Facility Evaluation Report

On 11.01.2024 in conjunction with an initial complaint visit control number 31-AS-20241031153253. Licensing Program Analyst (LPA) Leslie Ngo-Castaneda and Licensing Program Manager (LPM) Nichelle Gillyard completed an unannounced CASE MANAGEMENT- Deficiencies visit. LPA met with Licensee Naira Paroyan, explained the purpose of the visit.

During the facility tour at 10:01AM . LPA observe the following:

Storage of oxygen in the room was seen in bedroom #1 and bedroom #4 at 10:02 AM, but no oxygen sign was present in the bedrooms doors.

Window screens were broken in bedroom #1 located beside the television was observed at 10:02AM.

Medication for R4 was left on the kitchen counter in a plastic container at 10:13AM.

S3 is a new staff needs proper training before starting working at the facility.

LPM and LPA observed video footage has audio and showed bedroom #1 and 3, residents rights were violated.

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.