Terner Home 2

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Christine Yee conducted an unannounced required Annual Inspection using the complete CARE Inspection Tool and was let into the home by Anush Nersesyan Staff. Staff contacted Siranush Bagdasarian, Administrator via telephone and she arrived at 11:02am to conduct the visit. Also present at the facility on today's visit was Kevin Poghosyan. The reason for today's visit was provided. The home is a single storey family home consisting of a living room, dining room, kitchen, four resident bedrooms, 2 full bathrooms, a staff lounge and a attached garage that was converted to an ADU with as separate address of 7058 Matilija Avenue and is not part of the facility operations. The facility is fire cleared for 5 non-ambulatory residents and 1 bedridden resident. Bedroom #3 is approved for bedridden use. On today's visit all 12 domains of the CARE Inspection Tool was reviewed. 5 Resident files and 6 Staff files were reviewed. A tour of the facility, inside and outside, was conducted. The following was observed on today's visit: The living room, dining room and kitchen are furnished and equipped with the appropriate furniture and equipment for its designated use. The fire place was observed with a fire screen to make it inaccessible to the residents in care. The four resident bedrooms, 2 are shared and 2 are private, are furnished with the required Title 22 furniture. Windows have the appropriate window dressings for privacy. The window screens were observed to be in good condition. continued on LIC809-C Page 2. The 2 common bathrooms are equipped with walk in showers, a toilet and a single sink vanity. Grab bars and slip resistant mats were observed in the shower and toilet. Also observed in the bathroom located in the resident hallway was a shower chair, a washer and a dryer. The water temperature tested in the resident bathroom read 112.2 degrees and the front bathroom read 109.9 degrees Fahrenheit. The required postings were observed by the front door The hardwired smoke detectors located in the resident bedrooms, resident hallway, by the front door and the single carbon monoxide detector located in the living room were tested and were operational. The first aid kit was reviewed and met Title 22 requirements. A first aid manual was observed. The facility has current general liability insurance that meets Title 22 requirements. The facility is in the process of being the payee for Resident #4 and will provide evidence of a surety bond when the process has been completed. The Administrator certificate is current. All first aid training is current The facility has 2 fire extinguishers, one located in the resident hallway by bedroom #2 and one in the living room, were serviced on 7/14/26. The auditory devices located on the four outside exiting doors - back door, front door, bedroom #3 and kitchen were tested and were operational. The backyard has a gazebo furnished with chairs and a coffee table for outside activity. Also located in the backyard is a large storage shed. The trash cans stored in the front were observed to be tightly sealed. Overall, the inside and outside areas were observed to be clean and well maintained. Deficiency cited under California Code of Regulation, Title 22, Division 6, Chapter 8. Exit interview was conducted, APPEALS RIGHTS were discussed and a copy was provided.the state’s words, verbatim · CDSS document, Aug 12, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Christine Yee conducted an unannounced required Annual Inspection using the complete CARE Inspection Tool and was let into the home by Anush Nersesyan Staff. Staff contacted Siranush Bagdasarian, Administrator via telephone and she arrived at 11:01am to conduct the visit. Also present at the facility on today's visit were Kevin Poghosyan and Karine Abrahamyan, Staff. The reason for today's visit was provided. The home is a single storey family home consisting of a living room, dining room, kitchen, four resident bedrooms, 2 full bathrooms, a staff lounge and a attached garage that was recently converted to an ADU. The facility is fire cleared for 5 non-ambulatory residents and 1 bedridden resident. Bedroom #3 is approved for bedridden use. On today's visit all 12 domains of the CARE Inspection Tool was reviewed. 6 Resident files and 5 Staff files were reviewed. A tour of the facility inside and outside was conducted. The following were observed: the living room was appropriately furnished. The fireplace was covered with a fire screen. Located in the living room was a fire extinguisher that was last tested on 8/9/25 and due for an inspection. The second fire extinguisher is located by bedroom #2 the dining room was furnished with a dining room and 4 chairs and a bench. Located in the dining room is the only carbon monoxide detector. It was tested and was operational continued on LIC809-C All four(4) bedrooms have the required Title 22 furniture and lamps. Linens per the residents preferences were observed on the beds and extra linens were observed in the closet and in the linen closet. Bedroom #2 and Bedroom #4 are furnished as private bedrooms for one resident. The kitchen was toured and has a stove, a refrigerator and a dishwasher. Also observed was a table with 4 bar stools. Sufficient perishable foods for a minimum of 2 days and non-perishable foods for a minimum of 7 days were observed. The common bathroom is equipped with a walk in shower, a toilet and a single sink. Grab bars, a shower chair and a slip resistant mat was observed. Also located inside the common bathroom are the washer and dryer. The water temperature was tested and read 116.7 degrees Fahrenheit. Stored in the locked cabinets are the laundry detergent and other cleaning solutions. The full bathroom located by the front door is equipped with a walk in shower, a toilet and a single sink. Grab bars and a slip resistant mat was observed. This bathroom is designated for staff use. The first aid kit contained the required supplies with a pair of scissors, tweezer and a separate thermometer. First aid manual was observed. The hardwired smoke detectors were tested and were operational The facility has current General Liability insurance that meets Title 22 limits. The Administrator certificate is current. All first aid training is current. Per tour of the attached garage, it was observed that the garage had been converted to an ADU without the Department's knowledge. Per Staff, the garage is not part of the facility. A copy of the city permits and Certificate of Occupancy was requested and provided towards the end of this visit. Per information provided, the address for the ADU is 7058 Matilja Avenue and has a separate entrance. Any deficiencies related to this issue and not addressed during this visit will be addressed on a return visit if needed. Per tour of the outside areas, there is a free standing covered patio that is furnished with wicker arm chairs and 2 coffee tables in the backyard. The tightly sealed trash cans were observed in the front yard. Overall the outside areas were observed to be clean and well maintained. Exit interview was conducted.the state’s words, verbatim · CDSS document, Aug 13, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Christine Yee conducted an unannounced required Annual Inspection using the complete CARE Inspection Tool and was let into the home by Eva Martirosian, Staff. Staff contacted Siranush Bagdasarian, Administrator via telephone and she arrived at 11:18am to conduct the visit. The reason for today's visit was provided. The home is a single storey family home consisting of a living room, dining room, kitchen, four resident bedrooms, 2 full bathrooms, a staff lounge and a attached garage. The facility is fire cleared for 5 non-ambulatory residents and 1 bedridden resident. Bedroom #3 is approved for bedridden use. On today's visit, all 12 domains of the CARE Inspection Tool was reviewed. Also reviewed on today's visit were 5 resident files and 5 staff files. The following were observed on today's visit: the living room, dining room and kitchen were equipped and furnished with the appropriate furnishings and equipment for its designated use. The fire place in the living room was covered with a fire screen. Bedrooms #1 and Bedroom #3 are double occupancy rooms with 2 hospital bed, 2 night stand, 2 lamp, a built in dresser in Bedroom #1, a single dresser in bedroom #3, 2 chair and a closet. Bedroom #2 and Bedroom #4 are single occupancy rooms with a hospital bed, a night stand, a chair, a lamp, a dresser and a built in closet in bedroom #2 and a portable closet in bedroom #4. the common bathroom located by the front door has a toilet, 1 sink vanity, a shower stall equipped with grab bars and a non-skid mat. Water temperature was tested at 4:13pm tested and it read 116.8 degrees Fahrenheit the common bathroom located by the resident bedrooms has a walk in shower, a single sink vanity, a toilet. Grab bars and a non-skid mat was observed. Water temperature was tested and read 117.6 degrees Fahrenheit. Located inside the bathroom is also the washing machine and dryer.j fire extinguishers last inspected on 8/9/24 were observed in the living room and by Bedroom #2. mattresses covers, fitted sheets and pillows were observed on all resident beds. Some residents were observed using a flat sheet or a blanket for covers. The beds were not fully made due to resident preference. Extra linens were observed in the linen closet located by the front door. The auditory devices on the front door, back glass door and in bedroom #3 were all operational the required posters were observed posted by the front door. the hardwired smoke detectors were tested and were operational the facility was missing a carbon monoxide detector. the first aid kit was reviewed and met Title 22 requirements. Also observed was a first aid manual. sufficient perishable foods for a minimum of 2 days and non-perishable foods for a minimum of 7 days were maintained on the premises but could be supplemented with additional proteins and vegetables. the facility has liability insurance for 1 million per occurrence and 3 million total aggregate and is currently being reviewed since the policy covers 3 separate locations under the same policy. Any deficiencies determined after review will be cited at a later date. Licensee submitted a copy of the Declaration page for Department review. The backyard has a covered patio and is furnished with rattan patio chairs. The outside areas, front and back were observed to be clean and well maintained. Deficiencies cited under California Code of Regulations, Title 22, Division 6, Chapter 8 Exit interview was conducted, APPEALS RIGHTS discussed and a copy was provided.the state’s words, verbatim · CDSS document, Aug 19, 2024