Inspection Reports for Huntington Manor

The visit was conducted to conclude an annual licensing inspection that commenced on 2025-09-18, as part of the facility's annual licensing requirements.

The inspection found that all required staff records and certifications were complete and up to date. The facility was properly equipped with safety measures, including a back-up generator and secured hazardous materials. No deficiencies were cited during the visit.

An unannounced case management visit was conducted as a continuation of the Annual Inspection that began on 2025-09-18 to evaluate compliance with licensing requirements.

The inspection revealed several violations including medications and toxins not centrally stored or locked and accessible to residents, unsupervised medication dispensing, obstructed entry/exits and passageways, a resident with an unmanaged health condition, and improper waste disposal. Immediate corrective actions were agreed upon by the caregiver.

An unannounced case management visit was conducted as a continuation of an Annual Inspection that began on 2025-09-18 to evaluate compliance with licensing requirements.

The facility was found to have admitted 22 residents despite being licensed for 21, with a shared room converted to accommodate two residents. An application to increase capacity was under review but not yet approved. Deficiencies were cited and further visits are necessary to complete the annual inspection.

The inspection was a Case Management - Annual Continuation visit to evaluate the facility's compliance with licensing requirements.

The facility was found to be operating beyond its licensed capacity by admitting a 22nd resident, exceeding the licensed capacity of 21. This posed an immediate health, safety, and personal rights risk to all 22 residents in care.

An unannounced case management visit was conducted to deliver findings for an investigation initiated based on a June 2025 incident involving a resident's medication overdose and hospitalization.

The investigation found that facility staff were aware of the resident's suicidal ideation and medication needs but failed to protect the resident from access to medications, resulting in an overdose and hospitalization. Additionally, staff did not immediately call 9-1-1 during the medical emergency, posing an immediate risk to the resident's health and safety.

The investigation was initiated following a Special Incident Report regarding a resident's apparent medication overdose on 6/19/2025, hospitalization, and a history of suicidal ideation. The complaint was substantiated based on record reviews and staff interviews.

An unannounced annual required licensing inspection was conducted at the facility.

No deficiencies were cited during the visit. The inspection included a partial facility tour and records review, with the remaining portion to be completed later due to time constraints.

An unannounced Case Management Visit was conducted to cite a deficiency identified during a facility file review related to the suspension of the Limited Liability Corporation (LLC) for non-payment.

One Type B deficiency was cited for failure to exercise general supervision over the affairs of the licensed facility, specifically due to the LLC suspension for non-payment effective May 1, 2025, posing a potential personal rights risk to all 21 residents.

The visit was an unannounced case management follow-up regarding a self-reported incident involving Resident #1's misuse of medication.

During the visit, a health and safety check was conducted, residents were observed, and facility records reviewed. No deficiencies were cited on the date of the visit.

The visit was triggered by an incident report received on June 24, 2025, describing that on June 19, 2025, Resident #1 consumed three bottles of over-the-counter allergy pills, resulting in lethargy and hospitalization.

The inspection was an unannounced complaint investigation visit triggered by allegations including an unwitnessed resident fall, staff not following feeding/drinking care plans, and untimely diaper changes.

The investigation found no preponderance of evidence to substantiate the allegations. Staff were observed and interviewed, records reviewed, and it was determined that the resident was not left on the floor for an extended period, feeding plans were followed correctly, and diaper changes were timely.

The complaint involved three allegations: 1) Resident had an unwitnessed fall and was on the floor for an extended period; 2) Staff were not following the feeding/drinking care plan; 3) Staff were not ensuring timely diaper changes. All allegations were found to be unsubstantiated after investigation.

The inspection was an unannounced complaint investigation visit triggered by allegations of neglect resulting in pressure injuries and failure to seek timely medical attention for a resident, as well as failure to notify the resident's responsible party of a change in condition.

The investigation found that the allegations of neglect causing pressure injuries and failure to seek timely medical attention were unsubstantiated, with evidence showing the resident's complex medical condition caused the abscess and that facility staff provided excellent care. The allegation that staff did not notify the resident's responsible party was found unfounded, as the responsible party was present and involved during the change in condition.

The complaint investigation was unsubstantiated for neglect allegations related to pressure injuries and untimely medical attention, and unfounded for failure to notify the resident's responsible party of a change in condition. The resident had an abscess unrelated to facility neglect, and the responsible party was present during the condition change.

An unannounced complaint investigation visit was conducted in response to an allegation that neglect resulted in sexual abuse of a resident.

The investigation substantiated that Staff #1 sexually harassed Resident #1 and multiple staff members. Staff #1 was placed on administrative leave and later terminated. The licensee failed to protect one resident from sexual abuse, posing an immediate safety and personal rights risk.

The complaint alleged neglect resulting in sexual abuse of Resident #1. The investigation found that Resident #1 was sexually assaulted by Staff #1, not by another resident as initially reported. Multiple staff members reported sexual harassment by Staff #1. The allegation was substantiated.

An unannounced required annual inspection was conducted to review the facility's compliance with licensing regulations.

The facility was found to be in full compliance with no deficiencies observed or cited. The environment was safe, clean, and well-equipped, with all required documents and safety equipment in place.

The inspection was an unannounced complaint investigation visit triggered by allegations that staff did not address a resident's medical condition timely, did not ensure the resident's call pendant was working, did not address a bed bug infestation, and did not meet the resident's incontinence care needs.

The investigation substantiated that staff failed to timely address a resident's medical condition, did not ensure the call pendant was operable, and did not follow universal precautions regarding bed bugs, posing potential health and safety risks. However, the allegation that staff did not meet the resident's incontinence care needs was unsubstantiated due to inconsistent information and lack of evidence.

The complaint investigation was substantiated for allegations that staff did not address the resident's medical condition timely, did not ensure the call pendant was working, and did not address bed bug infestation. The allegation that staff did not meet the resident's incontinence care needs was unsubstantiated.

The visit was a case management visit initiated by the licensee to review an updated Admissions Agreement.

The Licensing Program Analyst reviewed the updated Admissions Agreement with the licensee and administrator, identifying sections needing revision including elopement, visitation policy, pet policy, house rules, room changes, and locks for residents. The licensee agreed to rewrite and resubmit the Admissions Agreement for approval.

An unannounced complaint investigation visit was conducted in response to an allegation of unlawful eviction of a resident.

The investigation found that the facility unlawfully evicted a resident by not providing the required 30-day written eviction notice and not allowing the resident to return after hospitalization. The allegation was substantiated based on observations, interviews, and record reviews.

The complaint alleged unlawful eviction of a resident. The investigation substantiated the allegation, finding that the facility failed to provide the required 30-day written eviction notice and did not allow the resident to return after hospitalization.

Licensing Program Analyst Esther Miller conducted a case management visit to address a technical violation identified during a prior visit.

Two staff members were observed providing care without masks. Both staff complied and put on masks when requested. A technical violation was cited per Title 22, Division 6 of the California Code of Regulations.

An unannounced annual required inspection was conducted to verify compliance with statutes, regulations, and other requirements relevant to protecting the health of residents and staff, including infection control practices.

The inspection found that the facility had implemented COVID-19 mitigation measures including symptom screening, visitor sign-in policy, posted signage for hygiene and distancing, face coverings worn by most staff, hand hygiene stations, designated visitation area, emergency contact information, and adequate PPE supply. However, the visitor sign-in policy was not being enforced by staff.

An unannounced complaint investigation was conducted based on allegations received on 08/16/2021 regarding hazardous items accessible to residents and failure to follow universal precautions.

The investigation substantiated that toxic chemicals and hazardous items were accessible to residents with dementia, posing a safety risk, and that universal COVID-19 screening precautions were not properly followed during the visit. Other allegations such as lack of auditory devices and debris hazards were unsubstantiated.

The complaint investigation was substantiated for hazardous items accessible to residents and failure to follow universal precautions. Other allegations including lack of auditory devices monitoring exits and property debris hazards were unsubstantiated.

The visit was a pre-licensing virtual inspection conducted to evaluate the facility's compliance with regulations prior to licensing approval.

The facility was found to be in compliance with Title 22, Division 6, Chapter 8, of California Code of Regulations. Observations included adequate resident accommodations, safety measures, and proper storage of medications and toxic substances.