Facility Evaluation Report

Licensing Program Analysts (LPAs) Sandra Urena and Trevor Byrne conducted an unannounced case management - deficiencies visit. LPAs arrived to the facility at 10:58 AM. LPAs met with the facility staff #1 (S1) who contacted the facility Administrator Lala Soghomonyan via telephone call. The Administrator arrived to the facility at 11:49 AM and the licensee representative arrived at 02:06 PM. Entrance interview was conducted and the reason for the visit was explained.

During today’s visit, the LPAs conducted a physical plant tour to ensure there are no health and safety hazards, conducted a file review for three (3) residents, one (1) staff, and conducted interviews with the Administrator, one (1) staff member, five (5) residents, and the licensee representative between 11:00 AM and 04:00 PM.

During record review LPAs observed one (1) staff file to be missing documents including but not limited to: 1st aid certification, required trainings, and documentation of fingerprint clearance/exemption.