Inspection Reports for Bay Towers at Bixby Knolls

CA, 90807

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Deficiencies per Year

8 6 4 2 0
2022
2024
2025
Severe High Moderate Low Unclassified

Census Over Time

30 40 50 60 70 Oct '22 Jul '24 Oct '24 Jun '25 Oct '25
Census Capacity
Inspection Report Annual Inspection Census: 45 Capacity: 65 Deficiencies: 1 Oct 7, 2025
Visit Reason
The visit was an annual inspection conducted on 9/27/2025, with a follow-up office meeting on 10/7/2025 to discuss the facility's water heating system issues and Title 22 reporting requirements.
Findings
The facility was found to have water temperatures at approximately 90 degrees Fahrenheit due to circulation pumps failing to operate properly, resulting in a citation and civil penalties. The facility failed to report this issue as required by Title 22 regulations, which is a repeat violation. Repairs were completed on 10/3/2025 and the citation was cleared on 10/7/2025 during the office meeting.
Severity Breakdown
Type B: 1
Deficiencies (1)
DescriptionSeverity
Failure to report to the department that one of two water pumps that pump hot water to the building was in disrepair, posing a potential health and safety risk to all residents in care.Type B
Report Facts
Capacity: 65 Census: 45 Plan of Correction Due Date: Oct 13, 2025
Employees Mentioned
NameTitleContext
Don McDonaldAdministratorNamed in relation to the water heating system issue and reporting violation
Eva M AlvarezLicensing Program ManagerConducted the office meeting and overview of Title 22 reporting requirements
Alfonso IniguezLicensing Program AnalystPresent at the office meeting and involved in the licensing process
Robert EsquerMaintenance DirectorPresent at the office meeting discussing the water heating system
Inspection Report Annual Inspection Census: 48 Capacity: 65 Deficiencies: 6 Sep 27, 2025
Visit Reason
The inspection was an unannounced annual required visit conducted using the CARE Inspection Tool to evaluate compliance with licensing requirements for the facility.
Findings
The facility was generally clean, sanitary, and appropriately furnished with no discrepancies found in medication administration records. However, several deficiencies were cited including water temperature below 105F in multiple resident rooms, missing admission agreements, inventory lists, personal rights forms for residents, and missing health screenings, TB tests, and first aid card for some staff. Civil penalties were assessed for repeated violations.
Deficiencies (6)
Description
Water temperature measured below 105F during annual survey on residents’ rooms: 613, 602, 503, 404, 417 and 420.
Two residents missing admission agreements during annual survey.
Three residents missing inventory list during annual survey.
Two residents missing personal rights form on admission agreements during annual survey.
Three facility staff missing Health Screening and TB Test during annual survey.
One facility staff missing first aid card during the annual survey.
Report Facts
Civil Penalty: 250 Residents missing admission agreements: 2 Residents missing inventory list: 3 Residents missing personal rights form: 2 Facility staff missing Health Screening and TB Test: 3 Facility staff missing first aid card: 1 Residents reviewed: 4 Staff reviewed: 4 Medication Administration Records reviewed: 4 Fire/Disaster Drills last conducted: Aug 26, 2025
Employees Mentioned
NameTitleContext
MaryLou EscobedoResident Service DirectorMet with Licensing Program Analyst during inspection and received the Facility Evaluation Report.
Don McDonaldAdministratorFacility Administrator named in report.
Inspection Report Census: 41 Capacity: 65 Deficiencies: 0 Jul 9, 2025
Visit Reason
An unannounced case management visit was conducted in regards to a citation provided during a prior complaint visit on 06/18/2025.
Findings
Water temperature checks were conducted in multiple rooms of building B, the assisted living unit, and in the kitchen servicing buildings A and B. Temperatures ranged from 105.3F to 120F. An exit interview was conducted with the Executive Director.
Report Facts
Water temperature: 117.2 Water temperature: 117 Water temperature: 108 Water temperature: 109.4 Water temperature: 105.3 Water temperature: 106.7 Water temperature: 106 Water temperature: 106.4 Water temperature: 108.6 Water temperature: 110.5 Water temperature: 108.5 Water temperature: 109.3 Water temperature: 120
Employees Mentioned
NameTitleContext
Don McDonaldExecutive DirectorMet with Licensing Program Analyst during visit
Lizeth VillegasLicensing Program AnalystConducted the unannounced case management visit
Janae HammondLicensing Program ManagerNamed as Licensing Program Manager on report
Inspection Report Complaint Investigation Census: 43 Capacity: 65 Deficiencies: 1 Jun 18, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2025-06-16 regarding lack of hot water and malfunctioning air conditioning/heating at the facility.
Findings
The investigation substantiated the allegation that the facility did not have hot water due to one of two water boilers being out of repair, posing a potential health and safety risk. The boiler was repaired but initially set at the wrong temperature and later fixed by staff. The allegation regarding malfunctioning air conditioning/heating was unsubstantiated as residents, staff, and the Executive Director denied issues and operable units were observed.
Complaint Details
The complaint investigation was substantiated for the allegation that the facility did not have hot water due to a malfunctioning water boiler. The allegation regarding air conditioner/heating not working properly was unsubstantiated.
Severity Breakdown
Type B: 1
Deficiencies (1)
DescriptionSeverity
Facility failed to ensure that 1 of the 2 water boilers were in good repair, resulting in inadequate hot water supply.Type B
Report Facts
Facility capacity: 65 Resident census: 43 Plan of Correction due date: Jun 24, 2025 Water temperature readings: 105
Employees Mentioned
NameTitleContext
Don McDonaldExecutive DirectorMet with during investigation and confirmed water boiler issue
Lizeth VillegasLicensing Program AnalystConducted the complaint investigation
Janae HammondLicensing Program ManagerOversaw the complaint investigation report
Inspection Report Complaint Investigation Census: 43 Capacity: 65 Deficiencies: 1 Jun 17, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations that the facility did not have hot water and that the air conditioner/heating was not working properly.
Findings
The investigation substantiated the allegation that the facility did not have hot water due to one of two water boilers being out of repair, posing an immediate health and safety risk. The allegation regarding the air conditioner/heating not working properly was unsubstantiated as residents, staff, and the Executive Director denied issues and operable AC units were observed.
Complaint Details
The complaint investigation was substantiated for the allegation that the facility did not have hot water due to a malfunctioning water boiler. The allegation that the air conditioner/heating was not working properly was unsubstantiated.
Severity Breakdown
Type B: 1
Deficiencies (1)
DescriptionSeverity
Failure to ensure that one of the two water boilers was in good repair, resulting in inadequate hot water supply.Type B
Report Facts
Capacity: 65 Census: 43 Water temperature readings: Multiple water temperature readings ranged from 96.0 F to 109.2 F in various resident rooms Plan of Correction Due Date: Jun 23, 2025
Employees Mentioned
NameTitleContext
Don McDonaldExecutive DirectorMet with during investigation and confirmed water boiler issues
Lizeth VillegasLicensing Program AnalystConducted the complaint investigation
Janae HammondLicensing Program ManagerOversaw licensing program and signed report
Inspection Report Complaint Investigation Census: 43 Capacity: 65 Deficiencies: 1 Jun 17, 2025
Visit Reason
The visit was a Case Management inspection with deficiencies identified, followed by a complaint investigation triggered by a complaint regarding failure to report a water heater in disrepair.
Findings
The facility failed to report to the department that one of the two water heaters was in disrepair, which poses a potential health and safety risk to all residents in care. A deficiency was cited under California Code of Regulations, Title 22, Division 6, Chapter 8.
Complaint Details
The complaint (11-AS-20250616142252) was substantiated by interviews with the Executive Director, confirming the department was not informed about the water heater disrepair.
Severity Breakdown
Type B: 1
Deficiencies (1)
DescriptionSeverity
Licensee did not report to the department that one of the facility’s water heaters was in disrepair.Type B
Report Facts
Capacity: 65 Census: 43 Fine amount: 100 Plan of Correction Due Date: 7
Employees Mentioned
NameTitleContext
Don McDonaldExecutive DirectorMet with Licensing Program Analysts during inspection and named in deficiency interview
Alfonso IniguezLicensing Program AnalystConducted the inspection and signed the report
Lizeth VillegasLicensing Program AnalystConducted the inspection
Eva M AlvarezLicensing Program ManagerNamed as Licensing Program Manager overseeing the inspection
Inspection Report Census: 37 Capacity: 65 Deficiencies: 0 Oct 22, 2024
Visit Reason
An unannounced Case Management visit was conducted to inspect the facility.
Findings
The report describes the facility layout and licensing details, including the number of resident rooms and floors designated for assisted living and post-acute care. No specific deficiencies or violations are noted in the report.
Report Facts
Resident bedrooms: 57 Resident bathrooms: 57 Facility capacity: 65 Census: 37
Employees Mentioned
NameTitleContext
Marylou EscobedoResident Service DirectorMet with Licensing Program Analyst during the inspection
Donald McDonaldAdministrator/DirectorMet with Licensing Program Analyst during the inspection
Ernand DabuetLicensing Program AnalystConducted the unannounced Case Management visit
Janae HammondLicensing Program ManagerNamed in the report header
Inspection Report Complaint Investigation Census: 36 Capacity: 65 Deficiencies: 0 Sep 11, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that the facility air conditioner was in disrepair and had been non-operational for over five weeks during a heatwave.
Findings
The investigation found that the complaint was unfounded. The Assisted Living licensed areas had operable air conditioning units maintained at comfortable temperatures, and residents verified no issues with their air conditioning systems. The air conditioning issues were limited to the Independent Living building, which is not licensed by Community Care Licensing.
Complaint Details
The complaint alleged the facility air conditioner was in disrepair and non-functional for over five weeks during a heatwave. The complaint was found to be unfounded and dismissed.
Report Facts
Resident rooms in Assisted Living: 57 Residents interviewed: 9 Floors inspected: 3
Employees Mentioned
NameTitleContext
Marylou EscobedoResident Service DirectorInterviewed during the investigation and participated in exit interview
Don McDonaldAdministratorInterviewed during the investigation
Ernand DabuetLicensing Program AnalystConducted the complaint investigation visit
Janae HammondLicensing Program ManagerNamed in report as Licensing Program Manager
Inspection Report Annual Inspection Census: 36 Capacity: 65 Deficiencies: 0 Sep 11, 2024
Visit Reason
An unannounced Required – 1 Year Inspection was conducted at Bay Towers at Bixby Knolls facility to evaluate compliance with licensing regulations.
Findings
The inspection found the facility to be in good condition with no deficiencies cited. Resident bedrooms, common areas, kitchen, safety measures, and staff/resident records were all in compliance with regulations.
Report Facts
Licensed capacity: 65 Census: 36 Hospice waiver capacity: 10 Staff records reviewed: 5 Resident records reviewed: 5 Liability insurance expiration date: Oct 1, 2024
Employees Mentioned
NameTitleContext
Don McDonaldExecutive DirectorMet during inspection and named in report
MaryLou EscobedoResident Services DirectorAccompanied Licensing Program Analyst during facility tour
Deborah LeeLicensing Program AnalystConducted the inspection
Eva M AlvarezLicensing Program ManagerNamed in report as Licensing Program Manager
Inspection Report Complaint Investigation Census: 65 Capacity: 65 Deficiencies: 0 Jul 18, 2024
Visit Reason
The inspection visit was conducted as an unannounced complaint investigation regarding an allegation that the facility failed to properly address flooding in the facility.
Findings
The investigation found that the flooding occurred at a different facility not licensed through Community Care Licensing, and the affected rooms were empty and being repaired. Residents were relocated, and the complaint was determined to be unfounded with no deficiencies cited.
Complaint Details
The complaint alleged that the facility experienced flooding on the 2nd floor throughout 5 units and did not take proper precautions to ensure resident safety. The complaint was found to be unfounded after investigation.
Report Facts
Capacity: 65 Census: 65
Employees Mentioned
NameTitleContext
Don McDonaldDirectorMet with Licensing Program Analyst during investigation and participated in exit interview
Perry ScottLicensing Program AnalystConducted complaint investigation and interviews
Janae HammondLicensing Program ManagerNamed as Licensing Program Manager on report
Inspection Report Annual Inspection Census: 35 Capacity: 65 Deficiencies: 0 May 18, 2024
Visit Reason
An unannounced Required – 1 Year Inspection was conducted at Bay Towers at Bixby Knolls facility to evaluate compliance with regulations.
Findings
The inspection found no deficiencies. The facility was observed to be clean, safe, and well-maintained with proper medication storage, adequate food supplies, and compliance with safety regulations. Staff and resident records were complete and in order.
Report Facts
Staff records reviewed: 5 Resident records reviewed: 5 Hot water temperature range: 105 Hot water temperature range: 120
Employees Mentioned
NameTitleContext
Mary Lou EscobedoResidents Services DirectorMet with Licensing Program Analyst during inspection
Socorro LeandroLicensing Program AnalystConducted the inspection
Ulysses CoronelLicensing Program ManagerNamed in report header and signature
Don McDonaldAdministrator/DirectorFacility Administrator named in report
Inspection Report Original Licensing Census: 48 Capacity: 65 Deficiencies: 0 Dec 7, 2022
Visit Reason
The visit was conducted as a pre-licensing evaluation for The Laurel at Long Beach facility to assess compliance and suitability for a requested capacity of 65 ambulatory and non-ambulatory adult residents aged 65 and older.
Findings
The facility was found to have adequate accommodations including resident bedrooms, bathrooms, emergency systems, food service, and safety equipment. No deficiencies or obstructions to safe egress were observed. Fire clearance was approved for the requested capacity. The facility was reviewed for substantial compliance with operational components.
Report Facts
Resident bedrooms: 57 Resident bathrooms: 57 Common bathrooms: 12 Smoke detectors: 100 Carbon monoxide detectors: 100 Commercial refrigerators: 3 Water temperature: 105 Water temperature: 106 Water temperature: 102 Water temperature: 107 Kitchen water temperature: 115
Employees Mentioned
NameTitleContext
Don McDonaldAdministratorFacility Administrator met during the pre-licensing evaluation and exit interview
Jose CalderonLicensing Program AnalystConducted the pre-licensing evaluation visit and authored the report
Eva M AlvarezLicensing Program ManagerNamed as Licensing Program Manager overseeing the evaluation
Inspection Report Original Licensing Census: 48 Capacity: 65 Deficiencies: 0 Oct 6, 2022
Visit Reason
The visit was an office evaluation related to a Change of Ownership (CHOW) application for the facility, including a telephone call with the applicant and administrator to confirm understanding of licensing requirements and program policies.
Findings
The applicant and administrator successfully completed Component II of the licensing process, confirming understanding of facility operation, staff qualifications, program policies, and other regulatory requirements. The COVID-19 Mitigation Plan was discussed and a PIN was emailed.
Employees Mentioned
NameTitleContext
Adam BandelApplicant/administratorParticipated in COMP II telephone call confirming understanding of licensing requirements
Don McDonaldAdministratorParticipated in COMP II telephone call confirming understanding of licensing requirements

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