Facility Evaluation Report

Licensing Program Analysts (LPA) Brian Balisi conducted an unannounced Case Management - Deficiencies visit in conjunction with a complaint visit (Complaint control # 29-AS-20250224090712). LPA met with staff ane explained the reason for the visit. Licensee Andranik Kapikyan was contacted and stated they could not be onsite at this time. Kapikyan stated staff Jessy Phiri can sign in their place. The purpose of this visit is to issue citations for deficiencies observed during the complaint investigation which were not related to the complaint.

Upon arriving to the facility LPA was unable to access front door due to locked perimeter gate. LPA pressed doorbell on the gate and was greeted by staff and allowed entry to front entrance. LPA’s records review revealed there is no approved fire clearance for a locked perimeter.

During the investigation, records review and interviews conducted revealed on 02/20/2025 at approx. 07:30 p.m. Resident #1 (R1) was brought to the front of the facility at R1’s request when they stated they were being picked up by a family member, however staff did not make any attempts to contact the family / responsible party of R1 to ensure proper arrangements were made for R1 to vacate the facility safely and in a timely manner. R1 was outside of the facility for an extended period of time until police arrived, which resulted in R1 returning to the facility.

The following deficiencies were observed (See LIC 809-D) and cited from the California Code of Regulations, Title 22 and California Health and Safety Code. An immediate Civil Penalty for a fire clearance violation is assessed in the amount $500. Administrator was informed that additional civil penalties might be assessed based on Health and Safety Code 1569.49(e) and 1569.49(f).

Exit interview conducted, appeal rights discussed and copy of reports issued.