Garden Grove Assisted Living

Allegation investigated: Staff did not prevent a resident from developing a pressure injury while in care. Staff did not feed a resident in care. Staff did not provide sufficient drinking water to resident in care. Staff did not allow resident to receive telephone calls.

On 03/16/26, at 10:28am, Licensing Program Analyst (LPA) Gina Saucedo arrived at the facility to conduct an unannounced, subsequent complaint visit and was greeted by Administrator, Alvina Galustyan. LPA explained the purpose of this visit was to gather additional information and deliver findings for this complaint. On 01/30/26, LPA Saucedo conducted the initial visit. On 01/30/26, LPA Saucedo asked for the census, staff, and resident rosters. On 01/30/26, LPA Saucedo conducted a physical tour and obtained relevant documents pertaining to resident #1 (R1)-Pre-Placement Appraisal, Medical Assessment, Identification and Emergency Information. On 03/16/26, LPA Saucedo conducted another physical tour. LIC 9099C-continued Unsubstantiated Regarding the allegation: Staff did not prevent a resident from developing a pressure injury while in care. It is being alleged that Resident #1 (R1) had a pressure injury in their sacral area. LPA obtained medical records from Northridge Hospital, and it was determined that R1 had a Stage 1 pressure injury on their sacrum. Staff #1 (S1) confirmed that R1 was under “Prosper Home Health,” which provided services to R1 such as taking blood work, issuing medication, and assisting R1 with showers. During LPA’s record review of the facility and medical records from Northridge Hospital, it was determined that R1 had Stage 4 choriocarcinoma cancer with metastasis. During LPA’s interview with the nurse who was providing care to R1 through Home Health, the nurse stated, “R1 was not being provided wound care because R1 did not have a wound.” Therefore, based on the record review and interviews conducted, the allegation is UNSUBSTANTIATED at this time. Regarding the allegation: Staff did not feed a resident in care. It is being alleged that Resident #1 (R1) was not being fed due to them not being able to walk to the dining area. LPA interviewed two (2) residents who confirmed they receive all their meals regardless of whether they eat in the dining area or not. One (1) resident confirmed that if they do not feel well, the caregiver brings the meal to their room. During LPA’s interview with R1’s sister, they stated that when they visited R1, R1 had leftover food in their room. During LPA’s staff interviews, both staff confirmed that R1 became very sick and would not eat all the time. Both stated, “Even if we would take the food to R1’s room, it would sometimes stay untouched.” During LPA’s interview with Staff #1 (S1), S1 confirmed that R1 had cancer and was declining very quickly. S1 also stated that R1’s medical assessment had to be updated because when R1 first arrived at the facility, R1 did not have a special diet and did not require incontinence care; however, due to the health decline, R1 was later placed on a special diet and required incontinence assistance. During LPA’s record review of the facility and medical records from Northridge Hospital, it was determined that R1 had Stage 4 choriocarcinoma cancer. Therefore, based on the record review and interviews conducted, the allegation is UNSUBSTANTIATED at this time. LIC 9099C-continued Regarding the allegation: Staff did not provide sufficient drinking water to a resident in care. It is being alleged that Resident #1 (R1) seemed extremely thirsty at times. LPA interviewed two (2) residents who confirmed they receive all their meals and do not have any issues obtaining drinks. One (1) resident stated they like to drink sodas, and the other resident stated they can drink whatever beverages the facility has available. During LPA’s physical tour of the garage, cases of bottled water were observed. During LPA’s interview with R1’s sister, they stated that when they visited R1, R1 had drank multiple water bottles. During LPA’s staff interviews, two (2) staff confirmed that there is plenty of food and different drinks available for the residents, including water. Both staff also confirmed that R1 was diabetic and at times drank a lot of water and had multiple water bottles in their room. During LPA’s record review, it was determined that R1 was diabetic. Therefore, based on the record review and interviews conducted, the allegation is UNSUBSTANTIATED at this time. Regarding the allegation: Staff did not allow a resident to receive telephone calls. It is being alleged that Resident #1 (R1) had no phone privileges. During LPA’s visit on 01/30/26, LPA observed the facility phone ring, and it was for a resident who did not have their own cell phone; the resident was able to use the facility phone. LPA interviewed two (2) other residents who have their own cell phones and do not need to use the facility phone. During LPA’s interview with Staff #1 (S1), who stated that R1 did not have their own cell phone but did receive phone calls from their sister at the facility. S1 also stated that at times R1 was too sick to speak with their sister and would decline the phone calls. Staff #2 (S2) stated that R1 was able to walk when they first came to the facility, but when their health declined, R1 preferred to stay in their room and not speak to anyone. Therefore, based on the record review and interviews conducted, the allegation is UNSUBSTANTIATED at this time. An exit interview was conducted, no citation(s) issued, and a copy of this report was given to the Administrator.the state’s words, verbatim · CDSS document, Mar 16, 2026 · control 31-AS-20260127155509

Type of visit: Required - 1 Year

On 01/30/26 at 9:20 AM, Licensing Program Analyst (LPA) Gina Saucedo, arrived to conduct an unannounced, annual inspection at the facility. Upon arrival, LPA Saucedo met with caregiver, Alvina Galustyan and disclosed the purpose of the visit. The caregiver called the administrator and they arrived shortly after, Alvina Galustyan-Administrator. LPA asked for the census, resident, and staff files. A physical tour was conducted at 10:55 AM and observed the following: The Kitchen area was toured, and LPA observed there to be sufficient seven (7) day supply of non-perishable foods and perishable food for all residents. The kitchen area was clean at the time of the tour. The fire extinguisher is located against the wall on your right-hand side, leading to the living/dining room area. It is fully charged. The fire extinguisher was bought 03/2025. There is extra, food in the kitchen pantries. The sharps are locked and inaccessible to the residents in one (1) of the top cabinets on your right-hand side. The medication is on the top of one (1) of the cabinets locked and inaccessible on your right-hand side of the kitchen. The first aid kit is on the kitchen counter. The garage is detached from the house. The garage has an extra refrigerator. There is extra incontinence, beds and water in the garage. LIC 809C-continued Outside/Backyard: The outside/backyard has furniture for residents with proper seating. The facility has a signal system. The facility does have a pool fenced and locked inaccessible to the residents. Bedrooms: There are four (4) bedrooms and two (2) bathrooms. Two (2) of the bedrooms are single, occupied and two (2) bedrooms are shared. One (1) of the four (4) bedrooms has a private bathroom. All bedrooms and bathrooms were toured and were properly furnished and have appropriate bedding, linens, toiletry, and lightning. Both bathrooms have proper toiletry and grab bars. The bathroom temperatures of the water are within regulations reading at 112-degree Fahrenheit. The dining area/living room area is located next to the kitchen where there is enough seating for the residents and the staff. There is a large television and there is also internet access. There is an office area towards the back exit and there is a partition for the staff. The telephone line is located in this area. There are cabinets in the hallway that have extra linen. The house temperature is at 72-degree Fahrenheit. The carbon monoxide and smoke detectors are located throughout the facility and are operable. There is one (1) washer and dryer, and the chemicals are stored with them locked and inaccessible to the residents in care located on your left side of the kitchen. The Ombudsman sign is located on your left- hand side against the wall. Administrative: At the entrance of the facility there is a YES sign, facility sketch, Rights of Resident Council, Personal Rights, Disaster Plan, Non-Discriminatory Policy, Visiting Rights, Report of suspected adult/elderly abuse. The surety bond has an expiration date of March 2026, there is a license that states RCFE/DEMENTIA residents. There is a binder with the Infection Control dated 10/25 and Fire drill dated 12/25. Staff/Resident files: LPA reviewed two (2) staff files and five (5) resident files. An exit interview was conducted, no citation(s) were issued, and a copy of this report was given to the Administrator.the state’s words, verbatim · CDSS document, Jan 30, 2026

Type of visit: Required - 1 Year

On 01/15/25 at 9:20 AM, Licensing Program Analyst (LPA) Gina Saucedo, arrived to conduct an unannounced, annual inspection at the facility. Upon arrival, LPA Saucedo met with caregiver Vitalina Bezdolna and disclosed the purpose of the visit. The caregiver called the administrator but the administrator could not come to the facility at the time. LPA asked for the census, resident, and staff files. A physical tour was conducted at 10:40 AM and observed the following: The Kitchen area was toured, and LPA observed there to be sufficient seven (7) day supply of non-perishable foods and perishable food for all residents. The kitchen area was clean at the time of the tour. The fire extinguisher is located against the wall on your right-hand side, leading to the living/dining room area. It is fully charged. The fire extinguisher was bought 01/30/2024. There is extra, food in the kitchen pantries. The sharps are locked and inaccessible to the residents in one of the top cabinets on your right-hand side. The medication is at the bottom of one of the cabinets locked and inaccessible on your right-hand side of the kitchen. The first aid kit is on the kitchen counter. The garage is detached from the house. The garage has an extra refrigerator. There is extra incontinence, beds and water in the garage. Outside/Backyard: The outside/backyard has furniture for residents with proper seating. The facility has a signal system. The facility does have a pool fenced and locked inaccessible to the residents. LIC 809C-continued Bedrooms: There are four (4) bedrooms and two (2) bathrooms. Three (3) of the bedrooms are single, occupied and one (1) bedroom shared with a private bathroom. All bedrooms and bathrooms were toured and were properly furnished and have appropriate bedding, linens, toiletry, and lightning. Both bathrooms have proper toiletry and grab bars. The bathroom temperatures of the water are within regulations reading at 115-117-degree Fahrenheit. The dining area/living room area is located next to the kitchen where there is enough seating for the residents and the staff. There is a large television and there is also internet access. There is an office area towards the back exit and there is a partition for the staff. The telephone line is located in this area. There are cabinets in the hallway that have extra linen. The house temperature is at 76-degree Fahrenheit. The carbon monoxide and smoke detectors are located throughout the facility and are operable. There is one (1) washer and dryer, and the chemicals are stored with them locked and inaccessible to the residents in care located on your left side of the kitchen. The Ombudsman sign is located on your left- hand side against the wall. Administrative: At the entrance of the facility there is a YES sign, facility sketch, Rights of Resident Council, Personal Rights, Disaster Plan, Non-Discriminatory Policy, Visiting Rights, Report of suspected adult/elderly abuse. The surety bond has an expiration date of March 2025, there is a license that states RCFE/DEMENTIA residents. There is a binder with the Infection Control and Fire drill. An exit interview was conducted, no citation(s) were issued, and a copy of this report was given to the Caregiver and emailed to Administrator.the state’s words, verbatim · CDSS document, Jan 15, 2025

Type of visit: Required - 1 Year

On 02/26/24 at 9:35 AM, Licensing Program Analyst (LPA) Gina Saucedo, arrived to conduct an unannounced, annual inspection at the facility. Upon arrival, LPA Saucedo met with caregiver Armen Hovhannisyan and disclosed the purpose of the visit. The caregiver called the designee-Sona Gevorkyan and they arrived about fifteen (15) minutes after. LPA asked for the census, resident, and staff rosters. A physical tour was conducted at 10:20 AM and observed the following: The Kitchen area was toured, and LPA observed there to be sufficient seven (7) day supply of non-perishable foods and perishable food for all residents. The kitchen area was clean at the time of the tour. The fire extinguisher is located against the wall on your left-hand side, leading to the living/dining room area. It is fully charged. The fire extinguisher was bought 05/2023. There is a telephone line on one of the counters in the kitchen. There is extra, food in the kitchen pantries. The sharps are locked and inaccessible to the residents in one of the top cabinets on your left-hand side. The medication is at the bottom of one of the cabinets locked and inaccessible on your left-hand side of the kitchen. The first aid kit is on the kitchen counter. The garage is detached from the house. The garage has an extra refrigerator. There is extra incontinence and water in the garage. Outside/Backyard: The outside/backyard has furniture for residents with proper seating. The facility has a signal system. The facility does have a pool fenced and locked inaccessible to the residents. LIC 809C-continued Bedrooms: There are four (4) bedrooms and two (2) bathrooms. Two (2) of the bedrooms are single, occupied and the other two (2) bedrooms are shared. One of the shared bedrooms has a private bathroom. All bedrooms and bathrooms were toured and were properly furnished and have appropriate bedding, linens, toiletry, and lightning. The bathrooms have proper toiletry and grab bars. The bathroom temperatures of the water are within regulations reading at 110–115-degree Fahrenheit. The dining area/living room area is located next to the kitchen where there is enough seating for the residents and the staff. There is a large television and there is also internet access. There are cabinets in the hallway that have extra linen. The house temperature is at 70-degree Fahrenheit. The carbon monoxide and smoke detectors are located throughout the facility and are operable. There is one washer and dryer, and the chemicals are stored with them locked and inaccessible to the residents in care located on your left side of the kitchen. The Ombudsman sign is located on your right- hand side against the wall. Administrative: There is no annual fee that is due right now. At the entrance of the facility there is a YES sign, facility sketch, Rights of Resident Council, Personal Rights, Disaster Plan, Non-Discriminatory Policy, Visiting Rights, Report of suspected adult/elderly abuse. The surety bond has an expiration date of March 2024, there is a license that states RCFE/DEMENTIA residents. There is a binder with the Infection Control and Fire drill last one 01-12-2024. An exit interview was conducted, no citations were issued, and a copy of this report was given to the designee.the state’s words, verbatim · CDSS document, Feb 26, 2024