Inspection Reports for Hope Home Assisted Living Facility
23916 Highland Valley Rd, Diamond Bar, CA 91765, CA, 91765
Back to Facility ProfileInspection Report Summary
Most inspections found no deficiencies, with the most recent report from November 19, 2024, showing full compliance and no issues. Earlier reports included some isolated deficiencies such as an outdated physician’s report in November 2023 and several facility-related issues like inadequate food supply and unauthorized building alterations in June 2023. A complaint investigation in January 2021 substantiated a failure to follow eviction procedures, but several other complaint investigations were unsubstantiated. The facility appears to have improved over time, with recent inspections showing fewer and less serious deficiencies. Minor issues related to documentation and facility maintenance were the main concerns, but no fines or enforcement actions were listed in the available reports.
Deficiencies per Year
8
6
4
2
0
High
Moderate
Census Over Time
Census
Capacity
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 0
Nov 19, 2024
Visit Reason
The inspection was an unannounced annual inspection conducted to evaluate compliance with licensing requirements for the facility.
Findings
The facility was found to be in compliance with no deficiencies issued. The inspection noted that the facility is well maintained, staff files and resident files are complete, medications are properly managed, and residents' rights are respected.
Report Facts
Licensed capacity: 6
Current census: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Cynthia Chan | Licensing Program Analyst | Conducted the unannounced annual inspection |
| Eunice Kim | Administrator | Facility administrator who assisted with the visit |
| Hyo Seon Kwak | Staff | Met with Licensing Program Analyst during inspection |
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 1
Nov 13, 2023
Visit Reason
The inspection was a required unannounced annual inspection conducted to assess compliance with licensing regulations for the facility.
Findings
The facility was found to be generally compliant with infection control, operational requirements, physical plant safety, staffing, and resident care standards. However, a deficiency was cited for one resident's outdated physician's report, posing a potential health and safety risk.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| One out of six residents' physician's reports for dementia was not current, failing to meet the annual medical assessment requirement. | Type B |
Report Facts
Residents with dementia: 4
Non-ambulatory residents: 2
Staff files reviewed: 4
Resident files reviewed: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Eunice Kim | Licensee | Met with Licensing Program Analyst during inspection |
| Cynthia D Chan | Licensing Program Analyst | Conducted the annual inspection and authored the report |
| Tony Vasallo | Supervisor | Supervisor overseeing the licensing evaluation |
Inspection Report
Census: 4
Capacity: 6
Deficiencies: 0
Oct 10, 2023
Visit Reason
Licensing Program Analyst Cynthia Chan conducted a case management visit to interview staff and review personnel records.
Findings
No deficiencies were issued during the case management visit. The Licensing Program Analyst met with staff and explained the purpose of the visit.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Peter Kim | Staff | Met with Licensing Program Analyst during case management visit. |
Inspection Report
Census: 6
Capacity: 6
Deficiencies: 5
Jun 30, 2023
Visit Reason
An unannounced Case Management visit was conducted regarding an incident at Hope Home Care for Elderly to evaluate compliance with licensing requirements.
Findings
The inspection found multiple deficiencies including insufficient perishable food supply, shared resident room with unauthorized alterations, auditory devices not operable, inadequate liability insurance coverage, and failure to notify licensing agency of facility alterations.
Severity Breakdown
Type A: 3
Type B: 2
Deficiencies (5)
| Description | Severity |
|---|---|
| Copy of Certificate of liability insurance provided does not meet liability limits. | Type A |
| Minimum of two (2) day supply of perishable food was not observed on the premises. | Type A |
| Auditory devices were observed in 'OFF' mode and not operable during visit. | Type A |
| Alterations to existing building or new facilities without prior building permit or notification to licensing agency. | Type B |
| Resident Room #1 was observed to be shared with a makeshift spare bedroom accessible through resident room and backyard sliding door, violating personal accommodations and services requirements. | Type B |
Report Facts
Capacity: 6
Census: 6
Deficiency due dates: 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Ramirez | Licensing Program Analyst | Conducted the unannounced Case Management visit and authored the report |
| Jung Kim | Licensee/Administrator | Facility licensee and administrator involved in the inspection and exit interview |
| Tony Vasallo | Supervisor | Supervisor overseeing the licensing evaluation |
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 0
Nov 30, 2022
Visit Reason
An unannounced annual inspection focusing on the Infection Control Domain was conducted to evaluate compliance with licensing requirements for an elderly care facility.
Findings
The facility was found to be in compliance with all inspected areas including infection control, PPE supply, kitchen cleanliness, medication storage, safety equipment, and resident and staff files. No deficiencies were cited during the inspection.
Report Facts
Hot water temperature: 113.2
Hot water temperature: 105.2
Hot water temperature: 106.5
Hot water temperature: 112.2
Facility capacity: 6
Current census: 5
Fire extinguisher purchase date: Jul 9, 2022
Administrator certificate expiration: May 15, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jung Hyun Kim | Administrator | Administrator present during inspection and named in report |
| Bennette Pena | Licensing Program Analyst | Conducted the inspection |
| David Sicairos | Supervisor | Supervisor named in report |
Inspection Report
Complaint Investigation
Census: 4
Capacity: 6
Deficiencies: 0
Jun 6, 2022
Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation that staff abandoned a resident at the hospital.
Findings
The investigation found inconsistent statements and insufficient evidence to substantiate the allegation that staff abandoned the resident at the hospital. The allegation was determined to be unsubstantiated.
Complaint Details
The allegation was that staff abandoned resident R1 at the hospital by dropping her off in a wheelchair in an altered state without signing her in or accompanying her. Interviews and document reviews revealed that R1 was transported by a third-party company authorized by Kaiser, and the Administrator and staff arrived shortly after R1 was checked in. Statements were inconsistent and did not corroborate the allegation. The complaint was unsubstantiated.
Report Facts
Facility capacity: 6
Census: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Joe Katrdzhyan | Licensing Program Analyst | Conducted the complaint investigation visit |
| Jung Hyun Kim | Administrator | Facility Administrator involved in the investigation |
| Jay Choi | Staff | Staff member met during the investigation |
| Wei Siew Ho | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 1
Capacity: 6
Deficiencies: 0
Jan 12, 2022
Visit Reason
The visit was an unannounced complaint investigation conducted to investigate allegations that the facility did not refund a resident and did not assist a resident with self-administered medication.
Findings
The investigation found that the allegations were unsubstantiated. Interviews and documentation review showed that the resident moved out voluntarily, refunds were not required except in case of death per the contract, and medication was administered as prescribed without errors.
Complaint Details
The complaint investigation was triggered by allegations that the facility did not refund a resident and did not assist the resident with self-administered medication. The allegations were found to be unsubstantiated based on interviews, file reviews, and documentation.
Report Facts
Refund amount paid by resident: 2000
Facility capacity: 6
Resident census: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Irra | Licensing Program Analyst | Conducted the complaint investigation |
| Christine Yee | Licensing Program Manager | Named as Licensing Program Manager on report |
| Jung Hyun Kim | Facility Administrator | Interviewed during investigation and named as administrator |
Inspection Report
Complaint Investigation
Census: 1
Capacity: 6
Deficiencies: 1
Jan 12, 2022
Visit Reason
The visit was a Case Management - Deficiencies inspection conducted during two complaint investigations to review compliance with regulations.
Findings
The inspection found that resident R-1, who resided at the facility from 12/28/2021 through 01/03/2022, did not have a Physician's Report on file as required. The administrator stated that R-1 was in the process of obtaining a physical exam.
Complaint Details
The visit was conducted during two complaint investigations. The deficiency regarding the missing Physician's Report for resident R-1 was cited.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to obtain and keep on file a medical assessment signed by a physician within the last year for resident R-1. | Type B |
Report Facts
Deficiency Type B count: 1
Census: 1
Total Capacity: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Irra | Licensing Program Analyst | Completed the Case Management-Deficiencies report and conducted the inspection. |
| Christine Yee | Supervisor | Supervisor overseeing the inspection. |
| Kim Jung Hyun | Administrator | Facility Administrator who provided information about the resident's physical exam status. |
Inspection Report
Complaint Investigation
Census: 1
Capacity: 6
Deficiencies: 0
Jan 12, 2022
Visit Reason
An unannounced complaint investigation visit was conducted to investigate allegations that a resident fell while in care and that staff did not administer the resident's medication.
Findings
The investigation found that the resident did not fall while in care and that staff administered the resident's medication as prescribed. Interviews and documentation did not corroborate the allegations. The complaint was determined to be unsubstantiated.
Complaint Details
The complaint investigation was unsubstantiated based on interviews with staff, review of resident files, and medication administration records. The resident moved out of the facility during the investigation period. The preponderance of evidence standard was met to conclude the allegations were unsubstantiated.
Report Facts
Facility capacity: 6
Resident census: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Irra | Licensing Program Analyst | Conducted the complaint investigation |
| Christine Yee | Licensing Program Manager | Named as Licensing Program Manager on the report |
| Jung Hyun Kim | Facility Administrator | Facility Administrator interviewed during the investigation |
Inspection Report
Annual Inspection
Census: 1
Capacity: 6
Deficiencies: 0
Nov 24, 2021
Visit Reason
An unannounced annual inspection was conducted focusing on the Infection Control Domain to evaluate compliance with regulatory requirements.
Findings
The facility was found to be clean, well-maintained, and in good repair with proper infection control measures in place, including universal entrance screening and staff mask use. No deficiencies were cited, although the facility did not maintain a 30-day supply of PPE as required.
Report Facts
Facility capacity: 6
Census: 1
Fire extinguisher purchase date: 2021
Administrator certificate expiration date: 2020
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jung Hyun Kim | Administrator | Met during inspection and discussed visit purpose |
| LaJean Nicole Spencer | Licensing Program Analyst | Conducted the inspection |
Inspection Report
Complaint Investigation
Census: 4
Capacity: 6
Deficiencies: 1
Jan 9, 2021
Visit Reason
The investigation was initiated due to a complaint alleging illegal eviction at Hope Home Care for Elderly.
Findings
The investigation substantiated that the administrator failed to follow eviction procedures by not picking up resident R1 from the hospital and not issuing the required Eviction Notice as per Title 22 Regulations.
Complaint Details
The complaint investigation was substantiated. The allegation of illegal eviction was supported by evidence including interviews and document review. The administrator failed to pick up resident R1 from the hospital and did not issue an eviction notice as required.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to follow eviction procedures including failure to pick up resident from hospital and failure to issue a 30-Day Eviction Notice as required by Title 22 Regulations, Section 87224. | Type B |
Report Facts
Capacity: 6
Census: 4
Deficiencies cited: 1
Plan of Correction Due Date: Jan 13, 2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jung Hyun Kim | Licensee/Administrator | Facility administrator involved in the complaint investigation and findings |
| Renee Arterberry | Licensing Program Analyst | Investigator who conducted the complaint follow-up visit |
| Wei Siew Ho | Licensing Program Manager | Manager overseeing the complaint investigation |
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