Inspection Reports for
Jasmin Terrace at El Molino

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

The complaint alleged inadequate supervision leading to resident falls and failure to seek medical attention for a resident. The investigation included interviews with staff and residents, review of resident records, and observation. The allegations were found to be unsubstantiated.

The investigation found no health and safety risks to residents and determined that the facility provides adequate supervision and follows proper protocols for resident falls and medical attention. The allegations were unsubstantiated based on interviews, document reviews, and observations.

The complaint alleged that resident R2 entered resident R1's room uninvited and refused to leave, leading to verbal altercations. Interviews and documentation showed that R2 wanders the facility and enters rooms when doors are unlocked, but staff supervise and redirect R2. Police conducted a wellness check with no report filed. The allegation was unsubstantiated due to lack of preponderance of evidence.

The investigation found that while the resident in question did wander into other residents' rooms, staff were aware of the behavior and supervised the resident closely, redirecting them as needed. There was insufficient evidence to substantiate the allegation, and the complaint was determined to be unsubstantiated.

The complaint alleged that Resident 2 entered Resident 1's room uninvited and refused to leave, leading to verbal altercations. Interviews with staff and residents revealed that wandering behavior occurs but is managed with supervision and redirection. Police conducted a wellness check with no report filed. The allegation was determined to be unsubstantiated.

The investigation found that while some residents, including Resident 2, do wander and enter other residents' rooms when doors are unlocked, staff are aware of this behavior and supervise and redirect Resident 2 regularly. There was no preponderance of evidence to prove the alleged violation occurred, and the allegation was unsubstantiated.

The complaint involved two allegations: staff failing to prevent harm between residents and staff not responding timely to a resident's request for assistance. Interviews and record reviews did not substantiate these allegations.

The investigation included interviews with staff and residents, review of facility records, and staff logs. The allegations were found to be unsubstantiated due to lack of preponderance of evidence proving the violations occurred.

The complaint involved allegations that staff failed to prevent harm between residents and did not respond timely to a resident's request for assistance. Interviews and record reviews showed staff responded appropriately and conducted regular room checks. The allegations were determined to be unsubstantiated.

The investigation included interviews with staff and residents, review of facility records, and observation of staff logs. The allegations were found to be unsubstantiated due to lack of preponderance of evidence to prove the violations occurred.

The complaint investigation was unsubstantiated. Allegations included theft of personal belongings, noise disturbances, and delayed response to call buttons. Evidence did not prove violations occurred.

The investigation found no preponderance of evidence to substantiate the allegations. Interviews with residents and staff, facility tours, and document reviews revealed mixed responses but ultimately the allegations were deemed unsubstantiated.

The complaint investigation was unsubstantiated. Allegations included staff not safeguarding resident belongings, not providing a comfortable environment due to noise, and delayed response to call buttons. Interviews and observations did not provide sufficient evidence to substantiate these claims.

The investigation included interviews with residents and staff, facility tour, and document review. All allegations were found to be unsubstantiated due to lack of preponderance of evidence proving the violations did or did not occur.

The facility was toured including common areas, bedrooms, and medication review. All observed areas were in good repair with sufficient furniture and supplies. Water temperatures were within required ranges. Medication room was inaccessible to residents. No deficiencies were noted during this visit.

The facility was toured including common areas, bedrooms, and medication review. All observed areas were in good repair with sufficient furniture and supplies. Water temperatures were within required ranges. Medication was reviewed for 10 residents. No deficiencies were noted during this visit.

The allegation that the facility failed to provide resident's records was investigated and found to be unfounded, meaning the allegation was false or without reasonable basis.

The investigation found that the resident in question does not reside or have resided at the facility, and the allegation was deemed unfounded.

The allegation that the facility failed to provide resident's records was investigated and found to be unfounded, meaning the allegation was either false, could not have happened, or was without a reasonable basis.

The investigation found that the resident in question does not reside or resided at the facility, and the allegation was deemed unfounded.

The complaint involved allegations that a resident was left soiled due to inadequate toileting assistance, delayed medical attention for diarrhea, and facility disrepair. The investigation included interviews with staff and residents, document reviews, and facility tour. The complaint was unsubstantiated.

The investigation found that although the resident had diarrhea and behavioral issues, staff provided assistance and communicated with the physician appropriately. The facility was found to be in good repair with no clogged toilets or showers observed. The allegations were determined to be unsubstantiated due to lack of preponderance of evidence.

The complaint involved allegations that staff failed to meet a resident's toileting needs, failed to seek timely medical attention, and that the facility was in disrepair. The investigation included interviews with staff and residents, document reviews, and a facility tour. The allegations were found unsubstantiated.

The investigation found that although the resident had diarrhea and behavioral issues, staff provided assistance as needed and communicated with the physician. The facility was found to be in good repair with no clogged toilets or showers observed. The allegations were determined to be unsubstantiated due to lack of preponderance of evidence.

The complaint alleged that staff did not accept resident R1 back into care following hospitalization. Interviews with staff and residents did not corroborate the allegation. The resident was hospitalized on 2024-05-31 and later discharged to a skilled nursing facility on 2024-06-20. Staff denied refusing to take the resident back and are awaiting discharge from the skilled nursing facility. The resident's responsible party was not informed of any refusal. Facility still holds the resident's personal belongings. The allegation was unsubstantiated.

The investigation found that staff and residents denied the allegation, and there was no documentation supporting refusal of the resident's return. The resident was discharged to a skilled nursing facility and staff are awaiting discharge to accept the resident back. The allegation was determined to be unsubstantiated due to lack of preponderance of evidence.

The complaint alleged that staff did not accept resident back into care following hospitalization. Interviews with staff and residents did not corroborate the allegation. The resident was hospitalized on 2024-05-31 and later discharged to a skilled nursing facility on 2024-06-20. Staff denied refusing to take the resident back and are awaiting discharge from the skilled nursing facility. No documentation of eviction or refusal was found. The allegation was unsubstantiated.

The investigation found that staff and residents denied the allegation, and there was no documentation supporting eviction or refusal of the resident's return. The resident was hospitalized and then discharged to a skilled nursing facility, with staff awaiting discharge before readmission. The allegation was unsubstantiated due to lack of preponderance of evidence.

The allegation was that on 06/21/2024, staff saw resident R2 twisting resident R1's arm causing a fracture and dislocation. Staff and residents interviewed denied the allegation or were unable to corroborate it. The facility was properly staffed and followed reporting procedures. The allegation was determined to be unsubstantiated due to lack of preponderance of evidence.

The investigation found insufficient evidence to substantiate the allegation. Staff were observed redirecting residents exhibiting wandering behavior, proper reporting and follow-up were confirmed, and interviews with staff and residents did not corroborate the allegation.

The allegation was that on 06/21/2024, staff saw resident R2 twisting resident R1's arm causing a fracture and dislocation. Staff stated they redirected R2 immediately. Both residents have Major Neurocognitive Disorder. Staff and residents denied the allegation or had no concerns. The allegation was determined to be unsubstantiated due to lack of preponderance of evidence.

The investigation found insufficient evidence to substantiate the allegation. Staff interviews, resident interviews, observations, and document reviews indicated proper supervision and care, and the incident was not corroborated by sufficient evidence.

The complaint alleged that a staff member sexually assaulted resident #1 by entering their bedroom. Investigations revealed no corroborating evidence; staff and resident's conservator did not believe the allegation. Video footage and police investigation did not support the claim. The resident was noted to have mild cognitive impairment and confusion. The allegation was determined to be unsubstantiated.

The investigation included interviews, review of video footage, medical records, and police reports. The allegation was found to be unsubstantiated due to lack of evidence and the resident's cognitive impairment.

The complaint alleged that a staff member sexually assaulted resident #1 by entering their bedroom. Investigations included interviews with staff, residents, the resident's conservator, review of video footage, medical and police reports. The allegation was unsubstantiated due to insufficient evidence and the resident's confusion.

The investigation included interviews, review of video footage, medical records, and police reports. The allegation was found to be unsubstantiated due to lack of preponderance of evidence and the resident's cognitive impairment.

The complaint involved an allegation by Resident #1 that Staff #1 entered the resident's room and raped them. The facility reported the incident to Community Care Licensing, the Local Ombudsman, and the Pasadena Police Department. Further investigation is pending police and hospital reports.

The investigation included review of video footage, interviews, and documentation. The alleged staff member was placed on suspension pending further investigation by the police and hospital evaluation.

The complaint involved an allegation by Resident #1 that staff #1 entered their room and raped them. The facility reported the allegation to Community Care Licensing, Local Ombudsman, and Pasadena Police Department. Further investigation is pending police and hospital reports.

The investigation included review of relevant documents, interviews, and video footage which showed the resident was in the dining area overnight and staff left the facility at the end of their shift. The facility placed the staff member on suspension pending further investigation by police and hospital evaluation.

Allegation was that staff attempted to financially abuse resident while in care. Investigation included interviews with staff, residents, and review of resident's records. The allegation was found unsubstantiated.

The investigation found that staff assisted the resident with accessing financial accounts and did not attempt to financially abuse the resident. The allegation was unsubstantiated due to lack of preponderance of evidence.

The complaint alleged staff attempted to financially abuse a resident by assisting the resident in obtaining a debit card and cashier's check. The investigation included interviews with staff, residents, and review of resident records. The allegation was found unsubstantiated.

The investigation found that although staff took the resident to the bank and assisted with accessing accounts, there was no evidence of financial abuse. The resident is self-responsible for finances but has dementia, and the facility is assisting with guardianship due to the resident's condition. The allegation was unsubstantiated due to lack of preponderance of evidence.

The complaint alleged that staff do not safeguard resident's personal belongings. The allegation was unsubstantiated due to lack of preponderance of evidence.

The investigation found that 5 out of 8 residents stated their personal belongings had not disappeared, while 2 residents reported missing items. Staff explained that items were being cleaned before being provided to a resident to prevent bug infestation. There was insufficient evidence to prove the alleged violation, so the complaint was unsubstantiated.

The complaint alleged that staff do not safeguard resident's personal belongings. The investigation included interviews with residents and staff, review of documents, and observation of procedures related to a resident who moved in recently. The allegation was unsubstantiated due to lack of preponderance of evidence.

The investigation found that 5 out of 8 residents reported no missing belongings, while 2 residents stated items had disappeared. Staff explained that personal items were being cleaned before being provided to a resident to prevent bug infestation. There was insufficient evidence to substantiate the allegation, and the complaint was deemed unsubstantiated.

Allegation that staff did not intervene in resident-on-resident dispute. Investigation revealed staff addressed the situation by relocating the resident after verbal threats. Incident report was not available or submitted within required timeframe. Allegation was unsubstantiated.

The investigation found that staff were aware of the verbal threats made by one resident towards another and took action by moving the threatened resident to a different room the same day the police arrived. There was no preponderance of evidence to prove the alleged violation occurred, and the allegation was unsubstantiated.

The complaint alleged that staff did not intervene in a resident-on-resident dispute involving verbal threats. The investigation included interviews with residents and staff, review of resident files, and clinical notes. The allegation was found unsubstantiated.

The investigation found that staff addressed the situation by moving the verbally threatened resident to another room the same day the issue was reported. Interviews with residents and staff indicated no prior history of incidents, and residents generally felt safe. The allegation was determined to be unsubstantiated due to lack of preponderance of evidence.

The complaint alleged that resident R1 had issues such as wearing two layers of clothes, uncombed hair, incorrectly applied pressure socks, and uncut toenails during a family visit. Interviews and document reviews showed staff provide assistance with activities of daily living and podiatry services are regularly provided. The allegation was unsubstantiated due to lack of preponderance of evidence.

The investigation included interviews with residents, staff, and review of relevant documents. Although some concerns were noted, there was insufficient evidence to prove the alleged violation occurred, and the complaint was determined to be unsubstantiated.

The complaint alleged that a resident (R1) had issues such as wearing two layers of clothes, uncombed hair, incorrectly applied pressure socks, and uncut toenails when visited by family. Interviews with 11 residents and staff, along with document reviews, showed staff generally provided assistance with activities of daily living and podiatry services were regularly scheduled. The allegation was unsubstantiated due to lack of preponderance of evidence.

The investigation included interviews with residents, staff, and review of relevant documents. Although some concerns were noted, there was insufficient evidence to prove the alleged violation occurred, and the complaint was determined to be unsubstantiated.

The facility staff is following the hospice care plan and healthcare designated agent's request to provide comfort care for the resident. No deficiencies were noted during this visit.

The facility staff is following the hospice care plan and healthcare designated agent's request to provide comfort care for the resident. No deficiencies were noted during this visit.

The complaint was unsubstantiated. Allegations included delayed meal service and serving unsanitary fruit. Interviews with 6 staff and 11 residents, as well as observations, did not support the allegations. Staff denied serving food that fell on the floor, and residents expressed satisfaction with food service.

The investigation included interviews with staff and residents, review of menus and rosters, and observations of meal service and food preparation. Both staff and residents consistently reported timely meal service and fresh, sanitary food. Observations during the visit supported these statements. There was insufficient evidence to substantiate the allegations.

The complaint investigation was unsubstantiated. Allegations included delays in meal service and serving unsanitary fruit. Interviews with 6 staff and 11 residents, facility observations, and review of food service practices did not support the allegations.

The investigation found no sufficient evidence to substantiate the allegations. Interviews with staff and residents, as well as observations during the visit, confirmed that meals were served timely and food was fresh and sanitary. The allegations were determined to be unsubstantiated.

The complaint was unsubstantiated after interviews with 11 residents and 6 staff, facility tour, and observations. The flooding incident was acknowledged but did not affect residents significantly and was resolved quickly.

The investigation found that most residents and staff reported the facility was in good repair and well kept despite a recent flooding incident affecting part of the first floor. No evidence was found to substantiate the allegations, and the flooding was promptly addressed.

The complaint investigation was unsubstantiated based on interviews and observations. Allegations included facility disrepair and being unkempt, but no violations were confirmed.

The investigation included interviews with residents and staff and a facility tour. Most residents and staff reported the facility is in good repair and well kept. A recent flooding incident was addressed promptly and the affected areas were restored. No evidence was found to substantiate the allegations.

The complaint involved three allegations: unexplained bruising of a resident, rough handling of the resident, and failure to notify the resident's representative. The investigation included interviews with staff, review of facility documents, and contact with medical facilities. The findings were unsubstantiated due to insufficient evidence.

The investigation found that although the allegations may have happened or are valid, there was not a preponderance of evidence to prove the alleged violations did or did not occur; therefore, all allegations were unsubstantiated.

The complaint involved three allegations: 1) Resident sustained unexplained bruising while in care; 2) Resident was handled in a rough manner while in care; 3) Resident's representative was not notified of the resident's injury. The investigation included interviews, document reviews, and facility tours. All allegations were found unsubstantiated due to insufficient evidence.

The investigation found that although the allegations may have happened or are valid, there was not a preponderance of evidence to prove the alleged violations did or did not occur. Therefore, all allegations were determined to be unsubstantiated.

The facility was observed to have proper COVID-19 protocols in place including screening logs, staff wearing face masks, hand sanitizer accessibility, social distancing among residents, and designated quarantine areas. No deficiencies were cited during this visit.

The visit was triggered by a complaint involving an incident on 04/03/2022 where resident #1 struck staff #1, who then hit back. The facility concluded to terminate staff #1 after internal investigation. No injuries were observed and further investigation was required.

The investigation reviewed staff files, incident reports, and resident records related to an incident where a resident struck a staff member and the staff member responded by hitting back. The facility terminated the staff member involved. No injuries were observed and no deficiencies were cited during this visit.

The evaluator observed compliance with COVID-19 protocols including screening logs, staff wearing face masks, hand sanitizer accessibility, social distancing among residents, and proper quarantine and PPE measures. No deficiencies were cited during this visit.

The investigation found that on 4/3/22, a resident struck a staff member and the staff member hit back. No injuries were observed and the facility terminated the staff member involved. No deficiencies were cited during this visit.

The Licensing Program Analyst observed proper infection control measures including visitor screening, quarantine/isolation areas, PPE availability, social distancing, staff mask and face shield use, and posted cleaning logs and quarantine posters. No deficiencies were cited during this visit.

The evaluator observed proper screening procedures, quarantine/isolation areas, PPE supplies, social distancing, staff wearing masks and face shields, posted cleaning logs, and quarantine area posters. No deficiencies were cited during this visit.

The facility was observed to be following COVID-19 infection control recommendations, including staff wearing face masks and goggles, residents maintaining social distancing, and having sufficient PPE supplies and designated isolation areas. No deficiencies were cited during this visit.

The facility was observed to be following COVID-19 infection control recommendations, including staff wearing face masks and goggles, residents maintaining social distancing, and adequate PPE supplies. No deficiencies were cited during the visit.

The inspection found compliance with COVID-19 protocols including screening, social distancing, mask usage, hand sanitizing, and cleaning procedures. No deficiencies were cited during the visit.

The facility was observed to be following COVID-19 protocols including screening visitors, social distancing, mask usage by residents and staff, availability of hand sanitizers, and cleaning and disinfecting practices. No deficiencies were cited during this visit.

The facility was observed to have proper COVID-19 screening, staff wearing appropriate PPE, disinfecting protocols in place, and designated red zones for isolation. No deficiencies were cited during the visit.

The facility was found to be in compliance with COVID-19 protocols including screening, PPE usage, disinfecting procedures, and resident activities. No deficiencies were cited during this visit.

The facility was observed to be following all COVID-19 recommendations, including visitor screening, social distancing, staff PPE use, and cleaning protocols. No deficiencies were cited during this visit.

The facility was observed to be following all COVID-19 recommendations, including visitor screening, social distancing, staff PPE use, cleaning protocols, and availability of disinfecting supplies. No deficiencies were cited during this visit.

The complaint alleged that on 12/10/21, Resident #1 was found lying on the hallway floor and sustained a brain bleed injury. The investigation included interviews, record reviews, and facility tour. The allegation was determined to be unsubstantiated due to lack of evidence.

The investigation found insufficient evidence to substantiate the allegation that the resident's fall was due to staff neglect or lack of supervision. Interviews with staff and residents, review of records, and observations indicated adequate supervision and timely response to emergencies.

The complaint alleged that on 12/10/21, Resident #1 was found on the hallway floor and sustained an injury due to lack of supervision. The investigation included interviews, record reviews, and facility tour. The allegation was unsubstantiated due to insufficient evidence.

The investigation found insufficient evidence to substantiate the allegation that the resident's fall was due to staff neglect or lack of supervision. Interviews with staff and residents, review of records, and observations indicated adequate supervision and timely response to emergencies.

The evaluator observed compliance with COVID-19 protocols including screening questionnaires, temperature checks, social distancing during meals, posted signs, and staff disinfecting shared equipment. No deficiencies were observed during this visit.

The analyst observed screening questionnaires, temperature checks, social distancing during meals, posted signs, and staff disinfecting shared equipment. No deficiencies were observed during this visit.

The Licensing Program Analyst toured the facility, observed screening logs, staff and resident presence, signage, and infection control practices. No deficiencies were observed during this visit.

No deficiencies were observed during the visit. The licensing program analyst observed proper screening logs, staff presence, signage in English and Spanish, and disinfection practices in the break room.

The Licensing Program Analysts observed proper screening logs, staff and visitor screening procedures, disinfecting protocols, hand hygiene practices, and emergency exits. No deficiencies were observed during this visit.

The Licensing Program Analysts toured the facility and observed proper screening logs, staff hand hygiene practices, disinfecting procedures, and emergency exits. No deficiencies were observed during this visit.

No deficiencies were found during this visit. The facility was observed to be following current COVID-19 guidelines and recommendations. Technical assistance was provided.

No deficiencies were found during this visit. The facility was observed to be following current COVID-19 guidelines and recommendations. Technical assistance was provided.