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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197610478
Report Date: 02/19/2025
Date Signed: 02/19/2025 11:27:46 AM

Document Has Been Signed on 02/19/2025 11:27 AM - 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:RINALDI CARE HOMEFACILITY NUMBER:
197610478
ADMINISTRATOR/
DIRECTOR:		HARUTYUNYAN, VAHAGNFACILITY TYPE:
740
ADDRESS:16750 RINALDI STTELEPHONE:
(818) 322-8838
CITY:GRANADA HILLSSTATE: CAZIP CODE:
91344
CAPACITY: 6CENSUS: 3DATE:
02/19/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:45 AM
MET WITH:Vahagn HarutyunyanTIME VISIT/
INSPECTION COMPLETED:
11:35 AM
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Licensing Program Analyst (LPA) Michael Cava conducted an Annual Required visit and inspection of the facility. LPA met with the administrator, Vahagn Harutyyunyan, and explained the reason for the visit.

At approximately 9:00am, with the assistance of the administrator, LPA took a tour of the physical plant. The facility is a one story building. The fire clearance is for three (3) non ambulatory, two (2) ambulatory and one (1) bedridden. The smoke alarms and carbon monoxide are dual, hardwired and interconnected. There is one fire extinguishers located by the kitchen. It was purchased on 06/16/24.

Kitchen: The kitchen appliances and fixtures were functional. LPA found a sufficient amount of perishable and non-perishable food at the facility; properly stored. Knives were stored inaccessible in a drawer. Cleaning supplies were stored and locked and inaccessible underneath the kitchen sink.

Bedrooms: There are four (4) bedrooms designated for residents' use. Bedroom #1 is for ambulatory clients only. Bedroom #2 has the fire clearance for bedridden. All bedrooms were observed to be properly furnished with appropriate beddings and linens with sufficient lighting and closet space. .

Bathrooms: There are two (2) bathrooms designated for residents' use. Both bathrooms were properly supplied and had functional fixtures. Hot water temperature was measured at 108 degrees Fahrenheit. No cleaning supplies were observed in either bathrooms during the day of the inspection.

Common Areas: These included the living room and dining area. The living room was furnished with two couches, one table and a television. The dining room table is large enough to seat up to six (6) clients. Living room and dining room furniture where in good repair. Floors were mopped and clean. Exits and passageways were clear.
SUPERVISORS NAME: Eva Miller
LICENSING EVALUATOR NAME: Michael Cava
LICENSING EVALUATOR SIGNATURE: DATE: 02/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/19/2025
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: RINALDI CARE HOME
FACILITY NUMBER: 197610478
VISIT DATE: 02/19/2025
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Surrounding Grounds: Entry/exits to the front and back yards were free of obstruction. The outdoor area was free of hazards. Gates at both sides of the home presents no exterior lock and is clear to exit/evacuate in case of an emergency.

Laundry area: The laundry area is located at the side of the home. It was locked during the day of the visit.

Staff Workstation/Office: Staff workstation located at the corner opposite the dining room. Medications, staff and resident files stored here.

Resident Files: Resident files are kept locked in a cabinet at the staff workstation. LPA conducted a file review of resident records to insure compliance of licensing forms.

Staff Files: Staff files are also kept locked in a cabinet at the staff work station. LPA also conducted a file review of staff records to insure compliance with licensing forms.

Medications: Medications are stored in a locked in a cabinet at staff workstation. Medication and Medication Records were reviewed for proper storage and documentation.

Garage: The garage is not attached to the building. It is located at the back of the home. There is a gate and separate entrance to the garage. Currently the garage is used as storage. It was locked during the day of the visit.

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 the Report Issued.
SUPERVISORS NAME: Eva Miller
LICENSING EVALUATOR NAME: Michael Cava
LICENSING EVALUATOR SIGNATURE:

DATE: 02/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2025
LIC809 (FAS) - (06/04)
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