Inspection Reports for
Genesis Manor IV

1691 Genesee Ave, La Verne, CA 91750, CA, 91750

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Deficiencies (last 5 years)

Deficiencies (over 5 years) 0.2 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

95% better than California average
California average: 4 deficiencies/year

Deficiencies per year

4 3 2 1 0
2022
2023
2024
2025
2026

Census

Latest occupancy rate 100% occupied

Based on a February 2026 inspection.

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

Occupancy over time

0 3 6 9 12 Feb 2022 Oct 2023 Mar 2024 Feb 2026

Inspection Report

Annual Inspection
Census: 6 Capacity: 6 Deficiencies: 1 Date: Feb 9, 2026

Visit Reason
An unannounced required annual visit was conducted using the Compliance and Regulatory Enforcement (CARE) Tool to assess compliance with licensing requirements.

Findings
The facility was found to have one deficiency related to medication refills for one resident, posing an immediate health and safety risk. Other areas such as physical plant, food service, health-related services, disaster preparedness, personnel records, and insurance were found compliant.

Deficiencies (1)
One out of three residents did not have medication refilled, posing an immediate health, safety, or personal rights risk.
Report Facts
Residents under hospice care: 3 Resident files reviewed: 3 Staff files reviewed: 3 Medication refills not obtained: 1 Plan of Correction Due Date: Feb 10, 2026

Employees mentioned
NameTitleContext
Elyssa N. MarkieAdministratorMet during inspection and named in medication refill deficiency
Gabriela CastroLicensing Program AnalystConducted inspection and signed report
David SicairosLicensing Program ManagerOversaw inspection process

Inspection Report

Annual Inspection
Census: 6 Capacity: 6 Deficiencies: 0 Date: Mar 17, 2025

Visit Reason
An unannounced annual inspection visit was conducted to evaluate compliance with regulatory standards and ensure the safety and well-being of residents at the facility.

Findings
The inspection found the facility to be in compliance with all regulatory requirements, including physical plant safety, food service, planned activities, residents' rights, disaster preparedness, health-related services, staffing, personnel training, infection control, and operational requirements. No deficiencies were observed during the visit.

Report Facts
Residents on hospice care: 3 Personnel records reviewed: 3 Resident records reviewed: 6

Employees mentioned
NameTitleContext
Kimberly RamirezLicensing Program AnalystConducted the unannounced annual inspection visit.
Elyssa MarkieAdministratorFacility administrator present during the inspection.
Eustaquio CanonCaregiverMet with the Licensing Program Analyst during the inspection.
Tony VasalloSupervisorSupervisor named in the report.

Inspection Report

Annual Inspection
Census: 6 Capacity: 6 Deficiencies: 0 Date: Mar 17, 2025

Visit Reason
An unannounced annual inspection visit was conducted to evaluate compliance with regulatory requirements and assess the facility's environment, safety, staffing, and resident care.

Findings
The inspection found the facility to be in compliance with all regulatory requirements. Safety measures, medication storage, staffing qualifications, infection control, and resident records were all satisfactory. No deficiencies were observed during the visit.

Report Facts
Residents on hospice care: 3 Personnel records reviewed: 3 Resident records reviewed: 6 Fire clearance capacity: 6 Facility capacity: 6 Current census: 6

Employees mentioned
NameTitleContext
Kimberly RamirezLicensing Program AnalystConducted the unannounced annual inspection visit.
Elyssa MarkieAdministratorFacility administrator present during inspection.
Tony VasalloSupervisorSupervisor named in the report.

Inspection Report

Annual Inspection
Census: 4 Capacity: 6 Deficiencies: 0 Date: Mar 22, 2024

Visit Reason
The inspection was an unannounced subsequent Annual Required Visit conducted to evaluate compliance with licensing requirements for the facility.

Findings
No deficiencies were observed during the inspection. The facility was found to have proper emergency plans, operable safety equipment, maintained personnel and resident records, current liability insurance, and an updated infection control plan.

Report Facts
Fire drills conducted: 2 Staff files reviewed: 3 Resident files reviewed: 4

Employees mentioned
NameTitleContext
Kimberly RamirezLicensing Program AnalystConducted the inspection and evaluation
Alaina HendrickBack-up AdministratorAssisted with the inspection
Gerry A. MarkieAdministratorFacility administrator named in the report
Arturo BastesCaregiver who met with the Licensing Program Analyst

Inspection Report

Annual Inspection
Census: 4 Capacity: 6 Deficiencies: 0 Date: Mar 22, 2024

Visit Reason
The inspection was an unannounced subsequent Annual Required Visit conducted to evaluate compliance with licensing requirements for the facility.

Findings
No deficiencies were observed during the inspection. The facility was found to have current liability insurance, an updated infection control plan, operable fire and carbon monoxide detectors, and properly maintained personnel and resident records.

Report Facts
Fire drills conducted: 2 Staff files reviewed: 3 Resident files reviewed: 4

Employees mentioned
NameTitleContext
Kimberly RamirezLicensing Program AnalystConducted the inspection and evaluation
Alaina HendrickBack-up AdministratorAssisted with the inspection
Gerry A. MarkieAdministratorFacility Administrator named in report

Inspection Report

Annual Inspection
Census: 4 Capacity: 6 Deficiencies: 0 Date: Mar 18, 2024

Visit Reason
Licensing Program Analyst Kimberly Ramirez conducted an unannounced Annual Required Visit to evaluate compliance with licensing requirements for the facility.

Findings
The facility was observed to be clean and well-maintained with no deficiencies noted at the time of the visit. Kitchen, dining, living areas, resident rooms, and other facility areas met required standards.

Employees mentioned
NameTitleContext
Kimberly RamirezLicensing Program AnalystConducted the unannounced annual inspection visit.
Gerry A. MarkieAdministratorFacility administrator named in the report header.
Natividad AlmodovarCaregiverMet the Licensing Program Analyst during the inspection.
Tony VasalloSupervisorNamed as supervisor in the report.

Inspection Report

Annual Inspection
Census: 4 Capacity: 6 Deficiencies: 0 Date: Mar 18, 2024

Visit Reason
An unannounced Annual Required Visit was conducted to evaluate the facility's compliance with licensing requirements for elderly care, including dementia and hospice residents.

Findings
The facility was observed to be clean and well-maintained with no deficiencies noted at the time of the visit. The kitchen, dining, living areas, resident rooms, and other facility areas met required standards.

Report Facts
Licensed hospice residents allowed: 3 Kitchen sink water temperature: 110.1 Number of bedrooms: 5 Number of bathrooms: 2 Number of chairs in dining room: 5 Number of couches in living room: 2

Employees mentioned
NameTitleContext
Kimberly RamirezLicensing Program AnalystConducted the unannounced annual inspection visit
Natividad AlmodovarCaregiverMet with Licensing Program Analyst during the visit

Inspection Report

Complaint Investigation
Census: 6 Capacity: 6 Deficiencies: 0 Date: Oct 10, 2023

Visit Reason
An unannounced complaint investigation visit was conducted to investigate allegations including staff preventing home health agency staff from performing their duties, uncleared staff working in the facility, and the facility lacking a qualified administrator.

Complaint Details
The complaint was unsubstantiated. Allegations included staff preventing home health agency staff from performing duties, uncleared staff working at the facility, and lack of a qualified administrator. Interviews and records review did not support these allegations.
Findings
The investigation found no preponderance of evidence to substantiate the allegations. Staff and residents denied the allegations, records showed appropriate staff clearance and administrator qualifications, and no deficiencies were observed or cited.

Report Facts
Capacity: 6 Census: 6 Residents receiving home health care: 2 Staff interviewed: 5 Residents interviewed: 6

Employees mentioned
NameTitleContext
Gerry A. MarkieLicenseeMet with Licensing Program Analyst during investigation
Marya AlpertLicenseeMet with Licensing Program Analyst during investigation
Valeria MaldonadoLicensing Program AnalystConducted the complaint investigation visit
Fernando FierrosLicensing Program ManagerNamed in report header and signature
Elyssa MarkieAdministratorListed as qualified administrator with certificate number 6056493740

Inspection Report

Complaint Investigation
Census: 6 Capacity: 6 Deficiencies: 0 Date: Oct 10, 2023

Visit Reason
An unannounced complaint investigation visit was conducted to investigate allegations including staff preventing home health agency staff from performing their duties, uncleared staff working in the facility, and the facility lacking a qualified administrator.

Complaint Details
The complaint investigation was unsubstantiated. Allegations included staff preventing home health agency staff from performing duties, uncleared staff working in the facility, and lack of a qualified administrator. Interviews and records review did not support these allegations.
Findings
The investigation found no preponderance of evidence to substantiate the allegations. Staff and residents denied the allegations, records showed appropriate staff clearance and association, and the facility had a qualified administrator. No deficiencies were observed or cited.

Report Facts
Residents receiving home health care: 2 Staff interviewed: 5 Residents interviewed: 6 Facility capacity: 6 Facility census: 6

Employees mentioned
NameTitleContext
Gerry A. MarkieAdministratorFacility administrator met during investigation
Valeria MaldonadoLicensing Program AnalystConducted the complaint investigation visit
Fernando FierrosLicensing Program ManagerNamed as Licensing Program Manager on report
Elyssa MarkieAdministratorListed as qualified administrator with certificate

Inspection Report

Annual Inspection
Census: 5 Capacity: 6 Deficiencies: 0 Date: Feb 4, 2023

Visit Reason
An unannounced Annual Required Visit was conducted to evaluate the facility's compliance with licensing requirements for elderly residents, including those with dementia and hospice care.

Findings
The facility was found to be clean, well-maintained, and compliant with all observed requirements including safety, medication storage, and emergency preparedness. No deficiencies were cited during the visit.

Report Facts
Licensed hospice residents allowed: 3 Hospice residents present: 0 Kitchen sink water temperature (degrees F): 119.8 Bathroom #1 water temperature (degrees F): 105.1 Bathroom #2 water temperature (degrees F): 105.4 Fire drill date: Dec 8, 2022 Administrator certificate expiration date: Jul 18, 2024

Employees mentioned
NameTitleContext
Gerry A. MarkieAdministratorFacility administrator present during inspection and named in report
Kimberly RamirezLicensing Program AnalystConducted the inspection visit
Natividad AlmodovarCaregiverMet the Licensing Program Analyst at the start of the visit

Inspection Report

Annual Inspection
Census: 5 Capacity: 6 Deficiencies: 0 Date: Feb 4, 2023

Visit Reason
An unannounced annual required visit was conducted to evaluate the facility's compliance with licensing requirements for elderly residents with dementia, including care for hospice residents.

Findings
The facility was found to be clean, well-maintained, and in compliance with regulations. No deficiencies were cited during the visit. Safety measures such as secured medications, proper water temperatures, and emergency supplies were observed.

Report Facts
Licensed capacity: 6 Current census: 5 Water temperature: 119.8 Water temperature: 105.1 Water temperature: 105.4 Days of perishables: 2 Days of non-perishables: 7 Medications reviewed: 5 Hospice residents allowed: 3 Hospice residents present: 0

Employees mentioned
NameTitleContext
Gerry A. MarkieAdministratorFacility administrator who led the tour and was present during exit interview
Kimberly RamirezLicensing Program AnalystConducted the unannounced annual required visit
Tony VasalloSupervisorSupervisor overseeing the licensing evaluation
Natividad AlmodovarCaregiverMet the Licensing Program Analyst at the start of the visit

Inspection Report

Annual Inspection
Census: 6 Capacity: 6 Deficiencies: 0 Date: Feb 24, 2022

Visit Reason
Licensing Program Analyst Vasallo conducted an annual required visit to evaluate the facility, including infection control, physical plant, medication review, food supply, and staff records.

Findings
No deficiencies were observed during the visit. The facility met all regulatory requirements including proper medication storage, adequate resident accommodations, and compliance with COVID-19 procedures.

Report Facts
Residents on hospice: 1 Resident records reviewed: 6 Staff records reviewed: 2 Residents' medications reviewed: 6 Hot water temperature: 106.6

Employees mentioned
NameTitleContext
Gerry A. MarkieAdministratorMet with Licensing Program Analyst during the inspection.
Elyssa MarkieStaff memberMet with Licensing Program Analyst during the inspection.
Tony VasalloLicensing Program AnalystConducted the annual required visit and evaluation.

Inspection Report

Annual Inspection
Census: 6 Capacity: 6 Deficiencies: 0 Date: Feb 24, 2022

Visit Reason
Licensing Program Analyst conducted an annual required visit to evaluate the facility, including infection control, physical plant, medications, food supply, and staff records.

Findings
No deficiencies were observed during the visit. The facility met all regulatory requirements including infection control, medication storage, and physical environment standards.

Report Facts
Residents on hospice: 1 Resident records reviewed: 6 Staff records reviewed: 2 Residents' medications reviewed: 6 Hot water temperature: 106.6

Employees mentioned
NameTitleContext
Gerry A. MarkieAdministratorMet with Licensing Program Analyst during the inspection
Elyssa MarkieStaff memberMet with Licensing Program Analyst during the inspection
Tony VasalloLicensing Program AnalystConducted the annual required visit

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