Facility Evaluation Report

On May 26, 2026, Licensing Program Analyst (LPA) Brandon Lopez made an unannounced visit to the facility to conduct a Case Management - Deficiencies visit. The visit is being conducted in conjunction with complaint control number 22-AS-20251021161230. Administrator Baabak Sharifan was notified via telephone and later arrived to assist with the inspection.

During the investigation into complaint control number 22-AS-20260506115738, LPA reviewed the medication and medication records for the three residents of the facility. LPA observed that the facility was providing one over the counter medication, and two supplements to Resident #1 (R1) without valid physician orders. The Department attempted to conduct an interview with R1, however R1 was unable to be qualified for an interview due to her current cognitive condition. The Department conducted two staff interviews. Two out of the two staff interview confirmed that there were no physician's orders on file for the one over the counter medication and two supplements for R1. The two staff interviewed also stated that the two supplements were being provided to R1 on a daily basis and the one over the counter medications was being provided to R1 as needed.

Based on the information gathered during the visit, a deficiency is being cited on the attached LIC809-D page. An exit interview was conducted with Administrator Baabak Sharifan. A copy of the report and appeal rights were provided to the facility at time of visit.