Inspection Reports for Culver West Health Center
4035 Grand View Blvd, Los Angeles, CA 90066, United States, CA, 90066
Back to Facility ProfileInspection Report Summary
Most inspections found no deficiencies, with many complaint investigations unsubstantiated, indicating generally consistent compliance with regulations. The facility’s most recent report from September 17, 2025, was clean with no deficiencies cited after investigating allegations about staff responsiveness and notification of rate increases. Earlier reports show isolated issues, including a substantiated complaint in February 19, 2025, where staff response to call buttons and the presence of an active administrator were found lacking, posing potential safety risks. A December 14, 2023, investigation identified maintenance-related deficiencies such as a gas leak and sanitation concerns, but these issues have not recurred in later inspections. Overall, the facility appears to have addressed prior concerns, with recent inspections reflecting improvement and no enforcement actions or fines listed in the available reports.
Deficiencies per Year
4
3
2
1
0
Moderate
Census Over Time
Census
Capacity
Inspection Report
Complaint Investigation
Census: 83
Capacity: 150
Deficiencies: 0
Sep 17, 2025
Visit Reason
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.
Findings
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.
Complaint Details
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.
Report Facts
Census: 83
Total Capacity: 150
Call button responses: 16
Average call response time (minutes): 8
Total charges: 9175
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jose Calderon | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Tirre Thornton | Administrator | Facility administrator who was interviewed and participated in the investigation |
Inspection Report
Census: 83
Capacity: 150
Deficiencies: 0
Aug 28, 2025
Visit Reason
The visit was an unannounced Case Management visit to serve the facility with an Immediate Exclusion Order for Staff #1 (S1).
Findings
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.
Report Facts
Facility Capacity: 150
Census: 83
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Tierre Thorton | Executive Director | Met with Licensing Program Analyst during the visit and provided information about Staff #1 |
| Bernadette Allen | Licensing Program Analyst | Conducted the unannounced Case Management visit |
| Stephanie Cifuentes | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 83
Capacity: 150
Deficiencies: 0
Aug 28, 2025
Visit Reason
The visit was an unannounced complaint investigation conducted to investigate the allegation that facility staff do not treat residents with dignity or respect.
Findings
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.
Complaint Details
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.
Report Facts
Capacity: 150
Census: 83
Staff interviewed: 6
Residents interviewed: 4
Family representatives interviewed: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ernand Dabuet | Licensing Program Analyst | Conducted the complaint investigation visit |
| Janae Hammond | Licensing Program Manager | Oversaw the complaint investigation |
| Tierre Thorton | Executive Director | Facility representative who greeted the Licensing Program Analyst and participated in exit interview |
| Brittney Buchannan | Administrator | Facility administrator listed in report |
Inspection Report
Complaint Investigation
Census: 83
Capacity: 150
Deficiencies: 0
Aug 21, 2025
Visit Reason
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.
Findings
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.
Complaint Details
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.
Report Facts
Capacity: 150
Census: 83
Staff count per shift: 3
Staff count per shift: 4
Rooms managed daily by housekeeping: 10
Residents interviewed: 8
Staff interviewed: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ernand Dabuet | Licensing Program Analyst | Conducted the complaint investigation visit |
| Janae Hammond | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
| Tierre Thorton | Executive Director | Met with Licensing Program Analyst during the investigation and participated in exit interview |
| Brittney Buchannan | Administrator | Facility Administrator named in the report |
Inspection Report
Complaint Investigation
Census: 82
Capacity: 150
Deficiencies: 0
Aug 13, 2025
Visit Reason
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.
Findings
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.
Complaint Details
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.
Report Facts
Staff interviewed: 7
Residents interviewed: 7
Capacity: 150
Census: 82
Minimum passing score: 80
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Troy Watson | Licensing Program Analyst | Conducted the complaint investigation and interviews |
| Tierre Thornton | Administrator | Interviewed during investigation and provided information on facility operations |
| Stephanie Cifuentes | Licensing Program Manager | Named as Licensing Program Manager on report |
| Armi Uchiyama | Business Office Director | Toured the facility with Licensing Program Analyst |
Inspection Report
Complaint Investigation
Census: 83
Capacity: 150
Deficiencies: 0
Jul 24, 2025
Visit Reason
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.
Findings
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.
Complaint Details
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.
Report Facts
Staff interviewed: 7
Residents interviewed: 6
Capacity: 150
Census: 83
Minimum passing score: 80
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Troy Watson | Licensing Program Analyst | Conducted the complaint investigation and interviews |
| Tierre Thornton | Administrator | Interviewed regarding allegations and facility operations |
| Stephanie Cifuentes | Licensing Program Manager | Oversaw the complaint investigation |
| Armi Uchiyama | Business Office Director | Accompanied Licensing Program Analyst during facility tour |
Inspection Report
Complaint Investigation
Census: 83
Capacity: 150
Deficiencies: 0
Apr 30, 2025
Visit Reason
The inspection was conducted as an unannounced complaint investigation following an allegation that facility staff handled residents in a rough manner.
Findings
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.
Complaint Details
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.
Report Facts
Capacity: 150
Census: 83
Staff interviewed: 5
Residents interviewed: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Elvira Gonzalez | Licensing Program Analyst | Conducted the complaint investigation and interviews |
| Stephanie Cifuentes | Licensing Program Manager | Named in report as Licensing Program Manager |
| Armida Uchiyama | Business Office Director | Met with Licensing Program Analyst during investigation |
| Tierre Thornton | Executive Director | Participated in exit interview |
Inspection Report
Complaint Investigation
Census: 79
Capacity: 150
Deficiencies: 0
Apr 23, 2025
Visit Reason
The visit was an unannounced collateral inspection to interview Staff #1 regarding a complaint investigation unrelated to Ivy Park at Culver City.
Findings
No deficiencies were cited during the unannounced collateral visit. The Licensing Program Analyst conducted an interview with Staff #1 and met with the Executive Director.
Complaint Details
The visit was related to a complaint investigation unrelated to Ivy Park at Culver City. No deficiencies were cited during the visit.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Tierre Thornton | Executive Director | Met with during the inspection and exit interview. |
| Zina Brown | Licensing Program Analyst | Conducted the unannounced collateral visit and interview. |
Inspection Report
Complaint Investigation
Census: 79
Capacity: 150
Deficiencies: 0
Apr 21, 2025
Visit Reason
The visit was an unannounced collateral visit to interview Staff #1 regarding a complaint investigation unrelated to Ivy Park Culver City.
Findings
No deficiencies were cited during the unannounced collateral visit. Staff records and personal roster were reviewed.
Complaint Details
The visit was related to a complaint investigation, but the complaint was unrelated to Ivy Park Culver City. No substantiation status was provided.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Tierre Thornton | Executive Director | Met with during the visit and exit interview. |
| Zina Brown | Licensing Program Analyst | Conducted the unannounced collateral visit. |
Inspection Report
Annual Inspection
Census: 76
Capacity: 150
Deficiencies: 0
Mar 17, 2025
Visit Reason
An unannounced annual inspection was conducted to evaluate the facility's compliance with licensing requirements and overall operational standards.
Findings
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.
Report Facts
Number of client files reviewed: 7
Number of bedrooms inspected: 7
Number of bathrooms inspected: 7
Number of staff files reviewed: 7
Water temperature range (°F): 105-118
Bedroom temperature range (°F): 72-78
Facility capacity: 150
Facility census: 76
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Tierre Thornton | Executive Director | Met with during inspection and participated in facility tour |
| Bernadette Allen | Licensing Program Analyst | Conducted the inspection |
| Stephanie Cifuentes | Licensing Program Manager | Conducted the inspection |
Inspection Report
Complaint Investigation
Census: 83
Capacity: 150
Deficiencies: 2
Feb 19, 2025
Visit Reason
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.
Findings
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.
Complaint Details
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.
Severity Breakdown
Type B: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Facility did not respond to call button being pressed by residents on 07/29/2024 and 08/24/2024, posing a potential health and safety risk. | Type B |
| Facility did not have an active administrator working 5 days a week, posing a potential safety risk to residents. | Type B |
Report Facts
Capacity: 150
Census: 83
Call button wait time: 38
Call button wait time: 3
Residents interviewed: 8
Staff interviewed: 5
Plan of Correction Due Date: Mar 5, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jose Calderon | Evaluator / Licensing Program Analyst | Conducted the complaint investigation and signed the report |
| Ulysses Coronel | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
| Armida Uchiyama | Manager | Facility manager met during investigation and exit interview |
| Tierre Thornton | Administrator | Facility administrator met during investigation |
Inspection Report
Complaint Investigation
Census: 83
Capacity: 150
Deficiencies: 0
Aug 15, 2024
Visit Reason
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.
Findings
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.
Complaint Details
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.
Report Facts
Capacity: 150
Census: 83
Call button wait time: 3
Call button wait time: 32
Staff indication: 5
Resident indication: 6
Staff indication: 5
Resident indication: 6
Staff indication: 5
Resident indication: 6
Staff indication: 5
Resident indication: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jose Calderon | Licensing Program Analyst | Conducted the complaint investigation visit and authored the report |
| Armida Uchiyama | Manager | Facility manager met during the investigation and participated in interviews |
| Brittney Buchannan | Administrator | Named as facility administrator in the report header |
| Ulysses Coronel | Licensing Program Manager | Named as licensing program manager overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 78
Capacity: 150
Deficiencies: 0
Aug 7, 2024
Visit Reason
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.
Findings
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.
Complaint Details
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.
Report Facts
Capacity: 150
Census: 78
Staff interviewed: 8
Residents interviewed: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Elvira Gonzalez | Licensing Program Analyst | Conducted the complaint investigation |
| Stephanie Cifuentes | Licensing Program Manager | Oversaw the complaint investigation |
| Brittney Buchannan | Executive Director | Facility representative present at exit interview |
| Lilia Rodriguez | Resident Care Coordinator | Met with Licensing Program Analyst during investigation |
| Jessica Navarro | MemoryCare Coordinator | Accompanied Licensing Program Analyst on facility tour |
| Armida Uchiyama | Business Office Director | Interviewed regarding resident fall and staff assistance |
Inspection Report
Complaint Investigation
Census: 83
Capacity: 150
Deficiencies: 0
Jul 25, 2024
Visit Reason
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.
Findings
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.
Complaint Details
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.
Report Facts
Capacity: 150
Census: 83
Number of residents interviewed: 8
Number of staff interviewed: 3
Number of beds inspected: 5
Estimated days of completion: 90
Deficiencies cited: 0
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Mario Leon | Licensing Program Analyst | Conducted the complaint investigation |
| Jose Calderon | Licensing Program Analyst | Conducted the complaint investigation |
| Armida Uchiyama | Business Office Director | Facility representative met during investigation and exit interview |
| Delroy Grant | Maintenance Director | Mentioned in relation to pest control and rodent removal |
Inspection Report
Annual Inspection
Census: 81
Capacity: 150
Deficiencies: 0
Jun 15, 2024
Visit Reason
The inspection was an unannounced annual required visit conducted to evaluate compliance with licensing regulations using the CARE Inspection Tool.
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 no discrepancies were found in medication administration records. No citations were issued.
Report Facts
Residents' service files reviewed: 5
Staff personnel files reviewed: 5
Medication Administration Records reviewed: 5
Fire/Disaster Drills date: May 10, 2024
Licensed capacity: 150
Current census: 81
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Alfonso Iniguez | Licensing Program Analyst | Conducted the inspection and authored the report |
| Armida Uchiyama | Business Director | Facility representative met during inspection and exit interview |
| Eva M Alvarez | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 78
Capacity: 150
Deficiencies: 0
May 28, 2024
Visit Reason
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.
Findings
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.
Complaint Details
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.
Report Facts
Capacity: 150
Census: 78
Staff interviews: 5
Resident interviews: 7
Resident interviews: 9
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brittney Buchannan | Administrator | Named in multiple allegation investigations and interviews |
| Armida Uchiyama | Business Office Director | Met during inspection and exit interview |
| Regina Cloyd | Licensing Program Analyst | Conducted the complaint investigation on 2024-05-28 |
| Jose Calderon | Licensing Program Analyst | Conducted earlier complaint investigations on 2022-10-24 and 2023-07-26 |
Inspection Report
Complaint Investigation
Census: 82
Capacity: 150
Deficiencies: 0
Feb 23, 2024
Visit Reason
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.
Findings
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.
Complaint Details
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.
Report Facts
Residents interviewed: 13
Staff interviewed: 8
Resident rooms toured: 11
Facility capacity: 150
Facility census: 82
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brittney Buchannan | Administrator | Met during the investigation and provided information regarding fireplaces and facility charges |
| Armida Uchiyama | Business Office Director | Met during the investigation and participated in exit interview |
| Regina Cloyd | Licensing Program Analyst | Conducted the complaint investigation |
| Ulysses Coronel | Licensing Program Manager | Oversaw the complaint investigation report |
Inspection Report
Complaint Investigation
Census: 79
Capacity: 150
Deficiencies: 0
Feb 22, 2024
Visit Reason
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.
Findings
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.
Complaint Details
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.
Report Facts
Capacity: 150
Census: 79
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brittney Buchannan | Director | Facility representative met during the investigation and named in the report |
| Perry Scott | Licensing Program Analyst | Conducted the complaint investigation visit |
| Janae Hammond | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 81
Capacity: 150
Deficiencies: 0
Feb 12, 2024
Visit Reason
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.
Findings
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.
Complaint Details
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.
Report Facts
Capacity: 150
Census: 81
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Pamela Bunker | Licensing Program Analyst | Conducted the complaint investigation visit |
| Amber Reynolds | Health Services Director | Met with Licensing Program Analyst during investigation |
| Armi Uchiyama | Business Office Director | Met with Licensing Program Analyst during investigation |
| Brittney Buchannan | Administrator | Facility administrator named in the report |
Inspection Report
Complaint Investigation
Census: 82
Capacity: 150
Deficiencies: 0
Jan 5, 2024
Visit Reason
The inspection was an unannounced complaint investigation initiated due to an allegation that facility staff does not assist residents after falling.
Findings
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.
Complaint Details
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.
Report Facts
Resident interviews: 8
Staff interviews: 8
Resident records reviewed: 4
Staff records reviewed: 4
Staff observed: 8
In-service training date: Nov 16, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ulysses Coronel | Licensing Program Manager | Conducted complaint investigation |
| Socorro Leandro | Licensing Program Analyst | Conducted complaint investigation |
| Brittney Buchannan | Administrator | Facility administrator present during investigation |
| Armida Uchiyama | Business Manager | Facility business manager present during investigation |
| Jessica Navarro | Memory Care Director | Received copy of the report |
Inspection Report
Complaint Investigation
Census: 81
Capacity: 150
Deficiencies: 2
Dec 14, 2023
Visit Reason
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.
Findings
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.
Complaint Details
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.
Severity Breakdown
Type B: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Lose or uncovered trash bins not working properly (flies, insects, and mosquitoes observed), posing a potential health, safety or personal rights risk to persons in care. | Type B |
| Facility not clean, safe, sanitary and in good repair; damaged window screens and gas leak posing potential health, safety or personal rights risk to persons in care. | Type B |
Report Facts
Residents in care records reviewed: 6
Staff members met: 7
Deficiency citations: 2
Plan of Correction Due Date: Jan 14, 2024
Facility Capacity: 150
Facility Census: 81
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| David Espana | Licensing Program Analyst | Conducted the complaint investigation and inspection |
| Ulysses Coronel | Licensing Program Manager | Supervisor overseeing the inspection |
| Brittney Buchannan | Administrator | Facility administrator named in the report |
Inspection Report
Annual Inspection
Census: 81
Capacity: 150
Deficiencies: 0
May 10, 2023
Visit Reason
The visit was an unannounced annual required inspection conducted using the CARE Inspection Tool to evaluate compliance with licensing regulations.
Findings
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.
Report Facts
Residents records reviewed: 8
Staff records reviewed: 5
Medication Administration Records reviewed: 8
Hospice Waiver residents: 15
Bedridden residents allowed: 10
Water temperature range (F): 105-120
Last drill date: Apr 30, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brittney Buchannan | Administrator | Met during inspection and participated in exit interview |
| Lizeth Villegas | Licensing Program Analyst | Conducted the inspection |
| Janae Hammond | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 79
Capacity: 150
Deficiencies: 0
Apr 18, 2023
Visit Reason
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.
Findings
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.
Complaint Details
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.
Report Facts
Estimated Days of Completion: 90
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ulysses Coronel | Licensing Program Manager | Conducted the complaint investigation |
| Mario Leon | Licensing Program Analyst | Conducted the complaint investigation |
| Amber Reynolds | Health Services Director | Assisted in the complaint investigation |
| Brittany Buchannan | Executive Director | Interviewed during the complaint investigation |
Inspection Report
Complaint Investigation
Census: 78
Capacity: 150
Deficiencies: 1
Feb 23, 2023
Visit Reason
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.
Findings
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.
Complaint Details
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.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to accord resident dignity in personal relationships with staff, residents, and others as required by CCR 87468.1(a)(1). | Type B |
Report Facts
Capacity: 150
Census: 78
Plan of Correction Due Date: Mar 9, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ernand Dabuet | Licensing Program Analyst | Conducted the complaint investigation |
| Amber Reynolds | Health Services Director | Met with investigator and involved in findings |
| Brittney Buchannan | Administrator | Facility administrator named in report header |
| Armida Uchiyama | Business Director | Participated in exit interview |
Inspection Report
Complaint Investigation
Census: 80
Capacity: 150
Deficiencies: 0
Sep 8, 2022
Visit Reason
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.
Findings
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.
Complaint Details
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.
Report Facts
Capacity: 150
Census: 80
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brittney Buchannan | Executive Director | Met with during the complaint investigation |
| Don Senaha | Licensing Program Analyst | Conducted the complaint investigation |
| Eva M Alvarez | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Capacity: 150
Deficiencies: 0
Jul 15, 2022
Visit Reason
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.
Findings
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.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brittney Buchannan | Administrator | Met with Licensing Program Analyst during health and safety check and discussed infection control measures. |
| Stephanie Cifuentes | Licensing Program Analyst | Conducted the case management health and safety check and authored the report. |
Inspection Report
Complaint Investigation
Census: 85
Capacity: 150
Deficiencies: 0
Jun 20, 2022
Visit Reason
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.
Findings
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.
Complaint Details
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.
Report Facts
Capacity: 150
Census: 85
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brittney Bucchanan | Administrator | Spoke with Licensing Program Analyst during investigation and named in findings |
| Stephanie Cifuentes | Licensing Program Analyst | Conducted the complaint investigation |
| Beatriz Martinez | Business Office Director | Spoke regarding billing practices |
| Amrida Uchiyama | Business Office Director | Spoke regarding billing practices |
| Eva M Alvarez | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 83
Capacity: 150
Deficiencies: 0
Jun 9, 2022
Visit Reason
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.
Findings
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.
Complaint Details
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.
Report Facts
Capacity: 150
Census: 83
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brittney Buchanan | Executive Director | Interviewed during the complaint investigation and exit interview |
| Ernand Dabuet | Licensing Program Analyst | Conducted the complaint investigation |
| Angela J Kendrick | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Original Licensing
Capacity: 150
Deficiencies: 0
Apr 25, 2022
Visit Reason
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.
Findings
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 Facts
Bedrooms: 80
Bathrooms: 80
Fire Clearance Capacity: 150
Water Temperature: 107.9
Refrigerator Temperature: 45
Freezer Temperature: 0
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ernand Dabuet | Licensing Program Analyst | Conducted the pre-licensing inspection and authored the report |
| Brittney Buchannan | Applicant and facility representative present during inspection | |
| Brandon Collins | Administrator | Facility administrator |
| Eva M Alvarez | Licensing Program Manager | Oversaw the licensing program |
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