Belmar Villa

On 9/19/24, Licensing Program Analyst (LPA) M. Medina conducted a subsequent unannounced complaint visit to conduct interviews and deliver findings. LPA introduced self, stated purpose of visit, and met with Administrator, Hripsime "Kristina" Makaryan This department investigated the above allegations during the investigation, LPA toured facility, conducted interviews, and reviewed records.This department had insufficient information regarding the allegations listed above. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove or disprove that the allegations occurred therefore the allegations are UNSUBSTANTIATED. No deficiencies issued during this complaint visit . Exit interview conducted. A copy of this report was provided to Administrator for facility records UnsubstantiatedRead the full finding— CDSS inspection report, September 19, 2024 · control 24-AS-20240806123513

Licensing Program Analyst (LPA) Shawna Doucette conducted an unannounced facility visit to open a complaint on the allegations listed above. Administrator responded to the facility to assist with the visit. LPA met with Facility Adminsitrator, Makaryan Hripsime, and explained the purpose of today's visit. LPA toured the facility. LPA interviewed staff. LPA checked several bathrooms and two community bathrooms. LPA observed orangish pink and black mold in community shower. LPA took photos. LPA observed the in room bathrooms to be clean. Based on observation and interviews, Facility staff did not ensure restroom is clean and sanitized. Based on observation and interviews, the preponderance of evidence standard has been met; therefore, the above allegations are found to be SUBSTANTIATED. Per California Code of Regulations, Title 22, Division 6, Chapter 8, a deficiency is being cited on the attached 9099-D. A copy of this report along with appeal rights and plan of correction were providedRead the full finding— CDSS inspection report, July 10, 2024 · control 24-AS-20240502170130

On 3/27/24, Licensing Program Analyst (LPA) V. Gorban visited the facility to deliver findings. During this visit LPA met with facility Administrator (AD) Hripsime Makaryan and stated the purpose of the visit. During this visit LPA toured the facility inside and out and observed residents in care. Once the tour was complete, LPA discussed the findings with the AD. Allegation: Facility staff did not provide supervision resulting in resident being left on the floor. During complaint investigation the LPA interviewed facility staff and the Administrator. Based off of records review, the Administrator and staff interviews resident was checked every thirty (30) minutes. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated. Exit interview conducted, report signed and copy of this report provided to the Administrator for facility records. UnsubstantiatedRead the full finding— CDSS inspection report, March 27, 2024 · control 24-AS-20240108093021

On 3/27/24, Licensing Program Analyst (LPA) V. Gorban visited the facility to deliver findings. During this visit LPA met with facility Administrator (AD) Hripsime Makaryan and stated the purpose of the visit. During this visit LPA toured the facility inside and out and observed residents in care. Once the tour was complete, LPA discussed the findings with the AD. Allegation: Staff drugged a resident while in care. Based off of records review, the Administrator, staff interviews R1 was carring for her own medication. Allegation: Staff physicaly abused a resident while in care. Based off of the LPA observations, records review, facility personnel and residents interviews resident's care at the facility provided accordingly to resident's needs. Although the allegation may have happened or is valid, there are not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are Unsubstantiated. Exit interview conducted, report signed and copyRead the full finding— CDSS inspection report, March 27, 2024 · control 24-AS-20240108142616

On 03/13/2024 Licensing Program Analyst (LPA) B. Miranda arrived to the facility unannounced to deliver the finding for the allegations listed above. LPA introduced herself and explained the reason for the visit. Administrator (AD) Makaryan Hripsime (Kristina) was contacted. 1. The Department investigated the allegation: Due to lack of supervision resident eloped from the facility. On 2/9/2024 LPA spoke with AD who could not explain how R1 was able to elope from the facility without staff being aware R1 had left. LPA reviewed R1's physician report which indicates R1 is not able to leave the facility unassisted. AD stated when R1 was located they were sent to the hospital to be evaluated. Based on LPAs observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 6, Chapter 8, are being cited on the attached LICRead the full finding— CDSS inspection report, March 13, 2024 · control 24-AS-20240208123927

On 2/20/24, Licensing Program Analyst (LPA) M. Medina conducted an unannounced subsequent complaint visit to deliver findings. LPA introduced self and stated purpose of visit. Administrator contacted by telephone and arrived a short time later to conduct complaint visit with LPA. This Department investigated the allegation of missing medication for R1. Per record review and information gathered during interviews, R1 was able to manage their own medications per physicians report dated July 2023. R1 secured and administered their own medication. This Department has found that the above allegations are UNFOUNDED, meaning they were false, could not have happened, and/or were without reasonable basis. We have therefore dismissed the complaint. NoRead the full finding— CDSS inspection report, February 20, 2024 · control 24-AS-20231222160904

On 01/23/2024, Licensing Program Analyst (LPA) Walton arrived unannounced to deliver findings on the above allegation. LPA introduced self, stated the purpose of the visit and requested to meet with the Administrator. Front desk staff informed LPA that Administrator would arrive shortly and granted LPA access to a conferance room. Administrator, Hripsime Makaryan arrived a short time later. Review of records and interviews conducted revealed that R1 required 1:1 care and needed constant supervision. Interviews conducted confirmed that R1 did not receive 1:1 care from facility staff 24 hours a day, 7 days a week from 10/2023 - 12/2023. CONTINUED TO 9099C SubstantiatedRead the full finding— CDSS inspection report, January 23, 2024 · control 24-AS-20231004114010

On 01/03/24, Licensing Program Analyst (LPA) M. Yang arrived unannounced to deliver findings on the above allegations. LPA introduced self, stated the purpose of the visit, and met with Administrator Hripsime "Kristina" Makaryan. During the course of the investigation, LPA conducted interviews, toured the facility, and reviewed records. R1’s medications were destroyed an hour after 4:00PM. R1 left the facility and did not return to facility until after 2 hours from the time R1’s 4:00PM medications were directed to be administered. Interviews were conducted, it was confirmed that R1’s door and/or doorknob had not been broken. The resident locks the door upon leaving the room and while in the room. The department investigated the allegation staff did not address an inappropriate sexual interaction between residents. Based on records reviewed and interviews conducted there was insufficient evidence to prove or disprove that there was an inappropriate sexual interaction that happened betweRead the full finding— CDSS inspection report, January 3, 2024 · control 24-AS-20231206111014

Licensing Program Analyst (LPA) Sarah Hurt and conducted an unannounced facility visit to deliver findings on the above allegations. LPA met with facility Administrator, Hripsime, Makaryan and explained the purpose of today's visit. Regarding the allegation Staff do not maintain the facility clean and sanitary at all times. LPA observed a pile of dirty laundry along with other miscellaneous items including undergarments piled in the corner of Resident 1's bedroom. LPA also observed the room is malodorous and smells of urine. Based on LPA's observation, and records reviewed during this investigation, the preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED at this time. The following deficiencies are being cited Per Title 22 Regulations. Exit interview conducted with Administrator, Hripsime, Makaryan, and a copy of this report along with appeals rights provided. SubstantiatedRead the full finding— CDSS inspection report, December 12, 2023 · control 24-AS-20231009152716

Licensing Program Analyst (LPA) Sarah Hurt and conducted an unannounced facility visit to deliver findings on the above allegations. LPA met with facility Administrator, Hripsime, Makaryan, and explained the purpose of the visit. Regarding the allegation Resident was restrained in bed. LPA Hurt observed Resident 1’s bed to have full bed rails. Resident 1 is not currently on hospice, and there is no written orders for full bed rails. LPA also reviewed photos documenting a mattress pad wedged between the full bed rails of Resident 1’s bed preventing them from getting out of bed. Based on LPA's observation, and records reviewed during this investigation, the preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED at this time. The following Deficiencies are being cited Per Title Regulations. Exit interview conducted with Administrator, Hripsime, Makaryan, and a copy of this report along with appeals rights provided. SubstantiatedRead the full finding— CDSS inspection report, December 12, 2023 · control 24-AS-20231201085752

On 09/01/2023, Licensing Program Analyst (LPA) Walton arrived unannounced to deliver findings on the above allegations. LPA introduced self, stated the purpose of the visit and requested to meet with the Administrator. LPA met with Administrator, Hripsime Makaryan. The Department investigated the allegations that staff did not provide comfortable accommodations for a resident, staff are not addressing a resident's change in medical condition, and facility did not have a home health plan on file for resident, and based on interviews and records reviewed, the allegations are SUBSTANTIATED. Based on interviews and records reviewed, R1 had been receiving home health services for wound care on R1’s foot however between 5/1/23 thru 5/10/23, home health did not conduct any visits to provide wound care and facility did not seek medical attention for R1’s wound. CONTINUED TO 9099C SubstantiatedRead the full finding— CDSS inspection report, September 1, 2023 · control 24-AS-20230512123128

On 1/26/23 at 11:05 AM, Licensing Program Analyst (LPA) Malia Thao arrived unannounced to conduct a complaint inspection. LPA explained reason for inspection at reception desk and met with Administrator (ADM) Makaryan "Kristina" Hripsime. During the course of the investigation, LPA reviewed records and conducted interviews. Based on record review and interviews, LPA did not find that financial abuse occurred or personal rights were violated. Therefore, the allegations above are false, could not have happened, and/or is without a reasonable basis. Exit interview conducted. Due to technical difficulties, a copy of this report was emailed to Administrator for return with signature. UnfoundedRead the full finding— CDSS inspection report, January 26, 2023 · control 24-AS-20221014092112

Licensing Program Analyst (LPA) L. Xiong conducted the complaint investigation visit to the facility. I met with Hripsime Makaryan, administrator and informed her the purpose of the visit. During this visit LPA delivered investigation findings regarding the above allegations.The Department has investigated the complaint alleging: Staff are not properly supervising residents in care is UNSUBSTANTIATED. The evidence from the investigation indicated there is not preponderance evidence to show residents were not properly supervised. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated. UnsubstantiatedRead the full finding— CDSS inspection report, September 29, 2022 · control 24-AS-20220316102508

Licensing Program Analyst (LPA) L. Xiong conducted the complaint investigation visit to the facility. I met with Hripsime Makaryan, administrator and informed her the purpose of the visit. During the course of this investigation LPA reviewed facility files relevant to the complaint investigation. It was determined that the above allegation: Resident machine not being cleaned regularly. is UNFOUNDED. The investigation indicated the tubes were cleaned daily by staff. This agency has investigated the complaint alleging (Resident machine not being cleaned regularly). We have found that the complaint was unfounded, therefore we have dismissed the complaint. UnfoundedRead the full finding— CDSS inspection report, September 29, 2022 · control 24-AS-20220418135910

Licensing Program Analyst (LPA) L. Xiong conducted the complaint investigation visit to the facility. I met with Administrator Kristina Makaryan and informed her the purpose of the visit. During the course of this investigation LPA reviewed facility files relevant to the complaint investigation. It was determined that the above allegations: Resident fell while in care, Staff does not follow resident's diet restrictions and Activities are not being provided to residents are UNFOUNDED. Records reviewed indicated death reports were reported to Community Care Licensing at time of death and were contributed from declining health due to existing health conditions; Medical records review indicated no mismanage of resident's medication, facility menu were developed by certified dietition to meet the needs for the resident as ordered by the resident's doctor. Activities are ceased during time of Covid-19 due to safety. Resident is ambulatory, independent and not a fall risk and doesn't requireRead the full finding— CDSS inspection report, June 9, 2022 · control 24-AS-20210712110839

Licensing Program Analyst (LPA) L. Xiong conducted the complaint investigation visit to the facility. I met with Administrator Kristina Makaryan and informed her the purpose of the visit. During the course of this investigation LPA reviewed facility files relevant to the complaint investigation. It was determined that the above allegations: Staff did not have resident medically assessed in a timely manner after a fall, and Staff did not inform resident's family of a fall are UNFOUNDED. The investigation indicated medical care provided and family notification was done timely. This agency has investigated the complaint alleging (Staff did not have resident medically assessed in a timely manner after a fall, and Staff did not inform resident's family of a fall). We have found that the complaint was unfounded, therefore we have dismissed the complaint. UnfoundedRead the full finding— CDSS inspection report, May 16, 2022 · control 24-AS-20210524121408

Licensing Program Analyst (LPA) L. Xiong conducted the complaint investigation visit to the facility. I met with Administrator Kristina Makaryan and informed her the purpose of the visit. During the course of this investigation LPA reviewed facility files relevant to the complaint investigation. It was determined that the above allegations: Questionable deaths, Food service inadequate, Staff are not trained and Medication regulations are not adhered to are UNFOUNDED. Records reviewed indicated death reports were reported to Community Care Licensing at time of death and were contributed from declining health due to existing health conditions; Medical records review indicated no mismanage of resident's medication, facility menu were developed by certified dietition to meet the needs for the residents and food were pureed when ordered by the resident's doctor, and all staffs were trained before having client contact. This agency has investigated the complaint alleging Questionable deaths,Read the full finding— CDSS inspection report, May 16, 2022 · control 24-AS-20210407125945