Facility Evaluation Report

On 1.6.2025 in conjunction with an initial complaint visit control number 31-AS-20241230165721. Licensing Program Analyst (LPA) Leslie Ngo-Castaneda completed an unannounced CASE MANAGEMENT- Deficiencies visit. LPA met with Licensee Anna Sargsyan, explained the purpose of the visit.

During the facility tour at 12:02 PM . LPA observe the following:

No files for employee and administrator to review.

Two (2) staff are not associated or cleared to be with the facility.

Five (5) residents does not have a file to review (Admission agreement; needs and service plan; physician report).

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

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