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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 100400070
Report Date: 03/04/2026
Date Signed: 03/04/2026 01:31:52 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO RO, 1314 E SHAW AVE
FRESNO, CA 93710
This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/22/2025 and conducted by Evaluator Jimmy Duarte
COMPLAINT CONTROL NUMBER: 24-AS-20251222095613
FACILITY NAME:CALIFORNIA ARMENIAN HOMEFACILITY NUMBER:
100400070
ADMINISTRATOR:PAUL ROCHAFACILITY TYPE:
741
ADDRESS:6720 E KINGS CANYON RDTELEPHONE:
(559) 251-8414
CITY:FRESNOSTATE: CAZIP CODE:
93727
CAPACITY:412CENSUS: 225DATE:
03/04/2026
UNANNOUNCEDTIME BEGAN:
01:31 PM
MET WITH:Administrator Paul RochaTIME COMPLETED:
02:00 PM
ALLEGATION(S):
1
2
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5
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8
9
Unqualified staff injecting residents with medication.
INVESTIGATION FINDINGS:
1
2
3
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5
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7
8
9
10
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12
13
On 03/04/2026, Licensing Program Analyst (LPA) J. Duarte arrived unannounced to deliver findings. LPA met with Administrator Paul Rocha.

Interviews and documentation revealed that Med Techs assist resident with injectable medication using a hand over hand technique and LVNs also assist residents in administering injectable medication. Based on interviews conducted and documentation, the allegation: “Unqualified staff injecting residents with medication,” is UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.

No deficiencies issued. Exit interview conducted. A copy of this report was discussed and provided to facility Administrator Paul Rocha, whose signature on this form confirms receipt of this document.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Serigy Pidgirny
LICENSING EVALUATOR NAME: Jimmy Duarte
LICENSING EVALUATOR SIGNATURE:

DATE: 03/04/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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