Facility Evaluation Report

Licensing Program Analyst (LPA) Sandra Urena conducted a Case Management - Deficiencies visit in conjunction with a complaint visits (Complaint Control # 29-AS-20260701152144 and C# 29-AS-20260624155120). The purpose of the visit is to issue a citation for deficiencies observed during the initial complaint investigations unrelated to the complaints. During today’s visit, LPA Urena met with Lilit Mnatsakanyan, Executive Director and the reason for the visit was explained.

During the course of the investigations, it was discovered that the facility failed to inform the department of several incidents involving a resident; furthermore, the facility failed to inform the department of renovation work being done at the facility prior to all commencement of such work. Per CCR regulations, all incidents must be reported to the CCLD via the LIC 624 (Report of unusual incidents...) Data search of the incidents involving the resident and the renovation/alterations to the facility were not submitted to the office within the specified time frame of seven(7) days.

Pursuant to Title 22, California Code of Regulations and/or CA Health and Safety Code, the following deficiencies were cited (refer to LIC 809-D.)

Exit interview conducted, and a copy of this report and appeal rights were provided.