Inspection Reports for Belmont Village Senior Living Encino
15451 Ventura Blvd, Sherman Oaks, CA 91403, United States, CA, 91403
Back to Facility ProfileInspection Report Summary
Most inspections found no deficiencies, with several complaint investigations resulting in unsubstantiated allegations. The facility’s most recent report from June 30, 2025, was a complaint investigation that found no deficiencies and unsubstantiated claims regarding resident treatment and water temperature. Earlier reports identified a few isolated issues, including a substantiated finding in July 2024 where unqualified staff administered injections, posing an immediate health risk, and a substantiated complaint in February 2025 involving wrongful overcharging of a resident. Other deficiencies involved minor water temperature regulation and clogged sinks noted in June 2025. The trend shows improvement in recent inspections, with the latest reports free of deficiencies and most complaints unsubstantiated.
Deficiencies (last 5 years)
Deficiencies (over 5 years)
0.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
80% better than California average
California average: 4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
73% occupied
Based on a June 2025 inspection.
Census over time
Inspection Report
Complaint Investigation
Census: 109
Capacity: 150
Deficiencies: 0
Jun 30, 2025
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations received on 2024-05-09 regarding staff pushing a resident, violating resident's personal rights, threatening a resident, and water temperature issues.
Findings
The investigation found insufficient evidence to substantiate the allegations. Interviews with residents and staff, including the Executive Director and involved staff, denied the allegations. Water temperature tests were within required range. The allegations were deemed unsubstantiated due to lack of preponderance of evidence.
Complaint Details
The complaint alleged that Staff #1 and Staff #2 forced Resident #1 into taking a shower with inconsistent water temperature, threatened and pushed the resident causing a fall. The facility conducted an internal investigation and reassigned the staff. Interviews and water temperature tests did not corroborate the allegations. The complaint was deemed unsubstantiated.
Report Facts
Complaint control number: 29-AS-20240509082740
Number of staff interviewed initially: 5
Number of residents interviewed initially: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Emily Peraldi | Licensing Program Analyst | Conducted the complaint investigation visit |
| Abigail Traxler | Executive Director | Interviewed during investigation and involved in internal investigation |
| Courtney Barber | Director of Resident Care Services | Interviewed during exit and investigation |
Inspection Report
Annual Inspection
Census: 108
Capacity: 150
Deficiencies: 2
Jun 11, 2025
Visit Reason
The inspection was an unannounced required one-year visit to evaluate compliance with licensing regulations and ensure the facility's health and safety standards.
Findings
The inspection found no immediate health or safety hazards in resident rooms and common areas, but identified deficiencies related to water temperature regulation and clogged sinks in resident restrooms. Medication storage, kitchen, records, infection control, and emergency plans were in compliance.
Severity Breakdown
Type A: 1
Type B: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Hot water temperature in 6 resident restroom sinks measured between 104.4 and 133.5 degrees F, outside the required range of 105 to 120 degrees F. | Type A |
| Two out of six resident restroom sinks were clogged and slow to drain. | Type B |
Report Facts
Residents' restroom sinks with hot water temperature issues: 6
Resident restroom sinks clogged: 2
Residents' medications reviewed: 5
Resident records reviewed: 5
Personnel records reviewed: 6
Residents interviewed: 4
Staff interviewed: 6
Facility capacity: 150
Facility census: 108
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Abigail Traxler | Executive Director | Met with Licensing Program Analyst during inspection and involved in addressing deficiencies |
| Cortney Barber | Resident Care Services Director | Met with Licensing Program Analyst during inspection and involved in addressing deficiencies |
| Quoc Huynh | Licensing Program Analyst | Conducted the inspection and authored the report |
| Kristin Heffernan | Licensing Program Manager | Oversaw the licensing program related to the inspection |
Inspection Report
Complaint Investigation
Census: 101
Capacity: 150
Deficiencies: 1
Feb 25, 2025
Visit Reason
The visit was conducted as a Case Management - Deficiencies inspection following information received during the investigation of Complaint Control #29-AS-20240417163437, confirming an error in accounting. The purpose was to issue a citation for a deficiency observed during the complaint investigation.
Findings
The licensee wrongfully overcharged Resident #1 a total of $1,436.57, posing a potential personal rights risk. Specifically, Resident #1 was overcharged for days beyond the 30-day notice period for move-out, resulting in a balance of $1,059.15 that was later dropped. The facility owes Resident #1 payment for the day of 12/31/2022 totaling $377.42.
Complaint Details
The visit was complaint-related, triggered by Complaint Control #29-AS-20240417163437. The complaint was substantiated as an accounting error was confirmed involving wrongful overcharging of Resident #1.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Additional Personal Rights of Residents in Privately Operated Facilities not met as Resident #1 was wrongfully overcharged a total of $1,436.57. | Type B |
Report Facts
Overcharge amount: 1436.57
Overcharge balance dropped: 1059.15
Payment owed: 377.42
Facility capacity: 150
Census: 101
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Angela Barutyan | Licensing Program Analyst | Conducted the Case Management - Deficiencies visit and authored the report |
| Kristin Heffernan | Licensing Program Manager | Supervisor and Licensing Program Manager named in the report |
| Abigail Traxler | Administrator | Facility Administrator met during the inspection |
Inspection Report
Complaint Investigation
Census: 101
Capacity: 150
Deficiencies: 0
Feb 25, 2025
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations of unlawful eviction and financial abuse of a resident at Belmont Village Encino.
Findings
The investigation found insufficient evidence to substantiate the allegations of unlawful eviction and financial abuse. The resident voluntarily moved out after being informed of a care level change, and financial charges were reviewed and adjusted appropriately. No deficiencies were cited.
Complaint Details
The complaint involved allegations that the facility unlawfully evicted a resident without proper 30-day notice and that facility staff financially abused the resident by overcharging for unused services and rent. Both allegations were deemed unsubstantiated due to lack of sufficient evidence.
Report Facts
Capacity: 150
Census: 101
Monthly rent charge: 11575
Extra service charge: 129.56
Recurring incontinence supplies fee: 125
Total refunded amount: 11829.56
Remaining balance dropped: 1059.15
Days of notice period: 30
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Angela Barutyan | Licensing Program Analyst | Conducted the complaint investigation and interviews |
| Abigail Traxler | Executive Director | Met with Licensing Program Analyst during investigation |
| Kristin Heffernan | Licensing Program Manager | Named in report as Licensing Program Manager |
| Ralph Balbin | Previous Executive Director | Mentioned in relation to alleged eviction |
Inspection Report
Complaint Investigation
Census: 117
Capacity: 150
Deficiencies: 1
Jul 23, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations that unqualified staff were administering medication to residents, staff were not keeping accurate resident records, and staff were not submitting unusual incident reports.
Findings
The allegation that unqualified staff were administering medication was substantiated, with evidence that five out of seven residents received injections or blood sugar testing from unskilled staff. The allegation that staff were not keeping accurate resident records was unsubstantiated, as the facility's electronic medication administration system ensured accurate record keeping. The allegation that staff were not submitting unusual incident reports was also unsubstantiated based on record review and staff interviews.
Complaint Details
The complaint investigation was substantiated regarding unqualified staff administering medication. The other allegations regarding inaccurate resident records and failure to submit unusual incident reports were unsubstantiated.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| The licensee did not ensure that injections were administered by appropriately skilled professionals, as five out of seven residents received injections from unskilled staff, posing an immediate health and safety risk. | Type A |
Report Facts
Residents receiving injections from unskilled staff: 5
Residents with insulin prescriptions: 7
Residents interviewed about insulin injections: 5
Medication audit sample size: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sandra Urena | Licensing Program Analyst | Conducted the complaint investigation and authored the report. |
| Kasandra Lopez | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation. |
| Abigail Traxler | Executive Director | Met with the Licensing Program Analyst during the investigation and exit interview. |
| Cyntia Drachenberg | Administrator | Facility administrator named in the report. |
Inspection Report
Annual Inspection
Census: 116
Capacity: 150
Deficiencies: 0
Jun 29, 2024
Visit Reason
The visit was an unannounced required annual inspection conducted by Licensing Program Analysts to evaluate compliance with licensing requirements.
Findings
The review included resident and personnel files, medication records, and policies. No errors or deficiencies were observed during the medication review, and records were found to be in order. The inspection was not completed due to time constraints and will be continued at a later date.
Report Facts
Resident files reviewed: 7
Staff files reviewed: 7
Medication records reviewed: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Courtney Barber | Director of Resident Care Services | Met during the inspection and involved in medication review |
| Emily Peraldi | Licensing Program Analyst | Conducted medication review and file audits |
| Sandra Urena | Licensing Program Analyst | Conducted file audits during the inspection |
| Abigail Traxler | Administrator/Director | Facility administrator listed in the report |
Inspection Report
Annual Inspection
Census: 112
Capacity: 150
Deficiencies: 0
Jul 11, 2023
Visit Reason
The inspection was conducted as a required annual case management continuation visit to review compliance with licensing regulations.
Findings
The inspection found all resident and personnel records in order, medications properly stored and documented with no errors, and adequate infection control measures in place. No deficiencies were cited during this inspection.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sandra Urena | Licensing Program Analyst | Conducted the inspection and medication review. |
| Jeralyn Ann Pfannenstiel | Licensing Program Manager | Named as Licensing Program Manager on the report. |
| Abigail Traxler | Executive Director | Met with the Licensing Program Analyst during the inspection. |
Inspection Report
Annual Inspection
Census: 112
Capacity: 150
Deficiencies: 0
Jun 27, 2023
Visit Reason
The Licensing Program Analyst arrived unannounced to conduct a required annual inspection to ensure the facility is in compliance with Title 22 Regulations.
Findings
The inspection included a tour of the physical plant areas, kitchen, common areas, restrooms, and outdoor spaces. The facility was found to have no health or safety hazards, with equipment and fire extinguishers in operable condition, clean restrooms, and appropriate outdoor furniture and shaded areas. The inspection was not completed due to time constraints and will be continued on another date.
Report Facts
Fire extinguisher service date: Sep 29, 2022
Fire extinguisher service date: Jun 1, 2023
Refrigerator temperature: 39
Freezer temperature: 0
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sandra Urena | Licensing Program Analyst | Conducted the inspection and authored the report |
| Abigail Traxler | Executive Director | Met with Licensing Program Analyst during inspection and exit interview |
Inspection Report
Complaint Investigation
Census: 112
Capacity: 150
Deficiencies: 0
Jun 27, 2023
Visit Reason
The visit was conducted as a follow-up on an incident report received regarding an intruder who gained entry to the facility and accessed the fourth floor via the elevator.
Findings
The Licensing Program Analyst conducted interviews with residents and the Executive Director and reviewed records related to the incident. Further investigation is needed before delivering findings.
Complaint Details
The visit was triggered by a complaint about an intruder entering the facility through the front doors and accessing the fourth floor. Additional interviews are pending as some staff who observed the incident were not present during the visit.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Abigail Trexler | Executive Director | Met during the visit and interviewed regarding the incident. |
| Sandra Urena | Licensing Program Analyst | Conducted the unannounced case management-incident visit. |
| Jeralyn Ann Pfannenstiel | Licensing Program Manager | Named in the report header. |
Inspection Report
Complaint Investigation
Census: 106
Capacity: 150
Deficiencies: 0
Sep 27, 2022
Visit Reason
The visit was an unannounced complaint investigation conducted in response to multiple allegations received on 04/20/2022 regarding staffing adequacy, resident grooming, medical needs, respect, activities, and staff handling of residents at Belmont Village Encino.
Findings
All allegations were investigated through interviews, record reviews, and observations. The investigation found that the facility has adequate staffing, residents' grooming and medical needs are being met, residents are treated with respect, activities are provided though residents' engagement varies due to mental status, and staff handle residents gently. Therefore, all allegations were deemed unsubstantiated.
Complaint Details
The complaint included allegations that the facility lacked adequate staffing, residents' grooming and medical needs were not met, residents were not treated with respect, residents were not provided activities, and staff handled residents roughly. After investigation, all allegations were found unsubstantiated.
Report Facts
Staff to resident ratio: 6
Capacity: 150
Census: 106
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sandra Urena | Licensing Program Analyst | Conducted the complaint investigation and interviews |
| Jeralyn Ann Pfannenstiel | Licensing Program Manager | Named as Licensing Program Manager on the report |
| Ralph Balbin | Executive Director | Met with Licensing Program Analyst during the investigation |
| Cyntia Drachenberg | Administrator | Facility Administrator named in the report |
Inspection Report
Census: 108
Capacity: 150
Deficiencies: 0
Jul 13, 2022
Visit Reason
The visit was an unannounced Case Management - Incident visit conducted in lieu of a COVID-19 positive outbreak at the facility, with a specific emphasis on infection control practices.
Findings
The facility had appropriate infection control measures in place including symptom screening, mask wearing, hand hygiene promotion, and adequate cleaning and disinfectant protocols. No health and safety hazards were noted during the visit.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Olivia Manzo | Public Health Nursing Supervisor | Attended the visit and participated in infection control discussions. |
| Ralph Balbin | Executive Director | Met with inspectors and participated in infection control discussions. |
| Ivan Saa | Director of Resident Care Services | Met with inspectors and participated in infection control discussions. |
Inspection Report
Annual Inspection
Census: 109
Capacity: 150
Deficiencies: 0
May 12, 2022
Visit Reason
The inspection was an unannounced required annual visit with an emphasis on infection control practices and procedures.
Findings
The facility was found to be in compliance with Title 22 regulations, with no health or safety hazards observed. Infection control practices were adequate, PPE supplies were sufficient, and no deficiencies were cited during the inspection.
Report Facts
Capacity: 150
Census: 109
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sandra Urena | Licensing Program Analyst | Conducted the inspection and authored the report |
| Ralph Balbin | Executive Director | Met with Licensing Program Analyst during inspection and exit interview |
Inspection Report
Census: 109
Capacity: 150
Deficiencies: 0
May 12, 2022
Visit Reason
The inspection was an unannounced Case Management - Incident visit to obtain additional information regarding a self-reported incident that occurred on 2022-05-07 involving alleged staff misconduct.
Findings
No health and safety concerns were noted at the time of the visit. Further investigation was needed prior to issuing findings.
Report Facts
Incident date: May 7, 2022
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ralph Balbin | Executive Director | Met with Licensing Program Analyst during the inspection and exit interview |
| Sandra Urena | Licensing Program Analyst | Conducted the unannounced Case Management - Incident visit |
| Jeralyn Ann Pfannenstiel | Licensing Program Manager | Named in the report header |
Inspection Report
Complaint Investigation
Census: 110
Capacity: 150
Deficiencies: 0
Mar 22, 2022
Visit Reason
The inspection was conducted as an unannounced complaint investigation regarding allegations that memory care residents were being video-recorded with the Safely-U Monitoring system without their consent.
Findings
The investigation found that the SafelyYou system is a fall detection program monitored by artificial intelligence, with video clips accessible only to management and the nurse on duty. Consent for the system was obtained from residents' legally authorized representatives, and no evidence supported the claim of unauthorized video recording. The allegation was deemed unsubstantiated and no deficiencies were cited.
Complaint Details
The complaint alleged that memory care residents were being video-recorded without their consent. The investigation concluded there was insufficient evidence to support this claim, as consent was obtained from the residents' legally authorized representatives. The allegation was unsubstantiated.
Report Facts
Capacity: 150
Census: 110
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sandra Urena | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Jeralyn Ann Pfannenstiel | Licensing Program Manager | Named in the report as Licensing Program Manager |
| Cyntia Drachenberg | Administrator | Facility Administrator interviewed during the investigation |
| Mary Jane Rodriguez | Operations Specialist | Met with the Licensing Program Analyst during the investigation |
Inspection Report
Complaint Investigation
Census: 115
Capacity: 150
Deficiencies: 0
Dec 13, 2021
Visit Reason
The visit was a case management inspection to issue the final report regarding an alleged incident involving a staff member who was accused of attempting to rape a homeless woman outside the facility.
Findings
The investigation found no immediate health and safety concerns at the facility, no unusual incidents or complaints related to the staff member, and no residents or staff disclosed any inappropriate behavior by the staff member. The incident was deemed unsubstantiated at this time.
Complaint Details
The complaint involved an alleged incident outside the facility where staff member S1 was accused of attempting to rape a homeless woman. The staff member was placed on leave and later terminated following arrest. Investigations by the Community Care Licensing Investigations Branch and LAPD found no substantiated inappropriate contact with residents. The findings were unsubstantiated.
Report Facts
Capacity: 150
Census: 115
Incident date: Sep 15, 2021
Leave of absence start date: Oct 8, 2021
Preliminary hearing date: Nov 29, 2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Cyntia Drachenberg | Administrator | Met with Licensing Program Analyst during inspection and provided information about the staff member and incident |
| Dennis Douglas | Investigator | Community Care Licensing Investigations Branch Investigator assigned to investigate the incident |
| Leslie Brenner | Detective | LAPD lead detective interviewed during investigation |
| Whetsel | Detective | LAPD detective interviewed during investigation |
| Sandra Urena | Licensing Program Analyst | Conducted the case management visit and issued the final report |
| KaSandra Lopez | Licensing Program Analyst | Conducted the unannounced case management incident inspection |
| Jeralyn Ann Pfannenstiel | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 110
Capacity: 150
Deficiencies: 0
Oct 12, 2021
Visit Reason
The inspection was conducted to follow up on a self-reported incident report received on 10/11/2021 regarding Staff #1 and an alleged incident outside of working hours.
Findings
No immediate health and safety concerns were observed during the inspection. Further investigation is needed and a referral was made to the Community Care Licensing Division's Investigation Branch.
Complaint Details
The visit was complaint-related to a self-reported incident involving Staff #1, who was placed on leave effective 10/08/2021. The incident occurred outside of Staff #1's working hours at the facility.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Cyntia Drachenberg | Administrator | Met with Licensing Program Analyst during inspection and interviewed regarding the incident. |
| Kasandra Lopez | Licensing Program Analyst | Conducted the unannounced Case Management - Incident inspection. |
| Desaree Perera | Licensing Program Manager | Named in report header as Licensing Program Manager. |
Inspection Report
Complaint Investigation
Census: 107
Capacity: 150
Deficiencies: 0
Jun 22, 2021
Visit Reason
An unannounced complaint investigation was conducted in response to allegations received on 06/17/2020 regarding sexual and physical abuse of Resident #1 at the facility, as well as threats made by the administrator.
Findings
The investigation found insufficient evidence to substantiate the allegations of sexual abuse, physical abuse, and threats by the administrator. Interviews with residents, staff, and the administrator did not support the claims, and previous investigations also found the allegations unfounded.
Complaint Details
The complaint alleged that Resident #1 was raped and beaten by multiple staff and residents, and that the administrator threatened the resident. The allegations were investigated through interviews and record reviews. The findings were unsubstantiated due to lack of evidence.
Report Facts
Capacity: 150
Census: 107
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sandra Urena | Licensing Program Analyst | Conducted the complaint investigation and interviews |
| Jeralyn Ann Pfannenstiel | Licensing Program Manager | Named as Licensing Program Manager on the report |
| Cyntia Drachenberg | Administrator | Facility administrator interviewed regarding allegations |
| Dennis Douglas | Investigator | Assigned to interview Resident #1 regarding allegations |
| Christine Ferris | Investigator | Conducted prior investigation on similar allegations |
Inspection Report
Complaint Investigation
Census: 107
Capacity: 150
Deficiencies: 0
Jun 22, 2021
Visit Reason
Unannounced complaint investigation visit conducted to investigate allegations including failure to provide residents with reasonable privacy and failure to keep residents free from punishment, humiliation, intimidation, or abuse.
Findings
The investigation found that the door to Resident #1's room was temporarily tilted due to screws coming off but was repaired on 01/18/2021. Resident #1 reported no pain currently and could not identify any person causing harm. The allegations were determined to be unsubstantiated with no deficiencies cited.
Complaint Details
The complaint involved two allegations: 1) failure to provide resident(s) with reasonable privacy due to a removed room door, and 2) failure to keep resident(s) free from punishment, humiliation, intimidation, or abuse (resident reported being hit on the right side every Friday). Both allegations were investigated and found unsubstantiated.
Report Facts
Capacity: 150
Census: 107
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sandra Urena | Licensing Program Analyst | Conducted the complaint investigation visit and interviews |
| Jeralyn Ann Pfannenstiel | Licensing Program Manager | Named as Licensing Program Manager on the report |
| Cyntia Drachenberg | Administrator | Facility Administrator interviewed during investigation |
Inspection Report
Complaint Investigation
Census: 107
Capacity: 150
Deficiencies: 0
Jun 15, 2021
Visit Reason
The visit was a case management incident investigation following a stabbing incident between two staff members at the facility on 09/24/2020.
Findings
The investigation found that staff member S2 stabbed staff member S1 resulting in S1's death. There was no evidence that facility staff or administration were involved or could have prevented the incident. No deficiencies were cited.
Complaint Details
The complaint involved a stabbing incident where staff #2 stabbed staff #1 in the back multiple times in the facility kitchen, resulting in S1's death. The investigation substantiated conduct inimical on behalf of S2. S2 was arrested and charged with murder. No involvement or negligence was found on the part of the facility or its staff.
Report Facts
Capacity: 150
Census: 107
Date of incident: Sep 24, 2020
Number of stab wounds: 5
Date of report: Jun 15, 2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Cyntia Drachenberg | Administrator | Met with Licensing Program Analysts during investigation and provided information about the incident |
| Sandra Urena | Licensing Program Analyst | Conducted case management visit and investigation |
| Ashley Morgan | Licensing Program Analyst | Conducted case management visit and investigation |
| Eva Miller | Licensing Program Analyst | Reviewed voicemail and conducted follow-up health and safety check |
| Lorraine Patterson | Investigator, Investigations Branch | Conducted investigation including interviews and review of LAPD report |
Inspection Report
Complaint Investigation
Census: 107
Capacity: 150
Deficiencies: 0
Jun 15, 2021
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 03/12/2021 regarding failure to provide personal assistance and care, failure to provide adequate daily diet, and failure to maintain a clean and sanitary facility.
Findings
The investigation found insufficient evidence to substantiate any of the allegations. Residents were observed receiving appropriate personal care, adequate meals were provided, and the facility was maintained in a clean and sanitary condition. No deficiencies were cited.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included failure to provide personal assistance and care, failure to provide sufficient daily diet, and failure to maintain cleanliness. Observations and interviews confirmed compliance with care plans, adequate nutrition, and cleanliness.
Report Facts
Capacity: 150
Census: 107
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ashley Smith | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Cyntia Drachenberg | Administrator | Facility administrator met during the investigation |
| Jeralyn Ann Pfannenstiel | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Annual Inspection
Census: 107
Capacity: 150
Deficiencies: 0
Jun 15, 2021
Visit Reason
The inspection was an unannounced required annual visit to evaluate the facility's compliance with Title 22 Regulations and infection control practices.
Findings
The facility was found to be in compliance with no deficiencies cited. The physical plant, kitchen, and infection control protocols were all adequate, including COVID-19 related measures.
Report Facts
Residents in Memory Care Unit #1: 29
Residents in Memory Care Unit #2: 18
Refrigerator temperature: 40
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Cyntia Drachenberg | Administrator | Met with Licensing Program Analysts during the inspection and provided facility tour |
| Ashley Morgan | Licensing Program Analyst | Conducted the inspection visit |
| Sandra Urena | Licensing Program Analyst | Conducted the inspection visit |
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