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 during complaint visits conducted by Investigator Veronica Padilla related to complaint #29-AS-20250224100345. LPA Yee was let into the home by Shazada Aknmobha, Staff. Per information provided, she was working part time to cover another staff. The Administrator, Rebeka Durgaryan was contacted and staff indicated that she was on the way to conduct the visit. At 1:36pm, LPA Yee received a telephone call from the Administrator advising that she was sick and would not be participating in today's visit. Hasmik Baklajyan was going to conduct the visit. Ms. Baklajyan arrived at 2:10pm to conduct the visit. The reason for this visit was explained.

During the investigation conducted by Veronica Padilla investigator, information was provided that Svetlana Petrosian, staff that works for the licensee at North Care Residential Inc was present at the facility after the fall of Resident #1 on 2/16/25. Per review of Department records, staff was cleared on 4/24/15 and a request for a criminal record transfer to the facility was not processed until 6/19/25.

Staff, Shazada Aknmobha, AKA as Sasha, was the only staff present at the facility upon LPA's arrival today. Per Sasha via translation app, she is working part time and is covering for Staff #2. Per review of the Department records, she does not have a criminal record clearance and is not associated to the home.

Hospice Initiation and Notifications have not been provided to the Department for residents noted on the