Inspection Reports for
The Preserve at Woodland Hills Assisted Living & Memory Care

The complaint was unsubstantiated. Allegations included staff preventing a resident from receiving gifts and neglect leading to pressure ulcers. Investigations included interviews with staff, resident, and witnesses, review of delivery logs, photographic evidence, and medical records. Both allegations were deemed unsubstantiated due to lack of sufficient evidence.

The investigation found insufficient evidence to substantiate the allegations. Interviews, record reviews, and observations confirmed that the resident received gifts and that pressure injuries did not develop under facility care. No deficiencies were cited.

The facility was found to be in compliance with all reviewed areas including staff records, infection control practices, emergency disaster planning, and fire safety systems. No deficiencies were cited during this inspection.

The complaint alleged that staff were preventing Resident #1 from receiving phone calls or visitors based on the responsible party's request rather than the resident's decision. The investigation included interviews with the resident, responsible party, staff, and visitors, review of documentation, and wellness checks. The allegations were deemed unsubstantiated due to insufficient evidence.

The investigation found no sufficient evidence to substantiate the allegations. Interviews with the resident, responsible party, staff, and visitors, as well as record reviews and wellness checks, indicated that residents have the right to receive visitors and phone calls and that the resident in question declined calls on their own accord.

The allegation was that staff do not ensure a facility door is safe for residents. The complaint was unsubstantiated due to lack of evidence and no regulatory requirement for windows or cameras on doors. Previous related complaint visits and interviews were referenced.

The investigation found no evidence to substantiate the allegation. Observations included a surveillance camera installation and caution signs on the door. There were no regulatory requirements for such safety features, and no evidence of lack of supervision was found. The allegation was deemed unsubstantiated.

The complaint alleged that the facility admitted Resident #1 on 05/13/2025 and Resident #2 two to three months prior without medical assessments. After review of records and interviews, the allegation was unsubstantiated.

The investigation found that all reviewed resident files contained the required medical assessments, preplacement appraisals, and admission agreements. Staff interviews confirmed knowledge of admission procedures. The allegation was deemed unsubstantiated due to insufficient evidence to prove the violation occurred.

The complaint alleged that Staff #1 restrained and pushed Resident #1 and yelled at Resident #2. Interviews with residents and staff, review of training and physician reports, and observations did not corroborate these allegations. The allegations were deemed unsubstantiated.

The investigation found no sufficient evidence to substantiate the allegations. Interviews with residents and staff, record reviews, and observations indicated that the allegations were unsubstantiated at this time.

During the visit, a health and safety check was conducted with no concerns observed. The facility has sufficient beds, hygiene supplies, linens, food supplies, and staffing to accommodate both existing and relocated residents. All relocated residents have designated rooms with ensuite bathrooms, and families have been notified.

The complaint included allegations that staff did not follow the resident's care plan, failed to inform authorized persons of care changes, did not meet toileting and hygiene needs, failed to maintain laundry and safeguard personal items, did not ensure adequate feeding, and that the facility was unclean and in disrepair. The investigation was unsubstantiated due to lack of sufficient evidence.

After multiple unannounced visits and interviews with staff, residents, and administrators, the investigation found insufficient evidence to substantiate the allegations. Resident #1 exhibited behaviors related to dementia, including agitation and refusal of care, but no deficiencies were observed at the time of the visits.

The complaint alleged insufficient staffing to meet resident needs. Multiple interviews and record reviews were conducted, including observations of staff on duty and resident care. Despite concerns expressed by residents, family members, and staff, staffing records showed adequate coverage. The allegation was unsubstantiated.

The investigation found insufficient evidence to support the allegation of inadequate staffing. Observations, interviews, and record reviews showed that staffing levels met regulatory requirements and no citations were issued. The allegation was deemed unsubstantiated.

The complaint alleged that staff overmedicated residents, specifically that medication technicians administered painkillers that were too strong. The investigation found medications were administered as prescribed and no violations were observed. The allegation was unsubstantiated.

The investigation included interviews, medication reviews, and record audits which found no evidence of medication errors or overmedication. The allegation was deemed unsubstantiated due to insufficient evidence.

The Licensing Program Analyst conducted interviews and a file review related to the incident report. An exit interview was conducted and the report was issued. Additional reports may follow if warranted.

The complaint investigation involved two incidents: one where two staff members were witnessed slapping a resident, and another where staff took and shared a selfie exposing a resident. Staff involved were placed on leave and families notified.

The investigation revealed reports of two staff members slapping a resident and staff taking a selfie exposing a resident in a bathroom. Staff involved were placed on leave pending further investigation by company HR. Further investigation by the Department is needed before issuing a final licensing report.

The inspection included review of resident files and medication storage. All resident files reviewed were complete, medications were properly labeled and stored, and no deficiencies were observed during the inspection.

The visit was triggered by two self-reported incidents of suspected dependent adult/elder abuse. The substantiation status is not stated.

No immediate health and safety concerns were observed during the inspection. Further investigation is required and additional reports may follow if warranted.

The facility was toured including common areas, resident rooms, kitchen, and outside areas. All areas appeared clean, well-maintained, and in good repair with no deficiencies noted at the time of the visit. The facility had adequate supplies including PPE and food, and safety equipment was properly serviced and operable.

The complaint alleged that staff handled a resident roughly and that the resident sustained a fall while in care. The allegations were deemed unsubstantiated based on interviews, medical reports, and observations.

The investigation found insufficient evidence to substantiate the allegations. Staff were placed on administrative leave pending an internal investigation, and a skin assessment showed bruising was due to the resident bumping into objects. Interviews with staff and the resident's family supported that the resident was not abused or mistreated. Further training on elder abuse, mandated reporting, and dementia behavior interventions was recommended.

The complaint investigation was unsubstantiated. Allegations included staff neglecting a resident by leaving them unattended in soiled clothing and failing to meet care needs. Interviews, observations, and record reviews confirmed regular staff checks and care provision. The resident's incontinence was linked to prescribed medications. No evidence supported the claims of neglect.

The investigation found insufficient evidence to substantiate the allegations of staff neglect, leaving the resident unattended in soiled clothing, or failure to meet the resident's needs. Staff regularly checked on the resident, who had incontinence issues related to medication, and care was provided accordingly. All allegations were deemed unsubstantiated.

The facility was toured and found to be adequately equipped and furnished with appropriate infection control measures, safety equipment, and emergency preparedness. The facility is cleared for 60 non-ambulatory residents, including 10 bedridden residents, with adequate rooms, bathrooms, and safety features.

The administrator demonstrated understanding of licensing requirements including facility operation, admission policies, staffing, restrictive health conditions, emergency preparedness, complaints reporting, and pre-licensing readiness. No deficiencies or violations were noted in the report.

The administrator demonstrated understanding of facility operation, admission policies, staffing requirements, restrictive health conditions, general provisions, emergency preparedness, complaints and reporting, and pre-licensing readiness during the COMP II telephone interview.