Most inspections found no deficiencies, including the most recent annual inspection on July 29, 2025, which had no citations and confirmed the facility was clean and well maintained. Several complaint investigations were unsubstantiated, with allegations such as resident abuse, illegal eviction, and inadequate care not supported by evidence. One complaint investigation in February 2025 found that the facility improperly charged a resident for services not received and failed to provide an accurate itemized statement, resulting in citations and a required reimbursement of $5,250. Another substantiated issue from May 2023 involved concerns about food quality, with some residents reporting it was average to below average. Overall, the facility’s record shows improvement over time, with recent inspections free of deficiencies after earlier isolated issues.
An unannounced annual inspection was conducted to evaluate compliance with licensing requirements at the facility.
Findings
The facility was toured including assisted living and memory care areas, common areas, medication rooms, kitchen, and resident rooms. All areas were found to be clean, properly furnished, and equipped with safety features. No citations were issued during the exit interview.
Report Facts
Beds: 135Residents present: 99Medication rooms: 2Laundry rooms: 2Fire extinguishers: Fire extinguishers observed throughout the facility with inspection dates in September and October 2025Hot water temperature: 118Hot water temperature: 120
Employees Mentioned
Name
Title
Context
Lisa Villasenor
Executive Director
Met with Licensing Program Analyst during inspection
Cinthia Lara Vargas
Resident Service Director
Met with Licensing Program Analyst during inspection
The inspection was an unannounced complaint investigation visit conducted to investigate multiple allegations including inadequate notice of fee increase, facility maintenance issues, and hazardous equipment accessibility to a resident.
Findings
The investigation found the first three allegations regarding fee increase notice, facility maintenance, and hazardous equipment accessibility to be unsubstantiated. However, two additional allegations related to charging a resident for services not received and failure to provide an accurate itemized statement of charges were substantiated, resulting in citations and required reimbursement.
Complaint Details
The complaint investigation was triggered by allegations including inadequate notice of fee increase, poor facility maintenance, hazardous equipment accessibility, charging for services not received, and inaccurate itemized billing statements. The first three allegations were unsubstantiated, while the last two were substantiated with citations issued and a reimbursement of $5250.00 required.
Severity Breakdown
Type B: 2
Deficiencies (2)
Description
Severity
Licensee charged resident for services not received.
Type B
Licensee did not provide resident’s representative with an itemized statement of charges.
Type B
Report Facts
Deficiencies cited: 2Reimbursement amount: 5250Census: 98Total capacity: 135POC Due Date: Mar 10, 2025
Employees Mentioned
Name
Title
Context
Gina Saucedo
Licensing Program Analyst
Conducted the complaint investigation and authored the report.
Lisa Villasenor
Executive Director
Facility representative met during the investigation.
Troy Agard
Licensing Program Manager
Oversaw the licensing program and signed the report.
The visit was an unannounced complaint investigation conducted in response to an allegation that staff hit a resident.
Findings
The allegation that staff hit a resident was unsubstantiated after interviews with residents and staff, review of records, and a physical tour. No citations were issued.
Complaint Details
The complaint alleged that resident #1 was hit by a caregiver while being changed. Nine residents denied any issues with staff hitting them. Resident #1 could not recall being hit. Four staff described resident #1 as aggressive and confirmed that resident #1 had hit staff recently. An Unusual Incident/Injury Report confirmed resident #1 hit a staff member on 10/22/24. The allegation was unsubstantiated based on interviews and record review.
An unannounced complaint investigation visit was conducted in response to allegations that staff did not prevent a resident from falling and sustaining injuries and that staff illegally evicted a resident.
Findings
The investigation found both allegations to be unsubstantiated based on record reviews, staff and resident interviews, and physical tour. No citations were issued.
Complaint Details
The complaint involved two allegations: 1) staff did not prevent a resident from falling and sustaining injuries, and 2) staff illegally evicted a resident. Both allegations were found to be unsubstantiated after investigation.
The visit was an unannounced complaint investigation triggered by allegations that staff abandoned a resident and made inappropriate comments towards a resident.
Findings
The investigation found both allegations to be unsubstantiated based on interviews with residents and staff, observations, and record reviews. No citations were issued.
Complaint Details
The complaint alleged that staff abandoned a resident who could not return due to a change in level of care after a stroke, and that staff made inappropriate comments telling a resident they were not wanted at the facility. Both allegations were found unsubstantiated after interviews with eight residents and three staff members, and review of relevant records.
Report Facts
Residents interviewed: 8Staff interviewed: 3Complaint received date: Jul 25, 2024
Employees Mentioned
Name
Title
Context
Gina Saucedo
Licensing Program Analyst
Conducted the complaint investigation and interviews
Troy Agard
Licensing Program Manager
Named as Licensing Program Manager on report
Lisa Villasenor
Administrator
Facility Administrator who met with the Licensing Program Analyst during the visit
The visit was an unannounced Case Management inspection to clarify the facility's current operational status as a Continuing Care Retirement Community (CCRC) or a Residential Care Facility for the Elderly (RCFE), following concerns that the facility is no longer operating as a CCRC.
Findings
The Licensing Program Analyst reviewed resident files and admissions agreements for 41 CCRC residents and conducted interviews with facility staff. It was found that marketing efforts focus on Memory Care and Assisted Living beds, and staff had limited information on the facility's operational status as a CCRC. The Licensing Program Analyst will share information with the Continuing Care Contracts Bureau and reminded the licensee to submit required documentation by 08/09/2024.
An unannounced annual inspection was conducted at the facility to evaluate compliance with licensing requirements.
Findings
The facility was toured and observed to have appropriate furniture, safety features, and cleanliness. No citations were issued during the inspection, and all safety equipment including fire extinguishers and alarms were operable.
Report Facts
Beds: 135Residents present: 91Medication rooms: 2Memory care rooms: 24Assisted living rooms: 115Hot water temperature range: 105Hot water temperature range: 118Facility temperature range: 72Facility temperature range: 78Fire extinguishers: 3Patio areas: 2Laundry areas: 2Elevators: 2
Employees Mentioned
Name
Title
Context
Gina Saucedo
Licensing Program Analyst
Conducted the inspection and authored the report
Troy Agard
Licensing Program Manager
Named in the report as Licensing Program Manager
Lisa Villasenor
Administrator
Met with the Licensing Program Analyst during the inspection
The visit was an unannounced complaint investigation conducted in response to allegations received on 2024-03-20 regarding unclean resident rooms and staff communication barriers due to language.
Findings
The investigation found both allegations unsubstantiated. Residents and staff confirmed rooms were cleaned regularly and that there was no language barrier affecting communication. One resident declined cleaning services and blocked access to their room.
Complaint Details
The complaint alleged that a resident's room was not being cleaned and that staff were unable to communicate with residents due to a language barrier. After interviews and observations, both allegations were found unsubstantiated.
Report Facts
Residents interviewed: 8Staff interviewed: 5
Employees Mentioned
Name
Title
Context
Gina Saucedo
Licensing Program Analyst
Conducted the complaint investigation and authored the report
Lisa Villasenor
Executive Director
Met with the Licensing Program Analyst during the investigation
The inspection was an unannounced complaint investigation visit conducted to investigate allegations that staff were not adhering to residents' admission agreements, specifically regarding new charges for laundry services and changes to trash removal and bed making.
Findings
The investigation found that the facility provided proper 30-day written notice to residents about new charges for personal laundry services and changes to trash removal and bed making. The executive director confirmed that bed linens remain free, but personal laundry is charged. Based on interviews, observations, and record reviews, the allegation was unsubstantiated and no citations were issued.
Complaint Details
The complaint alleged that staff were not adhering to residents' admission agreements by charging for services previously included in rent and care fees, including laundry, trash removal, and bed making. The allegation was found unsubstantiated after review of notices, resident files, interviews with residents and staff, and facility policies.
Report Facts
Residents interviewed: 10Staff interviewed: 4Residents disagreeing with changes: 7Staff present at council meeting: 3Capacity: 135Census: 86
Employees Mentioned
Name
Title
Context
Gina Saucedo
Licensing Program Analyst
Conducted the complaint investigation and authored the report
Lisa Villasenor
Executive Director
Met with Licensing Program Analyst during the investigation and confirmed facility policies
Anita Csukardi
Administrator
Facility administrator named in the report header
Troy Agard
Licensing Program Manager
Named as Licensing Program Manager overseeing the investigation
An unannounced complaint investigation was conducted to investigate the allegation that the facility is not recognizing a resident's current Power of Attorney status and that the resident is being placed in a Memory Care Unit against his/her will.
Findings
The investigation included interviews, record reviews, and a physical plant tour. It was found that the facility recognizes residents' POA and conservator documents when provided, and there was no sufficient evidence to support the allegation. The complaint was determined to be unsubstantiated.
Complaint Details
The complaint alleged that the facility was not recognizing a resident's current Power of Attorney status and was placing the resident in a Memory Care Unit against his/her will. The allegation was found to be unsubstantiated after review of relevant documents and interviews.
The inspection visit was an unannounced complaint investigation triggered by allegations received on 06/09/2023 regarding staff failing to keep a resident's room clean, provide a safe and comfortable environment, and neglecting a resident while in care.
Findings
The investigation found that the allegations were unsubstantiated. Observations and interviews revealed that resident rooms were clean and well maintained, staff checked on the resident hourly despite the resident refusing care, and the environment was generally safe and comfortable.
Complaint Details
The complaint involved allegations that staff failed to keep a resident's room clean, failed to provide a safe and comfortable environment, and neglected the resident while in care. Interviews with staff and residents, as well as physical observations, indicated that the resident had an onset of incontinence and often refused care, but staff checked on the resident hourly. Based on gathered information, the allegations were deemed unsubstantiated.
An unannounced required one-year inspection was conducted to evaluate the facility's compliance with licensing regulations and infection control protocols.
Findings
The facility was found to be clean, appropriately furnished, and in proper order with functioning safety and fire protection systems. Resident rooms and common areas met safety and comfort standards, and records for residents and staff were complete and updated. Medications were securely stored and first aid kits were available.
Report Facts
Rooms in Memory Care unit: 24Assisted living units: 115Hospice waiver residents: 15Non-ambulatory residents capacity: 135Bedridden residents capacity: 10Temperature: 75Hot water temperature range: 107.2Hot water temperature range: 118.9Hot water temperature: 107.9Resident records reviewed: 5Staff records reviewed: 7Smoke alarm last test date: Jun 28, 2023Sprinkler system last test date: Jun 12, 2023Fire protection equipment report date: Jun 16, 2023Fire protection equipment report valid until: Apr 23, 2025Fire extinguisher last service date: May 11, 2023Fire drill last conducted: Jun 7, 2023
Employees Mentioned
Name
Title
Context
Carmy Jerome
Executive Director
Met with Licensing Program Analysts during inspection
Julio Lara
Maintenance Director
Assisted Licensing Program Analysts during facility tour
The visit was an unannounced complaint investigation conducted in response to an allegation of illegal eviction received on 09/15/2023.
Findings
The investigation found that the individual in question was never a resident of the facility and was admitted to a skilled nursing facility on the same property, which is not licensed by the Department of Social Services. Therefore, the allegation was deemed unfounded with no deficiencies cited.
Complaint Details
The complaint alleged illegal eviction. The investigation determined the allegation was unfounded, meaning it was false, could not have happened, or was without a reasonable basis.
Report Facts
Capacity: 135Census: 82
Employees Mentioned
Name
Title
Context
Antonia Alvizar
Licensing Program Analyst
Conducted the complaint investigation and signed the report
The inspection was an unannounced complaint investigation visit conducted to investigate allegations that staff were not providing food of the quality necessary to meet residents' needs, not following resident's admission agreements, and not providing necessary transportation to residents.
Findings
The allegation regarding food quality was substantiated based on interviews with residents and observations, revealing that 7 out of 10 residents felt the food quality was average to below average. The allegations regarding failure to follow admission agreements and transportation needs were unsubstantiated, with evidence showing transportation was provided regularly and residents did not miss appointments due to lack of transportation.
Complaint Details
The complaint investigation was substantiated for the allegation that staff were not providing food of the quality necessary to meet residents' needs. The allegations that staff were not following resident's admission agreements and not providing necessary transportation were unsubstantiated.
Severity Breakdown
Type B: 1
Deficiencies (1)
Description
Severity
All food shall be of good quality. Commercial foods shall be approved by appropriate federal, state and local authorities. Food in damaged containers shall not be accepted, used or retained. This requirement is not met as evidenced by 7 out of 10 residents did not like the food and believed that the food served is not of good quality, posing a potential risk to residents.
Type B
Report Facts
Residents interviewed: 10Residents dissatisfied with food quality: 7Residents satisfied with food quality: 3Plan of Correction due date: Jun 3, 2023
Employees Mentioned
Name
Title
Context
Jose Gary Tan
Licensing Program Analyst
Conducted the complaint investigation and authored the report
Troy Agard
Licensing Program Manager
Named as Licensing Program Manager overseeing the investigation
Desire Lopez
Manager on Duty
Met with Licensing Program Analyst during the investigation
An unannounced complaint investigation visit was conducted due to an allegation that the facility was not adhering to the terms of the Admissions Agreement.
Findings
The complaint was found to be unsubstantiated as the complainant had been provided with the correct licensing regulations pertaining to eviction notices.
Complaint Details
The complaint was unsubstantiated after investigation. The Licensing Program Analyst interviewed the complainant and staff, reviewed resident files, and confirmed that the complaint should not have been generated.
Report Facts
Capacity: 135Census: 74
Employees Mentioned
Name
Title
Context
Tuesday Cabiness
Licensing Program Analyst
Conducted the complaint investigation visit
Cynthia Lara
Wellness Director
Met with the Licensing Program Analyst during the visit
Cassandra Bradford
Regional Director
Contacted by Licensing Program Analyst regarding the visit
The visit was a case management visit conducted in conjunction with a complaint control #31-AS-20230321145444, to follow up on staffing changes and oversight at the facility.
Findings
The report notes that the Administrator and Business Office personnel had resigned with no replacement at the time of the visit. The Regional Director and other directors were overseeing the facility until a new Administrator is hired. A LIC308 designee responsibility form was requested to be submitted to Licensing.
Complaint Details
The visit was related to complaint control #31-AS-20230321145444. The Licensing Program Analyst planned to follow up with the Regional Director regarding issues and concerns related to the complaint.
Employees Mentioned
Name
Title
Context
Cynthia Lara
Wellness Director
Spoke to Licensing Program Analyst during the visit and reported oversight arrangements.
Gena Grundeis
Administrator
Named as the Administrator who had resigned prior to the visit.
Cassandra Bradford
Regional Director
Reported to be overseeing the facility prior to the visit but was not present during the visit.
The visit was an unannounced complaint investigation conducted in response to allegations received on 2023-02-08 regarding staff handling residents roughly, forcing residents to sign forms, and facility staffing levels.
Findings
The investigation found the allegations of staff handling a resident roughly and forcing a resident to sign a form to be unfounded, as the individual was not a resident of the facility but rather admitted to a skilled nursing facility on the same property. The allegation of the facility being short staffed was deemed unsubstantiated based on interviews and observations showing staff met residents' needs timely.
Complaint Details
The complaint investigation addressed three allegations: 1) Staff handled resident in a rough manner, 2) Staff forced resident to sign form, and 3) Facility is short staffed. Allegations 1 and 2 were found unfounded, and allegation 3 was unsubstantiated.
The visit was an unannounced complaint investigation conducted in response to a complaint alleging that staff left a resident unattended at the hospital.
Findings
The investigation revealed that the resident in question resides in the skilled nursing facility on the same property, which is not licensed by the Department of Social Services Community Care Licensing. Interviews confirmed the resident was currently admitted in skilled nursing, and the allegation was deemed unfounded.
Complaint Details
The allegation that staff left a resident unattended at the hospital was investigated and found to be unfounded, meaning the allegation was false and without reasonable basis.
Report Facts
Facility capacity: 135Census: 79
Employees Mentioned
Name
Title
Context
Joscelyn Martinez
Licensing Program Analyst
Conducted the complaint investigation
Gena Grundeis
Administrator
Met with the Licensing Program Analyst during the investigation
Inspection Report Original LicensingCapacity: 135Deficiencies: 0Aug 2, 2022
Visit Reason
A virtual meeting was conducted regarding the licensure for The Gardens at Northridge to review Pacifica Senior Living's Compliance Plan and to grant the facility license.
Findings
Community Care Licensing Division received documentation outlining the compliance plan and has no other concerns at the moment. Licensing Program Analyst will conduct frequent unannounced visits during the first twelve months to ensure compliance.
Employees Mentioned
Name
Title
Context
Nichelle Gillyard
Licensing Program Manager
Named as Licensing Program Manager involved in the licensing process
Joscelyn Martinez
Licensing Program Analyst
Named as Licensing Program Analyst involved in the licensing process
Carl Knepler
Senior VP Operations
Met during the virtual meeting regarding licensure
Deidre Schonfeldt
Met during the virtual meeting regarding licensure
Inspection Report Original LicensingCensus: 68Capacity: 135Deficiencies: 0Apr 18, 2022
Visit Reason
The visit was an announced pre-licensing inspection to evaluate the facility's compliance with California Code of Regulation, Title 22, Division 6, as part of a change of ownership application and initial licensing process.
Findings
The facility was found to be in compliance with Title 22 regulations at the time of the visit. The physical plant, safety features, resident accommodations, and common areas were toured and observed to be properly furnished, safe, and in good repair.
Report Facts
Residents allowed: 135Non-ambulatory residents allowed: 125Residents present: 68Bedrooms in memory care: 24Bedrooms in assisted living: 90Hot water temperature: 119Fire extinguisher service date: Oct 14, 2021Fire alarm testing date: Sep 28, 2021Facility temperature: 73
Employees Mentioned
Name
Title
Context
Varsenik Keshishyan
Administrator
Met with Licensing Program Analyst during inspection and participated in entrance and exit interviews
Joscelyn Martinez
Licensing Program Analyst
Conducted the pre-licensing inspection visit
Nichelle Gillyard
Licensing Program Manager
Named in report header and narrative as Licensing Program Manager
Inspection Report Original LicensingCensus: 65Capacity: 135Deficiencies: 0Mar 3, 2022
Visit Reason
The visit was conducted as part of a Change of Ownership application process involving a telephone interview to verify the applicant/administrator's identity and understanding of California Code Title 22 regulations.
Findings
The applicant/administrator demonstrated understanding of facility operation, admission policies, staffing requirements, restrictive health conditions, general provisions, emergency preparedness, complaints and reporting, and pre-licensing readiness. Signed documentation and photo ID were obtained.
Employees Mentioned
Name
Title
Context
Varsenik Keshishyan
Administrator
Applicant/administrator participating in COMP II interview and confirmed understanding of regulations.
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