Pre-licensing visit·May 23, 2023

Licensing Program Analyst (LPA) Joe Katrdzhyan conducted an announced follow up to the pre-licensing inspection conducted on 5/4/23. Upon arriving at the facility, LPA met with Executive Director / Jina Maleksarkissians, who assisted with the visit. Licensee / Alhambra Senior Villa LLC has submitted an application to operate a Residential Care Facility for the Elderly for a capacity of one hundred and seventy six (176) residents, ages 60 and over. The facility has an approved fire clearance for one hundred and sixty six (166) non-ambulatory residents and ten (10) bedridden residents only. The bedridden residents may only reside in rooms, 122, 123, 124, 125, 126, 152, 153, 154, 155 and 156. The new application is being processed as a change of ownership. There are currently 64 residents residing at the facility. The facility has an approved hospice care waiver for thirty (30) residents. Alhambra Senior Villa initially submitted Dementia Care as part of the plan of operation but on 5/16/23 the Central Applications Bureau (CAB) received an amended plan of operation removing Dementia Care from its plan of operation stating Alhambra Senior Villa will not accept or retain residents with a diagnosis of Dementia. During the initial pre-licensing inspection conducted on 5/4/23, the following concerns were observed; · Broken/loose tiles were observed in the patio area, near room 124. On 5/12/23, the Executive Director / Jina Maleksarkissians submitted pictures (via email) showing the broken/loose tiles in the patio area, near room 124 had been repaired/replaced. During today's inspection, LPA toured the patio area and observed the repair. · All resident rooms located on the first and second floors have a sliding door or a door leading to a balcony, making it unsafe for future residents with dementia. Medications, cleaning supplies (such as Windex, Laundry Detergent and Bleach) and scissors were observed in rooms 149, 145, 232 and 203, making it unsafe for future residents with dementia. The facility does not have auditory devices or other staff alert features to monitor exits, if exiting presents a hazard to residents with a diagnosis of dementia. The outdoor facility space used for resident recreation and leisure is not enclosed by a fence with self-closing latches and gates, to protect the safety of future residents with dementia. On 5/16/23, LPA Katrdzhyan received an email from Bethany Hunter / Associate Governmental Program Analyst at the Centralized Applications Bureau stating that the Licensee has amended the plan of operation removing Dementia Care from the plan of operation and will not accept or retain resident with a diagnosis of Dementia. An exit interview was conducted and a copy of this report has been furnished to the Applicants. Accordingly, LPA will submit a copy of this facility evaluation report to the Central Applications Bureau (CAB) for review. No further action is needed at this time. If the applicant has questions regarding the status of the application, they have been instructed to communicate with the CAB Analyst assigned to their application.