Inspection Reports for Nikkei Senior Gardens

CA, 91331

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Inspection Report Annual Inspection Census: 79 Capacity: 106 Deficiencies: 0 Jan 23, 2025
Visit Reason
An unannounced annual inspection was conducted by Licensing Program Analyst Leizl de la Cerra to evaluate the facility's compliance with regulatory standards.
Findings
The facility was found to be clean and well-maintained with functional appliances and fixtures. Resident bedrooms, common areas, laundry rooms, and outdoor areas were in good condition. Resident records, staff files, and medications were reviewed and found complete and updated. Safety equipment such as fire extinguishers and alarms were current and operational.
Report Facts
Hospice waiver residents: 15 Resident bedrooms inspected: 8 Staff files reviewed: 5 Resident records reviewed: 10 Centrally stored medications reviewed: 3 Fire extinguisher last serviced: Aug 2, 2024 Fire drill last conducted: Dec 20, 2024 Fire alarms and detectors last tested: Jul 1, 2024 Hot water temperature range: 107.5 Hot water temperature range: 110.7
Employees Mentioned
NameTitleContext
Ericka RivasBusiness Office DirectorMet with Licensing Program Analyst during inspection and disclosed reason for visit
Alfonso MarronMaintenance DirectorAccompanied Licensing Program Analyst during facility tour
Samantha OrdunaHealth and Wellness DirectorReviewed centrally stored resident medications with Licensing Program Analyst
Desiree KitagawaAdministrator/DirectorNamed as facility administrator/director
Leizl de la CerraLicensing Program AnalystConducted the inspection
Naira MargaryanLicensing Program ManagerNamed in report header and signature section
Inspection Report Complaint Investigation Census: 70 Capacity: 106 Deficiencies: 0 Apr 23, 2024
Visit Reason
The visit was an unannounced complaint investigation conducted in response to an allegation that staff did not seek medical attention for a resident.
Findings
The investigation revealed that the resident had developed a cough that did not heal, but the family representative, home health agency, and primary physician were notified, prescriptions were ordered, and a chest x-ray was performed. The allegation was deemed unsubstantiated due to insufficient evidence.
Complaint Details
The complaint alleged that staff did not seek medical attention for resident #1. The allegation was investigated and found to be unsubstantiated.
Employees Mentioned
NameTitleContext
Tuesday CabinessLicensing Program AnalystConducted the complaint investigation visit.
Erika RivaBusiness Office DirectorMet with the Licensing Program Analyst during the investigation.
Inspection Report Annual Inspection Census: 69 Capacity: 106 Deficiencies: 0 Jan 2, 2024
Visit Reason
The inspection was an unannounced Required – Annual Continuation Inspection to ensure compliance with Title 22 Regulations and to verify the facility's health and safety standards.
Findings
The facility was found to be in compliance with regulations, with no deficiencies cited. The physical plant, resident rooms, bathrooms, kitchen, and safety equipment were all inspected and found to be in good condition. Staff and resident records were reviewed and found complete and current.
Report Facts
Staff records reviewed: 9 Resident records reviewed: 9 Licensed capacity: 106 Current census: 69 Hospice waiver capacity: 10 Fire extinguisher receipt date: Oct 1, 2023
Employees Mentioned
NameTitleContext
Shin ItoExecutive DirectorMet with Licensing Program Analyst during inspection and received report copy
Christopher AlemohLicensing Program AnalystConducted the inspection
Eva MillerLicensing Program ManagerNamed as Licensing Program Manager on report
Samantha OrdunaPharmacistMet with Licensing Program Analyst in medication room during inspection
Inspection Report Annual Inspection Census: 76 Capacity: 106 Deficiencies: 0 Jan 19, 2023
Visit Reason
An unannounced One (1) Year Required Infection Control visit was conducted to ensure compliance with Title 22 Regulations and to check for health and safety hazards.
Findings
The facility was found to be in compliance with infection control and safety regulations, including proper Covid-19 prevention signage, adequate PPE supplies, clean and unobstructed resident rooms and bathrooms, secure medication storage, and well-maintained kitchen and common areas. No deficiencies were cited.
Report Facts
Number of bathrooms observed: 10 Water temperature range: 109.8 Water temperature range: 120.4 Food supply duration: 7 Food supply duration: 2
Employees Mentioned
NameTitleContext
Desiree KitagawaExecutive DirectorMet with Licensing Program Analyst during inspection
Tihesha SmithLicensing Program AnalystConducted the inspection visit
Naira MargaryanLicensing Program ManagerNamed in report header
Inspection Report Annual Inspection Census: 74 Capacity: 106 Deficiencies: 0 Jan 27, 2022
Visit Reason
One Year Required - Infection Control visit for this facility to evaluate compliance with infection prevention protocols.
Findings
The facility was found to have appropriate infection control measures including mask usage, hand sanitizing stations, and signage. The physical plant was clean and safe, with proper furnishings and safety features in resident rooms. Fire safety equipment was up to date and functioning.
Report Facts
Licensed capacity: 106 Census: 74 Hot water temperature range: 109.9 Hot water temperature range: 118.8 Fire extinguisher last serviced date: Aug 5, 2021
Employees Mentioned
NameTitleContext
Desiree KitagawaExecutive DirectorMet with Licensing Program Analyst during inspection.
Gary TanLicensing Program AnalystConducted the inspection and authored the report.
Inspection Report Complaint Investigation Census: 74 Capacity: 106 Deficiencies: 0 Jan 27, 2022
Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that a resident was sexually assaulted at the facility.
Findings
The investigation found insufficient information to substantiate the allegation of sexual assault. Interviews and record reviews indicated the resident was disoriented and had dementia, and no evidence supported the claim. The allegation was deemed unsubstantiated.
Complaint Details
The complaint alleged that three men assaulted Resident #1 at the facility. The facility reported the incident to authorities, but the investigation did not substantiate the allegation.
Report Facts
Facility capacity: 106 Resident census: 74
Employees Mentioned
NameTitleContext
Jose Gary TanLicensing Program AnalystConducted the complaint investigation and unannounced visit
Desiree KitagawaExecutive DirectorMet with Licensing Program Analyst during the investigation
Naira MargaryanLicensing Program ManagerNamed as Licensing Program Manager on the report
Inspection Report Complaint Investigation Census: 66 Capacity: 106 Deficiencies: 0 Aug 31, 2021
Visit Reason
An unannounced case management visit was conducted to investigate an incident report alleging a violation of a resident's personal rights on August 27, 2021.
Findings
The Licensing Program Analyst observed no health and safety violations during the facility tour, including adequate COVID signage, PPE supplies, and safety features in resident apartments. Further investigation is needed at this time.
Complaint Details
The visit was triggered by an incident report alleging a resident's personal rights were violated on August 27, 2021. The Licensing Program Analyst interviewed the alleged victim and reviewed documentation. No violations were observed during the visit, and further investigation is ongoing.
Employees Mentioned
NameTitleContext
Melissa SpaethLicensing Program AnalystConducted the unannounced case management visit and investigation.
Kevin OnishiAssociate Executive DirectorMet with the Licensing Program Analyst during the visit and provided resident documentation.
Desiree KitagawaAdministratorNamed as the facility administrator.
Cassandra HarrisLicensing Program ManagerNamed in the report as Licensing Program Manager.

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