Facility Evaluation Report

Licensing Program Analyst (LPA) Samer Haddadin conducted an unannounced case management visit to the facility and was granted entry by Administrative Assistant (AA) Sonya Tatunts. Administrator (AD) Gabriel Airapetian arrived shortly thereafter. The purpose of the visit was to follow up on a Special Incident Report (SIR) that the facility submitted to the Community Care Licensing (CCL) office on October 7, 2025, regarding the death of an individual who resided at the facility. The deceased individual was not an RCFE resident but was placed at the facility through a CalOptima referral, as the facility accepts such placements. LPA Haddadin reviewed documentation from Anaheim Regional Medical Center (AHMC), which indicated that the individual had been admitted on September 24, 2025, due to complaints of lower body pain. The individual remained under hospital care until October 6, 2025, when they were discharged at approximately 11:30 p.m. and transported to the facility via ambulance. On the morning of October 7, 2025, during routine rounds, the facility staff discovered the individual to be unresponsive. The facility immediately contacted 911 and was instructed by the emergency operator to initiate CPR until the Anaheim Fire Department arrived and assumed life-saving measures. The individual was transported back to AHMC, where they were pronounced deceased at 9:46 a.m. the same morning. LPA Haddadin conducted a health and safety case management visit and did not observe any deficiencies. An exit interview was conducted with the Administrator, and a copy of this report was provided.