Inspection Reports for Gardens at Northridge

An unannounced annual inspection was conducted to evaluate compliance with licensing requirements at the facility.

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.

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.

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.

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.

The visit was an unannounced complaint investigation conducted in response to an allegation that staff hit a resident.

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.

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.

The investigation found both allegations to be unsubstantiated based on record reviews, staff and resident interviews, and physical tour. No citations were issued.

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.

The investigation found both allegations to be unsubstantiated based on interviews with residents and staff, observations, and record reviews. No citations were issued.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

The visit was an unannounced complaint investigation conducted in response to an allegation of illegal eviction received on 09/15/2023.

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.

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.

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.

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.

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.

An unannounced complaint investigation visit was conducted due to an allegation that the facility was not adhering to the terms of the Admissions Agreement.

The complaint was found to be unsubstantiated as the complainant had been provided with the correct licensing regulations pertaining to eviction notices.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.