Ararat Convalescent Hospital
ARARAT CONVALESCENT HOSPITAL in LOS ANGELES, CA — inspection on September 11, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During a review of the facility provided document titled, Covid - 19 Contact information form for long -Term Care Facilities Resident, dated 8/13/2025, the Form indicated a total of three residents were positive for Covid - 19.
The Form indicated the following:Resident 3 was confirmed COVID -19 positive on 8/13/2025Resident 4 was confirmed COVID-19 positive on : 8/16/2025Resident 5 was confirmed COVID-19 positive on: 8/15/2025
During an interview on 9/11/2025 at 11:15 AM with infection preventionist nurse (IP) 1, IP 1 stated since Residents 1, 4, and 5 were symptomatic and were positive for COVID-19, the facility should have reported the positive COVID- 19 residents to the California Department of Public Health.
During an interview on 9/11/2025 at 12:35 with the Administrator (ADM) , the ADM stated the facility had a COVID-19 outbreak and stated that CDPH should have been notified regarding the COVID-19 outbreak.
During a concurrent interview and record review on 9/11/2025 at 12:35 with the ADM, the ADM, the undated facility's policy and procedure (P&P) titled, Communicable diseases - outbreak was reviewed.
The P&P indicated, the administrator will be responsible for reporting to the Department of Public Health and local public health officer a single case of a communicable disease requiring immediate reporting and epidemiology investigation.
The Administrator stated not reporting to CDPH since she thought the facility's IP had reported the COVID-19 positive residents to CDPH.
During an interview on 9/11/2025 at 12:45PM with Infection Preventionist (IP) 1, IP 1 stated not notifying CDPH because IP 1 thought IP 2 had notified CDPH regarding Resident 1,4, and 5's positive COVID-19 status.
During an interview on 9/11/2025 at 12:50PM with the Director of Nursing ( DON) , the DON stated that the Department of Public health and the Public Health Nurse had been notified.
Stating the Covid Outbreak consisted of three people. No document could be provided by DON indicating the Department of Public Health had been notified.
During an interview on 9/11/2025 at 1:30PM with IP 2, IP 2 not reporting the COVID-19 outbreak to the California Department of Public Health. IP 2 stated not knowing that the facility had to report the COVID-19 cases to CDPH, and by not reporting the COVID-19 cases there would be a lack of outbreak support.
During a review of the facility's undated policy and procedure ( P&P) titled, Communicable Diseases - Outbreak,, the P&P indicated the purpose of Policy was to ensure that outbreaks of communicable disease are identified, handled, and reported as required.
The P&P indicated outbreaks of communicable diseases within the Facility was promptly identified an appropriated treated and reported.
The P&P indicated that the Administrator was responsible for reporting to the Department of Public Health, which included facility outbreak of COVID-19.
The P&P indicated outbreak definition was one or more facility acquired COVID-19 case in a resident and/or three or more suspect, probable or confirmed COVID-19 cases.
The Policy indicated reporting outbreaks related to a communicable disease, the facility must report the communicable disease data to CDPH.
Facility ID: