Facility Evaluation Report

At 9:30 AM, Licensing Program Analyst (LPA) Huma Rahimi conducted unannounced visit to this facility in conjunction with a complaint control #31-AS-20250522152714 . LPA met staff #1 (S1) Gayane Kirakosyan who was present at the facility at the time of the visit and granted access to facility. Staff #2 (S2) Levon Torosyan arrived later at the facility and contacted the Administrator. The Administrator refused to come to the facility and informed LPA that a designee will come to the facility. LPA explained the reason for the visit to the Administrator. At 11:00 AM, the designee Hovik Odabashyan, arrived and LPA explained the reason for the visit to the designee.

During the visit, LPA was informed that S1 has been working at the facility as of 05/19/25 and occasionally comes and helps with the facility and S2 is working on a regular shift Monday through Friday from 7:00 AM through 7:00 PM as of 03/12/2025; however, both staff are not fingerprint cleared or associated to the facility. Furthermore, the assigned designee who arrived at the facility also was not associated to the facility and denied any future association to the facility. Additionally, interview with one (1) out of one (1) resident confirmed that both staff are working on daily basis at the facility since the time of their admission as of 05/18/2025. Moreover, LPA reviewed LIS and did not observe S1, S2 fingerprint cleared or associated to the facility. LPA observed that the designee is being fingerprint cleared; however, not associated with the facility. LPA also observed that the Administrator lacks qualification by not demonstrating the requirements for appropriate care and supervision of the residents in care.

During the course of investigating complaint # 31-AS-20250522152714, the facility also did not have any records for Resident #1 (R1) and Resident #2 (R2) at the facility. Per the California Code of Regulations, Title 22, Division 6, Chapter 8, deficiencies are cited and noted on LIC 809D. Exit interview conducted, appeal rights explained and copy of report signed and delivered.