Your Home Assisted Living

Type of visit: Required - 1 Year

Licensing Program Analyst(LPA) Christine Yee conducted an unannounced required Annual Inspection using the complete CARE Inspection Tool. LPA Yee was let into the home by Charity Chisale, Staff. Armenuhi Avetisyan, Administrator was contacted by telephone and she arrived at 10:41am to conduct the visit. The facility is a single storey home consisting of a living room, dining room, kitchen, 3 resident bedrooms, 2 common bathrooms of which one is designated for staff use, a staff room and a attached garage. The home is fire cleared for 5 non-ambulatory and 1 bedridden. Bedroom #3 is approved for bedridden use. On today's visit, LPA Yee reviewed all 12 domains of the CARE Inspection Tool, 3 residents and 6 staff files and toured the physical plant, inside and outside and the following was observed: the living room, dining room and kitchen were furnished and equipped with the appropriate furniture for its designated use. The fireplace was observed with a fire screen. Bedroom #1, located in the front of the home is currently used as a private room and was observed with a hospital bed equipped with half bed rails and no written physician's order was observed to indicate the need for the bed rails, 2 night stands, 2 lamps, a chair and a built in closet. No dresser was provided at the request of the resident. The bed linens were provided as per the resident's personal request. Bedroom #2 located adjacent to the attached garage was observed with 2 hospital beds, The left bed was observed with a full bed rail and the empty bed was equipped with a half bed rail. No written Continued on LIC809-C Page 2. physicians order was observed to indicate the need for the full and the half bed rail. Resident #2 is not on hospice. 2 night stands, 2 lamps, a chair and a built in closet was observed. Per the Administrator no dressers were provided at the request of the family. One of the beds in the room was vacant and the other bed had linens as personally requested by the resident-no flat sheets or comforters. Bedroom #3 had 2 hospital beds 2 night stands, 2 lamps, 1 chair, no dressers were provided at the request of the residents. Both beds were equipped with a half bed rail and again there were no written physician's order indicating the need of the bed rails on file. A mattress cover, a fitted sheet and a blanket was observed. Flat sheet and comforter not observed on the beds as requested by the residents. Curtains need to be placed on the back window for privacy. The sliding glass door was equipped with an auditory device was not operational and replaced during the visit. The Licensee will rearrange the room to ensure that the beds are not blocking egress from the room in an emergency. Flat sheets, blankets, bath towels and extra fitted sheets were observed in the linen closet located in the hallway. The common bathroom, located by bedroom #2 was observed with a walk in shower, a toilet and a 2 sink vanity. Grab bars, a shower chair and a slip resistant mat was observed. The water temperature could not be tested during the visit as LPA Yee's thermometer and the facility's thermometer were not operational during the visit. The Administrator will test the water and will provide evidence that the water temperature was tested and will self-certify that the water temperature tested was within range of 105-120 degrees Fahrenheit by 7/22/27. The bathroom by the front door is equipped with a large jacuzzi tub, a walk in shower, a sink and a toilet is designated for staff use. The room located by the dining room, furnished with 2 beds is designated as an office and for staff use. The facility has 2 fire extinguishers. One is located in the living room and was purchased on 3/23/26 and the one located in the dining room was purchased on 1/7/26. The auditory device located on the outside exiting front door and the backsliding glass door were turned off were operational when tested. The auditory device located on the sliding glass door in bedroom #3 was not operational and was replaced during the visit. Continued on LIC809-C Page 3. The smoke detectors located in the resident rooms and the combination smoke/carbon monoxide detectors located in the resident hallway and the living room were tested and were operational. The facility had the required first aid manual and first aid kit containing the required tweezer, scissors, thermometer and dressings. Sufficient perishables food for a minimum of 2 days and non-perishable foods for a minimum of 7 days were observed on the premises and brought in during the visit. The required foods must be maintained on the premises at all times. The facility has current general liability insurance for the required limits. Per tour of the attached garage, a washer and dryer was observed and cleaning solutions were observed. The garage is primarily used for storage. Located in the backyard is a covered patio furnished with a table and chairs. The grass in the front and backyard needs mowing. The facility is currently having issues with their gardeners. Trash cans located in front of the facility were observed to be tightly sealed. 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, Jul 21, 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. LPA Yee was let into the home by Mirna Apkarian, Staff. Armenuhi Avetisyan, Administrator was contacted by telephone and she arrived at 11:16am to conduct the visit. The facility is a single storey home consisting of a living room, dining room, kitchen, 3 resident bedrooms, 2 common bathrooms of which one is designated for staff use, a staff room and a attached garage. The home is fire cleared for 5 non-ambulatory and 1 bedridden. Bedroom # is approved for bedridden use. On today's visit, LPA Yee reviewed all 12 domains of the CARE Inspection Tool, 4 residents files, 5 staff files and toured the physical plant, inside and outside and the following was observed: the living room, dining room and kitchen were appropriately furnished and equipped. On today's visit the refrigerator in the kitchen was turned off to troubleshoot the excess ice in the freezer and may have to be replaced. Per the Administrator, the refrigerator just started acting up yesterday, 7/27/25 and is scheduled for an inspection from a repair person this evening to determine if it needs to be replaced. The water tested in the kitchen read 118.6 degrees Fahrenheit. Sufficient perishable foods were observed in the garage refrigerator for 2 days and non-perishable foods for 7 days were observed in the hallway closet. Bedroom #1, located in the front of the home is currently used as a private room and was observed with a hospital bed, 2 night stands, 2 lamps, a chair and a built in closet. No dresser was provided at the request of the resident. The bed linens were provided as per the resident's personal request. Page 2 Bedroom #2 located adjacent to the attached garage was observed with 2 hospital beds, 2 night stands, 2 lamps, a four drawer dresser, a chair and a built in closet. One of the beds in the room was vacant and the other bed had linens as personally requested by the resident-no flat sheets or comforters. Bedroom #3 had 2 hospital beds 2 night stands, 2 lamps, 1 chair, no dressers at the request of the residents. A mattress cover, a fitted sheet and a blanket was observed. Flat sheet and comforter not observed on the beds as requested by the residents. Curtains need to be placed on the back window for privacy. The sliding glass door was equipped with an auditory device was operational. The warped screen door needs to be fixed to ensure that the door can be completely closed. The Licensee will rearrange the room to ensure that the beds are not blocking egress from the room in an emergency. Flat sheets, blankets, bath towels and extra fitted sheets were observed in the linen closet located in the hallway. The common bathroom, located by bedroom #2 was observed with a walk in shower, a toilet and a 2 sink vanity. Grab bars, a shower chair and a slip resistant mat was observed. The water temperature was tested and read 115.6 degrees Fahrenheit. The front bathroom with a large bath tub, a shower stall and toilet was locked and designated for staff use. The only fire extinguisher, purchased on 3/25/25 was mounted in the living room. Medications are stored in a locked cabinet in the kitchen. Cleaning solutions and disinfectants are stored in the garage and in a locked cabinet in the common bathroom. The first aid kit was reviewed and contained a tweezer, scissors and an external thermometer. A first aid manual was also observed. The hardwired smoke detectors located in all 3 bedrooms, one in the hallway and a combo smoke/carbon monoxide detector, also located in the hallway was tested and was operational. The facility has current general liability insurance that meets Title 22 requirements of $1 million per occurrence and $3 million total annual aggregate. a washer and dryer was observed in the locked garage. Page 3 No bodies of water were observed on the property. Located in the back is a covered patio with a table and chairs. The backyard and front yard were clean. The trash cans located in the front were observed to be tightly sealed. Deficiencies cited under California Code of Regulations, Title 22, Division 6, Chapter 8. Any deficiencies not addressed on today visit will be addressed on a return visit. Exit interview was conducted with Mirna Apkarian, Staff as the Administrator had to leave during the visit.the state’s words, verbatim · CDSS document, Jul 28, 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. LPA Yee was let into the home by Mirna Apkarian, Staff. Armenuhi Avetisyan, Administrator was contacted by telephone and she arrived at 11:31am to conduct the visit. The facility is a single storey home consisting of a living room, dining room, kitchen, 3 resident bedrooms, 2 common bathrooms of which one is designated for staff use, a staff room and a attached garage. The home is fire cleared for 5 non-ambulatory and 1 bedridden. Bedroom #1 is approved for bedridden use. On today's visit all 12 domains of the Care Inspection Tool was reviewed, 5 resident and 6 staff files were reviewed. The following were observed: the living room, dining room and kitchen were toured and contained the appropriate furnishings and equipment the fire place in the living room was made inaccessible with a square piece of dry wall and recommendation was made to include a fire screen. a fire extinguisher was observed in the dining room and one in the dining room. Both were purchased on 1/11/24. Bedroom #1 was observed with a single hospital bed with a half bed rail, a chair, a lamp, 2 night stands, a shared closet and no dresser at the request of the resident. Bedroom #2 was observed with 2 hospital beds with full bed rails, 2 night stands, 2 lamps, a shared dresser and no chairs due to use of wheelchairs. the common bathroom is equipped with a shower, toilet, 2 sink vanity and cabinets for storage. The water temperature was tested in the shower and it read 107 degrees Fahrenheit. The water temperature for the sink was tested and it read 88.2 degrees Fahrenheit. the staff bathroom located by the front door was observed with a shower stall, a large bath tub and a sink. Bedroom #3 was observed with 2 hospital beds with 1/2 bed rails, 2 night stands, 2 lamps, a shared closet, 1 chair and no dresser at the request of the resident. 2 extra dressers were observed stored in the garage. the staff bedroom/office located in the back of the facility was furnished with a desk, chair and a bed for staff use. extra bed linens were observed in the linen closet the facility has current liability insurance that meets Title 22 requirements the hardwired smoke detectors and combination smoke/carbon monoxide detectors were tested and were operational. the first aid kit was reviewed and a tweezer, scissors was observed. The facility has a separate thermometer. Also observed was a first aid manual. the back of the house has a ramp that goes down to the covered patio and it was furnished with chairs and a table for outside activities. The backyard is enclosed with a gate along the side of the facility. The common areas, bedrooms, backyard, front yard and the side of the facility looked clean and well maintained. the trash cans located in the front were observed to be in good condition and were tightly sealed. Deficiencies cited under California Code of Regulations, 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, Jul 30, 2024