Citations (last 7 years)
Citations (over 7 years)
6.1 citations/year
Citations are regulatory findings recorded during state inspections.
53% worse than California average
California average: 4 citations/yearCitations per year
20
15
10
5
0
Occupancy
Latest occupancy rate
96% 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: 89
Capacity: 93
Citations: 1
Date: Feb 10, 2026
Visit Reason
A case management visit was conducted in conjunction with a complaint alleging that a staff member handled residents roughly in the past.
Complaint Details
The complaint was substantiated based on interviews with five residents and one staff member who confirmed rough handling by a staff member.
Findings
The investigation found that five residents and one staff member corroborated the allegation that a staff member handled residents roughly, resulting in a cited deficiency related to residents' personal rights and dignity.
Citations (1)
Residents were handled roughly or pushed by staff during transfers or care, violating personal dignity rights.
Report Facts
Residents corroborating complaint: 5
Staff corroborating complaint: 1
Capacity: 93
Census: 89
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Itzayana Barba Aguirre | Administrator | Facility administrator met during inspection |
| Erik Zaragoza | Licensing Program Analyst | Conducted the case management visit and investigation |
| David Sicairos | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 87
Capacity: 93
Citations: 0
Date: Jan 28, 2026
Visit Reason
The inspection was an unannounced complaint investigation visit conducted to address allegations that staff pushed and yelled at residents in care at Whittier Glen Assisted Living Facility.
Complaint Details
The complaint involved allegations that staff pushed a resident causing a skin tear and yelled at residents. After multiple interviews with residents and staff and review of records, the allegations were found unsubstantiated due to lack of supporting evidence.
Findings
The investigation found insufficient evidence to substantiate the allegations of staff pushing or yelling at residents. Interviews with residents and staff, as well as a facility tour, did not corroborate the claims, resulting in the allegations being unsubstantiated.
Report Facts
Facility capacity: 93
Resident census: 87
Number of allegations: 2
Number of residents interviewed: 9
Number of staff interviewed: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Itzayana Barba Aguirre | Administrator | Facility administrator met during the investigation |
| Erik Zaragoza | Licensing Program Analyst | Evaluator who conducted the complaint investigation |
| David Sicairos | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 87
Capacity: 93
Citations: 1
Date: Dec 12, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to allegations received on 2025-07-28 regarding staff assistance delays, failure to seek timely medical attention, staff yelling at residents, and insufficient staffing at Whittier Glen Assisted Living Facility.
Complaint Details
The complaint investigation was triggered by allegations received on 2025-07-28 concerning staff delays in assisting a resident who sustained a fracture, failure to seek timely medical attention, staff yelling at residents, and insufficient staffing. The investigation included interviews with residents and staff, review of incident reports, hospital discharge paperwork, x-rays, and medication records. The allegations about assistance delays, medical attention, and yelling were unsubstantiated, while insufficient staffing was substantiated.
Findings
The investigation found the allegations that staff did not assist a resident in a timely manner resulting in a fracture, staff did not seek timely medical attention, and staff yelling at residents were unsubstantiated due to lack of corroborating evidence. However, the allegation of insufficient staffing was substantiated based on resident interviews indicating delays in assistance, posing a potential health and safety concern.
Citations (1)
Facility personnel shall at all times be sufficient in numbers to provide the services necessary to meet resident needs. Several residents experienced delays in care when requesting assistance through their call button, posing a potential health and safety concern.
Report Facts
Capacity: 93
Census: 87
Deficiency due date: Dec 26, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Erik Zaragoza | Licensing Evaluator | Conducted the complaint investigation and authored the report |
| Lindsey Stallings | Clinical Director | Met with Licensing Program Analysts during the investigation |
| Barba Aguirre, Itzayana | Administrator | Facility administrator involved in investigation and plan of correction |
Inspection Report
Annual Inspection
Census: 88
Capacity: 93
Citations: 0
Date: Nov 25, 2025
Visit Reason
The inspection was an unannounced Annual Continuation visit conducted using the full Care Compliance and Regulatory Enforcement (CARE) Tools to evaluate compliance with licensing requirements.
Findings
The facility was found to be in good repair with no deficiencies observed. All required domains including infection control, physical plant safety, staffing, personnel records, resident rights, food service, and disaster preparedness were reviewed and found compliant.
Report Facts
Residents currently living in the facility: 88
Total licensed capacity: 93
Hospice waiver approved residents: 15
Staff files reviewed: 7
Emergency and disaster drill date: Oct 7, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Erik Zaragoza | Licensing Program Analyst | Conducted the inspection and signed the report |
| David Sicairos | Licensing Program Manager | Named as Licensing Program Manager on the report |
| Monica Guardian | Operations Manager | Met with Licensing Program Analyst during inspection |
| Itzayana Barba Aguirre | Administrator/Director | Facility Administrator/Director |
Inspection Report
Annual Inspection
Census: 88
Capacity: 93
Citations: 0
Date: Nov 24, 2025
Visit Reason
An unannounced required 1-year visit was conducted using the full Care Compliance and Regulatory Enforcement (CARE) Tools to evaluate the facility's compliance with licensing requirements.
Findings
The facility was inspected across 12 CARE tool domains including Infection Control, Physical Plant/Environment Safety, Staffing, and Resident Rights. The physical plant was found to be in good repair with hot water temperatures within required range and exit doors unobstructed. The annual inspection was not fully completed due to time constraints and will be finished at a later date.
Report Facts
Number of CARE tool domains reviewed: 12
Hot water temperature range: 105
Hot water temperature range: 120
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lindsey Stallings | Clinical Director | Met with Licensing Program Analysts during the inspection |
| Erik Zaragoza | Licensing Program Analyst | Conducted the inspection |
| Gabriela Castro | Licensing Program Analyst | Conducted the inspection |
| David Sicairos | Licensing Program Manager | Named in report signature section |
Inspection Report
Complaint Investigation
Census: 88
Capacity: 93
Citations: 0
Date: Nov 24, 2025
Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that staff handled a resident in a rough manner.
Complaint Details
The complaint alleged that staff handled Resident #1 in a rough manner in their bed. Interviews with seven of nine residents and all four staff did not corroborate the allegation. The investigation concluded the allegations were unsubstantiated.
Findings
The investigation included interviews with residents and staff, and review of relevant documents. The allegation was found to be unsubstantiated due to insufficient evidence to prove the claim.
Report Facts
Residents interviewed: 9
Staff interviewed: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Erik Zaragoza | Licensing Evaluator | Conducted the complaint investigation |
| Barba Aguirre, Itzayana | Administrator | Facility administrator named in report |
| Linda Stallings | Clinical Director | Met with Licensing Program Analysts during investigation |
| Gabriela Castro | Licensing Program Analyst | Conducted the complaint investigation |
| David Sicairos | Supervisor | Supervisor named in report |
| Lizbeth Acuna | Business Office Manager | Met with Licensing Program Analysts during investigation |
Inspection Report
Complaint Investigation
Census: 89
Capacity: 93
Citations: 1
Date: Nov 17, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit conducted to address allegations received on 10/28/2025 regarding facility elevator maintenance and food quality and quantity.
Complaint Details
The complaint investigation was substantiated for the allegation that staff did not ensure the facility elevator was maintained in good repair. The elevator was out of service from 10/13/2025 to 10/31/2025, confirmed by staff and residents. The allegation regarding food quality and quantity was unsubstantiated.
Findings
The elevator was found to have been out of service from 10/13/2025 to 10/31/2025, substantiating the allegation that staff did not ensure the elevator was maintained in good repair. The allegation regarding food quality and quantity was unsubstantiated based on staff and resident interviews and observations.
Citations (1)
87303 Maintenance and Operation (a): The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This standard was not met as evidenced by the elevator being in disrepair for weeks during October 2025.
Report Facts
Capacity: 93
Census: 89
Deficiencies cited: 1
Plan of Correction Due Date: Nov 18, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tena Herrera | Licensing Program Analyst | Conducted the complaint investigation and subsequent visit |
| David Sicairos | Supervisor | Supervisor overseeing the investigation |
| Monica Guardian | Operations Manager | Facility representative met during the investigation |
| Barba Aguirre, Itzayana | Administrator | Facility administrator named in the report |
Inspection Report
Complaint Investigation
Census: 89
Capacity: 93
Citations: 1
Date: Nov 15, 2025
Visit Reason
Subsequent unannounced complaint visit to deliver findings for an allegation addressed on 9099, specifically regarding unclear documentation in resident R1's medical assessment about self-administration of injections and glucose testing.
Complaint Details
Complaint-related visit triggered by an allegation addressed on 9099; deficiency substantiated with citation issued.
Findings
The Licensing Program Analyst observed that the medical assessment form LIC602A for resident R1 dated 08/29/2025 did not clearly indicate if the resident could administer their own injections and test glucose levels, as it was marked N/A under Medication Management sections b. and c. A deficiency was cited and a citation issued.
Citations (1)
Medical assessment form LIC602A did not clearly indicate if resident can administer own injections and test glucose levels; marked N/A under Medication Management b. and c.
Report Facts
Capacity: 93
Census: 89
Deficiencies cited: 1
Plan of Correction Due Date: Nov 25, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Alberto Lopez | Licensing Program Analyst | Conducted the complaint investigation and issued citation |
| Itzayana Barba Aguirre | Administrator/Director | Facility administrator responsible for submitting plan of correction |
| Maddison Guardian | Medical Technician | Met with Licensing Program Analyst during inspection |
| Lisa Hicks | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 88
Capacity: 93
Citations: 0
Date: Nov 6, 2025
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received on 2025-10-29 regarding staff not meeting residents' care needs, rough handling of residents, and inappropriate communication by staff.
Complaint Details
The complaint involved allegations that staff did not ensure residents' care needs were met, handled residents roughly, and spoke inappropriately to residents. The investigation included interviews with staff, residents, and review of documentation. The allegations were found unsubstantiated due to insufficient evidence.
Findings
The investigation found insufficient evidence to substantiate the allegations. Interviews with staff and residents, review of logs, and observations indicated that staff generally met residents' needs, did not handle residents roughly, and communicated appropriately. The allegations were deemed unsubstantiated due to lack of corroborating evidence.
Report Facts
Capacity: 93
Census: 88
Staff interviewed: 7
Residents interviewed: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cynthia D Chan | Licensing Evaluator | Conducted the complaint investigation |
| Monica Guardian | Interim Administrator | Met with investigators and provided information during the investigation |
| Fernando Fierros | Supervisor | Supervisor overseeing the investigation |
| Barba Aguirre, Itzayana | Administrator | Facility administrator named in the report |
Inspection Report
Complaint Investigation
Census: 85
Capacity: 93
Citations: 2
Date: Aug 5, 2025
Visit Reason
An unannounced complaint investigation was conducted following a complaint received on 2025-07-01 regarding medication dispensing, medication management, and timely response to call buttons among other allegations.
Complaint Details
The complaint investigation was substantiated. Allegations included missed medication dispensing, improper medication management, and delayed response to call buttons. Evidence showed medication discrepancies for two residents and insufficient staffing. Other allegations about laundry, soiled clothing, malodors, floor cleanliness, and privacy were unsubstantiated.
Findings
The investigation substantiated that staff did not ensure medications were dispensed as prescribed and medications were not properly managed, including missed doses and continued administration of discontinued medication. It was also substantiated that staffing levels were insufficient to meet resident needs timely. Other allegations related to laundry, soiled clothing, facility odors, floor cleanliness, and privacy of phone conversations were found to be unsubstantiated.
Citations (2)
Medication for Resident #3 was not administered as prescribed by the physician, posing immediate health and safety risks.
Facility personnel were not sufficient in numbers and competent to provide necessary services to meet resident needs.
Report Facts
Residents' medications reviewed: 7
Residents with medication discrepancies: 2
Staff interviewed: 12
Residents interviewed: 8
Plan of Correction due dates: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Itzayana Barba | Administrator | Met with Licensing Program Analyst during investigation and involved in plan of corrections. |
| Cynthia D Chan | Licensing Program Analyst | Conducted the complaint investigation. |
| Fernando Fierros | Licensing Program Manager | Oversaw the complaint investigation and signed the report. |
Inspection Report
Complaint Investigation
Census: 73
Capacity: 93
Citations: 0
Date: Jun 3, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit conducted on 06/03/2025 in response to allegations that staff were not meeting resident grooming needs, not emptying resident's commode, and not administering resident's medication as prescribed.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included staff not meeting resident grooming needs, not emptying the resident's commode, and not administering medication as prescribed. Evidence reviewed included physician reports, medication administration records, staff and resident interviews, and documentation surveys. The resident involved was not present during the visit. All allegations were found unsubstantiated due to lack of sufficient evidence.
Findings
The investigation found no preponderance of evidence to substantiate the allegations. Staff and resident interviews, documentation reviews, and physician reports did not corroborate the complaints. No deficiencies were cited.
Report Facts
Facility capacity: 93
Census: 73
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Ramirez | Licensing Program Analyst | Conducted the complaint investigation visit |
| Fernando Fierros | Licensing Program Manager | Named in report signature and management |
| Kathleen McDonald | Wellness Director | Met with investigator and assisted with facility tour |
| Lizbeth Acuna | Business Office Manager | Assisted with facility tour during investigation |
Inspection Report
Complaint Investigation
Census: 76
Capacity: 93
Citations: 0
Date: Apr 8, 2025
Visit Reason
An unannounced complaint investigation was conducted to investigate the allegation that staff were not ensuring residents were provided a safe environment.
Complaint Details
The complaint alleged that staff were not ensuring a safe environment due to a physical altercation between two residents. The allegation was unsubstantiated after investigation, interviews, and review of records.
Findings
The investigation found that roommates had a physical altercation, but staff took appropriate actions by separating them. Interviews with residents and staff did not corroborate the allegation, and no hazards were observed during the facility tour. The allegations were determined to be unsubstantiated due to lack of sufficient evidence.
Report Facts
Residents interviewed: 10
Residents not corroborating allegation: 8
Staff interviewed: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Erik Zaragoza | Licensing Program Analyst | Conducted the complaint investigation |
| David Sicairos | Licensing Program Manager | Named in report as Licensing Program Manager |
| Itzayana Barba Aguirre | Administrator | Facility Administrator present during investigation |
| Kathleen McDonald | Wellness Director | Met with Licensing Program Analyst during investigation |
Inspection Report
Complaint Investigation
Census: 73
Capacity: 93
Citations: 0
Date: Mar 27, 2025
Visit Reason
An unannounced complaint investigation was conducted to investigate the allegation that staff did not meet residents' needs, specifically regarding difficulty residents had entering restrooms due to narrow doors and lack of staff assistance.
Complaint Details
The complaint alleged that residents had significant difficulty entering restrooms due to narrow doors and lack of staff assistance. Interviews with five of seven residents and all staff did not support the allegation. Observations confirmed wheelchairs could pass through restroom doors. The complaint was determined to be unsubstantiated due to lack of preponderance of evidence.
Findings
The investigation included interviews with residents and staff, room tours, and record reviews. Most residents and staff did not corroborate the allegation, and observations showed wheelchairs could pass through restroom doors. There was insufficient evidence to substantiate the complaint, resulting in an unsubstantiated finding.
Report Facts
Residents interviewed: 7
Staff interviewed: 4
Resident bedrooms toured: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Erik Zaragoza | Licensing Program Analyst | Conducted the complaint investigation |
| David Sicairos | Licensing Program Manager | Named in report as Licensing Program Manager |
| Kathleen McDonald | Wellness Director | Met with investigator during complaint visit |
| Itzayana Barba | Executive Director | Met with investigator during complaint visit |
Inspection Report
Complaint Investigation
Census: 74
Capacity: 93
Citations: 1
Date: Jan 24, 2025
Visit Reason
The inspection was an unannounced case management visit conducted in response to a Serious Incident Report dated 2025-01-02 describing the passing of a client (Client #1).
Complaint Details
The visit was complaint-related, triggered by a Serious Incident Report regarding the passing of Client #1. The report documents the incident and the facility's response, including staff actions and record reviews.
Findings
The Licensing Program Analyst found that the facility lacked a pre-admission or recent appraisal for Client #1, which posed a potential health and safety risk. Staff performed CPR and used an AED on the client during the incident before the client was declared deceased.
Citations (1)
No available pre-admission appraisal or recent appraisal for Client #1, posing a potential health and safety risk to residents in care.
Report Facts
Capacity: 93
Census: 74
Plan of Correction Due Date: Feb 14, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Erik Zaragoza | Licensing Program Analyst | Conducted the inspection and authored the report |
| Kathleen McDonald | Wellness Director | Met with the Licensing Program Analyst during the visit |
| David Sicairos | Supervisor | Supervisor overseeing the inspection |
Inspection Report
Complaint Investigation
Census: 76
Capacity: 93
Citations: 1
Date: Dec 13, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit conducted to address multiple allegations received on 2024-11-18 regarding resident care, medication administration, facility cleanliness, notification of responsible parties, dietary needs, and showering assistance at Whittier Glen Assisted Living Facility.
Complaint Details
The complaint investigation was initiated due to allegations including residents drinking alcohol on premises, failure to assist residents in obtaining medical care, facility malodor and dirtiness, failure to dispense medications as prescribed, failure to notify responsible parties of missed medical appointments, failure to meet dietary needs, and failure to meet showering needs. The alcohol consumption allegation was substantiated; all others were unsubstantiated.
Findings
The investigation substantiated the allegation that residents were drinking alcohol on the premises in violation of house rules, posing a potential health and safety risk. All other allegations including failure to assist residents in obtaining medical care, facility cleanliness, medication dispensing, notification of responsible parties, dietary needs, and showering assistance were found to be unsubstantiated based on interviews, observations, and record reviews.
Citations (1)
At least one resident was observed drinking heavily in a common area, violating house rules that alcohol must be consumed in resident rooms only.
Report Facts
Capacity: 93
Census: 76
Deficiencies cited: 1
Plan of Correction Due Date: Jan 10, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Erik Zaragoza | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| David Sicairos | Licensing Program Manager | Oversaw the complaint investigation |
| Kathleen McDonald | Wellness Director | Facility staff member interviewed during the investigation |
| Barba Aguirre, Itzayana | Administrator | Facility administrator named in the report |
Inspection Report
Complaint Investigation
Census: 76
Capacity: 93
Citations: 0
Date: Dec 5, 2024
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received on 2024-12-02 regarding staff mismanagement of resident's medication, inadequate transportation services, and failure to prevent resident harm.
Complaint Details
The complaint involved three allegations: 1) staff mismanaged resident's medication, 2) staff did not provide adequate transportation services, and 3) staff did not prevent a resident from harming another resident. After review of medication, transportation logs, and interviews with staff and residents, the allegations were found to be unsubstantiated due to lack of sufficient evidence.
Findings
The investigation found no evidence to substantiate the allegations. Medication records and interviews with staff and residents showed no missing medications. Transportation logs and interviews confirmed alternate transportation was provided when needed. Staff and residents denied any failure to prevent altercations between residents. The allegations were determined to be unsubstantiated.
Report Facts
Capacity: 93
Census: 76
Staff interviewed: 5
Residents interviewed: 10
Medication reviews: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tena Herrera | Licensing Program Analyst | Conducted the complaint investigation |
| David Sicairos | Licensing Program Manager | Oversaw the complaint investigation |
| Lizbeth Acuna | Business Office Manager | Facility representative met during investigation |
| Barba Aguirre, Itzayana | Administrator | Facility administrator named in report header |
Inspection Report
Annual Inspection
Census: 79
Capacity: 93
Citations: 0
Date: Oct 15, 2024
Visit Reason
An unannounced required 1-year visit was conducted using the full Care Compliance and Regulatory Enforcement (CARE) Tools to evaluate compliance with regulatory standards.
Findings
The inspection covered 12 CARE tool domains including infection control, physical plant safety, staffing, resident rights, and more. No deficiencies were observed during the visit, and the facility was found to be in good repair with adequate staffing and care.
Report Facts
Residents receiving hospice services: 6
Staff files reviewed: 7
Resident files reviewed: 7
Fire clearance capacity: 93
Hospice waiver capacity: 15
Food supply duration: 2
Food supply duration: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Itzayana Barba Aguirre | Executive Director | Met with Licensing Program Analyst during the inspection |
| Erik Zaragoza | Licensing Program Analyst | Conducted the inspection |
| David Sicairos | Supervisor | Supervisor overseeing the inspection |
Inspection Report
Complaint Investigation
Census: 79
Capacity: 93
Citations: 0
Date: Aug 5, 2024
Visit Reason
An unannounced complaint investigation was conducted in response to multiple allegations regarding kitchen cleanliness, infection control practices, food serving practices, meal portion sizes, and kitchen equipment maintenance at Whittier Glen Assisted Living Facility.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included kitchen not being free of cockroaches, improper infection control practices, serving food from the floor, inadequate meal portions, and moldy kitchen equipment. None of these were confirmed by the Licensing Program Analyst's observations, staff interviews, resident interviews, or documentation review.
Findings
The investigation found no evidence to substantiate the allegations. The kitchen and dining areas were clean, no cockroach activity was observed, infection control practices were followed, meal portions were adequate, and kitchen equipment was properly maintained. Staff and residents denied the allegations and observations confirmed compliance.
Report Facts
Facility capacity: 93
Census: 79
Pest control service dates: Service dates reviewed: 06/10/24, 07/08/24, 07/22/24
Menu weeks reviewed: Food menus for weeks 07/21/24 - 07/27/24, 07/28/24 - 08/03/24, 08/04/24 - 08/10/24, 08/11/24 - 08/17/24
Juice machine service month: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nune Margaryan | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Wei Siew Ho | Licensing Program Manager | Named as Licensing Program Manager on the report |
| Citlali Galeana | Wellness Coordinator | Interviewed during the investigation and participated in exit interview |
Inspection Report
Complaint Investigation
Census: 75
Capacity: 93
Citations: 1
Date: May 23, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit conducted to investigate the allegation that staff did not accept a resident back into care following hospitalization.
Complaint Details
The complaint alleged that staff did not accept Resident #1 back into care following hospitalization. The allegation was substantiated after investigation, finding that the facility refused to accept Resident #1 back after discharge on 05/15/2024 and did not provide the required 30-day eviction notice.
Findings
The investigation found that the facility staff refused to accept Resident #1 back after hospital discharge on 05/15/2024 without providing the required 30-day eviction notice, constituting an unlawful eviction. The allegation was substantiated based on interviews and record reviews.
Citations (1)
Facility/administrator refusal to accept Resident #1 back to the facility upon discharge from hospital and not providing Resident #1 with the 30 day eviction notice, posing a potential health, safety or personal rights risk to residents in care.
Report Facts
Capacity: 93
Census: 75
Plan of Correction Due Date: May 30, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nune Margaryan | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Wei Siew Ho | Licensing Program Manager | Oversaw the complaint investigation report |
| Kathleen McDonald | Wellness Director | Interviewed during investigation; denied the allegation |
Inspection Report
Complaint Investigation
Census: 76
Capacity: 93
Citations: 1
Date: May 20, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit conducted to investigate allegations received on 2024-05-14 regarding medication administration and glucose testing assistance for a resident, as well as other complaints about food sufficiency, bathing assistance, and staff conduct.
Complaint Details
The complaint investigation was triggered by allegations that staff did not ensure residents received their medications as necessary and did not assist a resident with glucose testing. The investigation found these allegations substantiated based on interviews, record reviews, and observations. Other allegations about food sufficiency, bathing assistance, and inappropriate comments were unsubstantiated.
Findings
The investigation substantiated that the facility failed to provide timely insulin and glucose meter to a resident, resulting in 25 days without medication and glucose testing, posing a potential health risk. Other allegations regarding insufficient food, bathing needs, and inappropriate staff comments were found to be unsubstantiated due to lack of evidence.
Citations (1)
Failure to ensure resident with diabetes received timely insulin and glucose testing assistance, resulting in 25 days without medication or glucose testing.
Report Facts
Days without medication and glucose testing: 25
Capacity: 93
Census: 76
Deficiency count: 1
Plan of Correction due date: May 21, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Alberto Lopez | Licensing Program Analyst | Conducted the complaint investigation and authored the report. |
| Lisa Hicks | Licensing Program Manager | Oversaw the complaint investigation. |
| Kathleen McDonald | Wellness Director | Facility representative met during the investigation and exit interview. |
| Barba Aguirre, Itzayana | Administrator | Facility administrator named in the report. |
| S1 | Staff member interviewed who provided statements about medication orders and glucose meter arrival. |
Inspection Report
Complaint Investigation
Census: 75
Capacity: 93
Citations: 1
Date: Apr 30, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to multiple allegations received on 08/14/2023 regarding staff neglect, unmet resident needs, improper incident logging, and other concerns at Whittier Glen Assisted Living Facility.
Complaint Details
The complaint investigation was substantiated for failure to log and report incidents properly. Other allegations including staff neglect causing falls, unmet resident needs, leaving residents in soiled diapers, unmet showering needs, and insecure rent payment methods were unsubstantiated.
Findings
The investigation found that most allegations including falls due to sidewalk cracks, unmet resident needs, residents left in soiled diapers, unmet showering needs, and insecure rent payment methods were unsubstantiated based on interviews, observations, and file reviews. However, the allegation that staff were not properly logging incidents with residents was substantiated due to failure to report certain incidents to licensing as required.
Citations (1)
Failure to properly report incidents to licensing as required by CCR 87211(a)(1)(D), including a resident hospitalization on 6/1/23 and a resident threatening another resident on 12/6/22.
Report Facts
Capacity: 93
Census: 75
Deficiency count: 1
Plan of Correction Due Date: May 14, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jose Villalobos | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Fernando Fierros | Licensing Program Manager | Oversaw the complaint investigation |
| Lizbeth Acuna | Business Office Manager | Interviewed during the investigation regarding allegations |
| Michael Forsgren | Administrator | Facility administrator named in the report |
Inspection Report
Complaint Investigation
Census: 74
Capacity: 93
Citations: 1
Date: Apr 19, 2024
Visit Reason
Licensing Program Analyst V. Maldonado made an unannounced visit to the facility for the purpose of citing deficiencies related to a complaint investigation regarding falls sustained by Resident #1 in March 2022.
Complaint Details
Investigation was conducted for a complaint dated 3/18/22 regarding Resident #1 sustaining several documented falls in March 2022, including a fall causing a head laceration and hospitalization. The facility failed to update the service plan to reflect the resident's fall risk and change in condition.
Findings
The facility failed to update Resident #1's service plan to reflect changes in condition and fall risk, resulting in additional falls and a head laceration requiring hospitalization. Deficiencies were cited for not updating the pre-admission appraisal and plan of care as required by regulations.
Citations (1)
Failure to update Resident #1's appraisal/plan of care to implement fall interventions after documented falls leading to a head laceration.
Report Facts
Capacity: 93
Census: 74
Deficiencies cited: 1
Plan of Correction Due Date: Apr 24, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Valeria Maldonado | Licensing Program Analyst | Conducted the inspection and cited deficiencies |
| Lizbeth Acuna | Business Office Manager | Met with during inspection |
| Michael Forsgren | Administrator/Director | Facility administrator named in report header |
| Fernando Fierros | Supervisor | Supervisor overseeing the inspection |
Inspection Report
Complaint Investigation
Census: 74
Capacity: 93
Citations: 0
Date: Apr 18, 2024
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received on 2023-04-06 regarding care plans not being provided during pre-admissions, forged resident signatures, and overcharging residents.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included failure to provide care plans during pre-admissions, forged resident signatures, and overcharging residents. Interviews with staff and residents, as well as file reviews, did not corroborate these allegations.
Findings
The investigation found no preponderance of evidence to substantiate the allegations. Staff and residents interviewed denied the allegations, and document reviews supported that care plans are created upon admission, signatures were not proven forged, and residents were not overcharged.
Report Facts
Capacity: 93
Census: 74
Staff interviewed: 4
Residents interviewed: 6
Residents files reviewed: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jose Villalobos | Licensing Program Analyst | Conducted the complaint investigation |
| Fernando Fierros | Licensing Program Manager | Named in report signature |
| Lizbeth Acuna | Business Office Manager | Met with during investigation |
| Rhonnwinn Hipolito | Administrator | Facility administrator named in report |
Inspection Report
Complaint Investigation
Census: 70
Capacity: 93
Citations: 0
Date: Mar 20, 2024
Visit Reason
An unannounced complaint investigation visit was conducted to ascertain the validity of allegations including a resident possibly possessing a firearm and a resident verbally attacking another resident.
Complaint Details
The complaint involved two allegations: 1) a resident possibly possessing a firearm, and 2) a resident verbally attacking another resident. Interviews with seven residents and eight staff members, as well as a room inspection, found no evidence supporting the allegations. The situation between the residents involved verbal arguments but no physical harm, and staff intervened promptly. The allegations were deemed unsubstantiated due to lack of preponderance of evidence.
Findings
The investigation included interviews with staff and residents and a room tour. No evidence was found to substantiate the allegations, and the complaint was determined to be unsubstantiated.
Report Facts
Capacity: 93
Census: 70
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Christine Wong | Licensing Program Analyst | Conducted the complaint investigation |
| David Sicairos | Licensing Program Manager | Named in report as Licensing Program Manager |
| Michael Forsgren | Administrator | Facility administrator mentioned in report |
| Kathleen McDonald | Wellness Director | Assisted with the visit and interview |
| Michelle Bascom | Receptionist | Allowed entry into the facility during the visit |
Inspection Report
Complaint Investigation
Census: 70
Capacity: 93
Citations: 0
Date: Mar 7, 2024
Visit Reason
An unannounced complaint investigation visit was conducted following a complaint received on 2024-02-27 regarding staff not preventing residents from engaging in inappropriate behaviors.
Complaint Details
The complaint alleged that staff did not prevent residents from engaging in inappropriate behaviors. The investigation included interviews with staff and residents, review of incident reports, and other documentation. Despite evidence of an altercation and a temporary restraining order, the allegation was unsubstantiated.
Findings
The investigation revealed that staff did not prevent residents from engaging in inappropriate behaviors, specifically an altercation between residents R2 and R3. However, the allegation was determined to be unsubstantiated due to lack of preponderance of evidence.
Report Facts
Facility capacity: 93
Census: 70
Complaint receipt date: Feb 27, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nicol Wesley | Licensing Program Analyst | Conducted the complaint investigation visit |
| Lizbeth Acuna | Business Office Manager | Met with Licensing Program Analyst during investigation |
| Lisa Hicks | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 73
Capacity: 93
Citations: 1
Date: Feb 22, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to multiple allegations received on 2022-02-07 regarding resident care and facility conditions at Whittier Glen Assisted Living Facility.
Complaint Details
The complaint investigation was substantiated for the allegation that staff left a resident in soiled diapers for an extended period of time. Other allegations including resident falls, injuries, hygiene needs, unsanitary rooms, staff misuse of resident bathrooms, failure to notify authorized representatives, room disrepair, call bracelet issues, inadequate food and laundry services were unsubstantiated.
Findings
The investigation found that most allegations were unsubstantiated based on staff and resident interviews, file reviews, and observations. However, the allegation that staff left a resident in soiled diapers for an extended period was substantiated, with evidence showing failure to change the resident's diaper timely, resulting in rashes.
Citations (1)
Failure to ensure incontinent residents are kept clean and dry, resulting in resident being left in soiled diapers for prolonged times causing rashes.
Report Facts
Capacity: 93
Census: 73
Deficiency Type B: 1
Plan of Correction Due Date: Mar 7, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jose Villalobos | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Fernando Fierros | Licensing Program Manager | Oversaw the complaint investigation |
| Kathleen McDonald | Wellness Director | Met with Licensing Program Analyst during the investigation |
| Kimia Ateian | Administrator | Facility administrator named in the report |
Inspection Report
Complaint Investigation
Census: 69
Capacity: 93
Citations: 0
Date: Jan 16, 2024
Visit Reason
An unannounced complaint investigation was conducted following allegations of verbal abuse, threats, and yelling by a staff member towards residents at Whittier Glen Assisted Living Facility.
Complaint Details
The complaint involved allegations that a staff member was verbally abusive, threatening, and yelled at residents. The investigation included interviews with staff and residents, file reviews, and observations. The allegations were found to be unsubstantiated.
Findings
The investigation found that while some residents alleged verbal abuse, threats, and yelling by a staff member, the majority of staff and residents denied these allegations. The Wellness Director had addressed the concerns with the staff member. No disciplinary actions were found in the staff member's file. The allegations were determined to be unsubstantiated due to lack of preponderance of evidence.
Report Facts
Capacity: 93
Census: 69
Number of residents interviewed: 8
Number of staff interviewed: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jewel Baptiste | Licensing Program Analyst | Conducted the complaint investigation |
| Lisa Hicks | Licensing Program Manager | Oversaw the complaint investigation |
| Michael Forsgren | Administrator | Facility administrator named in report header |
| Lizbeth Acuna | Business Office Manager | Met with Licensing Program Analyst during investigation |
| Kathleen McDonald | Wellness Director | Participated in interviews and exit interview |
Inspection Report
Complaint Investigation
Census: 73
Capacity: 93
Citations: 1
Date: Jan 11, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to multiple allegations received on 08/30/2022 regarding staffing, supervision, qualifications, medication management, and activity director presence at Whittier Glen Assisted Living Facility.
Complaint Details
The complaint investigation was substantiated only for the allegation that the facility lacked a full-time Activity Director between March 2022 and July 2022. Other allegations including staff leaving a resident unsupervised after a fall, inadequate staffing, unqualified staff, and medication mismanagement were unsubstantiated.
Findings
The investigation found that most allegations including staff leaving a resident unsupervised after a fall, inadequate staffing, unqualified staff, and medication mismanagement were unsubstantiated due to lack of preponderance of evidence. However, the allegation that the facility did not have a full-time Activity Director for about four months was substantiated, constituting a regulatory deficiency.
Citations (1)
Facility went about 4 months without a full time activity coordinator for the residents, which poses a potential health and safety risk to residents in care.
Report Facts
Capacity: 93
Census: 73
Deficiency count: 1
Plan of Correction Due Date: Jan 12, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jose Villalobos | Licensing Program Analyst | Conducted the complaint investigation |
| Fernando Fierros | Licensing Program Manager | Oversaw the complaint investigation |
| Lizbeth Acuna | Business/HR Manager | Met with Licensing Program Analyst during investigation |
| Kimia Ateian | Administrator | Facility administrator named in report |
Inspection Report
Complaint Investigation
Census: 70
Capacity: 93
Citations: 0
Date: Jan 11, 2024
Visit Reason
The visit was an unannounced complaint investigation regarding an allegation that staff denied a resident's representative the right to represent the resident in matters pertaining to residency at the facility.
Complaint Details
The allegation was that staff denied the resident's representative the right to represent the resident. Interviews with staff and residents did not support the allegation. The resident left the facility in July 2023. The resident's relative became responsible party and Power of Attorney on 09/10/2022. Facility administrators maintained contact with the relative throughout the dispute. No proof was provided that the facility denied representation rights. The allegation was unsubstantiated.
Findings
The investigation found that six staff members denied the allegation and five residents could not corroborate it. The resident in question had their needs met during their stay and left the facility in July 2023. There was an ongoing dispute between the resident's relative and the facility, but no preponderance of evidence was found to substantiate the allegation, resulting in an unsubstantiated finding.
Report Facts
Facility capacity: 93
Census: 70
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jose Villalobos | Licensing Program Analyst | Conducted the complaint investigation visit |
| Fernando Fierros | Licensing Program Manager | Named in report as Licensing Program Manager |
| Lizbeth Acuna | Business/HR Manager | Met with Licensing Program Analyst during investigation |
| Michael Forsgren | Administrator | Facility Administrator named in report |
Inspection Report
Complaint Investigation
Census: 70
Capacity: 93
Citations: 0
Date: Jan 10, 2024
Visit Reason
The visit was an unannounced complaint investigation conducted in response to a complaint received on 2022-03-17 regarding multiple allegations against the facility.
Complaint Details
The complaint was unsubstantiated after investigation. Allegations included failure to accept resident's prescribed medication, staff locking resident's wheelchair, improper dressing of resident, resident left in dirty clothing, and failure to safeguard resident's personal belongings. Interviews with residents and staff, record reviews, and observations did not corroborate the allegations.
Findings
The investigation found no preponderance of evidence to substantiate the allegations including failure to accept prescribed medication, locking resident's wheelchair, improper dressing, leaving residents in dirty clothing, and not safeguarding personal belongings. Staff and resident interviews, record reviews, and observations supported that the facility complied with regulations.
Report Facts
Capacity: 93
Census: 70
Residents interviewed: 8
Staff interviewed: 5
Diaper check interval: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Bonnie Tao | Licensing Program Analyst | Conducted the complaint investigation |
| Fernando Fierros | Licensing Program Manager | Oversaw the complaint investigation |
| Kimia Ateian | Administrator | Facility administrator named in the report |
| Kathleen McDonald | Wellness Director | Met with Licensing Program Analyst during investigation and exit interview |
Inspection Report
Complaint Investigation
Census: 70
Capacity: 93
Citations: 0
Date: Jan 9, 2024
Visit Reason
The inspection was an unannounced complaint investigation conducted in response to allegations that a resident sustained an injury from a fall while in care, staff did not address a resident's diabetic needs, and staff were using a resident's room for work breaks.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included a resident injury from a fall, failure to address diabetic needs, and misuse of resident rooms for staff breaks. Interviews and record reviews did not corroborate these allegations, and no violations were found.
Findings
The investigation found no preponderance of evidence to substantiate the allegations. Resident and staff interviews, record reviews, and observations indicated that the resident's fall was not due to lack of care, diabetic needs were addressed appropriately, and staff did not use resident rooms for breaks. Therefore, the allegations were unsubstantiated and no deficiencies were cited.
Report Facts
Facility capacity: 93
Census: 70
Number of residents interviewed: 8
Number of staff interviewed: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Bonnie Tao | Licensing Program Analyst | Conducted the complaint investigation |
| Fernando Fierros | Licensing Program Manager | Oversaw the complaint investigation |
| Itzayana Barba Aguirre | Executive Director/Administrator | Facility representative met during investigation |
| Kimia Ateaiian | Administrator | Named as facility administrator |
Inspection Report
Complaint Investigation
Census: 75
Capacity: 93
Citations: 0
Date: Dec 12, 2023
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received on 08/30/2022 regarding disrespectful behavior by the administrator, failure to perform room checks, unaddressed bed bugs, and residents not being afforded comfortable accommodations.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included disrespectful communication by the administrator, failure to perform room checks, unaddressed bed bugs in a resident's room, and inadequate accommodations during a temporary relocation. Staff and most residents denied the allegations, and no evidence was found to prove violations.
Findings
The investigation included interviews with staff and residents, file reviews, and observations. All allegations were found to be unsubstantiated due to lack of preponderance of evidence, despite some residents reporting isolated incidents. Staff consistently denied the allegations and documentation supported appropriate care and accommodations.
Report Facts
Capacity: 93
Census: 75
Staff interviewed: 7
Residents interviewed: 5
Pest control service date: Jan 5, 2021
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jose Villalobos | Licensing Program Analyst | Conducted the complaint investigation visit |
| Fernando Fierros | Licensing Program Manager | Oversaw the complaint investigation report |
| Kimia Ateian | Administrator | Named in allegation of speaking disrespectfully to residents |
| Lizbeth Acuna | Business/ HR Manager | Met with Licensing Program Analyst during investigation |
Inspection Report
Complaint Investigation
Census: 74
Capacity: 93
Citations: 0
Date: Dec 7, 2023
Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation that staff do not treat residents with dignity and respect.
Complaint Details
The allegation was that staff do not treat residents with dignity and respect. Interviews revealed most staff denied the allegation and confirmed training on dignity and respect. Residents mostly reported being treated with dignity and respect. Observations and record reviews supported these findings. The allegation was unsubstantiated.
Findings
The investigation included interviews with staff and residents, review of training and records, and observations of staff-resident interactions. The allegation was found to be unsubstantiated due to insufficient evidence to prove the violation occurred.
Report Facts
Staff interviewed: 5
Residents interviewed: 6
Capacity: 93
Census: 74
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ashley Calderon | Licensing Program Analyst | Conducted the complaint investigation |
| Michael Forsgren | Administrator | Facility administrator named in report header |
| Kathleen McDonald | Wellness Director | Met with Licensing Program Analyst during investigation and received report copy |
| Fernando Fierros | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Annual Inspection
Census: 76
Capacity: 93
Citations: 1
Date: Oct 31, 2023
Visit Reason
The visit was an unannounced annual case management continuation inspection using the full Care Compliance and Regulatory Enforcement (CARE) Tools to evaluate compliance with regulatory requirements.
Findings
The inspection covered 3 of 12 CARE tool domains including planned activities, disaster preparedness, and residents with special health needs. Deficiencies were cited related to incomplete hospice care plans for residents #1-#3, lacking evidence of licensee/staff involvement, posing potential health, safety, or personal rights risks.
Citations (1)
Hospice care plans for residents #1-#3 were incomplete by not showing licensee/staff involvement in residents' hospice care plans.
Report Facts
Residents on Hospice: 6
Residents on Home Health: 25
Deficiencies cited: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jose Villalobos | Licensing Program Analyst | Conducted the inspection and authored the report |
| Fernando Fierros | Supervisor | Supervisor overseeing the inspection |
| Michael Forsgren | Administrator | Facility administrator |
| Kim Mims | Staff | Staff member met with during inspection |
Inspection Report
Annual Inspection
Census: 76
Capacity: 93
Citations: 0
Date: Oct 27, 2023
Visit Reason
Licensing Program Analysts conducted an unannounced Required-1 year visit using the full Care Compliance and Regulatory Enforcement (CARE) Tools to evaluate compliance with regulatory requirements.
Findings
The inspection covered 9 of 12 CARE tool domains including infection control, operational requirements, physical plant safety, staffing, personnel records, resident records, resident rights, food service, and incident medical and dental. No deficiencies were cited during this visit, though the annual inspection was not fully completed due to time constraints and will be resumed later.
Report Facts
Staff members: 42
Resident files reviewed: 8
Staff files reviewed: 7
CARE tool domains completed: 9
Fire clearance capacity: 93
Hospice waiver: 6
Water temperature range: 105
Water temperature range: 120
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jose Villalobos | Licensing Program Analyst | Conducted the inspection and evaluation |
| Fernando Fierros | Supervisor | Supervisor overseeing the inspection |
| Michael Forsgren | Administrator | Facility administrator mentioned in report |
| Kim Mims | Staff | Facility staff member met during inspection |
Inspection Report
Complaint Investigation
Census: 77
Capacity: 93
Citations: 0
Date: Oct 24, 2023
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations that staff did not assist a resident with obtaining medical care, that staff dispensing medication were not appropriately trained, and that staff did not dispense medication as prescribed.
Complaint Details
The complaint investigation addressed three allegations: 1) staff did not assist resident with obtaining medical care, 2) licensee does not ensure staff dispensing medication are appropriately trained, and 3) staff did not dispense medication as prescribed. All allegations were unsubstantiated based on interviews, file reviews, and observations.
Findings
The investigation included interviews with staff and residents, review of resident and staff files, and observations. All allegations were found to be unsubstantiated due to lack of sufficient evidence to prove the violations occurred.
Report Facts
Facility capacity: 93
Census: 77
Staff interviewed: 7
Residents interviewed: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jose Villalobos | Licensing Program Analyst | Conducted the complaint investigation |
| Fernando Fierros | Licensing Program Manager | Named in report as Licensing Program Manager |
| Itzayana Barba | Administrator | Met with Licensing Program Analyst during investigation |
Inspection Report
Complaint Investigation
Capacity: 93
Citations: 0
Date: Oct 24, 2023
Visit Reason
The visit was an unannounced complaint investigation to determine the validity of an allegation that a resident sustained a fracture while in care.
Complaint Details
The complaint alleged that Resident #1 fell at the facility resulting in a fractured shoulder. The investigation included review of incident reports, x-ray records, staff and resident interviews, and medical documentation. The fracture was confirmed by x-ray but it was not established that it was caused by the fall at the facility. Staff and residents mostly denied the allegation. The complaint was determined to be unsubstantiated.
Findings
The investigation found insufficient evidence to substantiate the allegation that the resident sustained the fracture due to a fall at the facility. Interviews, records, and observations did not confirm the fracture was caused by the fall, and no deficiencies were cited during the visit.
Report Facts
Facility capacity: 93
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Valeria Maldonado | Licensing Program Analyst | Conducted the complaint investigation visit |
| Fernando Fierros | Licensing Program Manager | Named in report header and signature |
| Itzayana Barba | Administrator | Met with Licensing Program Analyst during investigation |
| Kim Mims | Cluster Nurse | Participated in exit interview |
Inspection Report
Complaint Investigation
Census: 79
Capacity: 93
Citations: 2
Date: Oct 2, 2023
Visit Reason
The inspection was an unannounced complaint investigation triggered by a complaint received on 2023-09-28 regarding allegations that staff serve residents cold meals.
Complaint Details
The complaint alleged that staff served residents cold meals. The allegation was substantiated based on interviews with staff and residents and observations. The report also noted an odor of urine in common areas, which was substantiated.
Findings
The investigation substantiated that meals were often served cold due to cold plates absorbing heat and broken ovens previously used to warm plates. Additionally, there was an odor of urine in common areas, and deficiencies were cited related to food service and incontinence management.
Citations (2)
Staff serves resident cold meal(s) not in a healthful manner.
Managed incontinence: incontinent residents not kept clean and dry; facility has odor of urine in common dining and kitchen areas.
Report Facts
Capacity: 93
Census: 79
Staff interviewed: 6
Residents interviewed: 9
Residents confirming cold meals: 8
Residents confirming odor: 8
Staff confirming odor: 5
Plan of Correction Due Date: Oct 9, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Alberto Lopez | Evaluator / Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Lisa Hicks | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
| Michael Forsgren | Administrator | Facility administrator named in the report |
| Itzayana Barba Aguirre | Person met with during the investigation |
Inspection Report
Census: 76
Capacity: 93
Citations: 0
Date: Sep 19, 2023
Visit Reason
An unannounced case management visit was conducted to review and collect documentation of rent increases provided to residents of the facility in August 2022.
Findings
The Licensing Program Analyst reviewed resident census and rent charges, collected Resident Admission Agreements for 30 of 54 residents, and observed that 15 residents received notices of adjustments to their monthly care fees to reflect the current facility rate. The facility was instructed to provide the remaining 24 resident agreements by 09/21/2023 for review.
Report Facts
Residents listed on census: 54
Resident Admission Agreements collected: 30
Residents provided notice of fee adjustment: 15
Remaining Resident Admission Agreements to be provided: 24
Current rate for Level 1 care: 525
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michael Forsgren | Administrator | Met with Licensing Program Analyst during the visit |
| Jose Villalobos | Licensing Program Analyst | Conducted the unannounced case management visit |
Inspection Report
Complaint Investigation
Census: 76
Capacity: 93
Citations: 0
Date: Sep 19, 2023
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations that a resident sustained bruises while in care and that staff do not appropriately manage residents' behavior.
Complaint Details
The complaint involved two allegations: 1) Resident sustained bruises due to another resident's attack, and 2) Staff did not appropriately manage residents' behavior. Both allegations were unsubstantiated due to lack of preponderance of evidence despite some incidents and concerns noted.
Findings
The investigation found insufficient evidence to substantiate the allegations. Staff and some residents denied the claims, and although incidents occurred, the facility was found to be addressing resident behavior appropriately within regulatory limits.
Report Facts
Facility capacity: 93
Resident census: 76
Staff interviewed: 5
Residents interviewed: 5
Date of incident: Sep 3, 2022
Date of eviction notice: Sep 19, 2022
Date resident moved out: Oct 20, 2022
Date of last needs and services plan: Oct 3, 2022
Date mental health visited: Oct 2, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jose Villalobos | Licensing Program Analyst | Conducted the complaint investigation visit |
| Michael Forsgren | Administrator | Met with Licensing Program Analyst during investigation |
| Fernando Fierros | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 75
Capacity: 93
Citations: 0
Date: Sep 14, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 03/25/2021 regarding staff treatment of residents, including dignity, respect, toileting, and eating needs.
Complaint Details
The complaint involved multiple allegations including staff not treating residents with dignity and respect, yelling at residents, speaking inappropriately, failing to meet toileting needs, and failing to ensure eating needs were met. After interviews with residents and staff, file reviews, and facility tour, the allegations were found unsubstantiated.
Findings
The investigation found no preponderance of evidence to substantiate the allegations. Resident and staff interviews, file reviews, and facility observations indicated that residents were treated with dignity and respect, toileting and eating needs were met, and no inappropriate staff behavior was observed. The complaint was determined to be unsubstantiated.
Report Facts
Capacity: 93
Census: 75
Resident interviews: 8
Staff interviews: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michael Forsgren | Administrator | Met with Licensing Program Analyst during investigation and exit interview |
| Bonnie Tao | Licensing Program Analyst | Conducted the complaint investigation |
| Fernando Fierros | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 75
Capacity: 93
Citations: 0
Date: Sep 5, 2023
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received on 04/14/2022 regarding medication administration and ordering practices at Whittier Glen Assisted Living Facility.
Complaint Details
The complaint involved two allegations: 1) Facility administering medications no longer prescribed to a resident, and 2) Facility not ensuring resident's current prescribed medications were being ordered. Both allegations were found to be unsubstantiated based on interviews, medication record reviews, and observations.
Findings
The investigation found no preponderance of evidence to substantiate the allegations that the facility administered medications no longer prescribed to a resident or failed to ensure current prescribed medications were ordered. Staff and resident interviews, medication record reviews, and observations supported the conclusion that the allegations were unsubstantiated.
Report Facts
Facility capacity: 93
Resident census: 75
Staff interviewed: 5
Residents interviewed: 5
Date complaint received: Apr 14, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jose Villalobos | Licensing Program Analyst | Conducted complaint investigation and interviews |
| Michael Forsgren | Administrator | Met with Licensing Program Analyst during investigation |
| Fernando Fierros | Licensing Program Manager | Oversaw complaint investigation |
Inspection Report
Complaint Investigation
Census: 75
Capacity: 93
Citations: 0
Date: Aug 31, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit conducted to ascertain information regarding an allegation that staff were retaliating against a resident for filing complaints.
Complaint Details
The complaint alleged staff retaliation against a resident for filing complaints. The allegation was found to be unsubstantiated based on interviews and lack of supporting evidence.
Findings
The investigation included interviews with the administrator, staff, and residents. All eight residents interviewed denied the allegation, stating staff were nice and had never retaliated. Staff also denied the allegation and described procedures for handling complaints. There was insufficient evidence to substantiate the allegation, resulting in an unsubstantiated finding.
Report Facts
Capacity: 93
Census: 75
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michael Forsgren | Administrator | Met with Licensing Program Analyst and assisted with the investigation |
| Christine Wong | Licensing Program Analyst | Conducted the complaint investigation visit |
| David Sicairos | Licensing Program Manager | Named in report signature section |
Inspection Report
Complaint Investigation
Census: 75
Capacity: 93
Citations: 0
Date: Aug 15, 2023
Visit Reason
The visit was an unannounced complaint investigation conducted in response to multiple allegations received on 2022-02-07 regarding resident falls, injuries, hygiene, room conditions, staff conduct, and service adequacy at Whittier Glen Assisted Living Facility.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included resident falls, injuries, hygiene neglect, unsanitary conditions, staff misuse of resident bathrooms, failure to notify family of incidents, room disrepair, failure to ensure call bracelets, and inadequate food and laundry services. Interviews with 8 staff and 6 residents, file reviews, and observations did not corroborate the allegations.
Findings
The investigation found no preponderance of evidence to substantiate any of the allegations including resident falls, injuries, hygiene neglect, unsanitary rooms, improper staff use of resident bathrooms, failure to notify authorized representatives, room disrepair, call bracelet issues, inadequate food and laundry services. All allegations were determined to be unsubstantiated based on interviews, file reviews, and observations.
Report Facts
Facility capacity: 93
Census: 75
Staff interviewed: 8
Residents interviewed: 6
Allegations: 11
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jose Villalobos | Licensing Program Analyst | Conducted the complaint investigation |
| Fernando Fierros | Licensing Program Manager | Oversaw the complaint investigation |
| Michael Forsgren | Administrator | Facility administrator met during investigation |
Inspection Report
Complaint Investigation
Census: 75
Capacity: 93
Citations: 1
Date: Aug 11, 2023
Visit Reason
The visit was conducted to investigate complaints received on 06/29/2022 regarding resident bruising, inappropriate touching, and facility cleanliness at Whittier Glen Assisted Living Facility.
Complaint Details
The complaint investigation addressed allegations that a resident sustained a bruise while in care, a resident inappropriately touched other residents, and the facility was not maintained clean and sanitary. The bruising and cleanliness allegations were unsubstantiated. The inappropriate touching allegation was unsubstantiated due to lack of evidence. However, the investigation substantiated neglect/lack of supervision related to failure to verify Resident #2's capacity to consent to sexual encounters with Resident #3.
Findings
The investigation found the allegations of resident bruising, inappropriate touching, and unsanitary conditions to be unsubstantiated except for the allegation that staff did not properly supervise a resident, which was substantiated due to failure to verify a resident's capacity to consent to sexual encounters.
Citations (1)
The facility did not ensure Resident #2 had the capacity to establish consent for a sexual relationship, posing an immediate health, safety, or personal rights risk.
Report Facts
Capacity: 93
Census: 75
Deficiency count: 1
Plan of Correction Due Date: Aug 25, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Joshua Oliver | Business Office Manager | Met with during inspection and exit interview |
| Michael Forsgren | Administrator | Met with during inspection and exit interview; named in findings related to lack of supervision |
| Jewel Baptiste | Licensing Program Analyst | Conducted the complaint investigation |
| Lisa Hicks | Licensing Program Manager | Oversaw the complaint investigation |
Inspection Report
Complaint Investigation
Census: 78
Capacity: 93
Citations: 1
Date: Jul 28, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2023-05-12 regarding the facility's failure to meet reporting requirements.
Complaint Details
The complaint alleged the facility failed to meet reporting requirements by not providing written incident reports to the resident or responsible party for multiple dates. The investigation substantiated failure to report the incident on 7/14/22. Other dates were found to have no incidents or were properly reported. The allegation was substantiated.
Findings
The investigation found that the facility failed to submit required incident reports to the licensing agency and to the resident's responsible party for incidents occurring on 7/14/22, which poses a potential personal right, health, or safety risk. Other alleged missing reports were either not applicable or had been provided. The allegation was substantiated based on interviews and document review.
Citations (1)
Licensee failed to report incidents occurred on 7/14/22 to the licensing agency and resident's responsible party within seven days as required by CCR 87211(a)(1).
Report Facts
Facility capacity: 93
Census: 78
Deficiency count: 1
Plan of Correction due date: Aug 11, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jose Villalobos | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Fernando Fierros | Licensing Program Manager | Oversaw the complaint investigation |
| Joshua Oliver | Business Office Manager | Met with Licensing Program Analyst during investigation |
| Mary Flores | Licensing Program Analyst | Conducted an unannounced subsequent complaint investigation visit on 7/7/23 |
| Rhonwinn Hipolito | Administrator | Facility administrator interviewed during investigation |
Inspection Report
Complaint Investigation
Census: 75
Capacity: 93
Citations: 1
Date: Jul 21, 2023
Visit Reason
The visit was an unannounced follow-up complaint investigation regarding allegations that staff failed to meet a resident's medical needs, verbally abused a resident, and failed to treat residents with dignity and respect.
Complaint Details
The complaint involved allegations that staff verbally abused a resident (S1 verbally abused R11 by screaming and telling the resident to 'Shut up'), failed to treat residents with dignity and respect, and failed to meet a resident's medical needs. The verbal abuse and dignity allegations were substantiated, leading to termination of staff S1. The medical needs allegation was unsubstantiated due to lack of sufficient evidence.
Findings
The investigation substantiated the allegations of verbal abuse and failure to treat residents with dignity and respect, resulting in termination of the staff member involved. The allegation that staff failed to meet a resident's medical needs was unsubstantiated due to insufficient evidence.
Citations (1)
Personal Rights of Residents in All Facilities (a) Residents shall be accorded dignity in their personal relationships with staff, residents, and others, and be free from punishment, humiliation, intimidation, abuse, or other punitive actions.
Report Facts
Capacity: 93
Census: 75
Deficiency count: 1
Plan of Correction Due Date: Aug 4, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michael Forsgren | Executive Director | Interviewed during investigation; provided information on staff termination |
| Tena Herrera | Licensing Program Analyst | Conducted follow-up complaint investigation |
| David Sicairos | Licensing Program Manager | Oversaw complaint investigation |
| Rhonnwinn Hipolito | Administrator | Facility administrator named in report |
Inspection Report
Complaint Investigation
Census: 75
Capacity: 93
Citations: 1
Date: Jul 18, 2023
Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that staff were not safeguarding residents' belongings at Whittier Glen Assisted Living Facility.
Complaint Details
The complaint was substantiated. The allegation was that staff were not safeguarding residents' belongings, specifically that some personal items taken for laundering were not returned. Evidence included interviews with staff and residents, file reviews, and observations of laundry procedures and resident rooms.
Findings
The investigation substantiated the allegation that residents' personal items, including towels, washcloths, and a jacket, were not consistently returned after laundering. Staff interviews and observations revealed lapses in laundry procedures and lack of inventory tracking, posing potential health and safety risks.
Citations (1)
Failure to safeguard resident cash, personal property, and valuables as required by California Code of Regulations Title 22, 87217(b).
Report Facts
Capacity: 93
Census: 75
Deficiency Type Count: 1
Plan of Correction Due Date: Jul 28, 2023
Staff Interviewed: 6
Residents Interviewed: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michael Forsgren | Administrator | Met with during investigation and named in findings |
| Noemi Galarza | Licensing Program Analyst | Conducted the complaint investigation |
| Lisa Hicks | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 73
Capacity: 93
Citations: 1
Date: Jul 7, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2023-05-12 regarding the facility's failure to meet reporting requirements.
Complaint Details
The complaint alleged the facility failed to meet reporting requirements by not providing written reports to the resident or responsible party for incidents occurring on various dates including January 2020, January 2021, 10/02/21, 05/12/22, 07/01/22, 07/02/22, and 07/12/22. The investigation substantiated the allegation due to failure to report incidents on 7/14/22 to the department and responsible party.
Findings
The investigation found that the facility failed to submit required incident reports to the licensing agency and to the resident or responsible party for several incidents, including failure to report an incident on 7/14/22. The allegation was substantiated based on document review and interviews.
Citations (1)
Failure to submit written incident reports to the licensing agency and responsible party within seven days of occurrence, specifically incidents on 7/14/22.
Report Facts
Capacity: 93
Census: 73
Deficiency count: 1
Plan of Correction due date: Jul 21, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mary G Flores | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Michael Forsgren | Administrator | Met with Licensing Program Analyst during the investigation and exit interview |
| Tony Vasallo | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 74
Capacity: 93
Citations: 0
Date: Jun 29, 2023
Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation that staff did not properly assess a resident while in care.
Complaint Details
The complaint alleged improper assessment of a resident without physician, psychiatrist, or Power of Attorney present, despite eviction notice and pending court case. Interviews and document reviews showed the assessment was routine and compliant with Title 22 regulations. The allegation was unsubstantiated due to lack of preponderance of evidence.
Findings
The investigation found that the facility conducted a routine assessment as required by regulations, with no significant changes in the resident's condition. There was insufficient evidence to substantiate the allegation, and the complaint was determined to be unsubstantiated.
Report Facts
Capacity: 93
Census: 74
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michael Forsgren | Administrator | Interviewed during complaint investigation |
| Joshua Oliver | Business Office Manager | Met with Licensing Program Analyst and interviewed during investigation |
| Sherrie Similton | Wellness Director | Interviewed during complaint investigation |
| Alma Gonzalez | Licensing Program Analyst | Conducted the complaint investigation visit |
| Wei Siew Ho | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 73
Capacity: 93
Citations: 0
Date: May 30, 2023
Visit Reason
The inspection was an unannounced complaint investigation conducted in response to allegations that staff misrepresented himself as the Administrator and that staff issued an eviction notice to a resident without obtaining licensee’s authority.
Complaint Details
The complaint involved two allegations: 1) Staff misrepresented himself as the Administrator, and 2) Staff issued an eviction notice to a resident without licensee’s authority. Both allegations were investigated through interviews and document review and were found unsubstantiated.
Findings
The investigation included interviews with staff, residents, and the Administrator, and review of relevant documentation. The allegations were found to be unsubstantiated due to lack of corroborating evidence and confirmation that the staff member was authorized to act in the Administrator's absence.
Report Facts
Facility capacity: 93
Census: 73
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Angelica Rea | Licensing Program Analyst | Conducted the complaint investigation |
| Michael Forsgren | Operations Manager | Assisted with the complaint investigation and was interviewed |
| Rhonnwinn Hipolito | Administrator | Interviewed during the investigation |
| Lisa Hicks | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 73
Capacity: 93
Citations: 1
Date: May 23, 2023
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received on 03/04/2021 regarding the facility's lack of a certified administrator, failure to provide alternative toileting resources for a resident, and untimely renewal of medication.
Complaint Details
The complaint investigation was substantiated for the allegation that the facility did not have a certified administrator during the period from 2/12/21 to 5/2/21. The allegations that the facility staff did not provide alternative toileting resources and did not obtain renewed medication timely were unsubstantiated.
Findings
The investigation substantiated the allegation that the facility did not have a qualified and currently certified administrator between 2/12/21 and 5/2/21. The allegations regarding failure to provide alternative toileting resources and untimely medication renewal were unsubstantiated due to lack of preponderance of evidence.
Citations (1)
Facility failed to maintain a qualified and currently certified administrator as required by CCR 87405(a). Administrator Mona Tirado left on 2/12/21 and was not replaced by a full-time administrator until 5/2/21, posing a potential health and safety risk.
Report Facts
Capacity: 93
Census: 73
Deficiency count: 1
Plan of Correction Due Date: Jun 2, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jose Villalobos | Licensing Program Analyst | Conducted the complaint investigation |
| Fernando Fierros | Licensing Program Manager | Named in report as Licensing Program Manager |
| Kimia Ateaiian | Administrator | Facility administrator named in report |
| Sherrie Similton | Wellness Director | Met with Licensing Program Analyst during investigation |
| Mona Tirado | Administrator | Former administrator who left facility on 2/12/21 |
| Lori Waters | Interim Administrator | Interim administrator assisting facility between 2/12/21 and 3/10/21 |
| Sophia Chan | Administrator | Administrator documented as starting in May 2021 |
Inspection Report
Complaint Investigation
Census: 65
Capacity: 93
Citations: 0
Date: May 2, 2023
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations received on 2023-01-24 regarding mishandling of a resident's medications, failure to meet a resident's dietary needs, and inadequate care and supervision of a resident.
Complaint Details
The complaint investigation addressed three allegations: 1) Staff mishandled a resident's medications; 2) Staff did not meet a resident's dietary needs; 3) Staff did not provide adequate care and supervision to a resident. After interviews, record reviews, and observations, none of the allegations were substantiated due to lack of sufficient evidence.
Findings
The investigation found insufficient evidence to substantiate any of the allegations. Staff and residents interviewed denied the allegations, medication records and meal menus supported compliance, and no documentation of abuse or neglect was found. Therefore, all allegations were determined to be unsubstantiated.
Report Facts
Facility capacity: 93
Resident census: 65
Staff interviewed: 6
Residents interviewed: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jose Villalobos | Licensing Program Analyst | Conducted the complaint investigation |
| Fernando Fierros | Licensing Program Manager | Oversaw the complaint investigation |
| Sherrie Similton | Wellness Director | Met with Licensing Program Analyst during investigation |
| Kimia Ateaiian | Administrator | Facility administrator named in report header |
Inspection Report
Complaint Investigation
Census: 68
Capacity: 93
Citations: 0
Date: Apr 21, 2023
Visit Reason
The inspection was an unannounced complaint investigation conducted in response to multiple allegations received on 03/20/2023 concerning inadequate staff supervision, inappropriate staff behavior, unlawful eviction, failure to safeguard resident's personal items, and failure to provide meals to a resident.
Complaint Details
The complaint investigation was triggered by allegations including inadequate staff supervision resulting in resident assault, staff speaking inappropriately to a resident, unlawful eviction of a resident, failure to safeguard resident's personal items, and failure to provide meals. The investigation included interviews with residents and staff, review of eviction notices, police reports, incident reports, and facility records. The findings concluded that there was not enough supportive evidence to substantiate the allegations, and the complaint was unsubstantiated.
Findings
The investigation found insufficient evidence to substantiate the allegations. Interviews with staff and residents, review of documentation, and observations did not corroborate claims of assault, inappropriate staff speech, unlawful eviction, missing personal items, or failure to provide meals. The allegations were therefore deemed unsubstantiated.
Report Facts
Capacity: 93
Census: 68
Eviction notice dates: 2
Knife size: 6
Value of missing items: 20
Value of missing cash: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Bennette Pena | Licensing Program Analyst | Conducted the complaint investigation |
| David Sicairos | Licensing Program Manager | Oversaw the complaint investigation |
| Michael Forsgren | Operations Manager | Spoke with Licensing Program Analyst regarding investigation |
| Sherrie Similton | Wellness Director | Met with Licensing Program Analyst during inspection |
| Rhonnwinn Hipolito | Administrator | Facility administrator mentioned in report |
Inspection Report
Complaint Investigation
Census: 65
Capacity: 93
Citations: 0
Date: Apr 18, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that staff were overmedicating a resident in care.
Complaint Details
The allegation was that a resident was overmedicated and in a coma-like state for one to two weeks starting 7/12/22, and that staff were aware but did not act. Staff and residents interviewed denied or could not corroborate the allegation. Medication records and interviews showed adherence to physician orders and no adverse effects noted. The allegation was unsubstantiated.
Findings
The investigation found no preponderance of evidence to substantiate the allegation that the resident was overmedicated or in a coma-like state due to facility staff actions. Interviews with staff, residents, and the nurse practitioner, as well as medication record reviews, did not support the claim.
Report Facts
Capacity: 93
Census: 65
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jose Villalobos | Licensing Program Analyst | Conducted the complaint investigation visit |
| Michael Forsgren | Operations Manager | Met with the Licensing Program Analyst during the investigation |
| Fernando Fierros | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 66
Capacity: 93
Citations: 0
Date: Apr 14, 2023
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations received on 04/10/2023 concerning insufficient notice of rate changes, interference with the resident council book, and failure to safeguard residents' records.
Complaint Details
The complaint was unsubstantiated. Allegations included insufficient notice prior to rate changes, interference with the resident council book, and failure to safeguard residents' records. Interviews and document reviews did not support these claims.
Findings
The investigation found no preponderance of evidence to substantiate the allegations. Interviews with management, staff, and residents, as well as document reviews, indicated that residents received proper notice of rate changes, the council book was not interfered with or destroyed, and residents' records were safeguarded appropriately.
Report Facts
Capacity: 93
Census: 66
Notice period: 60
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ashley Calderon | Licensing Program Analyst | Conducted the complaint investigation |
| Michael Forsgren | Operations Manager | Interviewed regarding allegations and facility operations |
| Rhonwinn Hipolito | Administrator | Interviewed regarding allegations and facility operations |
| Fernando Fierros | Licensing Program Manager | Oversaw the complaint investigation |
Inspection Report
Complaint Investigation
Census: 65
Capacity: 93
Citations: 0
Date: Apr 13, 2023
Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation that residents' medications were being stolen by staff while in care.
Complaint Details
The complaint alleged that residents' medications were being stolen by staff. The investigation included interviews with staff and residents, review of medication administration records, and found no evidence of medication theft. The complaint was unsubstantiated.
Findings
After interviews with staff and residents, and review of medication records, there was no evidence to substantiate the allegation of medication theft. The allegation was determined to be unsubstantiated.
Report Facts
Capacity: 93
Census: 65
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Glenn Trueman | Licensing Program Analyst | Conducted the complaint investigation visit |
| Michael Forsgren | Operations Manager | Met with Licensing Program Analyst during the investigation |
| Wei Siew Ho | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 66
Capacity: 93
Citations: 0
Date: Apr 13, 2023
Visit Reason
An unannounced complaint investigation was conducted regarding an allegation that staff were not providing a safe environment for residents in care, specifically that a resident was being threatened by another resident due to his religion.
Complaint Details
The complaint alleged that a resident was being threatened by another resident due to his religion. Interviews with staff and residents denied the allegation. An incident involving a resident hitting another with a wheelchair was reported and investigated, with no arrests made. The allegation was unsubstantiated due to lack of evidence.
Findings
The investigation included interviews with residents and staff, review of documentation, and a facility tour. Staff and residents denied the allegation, and there was insufficient evidence to substantiate the claim. The incident involving a resident hitting another with a wheelchair was determined to be accidental. The allegation was deemed unsubstantiated.
Report Facts
Facility capacity: 93
Census: 66
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Bennette Pena | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Michael Forsgren | Operations Manager | Met with Licensing Program Analyst during investigation |
| David Sicairos | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 62
Capacity: 93
Citations: 0
Date: Mar 28, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit conducted to determine the validity of allegations including the facility not preventing residents from becoming intoxicated, a resident threatening others with a knife, knives being accessible to residents, and the facility not providing a safe environment.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included excessive drinking leading to intoxication, a resident threatening others with a knife, knives accessible to residents, and unsafe environment claims. The facility followed due diligence by issuing eviction notices, reporting incidents, and securing knives. Interviews with residents and staff did not corroborate most allegations except the isolated knife incident involving resident R1.
Findings
The investigation found that although some allegations occurred, such as a resident threatening others with a knife, the facility took appropriate actions including eviction notices and reporting to authorities. Other allegations, such as knives being accessible and unsafe environment claims, were unsubstantiated based on interviews and observations. Overall, the allegations were unsubstantiated due to lack of preponderance of evidence.
Report Facts
Facility capacity: 93
Census: 62
Number of police officers involved: 8
Eviction notice days: 30
Eviction notice days: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Luis Mora | Licensing Program Analyst | Conducted the complaint investigation visit |
| Michael Forsgren | Operations Manager | Interviewed during investigation and involved in incident reporting and eviction process |
| Wei Siew Ho | Licensing Program Manager | Oversaw the complaint investigation report |
| Rhonnwin Hipolito | Administrator | Facility administrator named in the report |
Inspection Report
Complaint Investigation
Census: 64
Capacity: 93
Citations: 0
Date: Mar 27, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 09/19/2022 regarding allegations of staff not communicating timely with resident representatives, forcing residents to sign inappropriate documents, and failure to protect residents from other residents.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included failure to communicate timely with resident's representative, forcing residents to sign inappropriate documents, and failure to protect residents from others. Interviews with staff and residents, as well as file reviews, did not corroborate the allegations.
Findings
The investigation found no preponderance of evidence to substantiate the allegations. Staff and most residents denied the allegations, and documentation showed timely reporting and appropriate actions regarding incidents. Therefore, all allegations were determined to be unsubstantiated.
Report Facts
Capacity: 93
Census: 64
Incident dates: Incidents involving resident R2 on 09/03/2022 and 09/07/2022
Eviction notice date: Resident R2 served eviction notice on 09/19/2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jose Villalobos | Licensing Program Analyst | Conducted the complaint investigation visit |
| Fernando Fierros | Licensing Program Manager | Oversaw the complaint investigation |
| Diana Marquez | Business Office Manager | Met with during the investigation |
| Kimia Ateian | Administrator | Facility administrator mentioned in relation to communication with resident's representative |
Inspection Report
Complaint Investigation
Census: 65
Capacity: 93
Citations: 1
Date: Mar 21, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by complaints received on 2023-02-09 regarding staff not keeping accurate accounting records for residents and staff retaliation against individuals cooperating with complaint investigations.
Complaint Details
The complaint investigation included two allegations: 1) Staff are not keeping accurate accounting records for residents in care, which was substantiated; 2) Staff retaliate against individuals who cooperate with complaint investigations, which was unsubstantiated.
Findings
The investigation substantiated that the facility failed to maintain accurate accounting records for Resident #1 due to lack of documentation for certain charges, posing a potential health and safety risk. The allegation of staff retaliation against individuals cooperating with complaint investigations was unsubstantiated based on interviews with staff and residents.
Citations (1)
Failure to maintain adequate financial records as required by CCR 87213, evidenced by inaccurate documentation of charges on Resident #1's account.
Report Facts
Capacity: 93
Census: 65
Charges: 7.4
Charges: 203.23
Plan of Correction Due Date: Mar 31, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jose Villalobos | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Michael Forsgren | Operations Manager | Met with Licensing Program Analyst during investigation |
| Kimia Ateaiian | Administrator | Facility administrator named in the report |
| S6 | Business Manager | Former Business Manager responsible for managing resident account files, no longer employed at the facility |
Inspection Report
Complaint Investigation
Census: 65
Capacity: 93
Citations: 0
Date: Mar 17, 2023
Visit Reason
The visit was an unannounced case management visit to conduct a Health and Safety check in response to an incident report received by the licensing agency on 03/16/2023 involving a resident brandishing a knife.
Complaint Details
The visit was triggered by a complaint/incident report regarding Resident#1 who was observed inebriated and brandishing a 6-inch knife at other residents, causing a laceration to their own nose. Police cited Resident#1 for assault but did not take custody due to wheelchair use. The facility had previously issued a 30-day eviction notice to Resident#1 due to history of verbal and physical threats.
Findings
The inspection found no immediate health or safety concerns or deficiencies. The incident involved Resident#1 becoming aggressive and brandishing a knife at other residents, resulting in a minor injury to Resident#1. Police and paramedics responded, and Resident#1 was transported to the hospital and later returned to the facility. A 3-day eviction notice was issued to Resident#1 and is under review.
Report Facts
Capacity: 93
Census: 65
Knife length: 6
Eviction notice days: 30
Eviction notice days: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rhonwinn Hipolito | Executive Director | Met with Licensing Program Analyst during visit and involved in incident response |
| Michael Forsgren | Operations Manager | Met with Licensing Program Analyst during visit and involved in incident response |
| Valeria Maldonado | Licensing Program Analyst | Conducted the unannounced case management visit and health and safety check |
| Fernando Fierros | Licensing Program Manager | Previously obtained records related to Resident#1 |
Inspection Report
Census: 65
Capacity: 93
Citations: 4
Date: Mar 17, 2023
Visit Reason
An unannounced case management visit was conducted to cite deficiencies found during a health and safety check at the assisted living facility.
Findings
Multiple deficiencies were observed including unclean and odorous resident restrooms, dirty carpets, inaccessible call system due to furniture placement, soiled linens, and uncovered trash bins containing soiled briefs, posing potential health, safety, and personal rights risks to residents.
Citations (4)
Failed to maintain 2 of 5 resident restrooms clean and odorless, and 1 of 5 resident room carpets clean.
Failed to maintain trash bins with lids for disposal of soiled adult briefs in resident room.
Failed to allow safe access to the call signal system in a resident's room due to furniture placement.
Failed to ensure a resident had clean blankets on their bed.
Report Facts
Deficiencies cited: 4
Plan of Correction Due Date: Mar 31, 2023
Plan of Correction Due Date: Mar 21, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rhonwinn Hipolito | Executive Director | Met during the inspection and involved in discussion of deficiencies. |
| Michael Forsgren | Operations Manager | Met during the inspection and involved in discussion of deficiencies. |
| Valeria Maldonado | Licensing Evaluator | Conducted the inspection and signed the report. |
| Fernando Fierros | Supervisor | Supervisor overseeing the inspection. |
Inspection Report
Complaint Investigation
Census: 63
Capacity: 93
Citations: 1
Date: Mar 14, 2023
Visit Reason
An unannounced complaint investigation was conducted in response to multiple allegations including a facility staff member borrowing money from a resident and not repaying it, inadequate food quantity, delayed response to call buttons, staff retaliation, safety of residents' possessions, privacy violations, and untimely medical attention.
Complaint Details
The complaint investigation was substantiated for the allegation that a staff member (S1) borrowed money from resident (R1) and did not repay it. Other allegations were unsubstantiated. The investigation included interviews with staff and residents, review of documents including staff and resident rosters, incident reports, and the facility's food menu. Text communications between R1 and S1 confirmed the borrowing incident.
Findings
The investigation found the allegation that a staff member borrowed money from a resident and did not return it to be substantiated. All other allegations including inadequate food, delayed call response, retaliation, safety of possessions, privacy violations, and untimely medical attention were unsubstantiated based on interviews, observations, and document reviews.
Citations (1)
Facility staff member borrowed money from a resident and did not return it, violating the facility's plan of operation and posing a potential health and safety risk.
Report Facts
Capacity: 93
Census: 63
Deficiency count: 1
Plan of Correction Due Date: Mar 23, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jose Villalobos | Licensing Program Analyst | Conducted the complaint investigation |
| Fernando Fierros | Licensing Program Manager | Oversaw the complaint investigation |
| Michael Forsgren | Operations Manager | Met with Licensing Program Analyst during investigation |
| Rhonnwinn Hipolito | Administrator | Facility administrator named in report |
Inspection Report
Complaint Investigation
Census: 63
Capacity: 93
Citations: 1
Date: Mar 10, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2023-01-17 regarding allegations that the facility did not notify Licensing of COVID positives in a timely manner, did not follow isolation/quarantine procedures for COVID positive residents, and did not notify residents of the COVID outbreak in a timely manner.
Complaint Details
The complaint investigation was substantiated for the allegation that the facility did not notify Licensing of COVID positives in a timely manner. The allegations that the facility did not follow isolation/quarantine procedures and did not notify residents of the COVID outbreak in a timely manner were unsubstantiated.
Findings
The investigation substantiated the allegation that the facility failed to notify Licensing of COVID positives in a timely manner, with evidence showing delays in reporting positive cases from December 2022. The allegations regarding failure to follow isolation/quarantine procedures and failure to notify residents of the outbreak were found unsubstantiated due to lack of preponderance of evidence.
Citations (1)
Facility failed to notify Licensing of COVID positives for 12/8-12/9/22 in a timely manner, posing a potential health and safety risk to residents.
Report Facts
Capacity: 93
Census: 63
Staff COVID positives not reported timely: 3
Resident COVID positives not reported timely: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jose Villalobos | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Fernando Fierros | Licensing Program Manager | Oversaw the complaint investigation |
| Michael Forsgren | Operations Manager | Facility representative met during the investigation |
| Kimia Ateaiian | Administrator | Facility administrator named in the report |
Inspection Report
Complaint Investigation
Census: 64
Capacity: 93
Citations: 0
Date: Mar 2, 2023
Visit Reason
The visit was an unannounced complaint investigation conducted in response to an allegation that facility staff stole a resident's personal property.
Complaint Details
The complaint alleged that facility staff stole personal property from a resident's room. Four staff members denied the allegation, six of seven residents interviewed could not corroborate it, and one staff member involved was unavailable for interview. The allegation was deemed unsubstantiated.
Findings
The investigation included interviews with residents and staff and a tour of the facility. The allegation was unsubstantiated due to lack of preponderance of evidence, with staff denying the incident and most residents unable to corroborate the claim.
Report Facts
Capacity: 93
Census: 64
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jose Villalobos | Licensing Program Analyst | Conducted the complaint investigation visit |
| Erik Zaragoza | Licensing Program Analyst | Assisted in conducting the complaint investigation visit |
| Diana Marquez | Business Office Manager | Met with investigators during the visit |
| Fernando Fierros | Licensing Program Manager | Named in report signature and oversight |
Inspection Report
Complaint Investigation
Census: 60
Capacity: 93
Citations: 0
Date: Feb 2, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 06/30/2022 concerning staff not honoring resident privacy during resident council meetings, failure to assist a resident with medical treatment after a fall, failure to report a resident's incident per Title 22 reporting requirements, and falsifying incident reports.
Complaint Details
The complaint investigation was unannounced and addressed four allegations: 1) staff not honoring resident privacy during resident council meetings, 2) staff not assisting a resident with medical treatment after a fall, 3) failure to report a resident's incident per Title 22 reporting requirements, and 4) falsifying incident reports. All allegations were found to be unsubstantiated.
Findings
The investigation found no preponderance of evidence to substantiate any of the allegations. Interviews with residents, staff, and the Executive Director, along with document reviews, indicated that resident privacy was maintained during council meetings, medical assistance was provided appropriately, incident reports were created and submitted timely, and no falsification of reports was evident.
Report Facts
Capacity: 93
Census: 60
Complaint Control Number: 28
Incident report submission timeframe: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mary G Flores | Licensing Program Analyst | Conducted the complaint investigation visit |
| Michael Forsgren | Operations Manager | Met with Licensing Program Analyst during investigation and exit interview |
| Pamela Junge | Executive Director | Reviewed and approved unusual incident report dated 7/1/22 |
Inspection Report
Complaint Investigation
Capacity: 93
Citations: 1
Date: Feb 2, 2023
Visit Reason
An unannounced case management visit was conducted to note deficiencies during the investigation of complaint #28-AS-202206300153013 regarding a violation of resident personal rights.
Complaint Details
The visit was complaint-related, investigating complaint #28-AS-202206300153013. The complaint was substantiated as the facility disclosed resident medical information in meeting minutes, violating personal rights.
Findings
The facility violated personal rights by including resident #1's medical diagnosis and directives in Resident Council Meeting minutes, which were provided to residents upon request, breaching confidentiality requirements under Title 22 Regulations.
Citations (1)
Failure to maintain confidentiality of resident medical diagnosis/directives in Resident Council Meeting minutes, violating personal rights.
Report Facts
Capacity: 93
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mary G Flores | Licensing Program Analyst | Conducted the unannounced case management visit and authored the report |
| Michael Forsgren | Operation Manager | Met with Licensing Program Analyst during the visit and participated in exit interview |
| Kimia Ateaiian | Administrator | Named in relation to the deficiency and plan of correction |
Inspection Report
Complaint Investigation
Census: 60
Capacity: 93
Citations: 2
Date: Jan 18, 2023
Visit Reason
An unannounced complaint investigation was conducted to determine the validity of allegations including failure to conduct a needs appraisal upon admission and lack of a certified administrator, as well as other complaints such as illegal eviction, staff retaliation, denial of resident participation in care planning, failure to provide nutritious meals, and failure to provide requested documents.
Complaint Details
The complaint investigation was substantiated for allegations that staff did not ensure a needs appraisal was conducted upon admission and that the facility did not have a certified administrator. Other allegations including illegal eviction, staff retaliation, denial of resident participation in care planning, failure to provide nutritious meals, and failure to provide requested documents were unsubstantiated.
Findings
The investigation substantiated that the facility did not complete a pre-admission appraisal prior to admitting a resident and that the facility did not have a certified administrator at the time of employment. Other allegations including illegal eviction, staff retaliation, denial of resident participation in care planning, failure to provide nutritious meals, and failure to provide requested documents were found unsubstantiated due to lack of preponderance of evidence.
Citations (2)
Facility did not perform a pre-admission appraisal prior to admitting resident R1.
Facility employed an Operations Manager without a residential care facility administrator certificate prior to employment.
Report Facts
Resident balance owed: 4862.42
Monthly care fee: 1725
Monthly care fee paid: 1300
Deficiencies cited: 2
Facility capacity: 93
Facility census: 60
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Luis Mora | Licensing Program Analyst | Conducted the complaint investigation. |
| Michael Forsgren | Operations Manager | Interviewed during investigation; involved in findings regarding administrator certification and resident care. |
| Wei Siew Ho | Licensing Program Manager | Oversaw the complaint investigation. |
Inspection Report
Annual Inspection
Census: 56
Capacity: 93
Citations: 0
Date: Dec 19, 2022
Visit Reason
The inspection was an unannounced required annual inspection focused on the Infection Control Domain at Whittier Glen Assisted Living Facility.
Findings
The facility was found to be clean, sanitary, and in good repair with no deficiencies cited. Infection control practices, physical plant conditions, and safety equipment were all compliant with regulations.
Report Facts
Resident files reviewed: 6
Staff files reviewed: 4
Medication records reviewed: 6
Water temperature range (F): 105
Water temperature range (F): 120
Non-perishable food supply (days): 7
Perishable food supply (days): 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jose Villalobos | Licensing Program Analyst | Conducted the inspection and discussed infection control practices |
| Michael Forsgren | Operations Manager | Met with Licensing Program Analyst during inspection and received report |
Inspection Report
Complaint Investigation
Census: 54
Capacity: 93
Citations: 0
Date: Nov 7, 2022
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 03/18/2022 regarding medication mismanagement, failure to administer medications per doctor's orders, and failure to treat residents with dignity at Whittier Glen Assisted Living.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included facility mismanagement of resident medications, staff not administering medications per doctor's orders, and staff not treating residents with dignity. Interviews with residents and staff revealed no knowledge or evidence supporting these allegations.
Findings
Based on interviews, observations, and file reviews, there was insufficient evidence to substantiate the allegations. No deficiencies were observed or cited during the visit, and the allegations were determined to be unsubstantiated.
Report Facts
Capacity: 93
Census: 54
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Valeria Maldonado | Licensing Program Analyst | Conducted the complaint investigation |
| Fernando Fierros | Licensing Program Manager | Named as Licensing Program Manager on the report |
| Itzayana Barba | Operations Manager | Met with during the inspection and exit interview |
| Pamela Junge | Executive Director | Interviewed during the investigation regarding medication records |
Inspection Report
Complaint Investigation
Census: 54
Capacity: 93
Citations: 0
Date: Nov 3, 2022
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received on 12/24/2020 regarding resident injury and unmet resident needs at Whittier Glen Assisted Living Facility.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included a resident sustaining an injury from an unwitnessed fall and staff neglecting resident needs. Multiple staff and residents interviewed denied or could not corroborate the allegations. Incident reports and records reviewed did not support the claims.
Findings
The investigation found no preponderance of evidence to substantiate the allegations that a resident sustained a facial injury due to staff negligence or that staff failed to meet resident needs. Interviews with staff and residents, as well as file reviews, did not corroborate the complaints, resulting in an unsubstantiated determination.
Report Facts
Capacity: 93
Census: 54
Staff interviewed: 5
Residents interviewed: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jose Villalobos | Licensing Program Analyst | Conducted the complaint investigation |
| Fernando Fierros | Licensing Program Manager | Named as Licensing Program Manager on the report |
| Pamela Junge | Administrator | Met with Licensing Program Analyst during the investigation |
Inspection Report
Complaint Investigation
Census: 55
Capacity: 93
Citations: 0
Date: Oct 27, 2022
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations that residents' diapering and hygiene needs were not being met at Whittier Glen Assisted Living Facility.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included neglect/lack of supervision regarding residents' diapering and hygiene needs. The investigation included interviews with staff and review of resident care plans and monitoring programs. Both allegations were found to be unsubstantiated.
Findings
The investigation found that the facility staff alternated diapering needs every two hours and provided hygiene needs to residents requiring full-service care. Despite the allegations, there was insufficient evidence to substantiate neglect or lack of supervision regarding diapering and hygiene needs.
Report Facts
Capacity: 93
Census: 55
Allegations: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Ceniceros | Licensing Program Analyst (LPA)/Retired Annuitant (RA) | Conducted the complaint investigation and unannounced visit |
| Pamela Jung | Administrator | Facility administrator met during the investigation |
| Angelica Rea | Licensing Program Analyst | Conducted initial 10-Day visit and signed report |
| Katie McDonald | Medication Technician | Received a copy of the complaint report during exit interview |
Inspection Report
Complaint Investigation
Census: 55
Capacity: 93
Citations: 0
Date: Sep 13, 2022
Visit Reason
Unannounced complaint investigation visit conducted due to allegations that the facility mismanaged resident medications, staff did not administer medications per doctor's orders, and staff did not treat residents with dignity.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included medication mismanagement, failure to administer medications per doctor's orders, and lack of dignity in resident treatment. Interviews with residents (R2-R7) and staff (S1-S4) found no supporting evidence. Resident #1 was no longer at the facility and was able to self-administer medications as per physician's report.
Findings
Based on interviews with residents and staff, review of records, and observations, there was insufficient evidence to substantiate the allegations. Residents and staff reported no knowledge or incidents of medication mismanagement or improper administration, and most residents stated staff treated them with dignity.
Report Facts
Capacity: 93
Census: 55
Residents interviewed: 6
Staff interviewed: 4
PRN medication duration: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Pamela Junge | Executive Director | Met with Licensing Program Analyst during investigation and involved in medication management allegation |
| Valeria Maldonado | Licensing Program Analyst | Conducted the complaint investigation visit |
| Fernando Fierros | Licensing Program Manager | Oversaw complaint investigation |
Inspection Report
Complaint Investigation
Census: 50
Capacity: 93
Citations: 0
Date: Sep 1, 2022
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to allegations received on 08/23/2022 regarding the facility being unkept, residents not receiving beverages, and staff neglect resulting in resident assaults.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included the facility being unkept, residents not receiving beverages, and staff neglect causing resident assaults. Interviews and observations did not corroborate these claims.
Findings
The investigation found no evidence to substantiate the allegations. The facility was observed to be clean, residents reported receiving beverages, and no physical assaults between residents were witnessed. The allegations were deemed unsubstantiated due to lack of preponderance of evidence.
Report Facts
Capacity: 93
Census: 50
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Angelica Rea | Licensing Program Analyst | Conducted the complaint investigation visit |
| Pamela Junge | Executive Director | Met with Licensing Program Analyst during investigation |
| Lisa Hicks | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 50
Capacity: 93
Citations: 1
Date: Aug 25, 2022
Visit Reason
The visit was a case management inspection conducted after discovering deficiencies during a complaint investigation related to resident care and supervision.
Complaint Details
The visit was triggered by a complaint investigation for control number 28-AS-20220720132522.
Findings
The facility retained a resident whose primary need for care and supervision was due to ongoing behavior caused by a mental disorder that upset the general resident group, posing a potential health and safety risk.
Citations (1)
No resident shall be accepted or retained if the resident's primary need for care and supervision results from an ongoing behavior caused by a mental disorder that would upset the general resident group; this was not met as evidenced by Resident #1's ongoing behavior of shouting and yelling at staff and residents.
Report Facts
Capacity: 93
Census: 50
Plan of Correction Due Date: Sep 9, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jose Villalobos | Licensing Program Analyst | Conducted the case management visit and authored the report |
| Fernando Fierros | Supervisor | Supervisor overseeing the inspection |
| Pamela Junge | Administrator | Facility administrator met during the exit interview |
Inspection Report
Follow-Up
Census: 50
Capacity: 93
Citations: 1
Date: Aug 25, 2022
Visit Reason
Licensing Program Analyst Jose Villalobos conducted a case management visit after discovering deficiencies during a complaint investigation for control number 28-AS-20220720132522.
Complaint Details
Visit was a follow-up after deficiencies were discovered during a complaint investigation (control number 28-AS-20220720132522).
Findings
The facility retained a resident whose primary need for care and supervision results from an ongoing behavior caused by a mental disorder that upsets the general resident group, posing a potential health and safety risk to residents.
Citations (1)
No resident shall be accepted or retained if the resident's primary need for care and supervision results from an ongoing behavior caused by a mental disorder that would upset the general resident group.
Report Facts
Plan of Correction Due Date: Sep 9, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jose Villalobos | Licensing Program Analyst | Conducted the case management visit and authored the report |
| Pamela Junge | Administrator | Met with Licensing Program Analyst during exit interview |
| Fernando Fierros | Supervisor | Supervisor overseeing the licensing evaluation |
Inspection Report
Complaint Investigation
Census: 52
Capacity: 93
Citations: 0
Date: Aug 4, 2022
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that staff were over medicating residents.
Complaint Details
The complaint alleged that staff were over medicating residents. The investigation found no evidence to substantiate the allegation, and it was determined to be unsubstantiated.
Findings
The investigation included review of resident medication records and interviews with residents, staff, relatives, and a hospice nurse. All evidence indicated medications were administered correctly and the allegation was unsubstantiated due to lack of preponderance of evidence.
Report Facts
Capacity: 93
Census: 52
Number of residents' medications reviewed: 7
Number of residents interviewed: 4
Number of staff interviewed: 4
Number of relatives interviewed: 2
Number of hospice nurses interviewed: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Alberto Lopez | Licensing Program Analyst | Conducted the complaint investigation and unannounced visit |
| Pamela Junge | Executive Director | Met with Licensing Program Analyst during the investigation and exit interview |
| Kimia Ateaián | Administrator | Facility administrator named in the report |
| Stefanie Coronel | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 52
Capacity: 93
Citations: 0
Date: Jul 27, 2022
Visit Reason
An unannounced complaint investigation was conducted to determine the validity of an allegation that facility staff was interfering with a resident's ability to shower.
Complaint Details
The complaint alleged that facility staff interfered with a resident's ability to shower. The investigation included interviews with staff, the resident, and the resident's roommate, as well as tours of relevant rooms. The allegation was found unsubstantiated.
Findings
The investigation found that although the resident's shower grab bar in room 106 was high, alternative showers with lower grab bars were available. The resident was allowed to use these showers and was offered to move to a ready room with a similar grab bar, but had not moved due to a fee and concerns about a loose grab bar. Staff denied interfering with the resident's ability to shower. The allegation was unsubstantiated due to lack of preponderance of evidence.
Report Facts
Capacity: 93
Census: 52
Fee: 500
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Luis Mora | Licensing Program Analyst | Conducted the complaint investigation |
| Pamela Junge | Executive Director | Interviewed during the investigation |
| Kimia Ateaián | Administrator | Facility administrator named in the report |
| Stefanie Coronel | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 52
Capacity: 93
Citations: 0
Date: Jul 14, 2022
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that the facility overcharged a resident.
Complaint Details
The complaint was that the facility overcharged a resident. The allegation was unsubstantiated due to lack of sufficient evidence.
Findings
The investigation found that Resident #1 had been hospitalized and moved out, but was billed $1,882 for July 2022. The Executive Director clarified that the resident was only responsible for an outstanding balance of $182.28 due to past charges, and would not be charged room and board for July. There was insufficient evidence to substantiate the allegation, so it was deemed unsubstantiated.
Report Facts
Outstanding balance: 182.28
Initial billed amount: 1882
Employees mentioned
| Name | Title | Context |
|---|---|---|
| David Sicairos | Licensing Program Analyst | Conducted the complaint investigation visit |
| Pamela Junge | Executive Director | Met with Licensing Program Analyst and provided information regarding billing |
| Stefanie Coronel | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 53
Capacity: 93
Citations: 2
Date: Jul 6, 2022
Visit Reason
The visit was an unannounced complaint investigation conducted in response to multiple allegations received on 2021-11-22 regarding staff not abiding by admission agreements, failure to advise residents of complaints filed against the facility, and residents being charged for services not received.
Complaint Details
The complaint investigation was triggered by allegations that staff did not abide by admission agreements, failed to advise residents of complaints filed against the facility, and charged residents for services not received. The investigation was unannounced and conducted by Licensing Program Analysts Jose Villalobos and Mary Flores. The allegations regarding failure to provide admission agreements and inadequate record keeping were substantiated, while other allegations were unsubstantiated due to insufficient evidence.
Findings
The investigation found that the allegation regarding failure to provide a copy of the admission agreement was substantiated due to inadequate record keeping and failure to provide requested documents. Other allegations, including staff not advising residents of complaints and residents being charged for services not received, were unsubstantiated due to lack of sufficient evidence.
Citations (2)
Failure to provide a copy of the signed and dated current admission agreement and all subsequent modifications to the resident or resident's representative upon request.
Admission agreements did not specify payment provisions including a comprehensive description of items and services provided; specifically, the admission agreement lacked a breakdown of the resident's rate calculation.
Report Facts
Capacity: 93
Census: 53
Plan of Correction Due Date: Jul 22, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jose Villalobos | Licensing Program Analyst | Conducted complaint investigation and cited deficiencies |
| Mary Flores | Licensing Program Analyst | Conducted complaint investigation |
| Fernando Fierros | Licensing Program Manager | Oversaw complaint investigation |
| Pamela Junge | Administrator | Facility administrator involved in investigation and receipt of report |
Inspection Report
Complaint Investigation
Census: 57
Capacity: 93
Citations: 0
Date: Jun 16, 2022
Visit Reason
An unannounced complaint investigation was conducted in response to allegations that a resident was left in soiled diapers for an extended amount of time and that staff did not communicate with the authorized representative.
Complaint Details
The complaint was unsubstantiated based on interviews, file reviews, and lack of corroborating evidence. The resident was observed in a soiled diaper on 06/05/22, but staff denied the allegation and records showed the resident was continent and independent. The responsible party was notified of a room change via voicemail and phone call, but there was insufficient evidence to prove failure to communicate.
Findings
The investigation found insufficient evidence to substantiate the allegations. Interviews with staff and residents, as well as review of resident records, indicated the resident did not require continence assistance and that staff attempted to notify the responsible party about a room change. Therefore, the allegations were unsubstantiated.
Report Facts
Capacity: 93
Census: 57
Employees mentioned
| Name | Title | Context |
|---|---|---|
| David Sicairos | Licensing Program Analyst | Conducted the complaint investigation |
| Pamela Junge | Executive Director | Interviewed during the investigation |
| Stefanie Coronel | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 59
Capacity: 93
Citations: 0
Date: Apr 20, 2022
Visit Reason
An unannounced complaint investigation was conducted to determine the validity of an allegation that the facility was not following doctor's orders.
Complaint Details
The complaint alleged the facility was not following doctor's orders, specifically regarding the use of baby powder on a resident and failure to provide PRN Tylenol medication. The investigation concluded the allegations were unsubstantiated.
Findings
The investigation found that the facility was applying baby powder to a resident despite an alleged order to stop, but there was no documentation from the hospice care agency to support this. The facility stopped using the powder per the responsible party's request. Medication administration records showed PRN Tylenol was given as needed. The allegations were unsubstantiated due to lack of preponderance of evidence.
Report Facts
Capacity: 93
Census: 59
Medication administration dates: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Luis Mora | Licensing Program Analyst | Conducted the complaint investigation |
| Pamela Jungi | Executive Director | Met with investigator and provided information during the investigation |
Inspection Report
Complaint Investigation
Census: 62
Capacity: 93
Citations: 0
Date: Apr 14, 2022
Visit Reason
The inspection was conducted as a complaint investigation following an allegation that a resident sustained an injury from a fall while in care.
Complaint Details
The complaint alleged that Resident #1 sustained an injury from a fall while intoxicated due to lack of supervision. The allegation was unsubstantiated after interviews with staff and residents, review of incident reports and resident files, and observation. No evidence showed lack of supervision or violation of regulations.
Findings
The investigation found that the resident was intoxicated and sustained a bump on the forehead, but staff and resident interviews, as well as file reviews, did not support the allegation of lack of supervision. There was insufficient evidence to substantiate the complaint, resulting in an unsubstantiated finding.
Report Facts
Capacity: 93
Census: 62
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jose Villalobos | Licensing Program Analyst | Conducted the complaint investigation |
| Pamela Junge | Executive Director | Met with Licensing Program Analyst during investigation and exit interview |
| Fernando Fierros | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 68
Capacity: 93
Citations: 2
Date: Mar 23, 2022
Visit Reason
The inspection was conducted as a complaint investigation following an allegation that staff were not administering medication as prescribed.
Complaint Details
The complaint was substantiated based on interviews and record reviews. Staff were observed not administering medications as prescribed, and medication logs showed discrepancies. The investigation was conducted by Licensing Program Analyst Nune Margaryan.
Findings
The investigation substantiated the allegation that medications were not administered as prescribed to residents. Specific medications such as Acetaminophen and Loratadine were not given or documented properly, posing an immediate health and safety risk.
Citations (2)
Facility failed to provide Acetaminophen 325 mg, 500 mg, and 650 mg to Resident 1 as prescribed.
Facility failed to provide Loratadine 10 mg to Resident 2 as prescribed.
Report Facts
Facility capacity: 93
Census: 68
Deficiencies cited: 2
Plan of Correction due date: Mar 24, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nune Margaryan | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Wei Siew Ho | Licensing Program Manager | Oversaw the complaint investigation |
| Sophia Chan | Executive Director | Met with Licensing Program Analyst during the inspection |
| Kimia Ateaiian | Administrator | Facility administrator named in the report |
Inspection Report
Complaint Investigation
Census: 68
Capacity: 93
Citations: 1
Date: Mar 21, 2022
Visit Reason
The inspection visit was conducted as a health and safety check related to complaint #28-AS-20220318093921.
Complaint Details
The visit was complaint-related, triggered by complaint #28-AS-20220318093921. The deficiency was substantiated as the water temperature exceeded safe limits.
Findings
The Licensing Program Analyst observed that water temperatures in multiple facility locations exceeded the safe maximum of 120°F, posing a health and safety risk to residents. A deficiency was cited requiring correction.
Citations (1)
Water temperature controls did not maintain hot water temperature between 105°F and 120°F, with observed temperatures ranging from 125.6°F to 130.6°F in various areas.
Report Facts
Water temperature: 130.6
Water temperature: 127.4
Water temperature: 129
Water temperature: 125.6
Deficiency count: 1
Plan of Correction due date: Mar 22, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Angelica Rea | Licensing Program Analyst | Observed water temperature deficiencies and created the report |
| Lisa Hicks | Supervisor | Named as supervisor in the report |
| Kimia Ateaián | Administrator | Facility administrator to whom the deficiency and appeal rights were provided |
Inspection Report
Complaint Investigation
Census: 67
Capacity: 93
Citations: 1
Date: Mar 10, 2022
Visit Reason
An unannounced complaint investigation was conducted due to a complaint regarding an incident report that was not submitted within the required time frame.
Complaint Details
The complaint investigation found the incident report regarding Resident #1 was not reported within the required time. The incident occurred on 2022-03-01 and was reported late on 2022-03-10.
Findings
The Licensing Program Analyst found that an incident involving Resident #1 on 2022-03-01 was not reported to licensing within the required seven days, as it was only provided on 2022-03-10, posing a potential health and safety risk.
Citations (1)
Failure to submit a written incident report to the licensing agency within seven days of the occurrence of an incident threatening the welfare, safety, or health of a resident.
Report Facts
Deficiency Type: 1
Plan of Correction Due Date: Mar 25, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jose Villalobos | Licensing Program Analyst | Conducted the complaint investigation and issued the citation |
| Fernando Fierros | Supervisor | Supervisor overseeing the investigation |
| Sophia Chan | Administrator | Facility administrator who received the Facility Evaluation Report and Appeal Rights |
Inspection Report
Census: 55
Capacity: 93
Citations: 0
Date: Jan 20, 2022
Visit Reason
An informal conference was held to discuss the facility staffing issues, specifically addressing a staffing shortage incident that occurred on 1/15/22.
Findings
The facility experienced a one-time staffing shortage due to miscommunication and COVID-19 positive staff, but no deficiencies were issued during the meeting. The facility has taken steps to improve staffing coverage and was reminded to follow Department of Public Health Guidelines and CCL regulations.
Report Facts
PINs forwarded: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sophia Chan | Facility Administrator | Named in discussion of staffing shortage and facility staffing issues |
| Brooke Lamaonte | Wellness Director | Named in discussion of staffing shortage and facility staffing issues |
| Jose Villalobos | Licensing Program Analyst | Present at informal conference discussing staffing issues |
| Fernando Fierros | Supervisor | Supervisor overseeing the licensing evaluation |
Inspection Report
Complaint Investigation
Census: 56
Capacity: 93
Citations: 1
Date: Jan 5, 2022
Visit Reason
The inspection was an unannounced complaint investigation triggered by an allegation that a staff member was stealing a resident's funds.
Complaint Details
The complaint was substantiated based on interviews, file reviews, and evidence showing unauthorized purchases made by Staff #1 from Resident #1's bank account. Staff #1 resigned and the facility took corrective actions including staff removal and training.
Findings
The investigation substantiated that Staff #1 was responsible for unauthorized spending from Resident #1's bank account without the resident's knowledge. The facility does not manage the resident's finances, yet Staff #1 was able to access the account. Staff #1 resigned following the discovery.
Citations (1)
87468.1 Personal Rights of Residents in All Facilities (a)(3) To be free from punishment, humiliation, intimidation, abuse, or other actions. Resident #1 had been financially abused by Staff #1 leading to non-authorized purchases made to Resident #1's bank account, posing a potential health and safety risk.
Report Facts
Capacity: 93
Census: 56
Deficiency count: 1
Plan of Correction Due Date: Jan 21, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jose Villalobos | Licensing Program Analyst | Conducted the complaint investigation |
| Fernando Fierros | Licensing Program Manager | Oversaw the complaint investigation |
| Kimia Ateaiian | Administrator | Facility administrator involved in the investigation |
| Christina Gonzalez | Staff | Staff member interviewed during the investigation |
Inspection Report
Complaint Investigation
Census: 55
Capacity: 93
Citations: 0
Date: Dec 27, 2021
Visit Reason
An unannounced complaint investigation visit was conducted to address multiple allegations including untimely response to assistance requests, residents in wheelchairs blocking exitways, facility temperature issues, medication delays, and unsafe food preparation.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included requests for assistance not being timely responded to, residents in wheelchairs blocking exitways, the facility being cold, medication not provided timely, and unsafe food preparation. Interviews and observations did not support these allegations.
Findings
The investigation included interviews with residents, staff, and the executive director, as well as facility observations. All allegations were found to be unsubstantiated due to lack of preponderance of evidence, with residents and staff denying the claims and observations supporting timely assistance, clear exitways, appropriate facility temperature, timely medication administration, and safe food preparation practices.
Report Facts
Capacity: 93
Census: 55
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Christine Wong | Licensing Program Analyst | Conducted the complaint investigation visit |
| Sophia Chan | Executive Director | Met with investigator and provided information during the visit |
| Tanya Ramos | Caregiver | Met with investigator and provided information during the visit |
| Kimia Ateaián | Administrator | Facility administrator present during exit interview |
Inspection Report
Annual Inspection
Census: 54
Capacity: 93
Citations: 0
Date: Oct 20, 2021
Visit Reason
Licensing Program Analyst Jose Villalobos conducted an un-announced annual visit with a focus on infection control to evaluate compliance with regulations.
Findings
The facility was found to be clean, sanitary, and in good repair with no deficiencies cited. Infection control practices, physical plant conditions, resident and staff files, and emergency preparedness were all reviewed and found satisfactory.
Report Facts
Resident files reviewed: 5
Staff files reviewed: 5
Water temperature range (F): 105
Water temperature range (F): 120
Non-perishable food supply (days): 7
Perishable food supply (days): 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jose Villalobos | Licensing Program Analyst | Conducted the inspection and infection control review |
| Sophia Chan | Administrator | Facility administrator met with the Licensing Program Analyst during the inspection |
Inspection Report
Complaint Investigation
Census: 64
Capacity: 93
Citations: 0
Date: Apr 25, 2021
Visit Reason
The inspection was an unannounced complaint investigation triggered by an allegation that the facility failed to seek timely medical attention for a resident.
Complaint Details
The complaint alleged that facility staff failed to seek timely medical attention for a resident who fell and injured their arm. The investigation included interviews with staff, residents, and family members, as well as review of medical and hospital documents. The allegation was found to be unsubstantiated due to lack of sufficient evidence.
Findings
The investigation found that the resident fell while trying to reach for their phone and did not complain of pain immediately after. Facility staff assessed the resident and did not observe signs requiring emergency care at that time. The resident later received medical treatment at an orthopedic appointment and hospital. Based on interviews and document reviews, there was insufficient evidence to substantiate the allegation, and the complaint was unsubstantiated.
Report Facts
Facility capacity: 93
Census: 64
Medication dosage: 100
Medication dosage: 500
Medication dosage: 600
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Alma Gonzalez | Licensing Program Analyst | Conducted the complaint investigation and telephonic interviews |
| Rebecca Orendain | Licensing Program Manager | Named as Licensing Program Manager on the report |
| Kimia Ateaiian | Administrator | Facility administrator named in the report |
| Aide Alba | Wellness Director | Interviewed during the investigation and assisted with resident assessment |
| Hannah Bolster | Med Tech | Interviewed regarding resident fall and response |
| Ryan Gallion | Operations Manager | Interviewed by Licensing Program Analyst during investigation |
Inspection Report
Complaint Investigation
Census: 52
Capacity: 93
Citations: 0
Date: Jan 6, 2021
Visit Reason
The inspection was an unannounced complaint investigation triggered by allegations received on 12/28/2020 regarding staff smoking marijuana inside the facility and residents being unable to communicate with family members.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included staff smoking marijuana inside the facility and residents being unable to communicate with family members. Interviews with all staff and residents, as well as observations, did not support these allegations.
Findings
The investigation found no corroborative evidence to support the allegations. Staff and residents denied the claims, and observations did not reveal any violations. Therefore, the allegations were unsubstantiated.
Report Facts
Capacity: 93
Census: 52
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jose Villalobos | Licensing Program Analyst | Conducted the complaint investigation |
| Fernando Fierros | Licensing Program Manager | Oversaw the complaint investigation |
| Mona Tirado | Administrator | Facility administrator interviewed during the investigation |
Inspection Report
Complaint Investigation
Census: 58
Capacity: 93
Citations: 0
Date: Nov 2, 2020
Visit Reason
The inspection was an unannounced complaint investigation triggered by an allegation that the licensee did not provide a resident's records to the authorized representative upon written request.
Complaint Details
The complaint alleged that in May 2020, Resident #1's power of attorney requested resident records which were not provided. The investigation revealed no proof of a power of attorney or authorized representative in the resident's records, leading to an unsubstantiated finding.
Findings
The investigation found no documentation proving that the resident had a power of attorney or authorized representative. Based on interviews and document review, there was insufficient evidence to substantiate the allegation, and the complaint was determined to be unsubstantiated.
Report Facts
Facility capacity: 93
Census: 58
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jose Villalobos | Licensing Program Analyst | Conducted the complaint investigation |
| Mona Tirado | Administrator | Interviewed during investigation and exit interview |
| Fernando Fierros | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 56
Capacity: 93
Citations: 1
Date: Oct 19, 2020
Visit Reason
The inspection was an unannounced complaint investigation conducted due to a complaint received on 09/25/2020 regarding residents not being provided a copy of the admission agreement and other allegations.
Complaint Details
The complaint was substantiated regarding residents not receiving admission agreements immediately upon signing. Other allegations about administrator intervention in resident council, facility disrepair, and nutrition were unsubstantiated. The investigation included telephonic interviews, virtual tours, and document reviews.
Findings
The investigation substantiated the allegation that residents were not provided a copy of the admission agreement immediately upon signing, violating Title 22 regulations. Other allegations regarding inappropriate administrator intervention in resident council, facility disrepair, and nutrition were found unsubstantiated.
Citations (1)
The licensee failed to provide a copy of the signed and dated current admission agreement, and all subsequent signed and dated modifications, to the resident or the resident's representative immediately upon signing.
Report Facts
Capacity: 93
Census: 56
Plan of Correction Due Date: Oct 26, 2020
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tony Vasallo | Licensing Program Analyst | Conducted the complaint investigation |
| Wei Siew Ho | Licensing Program Manager | Oversaw the complaint investigation |
| Kimia Ateaiian | Administrator | Facility administrator involved in the investigation |
| Alba | Wellness Director | Interviewed during the investigation |
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