Inspection Reports for Belmont Village Senior Living Westwood
10475 Wilshire Blvd, Los Angeles, CA 90024, United States, CA, 90024
Back to Facility ProfileInspection Report Summary
Most inspections of this facility found no deficiencies, and several complaint investigations were unsubstantiated, indicating the facility generally meets regulatory standards. The most recent report from June 26, 2025, was clean with no deficiencies observed during a case management visit. The annual inspection on May 22, 2025, did find two deficiencies related to water temperature exceeding regulatory limits and a resident missing medication for a few days, but these issues were isolated and not severe. Earlier complaint investigations about medication handling, food service, and resident care were all unsubstantiated. Overall, the facility’s compliance appears stable with some minor issues noted in the most recent annual inspection but improvement shown in the latest follow-up visit.
Deficiencies (last 5 years)
Deficiencies (over 5 years)
0.6 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
85% 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.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Census: 174
Capacity: 240
Deficiencies: 0
Jun 26, 2025
Visit Reason
An unannounced Case Management visit was conducted following receipt of a Decision and Order excluding an individual (S#1) from any care facility licensed by the department.
Findings
No deficiencies were observed during the visit; therefore, no citations were issued.
Report Facts
Capacity: 240
Census: 174
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Chris Schroeder | Executive Director | Met with Licensing Program Analyst during the visit and involved in review of personnel and guardian records. |
| Alfonso Iniguez | Licensing Program Analyst | Conducted the unannounced Case Management visit and inspection. |
| Eva M Alvarez | Licensing Program Manager | Named in the report as Licensing Program Manager. |
Inspection Report
Complaint Investigation
Census: 176
Capacity: 240
Deficiencies: 0
Jun 4, 2025
Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that staff mishandle residents' medications.
Findings
The investigation included record reviews, interviews with staff and residents, and a facility tour. No sufficient evidence was found to substantiate the allegation of medication mishandling, and no deficiencies were cited.
Complaint Details
The allegation was that staff mishandle the residents' medications. Interviews with 11 staff members and 10 residents found 11 staff denied mishandling and 9 residents denied it, with 1 resident affirming. Based on the evidence, the allegation was determined to be unsubstantiated.
Report Facts
Capacity: 240
Census: 176
Staff interviewed: 11
Residents interviewed: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Daisy Ceballos | Director of Resident Care | Met with during the investigation and named in the report |
| Felisa Shirley | Licensing Program Analyst | Conducted the complaint investigation |
| Stephanie Cifuentes | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Annual Inspection
Census: 174
Capacity: 240
Deficiencies: 2
May 22, 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 adequate storage and safety measures. However, deficiencies were found including water temperatures exceeding the regulatory maximum and medication administration discrepancies.
Severity Breakdown
Type A: 1
Type B: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Water temperature over 125°F, 124°F and 123°F, exceeding the maximum allowed 120°F. | Type A |
| Resident without medication for a couple of days. | Type B |
Report Facts
Residents' service files reviewed: 10
Staff personnel files reviewed: 5
Medication Administration Records reviewed: 10
Fire/Disaster Drills last conducted: Apr 17, 2025
Capacity: 240
Census: 174
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Chris Schroeder | Executive Director | Met with Licensing Program Analyst during inspection and named in findings |
| Alfonso Iniguez | Licensing Program Analyst | Conducted the inspection and authored the report |
| Eva M Alvarez | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 175
Capacity: 240
Deficiencies: 0
Mar 6, 2025
Visit Reason
An unannounced complaint investigation visit was conducted following a complaint received on 2025-02-18 regarding allegations of inadequate food service, unsafe food handling, discouragement of residents from reporting, yelling at residents, and lack of cleanliness in the facility.
Findings
The investigation found that the facility provides adequate and well-balanced meals, staff are certified in safe food handling, residents and witnesses reported no discouragement from reporting or yelling by staff, and the facility is kept clean according to schedules and observations. Therefore, all allegations were found to be unsubstantiated.
Complaint Details
The complaint included allegations that facility staff did not provide adequate food service, did not ensure safe food handling, discouraged residents from reporting, yelled at residents, and did not keep the facility clean. After interviews with residents, staff, witnesses, and review of documents and observations, the allegations were found to be unsubstantiated due to lack of sufficient evidence.
Report Facts
Residents interviewed: 13
Witnesses interviewed: 14
Staff interviewed: 15
Resident rooms inspected: 15
Public restrooms inspected: 5
Facility capacity: 240
Facility census: 175
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Chris Schroeder | Executive Director | Interviewed regarding allegations and findings |
| Alfonso Iniguez | Licensing Program Analyst | Conducted the complaint investigation |
| Eva M Alvarez | Licensing Program Manager | Oversaw the complaint investigation |
Inspection Report
Complaint Investigation
Census: 175
Capacity: 240
Deficiencies: 0
Mar 4, 2025
Visit Reason
An unannounced complaint investigation visit was conducted to investigate allegations regarding medication assistance timeliness, cleanliness of resident rooms, and quality of food provided to residents.
Findings
The investigation found no sufficient evidence to substantiate any of the allegations. Interviews with staff and residents, observations, and record reviews indicated that medication was administered timely, rooms and facility were kept clean, and food quality and portions were adequate.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included staff not providing timely medication assistance, failure to keep resident rooms clean, and providing poor quality food with small portions. After interviews, observations, and record reviews, the department found no preponderance of evidence to prove the alleged violations.
Report Facts
Staff interviewed: 8
Residents interviewed: 10
Rooms inspected: 9
Medication Administration Records reviewed: 31
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Elvira Gonzalez | Licensing Program Analyst | Conducted the complaint investigation and interviews |
| Chris Schroeder | Executive Director | Facility representative met during investigation and exit interview |
Inspection Report
Census: 177
Capacity: 240
Deficiencies: 0
Nov 21, 2024
Visit Reason
The visit was a Case Management visit conducted to review compliance with privacy regulations regarding surveillance cameras and adherence to admission requirements under section 1569.153 of the Health and Safety Code.
Findings
No deficiencies were observed during the visit. The facility's surveillance system was confirmed to have no audio capabilities, and the facility was found to be in compliance with admission regulations.
Report Facts
Residents' files reviewed: 17
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Chris Schroeder | Executive Director | Met with Licensing Program Analyst during the Case Management visit and reviewed surveillance system and residents' files |
| Alfonso Iniguez | Licensing Program Analyst | Conducted the Case Management visit and reviewed compliance with regulations |
| Eva M Alvarez | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Census: 177
Capacity: 240
Deficiencies: 0
Nov 21, 2024
Visit Reason
The visit was a Case Management visit conducted by Licensing Program Analyst Alfonso Iniguez to review an incident involving a resident pushing another resident, causing a fall, and to assess the facility's response and compliance.
Findings
No deficiencies were observed during the visit, and no citations were issued. The facility promptly assisted the residents involved in the incident and followed up with the primary care physician and families. The Executive Director stated this was the first time the resident exhibited aggressive behavior.
Report Facts
Capacity: 240
Census: 177
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Chris Schroeder | Executive Director | Met during the visit and provided information about the incident and resident behavior |
| Alfonso Iniguez | Licensing Program Analyst | Conducted the Case Management visit and reviewed documentation |
| Eva M Alvarez | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Census: 174
Capacity: 240
Deficiencies: 0
Aug 30, 2024
Visit Reason
An unannounced Case Management visit was conducted following reports of a male dressed as a service worker entering community care facilities in the Westwood area.
Findings
The Licensing Program Analysts conducted a health and safety check, reviewed staff and resident rosters, observed video footage of the intruder, and reviewed staff in-service training. No deficiencies were observed and no citations were issued.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Chris Schroeder | Executive Director | Met with Licensing Program Analysts during the visit and provided information about the incident and facility procedures. |
| Alfonso Iniguez | Licensing Program Analyst | Conducted the inspection and signed the report. |
| Yolanda Rosser | Licensing Program Analyst | Conducted the inspection. |
| Eva M Alvarez | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Annual Inspection
Census: 174
Capacity: 240
Deficiencies: 0
May 23, 2024
Visit Reason
The inspection was an unannounced annual required visit conducted using the CARE Inspection Tool to evaluate compliance with licensing regulations.
Findings
The facility was found to be clean, sanitary, and appropriately furnished with no observed deficiencies. All safety equipment was operable, infection control practices were followed, and medication administration records showed no discrepancies.
Report Facts
Units inspected: 10
Units inspected: 10
Fire/Disaster Drill date: Apr 25, 2024
Fire department inspection date: Mar 29, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Alfonso Iniguez | Licensing Program Analyst | Conducted the inspection and authored the report |
| Chris Schroeder | Executive Director | Facility representative met during inspection and received report |
| Eva M Alvarez | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 56
Capacity: 240
Deficiencies: 0
Mar 27, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations that facility staff did not assist residents with wearing clean clothing, incontinence care, showering, meeting dietary needs, and using hearing aids.
Findings
The investigation included interviews with the administrator, staff, residents, and review of records. The evidence did not substantiate the allegations; residents and staff confirmed that assistance was provided as needed, and residents were generally independent or received appropriate support. The allegations were found to be unsubstantiated.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included failure to assist residents with wearing clean clothing, incontinence care, showering, dietary needs, and hearing aid use. Interviews and record reviews showed residents were either independent or received appropriate assistance, and refusals were documented and communicated to family and physicians.
Report Facts
Capacity: 240
Census: 56
Number of allegations: 5
Number of residents interviewed: 6
Number of staff interviewed: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Chris Schroeder | Executive Director | Administrator interviewed regarding complaint allegations and findings |
| Alfonso Iniguez | Licensing Program Analyst | Investigator who conducted the complaint investigation |
| Eva M Alvarez | Licensing Program Manager | Manager overseeing the complaint investigation report |
Inspection Report
Annual Inspection
Census: 181
Capacity: 240
Deficiencies: 1
Jun 14, 2023
Visit Reason
An unannounced Annual visit was conducted as part of case management to evaluate compliance with licensing requirements and infection control practices.
Findings
The facility was found to have proper infection control practices, adequate resident accommodations, and proper medication management. Several staff files were missing required records, resulting in technical assistance deficiencies issued during the visit.
Deficiencies (1)
| Description |
|---|
| Several staff files were missing required records: LIC508, LIC503, LIC501, LIC9052. |
Report Facts
Residents on hospice: 7
Units in facility: 176
Two-bedroom units: 31
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Chris Schroeder | Executive Director | Met with Licensing Program Analyst during inspection and named in findings |
| David España | Licensing Program Analyst | Conducted the inspection |
| Ulysses Coronel | Licensing Program Manager | Named in report header and signature |
Inspection Report
Annual Inspection
Census: 181
Capacity: 240
Deficiencies: 0
Jun 13, 2023
Visit Reason
The visit was an unannounced required annual inspection of Belmont Village Westwood to assess compliance with licensing regulations.
Findings
The Licensing Program Analyst conducted a facility tour observing infection control practices, physical plant conditions, and resident accommodations. The facility was found to have appropriate infection control measures, adequate resident room furnishings, and safe common areas. The visit was not completed due to time constraints and will be resumed.
Report Facts
Residents on hospice: 7
Units in facility: 176
Two-bedroom units: 31
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Chris Schroeder | Administrator / Executive Director | Met with Licensing Program Analyst during inspection and received report copy |
| David España | Licensing Program Analyst | Conducted the unannounced annual inspection visit |
| Ulysses Coronel | Licensing Program Manager | Named in report header |
Inspection Report
Complaint Investigation
Census: 171
Capacity: 240
Deficiencies: 0
Mar 9, 2023
Visit Reason
An unannounced complaint investigation was conducted due to an allegation that the facility's physical plant is unsafe, specifically concerning heavy or sharp objects on surfaces without anchoring.
Findings
The investigation found no sufficient evidence to support the allegation that the facility physical plant is unsafe. The Bureau of Fire Prevention did not find any fire safety violations, and the facility was found to be in compliance with Title 22 Regulations. The allegation was determined to be unsubstantiated.
Complaint Details
The complaint alleged that life-threatening heavy or sharp objects on surfaces were not anchored, specifically bookcases and accent tables with ceramic pots and sharp-edge decorative materials. The Bureau of Fire Prevention inspected and recommended anchoring bookshelves to prevent falling hazards. The Executive Director confirmed a request was made to anchor all bookshelves. No health or safety violations were found, and the allegation was unsubstantiated.
Report Facts
Facility capacity: 240
Census: 171
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ernand Dabuet | Licensing Program Analyst | Conducted the complaint investigation visit |
| Chris Schroeder | Executive Director met during the investigation and exit interview |
Inspection Report
Annual Inspection
Census: 176
Capacity: 240
Deficiencies: 0
Nov 30, 2022
Visit Reason
The visit was an unannounced required annual inspection with a primary focus on Infection Control measures using the new CARE Inspection Tools.
Findings
The facility was found to have 9 active Covid-19 cases with an approved mitigation plan. Infection control practices, physical plant conditions, safety measures, and sanitation were observed and found compliant. No deficiencies were cited during the visit.
Report Facts
Active Covid-19 cases: 9
Residents on hospice: 6
Facility units: 176
Two-bedroom units: 31
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Chris Schroeder | Executive Director | Met with Licensing Program Analyst during inspection and received report copy |
| Troy Agard | Licensing Program Analyst | Conducted the inspection visit |
| Ulysses Coronel | Licensing Program Manager | Named in report header and signature section |
Inspection Report
Complaint Investigation
Capacity: 240
Deficiencies: 0
Apr 7, 2022
Visit Reason
The visit was an unannounced complaint investigation conducted in response to an allegation that staff stole a resident's belongings.
Findings
The investigation found no preponderance of evidence to substantiate the allegation of staff stealing resident's belongings. Interviews with staff and residents, review of records, and observations supported an unsubstantiated finding.
Complaint Details
The allegation was that staff stole a resident's ring. The investigation revealed no reports of stolen property to facility staff, and interviews with five staff members and five residents found no evidence of theft. The allegation was found to be unsubstantiated.
Report Facts
Facility capacity: 240
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ann Margaret Zavela | Director of Resident Care Services | Met during the investigation and named in the exit interview |
| James Arp | Administrator / Executive Director | Unavailable during visit but spoke via landline and confirmed no reports of theft |
| Elizabeth Ceniceros | Licensing Program Analyst / Retired Annuitant | Conducted the complaint investigation visit |
| Troy Agard | Licensing Program Analyst | Conducted initial 10-day visit related to the complaint |
Inspection Report
Complaint Investigation
Capacity: 240
Deficiencies: 0
Apr 7, 2022
Visit Reason
The visit was an unannounced complaint investigation conducted in response to an allegation that the facility changed a resident's medication without consent.
Findings
The investigation found that the facility administered medication (Xanax) to Resident #1 based on a physician's order, but the resident's responsible person was not fully informed about the medication change. After review of evidence and interviews, the allegation was determined to be unsubstantiated due to lack of preponderance of evidence.
Complaint Details
Allegation: Facility changed resident's medication without consent. The allegation was unsubstantiated after investigation.
Report Facts
Facility capacity: 240
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Ceniceros | Licensing Program Analyst/Retired Annuitant | Conducted the complaint investigation visit and authored the report |
| James Arp | Administrator/Executive Director | Facility administrator involved in communication during investigation |
| Ann Margaret Zavela | Director of Resident Care Services | Met with Licensing Program Analyst during the visit |
| Yul Rapoport | Neurologist | Facility attending group physician who prescribed the medication (Xanax) to Resident #1 |
| Elizabeth Whitman | Primary Care Physician | Discontinued the medication (Xanax) for Resident #1 |
Inspection Report
Complaint Investigation
Census: 176
Capacity: 240
Deficiencies: 0
Jan 11, 2022
Visit Reason
The inspection was an unannounced complaint investigation triggered by allegations that the facility was not following quarantine/isolation guidelines, staff were not trained to care for residents with COVID-19, and the administrator was not demonstrating good character.
Findings
The investigation found that all allegations were unsubstantiated based on interviews with staff and residents, review of training and PPE protocols, and observation of infection control measures. Staff and residents denied the allegations, and the facility demonstrated appropriate COVID-19 precautions and training.
Complaint Details
The complaint investigation addressed three allegations: 1) Facility not following quarantine/isolation guidelines; 2) Staff not trained to care for residents with COVID-19; 3) Administrator not demonstrating good character. All allegations were found unsubstantiated after interviews and record reviews.
Report Facts
Capacity: 240
Census: 176
Complaint control number: 11-AS-20220105120439
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| James Arp | Administrator / Executive Director | Met with Licensing Program Analyst during investigation and was subject of character allegation |
| Troy Agard | Licensing Program Analyst | Conducted the complaint investigation |
| Angela J Kendrick | Licensing Program Manager | Oversaw the complaint investigation |
Inspection Report
Annual Inspection
Census: 170
Capacity: 240
Deficiencies: 0
Jun 8, 2021
Visit Reason
The visit was an unannounced required annual inspection with a primary focus on Infection Control measures using the new CARE Inspection Tools.
Findings
The facility was found to be clear of Covid-19 infection with an approved mitigation plan. Infection control practices were observed to be adequate, PPE supplies were available, and the physical plant was in good condition. No deficiencies were cited during the visit.
Report Facts
Residents on hospice: 14
Facility units: 176
Two-bedroom units: 31
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| James Arp | Executive Director | Met with Licensing Program Analyst during inspection and received exit interview |
| Ann Zavela | Director of Resident Care | Joined the Licensing Program Analyst during the facility tour |
| Troy Agard | Licensing Program Analyst | Conducted the inspection visit |
| Angela J Kendrick | Licensing Program Manager | Named in the report |
Loading inspection reports...
