Facility Evaluation Report

Licensing Program Analysts (LPAs) Zabel Chochian arrived at the facility unannounced to continue the required annual visit. Upon arrival LPA met with Executive Director (ED) Lilit Chaparyan and the reason for the visit was stated.

During today's visit following records were reviewed : Resident Records began at approximately 1 p.m. and Personnel Records at approximately 2:30 p.m. Eight (8) resident files were reviewed for, but not limited to, the following: signed admission agreements, current medical assessments with TB results, LIC627(c) Consent for Treatment form, and current needs and services plan. All records were in order. Eight (8) personnel files and the current Executive Director’s file were reviewed for, but not limited to: personnel records, health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. All records were in order.

LPA and Resident Care Coordinator Catalina Cantreas reviewed a random sample of assisted living residents medication records. Medications review began at approximately 3:30 p.m. Four out four resident medications reviewed revealed that med-tech staff are not recording medications on the centrally stored medication record accurately. Medications found not recorded; medications found with inaccurate discard dates and for one resident did not have a record of medications (no centrally stored record on file).

Pursuant to Title 22 CA Code of Regulations, the following deficiency was cited (refer to LIC 809-D).

Exit interview conducted. A copy of the report and appeal rights were provided.