Inspection Report Summary
Most inspections found no deficiencies, with the facility generally maintaining compliance with health and safety regulations and a clean, well-maintained environment. Several complaint investigations were unsubstantiated, including allegations related to food safety, resident care, and hygiene. However, a complaint investigation on January 29, 2024, substantiated neglect in care and supervision that led to a resident sustaining multiple fractures, resulting in a deficiency for failure to ensure proper care and posing an immediate health and safety risk. Since then, the most recent report on July 3, 2025, showed no deficiencies, indicating improvement in compliance and resident safety. Other complaints involving suspected rough handling led to staff suspensions and ongoing investigations but did not result in immediate health or safety concerns.
Deficiencies per Year
4
3
2
1
0
High
Census Over Time
Census
Capacity
Inspection Report
Annual Inspection
Census: 70
Capacity: 90
Deficiencies: 0
Jul 3, 2025
Visit Reason
An unannounced annual inspection was conducted to evaluate compliance with licensing requirements and ensure the health and safety of residents.
Findings
The facility was found to be in compliance with Title 22 regulations with no immediate health or safety risks observed. All areas, including fire safety systems, medication storage, and resident rooms, were in good condition and operational.
Report Facts
Capacity: 90
Census: 70
Hospice waivers: 5
Fire extinguisher last inspection date: Oct 11, 2024
Refrigerator temperature: 39
Freezer temperature: -12
Call system response time: 1
Call system response time: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Nicholas Reed | Licensing Program Analyst | Conducted the inspection and authored the report |
| Helen Lee | Administrator/Director | Facility administrator named in the report |
| Jaqueline Smith | Interim Executive Director | Met with Licensing Program Analyst during inspection |
| Naira Margaryan | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 75
Capacity: 90
Deficiencies: 0
Jan 29, 2025
Visit Reason
The visit was an unannounced case management investigation conducted after the facility reported two suspected abuse incidents involving staff handling residents roughly or inappropriately on 01/25/25.
Findings
The investigation included interviews with staff, residents, and review of records. One resident alleged rough handling by a staff member, leading to suspension of two staff members as a safety measure. One staff member was confirmed not to be working during the alleged incident. No immediate health or safety concerns were observed, and further investigation is planned.
Complaint Details
Two suspected abuse reports were received: one alleging rough handling of Resident #1 by Staff #1, and another alleging inappropriate care by Staff #2. Staff #1 and Staff #2 were suspended pending investigation. Staff #2 was confirmed not to be working during the alleged incident. Resident #2 could not be contacted as they were relocated. Allegations require further investigation.
Report Facts
Suspected abuse reports: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Nicholas Reed | Licensing Program Analyst | Conducted the unannounced case management visit and investigation |
| Helen Lee | Administrator | Facility administrator interviewed and involved in investigation and suspension of staff |
Inspection Report
Annual Inspection
Census: 66
Capacity: 90
Deficiencies: 0
Jun 19, 2024
Visit Reason
An unannounced annual inspection was conducted by Licensing Program Analysts to evaluate compliance with Title 22 regulations and assess the facility's condition and operations.
Findings
The facility was found to be in compliance with Title 22 regulations with no immediate health and safety risks observed. The environment, equipment, and resident areas were clean, well-maintained, and in good repair. Safety systems such as fire extinguishers, smoke and carbon monoxide detectors, and call system pull cords were operational.
Report Facts
Residents observed in exercise activity: 15
Fire extinguisher last inspection date: Jun 11, 2024
Water temperatures measured: 112.5
Water temperatures measured: 106.5
Water temperatures measured: 119
Walk-in refrigerator temperature: 38
Walk-in freezer temperature: -5
Facility capacity: 90
Current census: 66
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Nicholas Reed | Licensing Program Analyst | Conducted the inspection and signed the report |
| Leizl delaCerra | Licensing Program Analyst | Conducted the inspection |
| Naira Margaryan | Licensing Program Manager | Named in the report as Licensing Program Manager |
| Helen Lee | Administrator/Director | Facility Administrator/Director met during inspection |
| Logan Harrison | Met with during inspection |
Inspection Report
Complaint Investigation
Census: 67
Capacity: 90
Deficiencies: 1
Jan 29, 2024
Visit Reason
An unannounced complaint investigation visit was conducted due to allegations of neglect in care and supervision resulting in a resident sustaining multiple fractures.
Findings
The investigation substantiated that a resident sustained unexplained injuries, including fractures and bruises, due to neglect and/or improper care and supervision. Staff failed to notify the family and properly investigate the cause of the injuries.
Complaint Details
The complaint was substantiated. The investigation revealed neglect in care and supervision leading to a resident sustaining multiple fractures. Staff failed to notify the family and investigate the injuries properly.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| The Licensee did not take required action to ensure that facility resident received proper care and supervision, posing an immediate health and safety risk to residents in care. | Type A |
Report Facts
Capacity: 90
Census: 67
Deficiency count: 1
Plan of Correction due date: Jan 31, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Tihesha Smith | Licensing Program Analyst | Conducted the complaint investigation and made findings |
| Naira Margaryan | Licensing Program Manager | Oversaw the complaint investigation report |
Inspection Report
Complaint Investigation
Census: 57
Capacity: 90
Deficiencies: 0
Dec 13, 2023
Visit Reason
The visit was conducted as a case management incident investigation following a report and SOC341 submitted by the facility regarding a staff member handling a resident in a rough manner.
Findings
The Licensing Program Analyst reviewed video footage, interviewed staff, and toured the facility. The staff member involved was suspended, and an internal and LAPD investigation is ongoing. No immediate health and safety hazards were observed during the visit.
Complaint Details
The complaint involved Staff #1 pushing Resident #1 in a wheelchair despite the resident's refusal, resulting in the resident falling forward. The facility reported no injuries and is conducting an internal investigation while LAPD is also investigating.
Report Facts
Capacity: 90
Census: 57
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Nicholas Reed | Licensing Program Analyst | Conducted the case management visit and investigation |
| Helen Lee | Administrator | Facility administrator involved in the incident report |
Inspection Report
Annual Inspection
Census: 49
Capacity: 90
Deficiencies: 0
Jul 6, 2023
Visit Reason
The visit was an unannounced Case Management - Annual Continuation visit to complete the required 1-year visit initiated on 07/05/2023.
Findings
No deficiencies were noted during the initial visit or the continuation visit. Interviews with staff and residents were completed, and the annual visit was concluded with no deficiencies noted.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Tihesha Smith | Licensing Program Analyst | Conducted the unannounced Case Management - Annual Continuation visit and interviews. |
| Naira Margaryan | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Annual Inspection
Census: 49
Capacity: 90
Deficiencies: 0
Jul 5, 2023
Visit Reason
An unannounced Required 1-year inspection was conducted in conjunction with a complaint visit to ensure compliance with Title 22 Regulations and to assess health and safety conditions.
Findings
The facility was found to be in compliance with health and safety regulations, with no immediate hazards observed. Common areas, food service, medication storage, resident rooms, bathrooms, fire safety equipment, and staff and resident files were inspected and found satisfactory.
Complaint Details
The inspection was conducted in conjunction with a complaint visit, but no substantiation status or complaint findings were explicitly stated.
Report Facts
Number of resident rooms inspected: 6
Number of fire extinguishers: 6
Number of resident files reviewed: 6
Number of staff files reviewed: 4
Hot water temperature range (Fahrenheit): 108.0-113.4
Perishable food supply duration (days): 2
Non-perishable food supply duration (days): 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Tihesha Smith | Licensing Program Analyst | Conducted the inspection and authored the report |
| Naira Margaryan | Licensing Program Manager | Named in the report as Licensing Program Manager |
| Helen Lee | Administrator | Facility Administrator named in the report |
| Amanda Monroy | Met with Licensing Program Analyst during inspection |
Inspection Report
Annual Inspection
Census: 47
Capacity: 90
Deficiencies: 0
Jun 10, 2022
Visit Reason
An unannounced annual inspection was conducted by Licensing Program Analysts to evaluate the facility's compliance with regulatory standards.
Findings
The facility was found to be in compliance with COVID-19 precautions, including signage, screening, PPE supply, and vaccination status. The physical plant, resident rooms, bathrooms, kitchen, dining, common areas, and outdoor spaces were inspected and found clean, well-maintained, and free from hazards.
Report Facts
Hot water temperature range: 105.5
Hot water temperature range: 109.1
Facility capacity: 90
Census: 47
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Mariam Gezalian | Business Office Manager | Met with Licensing Program Analysts during inspection and provided information about mitigation and meal seating |
| Michael Cava | Licensing Program Analyst | Conducted the inspection |
| Gary Tan | Licensing Program Analyst | Conducted the inspection |
| Eva Miller | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 46
Capacity: 90
Deficiencies: 0
May 21, 2022
Visit Reason
An unannounced complaint investigation visit was conducted to investigate allegations including failure to obtain medical treatment for a resident, improper use of residents' personal hygiene products, unmet resident needs, and staff not following universal precautions.
Findings
The investigation found insufficient evidence to substantiate the allegations. Records and staff interviews confirmed that the resident received medical attention, personal hygiene products were not misused, resident care needs were met, and staff followed universal precautions with adequate PPE supplies.
Complaint Details
The complaint investigation was unsubstantiated based on record reviews and staff interviews. Allegations included failure to obtain medical treatment, reuse of personal hygiene products, unmet resident needs, and failure to follow universal precautions. No evidence supported these claims.
Report Facts
Capacity: 90
Census: 46
Number of residents interviewed: 5
Dates of communication with PCP: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jose Gary Tan | Licensing Program Analyst | Conducted the complaint investigation visit and interviews |
| Naira Margaryan | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
| Michelle Egan | Staff | Met with Licensing Program Analyst during the investigation |
Inspection Report
Complaint Investigation
Census: 46
Capacity: 90
Deficiencies: 0
May 17, 2022
Visit Reason
An unannounced complaint investigation visit was conducted to investigate allegations that the facility failed to properly prepare food resulting in E. Coli infection.
Findings
The investigation found no evidence of E. Coli cases at the facility since August 2019, confirmed that kitchen staff were trained in food safety, and observed the kitchen to be clean and well supervised. The allegation was deemed unsubstantiated due to insufficient information.
Complaint Details
The complaint alleged that Resident #1 acquired E. Coli from food served at the facility. The investigation found no substantiation for this allegation.
Report Facts
Facility capacity: 90
Census: 46
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jose Gary Tan | Licensing Program Analyst | Conducted the complaint investigation visit |
| Gina Grundeis | Executive Director | Met with Licensing Program Analyst during investigation |
Inspection Report
Complaint Investigation
Census: 47
Capacity: 90
Deficiencies: 0
Apr 16, 2022
Visit Reason
Unannounced complaint investigation visit conducted to investigate allegations that facility staff failed to meet a resident's hygiene needs and that neglect caused a resident to sustain an infection requiring hospitalization.
Findings
The investigation found that Resident #1 was capable of self-care and often refused assistance from staff, who consistently checked on the resident every two hours and attempted care after refusals. There was no evidence of neglect leading to infection or hospitalization, and the allegations were deemed unsubstantiated.
Complaint Details
The complaint was unsubstantiated based on record reviews and staff interviews indicating consistent monitoring and care of Resident #1 despite refusals of assistance.
Report Facts
Capacity: 90
Census: 47
Complaint Control Number: 31-AS-20190415121636
Staff interviews: 6
Resident refusals: Resident #1 refused assistance numerous times
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jose Gary Tan | Licensing Program Analyst | Conducted the complaint investigation visit |
| Naira Margaryan | Licensing Program Manager | Named as Licensing Program Manager on report |
| Zuleyma Gomez | Health and Wellness Director | Met with Licensing Program Analyst during investigation |
Inspection Report
Annual Inspection
Census: 46
Capacity: 90
Deficiencies: 0
Jun 23, 2021
Visit Reason
An unannounced annual required visit was conducted by the Licensing Program Analyst to evaluate the facility's compliance with regulations.
Findings
The Licensing Program Analyst observed proper signage, resident mask usage, appropriate furnishings, and functioning safety equipment throughout the facility. No deficiencies were cited during the inspection.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lilit Mnatsakanyan | Administrator | Met with Licensing Program Analyst during the inspection. |
| Wendell Smith | Licensing Program Analyst | Conducted the unannounced annual required visit. |
| Cassandra Harris | Licensing Program Manager | Named in the report as Licensing Program Manager. |
Inspection Report
Complaint Investigation
Census: 43
Capacity: 90
Deficiencies: 0
May 25, 2021
Visit Reason
An unannounced complaint investigation visit was conducted to investigate an allegation that a resident sustained multiple injuries while in care.
Findings
The investigation found that the resident was admitted to the hospital for injuries sustained at another facility prior to admission to this facility. The allegation was deemed unfounded, meaning it was false or without reasonable basis.
Complaint Details
The complaint alleged that resident #1 sustained multiple pressure injuries while in care. The allegation was investigated and found to be unfounded.
Report Facts
Capacity: 90
Census: 43
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Wendell Smith | Licensing Program Analyst | Conducted the complaint investigation |
| Hasmik Sargsyan | Health and Wellness Director | Met with the investigator during the visit |
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