Facility Evaluation Report

Licensing Program Analyst (LPA) Trevor Byrne conducted an initial complaint visit for the above allegation. LPA arrived to the facility at 09:57 AM. LPA met with the facility staff who contacted the Administrator Gamlet Kuyumchyan. The facility Designee Liana Atabekyan arrived to the facility at 10:16 AM and the Administrator arrived shortly after. Entrance interview conducted and the reason for the visit was explained.

During today’s visit, the LPA conducted a brief physical plant tour to ensure there are no health and safety hazards, interviewed the Designee, conducted a file review for five (5) residents and collected copies of pertinent documents between 10:16 AM. and 12:43 PM.

During the visit LPA was informed by the facility Designee that resident #1 (R1) was recently hospitalized on 08/26/2025. LPA reviewed the facility file and did not observe an incident report submitted for the hospitalization of R1. LPA interviewed the Designee and asked why an incident report was not submitted. The Designee informed LPA that they were working on completing the incident report but have not had a chance to submit the report to Community Care Licensing Division (CCLD) yet. LPA informed the Designee that any incident which threatens the welfare, safety or health of any resident must be submitted to the licensing agency and to the person responsible for the resident within seven (7) days of the occurrence of the event. The Designee expressed understanding and agreed to submit the incident report to CCLD as soon as possible.