Facility Evaluation Report

Licensing Program Analyst (LPA) Christine Yee conducted an unannounced case management visit due to the deficiencies noted on today's visit and met with Rebeka Durgaryan, Administrator. The reason for today's visit was explained.

LPA Yee reviewed all 6 residents files and observed that the residents files were incomplete:

Resident #1 - it is unknown if the doctor determined if resident is able to leave the facility without assistance. It is also unknown if the resident has any valuables to declare

Resident #2 - it is unknown if the resident is able to leave the facility unassisted, the Physician's report does not provide the resident's primary and secondary diagnosis

Resident #3 - it is unknown if the resident has any valuables

Resident #4 - it is unknown if the resident can leave the facility unassisted

Resident #5 - moved in on 12/28/23 and does not have a Physician's report with the results of a TB test, no medical consent forms, Resident Rights, no Preplacement Assessment, Appraisal Needs and Services, Resident Rights

Resident #6 does not have evidence of a TB test

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

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