Incident investigation·June 20, 2025

Licensing Program Analyst (LPA) Trevor Byrne conducted an unannounced Case Management inspection regarding a self-reported Death Report (LIC 624) received. LPA met with facility Administrator Evelina Papazyan at 09:40 AM and explained the reason for the visit. On 06/19/2025, Community Care Licensing (CCL) received a self-reported Death Report (LIC 624) pertaining to the death of Resident #1 (R1) which occurred on 06/18/2025. During today’s visit between 09:40 AM and 11:30 AM interviewed the Administrator, conducted a file review for one (1) resident, and obtained copies of pertinent documentation. No deficiencies were observed during today’s inspection. If warranted upon further review of information and documentation received, a LPA will return to conduct further investigation. Exit interview conducted. A copy of the report was provided.