Incident investigation·July 29, 2025

Licensing Program Analyst (LPA) Huma Rahimi, conducted unannounced case management visit - incident to this facility and met with Levon Torosyan (Administrator Designee) and Staff #1 (S1) Liana Babaian. S1 contacted the Administrator via telephone and LPA was informed that he cannot come; however, designated Levon Torosyan to sign today's report. On 07/26/2025, LPA received LIC 624 (incident report) via e-mail from the Administrator regarding Resident #1 (R1) elopement from the facility. During today's visit, LPA conducted an interview with the designee and S1 and LPA was informed that on 07/26/2025, at around 7:30 AM, R1 woke up with a very aggressive behavior. The designee and S1 were both present at the facility and contacted the Administrator informing about R1's behavior. Both the designee and staff were advised to observe R1 closely. The designee observed that R1 was pacing in the facility inside and out holding an iPad. R1 came inside and smashed the iPad on the ground. The designee provided morning medication to R1 hoping R1 will calm down. At around 8:30 AM, R1 demanded to go for a walk and the designee agreed to take R1 for a walk in the front yard area of the facility. R1 pushed away the designee aggressively who fall down on the ground resulting an injury to his left hand. R1 was able to open the facility's main exit and elope from the facility. The designee followed R1; however, due to the injury to his left hand the designee was unable to locate R1. At 8:40 AM, the designee immediately informed the Administrator and 9-1-1 was contacted. Up to date, R1 did not return to the facility. The facility followed all the appropriate protocols to prevent R1's elopement; and therefore, no deficiencies will be issued. Continue on LIC 809C Other: On 05/23/2025, LPA conducted an unannounced case management visit and issued a deficiency and a civil penalty for Administrator qualification. The deficiency stays in effect; however, the civil penalty was issued inadvertently and during today's visit will be rescinded. Exit interview conducted and copy of this report signed and delivered.