Facility Evaluation Report

Licensing Program Analyst (LPA) Brian Balisi conducted an unannounced case management visit - other to ensure the health and safety of the residents in care. Upon arrival at approx 09:30 a.m., LPA met with staff and explained the reason for the visit. LPA contacted Licensee Sarkis Dovlatyan who stated they can be availble later today. Administrator Arshalouis Manoukian arrived shortly after.

At approx 9:45 a.m. LPA conducted physical plant, interviewed staff and residents the following was observed:

At approx 09:50 a.m., LPA did not observed a sufficient supply of perishable foods stored in fridge. No milk, no eggs and no vegetables. Administrator stated the groceries will be delivered today. Leftover foods were observed to be properly sealed, and labeled. At approx 09:51 a.m LPA observed a lock on pantry door closet making non-perishable foods not readily accessible to residents in care. At approx 10:12am - LPA observed Resident #1 (R1) , unlock medication cabinet and administer own medications. LPA's interview with Staff #1 (S1), revealed that this past weekend, R1 has been refusing assistance with their medications. Between 09:45 a.m. 01:00 .m. LPA conducted interviews with R1, R2 and S1. These interviews revealed staff has been sleeping in the common area overnight since 12/28/2025.

The following deficiencies were cited from the Title 22 California Code of Regulations. (See LIC 809-D). Civil penalties in the amount of $500 will be assess today for repeat violations. The Licensee rep was informed that failure to correct the deficiencies may result in additional civil penalties.

Exit interview conducted, appeal rights discussed, and a copy of this report was provided