Facility Evaluation Report

Licensing Program Analysts (LPAs) Emily Peraldi and Ashley Smith conducted an unannounced Case Management-Deficiencies inspection visit at the facility today due to deficiencies observed during the investigation of complaint control # 29-AS-20210809155552.

At 11:36 a.m., LPA Peraldi toured the facility. The LPA observed accessible chemicals in the bathroom cabinets. During a previous visit conducted on 08/17/2021, the LPA toured the facility and observed over the counter medications and disinfectants accessible in restrooms. Items were secured upon observation.

At 11:41 a.m., the LPAs interviewed Administrator ARTUR ATOYAN. Administrator stated that Resident #1 (R1) went to a skilled nursing facility a few months ago. Per record reviews, R1 was sent to the hospital and transferred to a skilled nursing facility from 06/10/2021 to 06/29/2021. The facility did not send an Incident Report for either unusual incidents.

During a previous visit conducted on 08/17/2021, staff mentioned to LPA Peraldi that Resident #2 (2) had passed away a few weeks ago. LPA Peraldi asked Administrator about the death and Administrator stated that R2 passed away on 08/08/2021. The death was never reported to the Department. LPA Peraldi requested for a copy of the death report. Administrator stated that they believed that the time frame to submit a death report was ten (10) days. LPA pointed out that the death report states to submit the written report within seven (7) days of occurrence.

At 11:31 a.m., LPA Peraldi observed a camera in Resident #3’s (R3) room. Per interviews, Administrator confirmed that the camera is there for additional oversight.

Pursuant to Title 22 of the CA Code of Regulations, the following deficiencies were cited (refer to LIC 809-D):

Exit interview conducted, today's reports and appeal rights were reviewed and issued.