Follow-up·September 18, 2025

Licensing Program Analyst (LPA) Quoc Huynh arrived on September 18, 2025 at 09:30AM for an unannounced inspection to follow up on a substantiated allegation of a complaint investigation. The LPA met with Licensee Kajo Movsesian who arrived at 9:51AM. Beginning at 9:52AM, the LPA and Licensee conducted a brief safety tour, and no immediate concerns were observed. On March 2, 2022, the Department concluded a complaint investigation regarding the following allegation: Failure to provide adequate care and supervision. The Licensee was cited for California Code of Regulations (CCR) 87615(a)(1) Prohibited Health Conditions; CCR 87631(a)(1) Healing Wounds; CCR 87468.2(a)(4) Additional Personal Rights of Residents in Privately Operated Facilities; and CCR 87465(g) Incidental Medical and Dental Care. At the time of the complaint visit on March 2, 2022, an immediate civil penalty of $500 was issued and the licensee was informed that an additional civil penalty might be assessed based on Health and Safety Code §1569.49(f). Report Continued on LIC 808-C The Department has concluded an analysis and has determined that a civil penalty is warranted for serious bodily injury. The Welfare and Institutions Code Section 15610.67 defines serious bodily injury as “an injury involving extreme physical pain, substantial risk of death, or protracted loss or impairment of a function of a bodily member, organ, or of mental faculty, or requiring medical intervention, including but not limited to, hospitalization, surgery, or physical rehabilitation.” This is evidenced by the facility not providing care and supervision to a resident (R1) that resulted in serious bodily injury. The facility did not assess R1’s skin condition and seek prompt medical care, leading to pressure injuries and pain that required hospitalization and surgical intervention. Today, September 18, 2025, the Department will be issuing a civil penalty per Health and Safety Code § 1569.49(f) for a violation that the Department constitutes as serious bodily injury in the amount of $10,000. However, since an immediate civil penalty of $500 was previously issued on March 2, 2022, the amount of the civil penalty issued today will be $9,500. Exit interview conducted. A copy of the report issued. Appeal rights provided. The Licensee Kajo Movsesian’s signature on this report acknowledges receipt of the appeal rights, found on page two of LIC 421D.