Follow-up on corrections·May 7, 2026

Licensing Program Analyst (LPA) Angela Barutyan conducted a Case Management - Deficiencies visit in conjunction with a complaint visit (Complaint Control #29-AS-20251124120507). The purpose of the visit is to issue a citation for a deficiency observed during the initial and subsequent complaint investigations. During the subsequent complaint visit on 04/28/2026, LPAs Barutyan and Q. Huynh interviewed five (5) staff and four (4) residents and during the initial complaint visit on 12/03/2025, LPA Barutyan conducted interviews with three (3) staff members and two (2) residents. Interviews conducted with Resident #1 (R1) and former Executive Director (ED) Aaron Mayes on 12/03/2025 revealed that R1 has a history of refusing certain services, particularly nighttime incontinence care and brief changes. R1 and ED Mayes stated that despite R1’s refusals, staff would still complete the care. ED Mayes stated that because R1 has a Power of Attorney (POA), the POA could request that services be completed regardless of whether R1 accepted or refused the care. During interviews conducted with R1 on 12/03/2025 and again on 04/28/2026, R1 stated that staff did not respect their refusals regarding nighttime incontinence care.LPA discussed residents’ personal rights with ED Mayes, including a resident’s right to refuse services regardless of the involvement of a POA. LPA advised that a resident’s refusal of care must be honored unless otherwise legally authorized. ED Mayes stated that he understood the requirement, and an in-service training was subsequently conducted with night shift (NOC) staff regarding residents’ rights and refusals of care. The following deficiency was observed (See LIC 809-D.) and cited from the California Code of Regulations, Title 22. Administrator was informed that failure to correct the deficiency may result in civil penalties.Current ED Maya Mnoyan was unable to remain for the remainder of the visit and designated Admissions Coordinator Stephanie Sarabia to sign the report. Report was reviewed telephonically with the ED. Exit interview was conducted. A copy of the report and appeal rights were provided.