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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 107206861
Report Date: 02/04/2025
Date Signed: 02/11/2025 08:14:35 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO ASC, 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
06/03/2024 and conducted by Evaluator Sarah Hurt
COMPLAINT CONTROL NUMBER: 24-AS-20240603163501
FACILITY NAME:BELMAR VILLAFACILITY NUMBER:
107206861
ADMINISTRATOR:HRIPSIME MAKARYANFACILITY TYPE:
740
ADDRESS:2020 NORTH WEBER AVENUETELEPHONE:
(559) 486-5977
CITY:FRESNOSTATE: CAZIP CODE:
93705
CAPACITY:100CENSUS: 64DATE:
02/04/2025
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Administrator,Hripsime MakaryanTIME COMPLETED:
05:00 PM
ALLEGATION(S):
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Facility staff are not safeguarding residents' personal items
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Sarah Hurt arrived at the facility unannounced on 02/04/2025
at 11:00 a.m. to investigate the above allegations. LPA met with facility Administrator Administrator, Hripsime Makaryan and explained the purpose for today’s visit.

Regarding the allegation Facility staff are not safeguarding residents' personal items. Reporting Party stated they believed Staff 1 were taking items from facility residents. Administrator stated Staff 1 was involved in a miscommunication at one time with a residents belongings but the belongings were recovered. Administrator stated Staff 1 still works at the facility and is a trusted employee. Based on interviews, it is undetermined whether or not the allegation occurred. 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, therefore the allegation is UNSUBSTANTIATED.

No deficiencies are being cited Per Title 22 Regulations.

Exit interview conducted with Administrator, Hripsime Makaryan, and a copy of this report provided.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: Sarah Hurt
LICENSING EVALUATOR SIGNATURE:

DATE: 02/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO ASC, 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
06/03/2024 and conducted by Evaluator Sarah Hurt
COMPLAINT CONTROL NUMBER: 24-AS-20240603163501

FACILITY NAME:BELMAR VILLAFACILITY NUMBER:
107206861
ADMINISTRATOR:HRIPSIME MAKARYANFACILITY TYPE:
740
ADDRESS:2020 NORTH WEBER AVENUETELEPHONE:
(559) 486-5977
CITY:FRESNOSTATE: CAZIP CODE:
93705
CAPACITY:100CENSUS: DATE:
02/04/2025
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Administrator, Hripsime MakaryanTIME COMPLETED:
05:00 PM
ALLEGATION(S):
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9
Facility is in disrepair
Food service is inadequate.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Sarah Hurt arrived at the facility unannounced on 02/04/2025 at 12:00 p.m. to investigate the above allegations. LPA met with facility Administrator, Hripsime Makaryan, and explained the purpose for today’s visit.

Regarding the allegation Facility is in disrepair. On 01/10/2024 LPA toured the facility including resident bedrooms, common patio area, kitchen area, and facility hallways. LPA observed several window blinds in disrepair, window screens with holes, bedrooms with lifted flooring in disrepair. LPA also observed several resident bedroom trash cans with no lids, and resident dirty laundry on the floor. Based observation, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. No citing issued on this substantiated allegations as the facility was cited on 02/04/2025 for a similar allegation, please see complaint control #24-AS-20240603163501 to view citing.

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: Sarah Hurt
LICENSING EVALUATOR SIGNATURE:

DATE: 02/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 24-AS-20240603163501
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO ASC, 1314 E SHAW AVE
FRESNO, CA 93710
FACILITY NAME: BELMAR VILLA
FACILITY NUMBER: 107206861
VISIT DATE: 02/04/2025
NARRATIVE
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Regarding the allegation Food service is inadequate. Reporting Party stated the facility food is not adequate. LPA interviewed four facility residents who all stated at times they just don't eat because they do not like the facility food and are not given adequate substitutions. Based on interviews conducted the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.


The following deficiencies are being cited Per Title 22 Regulations.

Exit interview conducted with Administrator, Hripsime Makaryan, and a copy of this report provided.
SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: Sarah Hurt
LICENSING EVALUATOR SIGNATURE:

DATE: 02/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 24-AS-20240603163501
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO ASC, 1314 E SHAW AVE
FRESNO, CA 93710

FACILITY NAME: BELMAR VILLA
FACILITY NUMBER: 107206861
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/04/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/18/2025
Section Cited
CCR
87303(a)
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87303 Maintenance and Operation
(a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. The following requirement has not been met as evidenced by:
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Administrator will send LPA proof of blinds fixed, window screen repaired, and lifted floor completely covered by 02/18/2024 POC date.
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LPA Observed lifted flooring in resident bedroom, overflowing trash bins with no lids, and dirty laundry on resident bedroom floors, which poses a potential, health, safety, or personal rights risk to residents in care.
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Type B
02/18/2025
Section Cited
CCR
87555(a)
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87555 General Food Service Requirements(a) The total daily diet shall be of the quality and in the quantity necessary to meet the needs of the residents and shall meet the Recommended Dietary Allowances of the Food and Nutrition Board of the National Research Council. All food shall be selected, stored, prepared and served in a safe and healthful manner. The following requirement has not been met as evidenced by:
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Administrator will submit proof of meeting with alert and oriented residents on the food options inside the facility, and the rule of requesting options two hours before food service, and send proof to LPA by POC date of 02/18/2025.
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LPA interviewed 4 facility residents who all stated they do not feel the facilities food service is adequate, which poses a potential, health, safety, or personal rights risk to residents in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: Sarah Hurt
LICENSING EVALUATOR SIGNATURE:

DATE: 02/04/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2025
LIC9099 (FAS) - (06/04)
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