Inspection Reports for Loma Clara Senior Living

An unannounced complaint investigation visit was conducted in response to allegations regarding inadequate supervision resulting in a resident pushing another resident, inadequate feeding resulting in weight loss, and failure to inform the resident's responsible party about a change in condition.

The investigation found insufficient evidence to substantiate the allegations. The incident of pushing was witnessed by a caregiver but lacked conclusive proof for further action. Weight loss was not confirmed as a concern by staff, and no evidence was found that the responsible party was not informed about changes in the resident's condition, including a reported nail fungus.

The complaint investigation was unsubstantiated. Allegations included inadequate supervision leading to a resident pushing another, inadequate feeding causing weight loss, and failure to notify the responsible party about a change in condition. Interviews and record reviews did not provide sufficient evidence to prove the allegations.

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An unannounced complaint investigation was conducted based on allegations received on 06/23/2022 regarding toxins left accessible to residents, staff not following physician orders, insufficient staffing, and residents being left soiled.

The investigation substantiated the allegation that toxins and sharps were accessible to residents in 8 out of 10 apartments, posing immediate health and safety risks. The allegations that staff were not following physician orders, the facility lacked sufficient staff, and residents were left soiled were found to be unsubstantiated based on observations, interviews, and record reviews.

The complaint investigation was substantiated for toxins being accessible to residents. Other allegations regarding staff not following physician orders, insufficient staffing, and residents being left soiled were unsubstantiated.

The inspection was an unannounced complaint investigation visit conducted in response to complaints received on 2025-03-20 regarding staff mishandling a resident's medication and inadequate care and supervision of a resident.

The investigation substantiated the allegation that staff mishandled a resident's medication by failing to properly record the administration of a PRN cough medication dose, posing a potential health and safety risk. Another complaint regarding a resident sustaining an unexplained injury and inadequate supervision was unsubstantiated due to insufficient evidence.

The complaint investigation was substantiated for the allegation that staff mishandled a resident's medication on 02/07/2025 by not recording the 6:00am dose of PRN cough medicine properly. The allegation that a resident sustained an unexplained spinal fracture and that staff did not provide adequate care and supervision was unsubstantiated due to lack of evidence.

The inspection was an unannounced complaint investigation visit conducted in response to a complaint received on 2022-11-22 regarding multiple allegations about resident care and facility practices at Loma Clara Senior Living Facility.

Based on interviews, record reviews, observations, and photographs, the allegations were found to be unsubstantiated. The investigation found no preponderance of evidence to prove the alleged violations occurred, and no deficiencies were cited.

The complaint included allegations that staff did not ensure a resident's oxygen concentrator was working properly, did not keep the resident's room free of odors, improperly disposed of soiled diapers, failed to change the resident out of night clothes, did not safeguard personal belongings, and did not wash the resident's hands after meals. The investigation concluded these allegations were unsubstantiated.

The visit was an unannounced complaint investigation conducted in response to an allegation that a facility staff physically abused a resident by picking him/her up, carrying him/her, and putting him/her down causing shoulder and hip pain.

Based on interviews with staff, a witness, and the resident, as well as record review and observation, the allegation was found to be unfounded. No evidence supported that staff physically abused the resident, and no deficiencies were cited.

The complaint alleged physical abuse by a tall male caregiver towards a resident (R1). The investigation included interviews and record reviews. The resident denied any staff abuse and stated only female caregivers provide care. Staff confirmed male caregivers do not provide care to the resident. The allegation was determined to be unfounded.

The inspection was an unannounced annual required 1-year inspection conducted by the Licensing Program Analyst to evaluate compliance with regulations at Loma Clara Senior Living Facility.

The facility was generally compliant with regulations including fire safety, food storage, and staff training. However, a deficiency was cited due to two residents in the memory care unit having outdated physician reports, which posed a potential health and safety risk. The facility took corrective action by following up with physicians and implementing a plan to ensure annual routine visits.

The inspection was conducted as an unannounced complaint investigation following allegations received on 2024-08-26 regarding staff behavior towards a resident.

The investigation found the allegations to be unfounded based on staff interviews, record reviews, and observations. No deficiencies were cited under California Code of Regulations, Title 22.

The complaint alleged that staff yelled at a resident and mishandled a resident in a wheelchair. The investigation determined these allegations were false and without reasonable basis.

The inspection was an unannounced complaint investigation visit triggered by allegations that a resident was not allowed to have phone calls or visitors.

The investigation found the allegations to be unfounded based on staff and resident interviews and record reviews. No deficiencies were cited.

The complaint alleged that facility staff did not allow resident R1 to have phone calls and visitors. Interviews with staff and the resident indicated that R1 has a cell phone and visits are allowed based on the resident's choice and screening process. The resident preferred not to see a particular visitor and staff intervened with consent. The allegations were determined to be false and without reasonable basis.

The inspection was an unannounced required 1-year annual inspection of the Loma Clara Senior Living Facility conducted by the Licensing Program Analyst.

The facility was generally compliant with regulations including resident file documentation, medication storage, and environmental safety. However, a deficiency was cited related to medication administration where one resident was not provided the correct dosage for four medications, posing an immediate health and safety risk.

The visit was an unannounced case management - other visit to advise the facility of Title 22 regulations regarding Restricted Health Condition for Indwelling Urinary Catheters and the exception request process.

No deficiencies were cited. The Licensing Program Analyst advised the facility on Title 22 regulations and exception request procedures for residents with indwelling urinary catheters. An advisory note was provided.

The inspection was an unannounced complaint investigation visit triggered by allegations received on 08/30/2022 regarding failure to seek timely medical care for a resident, questionable death, and understaffing at the facility.

The investigation substantiated the allegation that staff did not provide timely medical treatment to resident R1, posing an immediate health and safety risk. The resident tested positive for COVID-19, showed progressive weakness, and was eventually hospitalized and placed under hospice care before passing away. The allegations of questionable death and understaffing were found to be unsubstantiated based on record review and interviews.

The complaint investigation was substantiated for failure to seek timely medical care for resident R1. The allegation was supported by evidence including medical records, observations, and staff interviews. The allegations of questionable death and understaffing were unsubstantiated.

The inspection visit was conducted as an unannounced complaint investigation following a complaint received on 2023-01-23 regarding the facility's failure to provide proper notice to a resident's representative within 2 business days of a rate increase after initially providing services.

The investigation found the allegation unsubstantiated after review of records, interviews, and observations. The resident sustained an unwitnessed fall, and although a one-to-one companion was required and endorsed, the resident was not billed for this service due to departure from the facility. No deficiencies were cited.

The complaint alleged that the licensee did not provide proper notice to the resident's representative within 2 business days of the rate increase after initially providing services. The allegation was found unsubstantiated based on interviews, record review, and observation.

The visit was conducted as a case management - deficiencies visit due to violations observed during a complaint investigation related to a resident testing positive for COVID-19 and lack of physician notification.

The facility failed to notify the resident's physician of changes in condition from 07/11/2022 to 07/17/2022 while the resident was diagnosed with COVID-19, posing an immediate health, safety, and personal rights risk.

Complaint control number 26-AS-20220830100730. The complaint involved a resident testing positive for COVID-19 and the facility's failure to notify the resident's physician of condition changes. The deficiency was substantiated.

The visit was an unannounced case management incident inspection triggered by an incident report and death report received for a resident who choked on food and subsequently expired at the facility.

The Licensing Program Analyst conducted an unannounced visit, reviewed records, and interviewed the Executive Director. The resident was given a regular diet and had no history of choking. No deficiencies were cited per California Code of Regulations, Title 22.

The visit was based on an incident report and death report for resident R1 who choked on food on 03/29/2023 and expired at the facility. The facility is pending the coroner's report and will forward it once obtained.

The visit was a case management - other unannounced visit to follow-up on a self-reported SOC-341 regarding inappropriate behavior by staff with resident(s) in care.

During the visit, the Licensing Program Analyst toured the memory care section and interviewed four staff members. No deficiencies were cited per California Code of Regulations, Title 22.

The inspection was an unannounced annual inspection focusing on infection control at the Loma Clara Senior Living Facility.

The facility was found to be in compliance with no deficiencies cited. Infection control measures were observed, including staff wearing face coverings, symptom screening, availability of PPE, and COVID-19 related signage throughout the facility.

The inspection was an unannounced complaint investigation visit triggered by allegations that staff did not follow a resident's care plan and that a resident received a fracture due to staff negligence.

The investigation found that the allegations were unsubstantiated based on interviews and record reviews. The resident's signed service agreement indicated a one-person assist for bathing, and staff believed showers and transport were one-person assists. No deficiencies were cited.

The complaint was received on 08/29/2022 and involved allegations that staff failed to follow the resident's care plan and that the resident sustained a fracture due to staff negligence. The investigation concluded the allegations were unsubstantiated due to insufficient evidence.

An unannounced complaint investigation was conducted following a complaint received on 2023-01-23 regarding facility safety concerns including unsecured toxins and obstructed stairwells.

The investigation substantiated that toxins were accessible in resident apartments and one of two stairwells was obstructed by large items. Both issues posed immediate health, safety, and personal rights risks. The facility corrected the deficiencies during the visit and developed a plan of correction.

The complaint investigation was substantiated based on observations and record review. The allegations included unsecured toxins and obstructed stairwells, both posing immediate risks to residents.

The inspection was an unannounced complaint investigation visit triggered by allegations received on 2021-05-11 regarding staff mismanagement of medications, rough handling of residents, failure to follow prescribed diet plans, and theft of residents' personal belongings.

Based on interviews, record reviews, and observations conducted between 2022-08-08 and 2022-12-01, the Department determined that the allegations were unsubstantiated with no preponderance of evidence to prove violations occurred. No deficiencies were cited.

The complaint investigation was unsubstantiated. Allegations included staff mismanaging medications, rough handling of residents, failure to follow diet plans, and theft of personal belongings. Interviews with staff and residents, document reviews, and observations did not support these allegations.

An unannounced initial complaint investigation was conducted by the Licensing Program Analyst at the facility.

A technical violation was observed regarding the absence of 'No Smoking - Oxygen in use' signs in two resident rooms requiring oxygen. The facility staff corrected the violation during the visit. No deficiencies were cited.

The visit was triggered by an initial complaint investigation. A technical violation was issued but no deficiencies were cited.

An unannounced annual required inspection was conducted to focus on infection control at the facility.

The inspection found that the facility had appropriate infection control measures in place, including signage, symptom screening, PPE supplies, social distancing, and sanitation practices. No deficiencies were cited during the visit.

The visit was a scheduled technical assistance visit conducted to provide technical assistance to prevent and mitigate the spread of COVID-19 at the facility.

The Licensing Program Analyst conducted a Facetime tour of the facility and made several COVID-19 related recommendations. No deficiencies were cited during this visit.

An unannounced complaint investigation was conducted following allegations that a resident sustained multiple fractures while in care and that staff failed to seek medical attention for the resident in a timely manner.

The investigation found that the resident had multiple fractures and a neurocognitive disorder with a history of falls. Staff encouraged use of a walker and monitored the resident, but the resident often refused assistance. The allegation that staff failed to seek timely medical attention was unsubstantiated as the resident's health care agent delayed hospital transfer and staff assessments were documented.

The complaint involved allegations that a resident sustained multiple fractures and that staff failed to seek timely medical attention after a fall in May 2021. The investigation included interviews with staff, the resident's responsible party, and review of medical records. The findings were unsubstantiated due to insufficient evidence to prove the allegations.

An unannounced case management visit was conducted to discuss an incident report submitted regarding a resident who was reported to be held against his will and made sexual advancements to staff.

Interviews with facility staff and the resident denied the incident occurred. A plan of action was created involving communication with family and the resident's physician, a psychological evaluation suggestion, and adjustments to medication administration procedures. No deficiencies were cited during the visit.

The visit was triggered by a complaint alleging that Resident R1 was being held against his will and made sexual advancements to staff. The complaint was investigated through interviews and review of documentation, and the incident was denied by staff and resident.