Facility Evaluation Report

During the complaint investigation of complaint # 29-AS-20231107095933, the following deficiencies were observed:

On 01/30/2024, at approximately 9:30am, Investigator Spindola interviewed Nasmik Nadrian, facility administrator. The administrator admitted that Witness #1 (W1) was not a facility staff but was present at the facility. The administrator denied that W1 co-owned the facility. The administrator stated W1 was a long-time friend and sometimes visits the facility. It was reported by other witnesses that W1 had been present in the facility on more than one occasion to assist with paperwork. The Department determined W1 was not cleared or associated to the facility.

On 10/07/2023, Resident #2 (R2) called 911 after Resident #1 (R1) complained of strong pain to their stomach. R2 called 911 to get an ambulance to transport R1 to the hospital because R2’s English was better than the caregiver. During the initial complaint visit conducted on 11/08/2023, LPA Christine Yee documented that no interviews were conducted as staff present had no information or spoke very limited English. They also stated that they are just caregivers.

During the 11/08/2023 complaint visit file review, it was noted that Resident #1 (R1) was hospitalized on 10/07/2023 and 10/21/2023. It was also noted that Resident #6 (R6) was deceased. There were no Special Incident Reports (SIRs) or death report submitted to Community Care Licensing (CCL).

Citations issued, $500 Immediate Civil Penalty issued, exit interview, appeal rights given.