Complaint Investigation Report

On June 2, 2021, the Department of Health Services conducted a random Quality Assurance audit visit, and it was noted that personal and incidental monies were not documented or accounted appropriately. Licensee/Administrator Tina Arutyunyan was informed of the deficiency and submitted hand-written receipts on the Plan of Correction documents. The items listed are missing resident’s initials/signatures and original receipts to support transactions. Department of health observed that the documents were prepared after the fact, as they were dated with 8/11/2021 as a plan of correction.

An initial 10-day complaint visit was conducted on 09/01/2021 by Licensing Program Analysts (LPA's) Yelena Avetisyan, Calvin Tsui and Licensing Program Manager (LPM) Eva Miller at which time interviews were held with residents and records reviewed. Also during the visit Tina Arutyunyan was asked via telephone to submit the following documents: Bank Records from past and current accounts for January 2019 to Present. 2. P&I logs for all residents who receive assistance with their finances and 3. Verification of a Valid and Current Surety Bond. The requested records were emailed to the LPA on 9/1/2021 and 9/2/2022 by Licensee/Administrator Tina Arutyunyan.

Records reviewed revealed that licensee was not documenting the residents P&I funds. When Copies of P&I logs were requested the licensee/administrator submitted handwritten receipts without resident signatures and attached receipts. The handwritten receipts submitted for Resident 1 (R1) and Resident 2 (R2) documented excess expenditures for foods and charges for foreign language cable channel which the licensee was paying for prior to R1 and R2 being admitted to the facility. Additionally, the submitted receipts documented charges for special food, grooming items, grooming services. and clothing which R1 and R2 denied receiving and representatives did not observe at the facility during the initial 10 day complaint visit.