Inspection Reports for
Arcadia Gardens Retirement Hotel

CA, 91007

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Deficiencies (last 7 years)

Deficiencies (over 7 years) 3.9 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

3% better than California average
California average: 4 deficiencies/year

Deficiencies per year

8 6 4 2 0
2019
2021
2022
2023
2024
2025
2026

Census

Latest occupancy rate 95% occupied

Based on a February 2026 inspection.

This facility has shown a decline in demand based on occupancy rates.

Occupancy over time

90 120 150 180 210 Aug 2019 Dec 2021 May 2022 May 2023 Apr 2024 Feb 2025 Feb 2026

Inspection Report

Annual Inspection
Census: 189 Capacity: 200 Deficiencies: 0 Date: Feb 10, 2026

Visit Reason
An unannounced annual inspection visit was conducted to evaluate compliance with licensing requirements, including infection control, physical plant safety, operational requirements, staffing, resident care, and other regulatory standards.

Findings
The facility was found to be in compliance with all applicable regulations, including infection control, physical environment safety, staffing, resident care, food service, disaster preparedness, and resident rights. No deficiencies were observed during the visit.

Report Facts
Full-time staff: 102 Part-time staff: 29 Hospice residents approved: 23 Hospice residents current: 18 Resident files reviewed: 6 Staff files reviewed: 5 Fire/Emergency Drill date: Nov 8, 2025 Fire extinguisher service date: Feb 6, 2026 Administrator certificate expiration: Jul 31, 2026 Liability insurance expiration: Feb 28, 2026

Employees mentioned
NameTitleContext
Pamela ParsonsAdministratorAdministrator who assisted with the facility tour and exit interview
Suzana ZadourianDirector of NursingNursing director who assisted with the visit and facility tour
Sanjay VaidLicensing Program AnalystConducted the unannounced annual inspection visit
Fernando FierrosLicensing Program ManagerNamed as Licensing Program Manager on the report

Inspection Report

Complaint Investigation
Census: 133 Capacity: 200 Deficiencies: 1 Date: Aug 12, 2025

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that the licensee did not issue a timely refund of advance fees as required.

Complaint Details
The complaint alleged that the licensee did not issue a timely refund of advance fees. Five out of five staff interviewed denied the allegation, but three out of five staff acknowledged the refund was valid and delayed. Seven out of eight residents interviewed did not corroborate the allegation. The complaint was substantiated.
Findings
The investigation found no health or safety concerns. Staff interviews revealed a delay in refunding advance fees due to incomplete correspondence between admissions and accounting departments. The allegation was substantiated based on the preponderance of evidence, and deficiencies were cited according to California Code of Regulations, Title 22.

Deficiencies (1)
Facility failed to refund advanced deposit to resident within fifteen days as written in the admission agreement.
Report Facts
Census: 133 Total Capacity: 200 Staff Interview Count: 5 Resident Interview Count: 8 Plan of Correction Due Date: Aug 19, 2025

Employees mentioned
NameTitleContext
Pamela ParsonsAdministratorMet during inspection and named in findings related to refund delay
Sanjay VaidLicensing Program AnalystConducted the complaint investigation
Fernando FierrosLicensing Program ManagerOversaw the complaint investigation

Inspection Report

Complaint Investigation
Capacity: 200 Deficiencies: 1 Date: Aug 12, 2025

Visit Reason
The inspection was an unannounced complaint investigation triggered by an allegation that the licensee did not issue a timely refund of advance fees as required.

Complaint Details
The complaint was substantiated. The allegation was that the licensee did not issue a timely refund of advance fees. Five out of five staff interviewed denied the allegation, but three out of five staff acknowledged the refund was valid and delayed due to internal communication issues. Seven out of eight residents interviewed did not corroborate the allegation.
Findings
The investigation found that the facility failed to refund advanced deposits within fifteen days as required by the admissions agreement. Staff acknowledged the refund delay was due to incomplete correspondence between admissions and accounting departments. The allegation was substantiated and a citation was issued.

Deficiencies (1)
Facility failed to refund advanced deposit to resident within fifteen days as written in the admission agreement.
Report Facts
Census: 133 Capacity: 200 Deficiency count: 1 Plan of Correction Due Date: Aug 19, 2025

Employees mentioned
NameTitleContext
Pamela ParsonsAdministratorMet during inspection and named in citation exit interview
Sanjay VaidLicensing Program AnalystConducted the complaint investigation
Fernando FierrosLicensing Program ManagerNamed as Licensing Program Manager on report

Inspection Report

Annual Inspection
Census: 160 Capacity: 200 Deficiencies: 0 Date: Feb 27, 2025

Visit Reason
An unannounced annual inspection visit was conducted by the Licensing Program Analyst to evaluate compliance with regulations and facility operations.

Findings
The facility was toured and inspected, including resident rooms, food supply, medications, and safety equipment. No deficiencies were observed, and all areas were found to be in compliance with California Code of Regulations, Title 22.

Report Facts
Hospice residents: 22 Hospice waiver residents: 23 Resident bedrooms: 186 Hot water temperature range: 105.0-120.0 Fire/Emergency Drill dates: 2 Fire extinguisher service date: Feb 6, 2025

Employees mentioned
NameTitleContext
Pamela ParsonsAdministratorMet with Licensing Program Analyst during inspection and named in report
Suzana ZadourianDirector of NursingAssisted Licensing Program Analyst with the inspection visit
Sanjay VaidLicensing EvaluatorConducted the unannounced annual inspection visit
Fernando FierrosSupervisorNamed as supervisor on the report

Inspection Report

Census: 162 Capacity: 200 Deficiencies: 0 Date: Jan 16, 2025

Visit Reason
An unannounced case management visit was conducted regarding an incident on the relocation of one resident due to mandatory evacuation orders from the Fire Advisory.

Findings
During the visit, a health and safety check was conducted with no concerns observed. The facility has sufficient staffing and supplies to accommodate 162 residents. One resident was placed by licensing due to the fire, but no residents were relocated from the referenced facility.

Report Facts
Resident relocated: 1 Resident census: 162 Facility capacity: 200

Employees mentioned
NameTitleContext
Alberto LopezLicensing Program AnalystConducted the unannounced case management visit
Pamela ParsonsAdministratorMet with Licensing Program Analyst and provided information during the visit

Inspection Report

Complaint Investigation
Census: 159 Capacity: 200 Deficiencies: 0 Date: Oct 31, 2024

Visit Reason
The inspection was an unannounced complaint investigation visit regarding an allegation that staff were prohibiting a resident from having visits.

Complaint Details
The complaint alleged that staff prohibited a visitor from seeing resident R1 without any court order or restraining order. Staff expressed concerns about the visitor's conduct due to the resident's cognitive impairment. Resident R1 had signed visitor restriction forms but sometimes agreed to visits. Interviews and record reviews showed the visitor was still allowed to visit. The allegation was unsubstantiated due to insufficient evidence.
Findings
The investigation found insufficient evidence to corroborate the allegation. Interviews with residents, staff, family, and review of visitation policies indicated that the visitor was still allowed to visit the resident, and visitation rights were not infringed upon. The allegation was determined to be unsubstantiated.

Report Facts
Staff interviewed: 3 Residents interviewed: 11 Facility capacity: 200 Facility census: 159

Employees mentioned
NameTitleContext
Pamela ParsonsExecutive DirectorMet with during the investigation and named in relation to the allegation
Noemi GalarzaLicensing Program AnalystConducted the complaint investigation
Lisa HicksLicensing Program ManagerNamed as Licensing Program Manager overseeing the investigation

Inspection Report

Complaint Investigation
Census: 159 Capacity: 200 Deficiencies: 0 Date: Oct 31, 2024

Visit Reason
An unannounced complaint investigation visit was conducted regarding an allegation that staff were prohibiting a resident from having visits.

Complaint Details
The complaint alleged that staff prohibited a visitor from seeing resident R1 without any court or restraining order. Staff and resident interviews indicated concerns about the visitor's conduct and the resident's cognitive impairment. Resident R1 had signed visitor restriction forms but sometimes agreed to visits. The allegation was found unsubstantiated due to lack of preponderance of evidence.
Findings
The investigation included interviews and record reviews and found insufficient evidence to substantiate the allegation. The resident's visitation rights were not infringed upon, and the visitor is still allowed to visit the resident.

Report Facts
Capacity: 200 Census: 159 Number of residents interviewed: 11 Number of staff interviewed: 3

Employees mentioned
NameTitleContext
Pamela ParsonsExecutive DirectorMet with during investigation and named in findings
Noemi GalarzaLicensing Program AnalystConducted the complaint investigation
Lisa HicksLicensing Program ManagerNamed in report as Licensing Program Manager

Inspection Report

Complaint Investigation
Census: 160 Capacity: 200 Deficiencies: 0 Date: Oct 21, 2024

Visit Reason
The inspection was an unannounced complaint investigation visit conducted to address the allegation that staff did not abide by the admission agreement at Arcadia Gardens Retirement Hotel.

Complaint Details
The complaint alleged that staff did not abide by the admission agreement regarding Resident #1. The investigation revealed that Resident #1 was not admitted due to a prohibited health condition and lack of hospice care, and the community fee was refunded. Interviews and records did not support the allegation, resulting in an unsubstantiated finding.
Findings
The investigation found insufficient evidence to substantiate the allegation. Interviews with staff and residents, along with record reviews, indicated that the facility refunded the community fee for Resident #1 and that Resident #1 never signed an admission agreement. Staff and residents denied the allegation, and the complaint was determined to be unsubstantiated.

Report Facts
Capacity: 200 Census: 160 Residents interviewed: 11 Staff interviewed: 4 Community fee refund date: Oct 9, 2024

Employees mentioned
NameTitleContext
Erik ZaragozaLicensing Program AnalystConducted the complaint investigation visit
Pamela ParsonsExecutive DirectorFacility administrator met during the investigation
David SicairosLicensing Program ManagerNamed as Licensing Program Manager on the report

Inspection Report

Complaint Investigation
Census: 160 Capacity: 200 Deficiencies: 0 Date: Oct 21, 2024

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that staff did not abide by the admission agreement for a prospective resident.

Complaint Details
The complaint alleged that staff did not abide by the admission agreement for Resident #1. The investigation revealed that Resident #1 was never admitted due to a prohibited health condition and that the community fee was refunded. Interviews with staff and residents did not corroborate the allegation. The complaint was unsubstantiated.
Findings
The investigation found insufficient evidence to substantiate the allegation. Interviews with staff and residents, as well as document reviews, indicated that the facility refunded the community fee and did not admit the resident due to a prohibited health condition. The allegation was determined to be unsubstantiated.

Report Facts
Capacity: 200 Census: 160 Staff interviewed: 4 Residents interviewed: 11 Community fee refund date: Oct 9, 2024

Employees mentioned
NameTitleContext
Erik ZaragozaLicensing Program AnalystConducted the complaint investigation visit
Pamela ParsonsExecutive DirectorFacility administrator met during the investigation
David SicairosLicensing Program ManagerNamed as Licensing Program Manager on the report

Inspection Report

Complaint Investigation
Census: 159 Capacity: 200 Deficiencies: 0 Date: Jun 18, 2024

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2023-10-06 concerning lack of care, neglect, failure to provide documents, failure to provide services per agreement, illegal eviction, non-adherence to admission policy, and staff threatening residents.

Complaint Details
The complaint investigation was unsubstantiated. Allegations included lack of care resulting in medical treatment, neglect, failure to provide resident documents, failure to provide services per agreement, illegal eviction, non-adherence to admission policy, and staff threatening residents. Interviews with nine residents and four staff members, record reviews, and observations did not corroborate the allegations. The resident involved in some allegations was deceased. The final rent statement was adjusted to zero with no payment required.
Findings
The investigation found no substantiated evidence to support any of the allegations. Resident and staff interviews, record reviews, and observations indicated that care was provided timely, admission agreements were given, services were provided as agreed, no illegal eviction occurred, billing was adjusted appropriately, and staff did not threaten residents.

Report Facts
Resident interviews: 9 Staff interviews: 4 Facility capacity: 200 Census: 159 Final rent statement adjustment: 3000

Employees mentioned
NameTitleContext
Pamela ParsonsAdministratorMet with Licensing Program Analyst and involved in investigation
Bonnie TaoLicensing Program AnalystConducted the complaint investigation visits
Fernando FierrosLicensing Program ManagerOversaw the complaint investigation report

Inspection Report

Complaint Investigation
Census: 159 Capacity: 200 Deficiencies: 0 Date: Jun 18, 2024

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by multiple allegations received on 2023-10-06 concerning lack of care, neglect, failure to provide documents, failure to provide services per agreement, illegal eviction, admission policy violations, and staff threatening residents.

Complaint Details
The complaint investigation was unsubstantiated. Allegations included lack of care resulting in medical treatment, neglect, failure to provide resident documents, failure to provide services per agreement, illegal eviction, failure to adhere to admission policy, and staff threatening residents. Interviews with nine residents and four staff members, record reviews, and observations did not corroborate the allegations. Resident #1 had deceased, limiting direct interview. The final rent statement for resident #1 was adjusted to $0 and no payment was required.
Findings
The investigation found no substantiated evidence supporting the allegations. Resident and staff interviews, record reviews, and observations indicated that care was provided timely, admission agreements were given, services were provided as agreed, no illegal evictions occurred, billing was properly adjusted, and staff did not threaten residents. The allegations were determined to be unsubstantiated due to lack of preponderance of evidence.

Report Facts
Capacity: 200 Census: 159 Number of residents interviewed: 9 Number of staff interviewed: 4 Date complaint received: Oct 6, 2023

Employees mentioned
NameTitleContext
Pamela ParsonsAdministratorMet with Licensing Program Analyst during investigation and named in findings
Bonnie TaoLicensing Program AnalystConducted complaint investigation visit
Fernando FierrosLicensing Program ManagerNamed in report as Licensing Program Manager

Inspection Report

Complaint Investigation
Census: 161 Capacity: 200 Deficiencies: 4 Date: Jun 7, 2024

Visit Reason
The inspection was an unannounced complaint investigation visit conducted due to allegations that a resident sustained multiple severe pressure injuries while in care, staff did not seek timely medical attention for the resident, and staff failed to notify the resident's authorized representative of changes in condition.

Complaint Details
The complaint investigation was substantiated. Allegations included a resident sustaining multiple severe pressure injuries, failure of staff to seek timely medical attention, and failure to notify the resident's authorized representative of changes in condition. The resident was deceased as of 03/15/21. The investigation included interviews with staff, review of records, and virtual facility tour. Findings confirmed failures in care and communication.
Findings
The investigation substantiated the allegations that the facility failed to properly address and document a resident's pressure injuries, did not obtain timely medical care, and failed to notify the resident's authorized representative of the change in condition. The resident developed multiple severe pressure injuries, was sent to the hospital, and admitted to hospice care. An immediate $500 civil penalty was issued due to lack of care and supervision.

Deficiencies (4)
Failure to comply with reappraisal requirements, including failure to update resident's Plan of Care and provide medical care for unstageable pressure injuries.
Failure to arrange or assist in arranging appropriate medical and dental care, specifically failure to seek timely medical attention for resident with pressure injuries.
Failure to provide care, supervision, and services sufficient to meet resident's individual needs, including pressure injuries and change in condition.
Failure to regularly inform resident's authorized representatives of activities related to care or services, including ongoing evaluations and changes in condition.
Report Facts
Civil penalty amount: 500 Facility capacity: 200 Resident census: 161 Plan of Correction due date: 2024

Employees mentioned
NameTitleContext
Pamela ParsonsAdministratorMet with during inspection and named in findings related to failure to communicate and supervise care.
Bonnie TaoLicensing Program AnalystConducted the complaint investigation visit.
Fernando FierrosLicensing Program ManagerNamed as Licensing Program Manager overseeing the investigation.

Inspection Report

Complaint Investigation
Census: 161 Capacity: 200 Deficiencies: 4 Date: Jun 7, 2024

Visit Reason
The inspection was an unannounced complaint investigation visit conducted due to allegations that a resident sustained multiple severe pressure injuries while in care, staff did not seek timely medical attention for the resident, and staff failed to notify the resident's authorized representative of changes in the resident's condition.

Complaint Details
The complaint investigation was triggered by allegations that a resident sustained multiple severe pressure injuries, staff failed to seek timely medical attention, and staff did not notify the resident's authorized representative of changes in condition. The investigation was substantiated based on interviews, record reviews, and documentation. The resident passed away during the investigation period.
Findings
The investigation found the allegations substantiated. The facility failed to timely address and document the resident's pressure injuries, did not obtain timely medical treatment, and failed to notify the resident's authorized representative of the change in condition. These failures resulted in the resident's physical decline and multiple severe pressure injuries. A $500 civil penalty was issued due to lack of care and supervision.

Deficiencies (4)
Failure to comply with reappraisal requirements, including documenting or updating resident's Plan of Care and providing medical care for unstageable pressure injuries.
Failure to arrange or assist in arranging timely medical care for resident with pressure injuries.
Failure to provide care, supervision, and services sufficient to meet resident's individual needs related to pressure injuries and change in condition.
Failure to regularly inform resident's authorized representative of activities related to care or services, including ongoing evaluations and change in condition.
Report Facts
Civil penalty amount: 500 Deficiency count: 4 Plan of Correction due date: 2024

Employees mentioned
NameTitleContext
Pamela ParsonsAdministratorMet with Licensing Program Analyst during investigation and named in findings related to failure to communicate and supervise.
Bonnie TaoLicensing Program AnalystConducted the complaint investigation visit and authored the report.
Fernando FierrosLicensing Program ManagerNamed as Licensing Program Manager overseeing the investigation.

Inspection Report

Complaint Investigation
Census: 162 Capacity: 200 Deficiencies: 0 Date: May 30, 2024

Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation that the facility failed to provide a resident's records to an attorney as requested.

Complaint Details
The complaint alleged that on 05/21/2024, the law office requested resident #1's records which were not received by the facility by the due date. The facility received the request on 05/24/2024, but the administrator was out until 05/27/2024. Records were prepared after the administrator's return and were available for review on 05/30/2024. The law firm agreed to accept the records by the end of 05/30/2024. The allegation was unsubstantiated.
Findings
The investigation found that although the facility did not provide the requested records by the initial due date due to administrator absence and document volume, the records were made available for review during the visit and arrangements were made to provide the records by the end of the day. The allegation was determined to be unsubstantiated due to lack of preponderance of evidence.

Report Facts
Capacity: 200 Census: 162 Complaint control number: 28-AS-20240524113755

Employees mentioned
NameTitleContext
Mary G FloresLicensing Program AnalystConducted the complaint investigation visit
Pamela ParsonsAdministratorFacility administrator involved in the investigation and exit interview
Araceli DimaguilaRN SupervisorMet with Licensing Program Analyst during the investigation
Tony VasalloLicensing Program ManagerNamed in report header and signature section

Inspection Report

Complaint Investigation
Census: 162 Capacity: 200 Deficiencies: 0 Date: May 30, 2024

Visit Reason
An unannounced complaint investigation visit was conducted regarding an allegation that the facility failed to provide a resident's records to an attorney as requested on 05/21/2024.

Complaint Details
The complaint alleged the facility failed to provide resident #1's records to an attorney following a request dated 05/21/2024. The facility received the request on 05/24/2024 but was delayed in responding due to the administrator being out of the facility. Records were made available by 05/30/2024, and the law firm accepted the delay. The allegation was unsubstantiated.
Findings
The investigation found that although the facility received the records request late due to the administrator's absence and was unable to provide all records by the due date, the resident's records were available for review during the visit and the law firm accepted a delay until the end of the visit day. The allegation was unsubstantiated due to lack of preponderance of evidence.

Report Facts
Capacity: 200 Census: 162 Date of records request: May 21, 2024 Date facility received request: May 24, 2024 Due date for records: May 29, 2024 Date records provided: May 30, 2024

Employees mentioned
NameTitleContext
Mary G FloresLicensing Program AnalystConducted the complaint investigation visit
Pamela ParsonsAdministratorFacility administrator involved in investigation and exit interview
Araceli DimaguilaRN SupervisorMet with Licensing Program Analyst during investigation

Inspection Report

Complaint Investigation
Census: 154 Capacity: 200 Deficiencies: 0 Date: Apr 16, 2024

Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that staff were prohibiting a resident from having visits.

Complaint Details
The complaint alleged that staff were prohibiting resident R1 from having visits with a friend. Interviews with staff, residents, and the friend, as well as review of a Visitor Restriction form, indicated that visits were allowed and privacy was provided. The allegation was determined to be unsubstantiated.
Findings
The investigation included interviews with staff, residents, and review of resident files. The allegation was found to be unsubstantiated due to lack of sufficient evidence, with staff and residents denying the claim and documentation supporting that visits were allowed.

Report Facts
Capacity: 200 Census: 154

Employees mentioned
NameTitleContext
Tena HerreraLicensing Program AnalystConducted the complaint investigation and authored the report
Pamela ParsonsExecutive DirectorFacility representative met during the investigation
David SicairosLicensing Program ManagerNamed in the report as Licensing Program Manager

Inspection Report

Complaint Investigation
Census: 154 Capacity: 200 Deficiencies: 0 Date: Apr 16, 2024

Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that staff were prohibiting a resident from having visits.

Complaint Details
The complaint alleged that staff were prohibiting resident R1 from having visits with a friend. Interviews with staff, residents, and the friend, as well as review of the resident's file, indicated that visits were allowed and privacy was provided. The allegation was determined to be unsubstantiated.
Findings
The investigation included interviews with staff, residents, and review of resident files. The allegation was found to be unsubstantiated as there was insufficient evidence to prove that staff prohibited visits.

Report Facts
Census: 154 Total Capacity: 200

Employees mentioned
NameTitleContext
Pamela ParsonsExecutive DirectorMet with Licensing Program Analyst during the investigation and named in the report
Tena HerreraLicensing Program AnalystConducted the complaint investigation
David SicairosLicensing Program ManagerNamed in the report as Licensing Program Manager

Inspection Report

Census: 152 Capacity: 200 Deficiencies: 0 Date: Mar 22, 2024

Visit Reason
The inspection visit was an unannounced site inspection for the expansion of the dementia unit on the 2nd floor at the facility.

Findings
No issues were observed during the visit. The facility's new dementia unit expansion, fire clearance, structure, bedrooms, hygiene supplies, smoke detectors, staff and resident files, water temperature, and fire safety equipment were all found to be in compliance with regulations.

Report Facts
Hospice Waivers approved: 23 Residents non-ambulatory: 175 Residents bedridden: 25 Resident bedrooms: 186 Dementia unit rooms: 11 Water temperature range (°F): 110.6 Water temperature range (°F): 112.9 Fire clearance date: Mar 20, 2024

Employees mentioned
NameTitleContext
Pamela ParsonsAdministratorMet during the inspection and involved in the visit regarding the dementia unit expansion.
David ChirikianChief Operations OfficerMet during the inspection and involved in the visit regarding the dementia unit expansion.
Bonnie TaoLicensing EvaluatorConducted the unannounced site inspection.
Fernando FierrosSupervisorSupervisor overseeing the inspection.

Inspection Report

Complaint Investigation
Census: 153 Capacity: 200 Deficiencies: 0 Date: Mar 19, 2024

Visit Reason
The visit was an unannounced complaint investigation conducted to investigate allegations received on 04/07/2023 regarding staff response times, privacy, safeguarding of personal belongings, and the comfort of the resident environment.

Complaint Details
The complaint investigation was unsubstantiated. Allegations included staff not responding timely to residents, not providing privacy, not safeguarding personal belongings, and not providing a comfortable environment. Resident and staff interviews, as well as observations, did not corroborate these allegations.
Findings
The investigation found no preponderance of evidence to substantiate the allegations. Interviews with residents and staff, facility tours, and record reviews indicated that staff responded timely to calls for help, provided privacy during visits, safeguarded residents' belongings, and maintained comfortable room temperatures.

Report Facts
Residents interviewed: 11 Staff interviewed: 5 Response time to signal button: 2 Range of time staff attended to residents' rooms: 3 Range of time staff attended to residents' rooms: 10 Room temperature range: 70 Room temperature range: 75

Employees mentioned
NameTitleContext
Pamela ParsonsAdministratorMet with Licensing Program Analyst during the investigation
Bonnie TaoLicensing Program AnalystConducted the complaint investigation visit
Fernando FierrosLicensing Program ManagerNamed as Licensing Program Manager on the report

Inspection Report

Complaint Investigation
Census: 153 Capacity: 200 Deficiencies: 0 Date: Mar 19, 2024

Visit Reason
The visit was an unannounced complaint investigation conducted to investigate allegations that facility staff were overcharging a resident and threatening to evict a resident.

Complaint Details
The complaint involved allegations that facility staff overcharged resident #1 an additional $2000 monthly rent for care and services in 2023, and that staff threatened to evict a resident. The investigation included interviews with eight residents and six staff members, a facility tour, and record review. No corroborating evidence was found, and the allegations were unsubstantiated.
Findings
The investigation found no evidence to substantiate the allegations. Interviews with residents and staff, as well as record reviews, showed that the facility did not overcharge residents or threaten eviction. The allegations were determined to be unsubstantiated.

Report Facts
Additional monthly rent increase: 150 Number of residents interviewed: 8 Number of staff interviewed: 6

Employees mentioned
NameTitleContext
Bonnie TaoLicensing Program AnalystConducted the complaint investigation visit
Pamela ParsonsAdministratorFacility administrator met during the investigation
Fernando FierrosLicensing Program ManagerNamed as Licensing Program Manager on the report

Inspection Report

Complaint Investigation
Census: 153 Capacity: 200 Deficiencies: 0 Date: Mar 19, 2024

Visit Reason
The visit was an unannounced complaint investigation conducted to investigate allegations received on 2023-04-07 regarding staff response times, privacy, safeguarding of personal belongings, and the comfort of the environment for residents.

Complaint Details
The complaint investigation was unsubstantiated. Allegations included staff not responding timely to residents, not providing privacy, not safeguarding personal belongings, and not providing a comfortable environment. Interviews with residents and staff, as well as observations, did not corroborate these allegations.
Findings
The investigation found no preponderance of evidence to substantiate the allegations. Residents and staff interviews, as well as observations, indicated that staff responded timely to calls for help, provided privacy during visits, safeguarded residents' belongings, and maintained comfortable room temperatures.

Report Facts
Residents interviewed: 11 Staff interviewed: 5 Response time to signal button: 2 Range of time staff attended to residents' rooms: 3-10 Facility temperature range: 70-75

Employees mentioned
NameTitleContext
Pamela ParsonsAdministratorMet with Licensing Program Analyst during investigation and named in report
Bonnie TaoLicensing Program AnalystConducted the complaint investigation
Fernando FierrosLicensing Program ManagerNamed in report as Licensing Program Manager

Inspection Report

Complaint Investigation
Census: 153 Capacity: 200 Deficiencies: 0 Date: Mar 19, 2024

Visit Reason
The visit was conducted to investigate complaints alleging that facility staff were overcharging a resident and threatening eviction.

Complaint Details
The complaint investigation was unsubstantiated. Allegations included overcharging a resident an additional $2000 monthly rent and threatening eviction. Interviews and record reviews did not corroborate these allegations.
Findings
The investigation included interviews with residents and staff, a facility tour, and record reviews. No evidence was found to substantiate the allegations; residents and staff denied the claims, and records showed no improper charges or eviction notices.

Report Facts
Capacity: 200 Census: 153 Monthly rent increase: 150

Employees mentioned
NameTitleContext
Pamela ParsonsAdministratorMet with Licensing Program Analyst during investigation
Bonnie TaoLicensing Program AnalystConducted the complaint investigation
Fernando FierrosLicensing Program ManagerNamed in report as Licensing Program Manager

Inspection Report

Annual Inspection
Census: 155 Capacity: 200 Deficiencies: 0 Date: Mar 12, 2024

Visit Reason
An unannounced annual inspection visit was conducted to evaluate compliance with licensing requirements for the facility.

Findings
The facility was found to be in compliance with all applicable regulations. Resident rooms and bathrooms were clean and well maintained, safety systems were operable, food supplies were adequate, and medications and records were properly stored. No deficiencies were cited.

Report Facts
Facility capacity: 200 Current census: 155 Non-ambulatory residents capacity: 175 Bedridden residents capacity: 25 Hospice residents capacity: 23 Hot water temperature range: 106.2 Hot water temperature range: 110.5 Staff response time to call signals: 3 Staff response time to call signals: 5

Employees mentioned
NameTitleContext
Pamela ParsonsAdministratorMet during inspection and named in report
Bonnie TaoLicensing EvaluatorConducted the inspection and signed the report
Fernando FierrosSupervisorNamed as supervisor in the report

Inspection Report

Complaint Investigation
Census: 154 Capacity: 200 Deficiencies: 0 Date: Mar 7, 2024

Visit Reason
The visit was an unannounced complaint investigation conducted in response to multiple allegations including resident injuries, failure to meet resident needs, leaving residents in soiled clothing, and failure to safeguard personal belongings.

Complaint Details
The complaint investigation was unsubstantiated. Allegations included resident injuries, failure to meet resident needs, leaving residents in soiled clothing, and failure to safeguard personal belongings. Interviews with 10 residents and 4 staff members did not corroborate the allegations. Observations and record reviews supported that care was provided appropriately and personal belongings were not stolen.
Findings
The investigation found no preponderance of evidence to substantiate any of the allegations. Resident and staff interviews, observations, and record reviews indicated that care was timely and appropriate, residents were not left in soiled clothing, and personal belongings were generally safeguarded.

Report Facts
Resident interviews: 10 Staff interviews: 4 Facility capacity: 200 Facility census: 154

Employees mentioned
NameTitleContext
Bonnie TaoLicensing Program AnalystConducted the complaint investigation
Fernando FierrosLicensing Program ManagerOversaw the complaint investigation
Pamela ParsonsAdministratorFacility administrator met during investigation and exit interview

Inspection Report

Complaint Investigation
Census: 154 Capacity: 200 Deficiencies: 0 Date: Mar 7, 2024

Visit Reason
The visit was an unannounced complaint investigation conducted to address allegations including resident injuries, failure to meet resident needs, leaving residents in soiled clothing, and failure to safeguard residents' personal belongings.

Complaint Details
The complaint investigation was unsubstantiated. Allegations included resident injuries, failure to meet resident needs, leaving residents in soiled clothing, and failure to safeguard personal belongings. Interviews with 10 residents and 4 staff members did not corroborate the allegations.
Findings
The investigation found no preponderance of evidence to substantiate any of the allegations. Resident and staff interviews, observations, and record reviews indicated that care was timely and appropriate, residents were not left in soiled clothing, and staff assisted in safeguarding residents' belongings.

Report Facts
Residents interviewed: 10 Staff interviewed: 4 Capacity: 200 Census: 154

Employees mentioned
NameTitleContext
Bonnie TaoLicensing Program AnalystConducted the complaint investigation
Fernando FierrosLicensing Program ManagerOversaw the complaint investigation
Pamela ParsonsAdministratorFacility administrator met during the investigation and exit interview

Inspection Report

Complaint Investigation
Census: 162 Capacity: 200 Deficiencies: 4 Date: Dec 15, 2023

Visit Reason
The inspection was an unannounced complaint investigation visit conducted due to allegations that a resident sustained multiple severe pressure injuries while in care, staff did not seek timely medical attention for the resident, and staff failed to notify the resident's authorized representative of changes in condition.

Complaint Details
The complaint investigation was substantiated. The resident sustained multiple severe pressure injuries that were not properly addressed or documented. Staff failed to seek timely medical attention and did not notify the resident's authorized representative of the change in condition. The resident was hospitalized and admitted to hospice care. The facility was issued a $500 civil penalty.
Findings
The investigation substantiated the allegations that the facility failed to address and document the resident's pressure injuries in the care plan, did not obtain timely medical attention, and failed to notify the resident's authorized representative of the change in condition. The resident developed multiple severe pressure injuries, was sent to the hospital, and admitted to hospice care. A $500 civil penalty was issued for lack of care and supervision.

Deficiencies (4)
Failure to comply with CCR 87631(a)(3)(B) requiring documentation of all aspects of care performed by medical professionals and facility staff in the resident's file, failure to update resident's Plan of Care, and failure to provide care by medical professional for unstageable pressure injuries.
Failure to arrange or assist in arranging medical care appropriate to the conditions and needs of residents as required by CCR 87465(a)(1), specifically failure to seek timely medical attention for resident with pressure injuries.
Failure to regularly inform resident's representatives of activities related to care or services including ongoing evaluations as required by CCR 87468.1(a)(8), specifically failure to notify resident's authorized representative of change in condition.
Failure of Administrator to have knowledge of requirements for providing care and supervision appropriate to residents as required by CCR 87405(d)(1), specifically failure to provide proper care to resident with pressure injuries and change in condition.
Report Facts
Civil penalty amount: 500 Capacity: 200 Census: 162 Plan of Correction Due Dates: Due dates for POCs are 12/15/2023 and 12/21/2023 as stated for various deficiencies.

Employees mentioned
NameTitleContext
Pamela ParsonsExecutive DirectorMet with during inspection and mentioned in findings related to failure to communicate resident's condition.
Valeria MaldonadoLicensing Program AnalystConducted the complaint investigation visit.
Fernando FierrosLicensing Program ManagerNamed as Licensing Program Manager overseeing the investigation.

Inspection Report

Complaint Investigation
Census: 162 Capacity: 200 Deficiencies: 4 Date: Dec 15, 2023

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations that a resident sustained multiple severe pressure injuries, staff did not seek timely medical attention for the resident, and staff failed to notify the resident's authorized representative of the change in condition.

Complaint Details
The complaint investigation was substantiated. Allegations included multiple severe pressure injuries sustained by a resident, failure to seek timely medical attention, and failure to notify the resident's authorized representative of the change in condition. The resident passed away on 2021-03-15. The investigation involved interviews with staff, resident's representative, social worker, and review of records from multiple sources.
Findings
The investigation substantiated that the resident developed multiple severe pressure injuries due to staff failing to address and document the injuries in the care plan and failing to obtain timely medical attention. Staff also failed to notify the resident's authorized representative of the resident's declining condition. An immediate $500 civil penalty was issued due to lack of care and supervision.

Deficiencies (4)
Failure to comply with regulation 87631 Healing Wounds: did not document or update resident's Plan of Care and did not provide medical care for unstageable pressure injuries.
Failure to comply with regulation 87465 Incidental Medical and Dental Care: failed to seek timely medical attention for resident with pressure injuries.
Failure to comply with regulation 87468.1 Personal Rights of Residents: failed to notify resident's authorized representative of change in condition.
Failure to comply with regulation 87405 Administrator Qualifications and Duties: failed to provide proper care to resident with pressure injuries and change in condition.
Report Facts
Civil penalty amount: 500 Census: 162 Total capacity: 200 Plan of Correction due dates: 2023

Employees mentioned
NameTitleContext
Valeria MaldonadoLicensing Program AnalystConducted the complaint investigation visit and delivered findings.
Fernando FierrosLicensing Program ManagerOversaw the complaint investigation report.
Pamela ParsonsExecutive DirectorFacility administrator involved in interviews and acknowledged findings.

Inspection Report

Complaint Investigation
Census: 164 Capacity: 200 Deficiencies: 0 Date: Sep 7, 2023

Visit Reason
An unannounced complaint investigation was conducted in response to allegations received on 10/04/2021 regarding medication dispensing, food quality, and pest issues at the facility.

Complaint Details
The complaint investigation was unsubstantiated. Allegations included staff not dispensing medication as prescribed, poor food quality, and presence of ants. Interviews with 11 residents and 6 staff members, record reviews, and facility tours did not support the allegations.
Findings
The investigation found all allegations to be unsubstantiated after interviews with residents and staff, review of medication administration records, facility tours, and documentation. Residents and staff denied the allegations, and no evidence of ants was observed. The facility was found to be in compliance with medication administration, food quality, and pest control measures.

Report Facts
Residents interviewed: 11 Staff interviewed: 6 Capacity: 200 Census: 164 Medication Administration Records reviewed: 2 In-service training date: Aug 15, 2021

Employees mentioned
NameTitleContext
Bonnie TaoLicensing Program AnalystConducted the complaint investigation
Pamela ParsonsAdministratorFacility administrator met during inspection and exit interview
Fernando FierrosLicensing Program ManagerNamed as Licensing Program Manager on report

Inspection Report

Complaint Investigation
Census: 164 Capacity: 200 Deficiencies: 0 Date: Sep 7, 2023

Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to allegations received on 10/04/2021 regarding medication dispensing, food quality, and pest issues at the facility.

Complaint Details
The complaint investigation was unsubstantiated. Allegations included staff not dispensing medication as prescribed, poor food quality, and presence of ants. Interviews with 11 residents and 6 staff, record reviews, and facility tours did not corroborate the allegations. The facility had a pest control contract and no ants were observed.
Findings
The investigation found all allegations to be unsubstantiated after interviews with residents and staff, review of medication administration records, facility tours, and documentation. Residents and staff denied the allegations, and no evidence of ants was observed. The facility was found to be providing medication as prescribed and good quality food.

Report Facts
Residents interviewed: 11 Staff interviewed: 6 Capacity: 200 Census: 164 Medication Administration Records reviewed: 2 In-service training date: Aug 15, 2021

Employees mentioned
NameTitleContext
Bonnie TaoLicensing Program AnalystConducted the complaint investigation
Pamela ParsonsAdministratorFacility administrator met during the investigation and exit interview
Fernando FierrosLicensing Program ManagerNamed as Licensing Program Manager on the report

Inspection Report

Complaint Investigation
Census: 171 Capacity: 200 Deficiencies: 0 Date: May 18, 2023

Visit Reason
The inspection was an unannounced complaint investigation visit conducted to investigate allegations including insufficient staffing to meet resident care needs, lack of accessible ombudsman contact information, and unlawful changes to residents' insurance.

Complaint Details
The complaint investigation was unannounced and conducted due to allegations of insufficient staffing, inaccessible ombudsman contact information, and unlawful insurance changes. All allegations were found unsubstantiated based on resident and staff interviews, observations, and document reviews.
Findings
The investigation found no substantiation for the allegations. Residents and staff interviews, facility tours, and record reviews showed adequate staffing, proper posting of ombudsman contact information, and that insurance changes were communicated and voluntary due to termination of a health insurance agency's service with the facility.

Report Facts
Residents interviewed: 10 Staff interviewed: 4 Residents with insurance ending: 17

Employees mentioned
NameTitleContext
Bonnie TaoLicensing Program AnalystConducted the complaint investigation visit
Pamela ParsonsAdministratorFacility administrator who assisted with the investigation and exit interview
Fernando FierrosLicensing Program ManagerNamed as Licensing Program Manager on the report

Inspection Report

Complaint Investigation
Census: 171 Capacity: 200 Deficiencies: 0 Date: May 18, 2023

Visit Reason
The visit was an unannounced complaint investigation conducted to investigate allegations including insufficient staffing to meet resident care needs, lack of accessible ombudsman contact information, and unlawful changes to residents' insurance.

Complaint Details
The complaint investigation was unsubstantiated. Allegations included insufficient staff to meet resident care needs, inaccessible ombudsman contact information, and unlawful insurance changes. Interviews and observations did not support these claims, and the facility provided proper notifications and options regarding insurance changes.
Findings
The investigation found no substantiation for the allegations. Residents and staff interviews, facility tours, and record reviews showed adequate staffing, proper posting of ombudsman contact information, and that insurance changes were communicated properly with residents' voluntary consent.

Report Facts
Residents interviewed: 10 Staff interviewed: 4 Residents with insurance ending: 17

Employees mentioned
NameTitleContext
Pamela ParsonsAdministratorMet with Licensing Program Analyst and assisted with the complaint investigation
Bonnie TaoLicensing Program AnalystConducted the complaint investigation visit
Fernando FierrosLicensing Program ManagerNamed in report header and signature

Inspection Report

Complaint Investigation
Census: 174 Capacity: 200 Deficiencies: 0 Date: Mar 14, 2023

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations that residents were not being provided activities and that staff were not providing adequate food service during the COVID-19 lockdown.

Complaint Details
The complaint investigation was unsubstantiated. Allegations included residents not being provided activities and inadequate food service. Interviews with residents and staff, file reviews, and facility tours showed compliance with COVID-19 protocols and that activities and adequate food service were provided.
Findings
The investigation found that the allegations were unsubstantiated. Most residents and all staff denied the allegations. The facility followed COVID-19 protocols by modifying activities to in-room events and delivering meals in 'to-go' containers to ensure food was served hot. The facility was in compliance with dietary and activity protocols during the lockdown.

Report Facts
Capacity: 200 Census: 174 Residents interviewed: 13 Staff interviewed: 6 COVID-19 outbreak date: Dec 16, 2020

Employees mentioned
NameTitleContext
Bonnie TaoLicensing Program AnalystConducted the complaint investigation visit
Fernando FierrosLicensing Program ManagerNamed as Licensing Program Manager overseeing the investigation
Pamela ParsonsAdministratorFacility administrator met during the investigation and exit interview

Inspection Report

Complaint Investigation
Census: 174 Capacity: 200 Deficiencies: 0 Date: Mar 14, 2023

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 12/18/2020 regarding the facility not assisting residents with activities of daily living (ADLs), not providing lunch to residents, and serving cold food.

Complaint Details
The complaint investigation was unsubstantiated. Allegations included failure to assist resident #2 with ADLs and social activities, failure to provide lunch in a communal dining setting, and serving cold food. Interviews with residents and staff, file reviews, and facility tours revealed compliance with care and COVID-19 protocols, and no evidence supported the allegations.
Findings
The investigation found no preponderance of evidence to substantiate the allegations. Staff and most residents denied the allegations, and the facility followed COVID-19 protocols restricting communal dining and ensuring meal delivery. The report concluded the allegations were unsubstantiated.

Report Facts
Capacity: 200 Census: 174 Number of residents interviewed: 13 Number of staff interviewed: 6

Employees mentioned
NameTitleContext
Bonnie TaoLicensing Program AnalystConducted the complaint investigation visit and interviews
Fernando FierrosLicensing Program ManagerNamed as Licensing Program Manager overseeing the investigation
Pat RednerAdministratorFacility administrator met during inspection and exit interview

Inspection Report

Complaint Investigation
Census: 174 Capacity: 200 Deficiencies: 0 Date: Mar 14, 2023

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations that residents were not being provided activities and that staff were not providing adequate food service during the COVID-19 lockdown.

Complaint Details
The complaint investigation was unsubstantiated. Allegations included residents not being provided activities and staff not providing adequate food service. The investigation included resident and staff interviews, file reviews, and facility tours. Findings showed the facility complied with COVID-19 protocols and provided activities and adequate food service despite lockdown restrictions.
Findings
The investigation found that the allegations were unsubstantiated. Most residents and all staff interviewed denied the allegations. The facility followed COVID-19 protocols including modified social activities and meal delivery procedures to ensure safety and adequate service during lockdown.

Report Facts
Census: 174 Total Capacity: 200 Number of residents interviewed: 13 Number of staff interviewed: 6

Employees mentioned
NameTitleContext
Bonnie TaoLicensing Program AnalystConducted the complaint investigation visit
Pamela ParsonsAdministratorFacility administrator met during the investigation and exit interview
Fernando FierrosLicensing Program ManagerNamed as Licensing Program Manager on the report

Inspection Report

Complaint Investigation
Census: 174 Capacity: 200 Deficiencies: 0 Date: Mar 14, 2023

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 12/18/2020 concerning the facility not assisting residents with activities of daily living (ADLs), not providing lunch to residents, and serving cold food to residents.

Complaint Details
The complaint investigation was unsubstantiated. Allegations included failure to assist residents with ADLs, failure to provide lunch in a communal dining setting, and serving cold food. Interviews and documentation showed compliance with care and COVID-19 protocols, and no evidence supported the allegations.
Findings
The investigation included resident and staff interviews, file reviews, and facility tours. The findings were unsubstantiated as most residents and staff denied the allegations, and documentation showed the facility followed COVID-19 protocols restricting communal dining and ensuring meal delivery. There was no preponderance of evidence to prove the alleged violations occurred.

Report Facts
Census: 174 Total Capacity: 200 Number of residents interviewed: 13 Number of staff interviewed: 6

Employees mentioned
NameTitleContext
Bonnie TaoLicensing Program AnalystConducted the complaint investigation visit and interviews
Fernando FierrosLicensing Program ManagerNamed as Licensing Program Manager overseeing the investigation
Pamela ParsonsAdministratorFacility administrator met during the investigation and exit interview

Inspection Report

Annual Inspection
Census: 170 Capacity: 200 Deficiencies: 0 Date: Feb 25, 2023

Visit Reason
The inspection was an unannounced required annual inspection using the Infection Control tool to evaluate the facility's compliance with regulations.

Findings
No deficiencies were observed or cited during the visit. The facility was found to be in compliance with Title 22 regulations, including infection control, medication administration, staff records, and physical plant conditions.

Report Facts
Client files reviewed: 17 Staff files reviewed: 6 Clients' medications reviewed: 17 Licensed capacity: 200 Current census: 170 Bedridden residents capacity: 25 Memory care unit hospice waiver capacity: 23 Hot water temperature range: 105.6 Hot water temperature range: 110.4 PPE supply duration: 30

Employees mentioned
NameTitleContext
Pamela ParsonsExecutive DirectorMet with Licensing Program Analyst during inspection and exit interview
Julie ChirikianLicenseeMet with Licensing Program Analyst during inspection and exit interview
Valeria MaldonadoLicensing EvaluatorConducted the inspection and signed the report
Fernando FierrosSupervisorSupervisor overseeing the inspection

Inspection Report

Complaint Investigation
Census: 117 Capacity: 200 Deficiencies: 1 Date: Nov 22, 2022

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 08/02/2022 regarding the facility not allowing a resident to have visitors.

Complaint Details
The complaint was substantiated based on interviews with residents, staff, Power of Attorney, and document review. The allegation was that the facility was not allowing a resident to have visitors. The preponderance of evidence standard was met, confirming the violation.
Findings
The investigation substantiated the allegation that the facility failed to allow Individual #1 to visit a resident, which was found to be an immediate health and safety risk. Interviews with residents, staff, and review of documentation confirmed the restriction was not justified.

Deficiencies (1)
Facility failed to permit Individual #1 and all visitors to visit residents during reasonable hours, violating residents' personal rights.
Report Facts
Capacity: 200 Census: 117 Deficiencies cited: 1

Employees mentioned
NameTitleContext
Glenn TruemanLicensing Program AnalystConducted the complaint investigation visit and authored the report
Wei Siew HoLicensing Program ManagerOversaw the complaint investigation
Pamela ParsonsAdministratorFacility Administrator named in the report
Araceli DimaguilaAssistant AdministratorMet with Licensing Program Analyst during the visit and refused to sign the report
Julie ChirikianOwnerInterviewed during the investigation

Inspection Report

Complaint Investigation
Census: 117 Capacity: 200 Deficiencies: 1 Date: Nov 22, 2022

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 08/02/2022 alleging that the facility was not allowing a resident to have visitors.

Complaint Details
The complaint was substantiated. The allegation was that the facility was not allowing a resident to have visitors. Interviews with Resident R1, R3, staff, and review of Power of Attorney documentation showed no restriction on visitation. The facility's failure to allow visitation was found to be a violation.
Findings
The allegation that the facility was not allowing a resident to have visitors was substantiated based on interviews with residents, staff, and review of resident files. The facility failed to permit Individual #1 to visit, which was found to cause an immediate health and safety risk to residents in care.

Deficiencies (1)
Failure to allow visitors, including Individual #1, to visit residents during reasonable hours, violating residents' personal rights.
Report Facts
Capacity: 200 Census: 117 Deficiencies cited: 1 Plan of Correction Due Date: Nov 10, 2022

Employees mentioned
NameTitleContext
Glenn TruemanLicensing Program AnalystConducted the complaint investigation and authored the report
Wei Siew HoLicensing Program ManagerOversaw the complaint investigation
Pamela ParsonsAdministratorFacility administrator interviewed during investigation
Araceli DimaguilaAssistant AdministratorMet with Licensing Program Analyst during investigation and refused to sign the report
Julie ChirikianOwnerInterviewed during the investigation

Inspection Report

Complaint Investigation
Census: 171 Capacity: 200 Deficiencies: 0 Date: Nov 21, 2022

Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to allegations received on 11/17/2022 regarding transportation to doctor appointments and safeguarding of residents' belongings.

Complaint Details
The complaint investigation was unsubstantiated. Allegations included failure to provide transportation to a resident for a doctor's appointment and failure to safeguard resident belongings. Interviews and file reviews showed transportation was arranged but the appointment was rescheduled, and residents' belongings were returned appropriately.
Findings
The investigation found that the facility did provide transportation to residents for doctor appointments, and the allegation regarding failure to safeguard residents' belongings was not substantiated. Resident and staff interviews, as well as file reviews, supported these findings. The allegations were determined to be unsubstantiated due to lack of preponderance of evidence.

Report Facts
Resident interviews: 8 Staff interviews: 6 Resident interviews: 8 Staff interviews: 6

Employees mentioned
NameTitleContext
Pamela ParsonsAdministratorMet with Licensing Program Analyst during investigation and named in findings
Bonnie TaoLicensing Program AnalystConducted the complaint investigation
Fernando FierrosLicensing Program ManagerNamed in report as Licensing Program Manager

Inspection Report

Complaint Investigation
Census: 171 Capacity: 200 Deficiencies: 0 Date: Nov 21, 2022

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations that the facility did not provide transportation to a resident's doctor appointment and was not safeguarding residents' belongings.

Complaint Details
The complaint investigation was unsubstantiated. Allegations included failure to provide transportation to a resident's doctor appointment and failure to safeguard residents' belongings. Resident and staff interviews, as well as file reviews, did not support the allegations.
Findings
The investigation found that the facility did provide transportation to residents for doctor appointments, including arranging transportation for the resident in question, although the appointment was rescheduled and the ride canceled. Regarding safeguarding belongings, the investigation revealed that the facility returned clothing items to residents and did not fail to safeguard residents' belongings. The allegations were unsubstantiated due to lack of preponderance of evidence.

Report Facts
Resident interviews: 8 Staff interviews: 6

Employees mentioned
NameTitleContext
Pamela ParsonsAdministratorMet during investigation and participated in exit interview
Bonnie TaoLicensing Program AnalystConducted the complaint investigation
Fernando FierrosLicensing Program ManagerNamed in report as Licensing Program Manager

Inspection Report

Complaint Investigation
Census: 170 Capacity: 200 Deficiencies: 1 Date: Nov 9, 2022

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint alleging that the facility was not allowing a resident to have visitors.

Complaint Details
The complaint was substantiated. The allegation was that the facility was not allowing a resident to have visitors. Interviews with residents, staff, and review of Power of Attorney documentation showed no restriction on visitation. The facility was found to have failed to allow the visitor, constituting an immediate health and safety risk.
Findings
The investigation found the allegation substantiated based on interviews with residents, staff, Power of Attorney documentation, and file reviews. The facility failed to permit a visitor (Individual #1) to visit a resident, which was determined to be an immediate health and safety risk.

Deficiencies (1)
Facility failed to permit Individual #1 to visit a resident, violating residents' personal rights to have visitors during reasonable hours.
Report Facts
Capacity: 200 Census: 170 Plan of Correction Due Date: POC due date was 11/10/2022

Employees mentioned
NameTitleContext
Glenn TruemanLicensing Program AnalystConducted the complaint investigation and authored the report
Wei Siew HoLicensing Program ManagerOversaw the complaint investigation
Pamela ParsonsAdministratorFacility Administrator named in the report
Araceli DimaguilaAssistant AdministratorMet with Licensing Program Analyst during the investigation and refused to sign the report
Julie ChirikianOwnerInterviewed during the investigation

Inspection Report

Complaint Investigation
Census: 170 Capacity: 200 Deficiencies: 1 Date: Nov 9, 2022

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint alleging that the facility was not allowing a resident to have visitors.

Complaint Details
The complaint alleged that the facility was not allowing a resident to have visitors. The allegation was substantiated based on interviews with residents, staff, Power of Attorney, and document review. The resident expressed a desire to have the visitor and no documented restriction existed. The facility was cited for violating personal rights regulations.
Findings
The investigation substantiated the allegation that the facility failed to allow a resident to have visitors, which was found to be an immediate health and safety risk. Interviews with residents, staff, and review of documentation confirmed the restriction was not justified.

Deficiencies (1)
Facility failed to permit Individual #1 to visit a resident, violating residents' personal rights to have visitors during reasonable hours.
Report Facts
Census: 170 Total Capacity: 200 Deficiencies cited: 1 Plan of Correction Due Date: Nov 10, 2022

Employees mentioned
NameTitleContext
Glenn TruemanLicensing Program AnalystConducted the complaint investigation and authored the report
Wei Siew HoLicensing Program ManagerOversaw the complaint investigation
Pamela ParsonsAdministratorFacility administrator named in the report
Araceli DimaguilaAssistant AdministratorMet with Licensing Program Analyst during investigation and refused to sign the report
Julie ChirikianOwnerInterviewed during the investigation

Inspection Report

Complaint Investigation
Capacity: 200 Deficiencies: 0 Date: Jun 23, 2022

Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received on 2020-12-18 regarding the facility not assisting residents with ADLs, not providing lunch to residents, and serving cold food.

Complaint Details
The complaint investigation was unsubstantiated. Allegations included neglect/lack of care for not assisting residents with ADLs, personal rights violation for not providing lunch, and food service issues for serving cold food. Evidence and interviews did not prove the alleged violations occurred.
Findings
The investigation found that Resident #2, who is wheelchair bound, was assisted with ADLs as needed, residents did not recall missed meal services during communal dining shutdown, and food was served in a manner to ensure it was hot. All allegations were found to be unsubstantiated due to lack of preponderance of evidence.

Report Facts
Facility capacity: 200

Employees mentioned
NameTitleContext
Elizabeth CenicerosLicensing Program AnalystConducted the complaint investigation visit
Pamela ParsonsAdministratorFacility administrator met with the investigator and was involved in interviews
Araceli RamirezLicensing Program ManagerNamed as Licensing Program Manager on the report

Inspection Report

Complaint Investigation
Capacity: 200 Deficiencies: 0 Date: Jun 23, 2022

Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations that residents were not being provided activities and that staff were not providing adequate food service.

Complaint Details
The complaint investigation was triggered by allegations received on 12/23/2020 regarding lack of resident activities and inadequate food service. After review of interviews, records, and virtual and on-site tours, both allegations were found to be unsubstantiated.
Findings
The investigation found that the facility was following COVID-19 protocols by modifying activities and meal delivery methods to ensure safety and compliance. Both allegations were found to be unsubstantiated due to lack of preponderance of evidence.

Report Facts
Capacity: 200

Employees mentioned
NameTitleContext
Elizabeth CenicerosLicensing Program Analyst (LPA)/Retired Annuitant (RA)Conducted the unannounced complaint investigation visit
Pamela ParsonsAdministratorFacility administrator met with the investigator and was involved in the investigation
Araceli RamirezLicensing Program ManagerNamed as Licensing Program Manager on the report

Inspection Report

Complaint Investigation
Census: 179 Capacity: 200 Deficiencies: 0 Date: Jun 23, 2022

Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received on 2021-10-04 regarding medication dispensing, food quality, and presence of ants at the facility.

Complaint Details
The complaint investigation was unsubstantiated. Allegations included staff not dispensing medication as prescribed, poor food quality, and presence of ants. After interviews, record reviews, and facility tours, none of the allegations were substantiated.
Findings
The investigation found no preponderance of evidence to substantiate the allegations. Medication was administered as prescribed, food quality was satisfactory, and no ants were observed during the visit. All allegations were determined to be unsubstantiated.

Report Facts
Capacity: 200 Census: 179

Employees mentioned
NameTitleContext
Elizabeth CenicerosLicensing Program AnalystConducted the complaint investigation visit and authored the report
Pamela ParsonsAdministratorFacility administrator met during the investigation and exit interview
Pat RednerNamed as Administrator in facility information

Inspection Report

Complaint Investigation
Capacity: 200 Deficiencies: 0 Date: Jun 23, 2022

Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to allegations received on 2020-12-18 regarding the facility not assisting residents with ADLs, not providing lunch to residents, and serving cold food.

Complaint Details
The complaint investigation was triggered by allegations of neglect/lack of care (not assisting resident with ADLs), personal rights violation (not providing lunch), and food service issues (food served cold). All allegations were found to be unsubstantiated after review of records, interviews with residents and staff, and virtual tours.
Findings
The investigation found no preponderance of evidence to substantiate the allegations. Resident care, meal service, and food temperature were found to be in compliance based on interviews, record reviews, and virtual tours. All allegations were determined to be unsubstantiated.

Report Facts
Facility capacity: 200

Employees mentioned
NameTitleContext
Elizabeth CenicerosLicensing Program AnalystConducted the complaint investigation visit
Pamela ParsonsAdministratorFacility administrator met during the investigation and interviewed
Pat RednerAdministratorNamed as facility administrator in report header

Inspection Report

Complaint Investigation
Capacity: 200 Deficiencies: 0 Date: Jun 23, 2022

Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to allegations received on 2020-12-23 regarding residents not being provided activities and staff not providing adequate food service.

Complaint Details
The complaint investigation was unannounced and based on allegations that residents were not provided activities and staff were not providing adequate food service. After review of records, interviews, and virtual tours, the allegations were found to be unsubstantiated.
Findings
The investigation found that the facility was following COVID-19 protocols by modifying activities to maintain social distancing and providing meals in a 'to-go' style during communal dining shutdown. There was insufficient evidence to substantiate the allegations; therefore, both allegations were found to be unsubstantiated.

Report Facts
Capacity: 200

Employees mentioned
NameTitleContext
Elizabeth CenicerosLicensing Program AnalystConducted the complaint investigation visit and authored the report
Pamela ParsonsAdministratorFacility administrator met during the investigation and was involved in interviews

Inspection Report

Complaint Investigation
Census: 174 Capacity: 200 Deficiencies: 0 Date: May 20, 2022

Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that the facility was not allowing visitors for a resident.

Complaint Details
The allegation was that the facility was not allowing visitor #1 to visit resident #1. The investigation included interviews with staff and residents, review of resident records, and a facility tour. The allegation was unsubstantiated.
Findings
The investigation found that six residents and five staff denied the allegation, and the resident in question did not want the visitor to visit. There was no court-ordered restraining order to deny visits. The allegation was unsubstantiated due to lack of preponderance of evidence.

Report Facts
Capacity: 200 Census: 174

Employees mentioned
NameTitleContext
Bonnie TaoEvaluator / Licensing Program AnalystConducted the complaint investigation
Pamela ParsonsAdministratorMet with investigators during the visit
Fernando FierrosLicensing Program ManagerNamed in report signature

Inspection Report

Complaint Investigation
Census: 174 Capacity: 200 Deficiencies: 0 Date: May 20, 2022

Visit Reason
The inspection was an unannounced complaint investigation conducted in response to an allegation that the facility was not allowing visitors for a resident.

Complaint Details
The complaint alleged that the facility was not allowing visitors for a resident. The investigation revealed no violation of the resident's personal rights, and the allegation was unsubstantiated.
Findings
The investigation found that six residents and five staff denied the allegation, and there was no court-ordered restraining order to deny visits. A letter from the resident indicated they did not want the visitor to visit. Therefore, the allegation was unsubstantiated.

Report Facts
Census: 174 Total Capacity: 200

Employees mentioned
NameTitleContext
Bonnie TaoLicensing Program AnalystConducted the complaint investigation
Fernando FierrosLicensing Program ManagerNamed in report signature
Pamela ParsonsAdministratorMet with investigators during the visit

Inspection Report

Complaint Investigation
Census: 171 Capacity: 200 Deficiencies: 0 Date: Apr 22, 2022

Visit Reason
Unannounced complaint investigation visit conducted due to allegations that facility staff left a resident on the floor for an extended period and did not allow residents to have visitors.

Complaint Details
The complaint investigation was unsubstantiated. Allegations included a resident being left on the floor for an extended period and denial of visitors. Interviews with residents and staff, record reviews, and observations did not support the allegations. The facility followed a POA's letter restricting a visitor, and law enforcement was involved when the visitor acted aggressively.
Findings
The investigation found no evidence to substantiate the allegations. Interviews with residents and staff, review of records, and observations did not confirm that a resident was left on the floor for an extended time or that residents were denied visitors. The facility complied with a power of attorney's request to restrict a specific visitor, and no court-ordered restraining order was in place.

Report Facts
Capacity: 200 Census: 171 Number of residents interviewed: 7 Number of staff interviewed: 6

Employees mentioned
NameTitleContext
Bonnie TaoLicensing Program AnalystConducted the complaint investigation
Fernando FierrosLicensing Program ManagerOversaw the complaint investigation
Pamela ParsonsAdministratorFacility administrator interviewed during investigation
Pat RednerAdministratorNamed as facility administrator in report header

Inspection Report

Complaint Investigation
Census: 171 Capacity: 200 Deficiencies: 0 Date: Apr 22, 2022

Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received on 10/25/2021 regarding facility staff leaving a resident on the floor for an extended period and not allowing residents to have visitors.

Complaint Details
The complaint investigation was unsubstantiated. Allegations included a resident being left on the floor for an hour and denial of visitors. Interviews with seven residents and five staff members did not corroborate the allegations. The facility followed a POA's letter restricting a visitor, and law enforcement was involved due to visitor's aggressive behavior. No court-ordered restraining order was in place.
Findings
The investigation found no evidence to substantiate the allegations. Interviews with residents and staff, review of records, and observation did not support the claims. The facility complied with a power of attorney's request to restrict a specific visitor, and no violation of residents' rights was found.

Report Facts
Census: 171 Total Capacity: 200 Complaint Control Number: 28-AS-20211025125712

Employees mentioned
NameTitleContext
Pamela ParsonsAdministratorMet during the visit and involved in investigation findings regarding visitor restrictions
Bonnie TaoLicensing Program AnalystConducted the complaint investigation
Fernando FierrosLicensing Program ManagerNamed as Licensing Program Manager on the report

Inspection Report

Annual Inspection
Census: 180 Capacity: 200 Deficiencies: 1 Date: Mar 4, 2022

Visit Reason
An unannounced annual inspection visit was conducted to evaluate compliance with licensing requirements and regulations.

Findings
The facility was generally found to be in compliance with regulations including cleanliness, safety, and resident accommodations. However, deficiencies were cited related to maintenance, specifically holes above shower hosts in two resident bathrooms.

Deficiencies (1)
A hole located above the shower host in residents’ bathroom in resident room #110 and #104 was observed. The hole was taped with a piece of tape.
Report Facts
Residents on Hospice: 14 Residents with approved Hospice Waiver: 23 Bedridden residents: 25 Resident bedrooms: 186 Fire/Emergency Drill date: Jan 11, 2022 Fire extinguisher last service date: Jan 12, 2022 Hot water temperature range (Fahrenheit): 105.2-114.8 Plan of Correction Due Date: Mar 10, 2022

Employees mentioned
NameTitleContext
Pamela ParsonsAdministratorMet with Licensing Program Analyst during inspection and assisted with visit
Julie ChirikianLicenseeMet with Licensing Program Analyst during inspection
Fernando FierrosSupervisorSupervisor overseeing the inspection
Bonnie TaoLicensing EvaluatorLicensing Program Analyst conducting the inspection

Inspection Report

Complaint Investigation
Census: 176 Capacity: 200 Deficiencies: 0 Date: Feb 24, 2022

Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received on 01/05/2021 regarding resident isolation and residents being served cold food.

Complaint Details
The complaint involved allegations that a resident was isolated and that residents were served cold food. The investigation was unannounced and included interviews, virtual and physical tours, and review of protocols. The allegations were found to be unsubstantiated due to insufficient evidence.
Findings
The investigation found insufficient evidence to substantiate the allegations. Residents were quarantined in their rooms due to COVID-19 precautions, which some residents felt caused isolation, but the facility provided activities and support. Food was served in styrofoam containers with heat packs, and most residents had microwaves; only one resident reported food arriving cold without a microwave. The kitchen and food service were observed to be compliant with regulations.

Report Facts
Residents interviewed: 10 Meals times: 3 Snack times: 3

Employees mentioned
NameTitleContext
Noemi GalarzaLicensing Program AnalystConducted the complaint investigation and delivered findings
Pamela ParsonsExecutive DirectorMet with during the investigation and exit interview
Lisa HicksLicensing Program ManagerNamed as Licensing Program Manager on the report

Inspection Report

Complaint Investigation
Census: 176 Capacity: 200 Deficiencies: 0 Date: Feb 24, 2022

Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received on 01/05/2021 regarding resident isolation and residents being served cold food at the facility.

Complaint Details
The complaint investigation was unsubstantiated. Allegations included resident isolation and residents being served cold food. Interviews and observations showed quarantine measures due to COVID-19, with staff efforts to mitigate isolation and proper food handling. There was no preponderance of evidence to prove violations occurred.
Findings
The investigation found insufficient evidence to substantiate the allegations. Residents were quarantined in their rooms due to COVID-19 precautions, which some residents felt caused isolation, but staff provided activities and regular check-ins. Food was served in styrofoam containers and most residents had means to warm food; only one resident reported food arriving cold without a microwave. The kitchen and food handling protocols were observed to be compliant and sanitary.

Report Facts
Capacity: 200 Census: 176 Residents interviewed: 10 Residents reporting isolation: 5 Residents reporting cold food: 1 Meal times: 3 Snack times: 3

Employees mentioned
NameTitleContext
Noemi GalarzaLicensing Program AnalystConducted the complaint investigation and delivered findings
Pamela ParsonsExecutive DirectorMet with during the investigation and exit interview
Pat RednerAdministratorFacility administrator named in the report header

Inspection Report

Complaint Investigation
Census: 178 Capacity: 200 Deficiencies: 0 Date: Feb 15, 2022

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2022-01-11 regarding visitor restrictions, unmet resident needs, failure to safeguard personal belongings, and lack of activities for a resident.

Complaint Details
The complaint involved four allegations: 1) Facility not allowing visitors for a resident; 2) Facility staff failed to meet resident's needs; 3) Facility staff failed to safeguard resident's personal belongings; 4) Facility staff failed to provide activities for resident in care. All allegations were found unsubstantiated based on interviews, observations, and document reviews.
Findings
The investigation found insufficient evidence to substantiate the allegations. Interviews with residents, staff, and the Executive Director, along with observations and document reviews, indicated that visitors were allowed following COVID-19 protocols, residents' needs were met, personal belongings were not missing, and daily activities were provided and attended.

Report Facts
Facility capacity: 200 Resident census: 178 Visitor denial duration: 4 Value of alleged stolen ring: 1900 Alleged duration resident screamed for help: 20

Employees mentioned
NameTitleContext
Alma GonzalezLicensing Program AnalystConducted the complaint investigation and interviews
Pamela ParsonsExecutive DirectorFacility administrator interviewed regarding allegations and findings
Stefanie CoronelLicensing Program ManagerOversaw complaint investigation report

Inspection Report

Complaint Investigation
Census: 178 Capacity: 200 Deficiencies: 0 Date: Feb 15, 2022

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2022-01-11 regarding multiple allegations about resident care and facility practices at Arcadia Gardens Retirement Hotel.

Complaint Details
The complaint included allegations that the facility did not allow visitors for a resident, failed to meet resident's needs, failed to safeguard resident's personal belongings, and failed to provide activities. The investigation concluded all allegations were unsubstantiated due to lack of sufficient evidence.
Findings
The investigation found insufficient evidence to substantiate the allegations that the facility restricted visitor access, failed to meet resident needs, failed to safeguard personal belongings, or failed to provide activities. Interviews with residents, staff, and the Executive Director, along with observations and document reviews, supported that the facility met regulatory requirements and resident needs.

Report Facts
Facility capacity: 200 Resident census: 178 Value of alleged stolen item: 1900

Employees mentioned
NameTitleContext
Pamela ParsonsExecutive DirectorInterviewed regarding complaint allegations and investigation findings
Alma GonzalezLicensing Program AnalystConducted the complaint investigation and authored the report
Stefanie CoronelLicensing Program ManagerNamed as Licensing Program Manager on the report

Inspection Report

Complaint Investigation
Census: 178 Capacity: 200 Deficiencies: 0 Date: Feb 14, 2022

Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received on 10/25/2021 regarding resident care and visitor restrictions at the facility.

Complaint Details
The complaint investigation was unsubstantiated. Allegations included a resident being left on the floor for an hour and staff not allowing residents to have visitors. Resident and staff interviews, as well as record reviews, did not support these claims.
Findings
The investigation found no preponderance of evidence to substantiate the allegations that a resident was left on the floor for an extended period or that staff did not allow residents to have visitors. Interviews with residents and staff, as well as record reviews, did not corroborate the complaints, resulting in an unsubstantiated determination.

Report Facts
Capacity: 200 Census: 178 Resident interviews: 7 Staff interviews: 5

Employees mentioned
NameTitleContext
Bonnie TaoLicensing Program AnalystConducted the complaint investigation
Fernando FierrosLicensing Program ManagerOversaw the complaint investigation
Pat RednerAdministratorFacility administrator present during the investigation
Pamela ParsonAdministratorMet with Licensing Program Analyst during the visit

Inspection Report

Complaint Investigation
Census: 178 Capacity: 200 Deficiencies: 0 Date: Feb 14, 2022

Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received on 10/25/2021 regarding resident care and visitor restrictions at the facility.

Complaint Details
The complaint investigation addressed two allegations: 1) Facility staff left a resident on the floor for an extended period after a fall, and 2) Facility staff did not allow residents to have visitors. Both allegations were found to be unsubstantiated based on interviews and record reviews.
Findings
The investigation found no preponderance of evidence to substantiate the allegations that a resident was left on the floor for an extended period and that residents were not allowed visitors. Interviews with residents and staff, as well as record reviews, did not corroborate the complaints, resulting in an unsubstantiated determination.

Report Facts
Census: 178 Total Capacity: 200 Resident corroboration count: 7 Staff corroboration count: 5 Resident corroboration count: 7 Staff corroboration count: 5

Employees mentioned
NameTitleContext
Bonnie TaoLicensing Program AnalystConducted the complaint investigation
Fernando FierrosLicensing Program ManagerOversaw the complaint investigation
Pamela ParsonAdministratorFacility administrator who met with the investigator
Pat RednerAdministratorNamed as facility administrator in report header

Inspection Report

Complaint Investigation
Census: 180 Capacity: 200 Deficiencies: 0 Date: Jan 10, 2022

Visit Reason
The inspection was an unannounced complaint investigation triggered by an allegation that the facility does not have adequate hot water available to residents.

Complaint Details
The complaint alleged inadequate hot water availability. The investigation found no preponderance of evidence to substantiate the allegation, resulting in an unsubstantiated finding.
Findings
The investigation included interviews with staff and residents, review of repair invoices, and water temperature measurements in resident bathrooms. The allegation was found to be unsubstantiated as water temperatures met Title 22 guidelines and residents confirmed hot water availability.

Report Facts
Residents interviewed: 10 Bathrooms tested: 11 Capacity: 200 Census: 180

Employees mentioned
NameTitleContext
Kruz LongLicensing Program AnalystConducted the complaint investigation and authored the report
Fernando FierrosLicensing Program ManagerOversaw the complaint investigation
Araceli DimaguilaRegistered NurseFacility staff member interviewed during the investigation

Inspection Report

Complaint Investigation
Census: 180 Capacity: 200 Deficiencies: 0 Date: Jan 10, 2022

Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that the facility does not have adequate hot water available to residents.

Complaint Details
The complaint was unsubstantiated after investigation, with no evidence found to prove the alleged violation regarding inadequate hot water availability.
Findings
The Licensing Program Analyst tested water temperatures in multiple resident bathrooms and bedrooms, all within Title 22 guidelines. Interviews with residents and staff indicated hot water was available. The allegation was found to be unsubstantiated due to lack of preponderance of evidence.

Report Facts
Number of residents present: 180 Total licensed capacity: 200 Number of resident bathrooms tested: 11 Number of residents interviewed: 10

Employees mentioned
NameTitleContext
Kruz LongLicensing Program AnalystConducted the complaint investigation and authored the report
Fernando FierrosLicensing Program ManagerNamed as Licensing Program Manager on the report
Araceli DimaguilaRegistered NurseMet with Licensing Program Analyst during investigation

Inspection Report

Complaint Investigation
Census: 184 Capacity: 200 Deficiencies: 0 Date: Dec 11, 2021

Visit Reason
Unannounced complaint investigation visit conducted due to allegations that staff did not assist resident with walking and did not protect resident's personal items.

Complaint Details
The complaint investigation was unsubstantiated. Allegations included staff not assisting a resident with walking and staff not protecting resident's personal items. Interviews and document reviews did not support these allegations.
Findings
The investigation found both allegations unsubstantiated based on interviews with residents, staff, administrator, and document reviews. Staff assist residents with walking when requested, and residents usually misplace personal items rather than them being stolen by staff.

Report Facts
Residents interviewed: 14 Staff interviewed: 5 Facility capacity: 200 Facility census: 184

Employees mentioned
NameTitleContext
Mary G FloresEvaluator / Licensing Program AnalystConducted the complaint investigation visit.
Bonnie TaoLicensing Program AnalystConducted the initial unannounced complaint investigation visit on 7/28/21.
Pamela ParsonsAdministratorFacility administrator interviewed during the investigation.
Rebecca OrendainLicensing Program ManagerNamed in the report as Licensing Program Manager.
Pat RednerAdministratorNamed as facility administrator.

Inspection Report

Complaint Investigation
Census: 184 Capacity: 200 Deficiencies: 0 Date: Dec 11, 2021

Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations that staff did not assist residents with walking and did not protect residents' personal items.

Complaint Details
The complaint investigation was triggered by allegations that staff did not assist residents with walking and did not protect residents' personal items. After interviews with residents, staff, and the administrator, and document review, the allegations were found unsubstantiated.
Findings
The investigation found both allegations to be unsubstantiated based on interviews with residents, staff, the administrator, and review of relevant documents. Staff were reported to assist residents with walking when requested, and there was no evidence that residents' personal items were stolen by staff.

Report Facts
Residents interviewed: 14 Staff interviewed: 5

Employees mentioned
NameTitleContext
Mary G FloresEvaluator / Licensing Program AnalystConducted the complaint investigation visit
Pamela ParsonsAdministratorFacility administrator interviewed during the investigation
Bonnie TaoLicensing Program AnalystConducted the initial unannounced complaint investigation visit on 7/28/21
Rebecca OrendainLicensing Program ManagerNamed in report header and signature section

Inspection Report

Complaint Investigation
Census: 184 Capacity: 200 Deficiencies: 0 Date: Dec 7, 2021

Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation that staff opened residents' mail.

Complaint Details
The complaint alleged that staff opened residents' mail. Interviews with eleven residents and ten staff members denied this allegation. Mail policy review and observations confirmed mail remained unopened and placed in residents' locked mailboxes. The allegation was unsubstantiated due to lack of evidence.
Findings
The investigation found no evidence to support the allegation. Interviews with residents and staff, as well as observations of mail handling practices, indicated that residents' mail was not opened by staff. The allegation was determined to be unsubstantiated.

Report Facts
Complaint Control Number: 28-AS-20211201091411 Number of residents interviewed: 11 Number of staff interviewed: 10

Employees mentioned
NameTitleContext
Bonnie TaoLicensing Program AnalystConducted the complaint investigation visit
Pamela ParsonsAdministratorMet with Licensing Program Analyst during investigation
Fernando FierrosLicensing Program ManagerNamed in report as Licensing Program Manager

Inspection Report

Complaint Investigation
Census: 184 Capacity: 200 Deficiencies: 0 Date: Dec 7, 2021

Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation that staff opened residents' mail.

Complaint Details
The complaint alleged that staff opened residents' mail. After investigation, including interviews and observations, the allegation was found to be unsubstantiated due to lack of evidence.
Findings
The investigation included interviews with residents, staff, and review of mail policy. No evidence was found to support the allegation; residents and staff denied that mail was opened by staff, and mail was observed to be placed in locked mailboxes. The allegation was determined to be unsubstantiated.

Report Facts
Census: 184 Total Capacity: 200

Employees mentioned
NameTitleContext
Bonnie TaoLicensing Program AnalystConducted the complaint investigation visit
Pamela ParsonsAdministratorMet with Licensing Program Analyst during the investigation
Fernando FierrosLicensing Program ManagerNamed in report as Licensing Program Manager

Inspection Report

Complaint Investigation
Capacity: 200 Deficiencies: 0 Date: Dec 1, 2021

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2019-05-15 regarding neglect resulting in multiple pressure injuries and residents being left in soiled diapers for extended periods.

Complaint Details
The complaint alleged that a resident sustained multiple pressure injuries due to neglect and that staff left the resident in soiled diapers for an extended period. The investigation was unsubstantiated due to lack of evidence supporting the allegations.
Findings
The investigation found no evidence to support the allegations. Interviews with residents and staff, review of medical and facility records, and site observations indicated that care was provided appropriately, including timely changing of adult briefs and repositioning of residents. The allegations were determined to be unsubstantiated.

Report Facts
Resident interviews: 12 Staff interviews: 11 Resident interviews: 12 Staff interviews: 11 Facility capacity: 200

Employees mentioned
NameTitleContext
Pat RednerAdministratorNamed in relation to denial of allegations and interviews during investigation
Pamela ParsonsAdministratorMet with during visit and exit interview
Bonnie TaoLicensing Program AnalystConducted the complaint investigation
Fernando FierrosLicensing Program ManagerNamed as Licensing Program Manager on report

Inspection Report

Complaint Investigation
Capacity: 200 Deficiencies: 0 Date: Dec 1, 2021

Visit Reason
The visit was an unannounced complaint investigation triggered by allegations that a resident sustained multiple pressure injuries due to neglect and that staff left a resident in soiled diapers for an extended period of time.

Complaint Details
The complaint investigation was unsubstantiated. Allegations included neglect causing pressure injuries and leaving a resident in soiled diapers. Multiple interviews and record reviews failed to find evidence supporting these claims. The resident in question had been relocated and was unavailable for interview.
Findings
The investigation found no evidence to support the allegations. Interviews with residents and staff, review of medical and facility records, and site observations did not corroborate neglect or improper care. The allegations were determined to be unsubstantiated.

Report Facts
Facility capacity: 200 Resident interviews: 12 Staff interviews: 11 Resident brief change frequency: 2

Employees mentioned
NameTitleContext
Pat RednerAdministratorDenied allegations and was interviewed during the investigation
Pamela ParsonsAdministratorMet with during the visit and participated in exit interview
Bonnie TaoLicensing Program AnalystConducted the complaint investigation
Fernando FierrosLicensing Program ManagerOversaw the complaint investigation

Inspection Report

Complaint Investigation
Census: 140 Capacity: 200 Deficiencies: 0 Date: Nov 17, 2021

Visit Reason
An unannounced complaint investigation was conducted in response to allegations that staff did not respond to residents' calls in a timely manner and did not safeguard residents' personal items.

Complaint Details
The complaint investigation was unsubstantiated. Allegations included staff not responding timely to resident calls and not safeguarding personal items. Interviews with staff and residents, and testing of the call system, showed timely responses and no evidence of personal items being lost due to staff negligence.
Findings
The investigation found that most residents reported timely staff response to calls, with a call system functioning properly, and that while some residents reported missing personal items, these were typically found elsewhere in their rooms. There was insufficient evidence to substantiate the allegations, resulting in an unsubstantiated finding.

Report Facts
Residents interviewed: 14 Staff interviewed: 6 Residents reporting timely response: 12 Residents reporting missing items: 3 Call response time: 2

Employees mentioned
NameTitleContext
Cynthia D ChanLicensing Program AnalystConducted the complaint investigation
Pamela ParsonsExecutive DirectorMet with investigator and provided information about facility operations
Lisa HicksLicensing Program ManagerNamed in report as Licensing Program Manager

Inspection Report

Complaint Investigation
Census: 140 Capacity: 200 Deficiencies: 0 Date: Nov 17, 2021

Visit Reason
The inspection was an unannounced complaint investigation conducted in response to allegations that staff did not respond to residents' calls in a timely manner and did not safeguard residents' personal items.

Complaint Details
The complaint was unsubstantiated. Allegations included staff not responding timely to calls and failure to safeguard personal items. Interviews and observations did not provide sufficient evidence to prove violations occurred.
Findings
The investigation found that staff generally responded to call signals promptly, with 12 out of 14 residents confirming timely responses and a test call responded to within 2 minutes. Regarding safeguarding personal items, some residents reported missing items, but there was insufficient evidence to substantiate the allegations.

Report Facts
Residents interviewed: 14 Staff interviewed: 6 Residents reporting timely response: 12 Residents reporting missing personal items: 3 Capacity: 200 Census: 140

Employees mentioned
NameTitleContext
Cynthia D ChanLicensing Program AnalystConducted the complaint investigation
Pamela ParsonsExecutive DirectorFacility representative interviewed during investigation

Inspection Report

Complaint Investigation
Census: 168 Capacity: 200 Deficiencies: 0 Date: Jul 28, 2021

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations that staff did not assist residents with walking and did not protect residents' personal items.

Complaint Details
The complaint investigation was unsubstantiated. Allegations included staff not assisting residents with walking and not protecting residents' personal items. Interviews and observations did not support these allegations.
Findings
The investigation included observations, interviews with residents and staff, and review of resident files. The allegations were found to be unsubstantiated due to lack of preponderance of evidence. Residents and staff reported that assistance with walking was provided and personal items were generally protected, with some items misplaced rather than missing.

Report Facts
Residents interviewed: 14 Staff interviewed: 5 Residents reporting staff assist with walking: 12 Residents unable to answer about walking assistance: 2 Residents reporting no missing personal items: 8 Residents reporting missing personal items: 4 Residents unable to answer about missing personal items: 1 Staff reporting protection of personal items: 4

Employees mentioned
NameTitleContext
Bonnie TaoLicensing Program AnalystConducted the complaint investigation visit
Pamela ParsonsAdministratorMet with Licensing Program Analyst during the investigation
Julie ChirikianLicenseeMet with Licensing Program Analyst during the investigation
Fernando FierrosLicensing Program ManagerNamed in report as Licensing Program Manager

Inspection Report

Complaint Investigation
Census: 168 Capacity: 200 Deficiencies: 0 Date: Jul 28, 2021

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations that staff did not assist residents with walking and did not protect residents' personal items.

Complaint Details
The complaint involved two allegations: staff not assisting residents with walking and staff not protecting residents' personal items. Interviews revealed most residents reported staff assistance with walking and protection of personal items. Some residents reported missing items but staff assisted in locating them. The investigation did not find sufficient evidence to substantiate the allegations.
Findings
The investigation included observations, interviews with residents and staff, and review of resident files. The allegations were found to be unsubstantiated due to lack of preponderance of evidence supporting the claims.

Report Facts
Residents interviewed: 14 Staff interviewed: 5 Residents reporting staff assistance with walking: 12 Residents unable to answer about walking assistance: 2 Residents reporting no missing personal items: 8 Residents reporting missing personal items: 4 Residents unable to answer about missing items: 1 Staff reporting protection of personal items: 4

Employees mentioned
NameTitleContext
Bonnie TaoLicensing Program AnalystConducted the complaint investigation visit
Fernando FierrosLicensing Program ManagerNamed in report as Licensing Program Manager
Pat RednerAdministratorFacility Administrator met during investigation
Pamela ParsonsAdministratorMet with Licensing Program Analyst during investigation
Julie ChirikianLicenseeMet with Licensing Program Analyst during investigation

Inspection Report

Complaint Investigation
Census: 168 Capacity: 200 Deficiencies: 0 Date: Jul 1, 2021

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations that the facility was not allowing residents to visit privately during reasonable hours without prior notice and was retaliating against a resident for complaints filed on their behalf.

Complaint Details
The complaint investigation was unsubstantiated. Allegations included denial of private visits during reasonable hours without prior notice and retaliation against a resident for filing complaints. Interviews and policy review did not support these claims.
Findings
The investigation included resident and staff interviews, resident file review, and visitor policy review. The allegations were found to be unsubstantiated due to lack of preponderance of evidence, with residents and staff stating visitors were allowed private visits and no retaliation was evident.

Report Facts
Capacity: 200 Census: 168

Employees mentioned
NameTitleContext
Bonnie TaoEvaluator / Licensing Program AnalystConducted the complaint investigation
Pamela ParsonsAdministratorMet with investigators and participated in interviews
Fernando FierrosLicensing Program ManagerNamed in report as Licensing Program Manager

Inspection Report

Complaint Investigation
Census: 168 Capacity: 200 Deficiencies: 0 Date: Jul 1, 2021

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations that the facility was not allowing a resident to visit privately during reasonable hours without prior notice and that the facility was retaliating against a resident for complaints filed on their behalf.

Complaint Details
The complaint investigation was unsubstantiated. Allegations included denial of private visits during reasonable hours without prior notice and retaliation against a resident for filing complaints. Interviews and policy review did not support these claims.
Findings
The investigation included resident and staff interviews, resident file review, and visitor policy review. The allegations were found to be unsubstantiated due to lack of preponderance of evidence, with residents and staff stating visitors were allowed private visits and no retaliation was evident.

Report Facts
Capacity: 200 Census: 168

Employees mentioned
NameTitleContext
Pamela ParsonsAdministratorMet with during the investigation and mentioned in findings
Bonnie TaoLicensing Program AnalystConducted the complaint investigation
Fernando FierrosLicensing Program ManagerNamed in report as Licensing Program Manager

Inspection Report

Complaint Investigation
Census: 169 Capacity: 200 Deficiencies: 1 Date: May 19, 2021

Visit Reason
An unannounced complaint investigation visit was conducted due to allegations that the facility has pests.

Complaint Details
The complaint was substantiated based on resident and staff interviews, facility tours, and review of pest control documentation. The facility was found to have ants in resident bathrooms despite monthly pest control services.
Findings
The investigation found that pests were reported by residents in their bathrooms, with five out of thirteen residents interviewed confirming sightings. The facility receives monthly pest control services, and the allegations were substantiated.

Deficiencies (1)
Buildings and Grounds. The facility shall be clean, safe, sanitary and in good repair at all times for the safety and well-being of clients, employees and visitors. The licensee shall take measures to keep the facility free of flies and other insects. This requirement was not met by evidence of ants sighting in resident bathrooms.
Report Facts
Deficiencies cited: 1 Capacity: 200 Census: 169

Employees mentioned
NameTitleContext
Bonnie TaoEvaluator / Licensing Program AnalystConducted the complaint investigation visit
Pat RednerAdministratorFacility administrator involved in the investigation and exit interview
Fernando FierrosLicensing Program ManagerNamed in report as Licensing Program Manager

Inspection Report

Complaint Investigation
Census: 169 Capacity: 200 Deficiencies: 1 Date: May 19, 2021

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations that the facility had pests.

Complaint Details
The complaint was substantiated based on resident and staff interviews, facility tours, and review of pest control documents. Five out of thirteen residents reported seeing pests in their bathrooms.
Findings
The investigation found that pests were present in residents' bathrooms as reported by five out of thirteen residents interviewed. Pest control services were provided monthly, and the allegations were substantiated.

Deficiencies (1)
Buildings and Grounds. The facility was not clean, safe, sanitary and in good repair at all times as required, with evidence of ants sighting in resident bathrooms.
Report Facts
Deficiencies cited: 1 Plan of Correction Due Date: May 26, 2021

Employees mentioned
NameTitleContext
Bonnie TaoLicensing Program AnalystConducted the complaint investigation visit
Fernando FierrosLicensing Program ManagerNamed in report as Licensing Program Manager
Pat RednerAdministratorFacility Administrator involved in exit interview and findings
Araceli Q DimaguilaMet with Licensing Program Analysts during investigation
Pamela ParsonsAdministratorMet with Licensing Program Analysts during investigation

Inspection Report

Complaint Investigation
Census: 168 Capacity: 200 Deficiencies: 0 Date: Mar 9, 2021

Visit Reason
The inspection was conducted as an unannounced complaint investigation following a complaint received on 2021-02-17 regarding allegations including unlawful eviction and physical plant disrepair.

Complaint Details
The complaint investigation was unsubstantiated. Allegations included unlawful eviction and physical plant disrepair. Interviews with staff, residents, and virtual room tour found no evidence supporting the allegations.
Findings
The investigation found no evidence to substantiate the allegations. The administrator confirmed no eviction notice was served and the resident could return when discharged from the Skilled Nursing Facility. The physical plant, including the resident's room, toilet, hot water, and A/C, were found to be in proper working order.

Report Facts
Capacity: 200 Census: 168

Employees mentioned
NameTitleContext
Tony VasalloLicensing Program AnalystConducted the complaint investigation
Wei Siew HoLicensing Program ManagerOversaw the complaint investigation
Pat RednerAdministratorFacility administrator interviewed regarding allegations
Pamela ParsonsAdministratorMet with during investigation and exit interview

Inspection Report

Complaint Investigation
Census: 181 Capacity: 200 Deficiencies: 1 Date: Aug 14, 2019

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations that staff failed to keep residents' call buttons in operable condition and failed to follow physician's orders.

Complaint Details
The complaint investigation was substantiated for the allegation that staff failed to keep residents' call buttons operable. The allegation that staff failed to follow physician's orders was unsubstantiated due to insufficient evidence.
Findings
The investigation substantiated the allegation that staff failed to keep residents' call buttons operable, with multiple call buttons found inoperable during the visit. The allegation that staff failed to follow physician's orders was unsubstantiated after review of resident records and interviews.

Deficiencies (1)
Failure to maintain call light system in operable condition in multiple resident rooms.
Report Facts
Resident census: 181 Total capacity: 200 Number of inoperable call light buttons: 7 Plan of Correction due date: Aug 15, 2019

Employees mentioned
NameTitleContext
Joe KatrdzhyanLicensing Program AnalystConducted the complaint investigation visit
Pat RednerAdministratorFacility administrator interviewed during investigation
Valantine AshjianAssistant AdministratorAssisted with call light button testing and interviewed
Julie ChirikianLicensee RepresentativeInterviewed during investigation
David ChirikianLicensee RepresentativeInterviewed during investigation and provided plan of correction information
Sean ThompsonTechnicianFrom Safety Centric Security Installation, interviewed regarding call light system
Don GatesSupervisorSupervisor from Safety Centric Security Installation, interviewed regarding call light system
Ron GatesSupervisorSupervisor from Safety Centric Security Installation, explained new call light system installation

Inspection Report

Complaint Investigation
Census: 181 Capacity: 200 Deficiencies: 1 Date: Aug 14, 2019

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations that staff failed to keep residents' call buttons in operable condition and failed to follow physician's orders.

Complaint Details
The complaint investigation was substantiated for the allegation that staff failed to keep residents' call buttons operable. The allegation that staff failed to follow physician's orders was unsubstantiated due to insufficient evidence.
Findings
The allegation that staff failed to keep residents' call buttons operable was substantiated based on observations of multiple inoperable call buttons in resident rooms on the basement floor. The facility was in the process of installing a new call light system. The allegation that staff failed to follow physician's orders was unsubstantiated after review of resident records and interviews.

Deficiencies (1)
Maintenance and Operation. 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. On 8/14/19, during a walk through of resident rooms, call light buttons in rooms 153E, 155E, 159E, 157E, 156E, 158E and 160E were observed to be inoperable with no light or sound on the intercom and no response from staff.
Report Facts
Deficiency due date: Aug 15, 2019 Resident rooms with inoperable call buttons: 7 Staff monitoring hours: 15

Employees mentioned
NameTitleContext
Joe KatrdzhyanLicensing Program AnalystConducted the complaint investigation visit
Pat RednerAdministratorFacility Administrator who assisted with the visit and was interviewed
Valantine AshjianAssistant AdministratorAssisted with the visit and tested call light buttons
Julie ChirikianLicensee RepresentativeInterviewed during the investigation
David ChirikianLicensee RepresentativeInterviewed during the investigation and provided information about call light system installation
Sean ThompsonTechnicianFrom Safety Centric Security Installation, interviewed about call light system
Don GatesSupervisorFrom Safety Centric Security Installation, interviewed about call light system

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