Facility Evaluation Report

Licensing Program Analyst (LPA) Trevor Byrne conducted an unannounced case management - deficiencies visit at the facility at 09:34 AM. LPA met with staff #1 (S1) who contacted the facility Administrator Emma Avetisyan. The Administrator stated that they are unable to come to the facility during today’s visit. The Designee Meri Tarposhyan arrived to the facility at 10:30 AM. Entrance interview was conducted and the reason for the visit was explained.

During today’s visit LPA conducted a physical plant tour, reviewed six (6) resident files, conducted a medication audit for three (3) residents, collected copies of pertinent documentation, and conducted interviews with the Designee and three (3) residents between 09:36 AM and approximately 03:00 PM.

During the physical plant tour LPA observed an unsecured knife located in an unlocked under-sink kitchen cabinet. LPA observed unsecured cleaning chemicals located in the under-sink cabinet, on top of a cabinet in the kitchen, and in the facility bathroom. LPA informed S1 who immediately secured the items. LPA informed the Administrator and Designee that the facility was recently cited for a violation of California Code of Regulations (CCR) 87309(a) on 07/09/2025. LPA informed the Administrator and Designee that because this is a repeat violation of the same licensing regulation within a twelve-month period a civil penalty in the amount of $250 is being assessed on today’s date (05/21/2026). LPA observed an unsecured medicated ointment located in a drawer of the facility’s living room. LPA notified S1 who immediately secured the medication at the time of the visit.