Em Senior Living

We haven’t transcribed this report yet. The complete document is on the state’s site.

Allegation investigated: Staff do not ensure residents dietary restrictions are met Staff do not provide resident with prescribed medications

Licensing Program Analyst (LPA) Trevor Byrne arrived to the facility at 09:47 AM to conduct a follow-up complaint investigation visit at the facility today. LPA met with facility staff who contacted the Interim Administrator Ruzanna Bojukyan. The Interim Administrator arrived to the facility at approximately 10:13 AM. Entrance interview was conducted and the reason for the visit was explained. During the 09/09/2026 visit, the LPA conducted a physical plant tour, conducted a file review for four (4) residents, conducted a medication audit for four (4) residents, interviewed two (2) residents, and collected copies of pertinent documentation between approximately 11:25 AM and 04:15 PM. During today’s visit LPA conducted a physical plant tour, conducted interviews with two (2) residents, one (1) staff, one (1) witness, and the Owner between approximately 10:15 AM and 03:30 PM. CONTINUED ON LIC 9099C. Substantiated The allegation of “Staff do not ensure residents dietary restrictions are met.” Alleges that the facility served Resident #1 (R1) foods that were inconsistent with their prescribed diet. LPA reviewed R1’s resident file and observed that R1 was prescribed a “Renal, easy to chew, level 1, thin liquids diet.” LPA interviewed facility Staff #1 (S1) who confirmed that the facility is required to adhere to resident’s diets as prescribed by a doctor. S1 stated that they were aware that two (2) current residents and R1 had prescribed diets. S1 stated that the facility would provide R1 with foods normally served to other facility residents including bacon, sausages, eggs, pastries, beans, soups, etc. During the 09/09/2026 visit LPA observed the facility serving full sized pizza slices and pieces of fried chicken for lunch to facility residents including Resident #2 (R2). LPA reviewed R2’s medical assessment and observed that R2 was prescribed a “Soft + Bite sized diet.” LPA observed that staff did not attempt or offer to cut the food items served into smaller pieces for R2. Based on the information obtained during interviews, record review, and observation there is sufficient evidence to support the allegation of “Staff do not ensure residents dietary restrictions are met.” Therefore, the allegation is deemed Substantiated at this time. The allegation of “Staff do not provide resident with prescribed medications.” Alleges that the facility did not provide R1 with their prescribed medications. LPA interviewed S1 and the Owner who stated that R1 was non-compliant with medication administration while at the facility. S1 and the owner both stated that R1 refused medication administration on multiple occasions. S1 and the Interim Administrator denied any errors with medication administration at the facility. LPA conducted a medication audit of four (4) current facility residents. During the audit LPA cross referenced the medication administration instructions, total number of pills provided with the prescription, number of pills remaining in the bottle, and medication start dates to determine if medications were being administered as prescribed. During the medication audit LPA observed nineteen (19) of twenty-nine (29) medications to have errors in documentation of medications and pill counts if administered as prescribed. LPA asked the Interim Administrator why there were discrepancies in the medications. The interim Administrator stated that they did not have a justification as the medications were logged by the previous Administrator of the facility. Based on the information obtained during interviews and record review there is sufficient evidence to support the allegation of “Staff do not provide resident with prescribed medications.” Therefore, the allegation is deemed Substantiated at this time. CONTINUED ON LIC 9099C. The Interim Administrator had to leave the facility at the time of the visit but has designated facility staff to sign this report on their behalf. This report was read to the Interim Administrator via telephone call. The following deficiencies were cited (refer to LIC 9099D). A copy of the report was printed, appeal rights were provided, and exit interview was conducted. The allegation of “Staff financially abuse resident.” Alleges that the facility was financially abusing Resident #1 (R1) by requesting approximately $500 initially and subsequently $350 after R1 stated that that they were unable to pay. LPA reviewed R1’s resident file and observed an admission agreement signed on 08/18/2026 which stated that R1 was being charged $350 /month due on the first of the month as their rate for basic services. LPA interviewed facility Staff #1 (S1) and the owner who informed LPA that R1 had never paid the facility for their stay. The Owner stated that R1 was admitted to the facility under a program and never paid the facility their required share of costs. Although the allegation may have happened or is valid there is insufficient evidence to support the allegation of “Staff financially abuse resident.” Therefore, the allegation is deemed Unsubstantiated at this time. The allegation of “Staff do not ensure residents privacy.” Alleges that the facility was taking unauthorized photos of R1 eating breakfast. LPA interviewed S1 and the Owner who both denied ever taking photographs of R1 while eating or at any other time in the facility. Three (3) current facility residents did not express any concerns with staff respecting their privacy at the facility. Although the allegation may have happened or is valid there is insufficient evidence to support the allegation of “Staff do not ensure residents privacy.” Therefore, the allegation is deemed Unsubstantiated at this time. The allegation of “Staff do not ensure residents hygiene needs are met ” Alleges that facility staff were not providing showers to R1 and that R1 was not allowed to shower on their own while at the facility. LPA reviewed R1’s medical assessment and observed that R1’s physician had indicated that R1 was not able to bathe themselves and required staff assistance. LPA interviewed S1 who stated that R1 required bathing assistance from staff due to their physical limitations. S1 stated that R1 was showered at the facility approximately 3-4 times /week and that R1 never refused bathing assistance. LPA interviewed the facility Owner who stated that R1 was not allowed to shower on their own while at the facility. The Owner stated that R1 was showered four (4) times /week and that R1 never refused bathing assistance. LPA interviewed four (4) current facility residents. No residents interviewed expressed any concerns with the current frequency of shower/bathing assistance given at the facility. Although the allegation may have happened or is valid there is insufficient evidence to support the allegation of “Staff do not ensure residents hygiene needs are met.” Therefore, the allegation is deemed Unsubstantiated at this time. CONTINUED ON LIC 9099C. The Interim Administrator had to leave the facility at the time of the visit but has designated facility staff to sign this report on their behalf. This report was read to the Interim Administrator via telephone call. A copy of the report was printed and exit interview was conducted.the state’s words, verbatim · CDSS document, Sep 17, 2026 · control 29-AS-20260903121537

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87555(b)(7) · Plan of correction due date: Oct 1, 2026

87555 General Food Service Requirements (b) The following food service requirements shall apply: (7) Modified diets prescribed by a resident's physician as a medical necessity shall be provided. This requirement is not met as evidenced by: Based on observation, record review, and interviews the Licensee did not comply with the section cited above as the facility did not adhere to a former resident and current resident's medically prescribed dietary restrictions which poses a potential health risk to clients in care.the state’s words, verbatim · CDSS document, Sep 17, 2026

Plan of correction: The interim Administrator agreed to submit their plan on how they will provide food to facility residents which complies with the resident's medically prescribed dietary restrictions. The Interim Administrator agreed to sign and submit their plan to CCLD no later than POC due date.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87465(a)(4) · Plan of correction due date: Oct 1, 2026

87465 Incidental Medical and Dental... (a) ... by compliance with the following: (4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Based on observation and record review the Licensee did not comply with the section cited above as nineteen medication errors were observed during a medication audit which poses a potential health risk to clients in care.the state’s words, verbatim · CDSS document, Sep 17, 2026

Plan of correction: The interim Administrator agreed to obtain training for all facility staff responsible for the administration and logging of medications in the facility which covers appropriate medication administration procedures and documentation principles... ...The Interim Administrator agreed to submit proof of the completed training for all individuals to CCLD no later than POC due date.

Type of visit: Case Management - Deficiencies

Licensing Program Analyst (LPA) Trevor Byrne arrived to the facility at 10:37 AM to conduct a case management - deficiencies visit at the facility today. LPA met with facility staff who contacted the Facility Owner Ofelya Mkrtchyan and Interim Administrator Ruzanna Bojukyan. The Owner and Interim Administrator arrived to the facility at approximately 11:20 AM. Entrance interview was conducted and the reason for the visit was explained. During today’s visit, the LPA conducted a physical plant tour, conducted a file review for four (4) residents, conducted a medication audit for four (4) residents, interviewed two (2) residents, and collected copies of pertinent documentation between approximately 11:25 AM and 04:15 PM. During record review one (1) resident was observed to be missing proof of a negative TB test. LPA informed the Owner that prior to a person's acceptance as a resident, the licensee shall obtain proof of a negative TB test. The Owner expressed understanding and agreed to submit proof of a negative TB test for the identified resident. Pursuant to Title 22 of the CA Code of Regulations and/or the health and safety code, the following deficiency was cited (refer to LIC 809-D). Exit interview conducted and copy of the report was issued and appeal rights provided.the state’s words, verbatim · CDSS document, Sep 9, 2026

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87458(c)(1)(A) · Plan of correction due date: Sep 23, 2026

87458 Medical Assessment (c) The medical assessment shall include, but not be limited to: (1) ... an examination for all of the following: (A) Communicable tuberculosis. This requirement is not met as evidenced by: Based on record review the licensee did not comply with the section cited above as one resident did not have proof of a negative TB test which poses a potential health risk to clients in care.the state’s words, verbatim · CDSS document, Sep 9, 2026

Plan of correction: The Owner agreed to submit proof of a negative TB test for the identified individual to CCLD no later than POC due date.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Christine Yee conducted an unannounced required Annual Inspection using the CARE Inspection Tool and was let into the home by Ofelya Mkrtchyan, Staff. The designated Administrator Liza Gasparyan was contacted by staff and advised of today's visit. Per information provided by the designated Administrator, she is also an Administrator at another home and is working at the other facility and could not participate, in person, in today's the visit. The visit was conducted with Edgar Mkrtchyan, Licensee. The reason for today's visit was provided. The Facility is a single storey family home consisting of a living room, dining room, kitchen, 3 bedrooms and two full bathrooms. Attached to left side of the home is an ADU with a separate address - 13937-1/2 Cantlay Street and is not part of the facility operations. Located in the back is a swimming pool enclosed with a 5 feet rod iron fence. The gate is secured with a padlocked. The facility is fire cleared for 5 non-ambulatory and 1 bedridden residents. Bedroom #3, located in the back is fire cleared for bedridden use. On today's visit, the CARE Inspection Tool was used to conduct the visit and due to difficulty obtaining records and language barrier, the Resident Records/Incident Reports domain was the only domain that was reviewed on today's visit. Also reviewed on today's visit were 4 resident and 4 staff files. The following was observed on today's visit: Resident #1 and Resident #3 files were missing the Centrally Stored Medication Destruction Record Resident #2 is missing evidence of a TB test Resident #2 and Resident do not have a completed/signed Admission Agreement and rental rates Page 2. The Facility cashes Resident #1's SSI check and has access to the resident's bank account and does not have a surety bond. All the facility residents have PRN medications and do not have completed PRN Authorization Letters on file. The Licensee's brother, Edgar Mkrtchyan was observed assisting in the facility during today's visit and is not associated to the facility as of this visit. Deficiencies cited under California Code of Regulations, Title 22, Division 6, Chapter 8. Any deficiencies not addressed on today's visit will be addressed on a return visit.the state’s words, verbatim · CDSS document, Feb 26, 2026

The state marks this report as 7 pages; the online copy we transcribed has 5. You can request the full file from the county licensing office.

Type of visit: Case Management - Other

Licensing Program Analyst, Christine Yee, conducted an announced case management visit to ensure that the deficiencies noted on the initial Prelicensing and Component III visit on 11//7/2024 have been addressed on today's visit. LPA Yee met with Kevin Parker, Staff, Edmond Mkrtchyan, Designated Applicant, Ofelya Mkrtchyan, Staff and Elfrida Gevorkian, Staff. Lousine Sarkisian, Designated Administrator did not participate in today's visit. The following was observed on today's visit: 2 sets of bed linens consisting of a flat sheet, fitted sheet and a pillow case, 2 sets of mattress covers, 8 twin blankets were observed. 2 sets of towels consisting of bath towels, hand towels and face towels were observed. Extra sets of towels were purchased during today's visit Bedroom #1, located in the front of the home was observed with 2 captain style twin beds, 2 folding chairs, 2 lamps, a single multi-drawer shelf for night stands and a built in closet. Personal items, bed linens and towels were removed from Bedroom #1's closet Grab bars were observed in the common bathroom and a toilet safety rail for the toilet. Bedroom #2 was observed with 2 twin beds, 2 folding chairs, 2 night stands, 2 lamps and a built in closet. Extra Linens and blankets stored in the closet of Bedroom #3 were relocated and contains linens just for the residents who occupy the room. The windows were observed with curtains. The room was also observed with 2 lamps. The shelf used for the resident's television was moved against the bed so it is not blocking the back entrance. The fire place was observed sealed up with plywood and covered with a painting. Little flashlights were purchased for the residents and 4 staff. Page 2. The window screen was observed repaired in bedroom #1. staff and resident files will be created and should contain all the required Title 22 documents General liability insurance will purchased when the facility is licensed. As of today's visit, the deficiencies observed on the initial Prelicensing and Component III has been corrected. Exit interview was conducted with Ofelya Mkrtchyan, Kevin Parker, Edmond Mkrtchyan and Elfrida Gevorkian.the state’s words, verbatim · CDSS document, Jan 9, 2025

Type of visit: Office

COMP II by CAB successfully completed Method: Phone Call at CAB Applicant/administrator participated in COMP II at CAB telephone call with analyst at CAB. Identification of the applicant and administrator was verified by presenting photo ID via phone. During COMP II, applicant and administrator confirmed the understanding of Title 22. Component II was successfully completed. Applicant and administrator were advised to email/fax signed LIC 809 with copy of photo ID to CAB. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Staff qualifications and responsibilities 3. Applicant and Administrator qualifications 4. Program policy: Abuse, admission agreement, medication management, reporting incidents to CCL, restricted & prohibited conditions 5. Grievances, Complaints, Community resources 6. Physical plant, food service 7. Application document review and technical assistance: Criminal record clearance, Health screening, Fire clearance, First Aid/CPR certificate, Administrator certificate, Financial verification, Pre-licensing inspection, Compliance history, Control of propertythe state’s words, verbatim · CDSS document, Sep 24, 2024