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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331881373
Report Date: 05/01/2026
Date Signed: 05/01/2026 01:18:16 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/25/2026 and conducted by Evaluator Ivashia Wright
COMPLAINT CONTROL NUMBER: 18-AS-20260325142446
FACILITY NAME:COTTON VILLA RCFEFACILITY NUMBER:
331881373
ADMINISTRATOR:MESROPYAN, ANAHITFACILITY TYPE:
740
ADDRESS:64982 COTTON CTTELEPHONE:
(818) 807-1338
CITY:DESERT HOT SPRINGSSTATE: CAZIP CODE:
92240
CAPACITY:6CENSUS: 3DATE:
05/01/2026
UNANNOUNCEDTIME BEGAN:
12:20 PM
MET WITH:Caregiver, Beknazar Zhumanazarov TIME COMPLETED:
01:30 PM
ALLEGATION(S):
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Staff is not meeting resident's care needs.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), Ivashia Wright, conducted an unannounced visit to deliver findings for a complaint investigation regarding the above allegation. LPA Ivashia met with Caregiver Beknazar Zhumanazarov and explained the purpose of the visit.

On March 25, 2026, Community Care Licensing Division (CCLD) received a complaint alleging Staff is not meeting resident's care needs. During the investigation, the LPA inspected the facility, reviewed R1's records, and conducted interviews with staff and residents.
Regarding the allegation that Staff is not meeting resident's care needs., it was reported that Resident 1 (R1) vital signs had not been taken.

Continued on LIC 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Jazmond D Harris
LICENSING EVALUATOR NAME: Ivashia Wright
LICENSING EVALUATOR SIGNATURE:

DATE: 05/01/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 18-AS-20260325142446
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: COTTON VILLA RCFE
FACILITY NUMBER: 331881373
VISIT DATE: 05/01/2026
NARRATIVE
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Interview with Licensee, Administrator Anahit Mesropyan stated R1 was receiving hospice care services twice a week and R1’s vitals were checked during each visit. It was also advised that the facility staff check residents’ vital signs every morning. Information obtained from interviews with additional staff corroborated the information obtained from Administration. Information obtained from an interview with Hospice Nurse, Danielyan Ashkhen confirmed that services included ensuring vital signs were taken for R1. LPA was not able to obtain any additional information regarding the allegation due to R1’s inability to communicate. A review of records indicated that vital signs were taken during hospice visits.

Based on staff interviews, resident interviews, facility records, hospice records, and R1's files, staff not recording vitals; no documentation available and the inability to interview R1, the allegations that staff is not meeting resident's care needs due to staff not taking R1’s vitals is deemed unsubstantiated. This means that although the allegations may have happened or are valid, the preponderance of evidence requirement has not been met to prove that the alleged violations did or did not occur.

An exit interview was conducted and a copy of this report, 9099C, 9099D, appeal rights were reviewed and provided to Caregiver, Beknazar Zhumanazarov.

SUPERVISORS NAME: Jazmond D Harris
LICENSING EVALUATOR NAME: Ivashia Wright
LICENSING EVALUATOR SIGNATURE:

DATE: 05/01/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2026
LIC9099 (FAS) - (06/04)
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