Follow-up on corrections·August 8, 2024

This unannounced Case Management – Deficiencies inspection is being conducted by Licensing Program Analyst (LPA) Sean Haddad for the purpose of issuing citations for deficiencies observed during the investigation into Complaint Control No. 22-AS-20240514210454. LPA met with Administrator (AD) Sona Hakobyan and explained the reason for today’s inspection. During the course of the investigation, LPA inspected the facility, conducted health and safety checks on the residents, interviewed AD, residents, and staff, and obtained and reviewed copies of the resident roster, staff roster, and Staff #1’s (S1) training records. LPA interviewed nine residents regarding a report that S1 had choked a resident with a banana while in care, five of whom did not provide information about the report. One resident corroborated that S1 “shoved a banana” in their mouth, they were choking, and they do not know why S1 did this. Three residents corroborated the report, two of whom were direct witnesses. The two direct witnesses stated that, while the resident was in the dining room, the resident began coughing and gasping for air but was not choking, S1 tried to pat them on the back and then went to get a banana and tried to put the banana in the resident’s mouth against their will multiple times, and that they do not know why S1 did this. LPA interviewed AD who stated that they were informed of the incident by residents, they reviewed video footage of the incident, they observed S1 trying to assist the resident but did not see the banana, but they immediately suspended S1 pending investigation of the incident. LPA interviewed S1 who admitted the report, stating it was an emergency situation and they tried to put the banana in the resident’s mouth in order to help them because they believed eating something would help the resident clear their throat. LPA reviewed S1’s training records and confirmed S1 has current CPR, first aid, and caregiver training. However, the evidence obtained corroborated that S1 acted improperly in this situation and violated the resident’s personal rights. Based on the observations made during today’s inspection, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. See LIC809D. An exit interview was conducted and a copy of this report and appeal rights was discussed with and provided to facility representative.