Facility Evaluation Report

At 9:00am, Licensing Program Analyst (LPA) Angela Panushkina conducted unannounced visit to this facility in conjunction with a complaints, control #31-AS-20250703001325. LPA met with Staff #1 (S1), Karine Hakopyan, who granted access to the facility. LPA also contacted the Administrator and the team explained the reason for the visit.

During the visit, the team was informed of the following:

S1 started working here as of 06/23/2025. LPA conducted review of Licensing Information System and did not observe S1's association to this facility. LPA informed the Administrator that all staff members must be fingerprint cleared and associated prior to employment.

Administrator informed the LPA that R1 moved to this facility on 06/01/2025. LPA was also informed that later that day, around 8:00pm, 911 was called for R1 and R1 was taken to the hospital (Emergency Room). However, no incident report was submitted to the Community Care Licensing Department (CCLD) in a timely manner. LPA reviewed all incident reports on a system and did not observe an Incident Report regarding R1. In addition, the Administrator admitted that no incident was submitted to the Regional Office (RO). Based on Title 22 Regulation: a written Unusual Incident / Injury Report shall be submitted to CCLD within seven (7) days of occurrence. LPAs informed the Administrator that all staff members are mandated reporters and they are all responsible for reporting.

LPA was unable to obtain any staff/resident records. The Administrator informed LPA that the Staff has no access to facility records/documents. Administrator can arrive to the facility after 1:00pm and provide all documents.

Per the California Code of Regulations, Title 22, Division 6, Chapter 8, deficiencies are cited and noted on LIC 809D. Exit interview conducted, appeal rights and copy of report signed and delivered.