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no access to transportation. Asmik Nadrian contacted a friend of a resident, Arshalouis Manoukyan to conduct the visit.
On the initial visit conducted on 5/15/24, LPA Yee was not able to access or obtain copies of any resident or staff files as the staff and Arshalouis Manoukyan did not have the keys to the locked filing cabinet. A short Interview was conducted with Staff #1 and Staff #2 to establish the names of the residents in care and residents who no longer reside at the facility and the reason they have left. Due to the lack of information provided by facility staff and the unavailability of the Administrator, further investigation is needed to make a finding for the above allegations. Exit interview was conducted and a copy of this report was provided.
On today's visit, LPA Yee again attempted to obtain and review Resident #1's file and per the Administrator, no file was created since Resident #1 lived at the facility from 5/1/24-5/3/24. The facility does not have any evidence of a preplacement assessment to determine if the resident is appropriate for the home, does not have a care plan for the resident, no record of any medications that Resident #1 had to take or the resident's medical condition. Staff also don't have any recollection of Resident #1 having lived at the facility as of today's visit.
Per interview conducted with Staff #1 and Staff #2 at 2:17pm on 5/15/24, Resident #1 came to the facility on 5/1/24 at around 7:30pm and left the facility at around 1:30 or 1:45pm on 5/3/24. Per information provided by both staff, Resident #1 called 911 from their own cell phone and that the resident had seizures. Resident #1 went to the hospital 2 weeks ago. Per the Licensee, Asmik Nadrian, Resident #1 was wrong for the home. Upon further questioning of both staff by LPA Yee, both staff admitted that when emergency personnel were at the facility in response to the 911 call, they did hand the emergency personnel Resident #1's belongings and told them that Resident #1 did not want to be at the facility and was not coming back.
Per interview conducted with emergency personnel at 2:11pm on 5/9/24, the initial call for service was for for absent seizure and then it changed to leg pain. Resident #1 was not confused, out of it or incoherent as is observed in most cases of absent seizures. Resident #1 was alert. Per emergency personnel as they were ready to transport Resident#1 to the hospital, a staff handed them Resident #1's belonging. They advised staff that they could not accept Resident #1's belongings and they could not send Resident #1 to the |
Deficiency Type
POC Due Date /
Section Number | DEFICIENCIES | PLAN OF CORRECTIONS(POCs) |
Type B
03/31/2025
Section Cited
CCR
87224(a) | 1
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7 | Eviction Procedures: The licensee may, upon thirty (30) days written notice to the resident, evict the resident for nonpayment of the rate for basic services, failure to comply with state or local law, failure to comply with the general policies of the facility,
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7 | Licensee will read Title 22 section 87224 and submit a signed written statement that the section was read and understood by 3/3/25. Licensee will ensure that all resdients are provided with an approved eviction notice and the Department is provided a copy within 5 days of being served. |
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14 | development of a need not previously identified, and/or a change of use of the facility. Resident #1 was sent to the hospital for a medical emergency, along with all their belongings with the understanding that the resident was not to return. Eviction process never initiatiated. | 8
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Type B
03/03/2025
Section Cited
CCR
87456(a)(1-4) | 1
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7 | Evaluation of Suitability for Admission: Prior to accepting a resident for care and in order to evaluate his/her suitability, the facility shall, as specified in this article 8: 1. Conduct an interview with the applicant and his responsible person 2. Perform a pre-admission appraisal. 3. Obtain and
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7 | Licensee shall ensure that a preplacement assessment is conducted for all residents prior to acceptance to the facility to ensure that the resident are appropriate for the home instead of illegally evicting them after they are accepted. Licensee shall submit a written plan of action to the Department as to how |
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14 | evaluate a recent medical assessment.
4. Execute the admissions agreement.
The Licensee, did not conduct an Evaluation of Suitability for Admission prior to accepting Resident #1 and therefore did not provide the appropriate care to the resident | 8
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14 | they will ensure that the residents being accepted is appropriate and suitable for plalcement at the home by 3/3/25. |
Deficiency Type
POC Due Date /
Section Number | DEFICIENCIES | PLAN OF CORRECTIONS(POCs) |
Type B
03/03/2025
Section Cited
CCR
87468.1(a)(1) | 1
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7 | Personal Rights of Residents in All Facilities: Residents in all residential care facilities for the elderly shall have all of the following personal rights: (1) To be accorded dignity in their personal relationships with staff, residents, and other persons. This requirement was not
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7 | Licensee will read Title 22 Section 87468 and 87468.1 in its entirety and submit a written statement that the sections were read and understood and that the facility will comply with the section by 3/3/25. |
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14 | met as observed: Resident was sent to the Hospital during an emergency call for service with all their belongings and the emergency personnel told that Resident #1 was not coming back. No eviction protocol was initiated. | 8
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