Senior Care Records.

Facility Evaluation Report

Blue Sky Manor INC, Anaheim05/30/2025Licence 306005792

Capacity50
Census36
Date signed05/30/2025 12:22:15 PM
Name of licensing program analystJessica Cho
Name of licensing program managerLourdes Montoya
The inspector’s account

An informal conference was conducted on this date in the Orange County Adult and Senior Care Regional Office to discuss CalOptima contract and the facility's plan of operation.

Present during this meeting were Regional Manager (RM) Marina Stanic, Licensing Program Manager (LPM) Lourdes Montoya, Licensing Program Analysts (LPAs) Samer Haddadin, Jessica Cho, Licensee/CEO Albert Zakaryan, Administrator Gabriel Airapetian, Program Director Sona Hakobyan, and Attorney Jack Zakaryan.

The following items were discussed during the meeting:

The licensees' desires to operate the RCFE for elderly residents. The CalOptima contract was in place to support full occupancy. The solution to support the licensee's intent to operate RCFE and have full occupancy was to decrease the facility capacity from 50 to 22 residents and to separate the wing for independent residents so that the commingling of residents would not be possible.

Licensee will submit the Application for a Community Care Facility or Residential Care Facility for he Elderly License (LIC200) and floor plan no later than Friday, June 6, 2025 requesting a decrease in capacity. It is understood that the licensee will submit the LIC200 and floor plan for increase in capacity if there is a demand for placement.

Facility will maintain compliance of Title 22 regulations during the transition. An exit interview was conducted with Licensee/CEO Albert Zakaryan, Administrator Gabriel Airapetian, Program Director Sona Hakobyan, and Attorney Jack Zakaryan, and a copy of this report was provided at the end of the meeting.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction