197609933-4-1-2026-31-AS-PKHN-DSQV3N-20260401160502

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197609933
Report Date: 04/01/2026
Date Signed: 04/01/2026 04:06:11 PM

Document Has Been Signed on 04/01/2026 04:06 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME:	BZ HOMES, INC		FACILITY NUMBER:	197609933
ADMINISTRATOR/ DIRECTOR:	AKSELRUD, ZINAIDA		FACILITY TYPE:	735
ADDRESS:	20601 BRYANT STREET		TELEPHONE:	(310) 308-4820
CITY:	WINNETKA	STATE: CA	ZIP CODE:	91306
CAPACITY: 4		CENSUS: 4	DATE:	04/01/2026
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	01:15 PM
MET WITH:	Zinaida Akselrud - Administrator		TIME VISIT/ INSPECTION COMPLETED:	04:00 PM

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On 4/1/2026 Licensing Program Analyst (LPA) Perchui Milena Khurshudyan arrived at this facility to conduct the required Annual Inspection. Upon arrival, LPA was greeted by the DSP, Administrator Zinaida Akselrud arrived shortly after. LPA explained the reason for the visit. LPA Khurshudyan reviewed the required postings posted on the entrance wall and throughout the facility. At approximately 10:05am LPA requested staff and residents’ rosters for review.

The inspection tool was used to complete the visit.

LPA conducted a tour of the physical plant at approximately 1:35 pm to ensure there are no health and safety hazards, and the facility is following Title 22 Regulations. Common areas—including the combined living and dining room, as well as the kitchen and den were evaluated for their ability to safely meet resident needs. These spaces were inspected for cleanliness, and furniture was assessed for functionality and condition. The common areas were found to be clean, sanitary, and furnished with seating sufficient to comfortably accommodate the residents and/or prospective residents.

LPA reviewed the food service areas, food storage and supply (perishable and nonperishable foods). The kitchen food supply was observed to be sufficient for the four (4) residents currently residing there. Two (2) days of perishable food observed. The freezer is stocked with meat and frozen foods. Resident medications are stored inside the kitchen cabinet. Medications observed to be locked and inaccessible to residents in care. Sharps are locked inside the kitchen drawer next to refrigerator and observed to be inaccessible to residents. Toxins are stored and locked inside kitchen cabinets under the sink. Toxins are observed to be inaccessible to residents. There is one (1) fire extinguisher attached to wall in kitchen and observed to be charged, last purchase date is 10/3/2025.

Continue on LIC809-C

NAME OF LICENSING PROGRAM MANAGER: Nichelle Gillyard
NAME OF LICENSING PROGRAM ANALYST: Perchui Khurshudyan
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 04/01/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/01/2026

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

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California Health & Human Services Agency

California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:

Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.

Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME: BZ HOMES, INC	FACILITY NUMBER: 197609933
	VISIT DATE: 04/01/2026

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Laundry room is in the garage. The appliances were observed to be new and functional. The facility has a total of four (4) bedrooms and two (2) bathrooms. All resident bedrooms were properly furnished with at least one chair, nightstand, and sufficient lighting. The bedrooms had appropriate and adequate bedding and linens such as sheets, pillowcases, and blankets. Extra linens stored in hall closet.

Each bathroom following items available: hand soap, paper towels, and trash cans. The hot water temperature was measured for the two (2) bathrooms to ensure it is within the required range for residents’ comfort and safety. The water temperature was 106 degrees Fahrenheit.

The backyard has the following: Covered patio with table and chairs. Patio furniture was observed to be in good repair with adequate seating for residents. Detached garage and Shed is used to PPES and excess resident items. The carbon monoxide detector/Smoke detectors were tested and operable at 3:30 pm. Facility grounds were free of hazards.

At approximately 2:05 pm, LPA reviewed facility files to include but not limited to five (5) staff files and four (4) resident files. Staff files had current First aid and CPR certificates, and facility trainings. Resident files included physicians’ reports, individual program plan, assessments, and medical documents.

Medications: At approximately 2:45pm, LPA reviewed Centrally Stored Medication Destruction Records for proper documentation. The facility also maintains Medical Administration Records (MAR). LPA observed centrally stored medications locked inside the kitchen cabinet and inaccessible to residents in care. Complete First-aid kit is also available and placed in the common area. No potentially dangerous items were found in the facility. The facility operates with two (2) shifts and has one to two (1-2) staff members for each shift.

LPA conducted interviews with the Administrator, two (2) caregivers/DSP and two (2) clients.

Facility plan/sketch is posted on the wall along with other posting requirements.
LPA also reviewed P&I for one client which was accurate and receipts were available for review.
LPA collected LIC500, LIC9020.
The Administrator certificate will be expiring on 5/24/2026.
The facility has no outstanding balance of licensing fees.
No Deficiency issued during today’s visit.
Exit interview conducted, a copy of this report signed and delivered.

NAME OF LICENSING PROGRAM MANAGER: Nichelle Gillyard
NAME OF LICENSING PROGRAM ANALYST: Perchui Khurshudyan
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 04/01/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/01/2026

LIC809 (FAS) - (06/04)

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