Facility Evaluation Report

Jasmine, Van Nuys08/20/2025Licence 197610002

Capacity6
Census5
Date signed08/20/2025 06:36:22 PM
Name of licensing program analystChristine Yee
Name of licensing program managerKristin Heffernan
The inspector’s account

Licensing Program Analyst(LPA) Christine Yee conducted an unannounced required Annual Inspection using the complete CARE Inspection Tool. LPA Yee met with Jasmine Sargsyan, Licensee and the reason for today's visit was provided. Arman Sargsyan, Administrator was out of town and did not participate in todays visit..

The facility is a single storey home consisting of a living room, dining room, kitchen, 3 bedrooms, 3 full bathrooms and a attached garage that was converted into a office/living quarters. The facility is fire cleared for 6 non-ambulatory residents only.

All 12 domains of the CARE Inspection Tool was reviewed on today's visit. Also reviewed on today's visit were all 5 resident files and 6 staff files.

The following was observed on today's visit:

the living room, dining room and kitchen were furnished and equipped with the appropriate furniture and equipment for its designated use and for the licensed capacity. The fire place in the front room was observed with a fire screen.

The only fire extinguisher is located in the laundry room, located next to the kitchen, was last serviced on 7/29/25.

Sufficient perishable foods for a minimum of 2 days and non-perishable foods for a minimum of 7 days were observed.

Sharp knives are stored in a locked kitchen drawer

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction