Arego Home

Type of visit: Required - 1 Year

On 07/08/2026 at 7:45am, Licensing Program Analyst (LPA) Gina Saucedo conducted an unannounced annual visit to the facility. LPA was greeted by the Marianna Ohanyan, Caregiver and stated the reason for their visit. The Administrator, Armen Markosian about twenty (20) minutes after to assist with the visit. LPA asked for the census, Staff and Resident files. LPA conducted a physical plant tour at approximately 8:55am and the following was noted: The facility is a single-story building with four (4) bedrooms and two (2) bathrooms. The facility is currently occupying five (5) residents. There is no designated staff room. The facility has an approved fire clearance for six (6) non-ambulatory residents of which one (1) may be bedridden. Hospice waiver approved for four (4). The living room and dining room were observed to be neat, clean, and organized. The rooms were observed to be properly furnished and in good repair. The facility maintains a comfortable temperature at 75°F. LPA observed a fire extinguisher to be located near the kitchen and dated 06/2026. Kitchen: The kitchen was observed to be clean and free from pests. Sufficient supplies of seven (7) day nonperishable foods and two (2) day perishable foods were observed. Knives/sharps were observed to be locked and inaccessible to the residents in a top kitchen cabinet. The cleaning solutions/toxins were observed to be kept locked underneath the kitchen sink. Kitchen appliances were observed to be working and in proper condition. LIC 809C-continued Bedrooms/Bathrooms: The resident's rooms are adequately furnished with appropriate furniture and lighting system. Hallways/passageways are lighted appropriately. Extra linens/covers were observed to be stored in cabinets located within the hallway’s passageway. The hot water temperature was measured within regulations of 114 Fahrenheit for the bathrooms. LPA observed appropriate grab rails and slip-resistant mats to be in proper condition. Front/Backyard: The front yard of the facility is equipped with a designated shaded area with outdoor furniture for residents. The backyard of the facility was observed to be clean. There is no body of water located at the facility. Laundry Room: The laundry room was observed to be located outside of the facility. LPA observed the laundry room to be kept locked and inaccessible to the residents with more chemicals and extra incontinence. The laundry appliances were observed to be working and in proper condition. Garage: There is no garage. Medications: The medications along with staff and residents’ files were observed to be kept in a locked cabinets located near the kitchen and inaccessible to the residents. First-aid kit observed to be fully equipped. Smoke detectors and carbon monoxide observed to be working properly and were tested. Residents/Staff Records: LPA conducted a complete file review of five (5) resident records and three (3) staff records. Administration: LPA observed the following postings against the wall of the entrance of the facility: Long-Term Care Ombudsman, YES Sign, Emergency Disaster Plan, Personal Rights, Rights of Resident Councils, Certificate of Liability, Administrative Certificate, LGBT Bill of Rights and License of Facility. The liability insurance expires on 10/01/26. There is another fire extinguisher outside coming into the entrance of the facility fully charged and dated 05/2026. 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, Jul 8, 2026

Allegation investigated: Staff did not provide adequate supervision, resulting in resident eloping and sustaining injuries

On 01/28/26, at 9:50am, Licensing Program Analyst (LPA) Gina Saucedo arrived at the facility to conduct an unannounced, initial complaint visit and was greeted by Marianna Ohanyan, Caregiver. The administrator was called and arrived shortly after. LPA explained the purpose of this visit was to gather information, interview staff and residents and deliver findings for this complaint. On 01/28/26, LPA Saucedo asked for the census, staff, and resident rosters. On 01/28/26, at 10:25am, LPA Saucedo conducted a physical tour and conducted interviews. LIC 9099C-continued Substantiated Regarding the allegation: Staff did not provide adequate supervision, resulting in resident eloping and sustaining injuries. It is being alleged that resident #1 (R1) eloped from the above facility, was missing for several hours and sustained injuries. During LPA's interview with R1, R1 did confirm that they left the above facility and was gone for several hours. R1 confirmed that they left early in the morning and returned around 4pm on the day they left. LPA interviewed three (3) staff, two (2) out of the three (3) staff confirmed that this is R1's second time leaving the facility. Two (2) out of the three (3) staff were present when R1 left the facility on 01/23/26. One (1) staff confirmed that they were cleaning so they did not see R1 leave the facility. Another staff did confirm that they were in and out of the facility and the front door was partially open and R1 was missing for several hours. When LPA interviewed R1, R1 did confirm they left from the front door. R1 also confirmed that they fell twice when they were walking around the streets. LPA also observed two (2) red marks on R1's facial area. LPA conducted an additional interview with a witness that confirmed this is R1's second time leaving the above facility. LPA reviewed and obtained the following documents regarding R1-Medical Assessment, Preplacement Appraisal, Resident Appraisal and Appraisal/Needs and Services Plan confirming R1 has dementia. LPA attempted to interview three (3) additional residents but to no avail did they understand and/or answer LPA's questions. Therefore, based on the record reviews and interviews conducted, the allegation is SUBSTANTIATED at this time. An exit interview was conducted, citation(s) were issued for the above allegation(s), an appeal rights and a copy of this report was given to the Administrator.the state’s words, verbatim · CDSS document, Jan 28, 2026 · control 31-AS-20260126103402

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87468.2(a)(4) · Plan of correction due date: Feb 11, 2026

87468.2 Additional Personal Rights of Residents in Privately Operated Facilities...Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights:(4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. This requirement is not met by: Based on the LPA record reviews and interviews the licensee/administrator did not ensure proper supervision was provided to R1 from the above facility which poses a potential Health, Safety or Personal Rights risks to persons in care.the state’s words, verbatim · CDSS document, Jan 28, 2026

Plan of correction: Licensee/Administrator shall update R1's Resident Appraisal and Appraisal/Needs and Services Plan including that R1 elopes/wanders around and extra supervision is needed. POC Due Date and Cleard on:02/11/26

Allegation investigated: Resident developed an infection while in care due to staff neglect Staff do not follow proper food safety protocols Staff mismanage resident's medications

Licensing Program Analyst (LPA) Abeye Duguma conducted an unannounced subsequent complaint visit to investigate the above allegations. LPA met with Marriana Ohanyan and explained the reason for the visit. --- Resident developed an infection while in care due to staff neglect. It was alleged that facility failed to provide proper post-operative care, the wound dressing was not changed regularly, and food tray was left uncleaned near R1’s foot which led to resident developing an infection. To investigate the allegation, on 06/04/2025 at around 10:10a.m., LPA Antonia Alvizar- Ettima requested documents, conducted a physical plant tour and at around 12:00p.m., interviewed two (02) staff. On 10/23/2025, LPA conducted a physical plant tour at around 10:30a.m., requested documents at around 11:30a.m., interviewed two (02) staff from 12:00p.m. to 1:00p.m. and interviewed five (05) out of six (06) residents from around 1:30p.m. to 3:30p.m. (CONT. on LIC9099-C) Unsubstantiated LPA was unable to interview one (01) resident due to current health condition. During the physical plant tour, LPA did not observe any food trays being left in residents’ rooms. A review of R1’s Hospital Admission Records indicates the R1 has previous infection conditions prior to R1’s most recent hospitalization. The facility’s visitor’s log also indicates that Home Health visited once or twice a week. During interviews with staff, all staff stated Home Health was in the facility once or twice a week and staff were trained on how to change the dressing as needed. Staff added that R1 came to the facility with infections and that if anything, the facility healed R1 and made R1 better. During interviews with residents, all interviewed residents stated they feel confident staff would follow doctor’s orders and assist in getting the necessary care they need. Based on observations, record review and interviews, there is not enough information to verify the allegation. Therefore, the allegation is unsubstantiated at this time. --- Staff do not follow proper food safety protocols. It was alleged that when R1 doesn’t eat lunch, the same meal is reheated and served for dinner. To investigate the allegation, on 06/04/2025 at around 10:10a.m., LPA Antonia Alvizar- Ettima requested documents, conducted a physical plant tour and at around 12:00p.m., interviewed two (02) staff. On 10/23/2025, LPA Duguma conducted a physical plant tour at around 10:30a.m., requested documents at around 11:30a.m., interviewed two (02) staff from 12:00p.m. to 1:00p.m. and interviewed five (05) out of six (06) residents from around 1:30p.m. to 3:30p.m. LPA was unable to interview one (01) resident due to current health condition. During the physical plant tour, LPA observed fresh foods being prepared. A review of the facility’s sample menu shows that facility serves a variety of well-balanced meals for breakfast, lunch and dinner. LPA observed at least two days of perishable foods and seven days of non-perishable foods available. During interviews with staff, all staff stated they do not reheat what was served for lunch again for dinner. During interviews with residents, all interviewed residents stated they are pleased with the food and do not feel that facility is serving them leftover foods. Based on observations, record review and interviews, there is not enough information to verify the allegation. Therefore, the allegation is unsubstantiated at this time. (CONT. on LIC9099-C) --- Staff mismanage resident's medications. It was alleged that staff regularly leave medications out on Resident #1’s (R1) bedside in a shared room, which is unsafe and increases the risk of medication mix-ups or misuse. To investigate the allegation, on 06/04/2025 at around 10:10a.m., LPA Antonia Alvizar- Ettima requested documents, conducted a physical plant tour and at around 12:00p.m., interviewed two (02) staff. On 10/23/2025, LPA Duguma conducted a physical plant tour at around 10:30a.m., requested documents at around 11:30a.m., interviewed two (02) staff from 12:00p.m. to 1:00p.m. and interviewed five (05) out of six (06) residents from around 1:30p.m. to 3:30p.m. During the physical plant tour, LPA did not observe any medications left out. LPA was unable to interview one (01) resident due to current health condition. During interviews with staff, all staff stated they do not leave medications out and wait for residents to take their medications. During interviews with residents, all interviewed residents stated facility does not leave medications unattended. Based on interviews and observations, there is not enough information to verify the allegation. Therefore, the allegation is unsubstantiated at this time. No health and safety hazards noted during the visit. Exit interview conducted and a copy of the report was issued.the state’s words, verbatim · CDSS document, Dec 19, 2025 · control 31-AS-20250530112416

Type of visit: Required - 1 Year

On 10/11/2025 at approximately 09:20 AM, Licensing Program Analyst (LPA), Angelica Segovia conducted an unannounced annual visit to the facility. LPA was greeted by the caregiver and stated the reason for their visit. The Administrator, Armen Markosian arrived shortly after to assist with today’s visit. LPA asked for the census, Staff/Resident Roster, and Liability Insurance. LPA conducted a physical plant tour at approximately 12:30 PM and the following was noted: The facility is a single-story building with four (4) bedrooms and two (2) bathrooms. The facility is currently occupying six (6) residents. There is no designated staff room. The facility has an approved fire clearance for six (6) non-ambulatory residents of which one (1) may be bedridden. Hospice waiver approved for four (4). Common areas: The living room and dining room were observed to be neat, clean, and organized. The rooms were observed to be properly furnished and in good repair. The facility maintains a comfortable temperature at 74°F. LPA observed a fire extinguisher to be located near the kitchen and dated 06/03/2025. LPA observed required postings such as Long-Term Care Ombudsman, Emergency Disaster Plan, and Personal Rights to be located alongside the entrance. A working telephone was observed. Kitchen: The kitchen was observed to be clean and free from pests. Sufficient supplies of seven (7) day nonperishable foods and two (2) day perishable foods were observed. Knives/sharps were observed to be kept in a locked kitchen drawer. The cleaning solutions/toxins were observed to be kept locked underneath the kitchen sink. Kitchen appliances were observed to be working and in proper condition. (continued on LIC 809-C) Bedrooms: The residents’ rooms are adequately furnished with appropriate furniture and lighting system. Hallways/passageways are lighted appropriately. Extra linens/covers were observed to be stored in cabinets located within the hallway’s passageway. Bathrooms: The bathrooms were checked for cleanliness and proper operation. The hot water temperature was measured within regulations. LPA observed appropriate grab rails and slip-resistant mats to be in proper condition. Front/Backyard: The front yard of the facility is equipped with a designated shaded area with outdoor furniture for residents. The backyard of the facility was observed to be clean. There is no body of water located at the facility. Laundry Room: The laundry room was observed to be located outside of the facility. LPA observed the laundry room to be kept locked. LPA observed cleaning solutions and toxins stored appropriately within the laundry room and inaccessible to residents. The laundry appliances were observed to be working and in proper condition. Garage: LPA observed there to be no garage. Medications: The medications along with staff and residents’ files were observed to be kept in a locked cabinets located near the kitchen. First-aid kit observed to be equipped with but not limited to bandages, scissors, digital thermometer, tweezer and First-Aid Manuel. Smoke detectors and carbon monoxide observed to be working properly and were tested. Residents/Staff Records: LPA conducted a complete file review of resident records. Resident records were not complete and/or updated. Staff records: LPA conducted a complete file review of staff records. Staff records were not complete and/or updated. (Continue to LIC 809-c) The following deficiencies were observed during the day of inspection: -LPA observed R2 to have a postural support (Belt) attached to them and their wheelchair without a physician’s order. -4 out of 6 residents were missing their updated re-appraisals. -4 out of 6 residents were missing their annual medical/ Physician's report. Citations issued, please refer to 809-D. There were no other immediate health and safety hazards observed during the day of inspection. Exit interview conducted, appeal rights given and a copy of this report was provided to the Administrator.the state’s words, verbatim · CDSS document, Oct 11, 2025

The state marks this report as 8 pages; the online copy we transcribed has 6. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Rosaura Valenzuela conducted an annual required visit. LPA met with Administrator Armen Markosian and explained the reason for the visit. LPA used the Care tool to evaluate the facility. LPA inspected the facility plant, reviewed resident files, staff files, and reviewed staff fingerprint clearances. Facility is approved to retain/accept six (06) hospice residents. There are currently 5 residents on hospice. The facility is a single story structure located in a residential neighborhood. LPA toured the facility. LPA observed that the facility does not have a swimming pool or other bodies of water. All indoor and outdoor passageways were free of obstruction. There is only one entrance being utilized at the facility, all required posters were posted at the entrance. Sign in sheet, hand sanitizer, gloves and masks are available. Home consists of the following: 4 resident bedrooms, 2 bathrooms , living room, dining area, office area, kitchen, and laundry area. The front yard is well maintained and has a shaded sitting area / gazebo. All resident bedrooms were toured. Each bedroom has a bed, linen, dresser, light, and sufficient closet space. The resident bathrooms have the required grabs bars and non-skid material / mat. The hot water was 120 degrees which is within the required 105 - 120 degrees. The kitchen was inspected. There is sufficient perishable and non-perishable food. All the appliances are clean and seem to be operating properly. Sharps, cleaning supplies are locked and inaccessible to residents. Carbon monoxide detectors were in compliance and operational. Fire extinguishers were observed fully charged and last purchased in Feb. of 2024.. LPA observed the centrally stored medication area to be locked and inaccessible to residents. The first aid kit was observed and found to be in compliance with the Title 22 Regulations. Per California Code of Regulations, Title 22, there were no deficiencies observed during the visit. Exit interview was conducted and the copy of the report was provided to the Administrator .the state’s words, verbatim · CDSS document, Sep 17, 2024

Allegation investigated: Facility failed to properly evaluate the resident Staff failed to provide adequate food service Staff failed to provide activities for resident Staff can’t communicate with residents due to language barrier Staff failed to treat resident with respect

Licensing Program Analyst (LPA) Nune Margaryan conducted a subsequent visit in order to deliver findings for the above-mentioned allegations. LPA met with Marianna Ohanyan and explained the reason for today's visit. Administrator arrived shortly after. The initial visit was conducted on 02/14/22. The investigation consisted of the following: During initial visit, LPA inspected facility kitchen requested and received copies of pertinent documents related to complaint allegations. LPA interviewed total 5 residents (R2 - R6) and 5 staff (S1 - S5). During the investigation R1 was no longer in the facility. During todays visit LPA obtained Residents and Staff roster and copies of R1 hospice care agreement. Cont. 9099C Unsubstantiated The investigation revealed the following: Allegation - Facility failed to properly evaluate the resident. It was alleged that on November 2021, based on R1’s weaknesses, Resident #1 (R1) was enrolled in the hospice care without getting consent from POA. At the time of this visit at 9:00 am LPA Margaryan inspected the facility, at 9:15 am LPA requested additional records, including R1’s hospice care agreement. The Administrator indicated that at the time of admission all records were signed by R1. Although, R1’s family member represented themselves as a POA, they never submitted any documents. Hospice agreement was signed by resident. A review of facility records verified the information received from the Administrator. All facility documents were signed by R1. A review of hospice records revealed that the hospice service agreement was also signed by R1 and R1’s evaluation for hospice services was completed by hospice personnel. During this investigation R1 was no longer in the facility. Based on interviews and record review, there is no sufficient information or evidence to verify the allegation. Therefore, the allegation is unsubstantiated at this time. Allegation - Staff failed to provide adequate food service. It was alleged that the facility failed to provide adequate food service for the residents. The food served to R1 was unhealthy as it didn’t contain any protein. During this investigation LPA inspected the facility kitchen and reviewed food supply. On 02/14/2022 LPA observed resident eating lunch. The facility was serving sufficient quantity of well-balanced meal. Lunch consists of chicken w/fresh vegetables bread, and a beverage. An interview of Administrator revealed that based on R1”s health condition, they required physicians approved special diet and the staff was following physician’s order. A review of R1’s records verified the information received from the Administrator. Based on observation, interviews and record review, there is no relevant information to support the allegation. Therefore, the allegation is unsubstantiated at this time. Cont. 9099C Allegation - Staff failed to provide activities for resident. It was reported that the facility is not providing activities to R1. During this investigation on 02/14/22, while visiting the facility before lunch time LPA observed residents engage in activities. One resident (R2) was watching TV and one resident (R3) was reading a book. In addition, on 02/16/2022, the administrator emailed photographic and videographic evidence of the activities, which clearly shows R1’s engagement to the activities. Interviews of staff and residents’ conducted during investigation indicated that facility is providing activities to the residents. Based on observation, interviews and LPA’s review of the evidence provided by the Administrator, there is no pertinent information to support the allegation. Therefore, the allegation is unsubstantiated at this time. Allegation - Staff can’t communicate with residents due to language barrier. It was alleged that facility staff couldn’t communicate with the residents due to a language barrier. During this investigation on 02/14/2022, LPA spoke with the Administrator, staff and residents. The Administrator was fluently communicating in English. He stated that caregivers may not be fluent. However, they are able to communicate with residents. All interviewed residents during visits had no concerns about staff communicating with them. At the time of visit, LPA spoke with staff, and observed them communicating with residents in English. Based on observation and interviews, there is no sufficient information to corroborate with allegation. Therefore, the allegation is unsubstantiated at this time. Cont. 9099C Allegation - Staff failed to treat resident with respect. It was alleged that the staff members were very mean towards R1 and were not taking care of them. The resident needed a chair while going in the shower and the facility failed to provide it to him. During investigation R1 was no longer in the facility. The Administrator denied being disrespectful to R1 or any other resident. Residents interviewed at the facility stated that the staff is very respectful towards them. Interviewed residents did not witnessed staff being disrespectful to R1 or other residents. During this investigation LPA spoke with caregivers who assisted R1 and they stated they always treated R1 with respect. Based on observation and interviews there is no supporting information to verify the allegation. Therefore, the allegation is unsubstantiated at this time. No immediate health and safety hazard is noted during this visit. Exit interview was conducted, appeal rights were discussed, and a copy of report was issued.the state’s words, verbatim · CDSS document, Oct 6, 2023 · control 28-AS-20220204161635