Vh Care

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Quoc Huynh arrived at the facility unannounced to conduct a required annual visit at 1:17PM. The LPA met with the Administrator Vahagn Harutyunyan who arrived at 1:46PM, and explained the reason for the visit. Entrance interview conducted. Beginning at 1:50PM, the LPA and Administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards, and the facility is in compliance with Title 22 Regulations. The following was observed: COMMON AREAS: At the time of the visit, living room and dining room furniture was observed to be in good condition. The living room had a screened fireplace that was inoperable. Required postings were observed in the living room. The facility maintained a comfortable temperature throughout the visit. KITCHEN: The LPA observed knives stored inaccessible in a locked cabinet and cleaning supplies secured under the sink. Kitchen appliances were clean and in operable condition. The facility had a supply of perishable and non-perishable food, as well as emergency food. Food in the refrigerator and freezer were observed to be of good quality and properly stored. An additional locked cabinet contained resident medications and files. GARAGE: Attached to the kitchen was the garage. The garage remained inaccessible to residents and contained general storage, laundry machines, emergency water, and additional food. The food in the extra refrigerator and freezer were of good quality. Continued on LIC 809-C Laundry machines were observed to be operational. The LPA observed a curtained off area of the garage which was utilized for live-in staff and their relative. The Administrator stated it was temporary and that it was not a “staff room,” however confirmed that staff resided in the curtained area. The LPA explained that the facility was not cleared for a staff room and that they were in violation of the facility’s fire clearance. The Administrator shrugged their shoulder and reiterated it was not a staff room. BEDROOMS/RESTROOMS: There were three (3) total bedrooms. Bedroom #3 had a direct exit to the outside and approved for one (1) bedridden resident. Bedrooms were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. Extra linens were stored in Bedroom #3’s closet. The LPA also observed blinds in Bedroom #3’s sliding door were missing/broken. The Administrator stated the resident broke the blinds 1-2 days prior. There were two (2) total restrooms in the facility: one (1) private restroom and one (1) shared resident restroom located in the hallway. Restrooms were clean and sanitary and in operating condition with grab bars and non-slip surfaces. The hallway bathroom did not have a grab bar inside the shower. The Administrator stated they were approved this way and never had any issues and shrugged their shoulders. All restrooms were sufficiently stocked with soap, paper products, and displayed hand washing signs. Hot water was tested in the resident restrooms and measured between 111.2 degrees F and 112.3 degrees F. The Administrator stated all residents utilized the private restroom located in Bedroom #3 as an extra restroom if the hallway restroom was occupied. Additionally, the Administrator also stated the staff utilized the private restroom. The LPA explained to the Administrator that the private restroom can only be used by the residents who resided in Bedroom #3, and they shrugged their shoulders. The LPA observed accessible cleaning products under the sink in the private restroom. The Administrator added a lock during the visit. OUTDOOR AREA: The rear yard had a shaded area with furniture in good condition for resident use. The facility had one (1) emergency side exit gate. There was an attached Additional Dwelling Unit (ADU) in the rear yard occupied by unrelated parties. Report Continued on LIC 809-C RECORDS: Record review began at 2:17PM. Resident records were reviewed for, but not limited to care plans, physician's report, admissions agreement, and consent forms. Resident #1 (R1), Resident #2 (R2), and Resident #3 (R3) did not have updated Appraisals/Needs and Service Plans and Physician’s Reports. Documents were last updated between 6/20/2024 and 9/12/2024. R2’s Consent Forms and Personal Rights were not signed. Resident #4 (R4) was admitted 4/26/2025 and did not have a signed Admission Agreement, Appraisal/Needs and Service Plan, Consent Forms, or Personal Rights. The Administrator shrugged their shoulders and stated their families need to sign the paperwork, and he could not sign it for them. Personnel records were reviewed for, but not limited to health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. All records were in order. INFECTION CONTROL/EMERGENCY DISASTER PLAN: During today's visit, LPA reviewed the facility's infection control plan and emergency disaster plan. The emergency disaster plan was last reviewed in 2019. The Administrator stated nothing has changed and the LPA explained it needs to be reviewed and signed annually. Emergency disaster drills are conducted quarterly, with the last documented drill on 10/11/2025. Smoke and carbon monoxide detectors were tested at 2:58PM and were operational. Fire extinguishers were observed and purchased on 11/04/2025. Due to time constraints, the LPA will return at a later date to continue the annual visit. Pursuant to Title 22 CA Code of Regulations and/or Health and Safety Code, the following deficiencies were cited (Refer to LIC 809-D). An immediate civil penalty of $500 for a violation of the facility’s fire clearance was issued (Refer to LIC 412M). The Licensee understands that continued violation of the facility’s fire clearance may result in additional civil penalties. Exit interview conducted. A copy of the appeal rights and report was reviewed and provided.the state’s words, verbatim · CDSS document, Nov 18, 2025

The state marks this report as 8 pages; the online copy we transcribed has 7. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Erica Mosley arrived at the facility unannounced to conduct a required annual visit at 9:30 a.m. Upon arrival, there was one (1) staff and four (4) residents present. One (1) resident is currently at the hospital. Staff called Administrator and arrived shortly after. The LPA met with Administrator VAHAGN HARUTYUNYAN and explained the reason for the visit. The LPA toured the physical plant areas inside and outside to ensure there are no health and safety hazards and the facility is in compliance with Title 22 Regulations. KITCHEN: The LPA toured the kitchen/food service area at 9:50 a.m. The hot water was measured at 112.6 degrees Fahrenheit at 9:54 a.m. The kitchen appeared clean and the appliances and fixtures functional. Refrigerated and frozen foods were stored at proper temperature. There was a sufficient amount of two (2) day perishable and seven (7) day non-perishable food. Food labels were inspected and checked for dates and expiration dates. Food had labels clearly marked with dates. Knives and sharps were observed locked in a cabinet. Cleaning supplies were stored under the kitchen sink locked and inaccessible. There were no pesticides or poisons observed near any food areas. Page 1 (Report Continued on LIC 809C... 2nd Page) (Report Continued from LIC 809...Page 1)..... 2nd page LIVING ROOM/DINING ROOM: The LPA inspected the living room and dining room area. The common areas were observed to be properly furnished and clean at the time of the visit. Furniture was observed to be in good condition. Fireplace was observed to be adequately screened at the time of the visit. The facility maintained a comfortable temperature. At 10:33 a.m., the smoke detector(s) and carbon monoxide detectors were tested and operational. Fire extinguishers were observed fully charged and purchased on 03/18/24. The LPA observed required postings throughout the common spaces. The facility has a working telephone on premises. Auditory alarms on all doors were functional at the time of the visit. Entry/exits were free of obstruction. There is a washer and dryer on the premises. The last emergency disaster drill took place on 10/12/2024 and are conducted quarterly. Activities were observed in the common areas. GARAGE/OUTDOORS: There is a garage that is kept locked and inaccessible at all times. There was another refrigerator observed with additional food. An adequate supply of emergency food and water was observed. The LPA observed a sufficient supply of Personal Protectant Equipment (PPE). Cleaning supplies and toxins were observed in the garage inaccessible to residents in care. The backyard has a shaded area with furniture for resident use. The LPA observed one gate that self-latches with a clear passageway in case of an emergency. There were no bodies of water noted at the time of the visit. BEDROOMS: There are (3) shared resident bedrooms. The resident bedrooms were properly furnished with a bed, night stand, and sufficient lighting for each resident. The bedrooms had appropriate and adequate bedding and linens such as sheets, pillowcases, mattress pads, and blankets. BATHROOMS: There are two (2) bathrooms one (1) for resident use and one (1) for staff which remains locked but can be used in an emergency. Resident bathroom was clean and sanitary and in operating condition with grab bars and non-skid surfaces. The hot water was measured at 110.7 degrees Fahrenheit within the required range. (Report Continued on LIC 809C... 3rd page) (Report Continued from LIC 809C...2nd Page) 3rd Page RECORDS: Records review began at 10:43 a.m., five (5) resident records were reviewed for, but not limited to: appraisals, medical records, admissions agreement, consent forms. All files were in order at this time. Four (4) Personnel records and Administrator’s file were reviewed for, but not limited to: personnel records, health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. All files were in order. MEDICATIONS: Medications review for five (5) residents began at approximately 12: 45 p.m. Medications are centrally stored in a cabinet by the kitchen locked and inaccessible to residents in care. All medications including PRNs were labeled, stored, and locked inaccessible to residents. PRNs have physicians order on file. Medications are labeled and checked for expiration dates. No medication errors observed at this time. The LPA interviewed one (1) staff, and two (2) residents during the inspection. During today’s visit, the LPA obtained copies of the following: LIC 500 Personnel Report, LIC 9020 Resident Roster, and current liability insurance. No deficiencies cited at this time. Exit interview conducted. A copy of the report was provided.the state’s words, verbatim · CDSS document, Nov 1, 2024

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Emily Peraldi arrived at the facility unannounced to conduct a required annual visit. At 12:00 p.m., the LPA met with the Administrator and explained the reason for it visit. At 12:10 p.m., the LPA, along with the Administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that the facility is in compliance with Title 22 Regulations. KITCHEN: The LPA observed the kitchen/dining area. Knives are stored in a locked kitchen cabinet. Kitchen appliances are in operable condition. The facility has a sufficient supply of perishable and non-perishable food. At 12:25 p.m., hot water measured at 105.1-degree Fahrenheit. Medications and first aid kit are located in a locked kitchen cabinet. Cleaning solution items were inaccessible and locked away inside a kitchen cabinet. BEDROOMS: The facility is a single-story residential home with three (3) bedrooms and two (2) bathrooms for resident's use. The LPA observed resident bedrooms, which were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. The facility has a sufficient supply of clean towels, blankets and linens. Inside temperature was maintained at a comfortable level. RESTROOMS: Restrooms are relatively clean and sanitary and in operating condition with grab bars and non-skid materials. At 12:17 p.m., hot water measured between 105.2 and 108.1-degree Fahrenheit. The sinks had sufficient liquid soap, and paper towels. OUTDOOR SPACE: At 12:13 p.m., the LPA observed the back patio which has a covered outdoor area for resident use. There is a gate on the side of the house designated for an emergency exit. Passageways were free and clear from obstruction. There are no bodies of water on the premises. GARAGE: The garage is attached to the house and remains locked and inaccessible to residents. Cleaning solutions, toxins, chemicals and hazardous items were inaccessible and locked away in the garage. The laundry units are located inside the garage. The property is connected to a city approved ADU. The individuals living in the home do not have access to this facility. Continued on LIC-809-C. COMMON AREAS: The LPA observed common area to be relatively clean and properly furnished. The LPA observed the fire extinguisher to be fully charged and last serviced within the year. At 12:23 p.m., fire alarms/carbon monoxide detectors were tested and functioned properly. Signs are posted throughout facility to promote handwashing, and cough/sneeze etiquette. Between 12:25 p.m. and 12:32 p.m., the LPA conducted interviews with two (2) out of five (5) residents and one (1) staff. RECORD REVIEWS: Between 12:35 p.m. and 12:55 p.m., the LPA conducted a personnel file review for all staff regularly scheduled and reviewed for, but not limited to: personnel records, health assessments, criminal record clearances, first aid/CPR certificates, and staff training records. All files were in order. Fire and earthquake drills conducted within the last 6 months. Additionally, the LPA obtained copy of valid liability insurance and Facility Emergency and Disaster Plan. No deficiencies cited at this time. Exit interview conducted. A copy of the report was issued.the state’s words, verbatim · CDSS document, Nov 7, 2023