Follow-up on corrections·May 1, 2026

Licensing Program Analyst (LPA) Trevor Byrne conducted an unannounced case management - deficiencies visit at the facility at 09:47 AM. LPA met with facility staff who contacted the Administrator Anahit Markaryan and Licensee Representative Marine Khachatryan. The Licensee Representative arrived at approximately 10:15 AM and the Administrator arrived shortly after, entrance interview was conducted and the reason for the visit was explained. During today’s visit LPA conducted a physical plant tour, reviewed five (5) resident files, conducted a medication audit for two (2) residents, and conducted interviews with the Administrator, Licensee Representative, one (1) staff member, and two (2) residents between 10:05 AM and 02:00 PM. During file review LPA observed R1’s resident file. LPA observed that R1 was hospitalized as a result of a seizure due to missed medication administration on 04/21/2026. LPA reviewed the facility’s file and did not observe an incident report submitted to Community Care Licensing Division (CCLD) for this incident. LPA interviewed the Licensee Representative and Staff #1 (S1) who confirmed that an incident report for the hospitalization was not submitted to CCLD. LPA informed the Licensee Representative and S1 that a written report shall be submitted to the licensing agency and to the person responsible for the resident within seven (7) days of the occurrence of any incident which threatens the welfare, safety or health of any resident. The Licensee Representative expressed understanding and agreed to submit the incident report and a statement of understanding confirming that they are aware of the reporting requirements timeframe and that they will adhere to the required timeframe when submitting future incident reports to CCLD. CONTINUED ON LIC 809C. During the physical plant tour LPA observed a storage shed in the backyard to be unlocked. LPA observed this shed to contain laundry sanitizer, soaps, laundry detergent pods, and cleaning chemicals. LPA informed the Licensee Representative that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. The Licensee Representative expressed understanding and secured the shed at the time of the visit. The following deficiencies were cited (refer to LIC 809D). A copy of the report was printed, appeal rights were provided, and exit interview was conducted.