Inspection Reports for
Summer House at Ladera Heights

The facility was found to have several Type B deficiencies including lack of grab bars in all resident shower areas, staff without updated First Aid certificates, missing health screenings for staff, incomplete medical assessments for residents, missing pre-admission appraisal for one resident, and failure to conduct quarterly fire drills.

The complaint investigation was unsubstantiated based on interviews, observations, and record reviews. Allegations included staff yelling at a resident and making inappropriate comments. All staff and residents denied these allegations, and no evidence supported them.

The investigation included interviews with staff and residents, and a review of relevant documents. All interviewed staff and residents denied the allegations, and no evidence was found to substantiate the claims. The allegations were deemed unsubstantiated and no deficiencies were cited.

The allegation that a resident was restrained by the hands to the bedrails was found to be substantiated based on evidence gathered, interviews, and records reviewed.

The investigation found that Resident #1 was restrained to the bedrails using cloth restraints around the wrists while wearing gloves, which was substantiated as a violation of personal rights. Staff admitted the restraints were used to prevent the resident from removing a Foley catheter and scratching wounds. A citation was issued for this deficiency.

The allegation was that the licensee was restricting resident's visitations. The investigation included interviews with staff, residents, and a witness, as well as review of visitor sign-in sheets and resident records. The allegation was found to be unsubstantiated due to lack of evidence proving restriction of visitation.

The investigation found that although there were delays in responding to visitors, residents were not restricted from having visitors. Staff and witness interviews confirmed that visitors were allowed, and the allegation was found to be unsubstantiated.

The facility was generally found to be clean, safe, and well-maintained with proper supplies and equipment. However, deficiencies were cited related to missing staff training records, incomplete resident files, lack of recent emergency drills, and outdated emergency plan documentation.

The complaint alleged that after a resident was transferred to the Emergency Department, attempts to contact the facility staff were unsuccessful, resulting in the resident being transferred back to the hospital. The allegation was unsubstantiated after investigation.

The investigation included interviews with staff and residents, a facility tour, and document reviews. No evidence was found to substantiate the allegation, and staff and residents reported no issues with residents returning to the facility. The allegation was determined to be unsubstantiated.

The inspection found multiple deficiencies including expired first aid documentation for staff, lack of auditory exit monitoring devices, missing personal property forms for residents, facility cleanliness and maintenance issues, expired administrator certification, and lack of proof of liability insurance. Plans of correction were required for all deficiencies.

The complaint involved two allegations: 1) staff not keeping medications in a safe and locked location, and 2) staff not keeping dangerous items in a safe and locked location. After investigation, there was insufficient evidence to substantiate the allegations, and they were deemed unsubstantiated.

The investigation included interviews with staff, residents, and a witness, as well as observations of the facility. All parties denied the allegations, and no signs of neglect or abuse were observed. Medications and dangerous items were found to be securely stored. The allegations were deemed unsubstantiated.

The follow-up visit found that some deficiencies from 7/21/2023, including unlocked medication cabinet and accessible cleaning chemicals, had not been fully corrected, resulting in civil penalties being issued.

Multiple deficiencies were observed including hot water temperature exceeding the allowed maximum, unlocked medication cabinet, improper bed linens, postural supports without physician prescription, and accessible toxic cleaning supplies posing immediate health and safety risks to residents.

Two deficiencies were cited during the inspection: water temperature in the bathroom and kitchen was found to be 131.5°F, exceeding the allowed maximum of 120°F, posing an immediate health and safety risk; and the facility oven was not operational, posing a potential health and safety risk. Four technical assistance advisories were also issued.

Several deficiencies were observed including excessively high hot water temperature, unlocked drawers and closets containing knives and scissors, lack of a non-slip mat in the bathroom, and a non-operational oven. Due to time constraints, the annual inspection was not completed and will continue at a later date.

Five deficiencies were cited during the visit, including issues with hot water temperature exceeding safe limits, unsafe storage of cleaning chemicals, maintenance problems with resident furniture, incomplete resident records, and unsafe resident accommodations.

The facility was observed to be sanitary, appropriately furnished, and compliant with Title 22 regulations. Five deficiencies were cited during the inspection, and four technical assistance notes were issued.

The allegation that Resident #1 was restrained by the hands to the bedrails was found to be SUBSTANTIATED based on evidence gathered, interviews, and records reviewed.

The investigation substantiated that Resident #1 was restrained to the bedrails using cloth restraints around the wrists, which posed a potential health and safety risk. A deficiency was cited under California Code of Regulations Title 22, Division 6, Chapter 8.