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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197610223
Report Date: 03/21/2025
Date Signed: 03/21/2025 01:52:46 PM

Document Has Been Signed on 03/21/2025 01:52 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
CCLD Regional Office, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME:NVM COMFORT HOMESFACILITY NUMBER:
197610223
ADMINISTRATOR/
DIRECTOR:
AGARONYAN, RIMAFACILITY TYPE:
740
ADDRESS:16473 MCKEEVER STTELEPHONE:
(818) 300-8393
CITY:GRANADA HILLSSTATE: CAZIP CODE:
91344
CAPACITY: 6CENSUS: 4DATE:
03/21/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:06 AM
MET WITH:Rima AgaronyanTIME VISIT/
INSPECTION COMPLETED:
02:00 PM
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Licensing Program Analyst (LPA) Michael Cava conducted an Annual Required visit and inspection of the facility. LPA met with staff, Satenic and Leongaro Kilajian, and advised them of the complaint. The administrator, Rima Agaronyan, was called, and joined shortly after.

At approximately 9:15am, with the assistance of the administrator, LPA Cava took a tour of the physical plant. Required postings were observed in the entry area. The smoke alarms/Carbon monoxide detectors are dual, and battery operated. The fire extinguisher is located in the kitchen. The fire extinguisher was purchased on 09/27/24.

Kitchen: The kitchen appliances and fixtures were functional. LPA found a sufficient amount of perishable and non-perishable food at the facility. Food was properly stored. Knives and sharps were stored and locked. Cleaning supplies were stored in a locked cabinet underneath the kitchen sink. Additional cleaning supples and detergents were stored and locked in the garage.

Bedrooms: There are four (4) bedrooms designated for residents' use. Two (2) bedrooms are shared and two (2) bedrooms are private. All four bedrooms were observed to be properly furnished with appropriate beddings and linens with sufficient lighting.

Bathrooms: There are two (2) bathrooms. One bathroom is designated for residents' use, and the other for staff use. The bathroom that is designated for resident use was properly supplied and had functional fixtures, grab bars and non-skid mat. Hot water temperature was measured at 111 degrees Fahrenheit.

Common Areas: These included the living room and dining area. The living room is furnished with three couches, recliner, table and television. The dining room table is large enough to seat up to six (6) residents.
SUPERVISORS NAME: Eva Miller
LICENSING EVALUATOR NAME: Michael Cava
LICENSING EVALUATOR SIGNATURE: DATE: 03/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/21/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME: NVM COMFORT HOMES
FACILITY NUMBER: 197610223
VISIT DATE: 03/21/2025
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Furniture were observed to be in good repair. Floors were mopped and clean. Facility does not have a fireplace. Exits, hallways and passageways were clear of obstruction. The auditory alarms on all exit doors were on and functional at the time of the visit.

Surrounding Grounds: The front and backyards were maintained and clean. No swimming pool or any other bodies of water. The backyard had patio furniture which is appropriate for outdoor use. There is sufficient yard space in the backyard to hold exercise and outdoor activities.

Staff Workstation: Staff workstation is located adjacent to the kitchen. There is a computer and printer available for the resident's use. There is a locked cabinet located at the corner side of the work station where medications, staff and resident files are kept. Complete first aid kit kept on top of the medication cabinet.

Garage: The garage is attached to the home. Garage is used for laundry area and storage for extra perishable and non-perishable food supply. Refrigerator in garage is maintained for the perishable food items. Entry to the garage is kept locked and inaccessible to residents.

Laundry: Laundry area is in the garage.

Resident Files: LPA conducted a file review of resident records to insure compliance of licensing forms.

Staff Files: LPA also conducted a file review of staff records to insure forms and training are up to date and compliance with licensing forms.

Medications: Medication and Medication Records are also maintained and locked in the cabinet where resident and staff files are maintained. They were reviewed for proper storage and documentation.

Pursuant to Title 22 Division 6 of the CA Code of Regulations, there were no deficiencies observed during the visit. Exit Interview Conducted and a Copy of this report Issued.
SUPERVISORS NAME: Eva Miller
LICENSING EVALUATOR NAME: Michael Cava
LICENSING EVALUATOR SIGNATURE:

DATE: 03/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2025
LIC809 (FAS) - (06/04)
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