Inspection Reports for Belmont Village Senior Living Hollywood Hills

The inspection visit was an unannounced continuation of the required 1 Year Annual Inspection conducted on 10/09/2025, focusing on remaining inspection domains including medications, outdoors, staff records, and resident records.

No immediate health and safety hazards were observed during the inspection. Medication rooms, outdoor areas, staff records, and resident records were reviewed and found to be secure, complete, and current.

The inspection was an unannounced required 1-year annual inspection visit to evaluate the facility's compliance with licensing requirements.

The facility was inspected for physical plant conditions, fire safety systems, kitchen, laundry, bedrooms, bathrooms, and common areas. Overall, the facility was found clean, well-maintained, and compliant with safety and health standards. The fire alarm system and safety equipment were operational, and resident areas were safe and comfortable. Due to time constraints, the annual inspection was not fully completed and will be finished at a later date.

The inspection visit was an unannounced continuation of the required 1 Year Annual Inspection conducted on 07/01/2024, focusing on remaining inspection domains including fire safety, kitchen, medications, laundry, common areas, bedrooms, bathrooms, and outdoor areas.

The facility was found to be in compliance with no immediate health and safety hazards observed. Fire safety systems were operational and maintained, kitchen and medication areas were clean and secure, laundry and common areas were clean and unobstructed, bedrooms and bathrooms were safe and sanitary, and outdoor areas were well maintained.

The inspection was an unannounced required annual visit to evaluate the facility's compliance with licensing regulations and assess the physical plant, resident and staff records, and infection control measures.

The facility was found to be clean and well-maintained with proper emergency exits and infection control measures in place. Resident and staff records were complete and current, and the facility's administrator certificate was valid. No deficiencies or violations were noted in the report.

The inspection was conducted as a complaint investigation following allegations that a resident was diagnosed at the hospital for a drug overdose and that staff sometimes administer medications directly into residents' mouths.

The investigation found insufficient evidence to substantiate the allegations. Interviews, observations, and record reviews indicated no health and safety hazards, and no deficiencies were cited.

The complaint involved two allegations: 1) a resident was diagnosed at the hospital for a drug overdose, and 2) staff sometimes administered medications directly into residents' mouths. Both allegations were found to be unsubstantiated based on interviews, observations, and record reviews.

The visit was an unannounced complaint investigation triggered by an allegation that a resident was tested positive for drugs he was not taking.

The investigation found that medications were securely stored and administered only by staff, with no evidence residents shared medications. The toxicology report was positive for Tricyclic Antidepressants, but concerns for human or lab error were noted and no follow-up testing was requested. Based on interviews, observations, and record review, there was insufficient evidence to substantiate the allegation.

The complaint alleged that resident #1 tested positive for drugs he was not prescribed. The allegation was unsubstantiated after investigation.

The visit was an unannounced complaint investigation conducted in response to allegations received on 2023-04-25 regarding staff not assisting residents with toileting needs, not ensuring residents' showering needs are met, and a lack of water supply at the facility.

After interviews with residents and staff, observations, and record reviews, there was insufficient evidence to substantiate the allegations. Residents confirmed they receive toileting assistance and showers as needed, and staff confirmed no issues with water supply. No health and safety hazards or deficiencies were cited.

The complaint investigation was unsubstantiated. Allegations included staff not assisting residents with toileting, not ensuring showering needs, and lack of water supply. Interviews with seven out of eight incontinent residents and staff confirmed assistance and no water supply issues. Records showed residents received care every two hours and showers three times per week. No corroborating evidence was found to prove violations.

The inspection was conducted as a complaint investigation following allegations received on 01/17/2020 regarding sexual abuse of Resident #1 by staff and uncleared adults working in the facility.

The investigation found insufficient evidence to substantiate the sexual abuse allegation and the presence of uncleared adults. However, the facility was substantiated for failing to meet reporting requirements, failing to seek timely medical attention for the resident, and failing to protect the resident from harm by allowing the alleged staff to continue care after allegations.

The complaint alleged sexual abuse of Resident #1 by Staff #1 and the presence of uncleared adults working in the facility. The sexual abuse allegation was unsubstantiated based on forensic exam results, police reports, and interviews. The uncleared adult allegation was also unsubstantiated after review of employee files and interviews.

The visit was a one-year required infection control inspection conducted unannounced to evaluate the facility's compliance with infection control and safety standards.

The facility was found to have an approved mitigation plan, proper fire clearance, adequate COVID-19 prevention measures, clean and well-maintained physical plant including kitchen, bedrooms, bathrooms, medication storage, laundry, and common areas. No deficiencies were cited during the inspection.

The visit was an unannounced complaint investigation conducted in response to an allegation that a toilet was in disrepair and unusable by a resident.

The investigation included interviews with staff and residents, observation of multiple bathrooms, and review of repair records. Although some concerns were raised, all toilets inspected were operational, and there was insufficient evidence to substantiate the complaint. The allegation was determined to be unsubstantiated.

The complaint alleged that a toilet was broken and unusable. The investigation found no substantiated violation after interviews, observations, and record review. The allegation was unsubstantiated.

The visit was conducted as a Case Management investigation regarding an incident reported on 09/11/2021 involving a resident receiving an additional dose of a prescribed medication.

The investigation confirmed that a nurse administered an additional dose of medication to a resident without using the facility's Accuflow system, posing an immediate health and safety hazard. The resident did not experience complications and was monitored hourly. A deficiency was cited for failure to follow medication dispensing procedures.

The complaint involved a medication error where a nurse administered an additional dose of prescribed medication to resident #1. The nurse resigned prior to the investigation. The complaint was substantiated based on interviews and record review.

An unannounced complaint investigation was conducted due to an allegation that the facility did not have hot water for the residents.

The investigation found that a section of the building had fluctuating hot water temperatures for about three weeks. The facility offered affected residents alternative solutions such as moving rooms or using vacant rooms' bathrooms and provided some compensation. The allegation was deemed unsubstantiated as the facility was actively addressing the issue.

The complaint was unsubstantiated. The facility was found to be taking appropriate actions to resolve the hot water issue and offered alternatives and compensation to residents.

The visit was an unannounced case management visit regarding a serious incident report that occurred on 09/11/2021, specifically related to a staff member's positive COVID-19 test reported on 12/22/2021.

The Licensing Program Analyst obtained relevant documents and determined that further investigation is required at this time. Mass testing for staff began on 12/22/21 and for residents on 12/23/21.

An unannounced case management visit was conducted to deliver an immediate exclusion order to the facility on behalf of the Monterey Park Adult and Senior Care Office.

The Licensing Program Analyst met with the Resident Services Director to review the Immediate Exclusion Order. An exit interview was conducted.

One (1) Year Required - Infection Control visit for this facility as part of the annual inspection.

The facility was generally clean and well-maintained with proper infection control measures in place, including PPE availability and signage. However, several deficiencies were noted including hot water temperature issues, unlocked biohazard room, improper use of bed rails without physician orders, broken grab bars and dresser, and delayed staff response to emergency pull cords.

An unannounced case management follow-up visit was conducted regarding an incident on 03/31/2021 where a resident (R1) fell and sustained injuries requiring hospitalization and surgery.

The investigation concluded that R1 fell due to being left unattended on a wheelchair without footrests while staff went to ask for assistance. R1 was not assessed for pain prior to being moved from the floor to bed, and complained of pain after staff lifted R1 by pulling under the arms. Deficiencies related to supervision and assistance after the fall were cited, and a $500 civil penalty was issued with potential for additional penalties.

The visit was conducted as an unannounced Case Management follow-up to obtain more information regarding a fall incident involving facility resident #1 (R1) that occurred on 03/31/2021.

The investigation revealed that R1 fell due to being left unattended on a wheelchair without footrests while staff went to ask for assistance. R1 was not assessed for pain prior to being moved from the floor to bed, and staff lifted R1 by holding under the arms, which may have contributed to injuries. The incident report was incomplete and required additional clarification.

The complaint involved a fall incident of resident #1 on 03/31/2021 resulting in fractured clavicle and humerus. The complaint investigation found that staff left R1 unattended on the wheelchair without footrests, failed to assess pain before moving R1, and improperly lifted R1 from the floor. The complaint is substantiated based on the findings.