Inspection Reports for Culver West Health Center

The inspection was an unannounced complaint investigation visit triggered by allegations that staff did not respond to residents' calls for assistance in a timely manner and that staff did not provide residents' responsible party with written notice of rate increase.

The investigation found no substantiation for either allegation. Staff response times to call buttons averaged 5 to 8 minutes, and documentation showed that written notice of rate increases was provided to the resident's responsible party via email. Interviews and records supported these findings.

The complaint included two allegations: (1) staff did not respond timely to resident calls for assistance, and (2) staff did not provide written notice of rate increase to the resident's responsible party. Both allegations were found to be unsubstantiated based on interviews, documentation, and observations.

The visit was an unannounced Case Management visit to serve the facility with an Immediate Exclusion Order for Staff #1 (S1).

The Licensing Program Analyst confirmed that Staff #1 was not present at the facility and had not been permitted to work as the hiring process was incomplete. Documentation was provided to support this, including email correspondence, submitted forms, and payroll reports showing S1 was not on payroll.

The visit was an unannounced complaint investigation conducted to investigate the allegation that facility staff do not treat residents with dignity or respect.

The investigation included interviews with residents, staff, and family representatives, a review of records, and a facility inspection. The Department found no evidence to support the allegation, concluding it was unsubstantiated.

The complaint alleged that staff at the facility fail to maintain standards of dignity and respect in their treatment of residents in the memory care unit. Interviews with staff, residents, and family representatives did not validate the claim. Staff training records confirmed mandatory training completion. The allegation was determined to be unsubstantiated due to lack of evidence.

An unannounced complaint investigation visit was conducted to investigate allegations that the facility was malodorous and that staff did not ensure the facility was clean and sanitary.

The investigation included interviews with residents and staff, record reviews, and facility inspection. The allegations were found to be unsubstantiated as most residents and staff did not corroborate the claims, and the facility was observed to be clean and free of unpleasant odors. No deficiencies were cited.

The complaint alleged that the facility had a strong and pervasive unpleasant odor and that the dining area was filthy with food on chairs, tables, and floors. Interviews with residents and staff, as well as inspections and record reviews, did not support these claims. The allegations were determined to be unsubstantiated.

The visit was an unannounced complaint investigation conducted in response to allegations received on 2024-07-09 regarding staff responsiveness, scheduling of doctor's appointments, compliance with admission agreements, and staff training.

The investigation found insufficient evidence to substantiate any of the allegations. Interviews with staff and residents, review of records, and training transcripts showed that the facility responded appropriately to residents' calls, ensured admission agreements were followed, and that staff were adequately trained.

The complaint investigation was unsubstantiated. Allegations included staff not responding promptly to residents' calls, failure to schedule doctor's appointments, non-compliance with admission agreements, and untrained staff. All allegations were denied by staff and mostly denied by residents, with no supporting documentation found.

The visit was an unannounced complaint investigation conducted in response to allegations received on 2024-07-09 regarding staff responsiveness, scheduling of doctor's appointments, compliance with admission agreements, and staff training.

The investigation found insufficient evidence to support any of the allegations. Staff and residents largely denied the claims, and documentation such as training transcripts and admission agreements showed compliance. Therefore, all allegations were unsubstantiated.

The complaint included allegations that staff did not respond promptly to residents' calls, failed to ensure doctor's appointments were scheduled, did not comply with residents' admission agreements, and that staff were untrained. After interviews with staff, residents, and review of records, there was insufficient evidence to substantiate these allegations.

The inspection was conducted as an unannounced complaint investigation following an allegation that facility staff handled residents in a rough manner.

The investigation included interviews with staff and residents, document review, and facility tour. The allegation was found to be unsubstantiated due to insufficient evidence to prove the alleged violation occurred.

The complaint alleged that a staff member handled a resident roughly and that other staff were afraid of this individual, with management reportedly aware. Interviews with staff and residents mostly denied the allegations, and no deficiencies were cited.

The visit was an unannounced collateral visit to interview Staff #1 regarding a complaint investigation unrelated to Ivy Park Culver City.

No deficiencies were cited during the unannounced collateral visit. Staff records and personal roster were reviewed.

The visit was related to a complaint investigation, but the complaint was unrelated to Ivy Park Culver City. No substantiation status was provided.

An unannounced annual inspection was conducted to evaluate the facility's compliance with licensing requirements and overall operational standards.

The facility was found to be clean, sanitary, and appropriately furnished with no deficiencies cited. Resident files, staff certifications, and physical plant conditions were all reviewed and found to be in good order.

The inspection was an unannounced complaint investigation visit triggered by allegations received on 2024-08-06 regarding staff response to call buttons and the presence of an active administrator on site.

Two allegations were substantiated: staff did not respond to call buttons in a timely manner, and the licensee did not ensure an active administrator was on site. Two other allegations regarding nutritious meals and a resident's barking dog interfering with others were found unsubstantiated.

The complaint investigation was substantiated for two allegations: staff not responding timely to call buttons and lack of an active administrator on site. The other two allegations about nutritious meals and a barking dog interfering with residents were unsubstantiated.

An unannounced complaint investigation visit was conducted in response to allegations received on 08/06/2024 regarding staff response times to call buttons, meal nutrition, a resident's barking dog, and the presence of an active director on site.

The investigation found no substantiation for the allegations. Staff were observed providing timely care, meals were deemed nutritious, the barking dog did not interfere with residents, and staffing including the director was adequate. No deficiencies were cited during the visit.

The complaint included four allegations: 1) staff do not respond to call buttons timely, 2) staff do not serve nutritious meals, 3) a resident's barking dog interferes with others, and 4) the licensee does not ensure an active director is on site. After interviews, observations, and record reviews, all allegations were found to be unsubstantiated.

The visit was an unannounced complaint investigation conducted to investigate allegations regarding staff response to resident requests for assistance, assistance with mobility needs following a fall, and sufficiency of staffing to meet residents' care needs.

The investigation found no preponderance of evidence to substantiate the allegations. Interviews with residents and staff indicated that staff generally responded promptly to residents' needs, assisted appropriately after falls, and that staffing levels were sufficient to meet residents' care needs. No deficiencies were cited during the visit.

The complaint included allegations that staff did not respond timely to resident requests, did not assist a resident with mobility needs after a fall, and that the licensee did not ensure sufficient staffing. The investigation was unsubstantiated based on interviews and observations.

The visit was an unannounced complaint investigation conducted in response to a complaint received on 2024-07-18 regarding multiple allegations about facility conditions and staff practices.

The investigation included interviews with staff and residents, facility tours, and document reviews. All allegations including mal odors, bed repairs, food disposal, insect presence, infection control, and linen provision were found to be unsubstantiated based on observations, interviews, and record reviews. No deficiencies were cited during the visit.

The complaint included allegations that staff did not ensure the facility was free of mal odors, beds were in good repair, old food was discarded properly, the facility was free of insects, infection control guidelines were followed, and residents were provided with fresh clean linens. All allegations were investigated and found unsubstantiated due to lack of preponderance of evidence.

The inspection was an unannounced annual required visit conducted to evaluate compliance with licensing regulations using the CARE Inspection Tool.

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 no discrepancies were found in medication administration records. No citations were issued.

The inspection was an unannounced complaint investigation conducted in response to multiple allegations received on 2022-10-20 regarding resident care and facility operations at Ivy Park at Culver City.

The investigation found no preponderance of evidence to substantiate any of the allegations, including unexplained resident fracture, failure to observe condition changes, leaving resident in wet diaper, failure to report incidents, improper food services, and lack of transportation for wheelchair-bound residents. No deficiencies were cited.

The complaint investigation addressed allegations including unexplained fracture, failure to observe changes in resident condition, leaving resident unattended in wet diaper, failure to report incidents, improper food services, and lack of transportation for wheelchair-bound residents. All allegations were found unsubstantiated based on record review and interviews.

The visit was an unannounced complaint investigation conducted in response to an allegation that the facility is in disrepair, specifically concerning residents' fireplaces in their bedrooms.

The investigation found no evidence to support the allegation that the facility is in disrepair. Interviews with residents and staff, observations during the tour, and record reviews indicated that fireplaces were either non-functional due to gas being cut off for fire safety or had no reported issues. The allegation was determined to be unsubstantiated.

The complaint alleged that the facility is in disrepair, focusing on residents' fireplaces. Interviews with 13 residents and 8 staff members revealed mixed awareness of the issue, with some residents and staff unaware or disputing the complaint. Observations showed some fireplaces did not work due to gas being turned off for safety. The allegation was unsubstantiated.

The visit was an unannounced complaint investigation conducted to investigate allegations received on 2023-03-01 regarding aggressive handling of residents, leaving residents soiled for extended periods, and not meeting residents' laundering needs.

The investigation included interviews with staff and residents, review of training and schedules, and a facility tour. All allegations were found to be unsubstantiated due to insufficient evidence to prove the alleged violations occurred.

The complaint included three allegations: 1) Facility staff handle residents in an aggressive manner; 2) Facility staff leave residents soiled for an extended period of time; 3) Facility staff are not meeting residents' laundering needs. All allegations were investigated through interviews with staff (S1-S5) and residents (R1-R8), review of training records, and facility documentation. All staff and residents denied the allegations. The findings concluded the allegations were unsubstantiated due to lack of preponderance of evidence.

An unannounced complaint investigation visit was conducted in response to allegations received on 2023-06-12 regarding staff not providing timely assistance, inadequate food service, lack of activities, and failure to wear hair nets while cooking and serving food.

The investigation found all allegations to be unsubstantiated. Interviews with staff and residents, observations of the facility, and review of documents confirmed that staff provided timely assistance, adequate food service with nutritious meals and snacks, daily activities for residents, and adherence to food safety practices including wearing hair nets. No deficiencies were cited.

The complaint investigation was unsubstantiated based on interviews with staff (S1-S3) and residents (R1-R8), observations, and document review. All parties denied the allegations and evidence did not support the claims.

The inspection was an unannounced complaint investigation initiated due to an allegation that facility staff does not assist residents after falling.

The investigation found that staff immediately assess and assist residents after falls, with 6 out of 8 residents confirming they receive help when needed. The allegation was unsubstantiated due to lack of preponderance of evidence. No deficiencies were cited.

The complaint alleged that facility staff call first responders for every slip and fall and leave residents on the floor until responders arrive. The allegation was found unsubstantiated.

The visit was a 10-day complaint investigation initiated due to an allegation, including a case management-other component. The Licensing Program Analyst conducted a facility tour, reviewed resident records, and inspected the facility for compliance.

The inspection found multiple deficiencies including a gas leak near the memory care unit, uncovered trash bins attracting insects, and damaged window screens posing risks to residents. Maintenance records were requested, and the facility was cited for violations related to maintenance and operation.

The visit was complaint-related, initiated as a 10-day complaint investigation. The gas leak allegation was substantiated by observations of gas smell and maintenance staff statements. Trash bins and window screen issues were also noted as violations.

The visit was an unannounced annual required inspection conducted using the CARE Inspection Tool to evaluate compliance with licensing regulations.

The facility was found to be in compliance with no deficiencies observed. Resident rooms, common areas, safety equipment, and disaster preparedness were all in good condition and met regulatory standards.

An unannounced complaint investigation was conducted to investigate allegations that staff did not provide responsible parties with complete admissions agreements and that staff charged resident fees for services not rendered.

The investigation found insufficient evidence to substantiate the allegations. Residents and responsible parties received copies of the admissions agreements, and fees charged were based on physicians' reports and assessments. No deficiencies were cited.

The complaint investigation was unsubstantiated. Allegations included incomplete admissions agreements and charging fees for services not rendered. After interviews and record reviews, there was insufficient evidence to prove the alleged violations.

The inspection was an unannounced complaint investigation conducted to investigate allegations that staff do not treat residents with dignity or respect and that staff do not meet the needs of residents in care.

The allegation that staff did not treat resident #1 with dignity or respect was substantiated based on staff comments and corroborating evidence. The allegation that staff did not meet the needs of resident #1 was unsubstantiated due to insufficient evidence, with other residents reporting their needs were met.

The complaint alleged that staff did not treat resident #1 with dignity or respect, citing inappropriate comments by staff member #1 calling the resident 'entitled.' It also alleged staff did not meet resident #1's care needs, including honoring a room accommodation request and consistent staffing for showers. The dignity allegation was substantiated; the care needs allegation was unsubstantiated.

The visit was an unannounced complaint investigation initiated due to an allegation that the licensee does not ensure that infection control practices are properly maintained.

The investigation found no deficiencies or evidence supporting the allegation. Interviews with residents and staff, document reviews, and a plant inspection revealed that infection control practices were properly maintained and protocols were in place according to the facility mitigation plan and Infection Control Policies. The allegation was determined to be unsubstantiated.

The allegation was that the licensee did not ensure proper infection control practices. The investigation included interviews with residents (R1-R9) and staff (S1-S7), review of training and cleaning schedules, and a facility inspection. No evidence or witnesses supported the allegation, and it was found unsubstantiated.

The visit was a case management health and safety check initiated by the Licensing Program Analyst to assess the facility's current health status, including COVID-19 conditions.

The facility currently has cases of COVID-19 but no declared outbreak. The Licensing Program Analyst observed appropriate COVID-19 screening, signage, PPE availability, sanitation practices, and infection control measures including cohorting and cleaning protocols.

An unannounced complaint investigation was conducted to investigate multiple allegations against staff behavior and facility practices including inappropriate speech, billing issues, rough handling of residents, discrimination, failure to respond to authorized representatives, and wrongful eviction.

The investigation found no sufficient evidence to support any of the allegations. Interviews with residents, staff, witnesses, and review of facility records revealed that the allegations were unsubstantiated.

The complaint investigation was unsubstantiated. Allegations included staff speaking inappropriately to residents, failure to itemize resident bills, rough handling of residents, discrimination, failure to respond to authorized representatives, and wrongful eviction. The department found no preponderance of evidence to prove the alleged violations.

An unannounced complaint investigation was conducted in response to allegations of unlawful eviction and resident being left in soiled diapers at Ivy Park at Culver City.

The investigation included interviews, record reviews, and a facility tour. The allegations of unlawful eviction and neglect related to incontinence care were found to be unsubstantiated based on the evidence gathered, including interviews with residents, staff, witnesses, and review of service records and eviction notices.

The complaint alleged unlawful eviction of resident #1 and that the resident was left in soiled diapers without proper staff assistance. The investigation found no evidence to support these allegations, and the complaint was determined to be unsubstantiated.

The visit was a pre-licensing inspection conducted to evaluate the facility's compliance with licensing requirements for a Residential Facility for the Elderly with a requested capacity of 150 residents.

The facility was inspected and found to be in substantial compliance with Component III PowerPoint requirements. The facility includes appropriate bedrooms, bathrooms, safety features, food service, and emergency preparedness. No deficiencies or violations were noted in the report.

report_8_198320242_inx7_2025-04-23.pdf