Inspection Reports for Belmont Village Senior Living Encino

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.

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.

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.

The inspection was an unannounced required one-year visit to evaluate compliance with licensing regulations and ensure the facility's health and safety standards.

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.

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.

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.

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.

The visit was an unannounced complaint investigation triggered by allegations of unlawful eviction and financial abuse of a resident at Belmont Village Encino.

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.

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.

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.

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.

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.

The visit was an unannounced required annual inspection conducted by Licensing Program Analysts to evaluate compliance with licensing requirements.

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.

The inspection was conducted as a required annual case management continuation visit to review compliance with licensing regulations.

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.

The Licensing Program Analyst arrived unannounced to conduct a required annual inspection to ensure the facility is in compliance with Title 22 Regulations.

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.

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.

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.

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.

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.

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.

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.

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.

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.

The inspection was an unannounced required annual visit with an emphasis on infection control practices and procedures.

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.

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.

No health and safety concerns were noted at the time of the visit. Further investigation was needed prior to issuing findings.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

The visit was a case management incident investigation following a stabbing incident between two staff members at the facility on 09/24/2020.

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.

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.

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.

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.

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.

The inspection was an unannounced required annual visit to evaluate the facility's compliance with Title 22 Regulations and infection control practices.

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.