Facility Evaluation Report

Licensing program analysts (LPAs) Jewel Baptiste and Noemi Galarza conducted an unannounced case management visit to reissue deficiencies and technical violations cited on 3/8/2022. LPAs was greeted by administer Narine Hannesyan and explain the reason for the visit.

Upon arrival LPAs observed broken door bell. During todays visit LPAs toured the inside and outside of the facility.LPAs observed cleaning supplies unlocked and located in the hall closet. LPAs asked administrator about physicians orders for residents, to which she stated she is still working on it. LPAs also asked for in service training for staff, and administrator stated she trained staff but she did not keep record of the training.

LPAs observed the garage is under construction and is being converted into Additional dwelling unit (ADU). Pool with required fencing was observed. The back yard is currently off limits to residents at this time. A change of operation and facility sketch will be submitted to Licensing with the updated information.

During file review on 3/8/2022 LPA observed administrator certificate expired 3/31/2021, LPA checked CDSS online database and could not find the Administrator information (active/pending). On 3/11/22 LPA contacted admincertinfo@dss.ca.gov and they stated that they have not received anything from the administrator and the absence from the active/pending list is aligned with not having received a renewal application from the administrator for the 2021-2023 year. A technical violation was given on 3/8/22, LPAs will reissue citation with a type B violation.