Follow-up on corrections·September 4, 2025

Licensing Program Analyst (LPA) Trevor Byrne conducted an initial complaint visit for the above allegation. LPA arrived to the facility at 09:57 AM. LPA met with the facility staff who contacted the Administrator Gamlet Kuyumchyan. The facility Designee Liana Atabekyan arrived to the facility at 10:16 AM and the Administrator arrived shortly after. Entrance interview conducted and the reason for the visit was explained. During today’s visit, the LPA conducted a brief physical plant tour to ensure there are no health and safety hazards, interviewed the Designee, conducted a file review for five (5) residents and collected copies of pertinent documents between 10:16 AM. and 12:43 PM. During the visit LPA was informed by the facility Designee that resident #1 (R1) was recently hospitalized on 08/26/2025. LPA reviewed the facility file and did not observe an incident report submitted for the hospitalization of R1. LPA interviewed the Designee and asked why an incident report was not submitted. The Designee informed LPA that they were working on completing the incident report but have not had a chance to submit the report to Community Care Licensing Division (CCLD) yet. LPA informed the Designee that any incident which threatens the welfare, safety or health of any resident must be submitted to the licensing agency and to the person responsible for the resident within seven (7) days of the occurrence of the event. The Designee expressed understanding and agreed to submit the incident report to CCLD as soon as possible. Continued on LIC 809C. During the visit LPA was informed by the Designee that R1 is a recipient of home health services. LPA reviewed R1’s file and did not observe any record of R1 being enrolled in or receiving home health services. LPA interviewed the Designee and asked why there was no record of R1 being enrolled in home health stored in their file. The Designee informed LPA that home health would not release the documents to the facility without consent from R1 or R1’s responsible party (RP). LPA asked if the facility had requested consent from R1 or R1’s RP. The Designee stated that they had not asked previously. LPA informed the Designee that home health may only be utilized if the licensee and home health agency agree in writing on the responsibilities of the home health agency, and those of the licensee in caring for the resident’s medical conditions. Additionally, the written agreement shall be signed by the licensee or licensee representative, and representative of the home health agency, and placed in the resident’s file. The Designee expressed understanding and obtained consent from R1’s RP to release the home health documents to the facility at the time of the visit. During file review LPA observed Resident #2’s (R2) file. LPA observed R2’s file to be missing a completed physician’s report. LPA interviewed the Designee who stated that R2 was recently admitted to the facility yesterday (09/03/2025). The Designee stated that they were waiting on R2’s family to complete their physician report and the facility currently does not have a completed physician report for R2. LPA informed the Designee that prior to a person's acceptance as a resident, the licensee shall obtain documentation of a medical assessment, signed by a licensed medical professional acting within the scope of their practice and made within the last year. The Designee expressed understanding and agreed to obtain a completed medical assessment and send proof of the completed assessment to CCLD as soon as possible. Pursuant to Title 22 of the CA Code of Regulations, the following deficiencies were cited (refer to LIC 809-D): Exit interview conducted and copy of the report was issued and appeal rights provided.