complaint·June 11, 2025

Page 2. came to visit. During the visit, Friend #2 also arrived to visit. According to the information provided, Friend #2 greeted Friend #1. Friend #1 responded to the greeting with "in heat like a dog" meanly referring to some incident that had happened years ago and walked outside. Friend #2 followed and wanted to have a conversation with Friend #1 but was not successful. Resident #1, Friend #1 and Friend #2 meet for dances and have known each other for a long while. Per information provided, Friend #1 has a history of drinking in excess, beginning in the morning and doing weed. On the day Friend #1 was visiting at the facility, they were observed to be inebriated and under the influence of something and was overreacting like they do when they have been drinking. Friend #1 went back into the facility to say good-bye to Resident #1 and get the resident's cell phone to take it to get it fixed and left. The phone had been disconnected due to non-payment. Friend #1 would return once the phone was fixed. When Friend #1 returned a few hours later, the phone had not been fixed. Friend #1 asked Gevorg, Staff/Spouse if they could take Resident #1 to get the phone fixed and he responded "no", due to Friend #1's earlier observed condition, reaction and why the phone had not been fixed. Friend #1 then asked Gevorg/Staff if Resident #1 could be taken for a walk and he said okay. Friend #1 and Resident #1 went for a 20-30 minute walk in the neighborhood. Per Gevorg/Staff, he did not want Resident #1 to get into any vehicle driven by Friend #1. After the walk, Friend #1 asked again if they could take Resident #1 to get the phone fixed the following day. Again the response was "no" due to concerns with Friend #1 being inebriated the following day. Per interviews conducted with Resident #1, Witness #1 and Staff, Friend #1 was definitely inebriated and under some kind of influence during the visit. Based on the information obtained, the facility staff does not disallow residents from leaving the facility, they just did not want Resident #1 to be driven around by an inebriated person or anyone under the influence, therefore there is insufficient evidence to support the allegation that Staff is not allowing resident to leave facility for outings and is unsubstantiated at this time. Per interviews conducted with Resident #1 and other residents regarding allegation #2, Facility does not have a phone accessible to residents , During the interview, Resident #1 immediately responded that the facility has a phone and it is located in the kitchen. Per interviews conducted, the residents have to ask staff for the telephone and it will be given to them. Two residents have a working cell phone and was not sure of the location of the phone since they do not use it. Resident #1 has a cell phone that is not connected due to non-payment and has been using the facility phone to make and receive call. Based on the information Page 3 received, there is insufficient evidence to support the allegation that the facility does not have a phone accessible to the residents, therefore the allegation is deemed to be unsubstantiated at this time. Per interviews conducted with the residents and LPA's conversation with Staff #1 regarding allegation that staff is unable to meet residents needs due to language barrier, reveal that Staff #1 speaks sufficient English to communicate with the residents and provide the basic services. Staff #1 however has a little more difficulty when it comes to more complicated words and uses a Google translator to assist in the communication. Per interviews with the Administrator and Gevorg, they are present at the facility all the time and are available if there are any emergencies or staff can call them on the phone. Residents all indicate that they are able to communicate with the staff sufficiently in English to get want they want. Based on the information received, there is insufficient evidence to support the allegation that staff is unable to meet the residents needs due to language barrier, therefore the allegation is unsubstantiated at this time. Regarding allegation #4 - Resident does not have a signed Admission Agreement, LPA Yee reviewed Resident #1's file and a copy of the Admission Agreement signed on 2/12/25 was observed in their file. Per information obtained during the visit, Resident says things and does things and does not remember. Per review of Resident #1's Physician's Report, the resident may have mild cognitive impairment or onset of dementia. Both boxes were checked off on the Physician's Report and the diagnosis is unclear. The facility was asked to contact the resident's physician to seek clarification and maintain in the resident's file. Based on the information obtained, there is insufficient evidence to support the allegation that Resident does not have a signed Admission Agreement, therefore the allegation is unsubstantiated at this time. Exit interview was conducted and a copy was provided