Facility Evaluation Report

Licensing Program Analysts (LPAs) Valeria Conway and Kelly Dulek conducted a Case Management - Deficiencies visit in conjunction with a complaint visit (Complaint control # 29-AS-20250919123526.) LPAs met with facility designee, Agnes Gazaryan. The purpose of this report is to issue citations for deficiencies observed during the complaint investigation.

During the course of the investigation, it was discovered that Resident #1 (R1) provided money to staff members to purchase items on the resident’s behalf, including hygiene products, snacks, and meals. These transactions were conducted directly between staff and the R1. No receipts, documentation, or ledger of these financial transactions were maintained in the resident’s file. Staff interviewed acknowledged purchasing some hygiene items for residents, however, they denied receiving tips of stealing money.

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.) Administrator was informed that failure to correct the deficiencies may result in civil penalties.

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