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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197610700
Report Date: 03/11/2025
Date Signed: 03/12/2025 08:14:39 AM

Document Has Been Signed on 03/12/2025 08:14 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
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME:ALLURE SENIOR LIVINGFACILITY NUMBER:
197610700
ADMINISTRATOR/
DIRECTOR:
HAHAPETYAN, ELLEN A.FACILITY TYPE:
740
ADDRESS:11441 ORO VISTA AVENUETELEPHONE:
(626) 624-2590
CITY:SUNLANDSTATE: CAZIP CODE:
91040
CAPACITY: 6CENSUS: 0DATE:
03/11/2025
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:Shake Nikoghosyan, Licensee and Ellen Nahapetyan, AdministratorTIME VISIT/
INSPECTION COMPLETED:
01:15 PM
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At 10:15am Licensing Program Analyst (LPA) Leizl de la Cerra conducted a Pre-Licensing Inspection with the administrator Ellen Nahapetyan and licensee Shake Nikoghosyan. The LPA will inspect the facility to ensure compliance with the rules and regulations under California Code of Regulations, Title 22, Division 6.
Fire clearance was approved on 9/27/24 for five (5) non-ambulatory residents and one (1) bedridden resident, for a total capacity of six. The smoke alarms and carbon monoxide detector are dual and interconnected. The facility has one new fully charged fire extinguisher located in the kitchen that was purchased on 8/26/24. A complete first aid kit and a current edition of the first aid manual were observed.

LPA acompanied by both administrator and licensee, conducted a facility tour at 10:30am of both the inside and outside premises and observed the following:

KITCHEN: The facility has a kitchen area that is equipped with a stove, refrigerator and microwave oven. There was an adequate supply of perishable and nonperishable food and dining ware to accommodate a maximum capacity of six (6). Knives were observed locked in a kitchen drawer. Cleaning solutions were observed inside a locked cabinet underneath the kitchen sink.

BEDROOMS: There are six (6) bedrooms designated for resident use. The applicant furnished each resident bedrooms with the following, beds with linens, night stands, desk lamps, sofas/chairs, dressers, flashlights and call pendants. The bedrooms have sufficient lighting and closet space. Per STD 850, Bedroom #3 has the appropriate fire clearance for bedridden resident.
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Leizl De La Cerra
LICENSING EVALUATOR SIGNATURE: DATE: 03/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/11/2025
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
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME: ALLURE SENIOR LIVING
FACILITY NUMBER: 197610700
VISIT DATE: 03/11/2025
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BATHROOMS: The facility has two (2) bathrooms. One designated for staff use and the other for the residents. The bathrooms were observed to have the proper fixtures, grab bars, and non-skid mats. The hot water delivered in the bathrooms measured at 106.3°F to 108°F.

COMMON AREAS: These included the living room and dining room area. The living room has a couch, a table and television. The dining room table is large enough to seat up to six (6) residents. There is no fireplace. There were no visible immediate hazards. The facility maintains a comfortable temperature at 72°F. The living room and dining area appeared clean.

LAUNDRY: The washer and dryer is located inside a closet located in the bedroom hallway by the staff bathroom. Detergents and cleaning supplies are kept locked inside the staff bathroom.

MEDICATIONS: The medication cabinet is located in the kitchen. Medication cabinet will be kept locked and requires a magnetic key to access.

Resident/Staff Records: Resident and staff records will be kept locked file cabinet located by the kitchen.

SURROUNDING GROUNDS: The passageways and entrance to the home was clear of obstruction. All entry and exit doors have a functional auditory alert when the doors open. The backyard of the facility has a patio and backyard furniture to accommodate the six (6) residents. The facility backyard has sufficient yard space. There is no swimming pool or any other bodies of water.

In addition to the Pre-Licensing inspection, a Component III power point presentation was also held.
Pursuant to Title 22, Division 6 of the CA Code of Regulations, the facility's physical environment appears to be compliant. CAB will be advised and a copy of this report provided.
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Leizl De La Cerra
LICENSING EVALUATOR SIGNATURE:

DATE: 03/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2025
LIC809 (FAS) - (06/04)
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