Inspection Reports for CityView
515 N La Brea Ave, Los Angeles, CA 90036, United States, CA, 90036
Back to Facility ProfileInspection Report Summary
Most inspections found no deficiencies, and many complaint investigations were unsubstantiated, indicating generally consistent compliance with regulations. The most recent report from September 20, 2025, cited a deficiency related to missing criminal background clearance transfers for three staff members, resulting in a citation and an immediate civil penalty. Earlier reports showed isolated issues such as missing staff training certifications in September 2023 and a substantiated complaint in April 2024 involving inadequate supervision that led to a resident’s fracture and delayed medical attention, which resulted in a $500 fine currently under appeal. Aside from these, other deficiencies were minor or related to facility maintenance and were addressed promptly. The facility’s record shows improvement in recent inspections, with the latest annual inspection otherwise indicating good maintenance, infection control, and safety practices.
Deficiencies per Year
4
3
2
1
0
High
Moderate
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Annual Inspection
Census: 115
Capacity: 166
Deficiencies: 1
Sep 20, 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 well maintained with adequate supplies, operational safety equipment, and infection control practices. However, deficiencies were found related to staff criminal background clearance transfers missing for three staff members, resulting in a citation and immediate civil penalty.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Staff #1, #2, and #3 did not have Criminal Clearance Background Transfer Request LIC 9182 and were not associated with this facility in the CDSS Guardian Background Clearance System. | Type A |
Report Facts
Residents in Assisted Living: 69
Residents in Memory Care: 46
Residents in Hospice Care: 4
Hospice Resident Capacity: 14
Resident Bedrooms in Memory Care: 21
Resident Bedrooms in Assisted Living: 71
Temperature Range in Bathrooms (F): 105.1-115.5
Facility Temperature Range (F): 72-75
Deficiency Citations: 1
Civil Penalty Amount: 100
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Marcia McKay | Wellness Director | Met with Licensing Program Analyst during inspection and participated in exit interview |
| Ernand Dabuet | Licensing Program Analyst | Conducted the inspection and authored the report |
| Janae Hammond | Licensing Program Manager | Oversaw licensing program and signed report |
Inspection Report
Complaint Investigation
Census: 111
Capacity: 166
Deficiencies: 0
Jul 25, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to an allegation that staff do not allow residents to keep and have access to personal possessions.
Findings
The investigation found that seven out of eight residents and all seven staff interviewed did not agree with the allegation, and record reviews indicated proper procedures were followed for residents diagnosed with dementia. The allegation was determined to be unsubstantiated due to lack of preponderance of evidence.
Complaint Details
The complaint alleged that staff do not allow residents access to their personal hygiene products. The investigation included interviews with residents and staff, and review of resident records and facility documents. The allegation was found unsubstantiated.
Report Facts
Residents interviewed: 8
Staff interviewed: 7
Residents diagnosed with dementia with Memory Care Consent forms: 5
Estimated days of completion: 90
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Mario Leon | Licensing Program Analyst | Conducted the complaint investigation |
| Mendy Ginsberg | Executive Director | Facility representative met during the investigation |
| Ulysses Coronel | Licensing Program Manager | Oversaw the complaint investigation |
Inspection Report
Complaint Investigation
Census: 111
Capacity: 166
Deficiencies: 0
Jul 25, 2025
Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that staff did not provide medication assistance to residents in a timely manner.
Findings
The investigation found that six out of eight residents and all seven staff interviewed did not agree with the allegation, and record reviews showed all seven residents received their medications as scheduled. Staff training records were also compliant. Therefore, the allegation was unsubstantiated due to lack of preponderance of evidence.
Complaint Details
The complaint alleged that staff did not provide medication assistance to residents in a timely manner, resulting in residents missing meals. The investigation included interviews with residents and staff, review of medication administration records and staff training. The allegation was found unsubstantiated.
Report Facts
Residents interviewed: 8
Staff interviewed: 7
Resident records reviewed: 7
Staff training records reviewed: 2
Estimated days for completion: 90
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Mendy Ginsberg | Executive Director | Met with Licensing Program Analyst during the investigation |
| Mario Leon | Licensing Program Analyst | Conducted the complaint investigation |
| Ulysses Coronel | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 112
Capacity: 166
Deficiencies: 0
Jul 23, 2025
Visit Reason
The inspection was conducted as an unannounced complaint investigation visit following a complaint received on 2025-04-24 regarding allegations of inadequate personal care hygiene, unclean bedding, and failure to safeguard resident's personal possessions at the facility.
Findings
The investigation included interviews with staff, residents, and review of records. All three allegations—failure to meet personal care hygiene needs, failure to provide clean bedding, and failure to safeguard personal possessions—were found to be unsubstantiated due to insufficient evidence to prove violations occurred.
Complaint Details
The complaint investigation was triggered by allegations that staff did not ensure resident's personal care hygiene needs were met, did not provide clean bedding, and did not safeguard resident's personal possessions. After interviews and records review, the allegations were determined to be unsubstantiated due to lack of preponderance of evidence.
Report Facts
Capacity: 166
Census: 112
Staff interviewed: 10
Residents interviewed: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Zina Brown | Licensing Program Analyst | Conducted the complaint investigation and interviews |
| Janae Hammond | Licensing Program Manager | Oversaw the complaint investigation |
| Vanita Harris | Business Office Manager | Facility representative met during the investigation |
| Mendy Ginsberg | Administrator | Facility administrator interviewed during the investigation |
Inspection Report
Complaint Investigation
Census: 112
Capacity: 166
Deficiencies: 0
Jul 10, 2025
Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation of illegal eviction of a resident from the facility.
Findings
The investigation found no evidence to support the allegation of illegal eviction. Interviews with staff, residents, and hospital personnel, as well as record reviews, indicated the resident remained hospitalized and no eviction notice was issued. The allegation was determined to be unsubstantiated.
Complaint Details
The complaint alleged that resident #1 was illegally evicted after being discharged from one hospital and told they could not return to the facility. The investigation included interviews with the Executive Director, staff, residents, and hospital staff, and review of relevant records. The allegation was found unsubstantiated due to lack of evidence.
Report Facts
Estimated Days of Completion: 90
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Mario Leon | Licensing Program Analyst | Conducted the complaint investigation and interviews |
| Mendy Ginsberg | Executive Director | Facility representative interviewed during the investigation |
| Ulysses Coronel | Licensing Program Manager | Oversaw the complaint investigation |
Inspection Report
Complaint Investigation
Census: 107
Capacity: 166
Deficiencies: 0
Jun 26, 2025
Visit Reason
The visit was an unannounced complaint investigation conducted to gather information regarding an allegation that staff did not ensure a comfortable environment was provided for residents.
Findings
Based on interviews with staff and residents, observations of the facility environment, and review of relevant documents, the Department found no evidence to support the allegation. The allegation was determined to be unsubstantiated and no deficiencies were issued.
Complaint Details
The complaint alleged that staff did not ensure a comfortable environment for residents. Interviews with staff and residents, as well as observations, indicated that the facility was maintained at a comfortable temperature with adequate lighting and cleanliness. The allegation was unsubstantiated due to lack of evidence.
Report Facts
Staff interviews conducted: 10
Resident interviews conducted: 10
Floors toured: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Mendy Ginsburg | Executive Director | Met during investigation and received copy of report |
| Regina Cloyd | Licensing Program Analyst | Conducted the complaint investigation |
| Ulysses Coronel | Licensing Program Manager | Oversaw the complaint investigation |
| Vanita Bush | Business Office Manager | Met during investigation |
Inspection Report
Complaint Investigation
Census: 105
Capacity: 166
Deficiencies: 0
Apr 15, 2025
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations that staff did not assist a resident with getting off the floor and did not check on a resident in a timely manner.
Findings
The investigation included interviews with staff, residents, and a witness, as well as review of personnel and resident records. The allegations were found to be unsubstantiated due to lack of preponderance of evidence. No deficiencies were cited during the visit.
Complaint Details
The complaint alleged that staff did not assist a resident stuck between the bed and night stand and did not check on the resident in a timely manner. Interviews and record reviews showed that most staff and residents denied the allegations, and the evidence did not support the claims. The complaint was determined to be unsubstantiated.
Report Facts
Staff interviewed: 8
Residents interviewed: 4
Witnesses interviewed: 1
Deficiencies cited: 0
Capacity: 166
Census: 105
Estimated days of completion: 90
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Mario Leon | Licensing Program Analyst | Conducted the complaint investigation and authored the report. |
| Vanita Harris | Business Office Manager | Met with the Licensing Program Analyst during the investigation and participated in the exit interview. |
| Ulysses Coronel | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation. |
Inspection Report
Complaint Investigation
Census: 105
Capacity: 166
Deficiencies: 0
Apr 10, 2025
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations that staff did not ensure medication was dispensed as prescribed and did not meet residents' dietary needs.
Findings
The investigation found no preponderance of evidence to substantiate the allegations regarding medication dispensing and dietary needs. All interviewed staff and residents denied the allegations, and no deficiencies were cited during the visit.
Complaint Details
The complaint involved allegations that staff changed a resident's medication without notifying the primary psychiatrist or responsible parties, and that staff did not follow residents' special diets or occasionally failed to provide meals. The allegations were unsubstantiated based on record reviews and interviews.
Report Facts
Residents interviewed: 6
Staff interviewed: 10
Deficiencies cited: 0
Estimated days of completion: 90
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Mendy Ginsburg | Executive Director | Met with Licensing Program Analyst during the investigation and participated in the exit interview. |
| Mario Leon | Licensing Program Analyst | Conducted the complaint investigation visit. |
| Ulysses Coronel | Licensing Program Manager | Oversaw the complaint investigation. |
Inspection Report
Census: 104
Capacity: 166
Deficiencies: 0
Mar 26, 2025
Visit Reason
An unannounced case management visit was conducted to serve the Order to Licensee/Facility of Immediate Exclusion for Staff #1 (S1).
Findings
The Licensing Program Analyst delivered an immediate exclusion letter to the Executive Director, requiring Staff #1 to be disassociated from the facility immediately. The visit included review of the posted work schedule and an exit interview.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Mendy Ginsberg | Executive Director | Met with Licensing Program Analyst during visit and received immediate exclusion letter for Staff #1. |
| Regina Cloyd | Licensing Program Analyst | Conducted the unannounced case management visit and delivered the immediate exclusion letter. |
Inspection Report
Complaint Investigation
Census: 80
Capacity: 166
Deficiencies: 0
Nov 7, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2024-10-14 regarding allegations about food quality, adequacy of planned activities, and pest control at the facility.
Findings
The investigation found no preponderance of evidence to substantiate the allegations. Interviews with residents and staff, record reviews, and observations indicated that the facility provides well-balanced meals with alternative options, offers various mentally and physically engaging activities, and maintains pest control with bi-monthly services. No deficiencies were cited.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included poor food quality, inadequate planned activities, and failure to keep the facility free of pests. Interviews, observations, and record reviews did not support these allegations sufficiently to prove violations.
Report Facts
Residents interviewed: 13
Staff interviewed: 7
Facility capacity: 166
Census: 80
Pest control frequency: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Mendy Ginsburg | Executive Director (Administrator) | Met during investigation and named in report |
| Socorro Leandro | Licensing Program Analyst | Conducted investigation and signed report |
| Ulysses Coronel | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 99
Capacity: 166
Deficiencies: 0
Oct 10, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to allegations received on 2023-11-27 regarding resident care issues including pressure injuries, use of double diapers, and illegal eviction.
Findings
The investigation found no evidence to substantiate the allegations. Medical records, staff and resident interviews, and document reviews did not support claims of pressure injuries, double diapering, or illegal eviction. No deficiencies were cited.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included a resident sustaining pressure injuries, staff placing double diapers on a resident, and illegal eviction of a resident. The investigation found no preponderance of evidence to prove these allegations.
Report Facts
Capacity: 166
Census: 99
Staff interviewed: 7
Residents interviewed: 9
Complaint allegations: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Mendy Ginsburg | Executive Director | Met with Licensing Program Analyst during exit interview and investigation |
| Wendy Gibbs | Licensing Program Analyst | Conducted the complaint investigation visit |
| Eva M Alvarez | Licensing Program Manager | Oversaw the complaint investigation |
Inspection Report
Complaint Investigation
Census: 101
Capacity: 166
Deficiencies: 0
Oct 3, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2024-06-20 regarding staff notification of a resident's fall, timely medical care, and safeguarding of resident's personal belongings.
Findings
The investigation found no preponderance of evidence to substantiate the allegations. Staff notification procedures and medical care were reviewed, and no deficiencies were cited. The facility's policies on safeguarding personal belongings were examined, and no violations were found.
Complaint Details
The complaint involved three allegations: 1) Staff did not notify the authorized representative of a resident's fall timely; 2) Staff did not seek timely medical care for the resident; 3) Staff lost a resident's dentures. The investigation was unsubstantiated as no evidence supported these allegations.
Report Facts
Capacity: 166
Census: 101
Number of allegations: 3
Staff interviewed: 7
Residents interviewed: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Wendy Gibbs | Licensing Program Analyst | Conducted the complaint investigation |
| Vanita Harris | Business Manager | Met with Licensing Program Analyst during exit interview |
| Rena Hirsch | Administrator | Facility administrator during investigation |
| Mendy Ginsburg | Executive Director | Met with Licensing Program Analysts during investigation |
Inspection Report
Complaint Investigation
Census: 103
Capacity: 166
Deficiencies: 0
Sep 27, 2024
Visit Reason
The inspection was conducted as a complaint investigation following allegations received on 2024-09-06 regarding staff locking a resident in their room, failure to meet dietary needs, and not allowing residents to have personal food items.
Findings
The investigation found insufficient evidence to substantiate the allegations. Interviews with staff and residents, observations, and record reviews did not provide a preponderance of evidence to prove the alleged violations occurred, resulting in all allegations being unsubstantiated.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included staff locking a resident in their room, failure to meet dietary needs, and prohibiting residents from having personal food items. Interviews and evidence did not support these claims.
Report Facts
Staff interviewed: 7
Residents interviewed: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Mendy Ginsburg | Administrator | Named in allegations and interviews regarding resident confinement and facility policies |
| Elvira Gonzalez | Licensing Program Analyst | Conducted the complaint investigation |
| Stephanie Cifuentes | Licensing Program Manager | Oversaw the complaint investigation |
Inspection Report
Complaint Investigation
Census: 103
Capacity: 166
Deficiencies: 0
Sep 27, 2024
Visit Reason
The inspection visit was conducted as a case management inspection in association with a complaint investigation related to complaint # 11-AS-20240906101758.
Findings
No deficiencies were identified during this inspection visit. A technical violation advisory note was issued regarding a sign prohibiting outside food, which was not supported by the facility's House Rules or Resident Handbook.
Complaint Details
The visit was related to a complaint investigation conducted on 09/09/24 and 09/19/24. The complaint involved a sign stating 'No Outside Food or Drink' which was not consistent with the facility's policies.
Report Facts
Complaint number: Complaint # 11-AS-20240906101758
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Mendy Ginsburg | Administrator | Met during the inspection and provided facility information. |
| Elvira Gonzalez | Licensing Program Analyst | Conducted the case management inspection visit. |
| Stephanie Cifuentes | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Annual Inspection
Census: 105
Capacity: 166
Deficiencies: 0
Sep 19, 2024
Visit Reason
The visit was an unannounced subsequent annual required inspection using the CARE Inspection Tool, continuing from a prior visit on 09/09/2024 to complete a full inspection of the facility.
Findings
The facility was found to be well-maintained with operational safety equipment, adequate infection control practices, and proper storage of supplies. Medication Administration Records were accurate, and the facility was current on licensing dues. No deficiencies or violations were noted in the report.
Report Facts
Resident files reviewed: 7
Staff files reviewed: 7
Hospice residents approved: 14
Resident bedrooms in Memory Care: 21
Resident bedrooms in Assisted Living: 71
Public restrooms: 8
Inspection start time: 834
Inspection end time: 1600
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Mendy Ginsberg | Administrator | Met with Licensing Program Analyst during inspection and received report and appeal rights |
| Elvira Gonzalez | Licensing Program Analyst | Conducted the inspection and signed the report |
| Stephanie Cifuentes | Licensing Program Manager | Named as Licensing Program Manager on the report |
| Venita Harris | Business Office Manager | Assisted in touring the physical plant during inspection |
Inspection Report
Annual Inspection
Census: 103
Capacity: 166
Deficiencies: 0
Sep 9, 2024
Visit Reason
The inspection was an unannounced annual required visit conducted using the CARE Inspection Tool to evaluate facility compliance.
Findings
Due to time constraints and technical difficulties, the inspection was not fully completed and a handwritten report was processed. The Licensing Program Analyst will return at a later date to conclude the annual inspection.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Vanita Harris | Business Office Manager | Met with Licensing Program Analyst during the inspection and received the report. |
| Elvira Gonzalez | Licensing Program Analyst | Conducted the unannounced annual inspection visit. |
| Stephanie Cifuentes | Licensing Program Manager | Named as Licensing Program Manager in the report. |
Inspection Report
Complaint Investigation
Census: 95
Capacity: 166
Deficiencies: 0
Aug 22, 2024
Visit Reason
The visit was an unannounced complaint investigation conducted in response to multiple allegations received on 2023-10-02 regarding food sanitation, contaminated foods, pest control, kitchen cleanliness, and staff behavior towards residents.
Findings
The investigation included interviews with staff and residents, observations of the kitchen and dining areas, and record reviews. No evidence was found to substantiate any of the allegations, and no deficiencies were cited. The allegations were all determined to be unsubstantiated.
Complaint Details
The complaint investigation addressed allegations that staff were not following food service sanitation practices, residents were fed contaminated foods, the facility was not kept free of pests, the kitchen was not kept clean, and staff yelled at residents. After thorough investigation including interviews, observations, and record reviews, all allegations were found unsubstantiated.
Report Facts
Staff interviews: 9
Resident interviews: 9
Staff with valid Food Handler cards: 5
Pest control service dates: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Mendy Ginsburg | Executive Director | Met with Licensing Program Analysts during the investigation and involved in interviews |
| Regina Cloyd | Licensing Program Analyst | Conducted the complaint investigation |
| Hollie Enriquez | Licensing Program Analyst | Assisted in conducting the complaint investigation |
| Pamela Bunker | Licensing Program Analyst | Conducted an unannounced complaint visit and risk assessment |
| Ulysses Coronel | Licensing Program Manager | Oversaw the complaint investigation |
Inspection Report
Complaint Investigation
Census: 98
Capacity: 166
Deficiencies: 0
Aug 7, 2024
Visit Reason
The visit was conducted as a complaint investigation regarding allegations of illegal eviction at the facility.
Findings
The investigation found no evidence to support the allegation of illegal eviction. Records showed the eviction notice complied with regulations, and the resident subsequently paid the past due amount, leading to rescission of the eviction.
Complaint Details
The complaint alleged that the facility served a resident with an eviction notice and refused payment. The investigation determined the eviction notice was issued for nonpayment of rent, was properly sent to the licensing division, and complied with Title 22 regulations. The allegation was unsubstantiated.
Report Facts
Capacity: 166
Census: 98
Eviction notice date: Aug 17, 2023
Billing statement date: Aug 1, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Mendy Ginsburg | Administrator | Interviewed regarding the eviction allegation and facility operations |
| Troy Watson | Licensing Program Analyst | Conducted complaint investigation and interviews |
| Stephanie Cifuentes | Licensing Program Manager | Conducted complaint investigation and interviews |
Inspection Report
Complaint Investigation
Census: 99
Capacity: 166
Deficiencies: 0
Jul 3, 2024
Visit Reason
The inspection was conducted as a complaint investigation in response to an allegation that staff serve food of poor quality at the facility.
Findings
The investigation found no evidence to support the allegation that staff serve food of poor quality. Observations, record reviews, and interviews with residents and staff indicated that food is served warm, alternative nonperishables are provided when needed, a variety of protein options are available, and proper dining utensils are used. The allegation was determined to be unsubstantiated.
Complaint Details
The complaint alleged that staff serve food of poor quality, including serving cold food, running out of nonperishables for breakfast, refusal to serve certain proteins, and use of disposable dining ware. The investigation was unsubstantiated due to lack of evidence.
Report Facts
Residents interviewed: 10
Staff interviewed: 10
Residents indicating food served warm: 7
Staff indicating use of food warmers: 4
Residents indicating alternative nonperishables provided: 6
Staff indicating alternative nonperishables provided: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Rena Hirsch | Administrator | Met with Licensing Program Analyst during investigation and referenced in findings |
| Regina Cloyd | Licensing Program Analyst | Conducted the complaint investigation |
| Ulysses Coronel | Licensing Program Manager | Named in report header and signature section |
Inspection Report
Census: 101
Capacity: 166
Deficiencies: 0
Jun 12, 2024
Visit Reason
The visit was a Case Management follow-up to an incident reported on 2024-06-10 involving two residents engaging in inappropriate activity, with the purpose of gathering records related to the incident.
Findings
No deficiencies were observed during the visit, and no citations were issued. Documentation including incident reports, staff schedules, resident rosters, and resident files were reviewed.
Report Facts
Incident report date: Jun 10, 2024
Staff schedule month: 6
Staff timecards dates: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Alfonso Iniguez | Licensing Program Analyst | Conducted the Case Management visit and inspection |
| Marcia McKay | Wellness Director | Facility representative who met with the Licensing Program Analyst and provided documents |
Inspection Report
Complaint Investigation
Census: 95
Capacity: 166
Deficiencies: 0
May 16, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that the licensee did not assist a resident with arranging medical care.
Findings
The investigation found no sufficient evidence to corroborate the allegation. Interviews with residents and staff indicated that the facility was responsive and attentive in assisting with medical care appointments. The resident involved confirmed the issue was related to insurance and had been resolved.
Complaint Details
The complaint alleged that facility staff failed to assist resident #1 in arranging a medical appointment for posterior capsule opacification and that the facility was waiting for insurance matters to be resolved before transferring the resident. The investigation found the allegation unsubstantiated due to lack of evidence.
Report Facts
Facility capacity: 166
Resident census: 95
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ernand Dabuet | Licensing Program Analyst | Conducted the complaint investigation visit |
| Mendy Ginsberg | Regional Executive Director | Interviewed during the investigation and participated in exit interview |
| Janae Hammond | Licensing Program Manager | Oversaw the complaint investigation |
Inspection Report
Complaint Investigation
Capacity: 166
Deficiencies: 2
Apr 25, 2024
Visit Reason
The visit was an unannounced complaint investigation conducted in response to multiple allegations including a resident sustaining a fracture while in care, failure to seek timely medical attention, food quality concerns, and failure to meet resident incontinence needs.
Findings
The investigation substantiated that a resident sustained a fracture due to inadequate supervision and that staff failed to seek timely medical attention after the fall. Two additional allegations regarding food quality and incontinence care were unsubstantiated based on interviews and record reviews.
Complaint Details
The complaint investigation was substantiated. The resident sustained a fracture after falling during a transfer by a caregiver who was alone. Staff failed to seek timely medical attention despite visible injuries. The investigation included interviews with residents, staff, and review of medical and facility records. Civil penalties of $500 were assessed and are under appeal.
Severity Breakdown
Type A: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Facility staff failed to properly supervise a resident at risk for falls, resulting in a fracture and bruising. | Type A |
| Facility staff failed to ensure residents were regularly observed and did not provide timely medical attention after a fall. | Type A |
Report Facts
Civil Penalty Amount: 500
Facility Capacity: 166
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lizeth Villegas | Licensing Program Analyst | Conducted the complaint investigation and subsequent visits. |
| Mendy Ginsburg | Executive Director | Met with Licensing Program Analyst during investigation and provided responses to allegations. |
| Yonatan Isaacs | Administrator | Facility administrator listed in report header. |
Inspection Report
Complaint Investigation
Census: 80
Capacity: 166
Deficiencies: 0
Nov 15, 2023
Visit Reason
The visit was an unannounced complaint investigation conducted in response to an allegation that staff spoke inappropriately to a resident.
Findings
The investigation found no evidence of harassment or mistreatment of clients. Interviews with all staff and residents indicated no inappropriate speech by staff. The allegation was determined to be unsubstantiated due to insufficient evidence.
Complaint Details
The allegation was that staff spoke inappropriately to a resident. After interviews with 8 staff members and 8 residents, and review of facility files, no evidence was found to support the allegation. The complaint was unsubstantiated.
Report Facts
Staff interviewed: 8
Residents interviewed: 8
Residents denying inappropriate speech: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Mendy Ginsburg | Director | Facility representative met during the investigation and recipient of the report |
| Felisa Shirley | Licensing Program Analyst | Conducted the complaint investigation |
| Stephanie Cifuentes | Licensing Program Manager | Oversaw the complaint investigation |
Inspection Report
Annual Inspection
Census: 72
Capacity: 166
Deficiencies: 2
Sep 2, 2023
Visit Reason
An unannounced annual required visit was conducted using the CARE Inspection Tool to evaluate compliance with licensing regulations for the facility.
Findings
The facility was generally well maintained with adequate supplies, operational safety equipment, and infection control practices. However, deficiencies were found in staff training records, specifically missing current CPR/First Aid certifications and proof of mandatory medical training for several staff members.
Deficiencies (2)
| Description |
|---|
| Five out of six staff did not have current CPR/First Aid certification on file. |
| Three out of six staff did not have proof of mandatory medical training. |
Report Facts
Staff missing CPR/First Aid certification: 5
Staff missing mandatory medical training proof: 3
Hospice residents approved: 14
Residents in Assisted Living: 47
Residents in Memory Care: 25
Residents in Hospice Care: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Marcia McKay | Wellness Director | Met during inspection and exit interview |
| Ernand Dabuet | Licensing Program Analyst | Conducted inspection and authored report |
| Janae Hammond | Licensing Program Manager | Supervised inspection |
Inspection Report
Complaint Investigation
Census: 73
Capacity: 166
Deficiencies: 0
Aug 3, 2023
Visit Reason
The inspection visit was conducted to investigate a complaint alleging unlawful eviction of a resident from the facility.
Findings
The investigation found no evidence to support the allegation of unlawful eviction. Interviews, record reviews, and a facility tour indicated the resident voluntarily terminated residency and no eviction notice was required. The allegation was determined to be unsubstantiated.
Complaint Details
The complaint alleged that resident #1 was evicted without prior notice, which was considered unlawful eviction. The investigation included interviews with staff, the resident, and a witness, as well as review of service records and facility observation. The allegation was found unsubstantiated.
Report Facts
Facility capacity: 166
Census: 73
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Mendy Ginsburg | Executive Director | Met with Licensing Program Analysts during complaint investigation |
| Ernand Dabuet | Licensing Program Analyst | Conducted complaint investigation |
| Ruby Velasco | Licensing Program Analyst | Conducted complaint investigation |
Inspection Report
Complaint Investigation
Census: 60
Capacity: 166
Deficiencies: 0
Mar 29, 2023
Visit Reason
An unannounced complaint investigation was conducted regarding the allegation that the facility failed to provide resident records upon request.
Findings
The investigation found that all proper resident records were present and accessible. Interviews with staff and residents confirmed that records were not withheld and the record request had been fulfilled as of 03/21/2023. The allegation was unsubstantiated.
Complaint Details
The complaint alleged that the facility failed to provide resident records upon request. The allegation was found to be unsubstantiated after review of records and interviews with staff and residents.
Report Facts
Estimated Days of Completion: 20
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Mario Leon | Licensing Program Analyst | Conducted the complaint investigation |
| Mendy Ginsburg | Executive Director | Met with Licensing Program Analyst during investigation and exit interview |
| Yonatan Isaacs | Administrator | Facility administrator listed in report |
Inspection Report
Annual Inspection
Census: 52
Capacity: 166
Deficiencies: 0
Aug 27, 2021
Visit Reason
The visit was an unannounced annual required inspection with a primary focus on Infection Control measures using the new CARE Inspection Tool.
Findings
The facility was found to be sanitary and appropriately furnished with adequate infection control practices including screening protocols, PPE supply, and posted inspection control posters. No deficiencies were cited during this inspection visit.
Report Facts
PPE supply duration: 30
Water temperature: 115.5
Facility temperature: 73
Capacity: 166
Census: 52
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Yonatan Isaacs | Administrator | Facility administrator who met with Licensing Program Analyst and received the report |
| Susan Campos | Licensing Program Analyst | Conducted the inspection visit |
| Michael Cava | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 52
Capacity: 166
Deficiencies: 0
Jul 16, 2021
Visit Reason
The inspection was an unannounced complaint investigation conducted in response to a complaint received on 2020-09-14 alleging resident malnutrition, dehydration, serious injury, lack of supervision after a fall, and failure to seek timely medical attention.
Findings
The investigation found that although the resident had a history of malnutrition and dehydration, the allegations were not substantiated based on interviews and medical record reviews. The resident's fall was unwitnessed but medical attention was timely and appropriate. Overall, the allegations were unsubstantiated due to lack of preponderance of evidence.
Complaint Details
The complaint involved allegations that a resident suffered from malnutrition, dehydration, serious injury resulting in hospitalization, was left unsupervised after a fall, and the facility failed to seek timely medical attention. The investigation included interviews with staff and review of medical records. All allegations were found unsubstantiated.
Report Facts
Facility capacity: 166
Resident census: 52
Complaint receipt date: Sep 14, 2020
Resident ER arrival time: 1014
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ana Soto | Licensing Program Analyst | Conducted the complaint investigation |
| Marylou Jeynty | Business Office Manager | Met with investigator during inspection |
| John McMahon | Wellness Nurse | Interviewed during initial virtual visit |
| Lorraine Patterson | IB Investigator | Conducted interviews and document review for complaint investigation |
| Amanda Shaon | Ombudsman | Interviewed during investigation |
| Janae Hammond | Licensing Program Manager | Named in report signature and oversight |
Inspection Report
Complaint Investigation
Census: 63
Capacity: 166
Deficiencies: 1
Feb 23, 2021
Visit Reason
The inspection was an unannounced complaint investigation triggered by an allegation that facility staff mismanaged a resident's medication and that the facility was in disrepair.
Findings
The investigation found the medication mismanagement allegation unsubstantiated due to lack of preponderance of evidence, but substantiated the allegation of facility disrepair related to a loose rooftop patio rail and elevator issues, which were repaired. The facility was cited for maintenance and operation violations.
Complaint Details
The complaint investigation was initiated due to allegations that facility staff mismanaged a resident's medication and that the facility was in disrepair. The medication mismanagement allegation was found unsubstantiated, while the disrepair allegation was substantiated.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement is not met as evidenced by damage to rooftop patio rail and loose concrete posing safety risks. | Type B |
Report Facts
Capacity: 166
Census: 63
Plan of Correction Due Date: Feb 12, 2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Rosie Julinek | Administrator | Met with during investigation and named in findings |
| Jose Calderon | Licensing Program Analyst | Conducted the complaint investigation |
| Janae Hammond | Licensing Program Manager | Named as Licensing Program Manager on report |
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