Inspection Reports for Miracle Mile Manor

6273 Del Valle Dr, Los Angeles, CA 90048, United States, CA, 90048

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Inspection Report Annual Inspection Census: 3 Capacity: 6 Deficiencies: 0 Mar 4, 2025
Visit Reason
The visit was an unannounced one-year inspection to evaluate compliance with licensing requirements for the facility.
Findings
The facility was found to be in compliance with all applicable regulations. No deficiencies were observed during the inspection.
Report Facts
Residents licensed to serve: 6 Residents present: 3 Resident bedrooms: 5 Bathrooms: 4 Residents bedridden allowed: 1 Residents with hospice waiver: 2 Residents diagnosed with dementia: 1 Residents receiving home health: 1 Residents receiving hospice care: 1
Employees Mentioned
NameTitleContext
Edith NagelAdministratorMet with Licensing Program Analyst during inspection and participated in exit interview
Sparkle DayLicensing Program AnalystConducted the unannounced inspection visit
Janae HammondLicensing Program ManagerNamed as Licensing Program Manager on the report
Inspection Report Complaint Investigation Census: 6 Capacity: 6 Deficiencies: 0 Nov 14, 2024
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received on 2024-11-08 regarding staff not assisting a resident with grooming and inappropriate staff interaction with a visitor in the presence of residents.
Findings
The investigation found the allegations unsubstantiated after interviews, observations, and document reviews. Residents appeared clean and well-groomed, and staff interactions with the visitor were deemed professional. No deficiencies were cited during the visit.
Complaint Details
The complaint involved allegations that staff did not assist resident R1 with grooming and that staff interacted inappropriately with a visitor in front of residents. The investigation concluded these allegations were unsubstantiated based on evidence including interviews with staff, residents, and witnesses, and review of incident reports and records.
Report Facts
Residents present: 6 Facility capacity: 6
Employees Mentioned
NameTitleContext
Edith NagelAdministratorNamed in investigation and interview regarding grooming and visitor interaction allegations
Jose CalderonLicensing Program AnalystConducted the complaint investigation
Ulysses CoronelLicensing Program ManagerOversaw the complaint investigation
Inspection Report Annual Inspection Census: 6 Capacity: 6 Deficiencies: 1 Apr 24, 2024
Visit Reason
The inspection was an unannounced one-year required annual inspection to evaluate compliance with licensing regulations.
Findings
The facility was generally compliant with regulations regarding physical environment and resident accommodations; however, a deficiency was cited for incomplete staff personnel records, including missing First Aid certificates, health screenings, and other required documents.
Deficiencies (1)
Description
All staff records were incomplete including First Aid certificate, LIC 503 Health screening with TB, and LIC 501.
Report Facts
Capacity: 6 Census: 6
Employees Mentioned
NameTitleContext
Edith NagelAdministratorNamed in relation to incomplete staff personnel records deficiency
Inspection Report Complaint Investigation Census: 6 Capacity: 6 Deficiencies: 0 May 10, 2023
Visit Reason
The visit was an unannounced complaint investigation conducted in response to an allegation that staff did not refund a resident.
Findings
The investigation found insufficient evidence to support the allegation. The staff denied the claim and provided documentation showing that refunds are processed timely if due. The resident's representative acknowledged a 30-day notice clause and a minimum three-month charge, resulting in a balance due to the facility.
Complaint Details
The allegation was that staff did not refund a resident. The complaint was unsubstantiated due to lack of preponderance of evidence. The resident's representative acted on behalf of the resident but did not provide power of attorney. The resident left owing a balance for the fourth month of residency.
Report Facts
Capacity: 6 Census: 6
Employees Mentioned
NameTitleContext
Jeremiah RandleLicensing Program AnalystConducted the complaint investigation
Edith NagelAdministratorFacility administrator interviewed during investigation
Inspection Report Annual Inspection Capacity: 6 Deficiencies: 3 Apr 10, 2023
Visit Reason
The inspection was an unannounced annual/random one-year required visit to assess compliance with licensing regulations for the facility.
Findings
The inspection found deficiencies related to staff working without background clearance and the use of half bed rails without prescriptions. The facility was cited for violations of Title 22 Chapter 6 regulations, specifically concerning criminal record clearance, personnel records, and postural supports.
Deficiencies (3)
Description
Employees working without background clearance, posing an immediate health, safety or personal rights risk to persons in care.
Personnel records not maintained properly, with staff lacking background clearance posing potential health, safety or personal rights risks.
Use of half bed rails for residents R1 and R3 without prescriptions, not complying with allowed postural supports.
Report Facts
Facility capacity: 6 Plan of Correction Due Date: Apr 11, 2023
Employees Mentioned
NameTitleContext
Iann BarrantesListed on staff roster but lacking background clearance
Anita LebonListed on staff roster but lacking background clearance
Guadalupe CastilloListed on staff roster but lacking background clearance
Edith NagelLicenseeFacility licensee who stated plans to send staff for fingerprint clearance
Inspection Report Annual Inspection Capacity: 6 Deficiencies: 0 Mar 27, 2023
Visit Reason
Unannounced one-year required visit to conduct a risk assessment at the facility.
Findings
The visit was not completed due to unforeseen circumstances; no deficiencies were cited during the partial visit and an exit interview was conducted.
Employees Mentioned
NameTitleContext
Felisa ShirleyLicensing Program AnalystConducted the unannounced one-year required visit.
Edith NagelLicensee/AdministratorMet with Licensing Program Analyst during the visit.
Inspection Report Complaint Investigation Census: 5 Capacity: 6 Deficiencies: 1 May 6, 2022
Visit Reason
The inspection was an unannounced complaint investigation conducted in response to multiple allegations including excessive weight loss of a resident, lack of privacy, unmet hygiene needs, missing list of fees in the admissions agreement, and denial of nurse entry to assess a resident.
Findings
The investigation found allegations of excessive weight loss, lack of privacy, and unmet hygiene needs to be unsubstantiated based on interviews and record reviews. However, the allegation that a nurse was denied entry to assess a resident was substantiated, resulting in a citation for violating visitor rights. The allegation regarding the admissions agreement missing a list of fees was also unsubstantiated.
Complaint Details
The complaint investigation was triggered by allegations received on 01/28/2022. The allegations included resident excessive weight loss, lack of privacy, unmet hygiene needs, missing list of fees in admissions agreement, and nurse denied entry to assess resident. The nurse denial allegation was substantiated; others were unsubstantiated.
Severity Breakdown
Type B: 1
Deficiencies (1)
DescriptionSeverity
Administrator denied entry to nurse, which potentially poses a health and safety risk for persons in care.Type B
Report Facts
Capacity: 6 Census: 5 Plan of Correction Due Date: May 16, 2022 Additional charge: 250
Employees Mentioned
NameTitleContext
Ana SotoLicensing Program AnalystConducted the complaint investigation
Edith NagelAdministratorFacility administrator involved in interviews and findings
Inspection Report Annual Inspection Census: 4 Capacity: 6 Deficiencies: 2 Apr 19, 2022
Visit Reason
An unannounced one-year required visit was conducted to assess compliance with licensing regulations and to perform a risk assessment at the facility.
Findings
The facility was found to have full bed rails for all residents and one instance where a resident's medication was administered without being charted in the Medication Administration Record (MAR). Deficiencies related to Title 22 Chapter 6 regulations were cited.
Severity Breakdown
Type B: 2
Deficiencies (2)
DescriptionSeverity
Failure to report all medication side effects observed or reported to personnel to the physician immediately, including documentation of the date and time of the report.Type B
Failure to provide assistance and care for residents in activities of daily living as per preadmission appraisal, including improper use of full bed rails except for residents receiving hospice care with a specified plan.Type B
Report Facts
Capacity: 6 Census: 4
Employees Mentioned
NameTitleContext
Ngozi NwaokoroLicensing Program AnalystConducted the inspection and authored the report
Michael CavaLicensing Program ManagerSupervisor and licensing program manager overseeing the inspection
Edith NagelAdministratorFacility administrator met during the inspection and involved in the exit interview

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