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Inspection visit

complaint

BLUE SKY MANOR INCLicense 3060057921 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Regarding the allegation, Unlawful eviction, it was reported that the STPHH residents are unlawfully evicted by the facility. The investigation revealed the following: Based on the random review of the records of seven residents, two residents are under RCP and five with the STPHH. Five out of the seven residents interviewed confirmed receiving an eviction notice on or around January 24, 2025 and refused to move out. As of today's date, three STPHH residents moved out after receiving the eviction notices which was corroborated by three out of three staff. At this time, facility is not in compliance with the regulatory requirements outlined in the Title 22, Eviction Procedures, as the eviction notices did not include but is not limited to the following: the effective date/reason for the eviction, current service plan, relocation evaluation, list of referral agencies, seeking approval from the Department, and etc. Therefore, based on the interviews which were conducted and the records that was reviewed, the preponderance of evidence standard has been met, therefore the following allegation: Unlawful eviction is deemed SUBSTANTIATED. A deficiency is being cited on the attached LIC9099-D as per the Title 22, Division 6, Chapter 8 of the California Code of Regulations. An exit interview was conducted with Administrator Sona Hakobyan and Finance Manager Gabriel Airapetian who was present on the telephone call, and a copy of this report including the LIC9099-C & D, and appeal rights were provided at exit.

Citations

2 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 87224(a)Type B

    87224 Eviction Procedures (a)-(i)This requirement was not met as evidenced by: Based on the interviews and record review, facility did not issue valid eviction notices to STPHH residents which poses a potential Health, Safety, and/or Personal Rights risk to persons in care.

  • 87506(a)Type B

    87506 Resident Records (a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff.This requirement is not met as evidenced by: Based on observation, interview, and record review, facility did not maintain complete records in three out of three residents which poses a potential Personal Rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the March 18, 2025 inspection of BLUE SKY MANOR INC?

This was a complaint inspection of BLUE SKY MANOR INC on March 18, 2025. 1 citation were issued: 1 Type B.

Were any citations issued to BLUE SKY MANOR INC on March 18, 2025?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "87224 Eviction Procedures (a)-(i)This requirement was not met as evidenced by: Based on the interviews and record review..."

What type of inspection was this?

This was a complaint inspection. Complaint inspections are triggered when someone reports a concern about the facility to CCLD.

SourceView on CCLDView original report

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.