Ararat Home of Los Angeles

Type of visit: Required - 1 Year

An unannounced Required One (1) Year visit to this facility is conducted today by Licensing Program Analysts (LPA) Jose Tan. LPA met with the Administrator Rita Noravian and explained the reason for the visit. Facility fire cleared for a capacity of 186 ambulatory, 118 of which may be non-ambulatory and hospice waiver for one (1) resident. There is currently no resident receiving hospice care services. There is only one entrance being utilized at the facility. Screening area is located immediately upon entrance. The facility has an approved mitigation and infection control plan on file. LPA conducted physical plant tour of the facility with the Administrator at 9:18 AM. Facility currently has 38 residents on the Assisted Living Waiver (ALW) program. The facility is a three (3) storey building. Residents' bedrooms on the first, second and third floors were inspected. Common areas, including the activity rooms, meeting rooms, dining rooms and a gym appeared clean and were properly furnished. The kitchen was clean and the appliances and fixtures functional. Refrigerated and frozen foods were stored at appropriate temperature. There was a sufficient amount of perishable and non-perishable food at the facility and properly stored. Residents do not have access to the kitchen; dangerous items are locked. The facility menu appears to meet the daily dietary needs for residents. There were no pesticides or poisons observed near any food areas. Entry/exits were free of obstruction. The outdoor area was clean and free of hazards. The patios and balconies have proper furnishings. The medications were locked in the medication room, properly labeled and stored. Medication documentation and implementation appeared to be complete and updated. Personal accommodations in resident bedrooms and bathrooms were observed for safety, privacy, and comfort. (continued on LIC 809-C) (continued from LIC 809) Random resident rooms are inspected and observed to be with all required furnishings and grab bars and nonskid surfaces in the bathrooms. Hot water temperature in random resident bathrooms on all floors were checked, hot water temperature ranges from 106.0°F to 113.8°F and within the required range. LPA observed fire extinguishers and pull stations throughout the facility hallways on all three floors, fire extinguishers were full and last inspected on 05/08/2026. First aid kits are located in the medication room on the second floor and staff room on the first floor. The facility's smoke alarms are hard wired with electric generator set as back up and tests are done in house on a monthly basis, last test was conducted on 06/10/26. Facility emergency disaster plan was reviewed. Facility disaster drills are conducted monthly and was last conducted on 05/06/26. A fire protection equipment performance certification was conducted on 03/26/26. Nurse call system was tested and observed to be operable. In addition to the physical plant inspection, residents and staff records were reviewed. LPA reviewed files of five (5) randomly selected residents. Files included signed admission agreements, current appraisals, current medical assessments, physician orders for medications and centrally stored medication logs. Medications appear to be given as prescribed. Six (6) random staff present files were also reviewed and appeared to be complete and updated. According to the California Code of Regulations, Title 22, Division 6, Chapter 8, there is no health and safety hazard observed during today's inspection. Exit interview conducted and copy of report issuedthe state’s words, verbatim · CDSS document, Jun 12, 2026

Type of visit: Required - 1 Year

An unannounced Required One (1) Year visit to this facility is conducted today by Licensing Program Analysts (LPA) Jose Tan. LPA met with the Administrator Rita Noravian and explained the reason for the visit. Facility fire cleared for a capacity of 186 ambulatory, 118 of which may be non-ambulatory and hospice waiver for one (1) resident. There is currently no resident receiving hospice care services. There is only one entrance being utilized at the facility. Screening area is located immediately upon entrance. Sign in sheet, hand sanitizer, gloves and masks are available. The facility has an approved mitigation and infection control plan on file. LPA conducted physical plant tour of the facility with the Administrator at 9:23 AM. Facility currently has 48 residents on the Assisted Living Waiver (ALW) program. The facility has three (3) storeys. Residents' bedrooms on the first, second and third floors were inspected. Common areas, including the activity rooms, meeting rooms, dining rooms and a gym appeared clean and were properly furnished. The kitchen was clean and the appliances and fixtures functional. Refrigerated and frozen foods were stored at appropriate temperature. There was a sufficient amount of perishable and non-perishable food at the facility and properly stored. Residents do not have access to the kitchen; dangerous items are locked. The facility menu appears to meet the daily dietary needs for residents. There were no pesticides or poisons observed near any food areas. Entry/exits were free of obstruction. The outdoor area was clean and free of hazards. The patios and balconies have proper furnishings. The medications were locked in the medication room, properly labeled and stored. Medication documentation and implementation appeared to be complete and updated. Personal accommodations in resident bedrooms and bathrooms were observed for safety, privacy, and comfort. (continued on LIC 809-C) (continued from LIC 809) Random resident rooms are inspected and observed to be with all required furnishings and grab bars and nonskid surfaces in the bathrooms. Hot water temperature in random resident bathrooms on all floors were checked, hot water temperature ranges from 110.1°F to 117.5°F and within the required range. LPA observed fire extinguishers and pull stations throughout the facility hallways on all three floors, fire extinguishers were full and last inspected on 06/09/2025. First aid kits are located in the medication room on the second floor and staff room on the first floor. The facility's smoke alarms are hard wired with electric generator set as back up and tests are done in house on a monthly basis, last test was conducted on 06/12/25. Facility emergency disaster plan was reviewed. Facility disaster drills are conducted monthly and was last conducted on 05/07/25. A fire protection equipment performance certification was conducted on 04/02/25. Nurse call system was tested and observed to be operable. In addition to the physical plant inspection, residents and staff records were reviewed. LPA reviewed files of five (5) randomly selected residents. Files included signed admission agreements, current appraisals, current medical assessments, physician orders for medications and centrally stored medication logs. Medications appear to be given as prescribed. Five (5) random staff present files were also reviewed and appeared to be complete and updated. According to the California Code of Regulations, Title 22, Division 6, Chapter 8, there is no health and safety hazard observed during today's inspection. Exit interview conducted and copy of report issuedthe state’s words, verbatim · CDSS document, Jun 25, 2025

Allegation investigated: Staff did not prevent a resident from falling and sustaining injuries while in care

Licensing Program Analyst (LPA) Jose Tan conducted an unannounced subsequent complaint visit at this facility to investigate the above allegation. LPA met with Administrator Rita Noravian and explained the reason for the visit. LPA conducted physical plant tour at 9:44 AM, requested copies of facility documents relevant to the investigation at 10:22 AM, reviewed records between 10:30 AM to 11:30 AM and interviewed staff between 11:30 AM to 1:00 PM. Regarding the allegation that Staff did not prevent a resident from falling and sustaining injuries while in care, it was alleged that Resident #1 (R1) had an unwitnessed fall while at the facility 01/30/25 and that R1 was not a fall risk and could ambulate well, which makes the fall suspicious. LPA's record review today between 10:30 AM to 11:30 AM revealed that R1 was non-ambulatory but able to transfer independently to and from bed and had the capacity for self-care including but not limited to bathing, dressing, grooming, feeding and toileting. R1 was able to ambulate on R1's own using walker. (continued on LIC 9099-C) Unsubstantiated (continued from LIC 9099) LPA's interview with R1's friend Resident #3 (R3) today at 11:39 AM, revealed that R1 always go around with a walker with R3 all the time especially during mealtime and did not witness R1 falling at any time. R3 did not witness R1's fall on 01/30/25. LPA's interview with the first staff who saw R1 on the floor revealed that the staff saw R1 walking without a walker heading to the direction leading to the dining room on the first floor which is unusual because R1 always go down in the main dining room in the lobby floor. Staff passed by R1 but when staff came back after delivering tray to the residents on the first floor, staff saw R1 on the floor and called other staff to assist R1. R1 was assessed by the facility Resident Care Director who is also a Licensed Vocational Nurse (LVN), put on a wheelchair and applied first aid. R1's family member was informed who eventually brought R1 to the hospital for further evaluation. LPA’s interview with the administrator on 02/13/25 at 12:35 PM, revealed that R1 usually walk with a walker but during the incident R1 was not using R1’s walker, the Administrator added that R1 may have forgotten that R1 was using a walker to ambulate as R1 has a Dementia diagnosis. Based on the information gathered during this and prior visit, the allegation is deemed unsubstantiated at this time. Exit interview conducted. Copy of this report issued.the state’s words, verbatim · CDSS document, May 30, 2025 · control 31-AS-20250206151438

Allegation investigated: Staff are not responding to resident's responsible party's requests for communication in a timely manner.

Licensing Program Analyst (LPA) Gary Tan conducted an unannounced initial complaint visit at this facility to investigate the above allegation. LPA met with Administrator Rita Noravian and explained the reason for the visit. LPA conducted physical plant tour at 9:55 AM, requested copies for facility documents relevant to the investigation at 10:25 AM, reviewed records between 10:30 AM to 11:30 AM and interviewed staff and resident between 11:30 AM to 1:00 PM. Regarding the allegation that Staff are not responding to resident's responsible party's requests for communication in a timely manner, it was alleged that the Reporting Party (RP) requested for the close circuit television (CCTV) footage of Resident #1 (R1)'s fall at the facility but did not get response from the administrator as at 02/06/25. LPA's record review today between 10:30 AM to 11:30 AM revealed that the administrator did reply to the RP's request on 02/25/25 at 4:12 PM, explaining that due to the strong winds on the past weeks and fire everywhere, the recording system of the CCTV was reset and was not recording, so there was no CCTV footage of the incident. (continued to LIC 9099-C) Unsubstantiated (continued from LIC 9099) LPA's interview with the maintenance manager today at around 11:50 AM revealed that they were not aware that the CCTV was not recording until they reviewed it immediately after the incident on 01/30/25. Further, it was apparent that the system was reset as it went back to 2013 and did not record properly until they fixed the date on the system. The maintenance manager added that the CCTV system has a local digital video recording (DVR) system which loops probably for two (2) weeks based on its storage capacity. Based on the information gathered during this visit, the allegation is deemed unsubstantiated at this time. Exit interview conducted. Copy of this report issued.the state’s words, verbatim · CDSS document, Feb 13, 2025 · control 31-AS-20250206151438

The state marks this report as 3 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

An unannounced Required One (1) Year visit to this facility is conducted today by Licensing Program Analysts (LPAs) Gary Tan, Michael Cava and Ray Comer. LPA met with the Administrator Rita Noravian and explained the reason for the visit. Facility is currently licensed for a capacity of 186 ambulatory, 118 of which may be non-ambulatory and hospice waiver for one (1) resident. There is currently no resident receiving hospice care services. There is only one entrance being utilized at the facility, there are required poster posted at the main door. Screening area is located immediately upon entrance. Sign in sheet, hand sanitizer, gloves and masks are available. The facility has an approved mitigation and infection control plan on file. LPAs conducted physical plant tour of the facility with the Administrator at 12:13 PM. Facility currently has fifty nine (59) residents on the Assisted Living Waiver (ALW) program. The facility has (3) three stories. Residents' bedrooms on the first, second, and third floors were inspected. Common areas, including the activity rooms, meeting rooms, dining rooms and a gym, all appeared clean and were properly furnished. The kitchen appeared clean and the appliances and fixtures functional. Refrigerated and frozen foods were stored at proper temperatures. There was a sufficient amount of perishable and non-perishable food at the facility and properly stored. Residents do not have access to the kitchen; dangerous items are store inaccessible to residents. The facility menu appears to meet the daily dietary needs for residents. There were no pesticides or poisons observed near any food areas. Entry/exits were free of obstruction. The outdoor area was clean and free of hazards. The patios and balconies have proper furnishings. The medications were locked in the medication room, properly labeled and stored. Medication documentation and implementation appeared to be complete. Personal accommodations in resident bedrooms and bathrooms were observed for safety, privacy, and comfort. Random resident rooms are inspected and observed with all required furnishings and grab bars and nonskid surfaces in the bathrooms. (continued on LIC 809-C) (continued from LIC 809) Hot water temperature in random resident bathrooms on all floors were checked, hot water temperature range from 110.0°F to 113.8°F and within the required range. LPA observed fire extinguishers and pull stations throughout the facility hallways on all three floors, fire extinguishers were full and last inspected on 06/23/2023. First aid kits are located in the medication room on the second floor and staff room on the first floor. The facility's smoke alarms are hard wired with electric generator set as back up and tests are done in house on a monthly basis, last test was conducted on 04/15/24. Facility emergency disaster plan was reviewed. Facility disaster drills are conducted monthly and was last conducted on 04/10/24. A fire protection equipment performance certification was conducted on 01/03/24. Nurse call system were tested and observed to be operable. In addition to the physical plant inspection, residents and staff records were reviewed. LPA reviewed files of six (6) randomly selected residents. Files included signed admission agreements, current appraisals, current medical assessments, physician orders for medications and centrally stored medication logs. Medications appear to be given as prescribed. Six (6) random staff present files were also reviewed and appeared to be complete and updated. According to the California Code of Regulations, Title 22, Division 6, Chapter 8, there is no health and safety hazard observed during today's inspection. Exit interview conducted and copy of report issued.the state’s words, verbatim · CDSS document, May 2, 2024