Inspection Reports for Friendship Care Home

Unannounced complaint investigation visit conducted due to multiple allegations including staff not addressing residents' change in condition, taking residents' personal belongings, not feeding residents appropriate quantities of food, and not providing proper incontinence care.

All allegations investigated were found to be unsubstantiated after interviews with staff and review of resident documents. Observations showed residents were hydrated, nourished, and had sufficient supplies, with no preponderance of evidence supporting the allegations.

The complaint investigation was unsubstantiated. Allegations included staff not addressing residents' change in condition, staff taking residents' personal belongings, facility not feeding residents appropriate quantities of food, and staff not providing proper incontinence care. Each allegation was investigated through interviews and document reviews and found unsubstantiated.

An unannounced complaint investigation visit was conducted due to allegations that the facility did not have enough afternoon and night staff to meet residents' needs, was not equipped to serve residents in the dining area, and that the administrator was not present at the facility a sufficient number of hours per week.

All three allegations were substantiated. The facility lacked sufficient staff during PM and night shifts to meet residents' needs, the dining area was inadequately equipped with insufficient tables causing residents to be fed in the activities/TV room, and the administrator was present only 1 to 2 times per week for about an hour, which was insufficient.

The complaint investigation was substantiated. Allegations included insufficient afternoon and night staff, inadequate dining area accommodations, and insufficient administrator presence. The investigation included interviews with staff and review of personnel records, residents roster, and incident reports.

The visit was an unannounced proof of correction (POC) inspection conducted to verify that previously cited deficiencies had been corrected.

The facility was found to have corrected the previously cited deficiencies related to following the weekly menu and accurate completion of the Medication Administration Record (MAR). No deficiencies were cited during this visit.

Unannounced proof of correction (POC) visit to verify correction of previously cited deficiencies from a case management inspection conducted on 2025-07-01.

The facility demonstrated correction of several previously cited deficiencies including posting of the PUB 475 poster, availability of dining areas, food quality and storage, hiring of additional staff, and kitchen floor cleanliness. However, new deficiencies were observed related to failure to create and follow a weekly menu and inaccurate medication administration records (MAR). A civil penalty was assessed for repeat violations.

A case management visit was conducted on 07/01/2025 as a result of observations made during a facility visit on 06/11/2025.

Multiple deficiencies were observed including incorrect poster dimensions, insufficient dining area causing residents to eat in walkways, undocumented postural supports for residents, expired food items, dirty kitchen floors, improper food storage, incomplete medication administration records (MAR), incomplete resident files, insufficient staff supervision, unlocked scissors accessible to residents, and failure to develop and follow a weekly menu.

The inspection was conducted as a result of a priority 1 complaint to evaluate health and safety conditions at the facility.

Multiple deficiencies were observed including locked exit doors with child locks hindering exit, blocked fire exits and walkways, unsecured kitchen with unattended hazards, unlocked room containing dangerous chemicals, and facility disrepair with broken locks and doors. A civil penalty of $500 was assessed.

The visit was triggered by a priority 1 complaint. The complaint was substantiated as multiple immediate safety and personal rights violations were found.

The visit was an unannounced annual required inspection conducted to evaluate compliance with licensing requirements and ensure the safety and well-being of residents.

The inspection found several deficiencies including common hallway flooring needing repairs due to water leaks causing buckling and mold, a large hole in the back porch asphalt driveway posing a safety hazard, and a disorganized office with unfiled documents. The facility had adequate emergency plans, infection control measures, and safety equipment in place.

An unannounced Health and Safety check was conducted by Licensing Program Analyst D Panlilio to assess the safety and health conditions of the facility.

During the health and safety check, 9 staff and 27 residents were observed. The facility was toured including bedrooms, kitchen, bathroom, and common areas. Residents appeared safe with no imminent health or safety concerns and no deficiencies were cited.

An unannounced annual required inspection was conducted to evaluate compliance with licensing requirements and facility operations.

The facility was toured and inspected, including review of staff and resident files and interviews. No deficiencies were cited during this visit. Safety equipment and infection control measures were found to be in place and operational.

An unannounced complaint investigation visit was conducted in response to allegations that the facility withheld a resident's personal belongings and did not prevent resident's personal belongings from becoming damaged.

The allegation that the facility withheld a resident's personal belongings was substantiated based on interviews, observations, and record reviews. The allegation that the facility did not prevent resident's personal belongings from becoming damaged was found to be unsubstantiated after investigation and review of records and interviews.

The complaint investigation was substantiated regarding the facility withholding a resident's personal belongings from the authorized representative on 11/01/23. The resident's family became aggressive when refusing to sign the release form for the remaining personal items. The allegation that the facility did not prevent damage to the resident's personal belongings was unsubstantiated.

Unannounced complaint investigation visit conducted due to an allegation that facility staff were not treating residents for scabies.

The investigation found the allegation unsubstantiated after reviewing records, conducting interviews, and observations. The facility implemented infection control measures after a resident was confirmed to have scabies, and no deficiencies were cited.

The complaint alleged that facility staff were not treating for scabies. The investigation found this allegation unsubstantiated based on evidence including hospital confirmation of scabies, infection control actions taken by the facility, and staff interviews.

The visit was an unannounced annual required inspection conducted to evaluate the facility's compliance with regulatory standards.

The inspection found several deficiencies including a damaged automatic front gate, insufficient food supply for the census, broken kitchen vents, lifting flooring between Shower 2 entry and hallway, and peeling walls in Shower #2. These issues posed potential health and safety risks to residents.

The inspection was an unannounced complaint investigation visit conducted in response to multiple allegations received on 2022-08-31 regarding questionable death, inadequate feeding, visitor restrictions, grooming needs, telephone answering, temperature maintenance, medication log maintenance, and overmedication at the facility.

All allegations investigated were found to be unsubstantiated or unfounded. The investigation found no preponderance of evidence to prove any violations occurred, including the questionable death, feeding adequacy, visitor access, grooming assistance, telephone answering, temperature control, medication log maintenance, and overmedication claims.

The complaint investigation was triggered by allegations including questionable death, staff not ensuring adequate feeding, preventing visitors, unmet grooming needs, staff not answering the telephone, failure to maintain comfortable temperature, lack of medication logs, and overmedication. All allegations were found unsubstantiated or unfounded after review of records, interviews, and observations.

The inspection was an unannounced complaint investigation visit triggered by allegations received on 2023-02-28 regarding staff not safeguarding resident belongings and other care-related concerns.

The investigation substantiated the allegation that staff did not safeguard a resident's belongings, with missing personal items confirmed. All other allegations related to resident care, including pressure injuries, assistance timeliness, permission for medical procedures, communication, turning, dignity, and equipment sanitation, were found unsubstantiated due to lack of preponderance of evidence.

The complaint investigation was substantiated for the allegation that staff did not safeguard resident R1's belongings, which were missing after the resident passed away. Other allegations regarding neglect, inadequate assistance, unauthorized medical procedures, poor communication, failure to turn resident, lack of dignity, and unsanitary medical equipment were unsubstantiated.

An unannounced complaint investigation visit was conducted in response to an allegation that staff mishandled residents' medication records.

The investigation reviewed medication logs and administration records for six residents and found the facility was meeting regulatory requirements. The complaint was determined to be unfounded with no deficiencies cited.

The complaint alleging staff mishandled residents' medication records was investigated and found to be unfounded, meaning the allegation was false or without reasonable basis.

The inspection visit was an unannounced complaint investigation conducted in response to a complaint received on 2023-03-13 regarding the facility's failure to provide an authorized representative a copy of a resident's records.

The investigation confirmed that the facility did not provide the authorized representative a copy of the resident's records as requested, which was substantiated based on observations, interviews, and record reviews. A deficiency was cited for failure to maintain confidentiality and provide records as required.

The complaint was substantiated. The allegation that the facility did not provide an authorized representative a copy of resident R1's records was confirmed by the Licensing Program Analyst during the unannounced visit.

The inspection was conducted as a Health and Safety check following receipt of a priority 2 complaint.

During the health and safety check, 6 staff wearing face masks and 31 residents were observed. The facility was toured including bedrooms, kitchen, bathroom, and common areas. Residents appeared safe with no imminent health or safety concerns. No deficiencies were cited.

The visit was triggered by a priority 2 complaint. No deficiencies were cited during the health and safety check.

An unannounced complaint investigation visit was conducted in response to an allegation that the licensee did not issue a refund following a resident's death.

The investigation found that the licensee issued a refund check five days late beyond the required 15-day refund period after the resident's belongings were removed. A final refund check of $45 was issued as full payment. The allegation was substantiated and a deficiency was cited for violation of Title 22 Section 87507 refund regulation.

The complaint was substantiated. The allegation was that the licensee did not issue a refund. The investigation confirmed a late refund issuance beyond the 15-day period after the resident's death and belongings removal.

The visit was a Case Management conducted due to complaints CN# 15-AS-20220930151105 and CN# 15-AS-20220929165630, to investigate alleged deficiencies at the facility.

Two deficiencies were observed: an ottoman and other items blocking exit doors, and failure to submit an incident report after a resident was hospitalized for spitting blood.

The visit was triggered by two complaints (CN# 15-AS-20220930151105 and CN# 15-AS-20220929165630).

The inspection was an unannounced complaint investigation visit conducted in response to an allegation that the facility did not adhere to admission agreement requirements, specifically regarding refund policies.

The investigation found that the facility had a non-refundable policy for advanced monthly fees upon a resident's death, which violates Title 22 regulation 87507(g)(5)(A). This allegation was substantiated. Another allegation regarding improper refund issuance was unsubstantiated due to insufficient evidence.

The complaint investigation was triggered by an allegation that the facility did not adhere to admission agreement requirements, specifically a non-refundable policy for refunds after a resident's death. The allegation was substantiated based on interviews and record reviews. A second allegation that the facility did not issue a proper refund was unsubstantiated.

The inspection was an unannounced complaint investigation conducted due to allegations including residents being locked inside the facility and staff not adhering to COVID-19 infection control, among other complaints.

The investigation substantiated that residents were locked inside the facility and that staff did not consistently screen visitors or have them sign the sign-in log, violating personal rights and health safety regulations. Other allegations such as lack of call buttons, inadequate nighttime assistance, room temperature issues, staff under influence, disrepair of lights, and refund issues were found unsubstantiated.

The complaint investigation was substantiated for allegations that residents were locked inside the facility and staff failed to adhere to COVID-19 infection control protocols. Other allegations were unsubstantiated due to lack of sufficient evidence.

The inspection was conducted as a result of the department receiving a priority 1 complaint, triggering a health and safety check at the facility.

During the health and safety check, the Licensing Program Analyst observed 33 residents and 6 staff members, toured the facility with the administrator, and found no imminent health or safety concerns. No deficiencies were cited during the inspection.

The visit was triggered by a priority 1 complaint. No deficiencies or violations were found, indicating no substantiated issues at the time of inspection.

An unannounced complaint investigation visit was conducted following a complaint received on 08/17/2022 regarding medication dispensing and record maintenance at the facility.

The investigation found both allegations to be unfounded. Resident R1 refused medications as prescribed, and the facility maintained current medication records as verified by review and interviews.

The complaint alleged that facility staff did not dispense medication as prescribed and that the licensee did not maintain current records of residents' medications. Both allegations were found to be unfounded after investigation.

The visit was an unannounced Change of Ownership Pre-licensing Required inspection to evaluate the facility for licensing approval.

The facility was toured and inspected with no deficiencies observed. COVID infection control measures were in place, safety equipment was operational, and the facility was deemed ready for licensing.

The visit occurred for Case Management - Other, during which the Licensing Program Analyst completed the Component III presentation with the applicant and discussed common deficiencies for RCFEs and how to avoid them.

The applicant agreed to comply with all RCFE Title 22 regulations and to ensure staff compliance with all requirements in a timely manner. No deficiencies or violations were cited in this report.

The visit occurred as a Case Management - Other type of visit to address the failure to submit an unusual incident report (LIC 624) regarding 4 COVID positive residents on 06/03/22.

The facility failed to submit the required unusual incident report for an incident involving COVID positive residents, which posed a potential health and safety risk. A deficiency was cited per Title 22 California Code of Regulations.

An unannounced pre-licensing visit was conducted to evaluate the facility's readiness for licensing and compliance with regulations.

The facility was found to have multiple deficiencies including insufficient food supplies, inadequate staffing levels, deteriorating flooring, broken blinds, and elevated indoor temperature. These deficiencies posed immediate or potential health and safety risks to residents.