ADU) with an approved certificate of occupancy dated 02/25/2020 and has a separate address. Resident Files: Resident files are kept in a locked closet by the dining room. LPA conducted a file review of resident records to insure compliance of licensing forms. Staff Files: Staff files are kept in a locked closet, also by the dining room. LPA conducted a file review of staff records to insure forms and training are up to date and compliance with licensing forms. Medications: Medications are kept in a locked closet in the dining room. Medications and Medication Records were reviewed for proper storage and documentation. 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, Dec 22, 2023