Vita Living

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Quoc Huynh arrived at the facility unannounced to conduct a required Annual visit at 9:24AM. The LPA met with the Administrator Davit Nazaryan who arrived at 10:08AM and explained the reason for the visit. Entrance interview conducted. Beginning at 10:08AM, the LPA and the Administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. The following was observed: GARAGE: The LPA observed the attached garage which was converted into an office space. The garage also contained emergency water, cleaning supplies, extra facility supplies, and general storage. COMMON AREAS: At the time of the visit, living room and dining room furniture was observed to be in good condition. There was a fireplace in the living room, which was observed to be screened and inaccessible. The facility’s hallways had extra cabinet space which stored emergency food, extra supplies, and extra linens. A laundry closet was observed with locked cabinets that contained detergent and cleaning supplies. Laundry machines were observed to be operational. The facility maintained a comfortable temperature throughout the visit. Required postings were observed near the garage door and nightlights were maintained throughout the hallways. Report Continued on LIC 809-C KITCHEN: Knives were stored inaccessible in a locked drawer near the sink. Cleaning supplies were stored inaccessible and locked under the sink. Kitchen appliances were clean and in operable condition. The facility had a sufficient supply of perishable and non-perishable food. Food in the refrigerator was observed to be properly stored with labels and dates. One (1) fire extinguisher was observed in the kitchen and was purchased on 07/07/2025 and fully charged. BEDROOMS/RESTROOMS: There were four (4) total bedrooms: two (2) private and two (2) shared. Bedroom #4 had a direct exit to the outside and was approved for one bedridden resident. Bedrooms were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. There were three (3) total bathrooms in the facility: one (1) private restroom, one (1) shared resident restroom located in the hallway, and one (1) visitor restroom located in the hallway. Restrooms were clean and sanitary and in operating condition with grab bars and non-slip surfaces. All restrooms were sufficiently stocked with soap and paper products. Cabinets under the sinks were observed to be locked and contained hygiene products. Hot water was tested and measured within the required range. The LPA advised the Administrator to continue monitoring the hot water temperature as measurements fluctuated throughout the visit. OUTDOOR AREA: The outdoor area consisted of one (1) courtyard located in the middle of the property which led to the rear outdoor area. Both areas were observed to have patio furniture in good condition with shade, and a grill in the rear area. There were two (2) side gates: one (1) remained locked and contained dumpsters, and one (1) side gate is used for emergencies and had a self-latching mechanism. No bodies of water noted, and exits were free of obstructions. RECORDS: Record review began at 10:36AM. Resident records were reviewed for, but not limited to care plans, physician's report, admissions agreement, and consent forms. All records were in order. Personnel records were reviewed for, but not limited to health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. All files were in order. Report Continued on LIC 809-C INFECTION CONTROL/EMERGENCY DISASTER PLAN: During today's visit, LPA reviewed the facility's infection control plan and emergency disaster plan. Both documents were observed to be complete and reviewed annually as required. Emergency disaster drills are conducted quarterly, with the last documented drill on 09/11/2025. Smoke and carbon monoxide detectors were tested at 11:28AM and were operational at the time of the visit. MEDICATIONS: Medication review began at 11:34AM. Medications were centrally stored and kept inaccessible in the dining room cabinet. Medications were observed for one (1) resident. Medications were labeled and checked for expiration dates. Medications were properly documented on the centrally stored medications and destruction record. No errors observed during the medication review. No deficiency cited. Exit interview conducted. A copy of today's report was reviewed and provided.the state’s words, verbatim · CDSS document, Nov 25, 2025

Type of visit: Post Licensing

Licensing Program Analyst (LPA) Quoc Huynh arrived at the facility unannounced to conduct a post-licensing visit at 1:05PM. The LPA met with the Licensee Davit Nazaryan and explained the reason for the visit. Entrance interview conducted. Beginning at 1:10PM, the LPA and the Licensee toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. The following was observed: GARAGE: The LPA observed the attached garage which was converted into an office space. The garage also contained emergency water, cleaning supplies, extra facility supplies, and general storage. COMMON AREAS: At the time of the visit, living room and dining room furniture was observed to be in good condition. There was a fireplace in the living room, which was observed to be screened and inaccessible. The facility’s hallways had extra cabinet space which stored emergency food, extra supplies, and extra linens. A laundry closet was observed with locked cabinets that contained detergent and cleaning supplies. Laundry machines were observed to be operational. The facility maintained a comfortable temperature throughout the visit. Required postings were observed near the garage door. Report Continued on LIC 809-C BEDROOMS/RESTROOMS: There are four (4) total bedrooms: two (2) private and two (2) shared. Bedroom #4 had a direct exit to the outside and was approved for one (1) bedridden resident. Bedrooms were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. There were three (3) total restrooms in the facility: one (1) private restroom, one (1) shared resident restroom located in the hallway, and one (1) visitor restroom located in the hallway. Restrooms were clean and sanitary and in operating condition with grab bars and non-slip surfaces. All restrooms were sufficiently stocked with soap and paper products. Cabinets under the sinks were observed to be locked and contained hygiene products. Hot water was tested and measured at 111.4 degrees F, which is within the required range. OUTDOOR AREA: The outdoor area consisted of one (1) courtyard located in the middle of the property which led to the rear outdoor area. Both areas were observed to have patio furniture in good condition with shade, a grill in the rear area, and a locked shed in the courtyard that contained cleaning equipment. There were two (2) side gates: one (1) remained locked and contained facility storage, and one (1) side gate is used for emergencies and had a self-latching mechanism. No bodies of water noted, and exits were free of obstructions. KITCHEN: Knives were stored inaccessible in a locked drawer near the sink. Cleaning supplies were stored inaccessible and locked under the sink. Kitchen appliances were clean and in operable condition. The facility had a sufficient supply of perishable and non-perishable food. Food in the refrigerator was observed to be properly stored with labels and dates. One (1) fire extinguisher was observed in the kitchen and was recently purchased and fully charged. RECORDS: Record review began at 1:42PM. Resident records were reviewed for, but not limited to care plans, physician's report, admissions agreement, and consent forms. All records were in order. Personnel records were reviewed for, but not limited to health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. All files were in order. Report Continued on LIC 809-C INFECTION CONTROL/EMERGENCY DISASTER PLAN: During today's visit, LPA reviewed the facility's infection control plan and emergency disaster plan. Both documents were observed to be complete and reviewed annually as required. Emergency disaster drills are conducted quarterly, with the last documented drill on 06/13/2025. Smoke and carbon monoxide detectors were tested at 1:33PM and were operational at the time of the visit. MEDICATIONS: Medication review began at 3:10PM. Medications were centrally stored and kept inaccessible in the dining room cabinet. Medications were observed for one (1) resident. Medications were labeled and checked for expiration dates. Medications were properly documented on the centrally stored medications and destruction record. No errors observed during the medication review. No deficiency cited. Exit interview conducted. A copy of today's report was reviewed and provided.the state’s words, verbatim · CDSS document, Jul 7, 2025

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Erica Mosley conducted a pre-licensing visit to the above noted facility. The LPA met with applicant, Davit Nazaryan. This is a new facility. A dementia program was included in the plan of operation. A Hospice Waiver has been requested. The facility is single story house. At 9:40AM, a physical plant tour was conducted inside and out. An approved fire clearance was received, clearing them for 4 non-ambulatory residents in rooms 2,3 and 4 ;1 ambulatory resident in room 1; and 1 bedridden resident in room 4. The facility has 2 private resident bedrooms, Rooms # 1 and 2 and 2 shared room(s), Room # 3 and 4. Room 4 has direct exits to the outside. All resident rooms are set up with beds, nightstands, lamps, chests of drawers, chairs, and closet space. The beds are furnished with box springs, comfortable mattress, and clean linen, which includes, a mattress pad, top and bottom linens, pillowcases, blanket (if needed) and a bedspread. Lighting in the rooms appeared adequate. The bedrooms were large enough to allow for easy passage between the beds and furniture with a wheelchair or walker. In addition, no bedroom was used as a passageway to another room, bath or toilet. All rooms were free of odors. All window screens were clean and maintained in good repair. There are 3 bathrooms. 1 bathroom is designated as a staff bathroom. The resident bathroom(s) has a shower with non-skid materials. The toilet and shower have grab bars. Bedroom 4 has a private bathroom. The hot water temperature was tested in the bathrooms and the kitchen and was found to be within the range of 105*F and 120*F. Report continued on LIC 809C 2nd page... Continued from LIC 809 1st page... Resident and staff records are stored in filing cabinet/ tv stand which is currently located in the living room area . Medications are centrally stored in a locked cabinet in the kitchen area and also have a locked mini refrigerator for medications that require refrigeration. The first aid supplies were complete, including a thermometer and a current version of a first aid manual. They were stored in a the kitchen area where medications will be stored. Kitchen knives are stored in a locked drawer in the kitchen. Stove burners are rendered inaccessible to the residents by removing them when not in use. The supply of dishes, utensils, pots, pans and drinkware is adequate. The freezer was maintained at zero degrees Fahrenheit (0*F) and the refrigerator was maintained at 40*F. The supply of nonperishable food is adequate. There are no pesticides (poisons) or toxins stored in any food storage area or preparation area with utensils. Appliances in the kitchen were clean and all appeared functional. Trash cans had tight fitting lids. Kitchen, laundry and house cleaning supplies are stored in a locked cabinet located in the laundry area. No flies or other vermin were observed. The common areas were appropriately furnished, and the lighting was adequate. There are televisions and other entertainment equipment, games and/or activity supplies in the living room and dining area. There was sufficient space to accommodate both indoor and outdoor activities. Night lights were maintained in hallways and passageways to nonprivate bathrooms. All ramps were secure and non-slippery and were positioned at the level where wheelchairs and walkers may enter and exit the facility safely. There is a fireplace in the living room. It is screened and there are no tools. Alarms on all exterior doors were engaged at the time of visit and functional. In addition, the physical plant is consistent with the submitted facility sketch/floor plan. The facility had emergency lighting, which included flashlights. The facility has a furnace, which is able to heat rooms that residents occupy to a minimum of 68 degrees Fahrenheit; and, they have central air conditioning and are able to cool rooms to a comfortable range, not to exceed 85 degrees Fahrenheit. Report continued on LIC 809C 3rd page... Continued from LIC 809 2nd Page... The facility smoke alarm system is hard wired. The smoke detector and carbon monoxide detectors were tested and functioned properly during the time of visit. There are 2 of fire extinguishers throughout the house. They are fully charged and do not exceed the expiration date. Hot water was tested in each bathroom, which included the resident bathroom(s) and any common bathrooms, in addition to the kitchen; and, the hot water ranged from 105 to 120 degrees Fahrenheit. The laundry area is located in the hallway. The supply of extra bed and bath linens is adequate. Personal hygiene items (shampoos, soaps) were adequate and are stored in the bathroom locked and in the garage. Extra incontinence supplies are stored in garage. There is a functioning telephone on the premises. The emergency exiting plans/sketch are posted at the entry way. The emergency telephone numbers are posted in the entry way. Other required postings are posted at the entry way. The exterior passageways were clean and clear of any obstructions. There is a covered patio / court yard area at the center of the house with a table and chairs where residents can sit. The entire property is fenced. The back and sides of the house are separated from the front yard by gates at the north and south side passageways. There are no other structures on the property. There is a small portable water structure in the court yard area. The garage is accessible from the house; the doors were locked and will remain locked and inaccessible to residents in care. No citations issued on a pre-licensing visit. This report will be sent to the Centralized Application Bureau (CAB). You will be notified by the CAB Analyst when your license has been approved. You are not allowed to begin operating until you have been notified that your license has been approved by the CAB Analyst. Failure to comply could affect approval of your license.the state’s words, verbatim · CDSS document, Oct 23, 2024

Type of visit: Office

Facility Type: RCFE Application Type: Inital Capacity: 6 Census (if any clients in care): N/A COMP II Participants: licensee/administrator Davit Nazaryan Interview Method: Telephone interview On 10/8/2024, applicant/administrator participated in COMP II. Identification of the applicant and administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant and administrator confirmed that they have read and understand community care facility licensing laws included in the Health and Safety Codes and the California Code of Regulations Title 22. Signed LIC 809 with copy of photo ID have been obtained. 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, Oct 8, 2024