Facility Evaluation Report

On 6.22.2026 Licensing Program Analyst (LPA) Leslie Ngo-Castaneda conducted an unannounced case management visit and met with staff, Tyler Grant, and was explained the reason of the visit. At 9:22 AM, Anush Badalyan, who is the licensee arrived and was explained the reason for the visit.

During the course of the investigation, it was determined that Resident #1 (R1) was found unresponsive on the floor on 6.18.2026. Interview with licensee (S1), revealed that S2 found R1 unresponsive on the floor at 9:30 AM and called staff #2 (S2) for assistance to lift R1 to the bed and was unsuccessful. S2 called S1 regarding the situation of R1. S1 then arrive to the facility 30 minutes later at 10:00 AM and then 9-1-1 was called. Record review revealed that R1 has a Do Not Resuscitate (DNR) on file. During LAFD visit on 6.18.2026 and LPA today's visit, S1 failed to provide hospice records. Deficiency will be cited in LIC 809-D.

Interview with S1 revealed that facility administrator is dismissed as of 6.22.2026 at 9:06 AM. S1 has 10-days to send all the required documents to LPA. Deficiency will be cited in LIC 421 FC for repeat violation from 5.12.2026.

LPA observed expired medication, residents name on prescription is removed, and facility keeping residents medication who are no longer reside at the facility were kept.

Exit interview conducted, citation issued, copy of this report signed and delivered.