Facility Evaluation Report

At 9:30am, Licensing Program Analyst (LPA) Perchui Milena Khurshudyan conducted an unannounced Case Management- Legal/Non-compliance visit. Upon arrival LPA met with the Caregiver Gayane Nersesyan, showed the department badge and explained the reason for the visit. Administrator Gayane Aghabekyan arrived shortly after and helped with physical plant walkthrough and resident/staff files. Entrance interview conducted.

On 7/30/2024, a Non-Compliance Conference (NCC) was held at the Regional Office (RO) to discuss complaint # 31-AS-20211116143735 and other facility deficiencies. Attendees included Regional Manager, Angela Whittaker; Licensing Program Manager, Eva Miller; Licensing Program Analysts Perchui Milena Khurshudyan, Mariana Agban, Licensee Bagrat Vahramyan, Administrator Gayane Aghabekyan, and Administrator Designee Rima Agaronyan. As a result of that NCC, the facility was placed on a two-year compliance plan.

At that time, Regional Manager (RM) and Licensing Program Manager (LPM) advised the Administrator should strive to remain in full compliance Relevant Title 22 Regulations.

The purpose of today’s visit is to conduct thorough inspection to ensure compliance.

LPA conducted a physical plant tour to ensure the health and safety of the clients and that the physical plant was in compliance with CA Title 22 Regulations.

Today’s focus was staff and resident records for accuracy, required documentation for Exception Requests, Residents health condition.