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Inspection visit

Follow-up on corrections

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

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Jessica Cho continued the visit after delivering the findings in connection to Complaint Control #: 22-AS-20250127111244. LPA explained the purpose of this subsequent visit to Administrator (Admin) Sona Hakobyan. During the visit, LPA obtained copies of two Plan of Operations, and reviewed records of three residents under the Short Term Post Hospitalization Program (STPHH). Based on the review of the records, facility did not maintain complete records such as the Admission Agreement and Personal Rights in Privately Operated Residential Care Facilities for the Elderly (LIC613C-2). According to Admin Hakobyan, Admission Agreements are not provided under the Recuperative Care and STPHH Programs as residents are admitted to the facility for a short term stay. Therefore, based on observations, interview, and record review, a deficiency is being cited per Title 22 Division 6 Chapter 8 of the California Code of Regulations. See LIC809D. An exit interview was conducted with Administrator Sona Hakobyan, and a copy of this report along with the LIC811, LIC809D, Title 22 Regulations 87506 & 87507, and the 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 other 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 other inspection. other inspections are conducted by CCLD as part of their licensing oversight.

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.