Savant representatives were given an opportunity to review public file prior to the meeting. LPA and LPM discussed the following issues:

Elevator maintenance: “RM Whittaker inquired about the status of both facility elevators. Adam stated the front elevator is and has been operating and the modernization of the rear elevator was complete. An inspection was performed recently and a few more parts are required prior to passing a final inspection.” -This was the last update as of 10/15/24. The VP of Operations called LPA on 10/16/25 to notify that it had passed its final inspection. A staff member told LPA that the elevator is not working as of today. The VP clarified that the real elevator is operational as of today. LPM Margaryan noted the importance of submitting work orders and reports from maintenance agencies to keep the Licensing Department up to date on facility operations. VP Acharya stated the facility can provide all records of elevator maintenance.

• Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.

• Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

Administrators: Nirjara Acharya 04/04/23 – 06/12/23, David Aguiniga 06/12/23 – 10/27/23, Jina Maleksarkissians 11/01/23 – 01/22/24, Rita Meldonian 01/22/24 - 08/26/24, Marilou Mendoza 09/03/24 - Present

As of today, the facility has had six (06) administrators.

Administrators: Nirjara Acharya 04/04/23 – 06/12/23, David Aguiniga 06/12/23 – 10/27/23, Jina Maleksarkissians 11/01/23 – 01/22/24, Rita Meldonian 01/22/24 - 08/26/24, Marilou Mendoza 09/03/24 - 03/14/25, Narine Mertkhanyan 03/17/25 – Present

Care of Residents with special needs

Staff ability to meet the needs of residents has been an ongoing issue over the past year. LPA has observed and received incident reports about residents with behavioral expressions which adversely affected the rights of other residents in the community.

On 03/05/25, LPA Reed discussed with the former administrator about Resident #1 (R1) having a fall outside of the community while intoxicated. Interview with Staff #1 (S1) at 11:45 a.m. revealed some residents have been drinking alcohol in the facility at night. Interview with Staff #2 (S2) at 12:15 p.m. revealed staff are aware of multiple residents drinking alcohol in the facility. A training was issued after this.

On 08/14/25, Resident #1 (R1) overdosed in the facility. The facility was cited a Type A deficiency under Subsection 87466 - Observation of the Resident.

LPA expressed the importance of the facility staff’s abilities to provide sufficient care and supervision to all residents considering the increase in population over the past year. LPA reviewed the Dementia Care Plan with facility representatives and suggested modifications according to current facility operations. LPM Margaryan noted that the facility must have a plan of operation specific to any special conditions exhibited by residents with special care needs such as mental disorders or a substance abuse disorder. LPM also noted the importance of specific care plans and reappraisals for residents with mental or substance abuse disorders.

Exit interview conducted. Copy of report provided.