Facility Evaluation Report

On 4.8.2025 in conjunction with an initial complaint visit control number 31-AS-20250404163531. Licensing Program Analyst (LPA) Leslie Ngo-Castaneda completed an unannounced CASE MANAGEMENT- Deficiencies visit. LPA met with staff designee Sona Gevorkyan, explained the purpose of the visit.

During the facility tour at 10:19 AM . LPA observe the following:

Facility did not notify Regional Office (RO) regarding resident #1 (R1) being in hospice.

Upon record review, LPA observed facility medications and supplies to have surplus that were from residents who are no longer at the facility.

Per the California Code of Regulations (CCR), Title 22, Division 6, Chapter 8, the following deficiency was observed and cited (Refer to LIC 809-D).

Copy of this report provided, appeal rights given. Exit interview conducted.