Facility Evaluation Report

Licensing Program Analyst(LPA) Antonia Alvizar and Licensing Program Manager (LPM) met with facility Designee Sona Gevoryan for a plan of correction visit.

The purpose of the plan of correction visit is to clear deficiency issued 07-05-2023.

At 10:20 am LPA requested a copy of the liability insurance. The facility Designee was unable to locate the document, Mr. Khatchik Danielian(Administrator) was contacted.

LPM spoke with Khatchik Danielian and requested the liability insurance as the department as requested on a previous visit 07-05-2023. Mr. Danielian stated that a request for liability insurance has been made but does not have a current copy.

As a result, the plan of correction is not met. Because the department did not clear the plan of correction within 10-days of it being due a new deficiency will be issued.

In addition, it was discovered that facility designee Sona Gevoryan has not provided documentation to associate herself to the department therefore is not associated to the facility. She stated she just started today and will fax a copy into the department for association. In addition in the course of today, visit it was discovered that staff #2 is not associated to the facility. A citation and civil penalty will be issued.

Other observations: LPM requested that the security straps on the cabinets be replace as there are issues with them sticking to the cabinet door and they can be easily ripped off making chemical, medications, etc. accessible.