Inspection Reports for
The Gardens at Park Balboa

The complaint involved two allegations: 1) staff handled a resident in a rough manner causing injuries, and 2) staff were unable to provide timely assistance to residents. Both allegations were found unsubstantiated due to insufficient evidence.

The investigation found insufficient evidence to substantiate the allegations that staff handled residents roughly or failed to provide timely assistance. The bruises on Resident #1 were attributed to medical conditions and behaviors rather than staff actions. Staffing levels and resident care practices were found adequate.

The facility was found to be generally in compliance with regulations, including resident and personnel records, infection control, emergency disaster plans, and medication management. No deficiencies were cited during this inspection.

The facility was found to be in compliance with no deficiencies cited. Resident rooms, common areas, and kitchen facilities were inspected and found to be clean, safe, and properly maintained with no immediate health or safety hazards observed.

The complaint alleged that staff did not provide proper mobility assistance to residents. The investigation revealed a staff conflict unrelated to resident care, and interviews indicated that Staff #2 was attentive and caring. The allegation was determined to be unsubstantiated.

The investigation included interviews with staff and residents and a review of facility records. It was found that the allegation was unsubstantiated due to insufficient evidence, with staff and residents confirming proper care and assistance were provided.

The complaint involved an allegation of a questionable death of Resident #1. The investigation included interviews with staff, residents, family, and review of medical and facility records. The police and coroner investigations concluded the death was a suicide by falling from the second floor. The family had reported threats by Resident #1 to harm themselves, but this information was not shared with facility staff. Staff did not observe signs of depression or condition changes in Resident #1. The allegation was unsubstantiated due to lack of evidence.

The investigation found that Resident #1 died by suicide after falling from the second-floor landing. There was no preponderance of evidence to prove the alleged violation occurred, and the allegation was unsubstantiated. No deficiencies were cited during the visit.

The complaint alleged unlawful eviction of Resident #1. The resident was involved in a financial fraud scheme and unable to pay rent. The facility attempted to assist the resident with payment arrangements and support, but the resident did not comply. The allegation was unsubstantiated.

The investigation found insufficient evidence to support the allegation of unlawful eviction. The resident involved had not paid rent since June 2024 due to financial issues and had not complied with payment arrangements. The allegation was deemed unsubstantiated.

Immediate Civil Penalties were assessed for the deficiency cited as a result of the substantiated findings for complaint #29-AS-20220601142537 dated 2023-04-07.

No deficiencies were observed during this visit in the domains reviewed. Immediate Civil Penalties were delivered related to a prior substantiated complaint from 2023-04-07. A return visit will be conducted to complete the review of the Physical Plant and Environmental Safety domain.

The complaint alleged staff failed to prevent bullying and failed to provide a safe and comfortable environment. The investigation was unannounced and conducted by Licensing Program Analyst Angel Ascencio. The allegations were deemed unsubstantiated based on interviews and evidence gathered.

The investigation found insufficient evidence to substantiate the allegations. Staff intervened appropriately during a verbal altercation between two residents, and interviews with staff and residents confirmed that the environment is safe and comfortable with no bullying or intimidation reported.

The complaint included allegations that facility staff do not intervene in resident on resident verbal altercations and that Resident #2 was financially abused by being charged for tray service they did not need and being billed incorrectly for medication administration. Both allegations were found unsubstantiated based on interviews and record reviews.

The investigation found insufficient evidence to substantiate the allegations that staff failed to intervene in resident verbal altercations and that financial abuse occurred. Residents and staff interviews indicated staff do intervene when needed and billing discrepancies were clarified with credits issued.

The complaint alleged verbal abuse between residents due to lack of care and supervision. Investigations including interviews with residents and staff found insufficient evidence to support the claim. The allegation was unsubstantiated.

Interviews with residents and staff revealed that the residents involved had a history of disagreements but there was no evidence of verbal abuse due to lack of care and supervision. The allegation was deemed unsubstantiated and no deficiencies were cited.

The complaint investigation addressed three allegations: staff failed to treat a resident with dignity and respect, failure to assist with arranging transportation for medical care, and grab bars not placed appropriately. All allegations were deemed unsubstantiated based on interviews, observations, and documentation.

The investigation found insufficient evidence to substantiate any of the allegations. Interviews with staff and residents, facility tours, and document reviews confirmed that staff treated residents respectfully, transportation assistance was provided according to protocol, and grab bars were appropriately placed and installed per resident requests.

The facility was found to be in compliance with Title 22 Regulations, with clean and safe common areas, adequate infection control measures, and no deficiencies cited at this time.

The complaint investigation was unsubstantiated. Allegations included the dining hall heater being in disrepair for three weeks and transportation not being available due to the facility bus being out of service for about a month. Interviews, record reviews, and observations showed the heater was repaired with temporary space heaters used in the interim, and residents were provided alternative transportation such as Uber, Lyft, and Access rides paid or reimbursed by the facility.

The investigation found insufficient evidence to substantiate the allegations that the dining hall heater was in disrepair and that transportation was not available to residents. The facility had repaired the heater with temporary space heaters provided during repairs, and alternative transportation options were provided while the facility bus was out of service.

The complaint involved an allegation that on 2022-05-27, Staff #2 physically abused Resident #1 by grabbing the resident's right arm and pushing them to the ground, causing bleeding to the resident's face. The facility reported the incident to the Local Ombudsman, Community Care Licensing, and the police, and attempted to contact the resident's responsible party.

During the visit, the Licensing Program Analyst conducted interviews, a physical plant tour, and document review. The resident involved appeared in good health with no immediate concerns, and no immediate health and safety issues were observed. Further investigation is required before issuing findings.

The complaint investigation was initiated based on allegations that the facility overcharged Resident #1 and failed to provide an itemized statement for the resident's care. After record reviews, interviews, and follow-ups, the allegations were found unsubstantiated due to insufficient evidence to prove the alleged violations occurred.

The investigation found insufficient evidence to substantiate the allegations. The facility provided documentation and communication showing charges and notifications to the resident and responsible party, and the allegations were deemed unsubstantiated.