Facility Evaluation Report

Licensing Program Analysts (LPAs) Rosaura Valenzuela, Leizl De La Cera, Milena Khurshudyan and Licensing Program Manager (LPM) Naira Margaryan conducted an unannounced subsequent Case Management visit in conjunction with complaint control number 31-AS-202403109588. The purpose of this Case Management visit is to issue citations for the deficiencies that were observed during the course of the complaint investigation that is not directly related to the complaint. LPAs and LPM met with the Licensee Emma Topadzuikyan and explained the reason for the visit.

During the investigation, LPAs observed the following:

1) R1 has dementia and the last time that they were medically assessed was in 2019.

2) Hospice records are incomplete for R1 and for Resident #2 (R2)

4) Incident reports for both R1 and R2 were not submitted to the Licensing Department

5) Hospice information was incomplete for both R1 and R2

Pursuant to the California Code of Regulations, Title 22, the following deficiencies were observed and

Exit interview conducted and a copy of the report and citations were issued.