Inspection Report Summary
Most inspections found no deficiencies, and several complaint investigations were unsubstantiated, indicating generally good compliance with licensing requirements. The facility’s most recent report from September 16, 2025, had no deficiencies and noted no health or safety issues during a review of medication technician training documentation. Earlier reports showed some substantiated deficiencies related mainly to personal rights, facility maintenance including bed bugs, call button functionality, and safeguarding residents’ belongings, with one citation issued for failure to report suspected abuse in November 2024. There were no fines, license suspensions, or immediate jeopardy findings listed in the available reports. The trend shows improvement over time, with recent inspections consistently clean and no new deficiencies noted in the latest visits.
Deficiencies (last 3 years)
Deficiencies (over 3 years)
3.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
8% better than California average
California average: 4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
84% occupied
Based on a September 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Census: 109
Capacity: 130
Deficiencies: 0
Date: Sep 16, 2025
Visit Reason
An unannounced case management visit was conducted to review the facility's medical training documentation for medication technicians.
Findings
No health and safety issues were observed during the physical plant tour. The Licensing Program Analyst reviewed medical training documentation for ten medication technicians and requested verification of required training hours.
Report Facts
Number of medication technicians reviewed: 10
Required initial medication training hours: 24
Required in-service medication training hours: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Adam Syncheff | Administrator | Met with Licensing Program Analyst during inspection and agreed to provide requested documents |
| Raymond Comer | Licensing Program Analyst | Conducted the unannounced case management visit and medical training documentation review |
Inspection Report
Annual Inspection
Census: 106
Capacity: 130
Deficiencies: 0
Date: Aug 15, 2025
Visit Reason
The inspection visit was conducted as a continuation of the required annual inspection initiated on 08/14/2025 to review multiple domains including medications, laundry, bedrooms, bathrooms, outdoor areas, staff records, and resident records.
Findings
The facility was found to be in compliance with licensing requirements with no immediate health and safety hazards observed. Medications were properly stored and labeled, laundry and bedrooms were secure and clean, bathrooms were sanitary with required safety fixtures, and staff and resident records were complete and current.
Report Facts
Staff files reviewed: 6
Resident files reviewed: 7
Hot water temperature: 107
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Adam Syncheff | Administrator | Met with Licensing Program Analyst during inspection |
| Raymond Comer | Licensing Program Analyst | Conducted the inspection and signed the report |
| Nichelle Gillyard | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Annual Inspection
Census: 106
Capacity: 130
Deficiencies: 0
Date: Aug 14, 2025
Visit Reason
An unannounced annual inspection was conducted to evaluate the facility's compliance with licensing requirements and assess the physical plant, safety systems, and infection control measures.
Findings
The facility was found to be generally compliant with licensing requirements, including fire safety systems, kitchen cleanliness, and infection control plans. No deficiencies were explicitly stated in the report, and the facility maintains proper safety and health protocols. The inspection was not fully completed due to time constraints and will be finished at a later date.
Report Facts
Fire Extinguisher service date: Mar 5, 2025
Fire suppression system inspection date: Apr 1, 2025
Fire drill last conducted: 202507
Disaster drills last conducted: 202507
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Adam Syncheff | Facility Administrator | Met with Licensing Program Analyst during inspection |
| Raymond Comer | Licensing Program Analyst | Conducted the inspection |
| Nichelle Gillyard | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 105
Capacity: 130
Deficiencies: 0
Date: Jun 17, 2025
Visit Reason
An unannounced complaint investigation visit was conducted to investigate allegations that facility staff were not properly transferring a resident to their wheelchair, resulting in injury.
Complaint Details
The complaint alleged that facility staff were not properly transferring a resident to their wheelchair, resulting in injury. The resident was reported to have slid down from their chair in the shower area but was assisted to the floor in a controlled manner. The resident showed no signs of injury or pain, and the incident was properly reported by the facility. The allegation was unsubstantiated based on interviews, record review, and observations.
Findings
The investigation included interviews with staff and review of records related to the alleged incident. The allegation was found to be unsubstantiated as there was insufficient evidence to verify improper transfer or injury. No immediate health or safety issues were observed during the visit.
Report Facts
Capacity: 130
Census: 105
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Angelica Segovia | Licensing Program Analyst | Conducted the complaint investigation visit |
| Adam Syncheff | Executive Director | Met with Licensing Program Analyst during the investigation |
| Troy Agard | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 104
Capacity: 130
Deficiencies: 0
Date: Apr 28, 2025
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received on 2025-03-18 regarding staff not following resident's doctor recommended dietary needs, not meeting bathing needs, call button disrepair, lack of dignity and respect, and failure to comply with reporting requirements.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included failure to follow dietary recommendations, bathing neglect, call button disrepair, disrespectful staff behavior, and failure to comply with reporting requirements. Each allegation was investigated through interviews, observations, and document review, resulting in no substantiation.
Findings
The investigation found insufficient evidence to corroborate any of the allegations. Observations, interviews with staff, residents, and family members confirmed that dietary needs, bathing assistance, call button functionality, respectful treatment, and reporting requirements were adequately met. Therefore, all allegations were deemed unsubstantiated.
Report Facts
Facility capacity: 130
Resident census: 104
Residents interviewed: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Adam Syncheff | Administrator | Met with Licensing Program Analyst during investigation and provided information regarding allegations |
| Raymond Comer | Licensing Program Analyst | Conducted the complaint investigation visit |
| Eva Miller | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 105
Capacity: 130
Deficiencies: 0
Date: Apr 23, 2025
Visit Reason
An unannounced complaint investigation visit was conducted to investigate allegations that facility staff did not ensure that a resident had an adequate amount of food and access to a phone.
Complaint Details
The complaint was unsubstantiated based on interviews and record reviews. The resident's family member was withholding food, and the phone was removed on doctor's advice due to resident's anxiety and non-responsiveness.
Findings
The investigation found that the allegations were unsubstantiated. The resident was on hospice care with a liquid diet per doctor's orders, and the family member was withholding food, not the facility. Regarding phone access, the resident's phone was taken by family on doctor's advice due to anxiety, and the facility provides cordless phones accessible to all residents.
Report Facts
Facility capacity: 130
Resident census: 105
Complaint control number: 31-AS-20250416154440
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jose Gary Tan | Licensing Program Analyst | Conducted the complaint investigation visit |
| Haigaz Kazazian | Business Office Manager | Met with Licensing Program Analyst during investigation |
| Adam Syncheff | Administrator | Facility administrator named in report header |
| Troy Agard | Licensing Program Manager | Named as Licensing Program Manager overseeing investigation |
Inspection Report
Complaint Investigation
Census: 104
Capacity: 130
Deficiencies: 0
Date: Apr 7, 2025
Visit Reason
An unannounced complaint investigation visit was conducted to investigate an allegation that staff do not ensure that a resident's bed is in good working order.
Complaint Details
The complaint alleged that resident #1's hospital electric bed rolled up on top of them like an accordion three times. After inspection and interviews with the resident, Executive Director, Maintenance Director, and staff, no evidence supported the allegation. The bed was functioning properly and the resident had not reported any issues. The allegation was unsubstantiated.
Findings
The investigation found no sufficient evidence to prove the alleged violation occurred. Interviews with the resident, staff, and observations confirmed that the resident's hospital electric bed was in good working order and no health or safety hazards were noted. The allegation was determined to be unsubstantiated.
Report Facts
Residents interviewed: 10
Facility capacity: 130
Current census: 104
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Antonia Alvizar-Ettima | Licensing Program Analyst | Conducted the complaint investigation visit. |
| Adam Syncheff | Executive Director | Interviewed during the investigation regarding the bed allegation. |
| Naira Margaryan | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Complaint Investigation
Census: 107
Capacity: 130
Deficiencies: 0
Date: Apr 6, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations that residents contracted a viral infection due to neglect and that a resident received hospice services without consent.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included neglect causing residents to contract a viral infection and a resident receiving hospice services without consent. Both allegations were found unsubstantiated based on interviews and records review.
Findings
The investigation found insufficient evidence to substantiate the allegations. Interviews with staff, residents, and the facility administrator, as well as document reviews, indicated no known viral infections or outbreaks and confirmed resident consent for hospice services. No health and safety hazards were noted at the time of the visit.
Report Facts
Facility capacity: 130
Resident census: 107
Complaint control number: 31-AS-20240621110324
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Abeye Duguma | Licensing Program Analyst | Conducted the complaint investigation visit and interviews |
| Naira Margaryan | Licensing Program Manager | Named as Licensing Program Manager on the report |
| Ubaldo Guerrero | Facility representative met during the visit | |
| Rena Hirsch | Administrator | Facility administrator interviewed during the investigation |
| Tihesha Smith | Licensing Program Analyst | Conducted preliminary investigation activities on 06/28/2024 |
Inspection Report
Complaint Investigation
Census: 107
Capacity: 130
Deficiencies: 0
Date: Jan 14, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to allegations received on 2024-08-21 regarding communication barriers, unsanitary resident rooms, unmet medical needs, inconsistent service provision, and incontinence management at the facility.
Complaint Details
The complaint investigation addressed multiple allegations including staff communication barriers with residents, unsanitary resident rooms, unmet medical needs such as hydration and diet, inconsistent provision of services, and inadequate management of incontinence. After thorough investigation including interviews with three staff and seven residents, review of resident files, and direct observations, all allegations were determined to be unsubstantiated.
Findings
The investigation included interviews with staff and residents, review of resident files, and physical observations. All allegations were found to be unsubstantiated due to lack of preponderance of evidence, with observations and interviews indicating satisfactory communication, clean and sanitary rooms, proper medical care, consistent service provision, and timely incontinence management.
Report Facts
Resident interviews: 7
Staff interviews: 3
Facility capacity: 130
Facility census: 107
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Adam Syncheff | Administrator | Met with Licensing Program Analyst during investigation |
| Raymond Comer | Licensing Program Analyst | Conducted complaint investigation |
| Eva Miller | Licensing Program Manager | Oversaw complaint investigation |
Inspection Report
Complaint Investigation
Census: 107
Capacity: 130
Deficiencies: 0
Date: Jan 13, 2025
Visit Reason
The visit was conducted to investigate a complaint alleging that the facility was not in compliance with the approved Hospice Waiver, specifically regarding the admission of residents receiving hospice care services.
Complaint Details
The complaint alleged non-compliance with Title 22 regulations regarding admission of residents receiving hospice care. The allegation was unsubstantiated due to insufficient evidence.
Findings
The investigation found that the facility had four residents receiving hospice care with appropriate documentation including approved hospice waivers, terminal diagnoses, and signed agreements for room sharing. Based on interviews and record reviews, there was insufficient evidence to substantiate the alleged violation, and the complaint was deemed unsubstantiated.
Report Facts
Residents receiving hospice care: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Raymond Comer | Licensing Program Analyst | Conducted the complaint investigation visit |
| Eva Miller | Licensing Program Manager | Named as Licensing Program Manager on report |
| Adam Syncheff | Facility Administrator interviewed during investigation |
Inspection Report
Complaint Investigation
Census: 107
Capacity: 130
Deficiencies: 0
Date: Jan 7, 2025
Visit Reason
An unannounced complaint investigation visit was conducted to investigate allegations that staff do not ensure residents' care plans are being followed.
Complaint Details
The complaint alleged that staff did not provide Resident #1 with a juice beverage, did not elevate the resident's legs when sitting in a recliner, and did not charge the resident's smart watch. The investigation found these allegations unsubstantiated based on interviews, observations, and care plan documentation.
Findings
The investigation found that the allegation was unsubstantiated. Observations, document reviews, and interviews with staff and residents confirmed that care plan services were being provided as required.
Report Facts
Capacity: 130
Census: 107
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Raymond Comer | Licensing Program Analyst | Conducted the complaint investigation |
| Eva Miller | Licensing Program Manager | Named in report as Licensing Program Manager |
| Karla Garcia | Facility Administrator met during investigation |
Inspection Report
Complaint Investigation
Census: 105
Capacity: 130
Deficiencies: 0
Date: Nov 19, 2024
Visit Reason
The visit was conducted to investigate a complaint alleging that staff were not assisting a resident in a timely manner, specifically that staff took an average of two hours to respond to Resident #1's call button activation.
Complaint Details
The complaint alleged that staff took an average of two hours to respond to Resident #1's call button. The investigation included observations and interviews, and the allegation was deemed unsubstantiated.
Findings
Observations, interviews with staff, residents, and a family member revealed that caregiver staff responded to call buttons within 2 to 7 minutes on average, with most residents reporting satisfactory response times. The allegation that staff failed to respond timely was unsubstantiated.
Report Facts
Capacity: 130
Census: 105
Response time range: 2
Response time range: 7
Resident interview count: 9
Residents satisfied: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Raymond Comer | Licensing Program Analyst | Conducted the complaint investigation |
| Eva Miller | Licensing Program Manager | Named as Licensing Program Manager on the report |
| Adam Syncheff | Facility Administrator met during the investigation |
Inspection Report
Complaint Investigation
Census: 108
Capacity: 130
Deficiencies: 1
Date: Nov 12, 2024
Visit Reason
The inspection was conducted as an unannounced complaint investigation related to a complaint received on 02/15/2024 concerning potential abuse and failure to report by facility staff.
Complaint Details
The complaint was substantiated based on interviews and record review. The facility staff failed to report that R2 withheld food from R1, who was on a special diet, and R2 was not the Power of Attorney or conservator for R1.
Findings
The facility failed to report suspected abuse involving a resident's food being withheld by another individual who was not authorized to control the resident's food or decision making. This posed a potential risk to the resident's health and personal rights.
Deficiencies (1)
Failure to report suspected abuse involving withholding food from a resident to the appropriate authorities within 24 hours.
Report Facts
Census: 108
Total Capacity: 130
Plan of Correction Due Date: Jan 31, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Huma Rahimi | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Angela Panushkina | Licensing Program Analyst | Conducted the complaint investigation |
| Adam Syncheff | Executive Director | Met with Licensing Program Analysts during the inspection |
| Nichelle Gillyard | Licensing Program Manager | Oversaw the inspection process |
Inspection Report
Complaint Investigation
Census: 108
Capacity: 130
Deficiencies: 0
Date: Nov 12, 2024
Visit Reason
The inspection was conducted as a case management visit in conjunction with a complaint alleging that staff were not providing laundry services to residents.
Complaint Details
The complaint was substantiated initially but later found to be unfounded and dismissed after further investigation and case management.
Findings
The complaint alleging that laundry services were not provided was found to be unfounded after interviews, record review, and observation of laundry operations. The facility provides weekly laundry services as part of basic services to all residents.
Report Facts
Complaint control number: 31
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Adam Syncheff | Executive Director | Met with during inspection and provided information regarding laundry services |
| Huma Rahimi | Licensing Program Analyst | Conducted the inspection and investigation |
| Angela Panushkina | Licensing Program Analyst | Conducted the inspection and investigation |
Inspection Report
Complaint Investigation
Census: 107
Capacity: 130
Deficiencies: 0
Date: Oct 31, 2024
Visit Reason
The visit was an unannounced complaint investigation initiated due to allegations that staff left a resident soiled in urine resulting in a rash and that the call button was not accessible to the resident.
Complaint Details
The complaint involved two allegations: 1) staff left a resident soiled in urine causing a rash, and 2) the call button was not accessible to the resident, causing long wait times. Both allegations were investigated through interviews, observations, and document reviews and were deemed unsubstantiated.
Findings
The investigation included interviews, observations, and records review. The allegations were found to be unsubstantiated as there was insufficient evidence that the resident was left soiled for an extended period and staff responded promptly to call button activation.
Report Facts
Capacity: 130
Census: 107
Response time: 3
Resident interviews: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Raymond Comer | Licensing Program Analyst | Conducted the complaint investigation |
| Eva Miller | Licensing Program Manager | Named as Licensing Program Manager on the report |
| Adam Syncheff | Administrator | Met with Licensing Program Analyst during investigation |
Inspection Report
Complaint Investigation
Census: 106
Capacity: 130
Deficiencies: 0
Date: Oct 4, 2024
Visit Reason
The visit was conducted as an unannounced complaint investigation following allegations received on 07/23/2024 regarding staff not safeguarding residents' personal property and licensee retaliation against staff for reporting.
Complaint Details
The complaint involved allegations that staff do not safeguard residents' personal property and that the licensee retaliates against staff for reporting such incidents. Both allegations were found to be unsubstantiated based on interviews and records review.
Findings
The investigation found no preponderance of evidence to substantiate the allegations. Interviews with residents and staff did not support claims of theft or retaliation, and no health and safety issues were observed during the facility tour.
Report Facts
Residents interviewed: 7
Staff interviewed: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Raymond Comer | Licensing Program Analyst | Conducted the complaint investigation and facility tour. |
| Eva Miller | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation. |
| Adam Syncheff | Administrator | Facility Administrator interviewed during the investigation. |
| Rena Hirsch | Administrator | Named as facility administrator in report header. |
Inspection Report
Complaint Investigation
Capacity: 130
Deficiencies: 0
Date: Sep 19, 2024
Visit Reason
The visit was an unannounced complaint investigation conducted in response to an allegation that the facility's signal system was not consistently functional, specifically that Resident 1's service call system did not work consistently and staff response times were delayed.
Complaint Details
The complaint alleged that the facility signal system was not consistently functional, with Resident 1's call system failing to work consistently and staff taking a minimum of 25 minutes to respond. The allegation was investigated and found to be unsubstantiated.
Findings
The Licensing Program Analyst observed the facility's service call system and activated Resident 1's call button, which was responded to within two minutes. Interviews with staff and six out of seven residents confirmed timely responses to service calls. No health or safety issues were observed. The allegation was found to be unsubstantiated.
Report Facts
Facility capacity: 130
Resident interviews: 6
Total residents interviewed: 7
Investigation visit duration (hours): 5.5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Raymond Comer | Licensing Program Analyst | Conducted the complaint investigation and visit |
| Solange Nkafu | Wellness Director | Met with Licensing Program Analyst during the investigation |
| Eva Miller | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 105
Capacity: 130
Deficiencies: 0
Date: Sep 19, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that residents' concerns were ignored by staff at the facility.
Complaint Details
The complaint alleged that staff often ignored residents who requested additional services such as soup or coffee. The investigation included interviews with residents and staff, a physical plant tour, and observation during meal service. The complaint was found unsubstantiated.
Findings
The investigation found that 10 out of 11 residents interviewed reported receiving timely service and not being ignored by staff. Observations during lunch showed staff serving residents appropriately and accommodating their requests. The allegation was deemed unsubstantiated.
Report Facts
Residents interviewed: 11
Residents confirming timely service: 10
Staff observed serving residents: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jose Gary Tan | Licensing Program Analyst | Conducted the complaint investigation |
| Angelica Segovia | Licensing Program Analyst | Conducted the complaint investigation |
| Solange Nkafu | Wellness Director | Met with investigators during the visit |
| Troy Agard | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 104
Capacity: 130
Deficiencies: 0
Date: Sep 18, 2024
Visit Reason
An unannounced complaint investigation visit was conducted to investigate allegations that staff were not administering medications as prescribed, not ensuring residents' dietary restrictions were met, and not responding timely to residents' requests for assistance.
Complaint Details
The complaint investigation was triggered by allegations that staff were not administering medications properly, not honoring dietary restrictions, and were slow to respond to resident requests. Interviews with residents, staff, and review of records found no evidence supporting these allegations. The complaint was determined to be unsubstantiated.
Findings
Based on interviews, observations, and record reviews, there was no pertinent information to support the allegations. The complaints regarding medication administration, dietary restrictions, and response times to resident requests were all deemed unsubstantiated at this time.
Report Facts
Residents interviewed: 10
Residents interviewed for food quality: 8
Residents interviewed for call button response: 6
Call response time: 2
Call response time: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Antonia Alvizar-Ettima | Licensing Program Analyst | Conducted the complaint investigation visit and interviews |
| Adam Syncheff | Administrator | Met with Licensing Program Analyst during investigation |
| Rena Hirsch | Administrator | Named as facility administrator in report header |
Inspection Report
Complaint Investigation
Census: 104
Capacity: 130
Deficiencies: 0
Date: Sep 18, 2024
Visit Reason
An unannounced complaint investigation was conducted to investigate allegations that staff do not assist residents with ambulation, do not provide sufficient living accommodations, do not serve food of good quality, and do not assist a resident with managing behaviors.
Complaint Details
The complaint investigation was unannounced and addressed multiple allegations including lack of assistance with ambulation, insufficient living accommodations, poor food quality, and failure to manage a resident's behaviors. The allegations were found to be unsubstantiated or unfounded based on interviews, observations, and record reviews.
Findings
The investigation found no evidence to support the allegations. Interviews, observations, and record reviews indicated that residents are assisted with ambulation, sufficient chairs are available, food quality is adequate, and the alleged resident with behavioral issues was not a current or former resident. All allegations were deemed unsubstantiated or unfounded with no health and safety hazards noted.
Report Facts
Capacity: 130
Census: 104
Number of residents interviewed: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Antonia Alvizar-Ettima | Licensing Program Analyst | Conducted the complaint investigation and interviews |
| Adam Syncheff | Administrator | Met with Licensing Program Analyst during investigation |
| Solange Nkafu | Wellness Director | Participated in physical plant tour during investigation |
| Karla Garcia | Wellness Assistant | Participated in physical plant tour during investigation |
Inspection Report
Annual Inspection
Census: 106
Capacity: 130
Deficiencies: 0
Date: Sep 13, 2024
Visit Reason
The inspection visit was conducted as a continuation of the required 1 Year Annual Inspection to evaluate compliance with licensing requirements.
Findings
The inspection found no immediate health and safety hazards. Fire detection and protection systems, laundry, common areas, resident bedrooms, bathrooms, and outdoor areas were observed to be in good condition and compliant with safety standards. Staff records were complete and current.
Report Facts
Staff files reviewed: 8
Fire extinguisher last service date: Jul 16, 2024
Hot water temperature: 107.5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Adam Syncheff | Administrator | Facility representative met during inspection and mentioned in exit interview |
| Raymond Comer | Licensing Program Analyst | Conducted the inspection and signed the report |
| Eva Miller | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Annual Inspection
Census: 106
Capacity: 130
Deficiencies: 0
Date: Sep 12, 2024
Visit Reason
An unannounced annual inspection was conducted by Licensing Program Analyst Raymond Comer to evaluate the facility's compliance with licensing requirements.
Findings
The facility was inspected for cleanliness, safety, infection control, kitchen conditions, medication storage, and resident records. No deficiencies or violations were noted, but the annual inspection was not completed due to time constraints and will be finished at a later date.
Report Facts
Residents receiving hospice care: 3
Bedridden residents: 1
Resident files reviewed: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Adam Syncheff | Facility Administrator | Met with Licensing Program Analyst during inspection and received copy of report |
| Raymond Comer | Licensing Program Analyst | Conducted the unannounced annual inspection |
| Eva Miller | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 104
Capacity: 130
Deficiencies: 0
Date: Sep 6, 2024
Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that staff was unlawfully evicting a resident while in care.
Complaint Details
The complaint alleged that staff unlawfully evicted a resident while in care. The investigation included interviews, document reviews, and a physical plant tour. It was found that the resident's responsible party had payment issues due to the pandemic, but eviction procedures were communicated and no unlawful eviction occurred. The allegation was unsubstantiated.
Findings
The investigation found no sufficient information to verify the allegation of unlawful eviction. The resident had received a 30-day eviction notice due to default of payment, but the facility and owner indicated no intention to evict. The allegation was unsubstantiated and no immediate health or safety hazards were noted.
Report Facts
Facility capacity: 130
Resident census: 104
Eviction notice period: 30
Date complaint received: Oct 18, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Antonia Alvizar-Ettima | Licensing Program Analyst | Conducted complaint investigation and visit |
| Naira Margaryan | Licensing Program Manager | Oversaw complaint investigation |
| Adam Syncheff | Executive Director | Met with Licensing Program Analyst during investigation |
| Rena Hirsch | Executive Director | Spoke with Licensing Program Manager during initial investigation |
| Adam Zenou | Facility Owner | Spoke with Licensing Program Analyst by phone regarding complaint |
Inspection Report
Complaint Investigation
Census: 107
Capacity: 130
Deficiencies: 0
Date: Jul 30, 2024
Visit Reason
An unannounced complaint investigation was conducted to investigate the allegation that staff do not accurately manage residents' medications, specifically that staff do not track or record residents' expired medications.
Complaint Details
The complaint alleged that staff do not accurately manage residents' medications by failing to track or record expired medications. The investigation found no discrepancies and the allegation was unsubstantiated.
Findings
The Licensing Program Analyst observed the medication room as clean, organized, and secure, conducted an audit of medications for sixteen residents with no discrepancies found, reviewed medication destruction records with no discrepancies, and interviewed staff who confirmed proper tracking and destruction of expired medications. The allegation was unsubstantiated and no deficiencies were cited.
Report Facts
Residents audited: 16
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Raymond Comer | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Adam Syncheff | Administrator | Met with Licensing Program Analyst during the investigation |
Inspection Report
Complaint Investigation
Census: 106
Capacity: 130
Deficiencies: 4
Date: Jul 16, 2024
Visit Reason
This was an unannounced complaint investigation visit triggered by allegations received on 02/15/2024 regarding staff not preventing bed bugs, not providing housekeeping services, not transporting residents to appointments, not meeting dietary needs, and not safeguarding residents' personal belongings.
Complaint Details
The complaint investigation was substantiated. Allegations included failure to prevent bed bugs, inadequate housekeeping, failure to provide transportation leading to missed appointments and hospitalizations, failure to meet dietary needs due to unauthorized control of food, and failure to safeguard personal belongings. One allegation about uncomfortable environment was unsubstantiated.
Findings
The investigation substantiated multiple allegations including presence of bed bugs, inadequate housekeeping services, failure to provide timely transportation causing missed appointments and hospitalizations, failure to meet dietary needs due to unauthorized control of resident's food by another resident, and failure to safeguard residents' personal belongings. One allegation regarding providing a comfortable environment was unsubstantiated.
Deficiencies (4)
Maintenance and Operation: Facility was not clean, safe, sanitary, and in good repair due to bed bugs and unsanitary resident rooms.
Incidental Medical and Dental Care: Failure to provide timely transportation to residents causing hospitalization.
Safeguards for Resident Cash, Personal Property, and Valuables: Failure to safeguard residents' personal belongings, with multiple items reported missing.
Personal Rights: Allowing a resident (R2) to make dietary decisions for another resident (R1) without legal authority.
Report Facts
Capacity: 130
Census: 106
Deficiency count: 4
Plan of Correction Due Dates: Jul 17, 2024
Plan of Correction Due Dates: Nov 14, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Adam Syncheff | Executive Director | Met with Licensing Program Analysts during investigation and provided information |
| Huma Rahimi | Licensing Program Analyst | Conducted the complaint investigation |
| Nichelle Gillyard | Licensing Program Manager | Oversaw the complaint investigation report |
Inspection Report
Complaint Investigation
Census: 109
Capacity: 130
Deficiencies: 2
Date: Jun 28, 2024
Visit Reason
An unannounced complaint investigation was conducted to investigate allegations that the licensee/administrator made misleading representations of the facility, including operating under a different name and staff representing themselves as employees of another entity.
Complaint Details
The complaint alleged that the licensee/administrator made misleading representation of the facility by operating as Savant and staff representing themselves as employees of Savant. The allegation was substantiated based on interviews, observations of signage and staff clothing, and confirmation that the name change paperwork had not been approved by the licensing department.
Findings
The investigation found sufficient evidence to substantiate the allegation that the licensee/administrator made misleading representations by changing the facility name and signage without proper approval and staff wearing clothing advertising a different facility name, posing potential risks to residents.
Deficiencies (2)
No licensee, officer or employee of a licensee shall make or disseminate any false or misleading statement regarding the facility or any of the services provided by the facility. This requirement was not met.
Based on observation and interviews the Licensee changed name and signage to building without following appropriate protocol with the CCLD. This poses a potential risks to residents in care.
Report Facts
Capacity: 130
Census: 109
Deficiencies cited: 2
Plan of Correction Due Date: Jul 3, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Adam Syncheff | Administrator | Met during investigation and involved in findings regarding misleading representation |
| Tihesha Smith | Licensing Program Analyst | Conducted the complaint investigation |
| Naira Margaryan | Licensing Program Manager | Oversaw complaint intake and investigation |
Inspection Report
Complaint Investigation
Census: 109
Capacity: 130
Deficiencies: 0
Date: Jun 16, 2024
Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation that the facility did not safeguard a resident's personal belongings.
Complaint Details
The complaint alleged that Resident #1's passport and computer were missing after returning to the facility on 01/04/2024. Interviews with staff and residents revealed no evidence supporting the allegation. The complaint was deemed unsubstantiated.
Findings
The investigation found insufficient evidence to substantiate the allegation that the facility failed to safeguard residents' personal belongings. Interviews with staff and residents indicated that belongings were stored in residents' rooms and no confirmed missing items were found.
Report Facts
Capacity: 130
Census: 109
Staff interviewed: 5
Residents interviewed: 11
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tihesha Smith | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Naira Margaryan | Licensing Program Manager | Oversaw the complaint investigation |
| Solange Nkafu | Wellness Director | Met with Licensing Program Analyst during the visit |
Inspection Report
Complaint Investigation
Census: 109
Capacity: 130
Deficiencies: 1
Date: May 9, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit conducted to investigate multiple allegations including non-functioning call buttons, delayed response to call buttons, communication barriers, incontinence care, odor issues, and failure to follow resident care plans.
Complaint Details
The complaint investigation was substantiated for the allegation that staff do not ensure that residents have a working call button. Other allegations including staff not answering call buttons timely, communication barriers, incontinence care, odor issues, and failure to follow care plans were unsubstantiated.
Findings
The investigation substantiated the allegation that the call button system was not consistently functioning, posing a potential health and safety risk. Other allegations including delayed response to call buttons, communication barriers, incontinence care, odor issues, and failure to follow care plans were found to be unsubstantiated based on interviews and observations.
Deficiencies (1)
87303 Maintenance and Operation (a): The facility shall be clean, safe, sanitary and in good repair at all times. This requirement is not met as evidenced by; Based on interviews and observations, the residents' call buttons were not in working order which poses a potential health, safety and personal rights risk to residents in care.
Report Facts
Census: 109
Total Capacity: 130
Response Time: 7
Residents Interviewed: 11
Staff Interviewed: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Abeye Duguma | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Naira Margaryan | Licensing Program Manager | Oversaw the complaint investigation |
| Nirjara Acharya | Regional Director | Met with Licensing Program Analyst during the inspection |
| Rena Hirsch | Administrator | Facility administrator mentioned in report header |
Inspection Report
Complaint Investigation
Census: 106
Capacity: 130
Deficiencies: 0
Date: Feb 27, 2024
Visit Reason
An unannounced complaint investigation visit was conducted to investigate allegations that staff did not prevent a resident from entering another resident's room and did not prevent inappropriate interactions between residents.
Complaint Details
The complaint involved allegations that Resident #2 entered Resident #1's room and said inappropriate things, and that Resident #1 was being sexually harassed by Resident #2. After interviewing three staff members and eleven residents, the allegations were found to be unsubstantiated.
Findings
Based on interviews with staff and residents, there was insufficient evidence to verify the allegations. All interviewed residents and most staff stated that interactions were consensual and no inappropriate behavior was observed. The allegations were determined to be unsubstantiated.
Report Facts
Staff interviewed: 3
Residents interviewed: 11
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Adam Syncheff | Executive Director | Met with during the complaint investigation |
| Abeye Duguma | Licensing Program Analyst | Conducted the complaint investigation |
| Naira Margaryan | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 107
Capacity: 130
Deficiencies: 0
Date: Feb 27, 2024
Visit Reason
The inspection visit was conducted to investigate a complaint alleging that due to insufficient staffing, the food served to residents gets cold.
Complaint Details
The complaint was unsubstantiated after investigation. The allegation was that insufficient staffing caused food to be served cold, but evidence showed adequate staffing and timely food service.
Findings
The investigation found that there are three servers scheduled at every meal, with additional staff assisting in serving, and interviews with residents indicated that most received food on time. Based on the gathered information, the allegation was deemed unsubstantiated.
Report Facts
Servers scheduled per meal: 3
Memory Care residents: 35
Memory Care servers: 4
Assisted Living residents served trays: 15
Residents served in dining area: 50
Residents interviewed: 11
Residents reporting timely food service: 9
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jose Gary Tan | Licensing Program Analyst | Conducted the complaint investigation |
| Liezel Dela Cerra | Licensing Program Analyst | Conducted the complaint investigation |
| Adam Syncheff | Executive Director | Interviewed during the investigation |
| Troy Agard | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 106
Capacity: 130
Deficiencies: 1
Date: Feb 20, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint alleging that staff did not prevent a resident from spitting on surfaces in common areas.
Complaint Details
The complaint alleged that staff did not prevent Resident #1 from spitting on surfaces in common areas. The allegation was substantiated based on interviews with ten residents and six staff members, observations, and record review. One citation was issued related to this allegation.
Findings
The investigation substantiated the allegation that Resident #1 was spitting on floors, napkins, bowls, and common areas, and staff did not adequately prevent this behavior. Interviews with residents and staff confirmed the behavior, and the facility had attempted redirection despite language barriers. The resident is ambulatory with no mental issues.
Deficiencies (1)
The facility failed to ensure one resident was clean and sanitary at all times, posing potential health, safety, or personal rights risks. Floor surfaces in bath, laundry, and kitchen areas were not maintained in a clean, sanitary, and odorless condition.
Report Facts
Residents interviewed: 10
Staff interviewed: 6
Citation count: 1
Plan of Correction due date: Mar 7, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Adam Syncheff | Executive Director | Met with Licensing Program Analyst during the investigation |
| Gina Saucedo | Licensing Program Analyst | Conducted the complaint investigation |
| Troy Agard | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 103
Capacity: 130
Deficiencies: 0
Date: Feb 8, 2024
Visit Reason
An unannounced complaint investigation visit was conducted to investigate an allegation of unlawful eviction at the facility.
Complaint Details
The complaint alleged unlawful eviction of a resident. The eviction notice was for a 30-day notice issued on 01/25/2024 due to unpaid rent totaling $2,767.05 and additional room and board charges of $1,398.07. The resident denied the allegation and stated they voluntarily left to stay at a hotel. The allegation was unsubstantiated.
Findings
The investigation found that the eviction notice was issued for failure to pay rent, but the resident was still living at the facility and denied the allegation, stating they checked into a hotel. The allegation was deemed unsubstantiated based on interviews, record review, and observation.
Report Facts
Unpaid rent amount: 2767.05
Additional room and board charges: 1398.07
Capacity: 130
Census: 103
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Adam Syncheff | Administrator | Met with Licensing Program Analyst during investigation |
| Huma Rahimi | Licensing Program Analyst | Conducted the complaint investigation |
| Nichelle Gillyard | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 100
Capacity: 130
Deficiencies: 0
Date: Jan 16, 2024
Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that staff were not addressing residents' health conditions while in care.
Complaint Details
The complaint alleged that Resident #1 was being treated poorly and that their health conditions were worsening. The investigation found that Resident #1 was admitted with hospice and home health services, and staff logs documented relevant care activities. Interviews with staff and 12 residents confirmed respectful care was provided. The allegation was unsubstantiated.
Findings
The investigation included interviews with staff and residents, review of facility records, and a physical plant tour. All interviewed residents and staff denied mistreatment, and the allegation was deemed unsubstantiated based on gathered information.
Report Facts
Facility capacity: 130
Resident census: 100
Number of staff interviewed: 3
Number of residents interviewed: 12
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jose Gary Tan | Licensing Program Analyst | Conducted the complaint investigation |
| Jessica Perez | Wellness Director | Met with Licensing Program Analyst during investigation |
| Troy Agard | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 100
Capacity: 130
Deficiencies: 0
Date: Dec 28, 2023
Visit Reason
An unannounced complaint investigation visit was conducted to investigate the allegation that staff unlawfully evicted a resident.
Complaint Details
The allegation that staff unlawfully evicted a resident was unsubstantiated based on interviews and record review.
Findings
The investigation found insufficient information to verify the allegation. Staff stated the resident is currently in a mental health facility and will not be readmitted due to posing an immediate danger to self and others. No health and safety hazards were noted.
Report Facts
Capacity: 130
Census: 100
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Adam Syncheff | Executive Director | Met with during the investigation and explained the reason for the visit |
| Abeye Duguma | Licensing Program Analyst | Conducted the complaint investigation |
| Christopher Alemoh | Licensing Program Analyst | Conducted the complaint investigation |
| Naira Margaryan | Licensing Program Manager | Named in report signature and oversight |
Inspection Report
Complaint Investigation
Census: 96
Capacity: 130
Deficiencies: 0
Date: Nov 29, 2023
Visit Reason
An unannounced complaint investigation visit was conducted to investigate allegations that staff did not properly address multiple residents' falls at the facility.
Complaint Details
The complaint alleged that staff did not properly address multiple residents' falls. The allegation was unsubstantiated after investigation.
Findings
The investigation found that three residents experienced multiple falls, but all available measures and precautions were exercised by the facility. Staff stated that the increase in falls correlated with the census increase. Based on record review and interviews, there was not enough information to verify the allegation, and it was deemed unsubstantiated. No health and safety hazards were noted.
Report Facts
Fall incidents reported: 3
Fall incidents reported: 11
Fall incidents reported: 5
Fall incidents reported: 6
Facility census increase: 48
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Abeye Duguma | Licensing Program Analyst | Conducted the complaint investigation visit |
| Rina Hirsch | Executive Director | Met with Licensing Program Analyst during investigation |
| Naira Margaryan | Licensing Program Manager | Named in report signature section |
Inspection Report
Complaint Investigation
Census: 98
Capacity: 130
Deficiencies: 0
Date: Oct 3, 2023
Visit Reason
The inspection was conducted as an unannounced complaint investigation visit following a complaint received on 2023-09-29 alleging that staff refused to accept a resident back from the hospital.
Complaint Details
The complaint alleged that staff refused to accept Resident #1 back from the hospital. The investigation found this allegation unsubstantiated based on interviews and record review.
Findings
The Licensing Program Analyst conducted interviews, document reviews, and a physical plant tour. The allegation was found to be unsubstantiated as the resident was scheduled for release and the administrator confirmed acceptance of the resident upon release.
Report Facts
Complaint Control Number: 31-AS-20230929161909
Facility Capacity: 130
Census: 98
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jose Gary Tan | Licensing Program Analyst | Conducted the complaint investigation visit |
| Rena Hirsch | Administrator | Met with Licensing Program Analyst and confirmed acceptance of resident |
Inspection Report
Complaint Investigation
Census: 99
Capacity: 130
Deficiencies: 0
Date: Sep 26, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations that staff were not maintaining the facility in a clean condition, not ensuring the facility was free from pests, and not ensuring residents had air conditioning.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included unclean facility conditions, presence of pests (bed bugs), and issues with air conditioning. Interviews with nine residents and staff, physical inspections, and record reviews did not support the allegations.
Findings
The investigation found the facility to be generally clean, with no evidence of pest infestation, and air conditioning functioning properly with residents reporting no issues. Based on interviews, observations, and record reviews, the allegations were deemed unsubstantiated at this time.
Report Facts
Capacity: 130
Census: 99
Residents interviewed: 9
Pest control inspections: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rena Hirsch | Executive Director | Met with during investigation and interviewed regarding air conditioning and facility conditions |
| Jose Gary Tan | Licensing Program Analyst | Conducted the complaint investigation |
| Gina Saucedo | Licensing Program Analyst | Conducted the complaint investigation |
| Troy Agard | Licensing Program Manager | Oversaw the complaint investigation |
Inspection Report
Complaint Investigation
Census: 99
Capacity: 130
Deficiencies: 2
Date: Sep 19, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit conducted to investigate multiple allegations received on 2023-08-11 regarding resident space sharing, emotional blackmail, medication replacement, comfort environment, and safeguarding of personal belongings.
Complaint Details
The complaint investigation was substantiated for the allegation that staff did not make sure resident had equal share of space in the room. Other allegations including emotional blackmail, failure to replace medication, uncomfortable environment, and not safeguarding personal belongings were unsubstantiated.
Findings
The allegation that staff did not ensure equal sharing of living space was substantiated with deficiencies cited related to personal accommodations and personal rights. All other allegations including emotional blackmail, medication replacement, comfortable environment, and safeguarding personal belongings were unsubstantiated based on interviews and observations. No health and safety hazards were noted during the visit.
Deficiencies (2)
Facility did not ensure Resident #1 had sufficient room available to accommodate with comfort and safety as they were not allowed equal living space and refrigerator access in the bedroom.
Facility did not ensure Resident #1 had access to individual storage space for private use.
Report Facts
Capacity: 130
Census: 99
Deficiencies cited: 2
Plan of Correction Due Dates: 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Abeye Duguma | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Naira Margaryan | Licensing Program Manager | Oversaw the complaint investigation |
| Rina Hirsch | Executive Director | Facility administrator met during the investigation |
Inspection Report
Complaint Investigation
Census: 99
Capacity: 130
Deficiencies: 0
Date: Sep 18, 2023
Visit Reason
The inspection was conducted as a complaint investigation regarding allegations that staff were mismanaging resident medication.
Complaint Details
The complaint alleged staff mismanagement of resident medication. The allegation was investigated and found unsubstantiated based on interviews and record review confirming proper refill procedures.
Findings
The investigation found that Resident 1's pain medication was delayed due to pending doctor authorization for a refill, but the medication was eventually provided as prescribed. Interviews with other residents revealed no complaints about medication management. The allegation was deemed unsubstantiated.
Report Facts
Residents interviewed: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michael Cava | Licensing Program Analyst | Conducted the complaint investigation visit |
| Nijara Acharya | Regional Administrator | Met with during investigation |
| Jessica Perez | Wellness Director | Met with during investigation and provided information about medication refill |
| Eva Miller | Licensing Program Manager | Named in report signature section |
Inspection Report
Complaint Investigation
Census: 99
Capacity: 130
Deficiencies: 0
Date: Sep 6, 2023
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations received on 08/30/2023 regarding staff not preventing physical altercations between residents and the facility not providing a menu for residents in care.
Complaint Details
The complaint investigation was unsubstantiated. Allegation #1 involved a minor incident between two residents with no physical altercation confirmed. Allegation #2 regarding menu provision was disproven by observations and resident interviews.
Findings
The investigation found that the allegation of staff not preventing physical altercations was unsubstantiated as the incident involved a minor scratch with no further medical attention required and no ongoing issues. The allegation that the facility does not provide a menu was also unsubstantiated, as menus were observed posted in multiple locations and residents confirmed receiving menus in newsletters.
Report Facts
Census: 99
Total Capacity: 130
Staff interviewed: 2
Residents interviewed: 9
Menus observed: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tuesday Cabiness | Licensing Program Analyst | Conducted the complaint investigation and met with the Administrator |
| Rena Hirsch | Administrator | Facility Administrator met during the investigation |
| Troy Agard | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Original Licensing
Census: 88
Capacity: 130
Deficiencies: 0
Date: Jul 28, 2023
Visit Reason
The visit was conducted as part of a change of ownership (CHOW) application process for licensing evaluation of the facility.
Findings
The applicant and administrator participated in a COMP II interview to verify understanding of community care facility licensing laws, including facility operation, admission policies, staffing requirements, health conditions, emergency preparedness, complaints reporting, and pre-licensing readiness.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Menachem Ginsburg | Administrator | Named as facility administrator |
| Adam Zenou | Licensee/Administrator | Participant in COMP II interview |
| Rena Hirsch | Licensee/Administrator | Participant in COMP II interview |
| Jude De La Concepcion | Licensing Program Manager | Named as licensing program manager |
| Maria Ejaz | Licensing Program Analyst | Named as licensing program analyst |
Inspection Report
Capacity: 130
Deficiencies: 0
Date: Jul 27, 2023
Visit Reason
An office meeting was held to discuss the pending application for a change of ownership for the Garden of Palms LA facility and to review management efforts and regulatory conformity.
Findings
The meeting covered the facility's history, staffing improvements including hiring a Wellness Director and contracting staffing agencies, a new dining contract, and working with a consultant to ensure regulatory compliance. Open communication with the regional office was encouraged.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Adam Zenou | CEO | Met during the office meeting and discussed facility management and pending application. |
| Moises Bercovich | CEO | Met during the office meeting and discussed facility management and pending application. |
| Angela Kendrick | Regional Manager | Led the office meeting and advised on communication with the regional office. |
| Reyna Lacey | Regional Manager | Participated in the office meeting. |
| Hao Nguyen | Bureau Chief | Participated in the office meeting. |
Inspection Report
Original Licensing
Census: 87
Capacity: 130
Deficiencies: 0
Date: Jul 14, 2023
Visit Reason
An unannounced prelicensing visit was conducted due to a change of ownership and to perform Component III orientation for the facility Garden of Palms LA.
Findings
The facility was found to be compliant with regulations including safety, maintenance, operational requirements, cleanliness, medication storage, and food safety. No corrections were needed at the time of the visit.
Report Facts
Licensed capacity: 130
Current census: 87
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rema Hirsch | Executive Director | Met with Licensing Program Analysts during the inspection and participated in the facility tour |
| John Garcia III | Director of Maintenance | Participated in the physical plant tour for compliance with safety, maintenance, and operational requirements |
Inspection Report
Census: 76
Capacity: 130
Deficiencies: 0
Date: May 18, 2023
Visit Reason
The visit was an office type evaluation involving the applicant/administrator's participation in COMP II to verify understanding of community care facility licensing laws and readiness for licensing.
Findings
The applicant/administrator demonstrated understanding of licensing laws, facility operation, admission policies, staffing requirements, emergency preparedness, complaints reporting, and pre-licensing readiness during the COMP II interview.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Adam Zenou | applicant/administrator | Participated in COMP II interview and confirmed understanding of licensing laws. |
| Jude De La Concepcion | Licensing Program Manager | Named as Licensing Program Manager on the report. |
| Maria Ejaz | Licensing Program Analyst | Named as Licensing Program Analyst on the report. |
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