Facility Evaluation Report

On July 11, 2024, Licensing Program Analysts (LPA) Bethany Mirlohi conducted a case management visit to follow up on a deficiency cited for the facility not ensuring timely medical attention was provided to a resident in care. LPA Mirlohi met with Licensee Alena Alla Polyakova and explained the purpose of the visit.

On May 4, 2023, the Department concluded a complaint investigation and substantiated the following allegations: a resident sustained pressure injuries while in care; facility retained a resident that required a higher level of care; and staff did not inform resident’s authorized person of a change in heath condition.

The licensee was cited for California Code of Regulations (CCR) Title 22, Section 87466 Observation of the Resident; 87615 Prohibited Health Conditions(a)(1); and 87211 Reporting Requirements. In addition, the licensee was cited for CCR 87465(g) Incidental Medical and Dental Care: (g) for failure to seek timely medical attention. An immediate civil penalty in the amount of $500 was issued and the licensee was informed that an additional civil penalty was still being determined and may be assessed based on Health and Safety Code Section 1569.49.