Saint Mariam's Care Center

Allegation investigated: Staff is financially abusing resident.

Licensing Program Analyst (LPA) Tihesha Smith made a 10-day complaint visit to this facility. LPA Smith was greeted by staff and disclosed the purpose of the visit. Staff is financially abusing resident. It is alleged that staff are financially abusing resident #1 (R1). To investigate the allegation, LPA Smith requested copies of facility documents relevant to the investigation at 10:48 am, interviewed resident and staff at 10:55am -11:17 am, and toured facility at 11:18 am. The licensee revealed the following:the licensee became R1’s Power of Attorney (POA) and opened a joint bank account with the resident and initiated transactions on the joint account. Based on the information obtained during the investigation, the allegation above is substantiated at this time. Deficiencies on 9099D Exit interview conducted/copy of report given. Substantiatedthe state’s words, verbatim · CDSS document, Jun 12, 2026 · control 31-AS-20260608115714

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87217(d)(4) · Plan of correction due date: Jun 22, 2026

[...] No Licensee or employee of a facility shall: become the joint holder on any account [...] with a resident which pose a potentia Health, Safety, or Personal risk to residents in care. This requirement was not met as Licensee admitted that they are listed on deposit account specified in Section 87217(h) with a resident which pose a potential Health, Safety, or Personal risk to residents in care.the state’s words, verbatim · CDSS document, Jun 12, 2026

Plan of correction: The Licensee shall provide written statement and/or documentation that they are not and will not be listed on any resident deposit accounts. POC: 06/15/2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87468.2(a)26(c) · Plan of correction due date: Jun 22, 2026

[...] a licensee, or a spouse, domestic partner, relative, or employee of a licensee, shall not do any of the following: Serve as an agent for a resident under any general or special power of attorney. This requirement was not met as Licensee admitted that they are the POA for R1 which pose a potential Health, Safety, or Personal risk to residents in care.the state’s words, verbatim · CDSS document, Jun 12, 2026

Plan of correction: The Licensee shall provide written statement and documentation that they are not will not be listed on a Power of Attorney (POA) for any resident in care. POC: 06/15/2026

From the deficiency page — Deficiency type: Type A · Section cited: HSC 1546.58(a)(5) · Plan of correction due date: Jun 15, 2026

Persons prohibited from being a licensee, owning beneficial interest in licensed facility. The department may prohibit persons from being a licensee, [...] and may further prohibit any licensee from employing, or continuing the employment of, [...], any employee, […] who has done any of the following: improper use or embezzlement of client moneys. This requirement is not met as evidenced by: Based on Licensee admited to:becoming joint tenant/POA for R1 and improperly use of R1’s finances. This possesses an immediate health and safety risk to resident(s) in care.the state’s words, verbatim · CDSS document, Jun 12, 2026

Plan of correction: The Licensee shall provide banking information that they have been removed from R1s account and will register for vendor training for residents personal rights, property management for safeguarding cash POC: 06/15/2026

Type of visit: Post Licensing

Licensing Program Analyst (LPA) Tihesha Smith conducted an unannounced post licensing visit in conjunction to complaint #31-AS-20260608115714. The following was observed during facility tour: Administrator was not present at the facility at time of visit Resident # 3 (R3) in room #3 (shared room) is bedridden and/or non-ambulatory and is using a bed with full bed rails. Licensee revealed full bed rails are used to prevent resident from falling out of bed. Resident #2 (R2) in room #1 (shared room) does not have a resident file available to review at time of visit. At least one or more cars that or damaged or not working being stored on facility premises. Staff personal use of resident closet/ensuite bathroom locked The licensing contacted the administrator at approximately 11:45 am, LPA Smith briefly discussed with administrator that resident records should be on file ready and available for review, full bed rails require physician orders and must not use as restraint. Additional items observed: admission agreements verbiage regarding crushed medications need to be revised to ensure physician is contacted with orders and documentation noting crush medication is authorized. Due to time constraints citations will be issued on future visit. Exit interview conducted/copy of report providedthe state’s words, verbatim · CDSS document, Jun 12, 2026

Type of visit: Prelicensing

At 10:30 am Licensing Program Analyst (LPA) Tihesha Smith made a subsequent announced visit to this facility. LPA was greeted by the Licensee and administrator. The purpose of the visit was to verify that the items observed during pre-licensing visit have been corrected. The licensee and administrator confirmed updated sketch with room changes was sent to CAB specialist. Slips mats are in the showers. The bedroom sleeping arrangement in closet has been removed. Individual who licensee is POA for has moved from the home and will not be a resident. The installed grab bars were found to be unstable and/or inadequate to provide safe support for handholds during maneuvering to reduce the risk of falls. Remaining items: · Bedroom #1 Bathroom: need secure grab bars · Bedroom #2 bathroom: need secure grab bars · Bedroom #3 bathroom: need secure grab bars · Guest bathroom: need secure grab bars Licensee/Administrator will provide pictures to LPA Smith once installed. Garage observed to be used for storage Copy of this report will be forwarded to the CAB specialist. Exit interview conducted/Copy of report given.the state’s words, verbatim · CDSS document, Mar 27, 2026

Type of visit: Prelicensing

At 10:00 am Licensing Program Analyst (LPA) Tihesha Smith made a subsequent announced visit to this facility to conduct Pre-licensing inspection. LPA was greeted by the Licensee and administrators (CA Identification verified.) LPA Smith attempted initial pre-licensing inspection on 10/30/2025 and rescheduled to 11/13/2025. This licensing application is a plan of correction to unlicensed operation that was substantiated under complaint # 31-AS-20241022130708 on 10/29/2024. The home is single story and has four (4) bedrooms/each with its own bathroom and 1(one) guest bath for a total of five (5) bathrooms. The common areas (kitchen, dining, and living room/office areas) were appropriately furnished, and lighting was adequate. Refrigerator stocked with adequate food supply. Freezer in hallways stocked with meats/poultry. Pantry closet stocked with canned foods, dry foods and ready meals. The appliances in the kitchen appeared to be functional. The sharps and first aid kit are stored and locked in hallway standalone cabinet near medications. The living room has a television and comfortable furniture. Games and activities for residents are stored on the living room console table. There are two (2) wall mounted fire extinguishers in the home: One (1) dining room and one (1) in hallway located near bedroom #4. Both 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 02:34 pm. Posting requirements in the living room and near front door. Bedrooms have required furniture but need to be relocated. Extra linen/supplies stored on shelving in hallway. The hot water was tested for the bathrooms to be at 109. °F. Bathrooms have trash cans with lids, hand soap and paper towels, grab bars only in bathroom # 4. Medications stored and locked in hallway standalone. Facility files stored in small office cabinet. Toxins locked in guest bathroom standalone cabinet. Laundry room in hallway and the appliances were observed to be in good repair. Covered patio with table and sufficient seating for residents to conduct outdoor activities. Pool on property enclosed by fenced and observed to be locked an inaccessible. Facility observed to be clean and in good repair. Component III was conducted with the administrator (Elena Kordonskiy) and understanding of Title 22 requirements confirmed by the administrator. The following items identified need to be corrected: The usage of the bedroom’s will be corrected on the facility sketch and sent to CAB specialist Bedroom #1 has two individuals in room will be a shared room Bedroom #1 Bathroom: Add grab bars and skid mats Bedroom #2 will be the staff room---- Licensee will remove additional bedroom room sleeping arrangement out of the closet and relocate to bedroom # 3 Bedroom #2 bathroom: Add grab bars and skid mats Bedroom #3 bathroom: Add grab bars and skid mats Bedroom #4 is bedridden Guest bathroom: Add grab bars Elena Kordonskiy will be the administrator/ Licensee will send administrators certificate to CAB Specialist Licensee has power of attorney (POA) for an individual that she stated will be a resident. Licensee will need to provide notarized POA revocation form Copy of this report will be forwarded to the CAB specialist. Exit interview conducted/Copy of report given.the state’s words, verbatim · CDSS document, Dec 11, 2025

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Tihesha Smith attempted Comp III prelicensing visit at this facility. At 10:05 AM LPA Smith called the licensee Ofelia. The licensee stated she was ill and would have sister Mariam speak on her behalf due to limited English. Mariam tried sending email to reschedule. LPA Smith will reschedule the visit for a later date.the state’s words, verbatim · CDSS document, Nov 13, 2025

Type of visit: Prelicensing

At approximately 10:15 am Licensing Program Analyst (LPA) Tihesha Smith conducted an announced prelicensing visit. LPA met with the the licensee Ofelia Mkrtchyan. LPA spoke briefly with the Administrator Anahit Vardanyan who stated she had an emergency and was unable to attend the visit. This facility is not ready to be licensed at this time. A new appointment will be set for the visit. Exit interview conducted and Copy of report given.the state’s words, verbatim · CDSS document, Oct 30, 2025

Type of visit: Office

Component II completion: Successful Facility Type: RCFE Application Type: INITIAL Capacity: 6 Census (if any clients in care): 0 COMP II Participants: Ofelya Mkrtchyan CEO/ Anahit Vardanyan Administrator Interview Method: Telephone interview On August 15, 2025, Applicant/Administrator participated in COMP II. Identification of the applicant and administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant and administrator confirmed that they have read and understand community care facility licensing laws included in the Health and Safety Codes and the California Code of Regulations Title 22. Signed LIC 809 with copy of photo ID have been obtained. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of the following areas: 1. Facility operation: License type, client/resident populations, and program 2. Admission Policies 3. Staffing requirements & Training 4. Restrictive/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-Licensing Readinessthe state’s words, verbatim · CDSS document, Aug 15, 2025