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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198603605
Report Date: 07/11/2024
Date Signed: 07/11/2024 03:31:11 PM


Document Has Been Signed on 07/11/2024 03:31 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364



FACILITY NAME:ARARAT GARDENSFACILITY NUMBER:
198603605
ADMINISTRATOR:KESHISHYAN, VARSENIKFACILITY TYPE:
741
ADDRESS:1230 EAST WINDSOR ROADTELEPHONE:
(818) 244-7219
CITY:GLENDALESTATE: CAZIP CODE:
91205
CAPACITY:175CENSUS: 83DATE:
07/11/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:Varsenik Keshishyan, Executive DirectorTIME COMPLETED:
03:30 PM
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This Case Management Visit was conducted to address the issues discussed during the Annual Inspection. On 07/05/2024, the Woodland Hills Regional Office received information that the facility is implementing a new program called "Assisted Living +" . The residents requiring minimal care will be relocated from the Independent Living 3rd floor to the 2nd floor. Facility Executive Director (ED) Varsenik Keshishyan informed LPA Valenzuela that they already are implementing a new program and one of the residents, Resident #1 (R1) who was residing on the 3d floor recently moved to the 2nd floor.

LPA Valenzuela contacted LPM Margaryan over the phone to discuss the recent changes within the facility structure and program plan. During the conference call between LPM Margaryan, (ED) Keshishyan, and LPA Valenzuela, LPM explained that while implementing the new procedures, ED should consider the resident personal rights to ensure that residents are in agreement to change their apartment units, due to the fact that minimal staff assistance could be provided to the residents in their existing units.

ED informed LPM and LPA that R1's relocation was initiated based con R1's Power of Attorney (POA's) decision.

LPM advised ED that POA does not reflect resident's' personal rights. If resident does not want to move from the independent living section to the Assisted Living+ section, then the facility should adhere to the residents wishes and allow them to stay in the apartment units that they originally choose.

ED stated that she will discuss the recent relocation with R1 and if R1 wishes to move back to their previous room, then they will move R1 back to their previous room. LPA Valenzuela also advised the ED that it looks like they made changes in the facility program plan. The implementation of the new procedures must be submitted as an Addendum to the program plan to the Woodland Hills Regional Office so that it can be reviewed and updated to the facility file.
SUPERVISOR'S NAME: Naira MargaryanTELEPHONE: (818) 596-4368
LICENSING EVALUATOR NAME: Rosaura ValenzuelaTELEPHONE: 818-596-4334
LICENSING EVALUATOR SIGNATURE:
DATE: 07/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/11/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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