Facility Evaluation Report

Licensing Program Analyst(LPA) Christine Yee conducted an unannounced case management visit due to the deficiencies observed during a visit to the facility today. LPA Yee met with Sofia Ghazaryan, Administrator. The reason for today's visit was explained.

On today's visit, it was observed during file review that Resident #1, Resident #4 and Resident #5 are on hospice and the Department was not notified of the initiation of hospice services.

Per tour of the facility, the front door was observed with an operational auditory device and the back outside exiting doors located in bedroom #4 and the glass sliding door did not have any auditory devices and bedroom #3 had a auditory device that was not operational.

Resident #1, who is on hospice, does not have a care plan in place and there is no written evidence that staff have received the appropriate training for the care of the resident.

Resident #2's hospital bed is not functioning and the needs to be replaced.

Deficiencies cited under California Code of Regulations, Title 22, Division 6, Chapter 8

Exit interview was conducted, APPEALS RIGHTS discussed and a copy was given.