Globus Senior Living

Allegation investigated: Staff abandoned resident in care.

This report is being amended to change the verbiage and structure of the narrative from the report issued on 12.30.2025. Licensing Program Analysts (LPA) Leslie Ngo-Castaneda conducted an initial complaint visit to the facility to investigate the above allegation. LPA met with the administrator, Donara Aghabalyan, and advised them about the visit. An entrance interview was conducted. To investigate the allegation, at 10:30 AM LPA conducted a physical plant tour to ensure the health and safety of the clients in care on 12.30.2025, LPA interviewed four (4) residents, two (2) staff (including the Administrator) from 10:35 AM to 11:15 AM. At 11:00 AM, LPA reviewed and received copies of documents about the investigation: staff roster (LIC 500), resident roster (LIC 9020), R1 physician report, Continue to LIC 9099-C Unsubstantiated identification and emergency information, resident appraisal, and other documents. In addition, at (time) LPA made a phone contact to hospital Social Worker to obtain additional information about R1’s health condition. Allegation: Staff abandoned the resident in care It is being alleged that the Resident #1 (R1) was abandoned in the hospital and cannot return to the facility. Information received revealed that Resident #1 (R1) was taken to the hospital on 12.25.2025 because of their level of care. Staff interview revealed that R1 was violent and vicious towards other residents in the facility staff. R1 does not follow redirection. The administrator indicated that the hospital planner attempted to discharge R1 back to the facility. However, R1’s health conditions were not improved and their presence at the facility would continue to pose hazard to other residents and staff. Upon further discussion with the hospital social worker and other medical professionals the decision was made that R1 will not be returning to the facility and will be discharge to a skilled nursing facility (SNF) for a higher level of care. LPA interviewed three (3) out of four (4) residents who confirmed that R1 has been physically and verbally violent, taking their belongings, and harassing them. Interview with SW verified the information received from the Facility Administrator. A review of facility records verified the information revealed from the interview. Based on interviews and record review there is no sufficient information to support the allegation. Therefore, this allegation is deemed Unsubstantiated at this time.the state’s words, verbatim · CDSS document, Dec 30, 2025 · control 31-AS-20251226095217

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Michael Cava conducted an Annual Required visit and inspection of the facility. LPA met with the administrator, Armine Harutyunyan, and and advised her of the visit. At approximately 9:30am, LPA took a tour of the physical plant. The facility is a one story building. Required postings were observed in the entry and living room area. The smoke alarms and carbon monoxide are dual and interconnected. There are three fire extinguishers. One is located in the kitchen, and the other two is located in the garage. The charge date for all three fire extinguishers is 10/09/25. Kitchen: The kitchen appliances and fixtures were functional. LPA found a sufficient amount of perishable and non-perishable food properly stored. Knives were stored in a locked drawer. Bedrooms: There are four (4) bedrooms designated for residents' use. Bedrooms #1 and #3 are private. Bedrooms #2 and #4 are shared. All bedrooms were observed to be properly furnished with appropriate beddings and linens with sufficient lighting. Bathrooms: There are two (2) bathrooms designated for residents' use. Both bathrooms were properly supplied and had functional fixtures. Hot water temperature was measured between 111 and 113 degrees Fahrenheit. No cleaning supplies were observed in either bathrooms during the day of the inspection. Common Areas: These included the living room and dining area. The living room was furnished with sufficient seating, two couches, recliner, table and television. The fireplace was properly screened. No tools present. The dining room table is large enough to seat up to six (6) individuals. Both the living room and dining room furniture were in good repair. Floors were mopped and clean. Exits and passageways were clear. Surrounding Grounds: Backyard has a patio area with furniture appropriate for outdoor use. There is a storage building in the backyard for excess furniture. Backyard is large to hold outdoor activities. Gates at the side of the home presents no exterior lock and is clear to exit/evacuate in case of an emergency. Laundry area: The laundry area is located in the garage. Toxins and detergents were stored and locked. Staff Workstation/Office: There is a staff workstation located at the corner of the kitchen where resident and staff files are maintained Resident Files: LPA conducted a file review of resident records to insure compliance of licensing forms. Staff Files: LPA conducted a file review of staff records to insure forms and training are up to date and compliance with licensing forms. Medications: Medications are stored in a locked cabinet in the kitchen. Medication and Medication Records were reviewed for proper storage and documentation. There is a complete first aid kit and manual stored in medication cabinet. Garage: The garage is attached to the building. In addition to the laundry area, the garage is used for storage for cleaning supplies, emergency water and PPE supplies. Entry to garage is through the kitchen, past the staff work station. Garage is kept locked and inaccessible to the residents in care. Pursuant to Title 22 Division 6 of the CA Code of Regulations, there were no deficiencies observed during the day's visit. Administrator was advised and a copy of this report issued.the state’s words, verbatim · CDSS document, Dec 2, 2025

Allegation investigated: Licensee admitted Resident with a prohibited health condition Resident developed multiple pressure injuries in care

Licensing Program Analyst (LPA) Michael Cava conducted a subsequent complaint visit to this facility to conclude the investigation regarding the above allegations. It was reported that Resident 1 (R1) was admitted to the hospital on 11/15/2024 with a stage 4 wound. R1 had at least 5 pressure injuries, but the worst was the stage 4 wound that was not present when released from the hospital sometime in August 2024 to a skilled nursing facility. From the skilled nursing facility, R1 was admitted to this facility. The ten day visit was made by LPA Cava on 11/19/24, followed by another subsequent visit made by LPA Cava on 03/25/25. LPA Cava’s investigation consisted of interviews with facility administrator, staff and residents. LPA also obtained and reviewed facility and hospital records. Interviews with administrator reveal that R1 was admitted to the facility with a wound greater than a stage 2 on 08/31/24. Home Health services was ordered, but had yet to be initiated when R1 was admitted into facility. R1 moved into this facility from a Rehab Center, already with a pressure injury. Substantiated Review of both facility records and hospital records reveal the following: R1 was discharged from a health care facility and admitted to this facility on 08/31/24. At discharge from the health care facility, there is record that R1 has a pressure injury greater than stage 2. R1’s physician report indicates a history of skin condition or breakdown with an explanation of a stage 4 pressure injury. On 11/15/24, R1 was transferred to the hospital for weakness. Review of hospital records obtained by LPA on 04/12/25 confirm R1 was admitted into hospital on 11/15/24 for weakness and wounds. Hospital records also reveal that R1 had multiple wounds, notably one Stage 4 and one Stage 3, not identified when resident was admitted to the facility o 08/31/24. Licensee has no home health records on file to document these wounds were being treated while R1 was in care at the facility. Investigations Branch (IB) and LPA Cava attempted to obtain R1’s home health records from the home health agency to no avail. Based on the information obtained, there is sufficient evidence that the facility admitted and retained R1 with a prohibited health condition. Moreover, it appears that licensee failed to meet R1’s needs as R1 developed multiple pressure injuries while in care at the facility. Therefore, based on the information obtained, the allegations of the Licensee admitting R1 with a prohibited health condition and R1 developing multiple pressure injuries in care are Substantiated. Citations issued on the 9099D. Licensee advised of possible Civil Penalty and Enhanced Civil Penalties (ECPs) may be assessed.the state’s words, verbatim · CDSS document, Apr 25, 2025 · control 31-AS-20241118163523

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87616(a)(1) · Plan of correction due date: Apr 25, 2025

Prohibited Health Conditions- Persons who require health services for or have a health condition, including but not limited to (1) Stage 3 and 4 pressure Injuries, shall not be admitted or retained in a residential care facility for the elderly. This requirement was not met as evidenced by: Record review reveal that the licensee admitted R1 into facility with a stage 4 pressure injury on 08/31/24. This posed an immediate health and safety risk to the resident in care.the state’s words, verbatim · CDSS document, Apr 25, 2025

Plan of correction: As Plan of Correction, the licensee will hold training to address this section of the regulation. As proof training was conducted, copy of attendance log, training topic and date training held due to the licensing agency by May 9, 2025.

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87465(a)(1) · Plan of correction due date: Apr 25, 2025

Incidental Medical and Dental Care- The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. This requirement was not met as evidenced by: Licensee admitted R1 into the facility without initiating home health to address R1's stage 4 injury. Moreover, while in care, R1 developed multiple wounds, most notably another stage 4 wound and stage 3 wound. This posed an immediate health and safety risk to the resident in care.the state’s words, verbatim · CDSS document, Apr 25, 2025

Plan of correction: As Plan of Correction, the licensee will hold training to address this section of the regulation. As proof training was conducted, copy of attendance log, training topic and date training held due to the licensing agency by May 9, 2025.

Type of visit: Required - 1 Year

In conjunction with complaint control #31-AS-20241118163523, Licensing Program Analyst (LPA) Michael Cava conducted an Annual Required visit and inspection of the facility. LPA met with the administrator, Donara Aghabalyan, and staff, Svetlana Movisisyan, and advised them of the visit. With the assistance of the administrator,, LPA took a tour of the physical plant. Required postings were observed in the entry area. The smoke alarms and carbon monoxide are dual, hardwired and interconnected. There are two fire extinguishers. One is located in the kitchen, and the other is located in the garage. The facility is a one story building. Kitchen: The kitchen appliances and fixtures were functional. LPA found a sufficient amount of perishable and non-perishable food at the facility; properly stored. Knives were stored in a locked drawer. Bedrooms: There are four (4) bedrooms designated for residents' use. Bedrooms #1 and #3 are private. Bedrooms #2 and #4 are shared. All bedrooms were observed to be properly furnished with appropriate beddings and linens with sufficient lighting. Bathrooms: There are two (2) bathrooms designated for residents' use. Both bathrooms were properly supplied and had functional fixtures. Hot water temperature was measured between 109 and 114 degrees Fahrenheit. No cleaning supplies were observed in either bathrooms during the day of the inspection. Common Areas: These included the living room and dining area. The living room was furnished with two couches, recliner, table and television. The fireplace was properly screened. No tools present. The dining room table is large enough to seat up to six (6) individuals. Living room and dining room furniture were in good repair. Floors were mopped and clean. Exits and passageways were clear. Surrounding Grounds: Backyard had a patio area with furniture appropriate for outdoor use. There is a storage building in the backyard for excess furniture. Backyard is large for outdoor activities. Gates at the side of the home presents no exterior lock and is clear to exit/evacuate in case of an emergency. Laundry area: The laundry area is located in the garage. Toxins and detergents not present at this time. Staff Workstation/Office: There is a staff workstation located at the corner of the kitchen where medications, resident and staff files are maintained Resident Files: LPA conducted a file review of resident records to insure compliance of licensing forms. Staff Files: LPA conducted a file review of staff records to insure forms and training are up to date and compliance with licensing forms. Medications: Medications are stored in a locked cabinet in the kitchen. Medication and Medication Records were reviewed for proper storage and documentation. Complete 1st aid kit and manual stored in medication cabinet. Garage: The garage is attached to the building. In addition to the laundry area, the garage is used for storage for cleaning supplies, emergency water and PPE supplies. Entry to garage is through the kitchen, past the staff work station. Garage is kept locked and inaccessible to the residents in care. Pursuant to Title 22 Division 6 of the CA Code of Regulations, there were no deficiencies observed during the day's visit. Administrator was advised and a copy of this report issued.the state’s words, verbatim · CDSS document, Mar 25, 2025

Allegation investigated: Staff did not ensure that resident was adequately dressed

Licensing Program Analyst (LPA) Michael Cava conducted a complaint visit to the facility to investigate the above allegation. LPA met with staff, Yegsik Tonikyan, and advised her of the visit. The adminstrator, Donara Aghabalyan was called and joined shortly after. It was reported that on or around 05/12/24, Resident 1 (R1) was observed by a visitor/guest with only a t-shirt, adult diaper and socks on. Today's investigation consisted of interviews with the administrator, facility owner, three (3) of three residents and resident family. Record review was also made. According to the administrator, R1 was only at the facility for 24 hours. R1 was discharged (d/c) from the hospital on or around 05/12/24. When d/c to this facility, R1 did not have any clothing or personal belongings with them. Family was aware of the d/c from the hospital, and that R1 had no belongings and clothing with them. Family was preparing to bring over some clothing for R1 the next day, but R1 had a behavioral issue, which staff had to call paramedics the same day R1 was admitted into facility. Unsubstantiated Administrator did admit R1 was observed with only t-shirt, socks and an adult diaper on when picked up by the paramedics, and stated R1 was offered spare clothing (sweat pants and sweat shirt) at admission, but R1 declined them. This was also explained to the paramedics. Interviews with the three residents could not confirm the allegation. These residents did not have any complaints or concerns with the care and supervision provided by the facility staff. They add that their needs are being met. Interview with R1's family confirm that R1 was admitted into the home without any personal belongings and clothing, and that they were preparing to bring some over the next day for R1. Family member also confirmed that they instructed for staff to call paramedics in the evening, of on or around 05/12/24, to address R1's behavior. Family was also aware clothing was provided to R1, in which R1 declined to use. Based on the information obtained, although R1 had only a t-shirt, socks and an adult diaper on when there was a visitor/guest present, the allegation of staff did not ensure that resident was adequately dressed due to neglect could not be confirmed. Facility staff did offer spare clothing for R1 to wear, which R1 declined to wear. R1's family was also aware that R1 was admitted without any clothing or belongings, which they were preparing to bring in the following day. The allegation is deemed Unsubstantiated at this time.the state’s words, verbatim · CDSS document, Jun 11, 2024 · control 31-AS-20240604135203

Type of visit: Prelicensing

At 10:08 am Licensing Program Analyst (LPA) Tihesha Smith conducted an announced pre-licensing visit with administrator. Identification of the Applicant/administrator was verified by photo ID. The facility has a capacity of six (6). Application received for one (1) Ambulatory and five (5) Non-ambulatory- of which one (1) may be bedridden. Purpose of today’s visit is to inspect the facility to ensure that the facility is in compliance with the rules and regulations of California Code of Regulations, Title 22, Division 6. The facility is a single-story building. Today's site visit consisted of LPA touring the physical plant inside and outside and observed the following: The common areas (kitchen, living room, and dining areas) were appropriately furnished, and lighting was adequate. The facility has a variety of adequate perishable and non-perishable food supply. Appliances in the kitchen appeared to be functional. The living room has a television and comfortable furniture. The sharps are stored and locked in drawer in kitchen. Kitchen cleaning supplies, laundry detergents, and other toxins are stored in locked in garage storage cabinet. There are three (3) fire extinguishers: one (1) is located in kitchen attached to wall; one (1) in garage attached to wall and and extra fire extinguisher in garage. Fire extinguishers observed to be fully charged. Dual Smoke and Carbon Monoxide detectors were observed all over the facility, tested, and observed to be operational at time of visit. There is a functioning telephone/landline on the premises. An emergency exit plan/sketch is posted near each entrance/exit wall with other posting requirements. There are two (2) bathrooms in the facility. The Hot water was tested for resident bathroom and measured 105.6 and 106.7 °F. Bathrooms have non-skid mats, trash cans with lids and functional grab bars. There are four (4) resident bedrooms, designated as follows: (Cont from 809) B1: Ambulatory/Private- with bathroom B2: Non Ambulatory/Shared B3: Non-Ambulatory/Private B4: Non-Ambulatory/Shared No room is designated for staff use. Showroom bedroom observed to be appropriately furnished with a bed, nightstand, a chair, and each room has closet space. Extra linen stored in hall closet and bedroom #4 has own linen storage closet There is a covered patio for residents to conduct outdoor activities. The garage is attached with laundry area. Laundry appliances observed to be in good repair. There is no body of water on the facility. Component III was conducted with the administrator and administrator confirmed understanding of Title 22. At time of visit this facility is not ready to be licensed until the following item is verified ·Outside/additional bathroom door in bedroom #1 door pending verification/may require update to facility sketch. This report will be forwarded to the Centralized Application Bureau (CAB). Exit interview was conducted and a copy of this report was provided.the state’s words, verbatim · CDSS document, Dec 7, 2023