Inspection Reports for
Gardens at Northridge

CA, 91325

Back to Facility Profile

Deficiencies (last 4 years)

Deficiencies (over 4 years) 1.3 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

68% better than California average
California average: 4 deficiencies/year

Deficiencies per year

4 3 2 1 0
2022
2023
2024
2025

Occupancy

Latest occupancy rate 64% occupied

Based on a October 2025 inspection.

This facility has shown a steady increase in demand based on occupancy rates.

Occupancy rate over time

40% 60% 80% 100% Mar 2022 Mar 2023 Oct 2023 Jul 2024 Oct 2024 Oct 2025

Inspection Report

Complaint Investigation
Census: 86 Capacity: 135 Deficiencies: 0 Date: Oct 13, 2025

Visit Reason
The visit was an unannounced complaint investigation conducted to investigate allegations that staff did not safeguard a resident's personal belongings and that staff financially abused a resident.

Complaint Details
The complaint alleged that staff did not safeguard resident #1's personal belongings and that staff financially abused resident #1 by unauthorized use of their credit card. The investigation included interviews with the resident, staff, and resident's son, review of pendant alarm history, and physical tours. The allegations were found to be unsubstantiated based on evidence and interviews.
Findings
The investigation found that the resident safeguards their own belongings and is independent. Interviews with staff and residents, review of records, and observations led to the conclusion that the allegations of staff not safeguarding belongings and financial abuse were unsubstantiated. No citations were issued.

Report Facts
Capacity: 135 Census: 86 Unauthorized charge amount: 398.15 Unauthorized charge amount: 46.01 Pendant presses: 3

Employees mentioned
NameTitleContext
Gina SaucedoLicensing Program AnalystConducted the complaint investigation and interviews
Lisa VillasenorAdministratorFacility administrator named in report header
Cinthia Lara-VargasResident Services DirectorMet with Licensing Program Analyst during investigation
KathyStaff member who assisted resident in searching for purse and returned missing cash
Troy AgardSupervisorSupervisor overseeing the licensing evaluation

Inspection Report

Annual Inspection
Census: 99 Capacity: 135 Deficiencies: 0 Date: Jul 29, 2025

Visit Reason
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: 135 Residents present: 99 Medication rooms: 2 Laundry rooms: 2 Fire extinguishers: Fire extinguishers observed throughout the facility with inspection dates in September and October 2025 Hot water temperature: 118 Hot water temperature: 120

Employees mentioned
NameTitleContext
Lisa VillasenorExecutive DirectorMet with Licensing Program Analyst during inspection
Cinthia Lara VargasResident Service DirectorMet with Licensing Program Analyst during inspection
Gina SaucedoLicensing Program AnalystConducted the inspection
Troy AgardLicensing Program ManagerNamed in report header and signature section

Inspection Report

Annual Inspection
Census: 99 Capacity: 135 Deficiencies: 0 Date: Jul 29, 2025

Visit Reason
The inspection was an unannounced, required annual inspection conducted to evaluate compliance with licensing requirements at the facility.

Findings
The facility was toured including assisted living and memory care areas, with observations of appropriate furnishings, safety features, and cleanliness. No citations or deficiencies were issued during the inspection.

Report Facts
Beds: 135 Residents present: 99 Medication rooms: 2 Laundry rooms: 2 Fire extinguishers: Observed throughout the facility, fully charged with inspection dates in September and October 2025 Hot water temperature: 118 Hot water temperature: 120

Employees mentioned
NameTitleContext
Lisa VillasenorExecutive DirectorMet with Licensing Program Analyst during inspection
Cinthia Lara VargasResident Service DirectorMet with Licensing Program Analyst during inspection
Gina SaucedoLicensing Program AnalystConducted the inspection
Troy AgardLicensing Program ManagerNamed in report header and signature sections

Inspection Report

Complaint Investigation
Census: 98 Capacity: 135 Deficiencies: 2 Date: Feb 24, 2025

Visit Reason
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.

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.
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.

Deficiencies (2)
Licensee charged resident for services not received.
Licensee did not provide resident’s representative with an itemized statement of charges.
Report Facts
Deficiencies cited: 2 Reimbursement amount: 5250 Census: 98 Total capacity: 135 POC Due Date: Mar 10, 2025

Employees mentioned
NameTitleContext
Gina SaucedoLicensing Program AnalystConducted the complaint investigation and authored the report.
Lisa VillasenorExecutive DirectorFacility representative met during the investigation.
Troy AgardLicensing Program ManagerOversaw the licensing program and signed the report.

Inspection Report

Complaint Investigation
Census: 98 Capacity: 135 Deficiencies: 2 Date: Feb 24, 2025

Visit Reason
The inspection was an unannounced complaint investigation visit conducted to investigate multiple allegations including inadequate notice of fee increase, facility maintenance issues, hazardous equipment accessibility, improper charges for services not received, and inaccurate itemized statements of charges.

Complaint Details
The complaint investigation was triggered by allegations that the licensee failed to provide adequate notice of fee increase, did not maintain the facility in good repair, allowed hazardous equipment accessible to a resident, charged a resident for services not received, and did not provide an accurate itemized statement of charges. The investigation concluded that the first three allegations were unsubstantiated, while the last two were substantiated with citations issued and a reimbursement required.
Findings
The investigation found three allegations unsubstantiated regarding fee increase notice, facility maintenance, and hazardous equipment. Two allegations related to improper charges for services not received and inaccurate itemized statements were substantiated, resulting in citations and a required reimbursement of $5250.00 to the resident.

Deficiencies (2)
Licensee charged resident for services not received.
Licensee did not provide resident's representative with an itemized statement of charges.
Report Facts
Deficiencies cited: 2 Reimbursement amount: 5250 POC Due Date: Mar 10, 2025 Charges amount: 500 Months charged incorrectly: 17

Employees mentioned
NameTitleContext
Gina SaucedoLicensing Program AnalystConducted the complaint investigation and authored the report.
Lisa VillasenorExecutive DirectorFacility representative met during the investigation.
Troy AgardSupervisorSupervisor overseeing the licensing evaluation.

Inspection Report

Complaint Investigation
Census: 90 Capacity: 135 Deficiencies: 0 Date: Oct 28, 2024

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

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.
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.

Report Facts
Residents interviewed: 9 Staff confirming resident aggression: 4 Staff confirming resident hit them: 2

Employees mentioned
NameTitleContext
Gina SaucedoLicensing Program AnalystConducted the complaint investigation visit
Lisa VillasenorExecutive DirectorMet with Licensing Program Analyst during the visit
Troy AgardLicensing Program ManagerNamed in report as Licensing Program Manager

Inspection Report

Complaint Investigation
Census: 90 Capacity: 135 Deficiencies: 0 Date: Oct 28, 2024

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

Complaint Details
The complaint alleged that resident #1 was hit by a caregiver while being changed. Interviews with residents and staff, as well as review of an Unusual Incident/Injury Report, found no evidence to substantiate the allegation. The resident was noted to be aggressive and had recently hit staff. The allegation was determined to be unsubstantiated.
Findings
The allegation that staff hit a resident was unsubstantiated based on interviews with nine residents and multiple staff, review of an incident report, and observations during the visit. No citations were issued.

Report Facts
Residents interviewed: 9 Staff confirming resident aggression: 4 Staff confirming resident hit them: 2

Employees mentioned
NameTitleContext
Gina SaucedoLicensing Program AnalystConducted the complaint investigation visit
Lisa VillasenorExecutive DirectorMet with evaluator during the visit
Troy AgardSupervisorSupervisor overseeing the investigation

Inspection Report

Complaint Investigation
Census: 90 Capacity: 135 Deficiencies: 0 Date: Oct 22, 2024

Visit Reason
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.

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

Report Facts
Residents confirming emergency calls: 9 Staff confirming resident eviction status: 3 Resident transfers to Skilled Nursing Facilities: 2

Employees mentioned
NameTitleContext
Gina SaucedoLicensing Program AnalystConducted the complaint investigation and authored the report.
Lisa VillasenorExecutive DirectorMet with Licensing Program Analysts during the investigation.
Troy AgardLicensing Program ManagerNamed as Licensing Program Manager overseeing the investigation.

Inspection Report

Complaint Investigation
Census: 90 Capacity: 135 Deficiencies: 0 Date: Oct 22, 2024

Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations that staff did not prevent a resident from falling and sustaining injuries and that staff illegally evicted a resident in care.

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 unsubstantiated after review of resident records, interviews with staff and residents, and observation.
Findings
The investigation found both allegations to be unsubstantiated based on record reviews, staff and resident interviews, and physical tour. No citations were issued.

Report Facts
Capacity: 135 Census: 90 Number of allegations: 2 Number of staff confirming resident status: 3 Number of residents confirming emergency procedures: 9

Employees mentioned
NameTitleContext
Gina SaucedoLicensing EvaluatorConducted the complaint investigation and authored the report
Lisa VillasenorExecutive DirectorFacility administrator met during the investigation
Angelica SegoviaLicensing Program AnalystAssisted in conducting the complaint investigation
Troy AgardSupervisorSupervisor overseeing the licensing evaluation

Inspection Report

Complaint Investigation
Census: 86 Capacity: 135 Deficiencies: 0 Date: Aug 20, 2024

Visit Reason
The visit was an unannounced complaint investigation triggered by allegations that staff abandoned a resident and made inappropriate comments towards a resident.

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

Report Facts
Residents interviewed: 8 Staff interviewed: 3 Complaint received date: Jul 25, 2024

Employees mentioned
NameTitleContext
Gina SaucedoLicensing Program AnalystConducted the complaint investigation and interviews
Troy AgardLicensing Program ManagerNamed as Licensing Program Manager on report
Lisa VillasenorAdministratorFacility Administrator who met with the Licensing Program Analyst during the visit

Inspection Report

Complaint Investigation
Census: 86 Capacity: 135 Deficiencies: 0 Date: Aug 20, 2024

Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received on 07/25/2024 regarding staff abandoning a resident and staff making inappropriate comments towards a resident.

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

Report Facts
Residents interviewed: 8 Staff interviewed: 3

Employees mentioned
NameTitleContext
Gina SaucedoLicensing Program AnalystConducted the complaint investigation and interviews
Lisa VillasenorAdministratorMet with Licensing Program Analyst during investigation
Anita CsukardiAdministratorNamed as facility administrator in report header
Troy AgardSupervisorSupervisor overseeing the investigation

Inspection Report

Census: 90 Capacity: 135 Deficiencies: 0 Date: Aug 8, 2024

Visit Reason
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.

Report Facts
CCRC residents: 41 Current census: 90 Facility capacity: 135 Residents disclosed by Executive Director: 38 Resident files reviewed: 14

Employees mentioned
NameTitleContext
Lisa VillasenorExecutive DirectorDisclosed number of CCRC residents during telephone contact with Licensing Program Analyst
Claudia RosasBusiness ManagerInterviewed by Licensing Program Analyst regarding facility operations and marketing
Malcolm AdamsMarketing DirectorInterviewed by Licensing Program Analyst; responsible for marketing Memory Care and Assisted Living beds
Gina SaucedoLicensing Program AnalystConducted the unannounced Case Management inspection
Troy AgardLicensing Program ManagerNamed in report as Licensing Program Manager

Inspection Report

Census: 90 Capacity: 135 Deficiencies: 0 Date: Aug 8, 2024

Visit Reason
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 records and interviewed staff, confirming there are 41 CCRC residents out of a total census of 90. The facility provided copies of admissions agreements for these residents. Staff acknowledged limited information on the facility's operational status as a CCRC. The Licensing Program Analyst will share findings with the Continuing Care Contracts Bureau and reminded the licensee to submit required documentation by 08/09/2024.

Report Facts
CCRC residents: 41 Current census: 90 Total capacity: 135 Residents disclosed by Executive Director: 38 Files reviewed: 14

Employees mentioned
NameTitleContext
Lisa VillasenorExecutive DirectorDisclosed number of CCRC residents during telephonic contact with Licensing Program Analyst
Claudia RosasBusiness ManagerInterviewed by Licensing Program Analyst regarding facility operations and marketing materials
Malcolm AdamsMarketing DirectorInterviewed by Licensing Program Analyst regarding marketing efforts and admission agreements
Gina SaucedoLicensing Program AnalystConducted the unannounced Case Management inspection
Troy AgardSupervisorSupervisor overseeing the inspection

Inspection Report

Annual Inspection
Census: 91 Capacity: 135 Deficiencies: 0 Date: Jul 10, 2024

Visit Reason
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: 135 Residents present: 91 Medication rooms: 2 Memory care rooms: 24 Assisted living rooms: 115 Hot water temperature range: 105 Hot water temperature range: 118 Facility temperature range: 72 Facility temperature range: 78 Fire extinguishers: 3 Patio areas: 2 Laundry areas: 2 Elevators: 2

Employees mentioned
NameTitleContext
Gina SaucedoLicensing Program AnalystConducted the inspection and authored the report
Troy AgardLicensing Program ManagerNamed in the report as Licensing Program Manager
Lisa VillasenorAdministratorMet with the Licensing Program Analyst during the inspection

Inspection Report

Annual Inspection
Census: 91 Capacity: 135 Deficiencies: 0 Date: Jul 10, 2024

Visit Reason
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, and the facility maintained proper safety equipment, medication security, and adequate food supplies.

Report Facts
Beds: 135 Residents: 91 Medication rooms: 2 Memory care rooms: 24 Assisted living rooms: 115 Hot water temperature range: 105-118 Facility temperature range: 72-78

Employees mentioned
NameTitleContext
Gina SaucedoLicensing Program AnalystConducted the inspection and authored the report
Lisa VillasenorAdministratorMet with the Licensing Program Analyst during the inspection

Inspection Report

Complaint Investigation
Census: 87 Capacity: 135 Deficiencies: 0 Date: Mar 26, 2024

Visit Reason
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.

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.
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.

Report Facts
Residents interviewed: 8 Staff interviewed: 5

Employees mentioned
NameTitleContext
Gina SaucedoLicensing Program AnalystConducted the complaint investigation and authored the report
Lisa VillasenorExecutive DirectorMet with the Licensing Program Analyst during the investigation
Troy AgardLicensing Program ManagerNamed as Licensing Program Manager on the report

Inspection Report

Complaint Investigation
Census: 87 Capacity: 135 Deficiencies: 0 Date: Mar 26, 2024

Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations that a resident's room was not being cleaned and that staff were unable to communicate with residents due to a language barrier.

Complaint Details
The complaint alleged that a resident's room was not being cleaned and that staff could not communicate with residents due to a language barrier. The investigation found these allegations unsubstantiated based on interviews, observations, and record reviews.
Findings
The investigation found both allegations to be unsubstantiated. Interviews with residents and staff confirmed that the resident's room was cleaned weekly and that the resident declined cleaning services. Staff were confirmed to speak English and Spanish, and no language barrier was found.

Report Facts
Residents interviewed: 8 Staff interviewed: 5

Employees mentioned
NameTitleContext
Gina SaucedoLicensing Program AnalystConducted the complaint investigation
Lisa VillasenorExecutive DirectorMet with Licensing Program Analyst and participated in the investigation
Troy AgardSupervisorSupervisor overseeing the investigation

Inspection Report

Complaint Investigation
Census: 86 Capacity: 135 Deficiencies: 0 Date: Feb 26, 2024

Visit Reason
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.

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.
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.

Report Facts
Residents interviewed: 10 Staff interviewed: 4 Residents disagreeing with changes: 7 Staff present at council meeting: 3 Capacity: 135 Census: 86

Employees mentioned
NameTitleContext
Gina SaucedoLicensing Program AnalystConducted the complaint investigation and authored the report
Lisa VillasenorExecutive DirectorMet with Licensing Program Analyst during the investigation and confirmed facility policies
Anita CsukardiAdministratorFacility administrator named in the report header
Troy AgardLicensing Program ManagerNamed as Licensing Program Manager overseeing the investigation

Inspection Report

Complaint Investigation
Census: 86 Capacity: 135 Deficiencies: 0 Date: Feb 26, 2024

Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that staff were not adhering to residents' admission agreements, specifically regarding new charges for laundry and housekeeping services.

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. The allegation was unsubstantiated based on interviews, record reviews, and observations.
Findings
The investigation found that the facility provided a 30-day written notice about new charges for personal laundry and changes to trash and bed making services, consistent with the admission agreement. Interviews with residents and staff confirmed the changes, but no violations were substantiated, and no citations were issued.

Report Facts
Residents interviewed: 10 Staff interviewed: 4 Residents disagreeing with changes: 7 Staff present at council meeting: 3 Resident files reviewed: 10 Capacity: 135 Census: 86

Employees mentioned
NameTitleContext
Gina SaucedoLicensing Program AnalystConducted the complaint investigation and authored the report
Lisa VillasenorExecutive DirectorMet with the Licensing Program Analyst and provided information during the investigation
Anita CsukardiAdministratorFacility administrator named in the report
Troy AgardSupervisorSupervisor overseeing the licensing evaluation

Inspection Report

Complaint Investigation
Census: 78 Capacity: 135 Deficiencies: 0 Date: Nov 21, 2023

Visit Reason
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.

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.
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.

Report Facts
Facility capacity: 135 Census: 78

Employees mentioned
NameTitleContext
Angela PanushkinaLicensing Program AnalystConducted the complaint investigation
Gina SaucedoLicensing Program AnalystConducted the complaint investigation
Christina SpearsExecutive DirectorInterviewed during the investigation
Nichelle GillyardLicensing Program ManagerNamed in report as Licensing Program Manager

Inspection Report

Complaint Investigation
Census: 78 Capacity: 135 Deficiencies: 0 Date: Nov 21, 2023

Visit Reason
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 was being placed in a Memory Care Unit against their will.

Complaint Details
The complaint alleged the facility was not recognizing a resident's current Power of Attorney and was placing the resident in a Memory Care Unit against their will. The allegation was found to be unsubstantiated after investigation.
Findings
The investigation included interviews, record reviews, and a physical plant tour. It was found that the facility assesses residents upon admission, reviews legal documents including Power of Attorney, and files them appropriately. There was no sufficient evidence to support the allegation, and the complaint was unsubstantiated.

Report Facts
Capacity: 135 Census: 78

Employees mentioned
NameTitleContext
Angela PanushkinaLicensing EvaluatorConducted the complaint investigation
Gina SaucedoLicensing Program AnalystAssisted in conducting the complaint investigation
Christina SpearsExecutive DirectorInterviewed during the investigation
Nichelle GillyardSupervisorSupervisor overseeing the investigation

Inspection Report

Complaint Investigation
Census: 81 Capacity: 135 Deficiencies: 0 Date: Oct 31, 2023

Visit Reason
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.

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.
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.

Report Facts
Capacity: 135 Census: 81 Staff interviewed: 4 Residents interviewed: 8 Bedrooms inspected: 6

Employees mentioned
NameTitleContext
Jose Gary TanLicensing Program AnalystConducted the complaint investigation
Troy AgardLicensing Program ManagerNamed in report signature and oversight
Cynthia Lara VargasResident Services DirectorMet with during inspection and interview

Inspection Report

Complaint Investigation
Census: 81 Capacity: 135 Deficiencies: 0 Date: Oct 31, 2023

Visit Reason
An unannounced complaint investigation visit was conducted to investigate allegations that staff failed to keep a resident's room clean, failed to provide a safe and comfortable environment, and neglected a resident while in care.

Complaint Details
The complaint investigation was unsubstantiated. Allegations included failure to keep resident's room clean, failure to provide a safe and comfortable environment, and neglect of resident while in care. Interviews with staff and residents, and physical observations did not support the allegations.
Findings
The investigation found that the resident rooms were clean and well maintained, staff regularly cleaned rooms, and residents reported satisfaction with cleanliness. Allegations regarding unsafe environment and neglect were unsubstantiated based on interviews and observations, noting the resident had onset of incontinence and refused some care.

Report Facts
Capacity: 135 Census: 81 Residents interviewed: 8 Bedrooms toured: 6 Staff interviewed: 4

Employees mentioned
NameTitleContext
Jose Gary TanLicensing EvaluatorConducted the complaint investigation
Cynthia Lara VargasResident Services DirectorMet with during investigation
Troy AgardSupervisorSupervisor overseeing the investigation

Inspection Report

Annual Inspection
Census: 82 Capacity: 135 Deficiencies: 0 Date: Sep 23, 2023

Visit Reason
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: 24 Assisted living units: 115 Hospice waiver residents: 15 Non-ambulatory residents capacity: 135 Bedridden residents capacity: 10 Temperature: 75 Hot water temperature range: 107.2 Hot water temperature range: 118.9 Hot water temperature: 107.9 Resident records reviewed: 5 Staff records reviewed: 7 Smoke alarm last test date: Jun 28, 2023 Sprinkler system last test date: Jun 12, 2023 Fire protection equipment report date: Jun 16, 2023 Fire protection equipment report valid until: Apr 23, 2025 Fire extinguisher last service date: May 11, 2023 Fire drill last conducted: Jun 7, 2023

Employees mentioned
NameTitleContext
Carmy JeromeExecutive DirectorMet with Licensing Program Analysts during inspection
Julio LaraMaintenance DirectorAssisted Licensing Program Analysts during facility tour
Gary TanLicensing Program AnalystConducted the inspection
Michael CavaLicensing Program AnalystConducted the inspection
Troy AgardLicensing Program ManagerNamed in report header and footer

Inspection Report

Annual Inspection
Census: 82 Capacity: 135 Deficiencies: 0 Date: Sep 23, 2023

Visit Reason
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 systems and adequate infection control measures. Resident and staff records were complete and updated, and medications were properly secured.

Report Facts
Rooms in Memory Care unit: 24 Assisted living units: 115 Non-ambulatory resident capacity: 135 Bedridden resident capacity: 10 Hospice waiver residents: 15 Resident records reviewed: 5 Staff records reviewed: 7 Temperature maintained: 75 Hot water temperature range: 107.2-118.9 Hot water temperature in Memory Care showers: 107.9 Last smoke alarm test date: Jun 28, 2023 Last sprinkler system test date: Jun 12, 2023 Last fire protection equipment report date: Jun 16, 2023 Fire protection equipment report valid until: Apr 23, 2025 Last fire extinguisher service date: May 11, 2023 Last fire drill date: Jun 7, 2023

Employees mentioned
NameTitleContext
Carmy JeromeExecutive DirectorMet with Licensing Program Analysts during inspection
Julio LaraMaintenance DirectorAssisted Licensing Program Analysts during facility tour
Jose Gary TanLicensing EvaluatorConducted the inspection and signed the report
Michael CavaLicensing Program AnalystConducted the inspection
Gary TanLicensing Program AnalystConducted the inspection
Troy AgardSupervisorSupervisor overseeing the inspection

Inspection Report

Complaint Investigation
Census: 82 Capacity: 135 Deficiencies: 0 Date: Sep 19, 2023

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

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.
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.

Report Facts
Capacity: 135 Census: 82

Employees mentioned
NameTitleContext
Antonia AlvizarLicensing Program AnalystConducted the complaint investigation and signed the report
Anne Marie ChanBusiness Office ManagerInterviewed during the investigation
Cinthia Lara-VargasResident Service DirectorInterviewed during the investigation
Naira MargaryanLicensing Program ManagerNamed as Licensing Program Manager on the report
Keith VogalAdministrator in TrainingInterviewed during the investigation
Jeff TaborInterviewed during the investigation

Inspection Report

Complaint Investigation
Census: 82 Capacity: 135 Deficiencies: 0 Date: Sep 19, 2023

Visit Reason
The inspection was conducted in response to a complaint alleging illegal eviction at the facility.

Complaint Details
The complaint alleged illegal eviction. The investigation determined the allegation was unfounded as the individual was not a resident of the facility.
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 under the same department. The allegation was deemed unfounded with no deficiencies cited.

Report Facts
Capacity: 135 Census: 82

Employees mentioned
NameTitleContext
Antonia AlvizarLicensing Program AnalystConducted the complaint investigation
Anne Marie ChanBusiness Office ManagerInterviewed during investigation
Cinthia Lara-VargasResident Service DirectorInterviewed during investigation
Keith VogalAdministrator in TrainingInterviewed during investigation
Jeff TaborInterviewed during investigation

Inspection Report

Complaint Investigation
Census: 75 Capacity: 135 Deficiencies: 1 Date: May 20, 2023

Visit Reason
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.

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.
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.

Deficiencies (1)
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.
Report Facts
Residents interviewed: 10 Residents dissatisfied with food quality: 7 Residents satisfied with food quality: 3 Plan of Correction due date: Jun 3, 2023

Employees mentioned
NameTitleContext
Jose Gary TanLicensing Program AnalystConducted the complaint investigation and authored the report
Troy AgardLicensing Program ManagerNamed as Licensing Program Manager overseeing the investigation
Desire LopezManager on DutyMet with Licensing Program Analyst during the investigation

Inspection Report

Complaint Investigation
Census: 74 Capacity: 135 Deficiencies: 0 Date: Mar 24, 2023

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

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

Report Facts
Capacity: 135 Census: 74

Employees mentioned
NameTitleContext
Tuesday CabinessLicensing Program AnalystConducted the complaint investigation visit
Cynthia LaraWellness DirectorMet with the Licensing Program Analyst during the visit
Cassandra BradfordRegional DirectorContacted by Licensing Program Analyst regarding the visit

Inspection Report

Census: 74 Capacity: 135 Deficiencies: 0 Date: Mar 24, 2023

Visit Reason
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.

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.
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.

Employees mentioned
NameTitleContext
Cynthia LaraWellness DirectorSpoke to Licensing Program Analyst during the visit and reported oversight arrangements.
Gena GrundeisAdministratorNamed as the Administrator who had resigned prior to the visit.
Cassandra BradfordRegional DirectorReported to be overseeing the facility prior to the visit but was not present during the visit.

Inspection Report

Complaint Investigation
Census: 74 Capacity: 135 Deficiencies: 0 Date: Mar 24, 2023

Visit Reason
The visit was a case management visit conducted in conjunction with complaint control #31-AS-20230321145444, triggered by knowledge of administrative staff resignations and oversight concerns at the facility.

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 the issues and concerns for the complaint during the visit.
Findings
The Licensing Program Analyst noted 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 temporarily. A LIC308 designee responsibility form was requested to be submitted to Licensing. Follow-up with the Regional Director regarding complaint issues was planned.

Employees mentioned
NameTitleContext
Cynthia LaraWellness DirectorSpoke to Licensing Program Analyst during the visit and reported oversight arrangements.
Gena GrundeisAdministratorNamed as having resigned prior to the visit.
Cassandra BradfordRegional DirectorReported to be overseeing the facility prior to the visit but was not present during the visit.

Inspection Report

Complaint Investigation
Census: 74 Capacity: 135 Deficiencies: 0 Date: Mar 24, 2023

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

Complaint Details
The complaint was unsubstantiated after investigation, as the complainant had been provided with the correct licensing regulations related to eviction notices.
Findings
The Licensing Program Analyst interviewed the complainant, staff, and reviewed resident files. It was determined that the complaint should not have been generated as the complainant had been provided with the correct licensing regulations pertaining to eviction notices. Therefore, the allegation was unsubstantiated.

Report Facts
Capacity: 135 Census: 74

Employees mentioned
NameTitleContext
Tuesday CabinessLicensing Program AnalystConducted the complaint investigation
Cynthia LaraWellness DirectorMet with the Licensing Program Analyst during the visit
Cassandra BradfordRegional DirectorContacted by Licensing Program Analyst regarding the visit
Gena GrundeisAdministratorFacility Administrator

Inspection Report

Complaint Investigation
Census: 68 Capacity: 135 Deficiencies: 0 Date: Feb 9, 2023

Visit Reason
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.

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.
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.

Report Facts
Capacity: 135 Census: 68 Residents interviewed: 6 Staff interviewed: 4 Staff interviewed: 2 Time of inspection: 270 Response time: 2 Expected response time: 15

Employees mentioned
NameTitleContext
Angela PanushkinaLicensing Program AnalystConducted the complaint investigation and authored the report
Gena GrundiesExecutive DirectorMet with Licensing Program Analyst during investigation
Nichelle GillyardLicensing Program ManagerNamed as Licensing Program Manager overseeing the investigation

Inspection Report

Complaint Investigation
Census: 68 Capacity: 135 Deficiencies: 0 Date: Feb 9, 2023

Visit Reason
The inspection was conducted in response to complaints alleging that staff handled a resident in a rough manner, forced a resident to sign a form, and that the facility was short staffed.

Complaint Details
The complaint investigation was initiated based on allegations received on 02/08/2023. The allegations included staff handling a resident roughly, forcing a resident to sign a form, and facility short staffing. The first two allegations were deemed unfounded after investigation, and the short staffing allegation was unsubstantiated based on interviews and observations.
Findings
The investigation found that the allegations of rough handling and forcing a resident to sign a form were unfounded as the individual was not a resident of the facility but admitted to a skilled nursing facility on the same property. The allegation of short staffing was unsubstantiated, with interviews and observations confirming sufficient staffing to meet residents' needs timely.

Report Facts
Capacity: 135 Census: 68 Residents interviewed: 6 Staff interviewed: 4 Staff interviewed: 2 MedTech interviewed: 1 Residents sampled: 6 Response time: 2 Expected response time: 15

Employees mentioned
NameTitleContext
Angela PanushkinaLicensing Program AnalystConducted the complaint investigation and inspection
Gena GrundiesExecutive DirectorMet with Licensing Program Analyst during inspection
Nichelle GillyardSupervisorSupervisor overseeing the investigation

Inspection Report

Complaint Investigation
Census: 79 Capacity: 135 Deficiencies: 0 Date: Jan 17, 2023

Visit Reason
The visit was an unannounced complaint investigation conducted in response to a complaint alleging that staff left a resident unattended at the hospital.

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.
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.

Report Facts
Facility capacity: 135 Census: 79

Employees mentioned
NameTitleContext
Joscelyn MartinezLicensing Program AnalystConducted the complaint investigation
Gena GrundeisAdministratorMet with the Licensing Program Analyst during the investigation

Inspection Report

Complaint Investigation
Census: 79 Capacity: 135 Deficiencies: 0 Date: Jan 17, 2023

Visit Reason
The visit was an unannounced complaint investigation conducted in response to a complaint received on 2023-01-09 alleging that staff left a resident unattended at the hospital.

Complaint Details
The complaint alleged that staff left a resident unattended at the hospital. The allegation was investigated and found to be unfounded.
Findings
The investigation revealed that the resident in question resides in the skilled nursing facility located on the same property and is currently admitted there. Therefore, the allegation was deemed unfounded as it was false and without reasonable basis.

Report Facts
Capacity: 135 Census: 79

Employees mentioned
NameTitleContext
Gena GrundeisAdministratorMet with Licensing Program Analyst during the investigation
Joscelyn MartinezLicensing Program AnalystConducted the complaint investigation

Inspection Report

Original Licensing
Capacity: 135 Deficiencies: 0 Date: Aug 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
NameTitleContext
Nichelle GillyardLicensing Program ManagerNamed as Licensing Program Manager involved in the licensing process
Joscelyn MartinezLicensing Program AnalystNamed as Licensing Program Analyst involved in the licensing process
Carl KneplerSenior VP OperationsMet during the virtual meeting regarding licensure
Deidre SchonfeldtMet during the virtual meeting regarding licensure

Inspection Report

Original Licensing
Capacity: 135 Deficiencies: 0 Date: Aug 2, 2022

Visit Reason
A virtual meeting was conducted regarding the licensure for The Gardens at Northridge to review the compliance plan and grant the license.

Findings
Community Care Licensing Division received documentation outlining Pacifica Senior Living's Compliance Plan and will conduct frequent unannounced visits during the first 12 months to ensure compliance. No other concerns were noted and the license will be granted.

Employees mentioned
NameTitleContext
Kit ChanAssistant Program Administrator DSSParticipant in licensure meeting
Nichelle GillyardLicensing Program Manager DSSParticipant in licensure meeting and supervisor
Joscelyn MartinezLicensing Program Analyst DSSParticipant in licensure meeting and licensing evaluator
Allison NakatomiStaff Service Manager I for Continuing Care Retirement CareParticipant in licensure meeting
Hao NguyenStaff Service Manager II for Centralized Application BureauParticipant in licensure meeting
Craig LundgrenDSS AttorneyParticipant in licensure meeting
Shelly GraceAssistant Branch Chief DSSParticipant in licensure meeting
Carl KneplerSenior VP Operations Pacifica Senior LivingParticipant in licensure meeting
Deidre SchonfeldtPacifica Senior LivingParticipant in licensure meeting

Inspection Report

Original Licensing
Census: 68 Capacity: 135 Deficiencies: 0 Date: Apr 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: 135 Non-ambulatory residents allowed: 125 Residents present: 68 Bedrooms in memory care: 24 Bedrooms in assisted living: 90 Hot water temperature: 119 Fire extinguisher service date: Oct 14, 2021 Fire alarm testing date: Sep 28, 2021 Facility temperature: 73

Employees mentioned
NameTitleContext
Varsenik KeshishyanAdministratorMet with Licensing Program Analyst during inspection and participated in entrance and exit interviews
Joscelyn MartinezLicensing Program AnalystConducted the pre-licensing inspection visit
Nichelle GillyardLicensing Program ManagerNamed in report header and narrative as Licensing Program Manager

Inspection Report

Original Licensing
Census: 68 Capacity: 135 Deficiencies: 0 Date: Apr 18, 2022

Visit Reason
An announced Pre-Licensing visit was conducted due to a change of ownership application to inspect the facility for compliance with California Code of Regulation, Title 22, Division 6.

Findings
The facility was toured inside and outside, including memory care and assisted living units, common areas, kitchen, and outside areas. The facility was found to be clean, in good repair, properly furnished, and in compliance with Title 22 regulations at the time of the visit.

Report Facts
Number of bedrooms in memory care: 24 Number of bedrooms in assisted living: 90 Hot water temperature: 119 Fire extinguisher service date: Oct 14, 2021 Fire alarm testing date: Sep 28, 2021 Facility temperature: 73

Employees mentioned
NameTitleContext
Varsenik KeshishyanAdministratorMet with Licensing Program Analyst during pre-licensing visit
Joscelyn MartinezLicensing Program AnalystConducted the pre-licensing inspection visit
Nichelle GillyardSupervisorSupervisor overseeing the licensing evaluation

Inspection Report

Original Licensing
Census: 65 Capacity: 135 Deficiencies: 0 Date: Mar 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
NameTitleContext
Varsenik KeshishyanAdministratorApplicant/administrator participating in COMP II interview and confirmed understanding of regulations.

Inspection Report

Census: 65 Capacity: 135 Deficiencies: 0 Date: Mar 3, 2022

Visit Reason
The visit was conducted as an office evaluation related to a change of ownership application for the facility.

Findings
The applicant/administrator participated in a COMP II telephone interview to verify identification and confirm understanding of California Code Title 22 regulations, including facility operation, admission policies, staffing, health conditions, emergency preparedness, complaints, and pre-licensing readiness.

Employees mentioned
NameTitleContext
Varsenik KeshishyanAdministratorApplicant/administrator who participated in COMP II interview and confirmed understanding of regulations.

Viewing

Loading inspection reports...