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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197611049
Report Date: 08/18/2026
Date Signed: 08/18/2026 12:30:42 PM

Document Has Been Signed on 08/18/2026 12:30 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
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME:LOVING CARE ON GRINNELLFACILITY NUMBER:
197611049
ADMINISTRATOR/
DIRECTOR:		BIDKHANIAN, ERICFACILITY TYPE:
740
ADDRESS:514 E GRINNELL DRTELEPHONE:
(818) 419-1585
CITY:BURBANKSTATE: CAZIP CODE:
91501
CAPACITY: 4CENSUS: 0DATE:
08/18/2026
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:40 AM
MET WITH:Eric Bidkhanian-AdministratorTIME VISIT/
INSPECTION COMPLETED:
12:30 PM
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Licensing Program Analyst (LPA) Nadia Shahbazian conducted a Pre-Licensing Inspection and met with Eric Bidkhanian/Administrator. An Application to operate a Residential Care Facility for the Elderly (RCFE) was received by Community Care Licensing (CCL) on March 17, 2026. A fire clearance was approved on April 8, 2026 for four (4) bedridden residents. The applicant has a hospice waiver to retain four (4) residents.

With the assistance of the administrator, a tour of the physical plant was initiated at 10:30am and the following was observed:

Facility is an one-story rental house, in a residential area. It is located behind Serenity Living on Grinnell facility #197610891, 512 E Grinnel Drive, Burbank CA 91501. The property has it's own address and has an Occupancy Permit through City of Burbank, as a detached accessory dwelling unit (ADU) in rear of property.

The house is a new construction with all brand new appliances and furnishings. The required postings were posted in the dining room, accessible to residents. The smoke alarms and carbon monoxide detectors are dual and inter-connected. At 10:29am, smoke/carbon monoxide detectors were tested and observed to be functional. There are three fire doors (the entry door, the living room exit and bedroom# 1 exit); all doors were clearly marked with exit signs atop each door. Facility has fire sprinklers throughout the entire house. There is fully charged fire extinguisher in the living area, purchased on 04/08/2026.

Continued on 809-C

Mary G Flores
Nadia Shahbazian
DATE: 08/18/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/18/2026
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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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: LOVING CARE ON GRINNELL
FACILITY NUMBER: 197611049
VISIT DATE: 08/18/2026
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KITCHEN: The kitchen, living/dining areas is a large area, located upon entry. Appliances include brand new refrigerator, stove/oven and microwave. Knives were observed locked in a kitchen drawer. There was an adequate supply of non-perishable food items and supply of dishes in kitchen cabinets. Perishable food items are not required at this time, as there are no residents. Administrator was advised that facility needs to carry perishable food items once they admit residents for care.

COMMON AREAS: The living/dining area and kitchen is a large area, located upon entry. The living area is furnished with a television set, a coffee table, couches. Dining table and chair and a cabinet including games and puzzles were observed in the dining area. Facility has cameras in common areas, including front and back of the house. A land-line telephone, internet and Wi-Fi access is available for resident's use. LPA observed three (3) complete first aid kits, a first aid manual in a locked medication cabinet, located in the living room.

BEDROOMS/BATHROOMS: There are two (2) shared bedrooms designated for client use. Both bedrooms were furnished with beds, night-stands, chairs, portable closets and supply of bedding and linens. Bedroom #1 has an exit door and a private bathroom. The other bathroom is located in between bedrooms #1 and #2. Both bathrooms were observed to have proper fixtures, grab bars, and non-skid mats. The hot water delivered in the bathrooms measured between 116.1 and 118.0 degrees Fahrenheit.

SURROUNDING GROUNDS: The passageways and entrance to the home was clear of any obstruction. All entry and exit doors have a functional auditory alerts, when the doors open. The backyard furniture included a set of table, chairs and an umbrella. A locked shed, including chemicals and supplies was observed in the back yard. There is no swimming pool or body of water. There is a long driveway leading to a detached garage. The office and laundry machines are located in the garage, and kept locked in cabinets. There is a refrigerator for staff and supplies saved in the garage, as well.

In addition to the Pre-Licensing inspection, a Component III power point presentation was held. Pursuant to Title 22, Division 6 of the CA Code of Regulations, the facility's physical environment appears to be compliant and ready for licensure.

CAB will be advised and a copy of this report was provided to the administrator.

NAME OF LICENSING PROGRAM MANAGER: Mary G Flores
NAME OF LICENSING PROGRAM ANALYST: Nadia Shahbazian
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/18/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/18/2026
LIC809 (FAS) - (06/04)
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