Inspection Reports for
Glen Park at Glendale – Mariposa St
1220 S MARIPOSA ST, GLENDALE, CA, 91205
Back to Facility ProfileDeficiencies (last 7 years)
Deficiencies (over 7 years)
1.6 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
60% better than California average
California average: 4 deficiencies/yearDeficiencies per year
8
6
4
2
0
Occupancy
Latest occupancy rate
73% occupied
Based on a February 2026 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Complaint Investigation
Census: 88
Capacity: 120
Deficiencies: 0
Date: Feb 9, 2026
Visit Reason
The visit was an unannounced complaint investigation conducted to investigate allegations regarding insufficient staff to meet resident needs, inadequate staff training, and insufficient hygiene supplies at the facility.
Complaint Details
The complaint investigation was triggered by allegations that facility staff were insufficient to meet resident needs, staff were inadequately trained, and the facility lacked sufficient hygiene supplies. After interviews with residents, staff, and management, and observations, all allegations were found to be unsubstantiated.
Findings
The investigation found that residents and staff reported adequate care and training. Staffing shortages were addressed by using agency caregivers and hiring new staff. Hygiene supplies were sufficient and readily available. Therefore, all allegations were unsubstantiated at this time.
Report Facts
Capacity: 120
Census: 88
Caregiver to resident ratio: 16
Staff hired: 5
Staff hired: 1
Resident interviews: 9
Care staff interviews: 9
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Susan Park | Executive Director | Met with Licensing Program Analyst during investigation and provided information on staffing and operations |
| Nadia Shahbazian | Licensing Program Analyst | Conducted the complaint investigation visit and interviews |
Inspection Report
Annual Inspection
Census: 89
Capacity: 120
Deficiencies: 0
Date: Sep 9, 2025
Visit Reason
The inspection was an annual required unannounced visit to evaluate compliance with licensing requirements at the facility.
Findings
The facility was inspected for physical plant conditions, food service, personnel records, resident records, and medication storage. No health and safety issues were noted at the time of the visit.
Inspection Report
Complaint Investigation
Census: 90
Capacity: 120
Deficiencies: 0
Date: Aug 26, 2025
Visit Reason
An unannounced complaint investigation was conducted to examine the allegation that staff did not ensure the Wi-Fi internet was fixed in a timely manner.
Complaint Details
The complaint alleged that staff did not ensure the Wi-Fi internet was fixed in a timely manner. The allegation was investigated through interviews, record reviews, and observations. The complaint was found to be unsubstantiated.
Findings
The investigation found that the Wi-Fi had been intermittently working for approximately two weeks, with the internet provider contacted twice. The facility hired a third-party vendor to resolve the issue, and residents were assisted with internet needs through alternative means. Interviews with residents confirmed no concerns, and the allegation was deemed unsubstantiated.
Report Facts
Facility Capacity: 120
Resident Census: 90
Internet Access Points: 6
Internet Access Points: 10
Internet Provider Contact Dates: 2
Resident Interviews: 10
Estimated Resolution Time: 72
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jessica Favela | Assistant Administrator | Met with Licensing Program Analyst during investigation and provided information about the Wi-Fi issue |
| Lorena Casillas | Licensing Program Analyst | Conducted the complaint investigation visit |
Inspection Report
Complaint Investigation
Census: 91
Capacity: 120
Deficiencies: 0
Date: Aug 26, 2025
Visit Reason
The visit was conducted to investigate a complaint alleging that staff did not ensure a resident had access to medication in a timely manner.
Complaint Details
The complaint alleged that staff did not ensure a resident had access to medication in a timely manner. The allegation was unsubstantiated after investigation.
Findings
The investigation found that the resident's medication was delivered and held in central storage while the resident was hospitalized. Staff notified the resident upon return, and no missed doses were confirmed. Interviews with staff and residents and record reviews did not corroborate the allegation. The complaint was deemed unsubstantiated.
Report Facts
Capacity: 120
Census: 91
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michael Cava | Licensing Program Analyst | Conducted the complaint investigation |
| Jessica Favela | Assistant Administrator | Met with the evaluator during the investigation |
| Susan Park | Administrator | Facility administrator named in the report |
Inspection Report
Complaint Investigation
Census: 87
Capacity: 120
Deficiencies: 0
Date: Jul 21, 2025
Visit Reason
The visit was an unannounced complaint investigation conducted in response to a complaint received on 2025-06-25 regarding multiple allegations of staff misconduct and resident care issues at the facility.
Complaint Details
The complaint involved allegations that staff inappropriately isolated a resident, failed to provide a comfortable environment and activities, restricted access to personal belongings, and spoke to a resident in an inappropriate manner. After investigation, all allegations were determined to be unsubstantiated.
Findings
All allegations including inappropriate isolation, lack of comfortable environment, lack of activities, restricted access to personal belongings, and inappropriate staff communication were investigated through interviews, record reviews, and observations. Each allegation was found to be unsubstantiated based on evidence and interviews.
Report Facts
Facility Capacity: 120
Resident Census: 87
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Susan Park | Administrator | Facility administrator who assisted during the visit |
| Angelica Segovia | Licensing Program Analyst | Evaluator who conducted the complaint investigation |
Inspection Report
Complaint Investigation
Census: 87
Capacity: 120
Deficiencies: 0
Date: May 13, 2025
Visit Reason
The visit was an unannounced complaint investigation to examine allegations that staff did not provide adequate supervision to residents.
Complaint Details
The complaint alleged inadequate supervision of residents. The investigation included interviews with staff, residents, and the resident's responsible party, review of records, and observation of facility security measures. The allegation was unsubstantiated based on evidence collected.
Findings
The investigation found that a resident who required supervision exited the facility unattended but was returned by the police. Interviews and observations indicated that staff responded appropriately and the allegation was deemed unsubstantiated.
Report Facts
Census: 87
Total Capacity: 120
Resident interviews: 10
Staff interviews: 4
Staff interviewed on 02/04/25: 3
Additional staff interviewed: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Susan Park | Executive Director | Met with Licensing Program Analyst during investigation and involved in interviews |
| Evelin Rios | Licensing Program Analyst | Conducted the complaint investigation visit and interviews |
| Eva Miller | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 87
Capacity: 120
Deficiencies: 0
Date: May 7, 2025
Visit Reason
The visit was conducted as a complaint investigation related to complaint report #31-AS-20250218151741, including delivery of an amended complaint investigation report.
Complaint Details
The visit was associated with complaint report #31-AS-20250218151741 and was an initial complaint investigation visit conducted on 2025-02-25. The amended complaint investigation report was delivered on 2025-05-07.
Findings
The report documents the delivery of an amended complaint investigation report to the facility's executive director. No specific findings or deficiencies are detailed in the provided text.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Susan Park | Executive Director | Facility representative who received the amended complaint investigation report. |
| Leslie Ngo-Castaneda | Licensing Program Analyst | Delivered the amended complaint investigation report. |
| Nichelle Gillyard | Licensing Program Manager | Named in the report header. |
Inspection Report
Complaint Investigation
Census: 88
Capacity: 120
Deficiencies: 0
Date: Apr 16, 2025
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations received on 2024-07-17 regarding staff selling drugs and abusing residents.
Complaint Details
The complaint investigation was unsubstantiated based on interviews with staff and residents, record reviews, and facility observations. No evidence was found to support the allegations of staff selling drugs or abusing residents.
Findings
The investigation found no evidence supporting the allegations of drug sales or resident abuse by staff or the licensee. Interviews with staff and residents, as well as facility observations, revealed no indications of these issues. The allegations were deemed unsubstantiated.
Report Facts
Resident census: 88
Facility capacity: 120
Residents interviewed: 9
Staff interviewed: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nicholas Reed | Licensing Evaluator | Conducted the complaint investigation and interviews |
| Susan Park | Administrator | Facility administrator interviewed during the investigation |
Inspection Report
Complaint Investigation
Census: 88
Capacity: 120
Deficiencies: 0
Date: Apr 16, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations regarding the administrator becoming a resident's payee for SSI payments and the licensee not returning resident's SSI checks upon relocation.
Complaint Details
The complaint alleged that the administrator became the resident's payee for SSI payments and that the licensee did not ensure the return of resident's SSI checks upon relocation. Both allegations were found to be unsubstantiated based on interviews and record reviews.
Findings
The investigation found that the administrator was not the payee for the resident's SSI payments and that the licensee properly returned all SSI funds to the Social Security Administration. No immediate health or safety concerns were observed during the inspection.
Report Facts
Capacity: 120
Census: 88
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nicholas Reed | Licensing Program Analyst | Conducted the complaint investigation visit |
| Susan Park | Administrator | Facility administrator involved in the investigation |
Inspection Report
Complaint Investigation
Census: 120
Capacity: 120
Deficiencies: 0
Date: Mar 22, 2025
Visit Reason
The visit was an unannounced complaint investigation conducted to investigate allegations that staff were not ensuring the oxygen machine worked properly and that a resident was left on the floor for an extended period due to lack of supervision.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included improper oxygen machine maintenance and a resident being left on the floor for an extended time. Interviews with staff and residents, as well as record reviews, did not verify these claims.
Findings
The investigation found insufficient evidence to substantiate the allegations. Staff stated they rely on a third-party for oxygen machine maintenance and residents reported no significant issues. Records and interviews showed no indication that residents were left on the floor for extended periods.
Report Facts
Residents interviewed: 9
Staff interviewed: 4
Resident falls recorded: 2
Capacity: 120
Census: 120
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Susan Park | Executive Director | Met with Licensing Program Analyst during complaint investigation |
| Abeye Duguma | Licensing Program Analyst | Conducted complaint investigation visit |
| Naira Margaryan | Supervisor | Supervisor overseeing the complaint investigation |
Inspection Report
Complaint Investigation
Census: 120
Capacity: 120
Deficiencies: 1
Date: Mar 22, 2025
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations that staff were not preventing a resident from engaging in inappropriate behaviors and harassing other residents.
Complaint Details
The complaint was substantiated based on interviews with staff and residents, and review of incident reports showing multiple incidents of Resident #2 exposing themselves and harassing others.
Findings
The investigation substantiated that Resident #2 exposed themselves by not wearing clothes from the waist down and intimidated other residents with aggressive behavior. Staff did not prevent these behaviors as alleged. No other health and safety hazards were noted.
Deficiencies (1)
CCR 87468.1 Personal Rights of Residents in All Facilities was violated as Resident #2 exposed themselves and intimidated residents with acts of aggression on multiple occasions.
Report Facts
Capacity: 120
Census: 120
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Susan Park | Executive Director | Met during investigation and declined to sign the report |
| Abeye Duguma | Licensing Program Analyst | Conducted the complaint investigation |
Inspection Report
Complaint Investigation
Census: 88
Capacity: 120
Deficiencies: 0
Date: Feb 25, 2025
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations that staff did not safeguard a resident's personal items and that staff were retaliating against a resident for making a report against the facility.
Complaint Details
The complaint involved two allegations: 1) staff removing a resident's personal items (vitamins and supplements) without approval, and 2) staff retaliating against a resident for filing reports. Both allegations were investigated through interviews, record reviews, and observations and were found to be unsubstantiated.
Findings
The investigation found no sufficient evidence to substantiate the allegations. Residents were found to have their belongings and reported feeling safe and well-treated. No citations were issued.
Report Facts
Capacity: 120
Census: 88
Residents interviewed: 8
Staff interviewed: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Leslie Ngo-Castaneda | Licensing Evaluator | Conducted the complaint investigation |
| Susan Park | Executive Director | Facility administrator met during investigation |
Inspection Report
Complaint Investigation
Census: 86
Capacity: 120
Deficiencies: 1
Date: Feb 14, 2025
Visit Reason
The visit was an unannounced case management deficiencies inspection conducted in conjunction with a complaint investigation related to observed deficiencies not connected to the complaint.
Complaint Details
The visit was conducted in conjunction with control number 31-AS-20250207131924 complaint visit. Deficiencies observed were not related to the complaint but were noted during the complaint investigation.
Findings
The facility failed to have staff #1 associated with the facility or transfer of a criminal record clearance, which posed an immediate health and safety risk to residents. A civil penalty was assessed for this deficiency.
Deficiencies (1)
CCR 87355(e)(2) requires all individuals subject to a criminal record review to have a transfer of criminal record clearance prior to working in a licensed facility. The licensee failed to have staff #1 associated with the facility or transfer of clearance, posing an immediate health and safety risk to residents.
Report Facts
Census: 86
Total Capacity: 120
Deficiency Type A count: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Susan Park | Executive Director | Met with during inspection and mentioned in relation to staff and complaint investigation |
Inspection Report
Complaint Investigation
Census: 88
Capacity: 120
Deficiencies: 2
Date: Jan 28, 2025
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations of inadequate food service and unqualified staff handling food at the facility.
Complaint Details
The complaint was substantiated based on interviews and documentation. Hair was found in a meal served to a resident, and unqualified staff were found handling food. The plan of correction was cleared during the visit.
Findings
The investigation substantiated that hair was found in a meal served to a resident and that several staff assisting in food preparation were not properly trained. Both issues posed potential health and safety risks to residents.
Deficiencies (2)
CCR 87555(15): All persons engaged in food preparation and service failed to observe personal hygiene and food sanitation practices, resulting in food contamination risk.
CCR 87411(d)(1): Staff assigned to kitchen duties lacked proper training in food preparation and handling, posing a potential health and safety risk to residents.
Report Facts
Facility Capacity: 120
Resident Census: 88
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Bryanna Luke | Assistant Administrator | Named in relation to providing food hygiene in-service training as part of the plan of correction |
| Tuesday Cabiness | Licensing Program Analyst | Conducted the complaint investigation |
Inspection Report
Complaint Investigation
Census: 89
Capacity: 120
Deficiencies: 2
Date: Jan 15, 2025
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations that staff served expired food to a resident and did not administer medications as prescribed.
Complaint Details
The complaint investigation was unannounced and based on allegations of expired food service and improper medication administration. Both allegations were found unsubstantiated after interviews, observations, and record reviews.
Findings
The investigation found insufficient evidence to substantiate the allegations. No expired or moldy food was observed, and medication administration records showed some gaps attributed to system errors. Resident and staff interviews did not confirm the allegations.
Deficiencies (2)
Staff served expired food to a resident in care was alleged but not substantiated after investigation and interviews.
Staff did not administer medications as prescribed was alleged but not substantiated due to insufficient evidence and explanations of system errors.
Report Facts
Capacity: 120
Census: 89
Number of residents interviewed: 9
Number of staff interviewed: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Susan Park | Executive Director | Met with Licensing Program Analyst during complaint investigation |
| Abeye Duguma | Licensing Program Analyst | Conducted the complaint investigation visit |
| Naira Margaryan | Supervisor | Supervisor overseeing the complaint investigation |
Inspection Report
Census: 89
Capacity: 120
Deficiencies: 0
Date: Jan 14, 2025
Visit Reason
The visit was an unannounced case management inspection conducted to ensure the safety and welfare of evacuees from the Eaton Fire who were temporarily relocated to the facility.
Findings
No immediate health or safety hazards were observed during the visit. The facility had admitted 22 residents temporarily on 01/08/25, all of whom left by 01/12/25, and no evacuees remained at the time of inspection.
Inspection Report
Complaint Investigation
Census: 92
Capacity: 120
Deficiencies: 0
Date: Dec 18, 2024
Visit Reason
The visit was an unannounced complaint investigation conducted to investigate allegations regarding malodorous resident rooms, untimely staff response to resident calls, and improper cleaning of resident rooms.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included malodorous resident rooms, staff not answering calls timely, and improper cleaning of rooms. Interviews and observations did not verify these claims.
Findings
The investigation found no sufficient evidence to substantiate the allegations. Observations and interviews indicated no malodor or roach spray smell, staff response times were within 5 to 15 minutes, and resident rooms were cleaned properly. No health or safety hazards were noted.
Report Facts
Capacity: 120
Census: 92
Rooms observed: 5
Residents interviewed: 9
Staff interviewed: 4
Average response time: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Abeye Duguma | Licensing Program Analyst | Conducted the complaint investigation |
| Susan Park | Executive Director | Facility administrator met during the investigation |
| Naira Margaryan | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 94
Capacity: 120
Deficiencies: 0
Date: Nov 14, 2024
Visit Reason
The visit was conducted to investigate complaints alleging inadequate food service and lack of dignity and respect by staff towards residents.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included inadequate food service and staff not treating residents with dignity and respect. Interviews and document reviews did not verify these allegations.
Findings
The investigation found that the facility provides a variety of well-balanced and diverse meals, and staff generally treat residents with dignity and respect. Both allegations were unsubstantiated based on interviews and record reviews.
Report Facts
Capacity: 120
Census: 94
Number of staff interviewed: 3
Number of residents interviewed: 9
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Susan Park | Administrator | Met with during the investigation and mentioned in the report |
| Abeye Duguma | Licensing Evaluator | Conducted the complaint investigation |
| Angelica Segovia | Licensing Program Analyst | Assisted in conducting the complaint investigation |
| Naira Margaryan | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 94
Capacity: 120
Deficiencies: 0
Date: Nov 13, 2024
Visit Reason
The visit was an unannounced complaint investigation conducted to investigate multiple allegations against facility staff, including restricting residents from leaving, theft, allowing residents with prohibited health conditions, denying food, emotional abuse, and staff under the influence.
Complaint Details
The complaint investigation was triggered by multiple allegations received on 05/23/2023 concerning staff misconduct and resident care issues. The investigation included interviews with residents, staff, and the Executive Director, as well as record reviews and observations. The allegations were found to be unsubstantiated.
Findings
All allegations were investigated through interviews, record reviews, and observations. No evidence was found to substantiate any of the complaints. Residents and staff denied the allegations, and medication and care records were consistent with proper care. The investigation concluded all allegations as unsubstantiated with no deficiencies cited.
Report Facts
Capacity: 120
Census: 94
Resident interviews: 10
Resident records reviewed: 8
Staff interviews: 9
Medication records reviewed: 9
Residents taking PRN narcotic medication: 4
Inspection Report
Complaint Investigation
Census: 94
Capacity: 120
Deficiencies: 0
Date: Nov 12, 2024
Visit Reason
The visit was an unannounced complaint investigation to determine the validity of allegations regarding staff sexually abusing residents and staff, and that facility staff were not qualified.
Complaint Details
The complaint alleged that staff were sexually abusing residents and staff, and that facility staff were not qualified. After interviews with residents, staff, and review of records, the allegations were found unsubstantiated.
Findings
The investigation found insufficient evidence to support the allegations of sexual abuse by staff and determined that the staff were qualified to operate the facility. Both allegations were deemed unsubstantiated.
Report Facts
Residents interviewed: 10
Staff interviewed: 4
Resident records reviewed: 5
Medication records reviewed: 9
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Susan Park | Executive Director and Administrator | Named in investigation and interviews regarding allegations |
| Bryanna Luke | Assistant Administrator | Present during investigation and received copy of report |
| Evelin Rios | Licensing Program Analyst | Conducted the complaint investigation |
Inspection Report
Complaint Investigation
Census: 93
Capacity: 120
Deficiencies: 0
Date: Nov 6, 2024
Visit Reason
The visit was an unannounced complaint investigation conducted to investigate allegations including staff mistreatment of residents, theft of residents' personal and incidental monies, illegal substance use by staff during working hours, and theft of residents' medications.
Complaint Details
The complaint investigation was triggered by multiple allegations: staff do not treat residents with dignity, staff steal residents' P&I monies, staff use illegal substances during working hours, and staff steal residents' medications. After interviews with ten residents and staff, record reviews, and facility tours, all allegations were deemed unsubstantiated.
Findings
All allegations were found to be unsubstantiated based on interviews with residents and staff, facility tours, medication and financial record reviews. No evidence of mistreatment, theft, or illegal substance use was observed or reported during the investigation.
Report Facts
Residents interviewed: 10
Residents' medications reviewed: 3
Inspection Report
Complaint Investigation
Census: 94
Capacity: 120
Deficiencies: 0
Date: Oct 17, 2024
Visit Reason
The visit was conducted to investigate complaints alleging that staff were not preventing a resident from engaging in inappropriate behaviors and harassing other residents.
Complaint Details
The complaint involved allegations that a resident exposed themselves from the waist down and harassed other residents by calling them socialist, Marxist, and communist. Interviews with staff and residents did not provide enough evidence to verify these allegations. The complaint was determined to be unsubstantiated.
Findings
The investigation found insufficient evidence to substantiate the allegations regarding inappropriate exposure and harassment by the resident. No health and safety hazards were noted during the visit.
Report Facts
Capacity: 120
Census: 94
Staff interviewed: 4
Residents interviewed: 9
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Abeye Duguma | Licensing Evaluator | Conducted the complaint investigation |
| Susan Park | Executive Director | Facility administrator met during the investigation |
| Naira Margaryan | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 94
Capacity: 120
Deficiencies: 0
Date: Sep 26, 2024
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations that the Administrator became a resident's payee for SSI payments and that the licensee did not ensure the return of resident's SSI checks upon relocation.
Complaint Details
The complaint was unsubstantiated based on interviews and records review. Allegations included improper handling of resident SSI payments and failure to return SSI checks upon relocation.
Findings
The investigation found no sufficient evidence to support the allegations. Interviews and records confirmed the Administrator was never the resident's payee and that the facility returned $7,171.79 to Social Security after the resident relocated. No health and safety issues were noted at the time of the visit.
Report Facts
Amount returned to Social Security: 7171.79
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Susan Park | Executive Director | Met with Licensing Program Analyst during complaint investigation |
| Rosaura Valenzuela | Licensing Program Analyst | Conducted the complaint investigation visit |
Inspection Report
Complaint Investigation
Census: 94
Capacity: 120
Deficiencies: 0
Date: Jul 22, 2024
Visit Reason
An unannounced complaint investigation visit was conducted to investigate allegations that staff were selling drugs and abusing residents at the facility.
Complaint Details
The complaint investigation was unsubstantiated based on interviews and personnel report review. Allegations included staff selling drugs and abusing residents, both found unsupported.
Findings
Interviews and records review revealed that the alleged staff member was actually the Licensee who rarely visits the facility and does not engage in the alleged misconduct. There was insufficient information to support the allegations, and both were unsubstantiated.
Report Facts
Facility Capacity: 120
Resident Census: 94
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Susan Park | Executive Director | Met with Licensing Program Analyst during complaint investigation |
| Rosaura Valenzuela | Licensing Program Analyst | Conducted the complaint investigation visit |
Inspection Report
Complaint Investigation
Census: 94
Capacity: 120
Deficiencies: 0
Date: Jul 10, 2024
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations that staff do not provide adequate food service and do not ensure residents have hygiene products while in care.
Complaint Details
The complaint alleged inadequate food service causing illness and insufficient hygiene products for residents. After interviews, facility tours, and record reviews, the allegations were found unsubstantiated.
Findings
The investigation found both allegations to be unsubstantiated. The food service was inspected and found to be properly managed with no evidence of foodborne illness. Residents and staff interviews confirmed adequate provision of hygiene products.
Report Facts
Resident interviews: 10
Staff interviews: 5
Facility capacity: 120
Census: 94
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Leslie Ngo-Castaneda | Licensing Program Analyst | Conducted the complaint investigation and facility inspection |
| Susan Park | Executive Director | Facility administrator interviewed during investigation |
Inspection Report
Annual Inspection
Census: 89
Capacity: 120
Deficiencies: 0
Date: May 22, 2024
Visit Reason
Licensing Program Analyst Rosaura Valenzuela conducted an annual required inspection to evaluate compliance with regulatory standards at the facility.
Findings
The facility was found to be in compliance with health and safety regulations, including physical plant safety, personnel training, resident records, resident rights, planned activities, food service, and medication storage. No health and safety issues were noted at the time of the visit.
Report Facts
Fire extinguishers: 26
Rooms: 98
Hospice waiver beds: 10
Staff files reviewed: 5
Resident files reviewed: 5
Food supply duration: 2
Food supply duration: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Susan Park | Administrator | Met with Licensing Program Analyst during the inspection |
| Rosaura Valenzuela | Licensing Program Analyst | Conducted the annual required inspection |
| Naira Margaryan | Supervisor | Supervisor overseeing the inspection process |
Inspection Report
Complaint Investigation
Capacity: 120
Deficiencies: 1
Date: Jan 29, 2024
Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that staff did not provide adequate supervision to a resident in care.
Complaint Details
The complaint was substantiated. Staff failed to supervise Resident #1 who exited the facility unnoticed due to a blind spot caused by delivery boxes. The resident was returned safely by law enforcement with no injuries noted.
Findings
The allegation that staff failed to adequately supervise a resident who walked out of the facility undetected was substantiated. No new citations were issued as the facility had been previously cited for the same issue on 2023-01-26.
Deficiencies (1)
Staff did not provide adequate supervision to a resident in care, resulting in the resident walking out of the facility undetected on 2023-01-14.
Report Facts
Facility capacity: 120
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Susan Park | Administrator | Met with Licensing Program Analyst during investigation |
| Rosaura Valenzuela | Licensing Program Analyst | Conducted the complaint investigation visit |
| Naira Margaryan | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Annual Inspection
Census: 81
Capacity: 120
Deficiencies: 0
Date: Sep 18, 2023
Visit Reason
The inspection was a required annual unannounced visit to evaluate compliance with licensing regulations and facility operations.
Findings
The facility was found to be in compliance with infection control, operational requirements, physical plant safety, staffing, personnel records, resident records, resident rights, planned activities, food service, incident medical and dental care, disaster preparedness, and care for residents with special health needs. The fire suppression system required a second inspection but was cleared during the last fire marshal visit.
Report Facts
Licensed Capacity: 120
Current Census: 81
Staff Count: 37
Fire Extinguishers: 26
Fire Drill Date: Jul 23, 2023
Fire Suppression System Reinspection Date: Aug 14, 2023
Liability Insurance Coverage: 1000000
Liability Insurance Aggregate: 3000000
Residents Receiving Home Health Services: 28
Residents Receiving Hospice Care: 1
Resident Files Reviewed: 5
Staff Files Reviewed: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Susan Park | Administrator | Administrator who assisted with the inspection and participated in exit interview |
| Rachel De Chavez | Assistant Administrator | Met Licensing Program Analyst and assisted with inspection |
| Bennette Pena | Licensing Program Analyst | Conducted the required annual inspection |
| David Sicairos | Supervisor | Supervisor named in the report |
Inspection Report
Complaint Investigation
Census: 83
Capacity: 120
Deficiencies: 0
Date: Aug 28, 2023
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations that staff was not allowing a resident to select their health care provider and that staff denied the resident’s home health agency access to the facility.
Complaint Details
The complaint was unsubstantiated after investigation. Allegations included staff restricting resident choice of health care provider and denying home health agency access. Interviews and records showed residents can choose any provider and no denial of access occurred.
Findings
The investigation found no sufficient evidence to support the allegations. Interviews and record reviews confirmed that residents have the right to choose any home health agency and that staff did not deny access to any home health agency.
Report Facts
Capacity: 120
Census: 83
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Susan Park | Administrator | Met during the investigation and involved in findings |
| Rosaura Valenzuela | Licensing Program Analyst | Conducted the complaint investigation visit |
Inspection Report
Complaint Investigation
Census: 83
Capacity: 120
Deficiencies: 0
Date: Aug 28, 2023
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations including wrongful eviction, acceptance of payments for a resident no longer in care, and failure to adhere to a resident's Admissions Agreement.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included wrongful eviction, accepting payments for a resident no longer in care, and failure to adhere to the resident's Admissions Agreement. Interviews and records review did not support these allegations.
Findings
The investigation found insufficient evidence to substantiate any of the allegations. The facility adhered to its admission agreement and stopped billing the resident once it was determined they required a higher level of care and would not return.
Report Facts
Capacity: 120
Census: 83
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Susan Park | Administrator | Met with Licensing Program Analyst during complaint investigation |
| Rosaura Valenzuela | Licensing Program Analyst | Conducted the complaint investigation visit |
Inspection Report
Complaint Investigation
Census: 81
Capacity: 120
Deficiencies: 0
Date: May 22, 2023
Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that the facility did not have hot water.
Complaint Details
The complaint alleged the facility did not have hot water. The allegation was found to be unsubstantiated after investigation.
Findings
The investigation found that hot water temperatures were within compliance during inspection. The boiler was broken but being repaired, and the facility made arrangements to provide hot water to residents. The allegation was unsubstantiated based on physical inspection and documentation.
Report Facts
Hot water temperature readings: Measured temperatures ranged from 105.0 to 119.5 degrees Fahrenheit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tuesday Cabiness | Licensing Program Analyst | Conducted the complaint investigation and physical inspection. |
| Susan Park | Administrator | Met with Licensing Program Analyst and provided information during investigation. |
Inspection Report
Complaint Investigation
Census: 81
Capacity: 120
Deficiencies: 0
Date: May 12, 2023
Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that a staff member inappropriately accessed a resident's personal property.
Complaint Details
The complaint alleged that a staff member took a resident's phone to make personal calls or send texts. The allegation was found unsubstantiated after interviews showed staff did not access resident phones and the phone was used by another resident.
Findings
The investigation found that the allegation was unsubstantiated. Interviews with residents and staff indicated that staff members did not use resident cell phones, and the phone in question was accessed by another resident, not staff.
Report Facts
Capacity: 120
Census: 81
Number of residents with personal cell phones: 4
Number of staff interviewed: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Shira Stamps | Licensing Program Analyst | Conducted the complaint investigation |
| Susan Park | Administrator | Facility administrator present during investigation |
Inspection Report
Complaint Investigation
Census: 71
Capacity: 120
Deficiencies: 0
Date: Feb 13, 2023
Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that staff were physically abusing residents in care.
Complaint Details
The complaint alleged that two staff members were physically abusing residents. Four staff and seven residents were interviewed, all denying the allegation. The investigation found no evidence to substantiate the claim.
Findings
The investigation included interviews with staff and residents and a tour of the facility. No staff or residents interviewed confirmed the abuse allegation, and the preponderance of evidence standard was not met. The allegation was determined to be unsubstantiated.
Report Facts
Capacity: 120
Census: 71
Staff interviewed: 4
Residents interviewed: 7
Hospice waiver capacity: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Susan Park | Administrator | Met with Licensing Program Analyst during investigation |
| Troy Agard | Licensing Program Analyst | Conducted complaint investigation |
| Angela J Kendrick | Supervisor | Supervisor overseeing investigation |
Inspection Report
Complaint Investigation
Census: 72
Capacity: 120
Deficiencies: 1
Date: Jan 26, 2023
Visit Reason
The visit was conducted to investigate a complaint alleging that a resident left the facility unattended on or around January 14, 2023.
Complaint Details
The complaint was substantiated. Resident 1 left the facility unattended on January 14, 2023. The facility was unaware of the resident's absence until law enforcement returned the resident. Resident 1 exhibits confusion, disorientation, sundowning, and wandering behavior and cannot leave unassisted.
Findings
The investigation substantiated the allegation that Resident 1 wandered out of the facility unsupervised due to a blind spot caused by delivery boxes at the front desk. The resident was returned by law enforcement with no injuries noted, but the incident posed a potential risk.
Deficiencies (1)
CCR 87464(d): The facility failed to meet the resident's needs as identified in the pre-admission appraisal, evidenced by Resident 1 wandering out of the facility unnoticed and unsupervised. Although Resident 1 returned without injuries, this posed a potential risk to the resident in care.
Report Facts
Capacity: 120
Census: 72
Plan of Correction Due Date: Feb 2, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michael Cava | Licensing Program Analyst | Conducted the complaint investigation |
| Rachel De Chavez | Assistant Administrator | Met with Licensing Program Analyst during investigation |
| Benita Yates | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 72
Capacity: 120
Deficiencies: 0
Date: Jan 6, 2023
Visit Reason
The visit was conducted to investigate a complaint received on 2022-12-29 regarding allegations that staff did not answer resident call buttons timely, did not provide housekeeping, and did not communicate with residents.
Complaint Details
The complaint was unsubstantiated based on interviews, record reviews, and lack of corroborating evidence for the allegations regarding call button response, housekeeping, and communication with residents.
Findings
The investigation found no evidence to substantiate the allegations. Interviews with staff and residents, record reviews, and physical inspection indicated that staff responded timely to call buttons, provided housekeeping services, and communicated with residents as required.
Report Facts
Facility Capacity: 120
Resident Census: 72
Inspection Report
Complaint Investigation
Census: 73
Capacity: 120
Deficiencies: 0
Date: Dec 19, 2022
Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation of illegal eviction at the facility.
Complaint Details
The complaint alleged illegal eviction. The allegation was unsubstantiated based on interviews, record review, and observations.
Findings
The investigation found no preponderance of evidence to prove the alleged illegal eviction occurred. The resident was placed on a 5150 hold and transferred to a hospital, with no eviction letter found in the records.
Report Facts
Capacity: 120
Census: 73
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ashley Calderon | Licensing Program Analyst | Conducted the complaint investigation |
| Susan Park | Administrator | Interviewed during the investigation |
Inspection Report
Complaint Investigation
Census: 76
Capacity: 120
Deficiencies: 0
Date: Dec 13, 2022
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations that staff were not ensuring residents were protected from hazardous smells, that the facility ventilation system was in disrepair, and that floors were not kept free of dirt.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included exposure to hazardous smells from the kitchen, disrepair of the ventilation system, and unclean floors. Interviews with staff and residents, facility tours, and documentation review did not find evidence supporting these claims.
Findings
The investigation found no substantiated evidence to support the allegations. The ventilation system was observed to be functioning properly, the facility was clean, and most residents and staff did not report exposure to hazardous smells or dirt.
Report Facts
Capacity: 120
Census: 76
Inspection date: Dec 13, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cynthia D Chan | Licensing Program Analyst | Conducted the complaint investigation |
| Susan Park | Administrator | Facility administrator interviewed during investigation |
Inspection Report
Complaint Investigation
Census: 76
Capacity: 120
Deficiencies: 0
Date: Dec 8, 2022
Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that facility staff refused to accept a resident back after a hospital stay.
Complaint Details
Allegation: Facility staff refused to accept resident back after hospital stay. The allegation was unsubstantiated after investigation.
Findings
The investigation found no preponderance of evidence to prove the alleged violation occurred. The allegation was determined to be unsubstantiated based on interviews, record reviews, and observation.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kruz Long | Licensing Program Analyst | Conducted the complaint investigation. |
| Susan Park | Administrator | Met with Licensing Program Analyst during investigation and participated in exit interview. |
| Fernando Fierros | Supervisor | Named as supervisor on the report. |
Inspection Report
Complaint Investigation
Census: 74
Capacity: 120
Deficiencies: 0
Date: Nov 28, 2022
Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation of unlawful eviction received on 10/28/2022.
Complaint Details
Allegation of unlawful eviction was investigated. The resident was sent to the hospital for psychiatric evaluation due to behaviors, not evicted. Staff followed family requests regarding resident belongings. The allegation was unsubstantiated.
Findings
The investigation found no preponderance of evidence to substantiate the allegation of unlawful eviction. Staff interviews and documentation did not corroborate the complaint, and the resident was hospitalized per physician order rather than evicted.
Report Facts
Capacity: 120
Census: 74
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Irra | Licensing Program Analyst | Conducted the complaint investigation |
| Marina Pink | Administrator | Facility administrator named in report header |
Inspection Report
Complaint Investigation
Census: 74
Capacity: 120
Deficiencies: 0
Date: Nov 3, 2022
Visit Reason
The visit was an unannounced complaint investigation regarding an allegation of unlawful eviction at the facility.
Complaint Details
Allegation: Unlawful eviction. The investigation included interviews with staff and review of resident records. The resident was sent to the hospital for psychiatric evaluation due to behaviors, not for placement in memory care. Staff followed family requests regarding the resident's belongings. The allegation was unsubstantiated due to lack of evidence.
Findings
The investigation found no preponderance of evidence to substantiate the allegation of unlawful eviction. Staff interviews and documentation did not corroborate the claim, and the resident was hospitalized per physician order rather than evicted.
Report Facts
Capacity: 120
Census: 74
Staff interviewed: 3
Hospitalization date: Oct 14, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Irra | Licensing Program Analyst | Conducted the complaint investigation |
| Marina Pink | Administrator | Facility administrator named in report header |
Inspection Report
Complaint Investigation
Census: 76
Capacity: 120
Deficiencies: 1
Date: Oct 31, 2022
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by multiple allegations including unlawful eviction, staff threatening residents, inappropriate staff comments, forced eating arrangements, failure to safeguard residents' belongings, and improper cleaning of the facility.
Complaint Details
The complaint investigation was substantiated for unlawful eviction due to eviction notice based on invalid house rules. Other allegations including staff threatening residents, inappropriate comments, forced eating in the library, mishandling of belongings, and improper cleaning were unsubstantiated.
Findings
The investigation substantiated the allegation of unlawful eviction based on house rules violating residents' personal rights. Other allegations regarding staff threatening residents, inappropriate comments, forced eating in the library, mishandling of personal belongings, and improper cleaning were found unsubstantiated due to lack of preponderance of evidence.
Deficiencies (1)
CCR 87224 Eviction Procedures: The licensee issued a 30-day eviction notice based on house rules that include verbal abuse, which is not a valid reason for eviction. This poses a potential health, safety, or personal rights risk to persons in care.
Report Facts
Capacity: 120
Census: 76
Deficiencies cited: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Valeria Maldonado | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Susan Park | Administrator | Facility administrator involved in the investigation and exit interview |
Inspection Report
Complaint Investigation
Census: 76
Capacity: 120
Deficiencies: 0
Date: Oct 24, 2022
Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that the facility was retaliating against a resident.
Complaint Details
The allegation was that the facility retaliated against Resident 1 by issuing an eviction notice after the resident stopped voluntarily cleaning common areas. The investigation found the resident had prior documented behavioral issues and the eviction notice was due to failure to comply with facility rules. The allegation was unsubstantiated.
Findings
The investigation found insufficient evidence to substantiate the allegation of retaliation against the resident. The resident had received a 30 Day Notice To Quit due to ongoing violations of facility house rules, and the facility denied the notice was retaliatory.
Report Facts
Capacity: 120
Census: 76
Inspection Report
Complaint Investigation
Census: 70
Capacity: 120
Deficiencies: 0
Date: Sep 15, 2022
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations that the facility failed to meet a resident's needs and that the resident's personal belongings were missing.
Complaint Details
The complaint investigation was unsubstantiated. Allegation #1 regarding neglect/lack of supervision was found unsubstantiated due to lack of evidence. Allegation #2 regarding missing personal belongings was also unsubstantiated based on the resident's property inventory and lack of evidence.
Findings
The investigation found insufficient evidence to substantiate the allegations. The facility administered pain medication according to physician orders, and the resident's personal property inventory did not document the missing items. Therefore, both allegations were unsubstantiated.
Report Facts
Capacity: 120
Census: 70
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Ceniceros | Licensing Program Analyst (LPA)/Retired Annuitant (RA) | Conducted the complaint investigation |
| Rachel de Chavez | Assistant Administrator | Facility representative interviewed during investigation |
| James Lee | M.D. | Witness providing physician's order for medication |
Inspection Report
Complaint Investigation
Census: 69
Capacity: 120
Deficiencies: 0
Date: Aug 18, 2022
Visit Reason
The visit was conducted in response to a complaint alleging that staff do not assist residents with making phone calls as needed and that a resident was not accorded dignity in personal relationships with staff.
Complaint Details
The complaint was unsubstantiated based on interviews and observations. Five out of six residents interviewed stated staff provide assistance with phone calls and treat residents with dignity and respect.
Findings
The investigation found no preponderance of evidence to substantiate the allegations. Interviews with staff and residents indicated that assistance with phone calls is provided and residents are treated with dignity and respect. No deficiencies were cited.
Report Facts
Capacity: 120
Census: 69
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Angelica Rea | Licensing Program Analyst | Conducted the complaint investigation visit |
| Rachel De Chavez | Assistant Administrator | Assisted with the investigation visit and interviewed regarding allegations |
Inspection Report
Complaint Investigation
Census: 72
Capacity: 120
Deficiencies: 0
Date: Jul 14, 2022
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations including residents not being provided prescriptions as prescribed, medications not being refilled timely, facility disrepair, and unqualified staff providing medications.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included residents not receiving prescriptions as prescribed, medications not refilled timely, facility disrepair with water leaks, and unqualified staff administering medications. Interviews, document reviews, and facility tours did not provide sufficient evidence to confirm violations.
Findings
The investigation found no preponderance of evidence to substantiate any of the allegations. Medication administration and refill issues were not proven, facility leaks were not consistently observed, and staff training on medication administration was documented. All allegations were determined to be unsubstantiated.
Report Facts
Capacity: 120
Census: 72
Medication refill dates: 0
Staff interviewed: 5
Residents interviewed: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Marina Pink | Administrator | Facility administrator present at exit interview |
| Rachel De Chavez | Assistant Administrator | Assistant administrator present at exit interview |
| Mary G Flores | Licensing Program Analyst | Evaluator who conducted the complaint investigation |
Inspection Report
Complaint Investigation
Census: 69
Capacity: 120
Deficiencies: 0
Date: Jun 9, 2022
Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that staff did not keep a resident's records confidential.
Complaint Details
The complaint alleged that staff disclosed confidential medical information of a resident to an unauthorized family member. The complaint was found to be unfounded after investigation.
Findings
The investigation found insufficient evidence to support the allegation. Interviews with staff, residents, and review of documentation showed the facility maintained confidentiality and the disputed document was created prior to the resident's admission to the facility.
Report Facts
Capacity: 120
Census: 69
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Alma Gonzalez | Licensing Program Analyst | Conducted the complaint investigation |
| Rachel De Chavez | Assistant Administrator | Interviewed during investigation and provided information about confidentiality policies |
| Darkis Giron | Receptionist | Interviewed regarding resident file and confidentiality |
Inspection Report
Complaint Investigation
Census: 69
Capacity: 120
Deficiencies: 0
Date: Jun 2, 2022
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received on 2022-05-24 regarding resident belongings not being safeguarded and mismanagement of resident medications.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included resident belongings being stolen and medications being mismanaged. Interviews with residents and staff, as well as record reviews, did not support the allegations. The medication in question was PRN and administered as needed, not routinely three times a day.
Findings
The investigation found no preponderance of evidence to substantiate the allegations. Resident and staff interviews, record reviews, and observations indicated that belongings were safeguarded and medications were administered as prescribed. No deficiencies were cited.
Report Facts
Capacity: 120
Census: 69
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Bonnie Tao | Licensing Program Analyst | Conducted the complaint investigation |
| Rachel De Chavez | Assistant Administrator | Met with during the investigation and participated in exit interview |
| Fernando Fierros | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 69
Capacity: 120
Deficiencies: 0
Date: Jun 2, 2022
Visit Reason
The visit was an unannounced complaint investigation to examine allegations that a resident was being discriminated against while in care.
Complaint Details
The complaint alleged discrimination against a resident while in care. The investigation included interviews and file reviews. Although some incidents involving a family member staying overnight against facility protocol were noted, there was insufficient evidence to substantiate the discrimination allegation, resulting in an unsubstantiated finding.
Findings
The investigation found no evidence of discrimination against the resident. Interviews with eight residents and staff indicated respectful care, and the allegation was determined to be unsubstantiated.
Report Facts
Capacity: 120
Census: 69
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Glenn Trueman | Licensing Program Analyst | Conducted the complaint investigation visit |
| Rachel De Chavez | Assistant Administrator | Met with the evaluator and participated in interviews |
| Marina Pink | Administrator | Named as facility administrator |
Inspection Report
Annual Inspection
Census: 67
Capacity: 120
Deficiencies: 0
Date: May 12, 2022
Visit Reason
Licensing Program Analyst conducted an annual required visit to evaluate the facility's compliance with regulations including infection control, physical plant, medication management, and staff files.
Findings
No deficiencies were observed during the visit. The facility was found to be in compliance with California Code of Regulations, Title 22, including infection control, medication storage, and safety equipment.
Report Facts
Residents' records reviewed: 7
Staff records reviewed: 5
Hospice residents: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rachel De Chavez | Assistant Administrator | Met with Licensing Program Analyst during the inspection and participated in exit interview |
Inspection Report
Complaint Investigation
Census: 65
Capacity: 120
Deficiencies: 0
Date: Apr 6, 2022
Visit Reason
The visit was an unannounced complaint investigation conducted in response to multiple allegations including unsafe environment, financial abuse, retaliation by the administrator, inadequate assistance with incontinence, insufficient food and snacks, lack of confidentiality, and failure to safeguard residents' property.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included unsafe environment, financial abuse, retaliation, inadequate assistance with incontinence, insufficient food and snacks, lack of confidentiality, and failure to safeguard residents' property. Interviews and observations did not corroborate these allegations.
Findings
The investigation found no preponderance of evidence to substantiate any of the allegations. Interviews with staff, residents, and administrators indicated that the facility provides a safe environment, proper assistance, sufficient food, confidentiality, and safeguards residents' property. No deficiencies were cited.
Report Facts
Capacity: 120
Census: 65
Inspection Report
Complaint Investigation
Census: 65
Capacity: 120
Deficiencies: 0
Date: Mar 30, 2022
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations that staff do not meet the residents' dietary needs and do not provide adequate care and supervision.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included inadequate dietary care and inadequate supervision. Interviews and document reviews did not support the allegations sufficiently to substantiate them.
Findings
The investigation found that the facility has a seasonal menu created by a licensed dietitian and inspected by a state dietitian, with adequate food options and supervision measures in place. However, some residents felt the dietary needs were not fully met, and some residents expressed satisfaction with the care and supervision provided. The allegations were unsubstantiated due to lack of preponderance of evidence.
Report Facts
Capacity: 120
Census: 65
Residents interviewed: 7
Staff interviewed: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cynthia D Chan | Licensing Program Analyst | Conducted the complaint investigation |
| Rachel De Chavez | Assistant Administrator | Met with the Licensing Program Analyst during the investigation |
| Lisa Hicks | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 63
Capacity: 120
Deficiencies: 0
Date: Dec 16, 2021
Visit Reason
The visit was conducted to investigate a complaint alleging that a staff member inappropriately touched a resident.
Complaint Details
The complaint alleged that a staff member inappropriately touched a resident. Investigation revealed that the alleged resident was not a resident of the facility. Interviews and document reviews confirmed this, leading to the complaint being found unfounded.
Findings
The investigation found that the alleged resident was not a current or past resident of the facility and there was insufficient evidence to support the allegation. The complaint was determined to be unfounded and dismissed.
Report Facts
Capacity: 120
Census: 63
Inspection Report
Complaint Investigation
Census: 63
Capacity: 120
Deficiencies: 0
Date: Dec 8, 2021
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations that staff did not treat residents with dignity and respect and that staff threatened residents.
Complaint Details
The complaint investigation was unsubstantiated. Allegations that staff disrespected and threatened residents were not corroborated by staff or resident interviews, nor observed during the visit.
Findings
The investigation found no preponderance of evidence to substantiate the allegations. Staff and residents denied the allegations, and observations during the visit confirmed staff treated residents with respect and dignity. No deficiencies were cited.
Report Facts
Capacity: 120
Census: 63
Inspection Report
Complaint Investigation
Census: 63
Capacity: 120
Deficiencies: 0
Date: Nov 18, 2021
Visit Reason
The visit was an unannounced complaint investigation to examine allegations that a resident was not accorded dignity in their personal relationships with staff.
Complaint Details
The allegation was that a resident was not accorded dignity in personal relationships with staff. The complaint was unsubstantiated due to insufficient evidence despite some residents reporting rushed bathing sessions and others denying mistreatment.
Findings
The investigation found insufficient evidence to substantiate the allegation. Interviews and record reviews indicated that the resident refused bathing assistance and maintained personal hygiene independently. Some residents reported staff rushing bathing sessions, but most residents felt treated well.
Report Facts
Capacity: 120
Census: 63
Staff interviewed: 6
Residents interviewed: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Marina Pink | Administrator | Facility administrator involved in the investigation and exit interview |
| Noemi Galarza | Licensing Program Analyst | Evaluator who conducted the complaint investigation |
| Lisa Hicks | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 64
Capacity: 120
Deficiencies: 0
Date: Nov 6, 2021
Visit Reason
The visit was conducted as a complaint investigation following allegations that staff were abusing residents and stealing from residents at the facility.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included staff abusing residents and stealing from residents. Interviews and observations did not support these claims.
Findings
The investigation found no preponderance of evidence to substantiate the allegations of abuse or theft by staff. Interviews with staff and residents indicated no observed or reported mistreatment or stealing. No deficiencies were cited.
Report Facts
Facility Capacity: 120
Resident Census: 64
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Leticia Flores | Assistant Administrator | Met with during the investigation and interviewed |
| Linda M Almaraz | Licensing Evaluator | Conducted the complaint investigation |
Inspection Report
Complaint Investigation
Census: 64
Capacity: 120
Deficiencies: 0
Date: Oct 22, 2021
Visit Reason
The visit was an unannounced complaint investigation in response to an allegation that a resident was being harassed by another resident.
Complaint Details
The complaint alleged that a resident was being harassed by another resident. The investigation revealed an incident involving two residents but no conclusive evidence of harassment. The allegation was unsubstantiated.
Findings
The investigation included interviews with staff and residents and review of resident files. The allegation was found to be unsubstantiated due to lack of preponderance of evidence, although an incident between two residents was noted and addressed by staff.
Report Facts
Capacity: 120
Census: 64
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Angelica Rea | Licensing Program Analyst | Conducted the complaint investigation |
| Marina Pink | Administrator | Facility administrator involved in the investigation |
| Rachel De Chavez | Assistant Administrator | Facility assistant administrator involved in the investigation |
Inspection Report
Complaint Investigation
Census: 64
Capacity: 120
Deficiencies: 0
Date: Sep 20, 2021
Visit Reason
An unannounced complaint investigation was conducted regarding the allegation that staff were not assisting residents with voting during the Gubernatorial Recall Election.
Complaint Details
The allegation was that staff were not assisting residents with voting. The investigation found that staff did assist residents with ballots and transportation if requested. The allegation was unsubstantiated due to lack of preponderance of evidence.
Findings
Interviews with staff and residents revealed that staff did assist residents who requested help with voting by mail or provided transportation to polling locations. Some residents did not request assistance. There was insufficient evidence to substantiate the allegation.
Report Facts
Capacity: 120
Census: 64
Residents interviewed: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Alma Gonzalez | Licensing Program Analyst | Conducted the complaint investigation |
| Rachel De Chavez | Assistant Administrator | Interviewed during the investigation and received the report |
Inspection Report
Complaint Investigation
Census: 64
Capacity: 120
Deficiencies: 1
Date: Sep 20, 2021
Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation of lack of supervision resulting in a resident eloping from the facility.
Complaint Details
The complaint was substantiated. The allegation was that lack of supervision resulted in resident R8 eloping from the facility. The investigation included interviews with staff and review of records. It was found that on 10/22/20, R8 was missing and found by Glendale Police at a local store. Facility staff were unaware of the resident's absence until police inquiry. The resident was transferred to a higher care facility due to increased exit-seeking behavior.
Findings
The investigation substantiated the allegation that resident R8 eloped from the facility on 10/22/20 due to inadequate supervision. The facility staff were unaware of the resident's absence until contacted by the police, and corrective measures were implemented after the incident.
Deficiencies (1)
CCR 87464(f)(1): The facility failed to provide adequate care and supervision on 10/22/20, resulting in resident R8 eloping and posing an immediate risk to residents in care.
Report Facts
Census: 64
Total Capacity: 120
Deficiency count: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Alma Gonzalez | Licensing Program Analyst | Conducted the complaint investigation visit |
| Rachel De Chavez | Assistant Administrator | Interviewed during the investigation and participated in exit interview |
| Leticia Flores | Office Manager | Interviewed during the investigation and provided information about resident elopement |
Inspection Report
Complaint Investigation
Census: 65
Capacity: 120
Deficiencies: 0
Date: Aug 31, 2021
Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that facility staff stole a resident's valuable items.
Complaint Details
The complaint alleged that a staff member stole a resident’s valuable items including a ring, cashmere sweater, purse, glasses, makeup, and clothing. The allegation was unsubstantiated after investigation.
Findings
The investigation found no preponderance of evidence to prove the alleged theft occurred. Staff denied the allegation and stated missing items were documented and searched for. Residents reported missing items but did not witness staff stealing. The allegation was determined to be unsubstantiated.
Report Facts
Capacity: 120
Census: 65
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LaJean Nicole Spencer | Licensing Program Analyst | Conducted the complaint investigation and subsequent visit |
| Rachel de Chavez | Assistant Administrator | Met with the evaluator during the investigation and exit interview |
Inspection Report
Complaint Investigation
Census: 65
Capacity: 120
Deficiencies: 0
Date: Aug 31, 2021
Visit Reason
The visit was an unannounced complaint investigation regarding an allegation that facility staff handled a resident in a rough manner resulting in injury.
Complaint Details
The complaint alleged that facility staff handled a resident roughly causing injury. The investigation included interviews with staff, residents, and review of records. The resident was combative and no injuries were documented. The allegation was unsubstantiated.
Findings
The investigation found no preponderance of evidence to prove the alleged rough handling occurred. Interviews with staff and residents indicated the resident was combative and no injuries or bruising were observed. The allegation was determined to be unsubstantiated.
Report Facts
Capacity: 120
Census: 65
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Linda M Almaraz | Licensing Program Analyst | Conducted the complaint investigation |
| Marina Pink | Administrator | Facility administrator present during the investigation |
| Leticia Flores | Assistant Administrator | Met with investigator and participated in interviews |
Inspection Report
Complaint Investigation
Capacity: 120
Deficiencies: 0
Date: Aug 20, 2021
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations of staff abusing residents and stealing from residents at the facility.
Complaint Details
The complaint investigation was unsubstantiated based on interviews, observations, and records reviewed. No deficiencies were cited under California Code of Regulations Title 22.
Findings
The investigation found no evidence to substantiate the allegations of abuse or theft by staff. Interviews with staff and residents did not reveal any mistreatment or stealing. The allegations were deemed unsubstantiated.
Report Facts
Facility Capacity: 120
Resident Count: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Linda M Almaraz | Licensing Evaluator | Conducted complaint investigation and interviews |
| Marina Pink | Administrator | Facility administrator present during exit interview |
| Leticia Flores | Assistant Administrator | Met with evaluators during investigation and interviews |
Inspection Report
Complaint Investigation
Census: 65
Capacity: 120
Deficiencies: 0
Date: Jun 21, 2021
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations that staff did not seek timely medical attention for a resident and did not address a resident's change in medical condition while in care.
Complaint Details
The complaint alleged that on 4/22/21, staff member S4 did not call paramedics after resident R1 requested assistance and refused to address the resident's change in condition. The investigation included interviews with residents and staff, review of physician reports, hospital discharge papers, and incident reports. The findings showed conflicting statements and no preponderance of evidence to prove the violation, leading to an unsubstantiated determination.
Findings
The investigation found insufficient evidence to substantiate the allegations. Interviews and record reviews showed conflicting accounts regarding staff response to a resident's request for emergency assistance, resulting in the allegations being unsubstantiated.
Report Facts
Facility Capacity: 120
Resident Census: 65
Hospital Visits: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LaJean Nicole Spencer | Licensing Program Analyst | Conducted the complaint investigation and subsequent visit |
| Rachel de Chavez | Assistant Administrator | Met with evaluator during investigation and exit interview |
Inspection Report
Annual Inspection
Census: 65
Capacity: 120
Deficiencies: 0
Date: Jun 1, 2021
Visit Reason
Licensing Program Analysts conducted an annual required visit to evaluate the facility's compliance, including infection control and COVID-19 procedures.
Findings
The facility was found clean and properly furnished with adequate food supply and medication management. No deficiencies were cited during the inspection.
Report Facts
Hot water temperature: 117.3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Marina Pink | Administrator | Met with Licensing Program Analysts during the inspection |
| Linda Almaraz | Licensing Evaluator | Conducted the inspection |
| Alberto Lopez | Licensing Program Analyst | Conducted the inspection |
| Leticia Flores | Officer Manager | Met with Licensing Program Analysts during the inspection |
Inspection Report
Complaint Investigation
Census: 65
Capacity: 120
Deficiencies: 1
Date: Jun 1, 2021
Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that the facility was in disrepair.
Complaint Details
The complaint alleged the facility was in disrepair. The investigation included staff and resident interviews, review of maintenance logs, and resident and staff rosters. The allegation was found to be unsubstantiated in the amended report dated 06/02/2022.
Findings
The investigation found that the facility had plumbing issues related to an underground water pipe that burst, causing water to be off for half a day on May 25 and May 26, 2021. The plumbing issue was repaired by maintenance staff and the allegation was ultimately found to be unsubstantiated in the amended report.
Deficiencies (1)
87303(a). Maintenance and Operation. The facility shall be clean, safe, sanitary and in good repair at all times. The facility had plumbing issues and water was off on May 25 and May 26, 2021. The issue was repaired and the plan of correction was cleared at the visit.
Report Facts
Capacity: 120
Census: 65
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Marina Pink | Administrator | Named as facility administrator in relation to the plumbing issue and investigation |
| Rachel De Chavez | Assistant Administrator | Met with during the investigation and exit interview |
| Bonnie Tao | Licensing Evaluator | Conducted the complaint investigation |
| Fernando Fierros | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 63
Capacity: 120
Deficiencies: 0
Date: May 25, 2021
Visit Reason
The visit was an unannounced complaint investigation regarding an allegation of wrongful eviction of a resident from the facility.
Complaint Details
The complaint alleged wrongful eviction of a resident based on being a harm to self and others without medical reappraisal. The allegation was found unsubstantiated after review of documentation and interviews.
Findings
The investigation found that the resident was served an eviction notice due to self-harming behavior, but the facility had documented reappraisal and appropriate steps were taken. The eviction notice was later rescinded and the resident remains at the facility. The allegation was unsubstantiated due to insufficient evidence.
Report Facts
Facility Capacity: 120
Resident Census: 63
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Marina Pink | Administrator | Interviewed regarding eviction allegation |
| Rachel De Chavez | Assistant Administrator | Met with Licensing Program Analyst during investigation |
| Cynthia D Chan | Licensing Program Analyst | Conducted complaint investigation |
Inspection Report
Complaint Investigation
Census: 63
Capacity: 120
Deficiencies: 0
Date: May 24, 2021
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received on 07/29/2020 regarding lack of supervision resulting in resident falls and failure to seek timely medical attention.
Complaint Details
The complaint alleged lack of supervision causing multiple resident falls and failure to seek timely medical attention. The investigation included staff and resident interviews and review of documentation. The allegations were unsubstantiated.
Findings
The investigation found sufficient staff supervision with documented rounds every two hours. Staff and resident interviews did not corroborate the allegations of falls or delayed medical attention. The allegations were determined to be unsubstantiated due to lack of preponderance of evidence.
Report Facts
Facility Capacity: 120
Resident Census: 63
Resident Falls: 3
Rounds Frequency: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Marina Pink | Administrator | Met during investigation and named in report |
| Rachel De Chavez | Assistant Administrator | Met during investigation and named in report |
| Elizabeth Irra | Licensing Program Analyst | Conducted the complaint investigation |
| Maria Mullen | Med Tech | Interviewed during investigation |
| Ingrid Garcia | Caregiver | Interviewed during investigation |
| Elizabeth Lacayo | Caregiver | Interviewed during investigation |
Inspection Report
Complaint Investigation
Census: 62
Capacity: 120
Deficiencies: 0
Date: May 6, 2021
Visit Reason
The visit was conducted as a complaint investigation following allegations that staff yelled at residents and called residents inappropriate names.
Complaint Details
The complaint alleged that staff yelled at residents and called them inappropriate names. The investigation found no evidence to substantiate these allegations.
Findings
The investigation included interviews with residents and staff, which did not corroborate the allegations. The complaint was determined to be unsubstantiated due to lack of preponderance of evidence.
Inspection Report
Complaint Investigation
Census: 60
Capacity: 120
Deficiencies: 0
Date: Apr 29, 2021
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations including physical assault between residents, residents being locked in their rooms, and poor food quality.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included physical assault by a resident, residents being locked in their rooms, and poor food quality. Interviews with staff and residents, a virtual tour, and document reviews did not support these claims.
Findings
The investigation found no substantiated evidence for the allegations. Interviews and observations indicated no physical assault occurred, residents were not locked in their rooms, and the food quality was good with a variety of options available.
Report Facts
Capacity: 120
Census: 60
Inspection Report
Complaint Investigation
Census: 71
Capacity: 120
Deficiencies: 0
Date: Sep 29, 2020
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations received on 07/17/2020 regarding the facility's assisted living shower area being in disrepair and staff mishandling residents' mail.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included the assisted living shower area being in disrepair and staff mishandling residents' mail. Renovations were confirmed and residents were informed. Mail delays were linked to postal staff shortages, with most residents reporting no problems.
Findings
The investigation found that the community shower room was under renovation with residents verbally informed and alternative shower options provided. Regarding mail handling, although some delays occurred due to COVID-19 postal staff shortages, most residents reported no issues. The allegations were unsubstantiated due to lack of preponderance of evidence.
Report Facts
Facility Capacity: 120
Resident Census: 71
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