Facility Evaluation Report

Program Analyst (LPA) Salia Walker conducted an unannounced Case Management- POC visit to the above facility to follow up on deficiencies issued during a Case Management-Deficiencies visit on 6/22/2022. The LPA met with Administrator Asmik Nadrian at 9:31 a.m., and explained the reason for the visit. Entrance interview conducted.

On 6/22/22, LPA Walker conducted an unannounced Case Management-Deficiencies visit at the facility, due to deficiencies observed during the investigation of complaint control # 29-AS-20210923141341. Upon entry the LPA was greeted by staff, as the Administrator advised the LPA, they were not able to be present during the visit.

At 9:30 a.m., the LPA conducted a File Review for seven (7) out of seven (7) resident files. The LPA contacted the Administrator via telephone to inquire about Resident #1 (R1) and Resident #2 (R2)’s resident files. The administrator confirmed that the facility does not have any files for R1 and R2. The LPA advised the Administrator that Title 22 requirements indicate that the licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. Prior to admission a determination of the prospective resident's suitability for admission shall be completed and shall include an appraisal of their individual service needs in comparison with the admission criteria specified in Section 87455, Acceptance and Retention Limitations. Record Review also revealed that Resident #3 (R3)’s file did not have a medical assessment/ physicians report in their file. The LPA advised the Administrator that prior to a person's acceptance as a resident, the licensee shall obtain and keep on file, documentation of a medical assessment, signed by a physician, made within the last year.