Hm Sweet Home

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Resident sustained multiple pressure injuries due to staff neglect

Licensing Program Analyst (LPA) Quoc Huynh conducted a subsequent complaint visit to deliver findings for the above allegation. The LPA arrived at 9:08AM and met with Administrator Arshalouis Manoukyan, who arrived at 10:04AM, and explained the reason for the visit. Entrance interview conducted. At 10:31AM, the LPA and Administrator toured the physical plant areas to ensure there were no health and safety hazards. No immediate concerns were observed. On 02/11/2025, the Department received a complaint regarding an allegation for Neglect/Lack of Care and Supervision. Former Resident #1 (R1) sustained multiple pressure injuries while in care due to staff neglect. The complaint was referred to the Community Care Licensing Division (CCLD) Investigations Branch (IB) and assigned to Investigator Veronica Padilla. Report Continued on LIC 9099-C Substantiatedthe state’s words, verbatim · CDSS document, Jul 31, 2025 · control 29-AS-20250211151153

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff violated resident’s personal rights

Licensing Program Analyst (LPA) Kelly Dulek conducted a subsequent complaint investigation with the purpose of delivering findings for the allegations listed above. LPA arrived at the facility at 01:15PM and met with facility staff Mariam (Mari) Baghdoyan. LPA was informed Administrator was not available during today’s visit. Consultant for this location's pending new licensee arrived at the facility shortly after the visit began. Entrance interview conducted. During an initial complaint visit conducted on 10/28/2024, LPA interviewed Administrator at 10:45AM. LPA, along with Administrator, conducted a health and safety check tour of the facility at 11:02AM. No immediate health and safety hazards were observed during facility tour. At 11:14AM, LPA conducted a file review and obtained relevant copies. During a subsequent complaint visit conducted on 04/10/2025, LPAs Kelly Dulek and Quoc Huynh interviewed Administrator at 12:43PM, toured the facility with staff at 12:59PM, and Report Contthe state’s words, verbatim · CDSS document, Jun 19, 2025 · control 29-AS-20241024141522

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: . Staff does not give resident medication. 2. Staff does not allow resident to make phone calls.

Licensing Program Analyst(LPA), Christine Yee conducted a subsequent unannounced complaint visit to continue the investigation for the above allegations. LPA Yee was let into the home by Emilya Hovsepyan, Staff. Staff contacted Elena Kordonskiy, Administrator and she arrived at 1:44pm to conduct the visit. The reason for today's visit was provided. On 12/11/24, Licensing Program Analyst (LPA) Erica Mosley conducted an unannounced initial 10-day complaint visit to investigate the above allegations. On today's visit at 9:45 a.m., LPA Mosley was greeted by staff who called the Administrator to inform them of the visit. LPA met with Administrator Elena Kordonskiy and explained the reason for the visit. Entrance interview conducted. On 12/09/2024, the Department received a complaint regarding the following allegations, Staff does not give resident medication and Staff does not allow resident to make phone calls. LPA toured the physical plant areas inside and outside to Unsubstantiatedthe state’s words, verbatim · CDSS document, Feb 28, 2025 · control 29-AS-20241209121256

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: . Staff hit resident

Licensing Program Analyst (LPA) Christine Yee conducted an unannounced subsequent complaint visit and was let into the home by Mariam Baghdoyan, Staff. Elena Kordonskiy, Administrator was contacted by Mariam Baghdoyan, Staff and LPA Yee via telephone and she was unreachable. LPA Yee also contacted Asmik Nadrian, Licensee and she was also unreacheable. The reason for today's visit was explained to staff. Resident files were requested and again, records could not be provided. Per Mariam, she is just an employee. The reason for today's visit was provided. At 1:17pm a text was received from the Administrator advising LPA Yee that she was at the facility this morning and is currently out of town. On 2/29/24, Licensing Program Analyst (LPA) conducted an initial unannounced complaint visit and was let into the home by Mariam Baghdoyan, Staff. Staff contacted Marine Arshakyan who was unavailable for medical reasons and Askmik Nadrian was working her full time job and was also unavailable. LPAthe state’s words, verbatim · CDSS document, Feb 27, 2025 · control 29-AS-20240223115007

Allegation investigated: Residents do not have access to a phone 3. Staff did not conduct a proper assessment

Licensing Program Analyst (LPA) Christine Yee conducted an unannounced subsequent complaint visit and was let into the home by Mariam Baghdoyan, Staff. Elena Kordonskiy, Administrator was contacted by Mariam Baghdoyan, Staff and LPA Yee via telephone and she was unreachable. LPA Yee also contacted Asmik Nadrian, Licensee and she was also unreacheable. The reason for today's visit was explained to staff. Resident files were requested and again, records could not be provided. Per Mariam, she is just an employee. The reason for today's visit was provided. At 1:17pm a text was received from the Administrator advising LPA Yee that she was at the facility this morning and is currently out of town. On 9/12/24, Licensing Program Analyst (LPA) Christine Yee conducted an initial unannounced complaint visit to investigate the above allegations and was let into the home by Mariam Baghdoyan, Staff. Staff was asked to let Asmik Nadrian, Administrator, know Licensing was at the faciity and was informthe state’s words, verbatim · CDSS document, Feb 27, 2025 · control 29-AS-20240904113104

Allegation investigated: . Staff are not providing the appropriate treatment for a resident 2. Staff are withholding a resident's medication 3. Illegal Eviction

Licensing Program Analyst (LPA) Christine Yee conducted an unannounced subsequent complaint visit and was let into the home by Emilya Hovsepyan, Staff. Elena Kordonskiy, Administrator was contacted by Mariam Baghdoyan, Staff via telephone and she arrived at 11:52am to conduct the visit. The reason for today's visit was explained. On 5/15/24, Licensing Program Analyst (LPA) Christine Yee conducted an unannounced complaint visit to investigate the above allegations and was let into the home by Mariam Baghdoyan, Staff. Staff contacted a consultant who indicated that there was a management change and the Woodland Hills Regional Office was notified and they were on the way. Consultant was advised by LPA Yee that LPA was at the facility to investigate a complaint and not to provide consultation services. Staff than contacted Asmik Nadrian, Administrator, who advised LPA Yee that she was not able to conduct the visit due to family obligations and Substantiatedthe state’s words, verbatim · CDSS document, Feb 24, 2025 · control 29-AS-20240507151543

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Facility staff did not dispense medications as prescribed

Licensing Program Analysts (LPAs) Angela Barutyan and Emily Peraldi arrived at the facility unannounced to conduct a subsequent complaint investigation for the allegation listed above at 09:30AM. LPAs met with staff. Administrator Elena Kordonskiy arrived at 10:15AM and reason for the visit was explained. During the initial complaint visit which took place on 12/23/2024 beginning at 09:55AM, LPA Barutyan conducted a brief physical plant tour, conducted interviews with two (2) staff members, and two (2) residents, conducted a medication review for five (5) out of five (5) current residents and one (1) former resident, and reviewed and obtained copies of pertinent documents relevant to the investigation. Report Continued on LIC 9099-C. Unsubstantiatedthe state’s words, verbatim · CDSS document, Jan 6, 2025 · control 29-AS-20241217105630

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Resident was left soiled for an extended period of time.

Licensing Program Analyst (LPA), Erica Mosley conducted a subsequent complaint visit to the above facility. The purpose of the visit is to deliver findings for the above allegations. The initial visit was conducted on 12/27/2023 by LPA Teresa Camara. On today's visit at 9:45 a.m., LPA Mosley was greeted by staff who called the Administrator to inform them of the visit. LPA met with Administrator Elena Kordonskiy and explained the reason for the visit. Entrance interview. On 12/22/2023, the Department received a complaint regarding the following allegation Resident was left soiled for an extended period of time. During the initial visit on 12/27/2023, LPA Camara conducted a brief physical tour to ensure there are no immediate health and safety hazards and facility is in compliance with Title 22 Regulations. REPORT CONTINUED ON LIC 9099-C PAGE 2... Substantiatedthe state’s words, verbatim · CDSS document, Dec 11, 2024 · control 29-AS-20231222121315

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: . Staff coerced Resident's Representative into enrolling resident into hospice.

Licensing Program Analyst (LPA) Christine Yee conducted a subsequent complaint visit to deliver the findings for the above allegation. During today’s visit, LPA Yee met with Mariam Baghdoyan, Staff. Asmik Nadrian, Administrator was contacted and was not in the local vicinity and did not participate in today's visit. LPA Yee explained to the Administrator, the reason for the visit today andauthorized staff to sign the documents. On 11/07/2023, the Department received a complaint regarding an allegation that Staff coerced Resident's Representative(RR) into enrolling resident into hospice. This allegation was investigated by LPA Christine Yee On 11/8/23, Licensing Program Analyst (LPA)Christine Yee conducted an unannounced intial complaint visit in conjunction with a health and safety visiit and was let into the home by Mariam Baghdoyan, Caregiver. Unsubstantiatedthe state’s words, verbatim · CDSS document, Jun 19, 2024 · control 29-AS-20231107095933

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: . Staff forced resident to drink nutritional supplement while in care causing hospitalization.

Licensing Program Analyst (LPA) Christine Yee conducted a subsequent complaint visit to deliver final findings for the above allegation. During today’s visit, LPA Yee met with Asmik Nadrian, Administrator and explained the reason for the visit. On 11/07/2023, the Department received a complaint regarding an allegation of Neglect/Lack of Care and Supervision. It was alleged that Resident #1 (R1) was forced to drink a nutritional drink, causing hospitalization. The complaint was referred to the Community Care Licensing (CCL) Investigations Branch (IB) and assigned to Investigator Olivia Spindola. On 11/08/2023, from 10:14am to 4:15pm, Licensing Program Analyst (LPA) Christine Yee conducted an unannounced initial complaint visit in conjunction with a health and safety visit and was let into the home Unsubstantiatedthe state’s words, verbatim · CDSS document, Feb 27, 2024 · control 29-AS-20231107095933

Allegation investigated: Staff did not prevent a resident from being financially abused while in care

Licensing Program Analyst (LPA) Christine Yee conducted an unannounced complaint visit to investigate the above complaint and was let into the home by Emilya Hovsepyan, Staff. Asmik Nadrian was contacted via telephone and she arrived at 10:17am to conduct the visit. The reason for today's visit was explained. During today's visit, LPA Yee conducted interviews and showed photograph obtained from ATM camera to Resident #2 at 9:52am, facility staff #1 and Staff #2 at 9:55am, Staff #3 at 10:52am, Administrator at 10:55am regarding resident files and photograph. LPA Yee also attempted to interview Witness #1 via telephone at 10:58am. Telephone interview was also conducted with the complainant prior to today's visit and on today's visit. Per information received from interviews conducted, Resident #1 lived at the facility from the latter part of November 2023 and deceased in mid December of 2023. However, per complainant, on 1/19/24 an Unsubstantiatedthe state’s words, verbatim · CDSS document, Jan 31, 2024 · control 29-AS-20240124115220

Allegation investigated: Staff administering medication not prescribed for a client

Licensing Program Analyst(LPA) Christine Yee conducted an unannounced complaint visit to investigate the above allegation and was let into the home by Mariam Baghdoyan, staff. Marine Ashakyan, Staff was contacted and she arrived a little later to assist with the visit until 12:50pm and had to leave to take a family member to a doctor appointment. Asmik Nadrian, Administrator did not participate in today's visit since she holds a full time job and is not available during business hours. During today's visit, LPA Yee reviewed all residents' files at 10:30am, reviewed all residents medications at 11:23am and conducted an interview with Marine Ashakyan,staff, at 11:07am and Resident #1 at 12:35am. Per information, received from staff interview and review of Resident #1's medication centrally stored in a plastic box, the medication bottles were observed labeled with Resident #1's name, the dosage and the frequency medication is dispensed. Per staff, they dispense medications as noted on thethe state’s words, verbatim · CDSS document, Jan 16, 2024 · control 29-AS-20240108222517

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff do not ensure grab bars are present in resident's bathroom

Licensing Program Analyst (LPA) Teresa Camara conducted an initial complaint visit to the facility. Upon arrival there were two caregivers present. Caregiver 1 (C1) called the administrator to come to the facility. Administrator Marine Arshakyan arrived at 10:32 a.m. LPA explained the reason for the visit. At 9:45 a.m. LPA conducted a brief tour of the facility. There are three bathrooms at the facility. The only bathroom with handrails next to the toilet and in the shower is the hall bathroom. Bedroom one (1) and Bedroom three (3) both have private bathrooms. The bathroom in Bedroom three has a handrail across from the toilet but none in the shower. The bathroom in Bedroom one has no handrails. Based on LPA's observations, the allegation staff do not ensure grab bars are present in the resident's bathroom is deemed Substantiated at this time. Per California Code of Regulations (CCR), Title 22, see LIC 9099-D forthe state’s words, verbatim · CDSS document, Dec 27, 2023 · control 29-AS-20231222121315

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: . Staff did not seek medical attention for resident in care in a timely manner 2. Licensee does not ensure that facility is adequately staffed.

Licensing Program Analyst(LPA) Christine Yee conducted an unannounced complaint visit to investigate the above allegations and was let into the home by Amelia "Narra" Hovsepian, Staff. Asmik Nadrian, Administrator, was contacted by staff and advised that LPA Yee was onsite. The Administrator participated in today's visit via telephone. The reason for today's visit was explained. On today's visit, LPA Yee conducted an interview with Resident #2 at 11:01am, Resident #3 at 12:26pm, Staff #1 at 11:42am and the Administrator at 12:01pm via telephone. Per information obtained from the interviews regarding Allegation #1- Staff did not seek medical attention for resident in care in a timely manner, on the moning of Tuesday 10/10/23, Resident #1 was complaining of stomach pain. Resident #1 has a history of complaining of stomach pains . Per the Administrator and Staff Unsubstantiatedthe state’s words, verbatim · CDSS document, Oct 12, 2023 · control 29-AS-20231010161119

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.