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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198603421
Report Date: 04/16/2024
Date Signed: 04/16/2024 12:00:34 PM

Document Has Been Signed on 04/16/2024 12:00 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
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME:GRANT SERENITY HOMES OF SIERRA MADRE, INC.FACILITY NUMBER:
198603421
ADMINISTRATOR/
DIRECTOR:
GEVORKIAN, NVARDFACILITY TYPE:
740
ADDRESS:425 N. SIERRA MADRE BLVDTELEPHONE:
(818) 425-6797
CITY:PASADENASTATE: CAZIP CODE:
91107
CAPACITY: 6CENSUS: 6DATE:
04/16/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:45 AM
MET WITH:Lourdes Sandoval - CaregiverTIME VISIT/
INSPECTION COMPLETED:
12:15 PM
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Licensing Program Analyst(s)(LPA) Mary Flores and Christian Gutierrez conducted an unannounced annual visit at the facility using the inspection CARE tool. LPAs met with Lourdes Sandoval caregiver and explained the reason for the visit.

Facility is licensed to serve 6 non-ambulatory residents over the age of 60, of which (6) may be bedridden, and has a hospice waiver for (6). The facility is a single home in a residential area and consist of a kitchen, a living/dining room, with 6 resident rooms, 2 bathrooms, a laundry area, a detached garage, a front yard, and a back yard.

LPAs conducted a tour with Lourdes Sandoval and observed the following:
Facility is in good repair indoor and outdoor. Living/dining room has furniture and in good repair. Kitchen is clean, in good repair, and sufficient food was observed for at least 2 day of perishables and 7 days of non-perishables. Cleaning supplies and medication was observed locked in the kitchen. Each resident room (6) has sufficient lighting, furniture, and bedding supplies. Each bathroom (2) is clean, in good repair, and water temperature was tested between 109.2 -115.1 degrees F. which is within the required 105-120 degrees F. Laundry room was observed in good repair. Carbon Monoxide/Smoke detectors were observed and tested. Additional supplies are stored in the garage and shed. Garage provides a rest area for staff. Backyard and front yard are clean and provide shaded sitting area. No large bodies of water were observed.

LPAs reviewed files and medication for 5 residents, and 5 staff files. Emergency Disaster plan and Infection control plan were reviewed. Last fire drill was conducted on 1/8/24. Administrator certificate was observed for Nvard Gevorkian #605043740 exp. 12/23/24.

No deficiencies were noted during this visit.
Exit interview was conducted with Nvard Gevorkian and a copy of this report was provided.
SUPERVISORS NAME: Tony Vasallo
LICENSING EVALUATOR NAME: Mary G Flores
LICENSING EVALUATOR SIGNATURE: DATE: 04/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/16/2024
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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