Inspection Reports for Belmont Village Senior Living Burbank

455 E Angeleno Ave, Burbank, CA 91501, United States, CA, 91501

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Inspection Report Annual Inspection Census: 117 Capacity: 160 Deficiencies: 0 Jul 21, 2025
Visit Reason
The visit was an unannounced continuation of the required One Year annual inspection to evaluate compliance with licensing requirements.
Findings
The inspection found the facility to be clean, sanitary, and well-maintained with no deficiencies observed. Resident bedrooms, bathrooms, medication storage, resident and staff files, and staff areas were all in compliance with regulations.
Report Facts
Number of residents in Assisted Living: 90 Number of residents in Memory Care: 27 Number of public restrooms: 9 Hot water temperature range (°F): Measured between 105.9 and 117.6 degrees Fahrenheit Number of resident records reviewed: 10 Number of staff files reviewed: 10
Employees Mentioned
NameTitleContext
Mary Jane RodriguezExecutive DirectorMet with Licensing Program Analyst during inspection and mentioned in report
Nadia ShahbazianLicensing Program AnalystConducted the inspection and signed the report
Eva MillerLicensing Program ManagerNamed in report as Licensing Program Manager
Inspection Report Annual Inspection Census: 118 Capacity: 160 Deficiencies: 0 Jul 15, 2025
Visit Reason
An unannounced required one-year inspection was conducted to evaluate compliance with licensing requirements and regulatory standards.
Findings
The facility was observed to be clean, sanitary, and appropriately furnished with all required safety systems in place. The kitchen and common areas were well maintained and free of hazards. Due to time constraints, the annual inspection was not fully completed and will be finished at a later date.
Report Facts
Residents in assisted living: 91 Residents in memory care: 27 Fire extinguishers last serviced: Nov 7, 2024 Last emergency/disaster evacuation drill: Jun 28, 2025 Last fire/earthquake drill: Jun 28, 2025 Last fire inspection: Oct 30, 2024 Refrigerators in kitchen: 3 Perishable food supply: 2 Non-perishable food supply: 7 Laundry rooms: 3 Washers: 3 Dryers: 4
Employees Mentioned
NameTitleContext
Mary Jane RodriguezExecutive DirectorMet with Licensing Program Analysts during inspection and participated in facility tour
Nadia ShahbazianLicensing Program AnalystConducted the inspection
Michael CavaLicensing Program AnalystConducted the inspection
Eva MillerLicensing Program ManagerNamed in report header and signature section
Inspection Report Annual Inspection Census: 120 Capacity: 160 Deficiencies: 0 Jul 24, 2024
Visit Reason
Unannounced case management Annual Continuation visit conducted to complete the required 1-year inspection initiated on 06/23/2024.
Findings
The Licensing Program Analyst toured the facility to ensure no health and safety hazards were present. Staff files were reviewed and found complete with appropriate criminal record clearances and documentation.
Employees Mentioned
NameTitleContext
Mary Jane RodriguezExecutive DirectorMet during the inspection and provided a copy of the report.
Diana GevorgyanDirector of Resident Care ServicesMet during the inspection and toured the facility with the Licensing Program Analyst.
Antonia Alvizar-EttimaLicensing Program AnalystConducted the unannounced case management Annual Continuation visit.
Inspection Report Annual Inspection Census: 125 Capacity: 160 Deficiencies: 0 Jun 23, 2024
Visit Reason
An unannounced Required One (1) year inspection visit was conducted to evaluate compliance with licensing regulations and ensure the facility meets health and safety standards.
Findings
The facility was found to be in compliance with Title 22 regulations, with no health or safety hazards observed during the physical plant tour. Medications, kitchen, dining, laundry, bedrooms, bathrooms, and common areas were all properly maintained and secured. Resident files reviewed appeared complete and updated. The visit was terminated early due to time constraints and will be completed later.
Report Facts
Residents in assisted living: 97 Residents in memory care: 28 Fire extinguisher last inspection date: Oct 18, 2023 Facility disaster drill last conducted: Jun 20, 2024 Fire inspection last performed: Apr 26, 2024 Food supply duration - perishable: 2 Food supply duration - non-perishable: 7 Hot water temperature range: 111.3 Hot water temperature range: 117.3 Residents' files reviewed: 3
Employees Mentioned
NameTitleContext
Mary Jane RodriguezExecutive DirectorJoined the inspection and was provided a copy of the report
Diana GevorgyanDirector of Resident Care ServicesJoined the inspection
David AaronActivity Program CoordinatorMet with Licensing Program Analyst at the start of the inspection
Antonia Alvizar-EttimaLicensing Program AnalystConducted the inspection visit
Naira MargaryanLicensing Program ManagerNamed in the report header and footer
Inspection Report Complaint Investigation Census: 127 Capacity: 160 Deficiencies: 2 Oct 25, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations that staff did not prevent a resident from eloping and that the facility refused to provide the resident's requested records to the responsible party.
Findings
The investigation substantiated that staff failed to prevent resident #1 from eloping the facility, posing an immediate health and safety risk. Additionally, the facility did not provide the resident's records to the responsible party in a timely manner. Alarms on exit doors were operational but the main entrance alarm was disabled during daytime hours due to staff monitoring.
Complaint Details
The complaint was substantiated. Staff did not prevent resident #1 from eloping on 10/11/2023, and the facility refused to provide the resident's requested records to the responsible party in a timely manner.
Severity Breakdown
Type A: 1 Type B: 1
Deficiencies (2)
DescriptionSeverity
Licensee did not ensure trained staff in sufficient numbers to meet care and supervision requirements for residents who leave the facility unassisted, posing an immediate health and safety risk.Type A
Licensee failed to provide residents prompt access to review and purchase photocopies of their records within two business days.Type B
Report Facts
Capacity: 160 Census: 127 Deficiencies cited: 2 Plan of Correction Due Dates: Type A deficiency due 10/26/2023, Type B deficiency due 11/01/2023
Employees Mentioned
NameTitleContext
Naira MargaryanLicensing Program ManagerConducted the complaint investigation and signed the report
Antonia AlvizarLicensing Program AnalystConducted the complaint investigation and signed the report
Mary Jane RodriguezSenior Executive DirectorFacility representative involved in the investigation
Richard PyoDirector of Resident Care ServicesFacility representative involved in the investigation
Inspection Report Complaint Investigation Census: 131 Capacity: 160 Deficiencies: 1 Oct 13, 2022
Visit Reason
The visit was conducted as a case management investigation of a complaint dated 09/21/2022, which included a tour and inspection of food preparation and food storage facilities.
Findings
The inspection found multiple food items with expired dates in the facility's food storage, which were observed by the Licensing Program Analyst and Chef Manager. The expired items were disposed of during the visit.
Complaint Details
The investigation was triggered by a complaint dated 09/21/2022 regarding expired food items found during inspection.
Severity Breakdown
Type A: 1
Deficiencies (1)
DescriptionSeverity
Failure to comply with General Food Service Requirements; many food items were found expired in storage.Type A
Report Facts
Facility Capacity: 160 Census: 131 Deficiency Count: 1 Plan of Correction Due Date: Oct 17, 2022
Employees Mentioned
NameTitleContext
Mary Jane RodriguezAdministratorMet with during inspection and exit interview
Alberto LopezLicensing Program AnalystConducted inspection and investigation
Lisa HicksLicensing Program ManagerSupervisor overseeing the inspection
Inspection Report Complaint Investigation Census: 131 Capacity: 160 Deficiencies: 0 Oct 13, 2022
Visit Reason
The inspection was conducted as an unannounced complaint investigation following a complaint received on 09/21/2022 alleging the facility provided spoiled food to residents.
Findings
The investigation found no preponderance of evidence to substantiate the allegations. Although many expired food items were found in storage, there was no evidence that expired or spoiled food was served to residents. Staff and most residents denied the allegations, and the alleged resident served expired milk was not on the facility roster.
Complaint Details
The complaint alleged the facility provided spoiled food and expired milk to residents. The allegations were unsubstantiated after investigation.
Report Facts
Capacity: 160 Census: 131
Employees Mentioned
NameTitleContext
Mary Jane RodriguezAdministratorMet with Licensing Program Analyst during investigation and provided information about the allegations
Alberto LopezLicensing Program AnalystConducted the complaint investigation
Lisa HicksLicensing Program ManagerOversaw the complaint investigation
Inspection Report Annual Inspection Census: 133 Capacity: 160 Deficiencies: 4 Jun 7, 2022
Visit Reason
Licensing Program Analyst Alberto Lopez conducted an unannounced Required-1 year visit focusing on COVID-19 Infection Control Practices and compliance with Title 22 regulations.
Findings
The inspection found deficiencies related to hot water temperature exceeding regulatory limits, insufficient non-perishable food supplies for seven days, damaged window screens, and a non-flushing toilet in room 219. Plans of correction were submitted with due dates for each deficiency.
Severity Breakdown
Type A: 2 Type B: 2
Deficiencies (4)
DescriptionSeverity
Hot water temperature in multiple rooms exceeded the maximum allowed 120 degrees F or was below minimum, posing immediate health and safety risk.Type A
Lack of seven-day supply of non-perishable foods on premises.Type A
Three window screens were in disrepair, posing potential health, safety, or personal rights risk.Type B
Toilet in room 219 was not flushing and in need of cleaning, posing potential health, safety, or personal rights risk.Type B
Report Facts
Census: 133 Total Capacity: 160 Hot water temperature: 122.9 Hot water temperature: 72 Hot water temperature: 121.7 Hot water temperature: 120.5 Hot water temperature: 120.9 Non-perishable food supply: 7 Perishable food supply: 2 Window screens in disrepair: 3
Employees Mentioned
NameTitleContext
Mary Jane RodriguezAdministratorAssisted with inspection and participated in exit interview
Alberto LopezLicensing Program AnalystConducted the inspection and authored the report
Stefanie CoronelLicensing Program ManagerSupervisor overseeing the inspection
Andrew ZumbadoFood ManagerObserved lack of 7 day non-perishable food supplies

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