Olive Branch Estate

Allegation investigated: Staff caused injuries to a resident Staff neglect resulted in a resident to sustain an infection

Licensing Program Analyst (LPA) Michael Cava conducted a subsequent complaint visit to this facility to conclude the investigation regarding the above allegations. LPA met with the administrator, Marine Gazdzhyan, and advised her of the complaint. Today's investigation consisted of interviews with the administrator and staff, between 10:00am to11:00am, interview residents between 11:00am to 12:00pm, a physcial plant inspection between 12:00pm to 1:00pm and Record review from 1:00pm to 2:00pm. Regarding allegation: Staff caused injuries to a resident, it was alleged that Resident 1 (R1) had sustained some bruising because staff tried to hold R1 down "several days ago". There were no dates or timeframes specified of when this incident had occurred. Furthermore, no witnesses were identified to corroborate with this allegation. Interviews with the administrator and staff deny the allegation stating on 11/02/25, while attempting to assist R1 to get a shower, R1 had become combative, and was assualting staff. R1 was swinging their hands and arms around, hitting staff and then eventually hitting a rail, while making swings Unsubstantiated at staff. R1 has a diagnosis which leads them to have aggressiveness and behavioral issues. R1 is also noted to bruise easily. LPA obtained a copy of the incident report, pertaining to this incident, which confirms the events of what happened on 11/02/25, while staff was attempting to give R1 a shower. LPA also reviewed R1's facility records, which confirms the diagnosis and confused behaviors. In addition to facility staff interviews and record review, four (4) of four residents were interviewed, and they could not confirm the allegation. R1's family was also interviewed, and they deny the allegation of abuse. Family was very apologetic of the allegation, and doubts that staff caused the injury to R1. Furthermore, R1's family confirmed that they were made aware of this incident in a timely manner, and expressed no further complaints or concerns. Based on the department’s observations, interviews and record review, which were conducted, there is insufficient evidence to prove that Staff caused injuries to a resident. Therefore the above allegation(s) is deemed Unsubstantiated at this time. Regarding the allegation: Staff neglect resulted in a resident to sustain an infection, it was reported that R1 sustained an infection on their index finger. Interviews with the administrator and staff deny neglect. According to the administrator, R1 has a habit of digging into their fingernails, and when having a bowel movement, placing hands into private area an picking on their feces. Administrator and staff has tried many times to redirect, but R1 is non-compliant. R1's family is aware of this behavior, and they've also attempted to redirect R1. As a result of the continuous picking of the fingernails and their feces, R1 suffered an infection with puss coming out of their index finger. When infection was observed, Administrator immediately called R1's physician to address the infection. R1's family was also notified. Administrator had R1 transported to urgent care immediately for medical treatment. R1 was discharged same day, with no new orders, but to apply neosporin. Interview with R1's palliative care physician and treating doctor confirms that administrator consulted with them regarding R1's infection, and took the initiative to send R1 to urgent care for immediate medical attention. Review of facility incident report also confirms the incident. Based on the department’s observations, interviews and record review, which were conducted, there is insufficient evidence to prove that Staff neglect resulted in a resident to sustain an infection. Therefore the above allegation(s) is deemed Unsubstantiated at this time.the state’s words, verbatim · CDSS document, Jun 5, 2026 · control 31-AS-20251106095223

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, Marine Gazdzhyan and explained the reason for the visit. At approximately 9:20am, 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 detector are dual and interconnected. The facility has one new fire extinguishers that was purchased on December 12, 2025. Fire extinguisher is located in the kitchen. 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 in the kitchen. Cleaning supplies were stored locked underneath the kitchen sink. Bedrooms: There are five (5) bedrooms designated for client use. Bedrooms #1, #2, #3, and #5 are private. Bedroom #4 is shared. The applicant furnished the resident bedrooms with beds, night stand, chairs, dresser, bedding and linen. The bedrooms have sufficient lighting and closet space. Per STD 850, Bedroom #1 is cleared for fire-clearance. 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 room area. The living room has a couch, two chairs, table and television. The dining room table is large enough to seat up to six (6) residents. There is no fireplace. There were no visible immediate hazards. Surrounding Grounds: The driveway, passageways and entrance to the home was clear of obstruction. All entry and exit doors have a functional auditory alert when the doors open. The backyard of the facility has a patio and backyard furniture to accommodate the six (6) residents. The facility backyard has sufficient yard space. There is no swimming pool or any other bodies of water. Laundry area: The laundry room is located in between rooms #1 and #2. Detergents and cleaning supplies are kept inside. The laundry room is locked, and requires combination code to access. Staff Workstation/Office: No staff office or workstation. Resident Files: Resident files are kept locked in the medication closet. LPA conducted a file review of resident records to insure compliance of licensing forms. Staff Files: Staff files are also kept locked in the medication closet. LPA also 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 closet by the hallway. It requires a combination to gain access. Medication and Medication Records were reviewed for proper storage and documentation. Garage: No Garage. Pursuant to Title 22 Division 6 of the CA Code of Regulations, no deficiencies observed during the visit. Exit Interview Conducted and A Copy of the Report Issued.the state’s words, verbatim · CDSS document, Jan 9, 2026

Type of visit: Prelicensing

Licensing Program Analysts (LPAa) Nadia Shahbazian and Michael Cava conducted a Pre-Licensing Inspection with the applicant representative and administrators Armen Boyadzhyan and Marine Gazdzhyan. An Application to operate a Residential Care Facility for the Elderly (RCFE) was received by Community Care Licensing (CCL) on April 16, 2024. A fire clearance was approved on December 13, 2024 for five (5) non-ambulatory residents and one (1) bedridden resident, for a total capacity of six. The applicant is also requesting a hospice waiver to retain six (6) residents. The smoke alarms and carbon monoxide detector are dual and interconnected. The facility has one new fire extinguishers that was purchased on December 12, 2024. Fire extinguisher is located in the kitchen. A tour of the physical plant was initiated at approximately 2:00pm and the following was observed: KITCHEN: The facility has a Kitchen area that is equipped with a refrigerator and microwave oven. There was an adequate supply of perishable and nonperishable food and dining ware to accommodate a maximum capacity of six (6). Knives were observed locked in a kitchen drawer. BEDROOMS: There are five (5) bedrooms designated for client use. Bedrooms #1, #2, #3, and #5 are private. Bedroom #4 is shared. The applicant furnished the resident bedrooms with beds, night stand, chairs, dresser, bedding and linen. The bedrooms have sufficient lighting and closet space. Per STD 850, Bedroom #1 is cleared for fire-clearance. BATHROOMS: The facility has two (2) bathrooms. The bathrooms were observed to have the proper fixtures, grab bars, and non-skid mats. The hot water delivered in the bathrooms measured at 108 degrees. COMMON AREAS: These included the living room and dining room area. The living room has a couch, two chairs, table and television. The dining room table is large enough to seat up to six (6) residents. There is no fireplace. There were no visible immediate hazards. LAUNDRY ROOM: The laundry room is located in between rooms #1 and #2. Detergents and cleaning supplies are kept inside. The laundry room is locked, and requires combination code to access. MEDICATIONS: The medication closet is located in the hallway by room #3. Medication closet will be kept locked and requires a combination code to access. Resident/Staff Records: Resident and staff records will be kept locked in the same closet as medications. SURROUNDING GROUNDS: The driveway, passageways and entrance to the home was clear of obstruction. All entry and exit doors have a functional auditory alert when the doors open. The backyard of the facility has a patio and backyard furniture to accommodate the six (6) residents. The facility backyard has sufficient yard space. There is no swimming pool or any other bodies of water. In addition to the Pre-Licensing inspection, a Component III power point presentation was also held. Pursuant to Title 22, Division 6 of the CA Code of Regulations, the facility's physical environment appears to be compliant and ready for licensure. CAB will be advised and a copy of this report provided.the state’s words, verbatim · CDSS document, Jan 14, 2025

Type of visit: Office

Facility Type: RCFE Application Type: Initial Capacity: 6 Method: Telephone call with CAB COMP II Participants: Boyadzhyan, Armen On 11/18/24, the applicant/administrator participated in COMP II at CAB via telephone call with analyst at CAB. Identification of the applicant and administrator was verified by confirming driver’s license number. During COMP II, applicant and administrator confirmed the understanding of Title 22. Component II was successfully completed. Applicant and administrator were advised to email/fax signed LIC 809 with copy of photo ID to CAB. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of 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, Nov 18, 2024