Mayall Assisted Living

Allegation investigated: Staff hit resident. Staff are not properly supervising residents who may be a fall risk.

At 10:00 AM, Licensing Program Analyst (LPA) Huma Rahimi conducted an unannounced subsequent complaint visit. LPA met with Staff #1 (S1), Vazganush Mihranyan, and the staff contacted the Administrator via telephone. LPA explained the reason for the visit. The Administrator was unable to come to the facility; however, designated Staff #2 (S2) Arpenik Oganisyan to sign and receive today's report. LPA Jose Tan conducted an initial complaint visit on 08/29/2025. At approximately 9:45 AM, LPA Tan requested the resident and staff roster. At approximately 9:31 AM, LPA Tan conducted a physical plant tour. At approximately 10:00 AM, LPA Tan obtained copies of facility documents relevant to the investigation. Between 10:15 AM and 12:30 PM, LPA Tan conducted interviews with staff and residents. During today’s visit, LPA Rahimi conducted additional interviews between 10:15 AM and 11:00 AM with Staff #1 (S1) and the Administrator. Continue on LIC 9099C Unsubstantiated Allegation: staff hit resident. It was alleged that Staff #1 (S1) hit Resident #1 (R1). To investigate this allegation, LPA Tan conducted interviews with S1 and residents on 08/29/2025, and on 01/21/2026, LPA Rahimi conducted interviews with the Administrator and S1. During interviews, S1 denied striking, kicking, restraining, or biting R1 during the incident which occurred on 08/27/2025. S1 stated that R1 intentionally slid from the bed and that S1 attempted to assist R1 back into bed. S1 reported that R1 grabbed, scratched S1, removed clothing, and attempted to pull S1 closer. S1 stated that minimal physical contact was used only to create distance. S1 further reported that R1 bit S1’s fingers, resulting in bleeding, and that emergency medical services were contacted, with R1 transported to the hospital the same night. During interviews on 01/21/2026, the Administrator stated that the facility does not permit the use of physical force or restraints and that staff are trained in de-escalation techniques. The Administrator denied that S1 hit R1. LPAs reviewed the facility incident report and available documentation. No documentation or independent evidence was observed substantiating that staff struck R1. However, during the initial and subsequent visits, LPAs were provided with photographs showing S1’s injuries to the neck and fingernails resulting from the incident. Based on interviews, photographs, and record reviews, LPAs were unable to verify that staff hit R1. Therefore, this allegation is deemed Unsubstantiated, at this time. Allegation: Staff are not properly supervising residents who may be a fall risk. It was alleged that staff failed to properly supervise a resident who may be a fall risk. To investigate this allegation, LPA Tan conducted interviews with S1 and residents on 08/29/2025, and on 01/21/2026, LPA Rahimi conducted interviews with the Administrator and S1. Continue on LIC 9099C During the interview with the Administrator on 01/21/2026 LPA Rahimi was informed that R1 was assessed as a fall risk and admitted with hospice services and a physician’s order for full bed rails. However, R1’s family member refused the use of bed rails and removed them without facility authorization. Additionally, the Administrator stated staff were instructed to provide continuous supervision due to R1’s fall risk. Moreover, S1 stated supervision was provided at the time R1 slid from the bed on 08/27/2025, and that assistance was rendered immediately. The Administrator stated emergency medical services were contacted shortly after the incident. LPAs reviewed incident documentation and available facility records. No evidence was observed indicating R1 was left unattended at the time of the incident. Although documentation confirming authorization for bed rail removal by the family was not available, staff reported supervision was provided. Based on interviews and records reviewed, LPAs were unable to verify that staff failed to properly supervise R1. Therefore, the allegation is deemed Unsubstantiated, at this time. Appeal rights explained and exit interview conducted. Copy of this report signed and delivered.the state’s words, verbatim · CDSS document, Jan 21, 2026 · control 31-AS-20250827102708

Allegation investigated: Staff unable to meet resident(s) care needs.

At 10:00am, Licensing Program Analyst (LPA), Huma Rahimi conducted an unannounced visit in response to the above-mentioned allegation. LPA met with staff Vazgaush Mihranyan and the Administrator was contacted via a telephone. LPA explained the reason for the visit. The Administrator arrived shortly after. At 10:10am, LPA requested resident and staff roster. At 10:12am, LPA requested copies of pertinent information which include, but not limited to Admission Agreement, Physician's Report, Appraisal Needs and Services Plan, Staff Training, relevant to the investigation. At approximately 10:15am, LPA conducted a physical plant tour, to ensure health and safety of the residents are protected. Between 10:20am - 12:00pm, LPA conducted an interview with the Administrator, one (1) staff, one (1) witness, and a telephonic interview with Resident #1 (R1). Continue on LIC9099-C Unsubstantiated Staff unable to meet resident(s) care needs. It was alleged that staff were unable to meet Resident #1’s (R1) care needs, including medical follow-ups, mobility assistance, and feeding. To investigate this allegation, LPA conducted interviews with staff, the Administrator, R1, and a witness. LPA interviewed the Administrator and Staff #1 (S1), and both denied the allegation. The Administrator reported that R1 resided at the facility for one month, from 12/06/2025 through 01/06/2026. The Administrator stated that during R1’s stay, staff provided all required care, including assistance with sitting, walking, toileting, and bathing. Although R1 was not admitted as bedridden, the Administrator reported that R1 was unable to tolerate movement due to pain. To address this, the Administrator hired a physical therapist at the facility’s expense. The physical therapist provided five (5) scheduled sessions between 12/06/2025 and 01/06/2026 to assist R1 with mobility. The Administrator also stated that R1 frequently refused repositioning due to pain and often declined physical contact. The Administrator reported that R1 had not been seen by a physician during their stay because the resident’s Power of Attorney (POA) was responsible for scheduling medical appointments and did not take R1 to any follow-up visits. The Administrator stated that staff provided all prescribed medications, meals in bed, and bed baths, and checked on R1 every five minutes. Interview with S1 revealed that R1 was a picky eater but was always asked what he/she preferred. S1 stated that meals were provided consistently and that R1 was able to feed themselves. S1 denied that R1 missed meals or was left without care. S1 also reported that R1 frequently refused assistance due to pain and would yell or scream when touched. At 12:01 PM, LPA conducted a telephonic interview with R1. R1 did not express any concern regarding the care he/she received while residing at the facility. R1 stated that staff assisted him/her when needed, R1 was never left in soiled clothing or bedding, R1 received their meals daily, had enough to eat and drink, received their medications as prescribed, and felt safe and cared for at the facility. Lastly, LPA interviewed a witness who expressed no concerns regarding care at the facility. The witness stated that staff assist residents with mobility, feeding, bathing, toileting, and repositioning, and that they had not observed any residents left in soiled clothing, missing meals, or appearing dehydrated. The witness also stated that residents receive timely medical attention when needed. Continue on LIC 9099C Based on interviews conducted, there was no evidence to support the allegation that staff were unable to meet R1’s care needs. Although R1 had significant medical and mobility limitations, interviews revealed that staff attempted to provide care but R1 frequently refused assistance due to pain. Additionally, the lack of medical follow-up was attributed to R1’s POA, who was responsible for scheduling appointments. No witnesses or collateral contacts corroborated the allegation that R1 was not fed or left without care. Therefore, the allegation is deemed Unsubstantiated at this time. Appeal rights explained. Exit interview conducted and copy this report singed and delivered.the state’s words, verbatim · CDSS document, Jan 6, 2026 · control 31-AS-20260102135311

Type of visit: Required - 1 Year

At 10:00am, Licensing Program Analyst (LPA) Angela Panushkina arrived at the facility to conduct an unannounced annual inspection. Upon arrival, LPA met with the Administrator and explained the reason for the visit. At 10:05am LPA conducted a tour of the physical plant and observed the following: Facility maintains a temperature of 71°F. The facility is licensed for a capacity of six (6) total residents, one (1) Ambulatory, four (4) Non-ambulatory and one (1) may be Bedridden in room #2. There are four (4) bedrooms designated for residents’ use, of which two (2) bedrooms are private, and two (2) bedrooms are shared. LPA observed all bedrooms to be appropriately furnished with a bed, nightstand, a chair, extra linens and have appropriate lighting. Facility has awake staff at night. Bathrooms have soap, paper towels and extra towels and linens were readily available. The hot water temperature measured at 113.4°F. The fire extinguisher is located in the kitchen and was last purchased on 04/29/2025. LPA observed there to be sufficient stock of one-week perishable foods and two-day non-perishable foods. Frozen foods are properly wrapped and stored appropriately. Food storage and preparation areas are clean and inaccessible to pests. Laundry is located by the garage. The washer/dryer appear to be in good condition. All chemicals, detergents and medications are kept inaccessible to residents in care. Smoke detectors and carbon monoxide monitors were tested at 10:40am and observed to be functional. Continue on LIC809-C 10:50am, LPA observed appropriate outdoor furniture, with a covered shaded area for residents. There is no body of water. Between 11:00am to 12:30pm, LPA reviewed records of four (4) residents and three (3) staff. Client and staff records appeared to be complete and updated. LPA observed Administrator certificate renewed on 09/25/2024 with an expiration date of 09/24/2026. LPA collected Certificate of Liability Insurance and LIC500. No citations issued during this visit. Exit interview conducted and copy of this report signed and delivered.the state’s words, verbatim · CDSS document, May 29, 2025

Type of visit: Prelicensing

At 09:30am, Licensing Program Analyst (LPA) Angela Panushkina conducted an announced pre-licensing visit with the facility Owner - Seda Smbatyan and the Administrator - Armine Dishoyan. The facility has a capacity of six (6). Application was received for six (6) total residents, one (1) Ambulatory, four (4) Non-ambulatory and one (1) may be Bedridden in room #2. 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: At 9:40am, LPA toured the common areas (living room, kitchen, and dining areas) were appropriately furnished and lighting was adequate. There is a functioning telephone/land line on the premises. The living room has a television and comfortable furniture. LPA observed fireplace adequately screened. An emergency exit plan/sketch is posted upon entry, in the kitchen and hallways. The sharps are stored and locked in the kitchen drawer. The facility has a variety of adequate perishable and non-perishable food supply. Appliances in the kitchen appeared to be functional. At 10:00am, LPA observed the fire extinguisher was last purchased on 04/16/24 and fully charged. At 10:10am, LPA observed all cleaning supplies, laundry detergents, and other toxins are stored in a laundry room and kept locked and inaccessible to residents in care. The necessary precautions have been made to the facility to safely house dementia residents such as auditory alarms on all entry/exit doors. There are four (4) bedrooms designated for residents use. Resident bedrooms were observed to be appropriately furnished with a bed, night stand, a chair, and extra linens. Facility will have awake staff at night. Facility appears to be clean and in good repair. Continue on LIC809-C There are 2½ bathrooms in the facility and all bathrooms have non-skid mats, trash cans with lids and functional grab bars. Hot water was tested in the bathroom and measured at approximately 116.0°F The back of the facility has sufficient yard space. LPA observed appropriate outdoor furniture, with a covered shaded area for residents. There are no bodies of water. Component III was conducted with the Owner and Administrator Facility is in compliance with Title 22 Regulations at this time. This report will be forwarded to the Centralized Application Bureau (CAB). You will be notified by the CAB Analyst when your license has been approved. Exit interview was conducted and a copy of this report was provided.the state’s words, verbatim · CDSS document, Jun 17, 2024