Inspection Reports for Laurel Heights

The inspection was an unannounced complaint investigation visit triggered by allegations that staff were mismanaging residents' medications and that the facility door was in disrepair.

The allegation of medication mismanagement was found to be unsubstantiated after interviews, document reviews, and medication audits showed medications were administered properly despite staffing challenges. The allegation regarding the facility door was substantiated; the main automatic double doors were malfunctioning for several months, posing a safety risk, and repairs were scheduled to be completed shortly after the inspection.

The complaint investigation was initiated due to allegations that staff were mismanaging residents' medications and that the facility door was in disrepair. The medication mismanagement allegation was unsubstantiated, while the door disrepair allegation was substantiated. The reporting party was anonymous, limiting additional information gathering.

An unannounced complaint investigation visit was conducted regarding an allegation that staff financially abused a resident in care.

The investigation found sufficient evidence that a resident was financially abused by facility corporate staff, who admitted to fraudulent charges on the resident's credit card. The staff member was suspended pending termination and subsequently terminated.

The complaint was substantiated. The allegation was that staff financially abused a resident in care by making fraudulent charges on the resident's credit card. The investigation confirmed the allegation with supporting interviews and documentation.

The inspection was a required annual unannounced visit to evaluate the assisted living and memory care unit for health and safety compliance.

The facility was toured and inspected with no health or safety hazards observed. Required postings were present, emergency evacuation chairs were available, and fire extinguishers were fully charged and recently serviced. No deficiencies were cited at this time, but the annual inspection will be completed on a follow-up visit due to time constraints.

The visit was an unannounced case management inspection conducted due to deficiencies observed during the investigation of complaint control # 29-AS-20241230123842.

Two staff members were found to have passed criminal background clearance but were not properly associated with the facility. Additionally, the facility was unable to produce the Personnel Report for December 2024, indicating a failure to maintain a current roster of all facility personnel.

The visit was triggered by complaint control # 29-AS-20241230123842. Deficiencies were observed during the complaint investigation, including improper staff association and failure to maintain required documentation.

The visit was an unannounced required 1 year annual inspection conducted by the Licensing Program Analyst.

The facility was found to be in compliance with no deficiencies cited. The inspection included a tour of the facility, review of resident and staff records, and verification of safety and health standards. An advisory note was provided regarding staff training records and emergency supplies.

The inspection visit was conducted as a follow-up on a self-reported incident involving Resident #1 who sustained an unwitnessed fall and subsequent hospitalization, with questionable circumstances surrounding the resident's death.

The Licensing Program Analyst conducted interviews and requested pertinent documents including the death certificate. The incident was referred to the Community Care Licensing Investigations Branch for further review, with findings to be issued at a later date.

The inspection was an unannounced required annual visit to evaluate compliance with Title 22 Regulations and ensure the facility meets health and safety standards.

The facility was generally found to be in good condition with no health or safety hazards observed. Resident rooms, common areas, and infection control measures were adequate. However, one deficiency was cited regarding personal grooming and hygiene items being accessible to a resident with dementia, posing a safety risk.

An unannounced annual inspection visit was conducted to evaluate compliance with licensing regulations at Laurel Heights facility.

Two deficiencies were cited: water temperatures in resident bathroom sinks were measured at 138-139 degrees F, exceeding the allowed maximum of 120 degrees F, posing an immediate health risk; and a laundry detergent container labeled 'Lysol' was found accessible to residents in a shared bedroom bathroom, posing a potential safety risk.

The visit was an unannounced complaint investigation conducted in response to allegations that the Administrator was not on the premises for a sufficient number of hours and that a qualified staff was not designated to operate the facility during the Administrator's absence.

The investigation found no sufficient evidence to support the allegations. Interviews with staff and residents confirmed the Administrator is regularly present during normal business hours, and qualified management staff are available during the Administrator's absence. Therefore, both allegations were deemed unsubstantiated.

The complaint investigation was unsubstantiated. Allegations included insufficient Administrator presence and lack of qualified staff during Administrator absence. Interviews and observations did not support these claims.

The visit was conducted as a complaint investigation following allegations received on 08/23/2023 regarding mold presence, facility disrepair, kitchen cleanliness, food quality, and medication errors.

The investigation found insufficient evidence to substantiate any of the allegations including mold presence, facility disrepair, kitchen cleanliness issues, poor food quality, and incorrect medication dispensing. All allegations were deemed unsubstantiated.

The complaint investigation was unsubstantiated. Allegations included mold in the basement and bedrooms, facility disrepair with shifting stairwell, unclean kitchen conditions, poor quality food including expired items, and incorrect medication dispensing. Observations, interviews, and document reviews did not support these allegations.

The inspection was an unannounced required annual visit to evaluate compliance with Title 22 Regulations and ensure health and safety standards at the facility.

The facility was generally found to be in compliance with regulations, including clean and safe physical plant areas, proper medication management, and adequate infection control measures. However, two deficiencies were cited related to dementia care and solid waste storage.

An unannounced complaint investigation was conducted in response to an allegation that staff spoke inappropriately to a resident.

The investigation found that all residents interviewed were satisfied with the facility and staff treatment, with no evidence of staff speaking inappropriately or condescendingly to residents. The allegation was determined to be unsubstantiated based on interviews and observations.

The complaint alleged that staff spoke inappropriately to a resident. The investigation was unsubstantiated, meaning there was not enough evidence to prove the alleged violation occurred.

The inspection was an unannounced complaint investigation triggered by multiple allegations including facility disrepair, inadequate emergency disaster plan, pest issues, inadequate food variety, signal system malfunction, unsafe pathways, inadequate transportation, and cancelled resident outings without ample notice.

The investigation substantiated the allegation that the facility is in disrepair due to non-operable handicap push buttons, inoperable fireplaces, a leak pending repair, and an elevator that frequently needs resetting. All other allegations including inadequate emergency disaster plan, pest issues, inadequate food variety, signal system malfunction, unsafe pathways, inadequate transportation, and cancelled outings were found unsubstantiated based on observations, interviews, and documentation review.

The complaint investigation was substantiated for the allegation of facility disrepair. The other allegations regarding emergency disaster plan, pest control, food variety, signal system, safe pathways, transportation, and resident outings were unsubstantiated.

The visit was a Case Management - Incident investigation regarding self-reported incidents of verbal and physical abuse involving staff member S1 and residents R1 and R2.

The investigation substantiated that staff member S1 verbally abused resident R1 and physically abused resident R2, including forcefully holding R2 down and causing bruising. A $500 civil penalty was assessed during the visit.

The complaint investigation was triggered by self-reported incidents including verbal abuse of resident R1 and physical abuse of resident R2 by staff member S1. The allegations were substantiated based on interviews and record reviews.

The Licensing Program Analyst conducted a Case Management visit to investigate incidents involving residents and staff that occurred on 10/11/22 and 10/13/22.

The investigation found multiple individuals (S1 through S6) working at the facility without being properly associated or cleared, and hazardous items such as scissors and toxic substances were accessible to residents, posing immediate safety and health risks. Civil penalties of $3,000 were issued.

Visit was complaint-related to investigate incidents involving resident #1, resident #2, and staff #1. The investigation is ongoing and a return visit is planned.

A pre-licensing visit was conducted for a new facility, Oakmont of Moorpark, including evaluation of a dementia program and a Hospice Waiver request.

The facility was toured and found to meet physical plant requirements including fire clearance for 112 non-ambulatory residents. Resident rooms, bathrooms, kitchen, common areas, and safety systems were inspected and found adequate with no odors, proper storage, and functioning safety equipment. One garage door was noted unlocked with a reminder to keep it locked if storing toxic or dangerous items.

An unannounced annual required inspection was conducted to evaluate compliance with licensing regulations.

The facility was generally compliant with hygiene and safety standards, including PPE use and sanitation practices. However, deficiencies were noted with window screens in the resident's room and kitchen area that were not in good repair.