Inspection Reports for
Northridge Valley Senior Living
8700 LINDLEY AVENUE, NORTHRIDGE, CA, 91325
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
2.4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
40% better than California average
California average: 4 deficiencies/yearDeficiencies per year
12
9
6
3
0
Occupancy
Latest occupancy rate
66% occupied
Based on a August 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Complaint Investigation
Census: 73
Capacity: 110
Deficiencies: 1
Date: Aug 18, 2025
Visit Reason
An unannounced complaint investigation was conducted due to allegations that staff did not adequately supervise residents, resulting in residents ingesting non-food items such as crayons and drinking water from a paint container.
Complaint Details
The complaint was substantiated. Staff did not adequately supervise residents, resulting in residents ingesting non-food items. Four staff members confirmed that staff #1 left residents unattended. One staff member witnessed a resident eating crayons. Residents in memory care were left unsupervised for unknown amounts of time.
Findings
The complaint was substantiated based on observations and interviews with staff, confirming that staff member #1 left residents unattended in the memory care unit, leading to unsafe conditions including residents eating crayons. An exit interview was conducted, citations were issued, and appeal rights were provided.
Deficiencies (1)
Failure to ensure care and supervision of residents in memory care, resulting in residents being left unattended and ingesting non-food items such as crayons.
Report Facts
Census: 73
Total Capacity: 110
Deficiency Count: 1
Plan of Correction Due Date: Aug 19, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Gina Saucedo | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Frances Norberte | Memory Care Director | Facility staff member who met with the evaluator and received the report |
| Karen Marin | Administrator | Facility administrator named in the report |
| Troy Agard | Supervisor | Supervisor overseeing the licensing evaluation |
Inspection Report
Census: 73
Capacity: 110
Deficiencies: 1
Date: Aug 18, 2025
Visit Reason
The inspection visit was conducted as a Case Management - Other unannounced visit to evaluate compliance with planned activities in the memory care area of the facility.
Findings
The Licensing Program Analyst observed that planned activities such as reading/educational hour and workout were not being performed in the memory care area, and staff confirmed no activities were conducted the previous day. A citation was issued for failure to ensure planned activities were performed as required.
Deficiencies (1)
Failure to ensure that planned activities displayed on the Activities Plan Sheet were being performed, posing potential health, safety, or personal rights risks to persons in care.
Report Facts
Capacity: 110
Census: 73
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Gina Saucedo | Licensing Program Analyst | Conducted the physical tour and inspection |
| Troy Agard | Licensing Program Manager | Named in report as Licensing Program Manager |
| Frances Norberte | Memory Care Director | Met with during inspection and given copy of report |
Inspection Report
Annual Inspection
Census: 73
Capacity: 110
Deficiencies: 3
Date: Aug 12, 2025
Visit Reason
An unannounced annual inspection was conducted at the Northridge Valley Senior Living Facility to evaluate compliance with licensing requirements and assess the facility's condition and operations.
Findings
The facility was generally found to be clean, safe, and well-maintained with appropriate furnishings and safety features. However, citations were issued for failure to submit a plan of correction for a prior elopement incident and for hazardous materials stored improperly in the garage area. Additionally, the facility failed to report an elopement incident to the resident's family and licensing agency as required.
Deficiencies (3)
Several mattresses and a sofa were stored in the garage parking area posing a potential health, safety, or personal rights risk to persons in care.
Failure to report an elopement incident of a resident from memory care to the resident's family and document it in the resident's file.
Failure to report the elopement incident to the licensing agency Officer of the Day by the next working day.
Report Facts
Beds: 110
Residents present: 73
Memory care beds occupied: 43
Assisted living beds occupied: 44
Fire extinguisher expiration date: 2025
Hot water temperature: 113
Hot water temperature: 114
Plan of Correction due date: Aug 29, 2025
Fire drill date: 202507
Food supply duration: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Gina Saucedo | Licensing Program Analyst | Conducted the inspection and authored the report |
| Troy Agard | Licensing Program Manager | Oversaw the licensing program for this inspection |
| Frances Norberte | Memory Care Director | Facility representative met during inspection and received report |
| Karen Marin | Administrator/Director | Facility administrator named in report header |
Inspection Report
Complaint Investigation
Census: 70
Capacity: 110
Deficiencies: 1
Date: Jul 8, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit conducted due to allegations that staff were not properly addressing pest infestation and that the facility was not properly maintained.
Complaint Details
The complaint investigation was triggered by allegations of pest infestation and improper facility maintenance. The pest infestation allegation was unsubstantiated, while the maintenance allegation was substantiated with citations issued.
Findings
The allegation of pest infestation was unsubstantiated as no cockroaches were observed and pest control services were documented. However, the allegation regarding improper maintenance was substantiated due to an unsecured garbage disposal posing a safety hazard, resulting in citations issued.
Deficiencies (1)
87303(a) Maintenance and Operation - The facility was not clean, safe, sanitary, and in good repair as the garbage disposal was accessible and unlocked, posing immediate health and safety risks.
Report Facts
Capacity: 110
Census: 70
Deficiency Type A: 1
Plan of Correction Due Date: Jul 9, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Gina Saucedo | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Frances Norberte | Memory Care Director | Facility staff member interviewed during the investigation |
| Karen Marin | Administrator | Facility administrator named in the report |
| Troy Agard | Supervisor | Supervisor overseeing the licensing evaluation |
Inspection Report
Complaint Investigation
Census: 74
Capacity: 110
Deficiencies: 0
Date: Jun 3, 2025
Visit Reason
The visit was an unannounced complaint investigation conducted to investigate an allegation that staff caused injury to a resident in care.
Complaint Details
The complaint alleged that resident #1 was physically abused by staff, resulting in skin tears and injury. The resident has dementia and was unable to provide details. Staff confirmed the presence of skin tears and provided first aid. The resident's medication could cause skin rashes. The allegation was unsubstantiated.
Findings
The investigation found the allegation of physical abuse to be unsubstantiated based on staff and resident interviews, medical record reviews, and observations. No citations were issued.
Report Facts
Capacity: 110
Census: 74
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Gina Saucedo | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Karen Marin | Administrator | Facility administrator met with the investigator and received the report |
| Troy Agard | Supervisor | Supervisor overseeing the licensing evaluation |
Inspection Report
Capacity: 110
Deficiencies: 0
Date: Apr 4, 2025
Visit Reason
The visit was conducted to verify the Chapter 7 Bankruptcy Report filed by Pacifica Senior Living as reported by the media and to assess any impact on the facility and residents.
Findings
The facility management confirmed that despite lawsuits against related entities, there was no financial impact on the facility, residents, or staff. The bankruptcy did not affect the communities as Pacifica Senior Living was no longer the management company, and there were no vendor issues reported.
Report Facts
Lawsuit amount: 25000000
Capacity: 110
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Carl Knepler | Chief Executive Officer | Provided information regarding lawsuits and bankruptcy impact |
| Stacy Barlow | Assistant Program Administrator | Conducted the meeting to verify bankruptcy report |
| Shelley Grace | Assistant Branch Chief, CCLD | Present during the meeting |
| Craig Lundgren | Legal Counsel, CCLD | Present during the meeting |
| Marlene Nelson | Director, Quality Assurance and Risk Management | Present during the meeting |
Inspection Report
Complaint Investigation
Census: 74
Capacity: 110
Deficiencies: 2
Date: Mar 17, 2025
Visit Reason
An unannounced complaint investigation visit was conducted due to an allegation that facility staff did not provide adequate supervision to a resident in care.
Complaint Details
The complaint alleged inadequate supervision of a resident in care. The allegation was substantiated based on staff interviews, resident file review, and observations. The resident was found outside the memory care area multiple times without proper supervision.
Findings
The investigation substantiated that resident #1, who has dementia and is housed in the memory care area, left the memory care area multiple times and was found in the assisted living area without adequate supervision. Staff interviews and record reviews confirmed the lack of adequate supervision and an outdated appraisal for the resident.
Deficiencies (2)
Citation CCR-87705(6)(A) was initially issued but later dismissed after appeal.
Citation CCR-87468(a)(4) for failure to ensure proper supervision training for staff, posing potential health, safety, or personal rights risks to persons in care.
Report Facts
Census: 74
Total Capacity: 110
Deficiency Dismissed: 1
Deficiency Issued: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Gina Saucedo | Licensing Program Analyst | Conducted the complaint investigation and issued the report |
| Frances Norberte | Memory Care Director | Met with Licensing Program Analyst and provided information during investigation |
| Karen Marin | Administrator | Facility administrator involved in exit interview and report receipt |
| Troy Agard | Supervisor | Supervisor overseeing the licensing evaluation |
Inspection Report
Complaint Investigation
Census: 75
Capacity: 110
Deficiencies: 0
Date: Feb 20, 2025
Visit Reason
The visit was an unannounced complaint investigation conducted to investigate allegations of water leakage causing mold, freezer not maintaining required temperature, and missing call buttons in residents' rooms and bathrooms.
Complaint Details
The complaint investigation was triggered by allegations received on 12/27/2024 regarding water leakage causing mold, freezer temperature issues on 12/04/2024, and missing call buttons in Memory Care shared rooms and bathrooms. The investigation included interviews with staff and residents, physical plant tours, and document reviews. All allegations were found unsubstantiated.
Findings
All allegations were found to be unsubstantiated based on observations, interviews with staff and residents, record reviews, and physical inspections. The freezer was maintaining required temperatures, no mold was observed after repairs, and call buttons were present with additional safety measures in place.
Report Facts
Facility capacity: 110
Census: 75
Number of shared rooms in Memory Care: 11
Temperature of walk-in freezer: -5
Moisture content: 0
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Leizl De La Cerra | Licensing Program Analyst | Conducted the complaint investigation and inspection |
| Karen Marin | Executive Director | Met with Licensing Program Analyst during inspection |
| Ivy Mitchell Sharp | Administrator | Facility administrator named in report |
| Naira Margaryan | Supervisor | Supervisor overseeing the licensing evaluation |
Inspection Report
Complaint Investigation
Census: 74
Capacity: 110
Deficiencies: 0
Date: Jan 22, 2025
Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that the licensee was not ensuring there was a written plan of activities available to residents.
Complaint Details
The complaint alleged that there had not been a planned activities calendar since October 2024. The allegation was unsubstantiated based on observations and interviews.
Findings
The investigation found that a planned activities calendar for January 2025 and daily activity brochures were available. Staff and residents confirmed daily activities were provided, and the allegation was unsubstantiated. No citations were issued.
Report Facts
Residents participating in exercise group: 15
Staff interviewed: 2
Residents interviewed: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Gina Saucedo | Licensing Program Analyst | Evaluator who conducted the complaint investigation |
| Irina Selezne | Resident Services Director | Facility staff member who greeted the evaluator and was interviewed |
Inspection Report
Complaint Investigation
Census: 77
Capacity: 110
Deficiencies: 1
Date: Jan 13, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that the licensee was not ensuring the facility had an administrator on the premises for a sufficient number of hours.
Complaint Details
The complaint alleged that the licensee was not ensuring the facility had an administrator on the premises a sufficient number of hours. The allegation was substantiated based on observations and interviews with staff and residents confirming no administrator had been present since December 2024.
Findings
The investigation found that there has been no administrator at the facility since December 2024, confirmed by staff and resident interviews. The allegation was substantiated and a citation was issued for failure to have a qualified administrator present as required.
Deficiencies (1)
Licensee did not ensure an administrator was present at the facility for a sufficient number of hours to permit adequate attention to management and administration, posing potential health, safety, or personal rights risks.
Report Facts
Capacity: 110
Census: 77
Plan of Correction Due Date: Jan 27, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Gina Saucedo | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Francis Norberte | Resident Care Director | Facility staff member who met with the evaluator and received the report |
Inspection Report
Complaint Investigation
Census: 77
Capacity: 110
Deficiencies: 1
Date: Jan 13, 2025
Visit Reason
An unannounced initial complaint visit was conducted due to allegations regarding the absence of an Activities Director at the facility.
Complaint Details
The visit was triggered by a complaint alleging the absence of an Activities Director. The allegation was substantiated as confirmed by staff and resident interviews.
Findings
The Licensing Program Analyst confirmed through interviews with residents and six staff members that there was no current Activities Director, as the previous one left in November 2024. A citation was issued for this deficiency.
Deficiencies (1)
Failure to ensure an Activities Director/full-time staff member responsible for organizing, conducting, and evaluating planned activities as required by CCR 87219(f).
Report Facts
Capacity: 110
Census: 77
Plan of Correction Due Date: Jan 27, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Francis Norberte | Resident Care Director | Met with Licensing Program Analyst during inspection and named in report |
| Gina Saucedo | Licensing Program Analyst | Conducted the inspection and authored the report |
| Troy Agard | Supervisor | Supervisor overseeing the inspection |
Inspection Report
Complaint Investigation
Census: 87
Capacity: 110
Deficiencies: 0
Date: Oct 23, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit conducted to investigate allegations that staff were not safeguarding resident belongings and not providing residents with napkins at meals.
Complaint Details
The complaint alleged that staff were not safeguarding resident belongings and not providing napkins at meals. After interviews, physical tour, and record review, these allegations were found to be unsubstantiated.
Findings
The investigation found both allegations to be unsubstantiated. Resident belongings were safeguarded with names on clothing and laundry bags, and residents confirmed no missing belongings. Napkins, including clothed napkins and bibs, were provided to residents during meals as confirmed by staff and residents.
Report Facts
Residents present: 87
Licensed capacity: 110
Staff confirmations regarding napkins: 3
Staff confirmations regarding napkins with bibs: 2
Residents confirming napkins provided: 7
Residents confirming no missing belongings: 7
Residents interviewed regarding belongings: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Gina Saucedo | Licensing Program Analyst | Conducted the complaint investigation and interviews |
| Ivy Mitchell Sharp | Executive Director | Facility administrator met during the investigation |
Inspection Report
Complaint Investigation
Census: 86
Capacity: 110
Deficiencies: 0
Date: Aug 6, 2024
Visit Reason
The visit was an unannounced complaint investigation conducted to address allegations that staff were not ensuring residents were provided with toiletries, not providing adequate housekeeping services, and not keeping the facility dining area clean.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included failure to provide toiletries, inadequate housekeeping, and unclean dining area. Interviews and observations did not support these claims.
Findings
The investigation found all allegations to be unsubstantiated based on interviews with residents and staff, as well as physical observations by the Licensing Program Analyst. Toiletries were provided, housekeeping services were adequate, and the dining area was kept clean.
Report Facts
Residents interviewed: 8
Staff interviewed: 9
Staff interviewed: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ivy Mitchell Sharp | Administrator | Facility administrator met during the investigation |
| Gina Saucedo | Licensing Program Analyst | Evaluator who conducted the complaint investigation |
| Troy Agard | Supervisor | Supervisor named in the report |
Inspection Report
Annual Inspection
Census: 86
Capacity: 110
Deficiencies: 0
Date: Jul 24, 2024
Visit Reason
An unannounced annual inspection was conducted at the facility to evaluate compliance with licensing requirements and overall facility conditions.
Findings
The facility was found to be well-maintained with appropriate furniture, safety features, and clean common areas. Fire safety equipment was fully charged and operable, medication storage was secure, and food supplies were sufficient. No citations were issued during the inspection.
Report Facts
Beds in memory care unit: 43
Beds in assisted living area: 44
Fire extinguisher expiration date: 2025
Food supply duration: 7
Hot water temperature range: 110
Hot water temperature range: 115
Facility temperature range: 74
Facility temperature range: 75
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ivy Mitchell Sharp | Administrator | Met with licensing evaluators during the inspection |
| Gina Saucedo | Licensing Program Analyst | Conducted the inspection |
| Troy Agard | Licensing Program Manager | Conducted the inspection |
Inspection Report
Annual Inspection
Census: 86
Capacity: 110
Deficiencies: 0
Date: Mar 10, 2024
Visit Reason
An unannounced annual inspection was conducted at the facility to evaluate compliance with licensing requirements and overall facility conditions.
Findings
The facility was found to have appropriate accommodations, safety measures, and cleanliness. No citations were issued. Medication storage and administration procedures were observed to be secure and properly staffed. Fire safety equipment and alarms were operable, and common areas were clean and well maintained.
Report Facts
Beds in memory care unit: 43
Hot water temperature range: 115
Hot water temperature range: 118
Supply of non-perishable and perishable food: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Gina Saucedo | Licensing Program Analyst | Conducted the inspection and authored the report |
| Frances Norberte | Resident Care Director | Met with the Licensing Program Analyst during the inspection |
| Lisa Villasenor | Administrator | Facility administrator who was contacted and present during the inspection |
Inspection Report
Complaint Investigation
Census: 88
Capacity: 110
Deficiencies: 0
Date: Oct 17, 2023
Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that a resident sustained a pressure injury while in care.
Complaint Details
The complaint alleged that a resident sustained a pressure injury while in care. The investigation found that the resident had a skin tear in August 2022 treated by a nurse practitioner, but currently does not have a pressure injury. The allegation was unsubstantiated.
Findings
The investigation included interviews, medical record reviews, and physical plant walk-throughs, which found no immediate health and safety issues. The allegation was deemed unsubstantiated due to insufficient evidence verifying the claim.
Report Facts
Capacity: 110
Census: 88
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Antonia Alvizar | Licensing Program Analyst | Conducted the complaint investigation and inspection |
| Lisa Villasenor | Administrator | Facility administrator named in the report |
| Raquel Maristela | Concierge | Met with Licensing Program Analyst during investigation |
| Frances Norberte | Memory Care Director | Participated in interviews and received exit report |
| Patricia Repunte | Lead Caregive | Conducted physical plant walk-through with LPA |
| Naira Margaryan | Supervisor | Supervisor overseeing the investigation |
| Gina Saucedo | Licensing Program Analyst | Assisted in continuing the investigation |
Inspection Report
Complaint Investigation
Census: 89
Capacity: 110
Deficiencies: 0
Date: Oct 2, 2023
Visit Reason
An unannounced complaint investigation visit was conducted to investigate an allegation that a staff member yelled at residents who refused medication.
Complaint Details
The allegation was that Staff #1 yelled at residents who refused medication. The staff member was found not to be a current employee and was terminated approximately 4 months prior. Interviews and observations provided insufficient evidence to verify the allegation, resulting in an unsubstantiated finding.
Findings
The investigation found that the alleged staff member was no longer employed and had been terminated months earlier. Interviews with staff and residents revealed no evidence of staff yelling at residents. The allegation was deemed unsubstantiated.
Report Facts
Census: 89
Total Capacity: 110
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lisa Villasenor | Administrator | Met during the investigation and provided information about the alleged staff member and facility practices |
| Nicholas Reed | Licensing Program Analyst | Conducted the complaint investigation visit |
Inspection Report
Complaint Investigation
Census: 89
Capacity: 110
Deficiencies: 0
Date: Oct 2, 2023
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations that facility staff did not serve residents a sufficient amount of food and served residents cold food.
Complaint Details
The complaint investigation was unannounced and conducted due to allegations regarding insufficient food portions and cold food being served. The allegations were found to be unsubstantiated based on interviews, observations, and documentation.
Findings
The investigation found insufficient evidence to verify the allegations. Interviews with staff and residents, observations of food service, and review of temperature logs indicated that the facility provides adequate food portions and maintains proper food temperatures. Therefore, the allegations were deemed unsubstantiated.
Report Facts
Capacity: 110
Census: 89
Percentage interviewed: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lisa Villasenor | Administrator | Met with during the investigation and interviewed regarding allegations |
| Nicholas Reed | Licensing Program Analyst | Conducted the complaint investigation |
Inspection Report
Annual Inspection
Census: 88
Capacity: 110
Deficiencies: 0
Date: Aug 29, 2022
Visit Reason
The inspection was an announced annual inspection conducted to evaluate compliance with licensing requirements at the facility.
Findings
The facility was found to be in compliance with no deficiencies cited. Observations included proper infection control measures, sanitary kitchen and dining areas, functional fire safety equipment, well-maintained common and resident areas, and appropriate outdoor spaces for residents.
Report Facts
Capacity: 110
Census: 88
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lisa Villasenor | Administrator | Met with Licensing Program Analyst during inspection |
| Joscelyn Martinez | Licensing Program Analyst | Conducted the annual inspection |
| Francis Norberte | Designee who toured the facility with Licensing Program Analyst | |
| Nichelle Gillyard | Supervisor | Supervisor overseeing the inspection |
Inspection Report
Complaint Investigation
Census: 86
Capacity: 110
Deficiencies: 0
Date: Aug 24, 2022
Visit Reason
The visit was an unannounced complaint investigation conducted in response to an allegation that the facility was not transporting residents to their medical appointments.
Complaint Details
The complaint alleged that the facility was not transporting residents to their medical appointments. The allegation was investigated through resident interviews and document review and was found to be unsubstantiated.
Findings
The investigation found that seven out of ten residents interviewed were aware that the facility provides transportation for medical appointments. The administrator stated that transportation is provided upon resident request and that one resident who makes their own appointments sometimes forgets to request transportation. Based on interviews and documents, the allegation was deemed unsubstantiated.
Report Facts
Residents interviewed: 10
Residents aware of transportation: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lisa Villasenor | Administrator | Named in relation to the investigation and interview about transportation services |
| Joscelyn Martinez | Licensing Program Analyst | Conducted the complaint investigation |
Inspection Report
Complaint Investigation
Census: 83
Capacity: 110
Deficiencies: 0
Date: Jul 28, 2022
Visit Reason
The visit was an unannounced complaint investigation conducted due to allegations received on 07/14/2022 regarding issues such as no hot water in the laundry, bugs in resident rooms, no air conditioning in the med-tech room, and resident food being served cold.
Complaint Details
The complaint investigation was unsubstantiated for all allegations: no hot water in laundry, bugs in resident rooms, no air conditioning in med-tech room, and resident food served cold.
Findings
All allegations were investigated and deemed unsubstantiated. The no hot water issue was corrected the same day it occurred. No water bugs or infestation were observed during the visit, and the facility has monthly fumigations. The air conditioning in the med-tech room is not a Title 22 requirement and fans were observed. The steam table malfunction causing cold food was repaired and alternative measures were used to keep food warm.
Report Facts
Resident reports of water bugs: 2
Staff reports of water bugs: 3
Resident reports of cold food: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lisa Villasenor | Administrator | Met with Licensing Program Analyst during complaint investigation and provided information on allegations |
| Joscelyn Martinez | Licensing Program Analyst | Conducted the complaint investigation visit and authored the report |
Inspection Report
Complaint Investigation
Census: 81
Capacity: 110
Deficiencies: 1
Date: Sep 19, 2021
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations that the facility failed to provide healthful and comfortable accommodations for residents and that the Community Care Licensing Department (CCLD) was not notified of construction.
Complaint Details
The complaint investigation was unannounced and conducted following a complaint received on 03/02/2021. The allegation that the facility failed to provide healthful and comfortable accommodations was unsubstantiated. The allegation that CCLD was not notified of construction was substantiated. Citation was issued and plan of correction cleared.
Findings
The allegation regarding failure to provide healthful and comfortable accommodations was unsubstantiated based on interviews, observation, and record review. However, the allegation that the facility did not notify CCLD prior to construction was substantiated, posing a potential health and safety risk. A citation was issued and the plan of correction was cleared during the visit.
Deficiencies (1)
The Licensee/Administrator failed to notify CCLD of the construction that was to be done and how residents were going to be protected against hazards within the facility. This poses a potential health and safety risk to residents in care.
Report Facts
Capacity: 110
Census: 81
Deficiencies cited: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rosaura Valenzuela | Licensing Program Analyst | Conducted the complaint investigation |
| Francis Norberte | Memory Care Director | Met with Licensing Program Analyst during investigation |
| Lisa Villasenor | Administrator | Named in relation to failure to notify CCLD of construction |
Inspection Report
Complaint Investigation
Census: 81
Capacity: 110
Deficiencies: 1
Date: Sep 19, 2021
Visit Reason
An unannounced complaint investigation was conducted based on allegations received on 12/16/2020 regarding failure to provide timely medical attention and staff yelling at other staff in front of residents.
Complaint Details
The complaint investigation was substantiated for failure to provide timely medical attention to Resident #1. The allegation regarding staff yelling at other staff in front of residents was unsubstantiated.
Findings
The investigation substantiated that the facility failed to provide timely medical attention to Resident #1 who was having breathing difficulties, posing an immediate health and safety hazard. The allegation that staff yelled at other staff in front of residents was unsubstantiated due to insufficient evidence.
Deficiencies (1)
The licensee did not ensure to provide incidental medical care to Resident #1 who was having breathing difficulties, violating CCR 87465(g) requiring immediate 9-1-1 notification for imminent threats to resident health.
Report Facts
Capacity: 110
Census: 81
Deficiencies cited: 1
Plan of Correction Due Date: Sep 27, 2021
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Francis Norberte | Memory Care Director | Met with Licensing Program Analyst during investigation |
| Lisa Villasenor | Administrator | Named as facility administrator |
Inspection Report
Complaint Investigation
Capacity: 110
Deficiencies: 0
Date: Aug 18, 2021
Visit Reason
The visit was an unannounced Case Management-Incident inspection conducted in response to a report submitted on August 9, 2021, alleging that on August 7, 2021, a staff member hurt a resident.
Complaint Details
The complaint involved an incident where a staff member (S1) hurt a resident (R1) on 08/07/2021. The investigation included interviews with the administrator, staff, and a resident, as well as review of relevant documentation including a police investigation statement. The complaint investigation is ongoing.
Findings
During the visit, Licensing Program Analysts conducted interviews and a physical plant tour with no health and safety issues noted. Further investigation of the incident is needed.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lisa Villasenor | Administrator | Met with Licensing Program Analysts during the visit and involved in the investigation. |
| Melissa Ruiz | Licensing Evaluator | Conducted the inspection and signed the report. |
| Angela Panushkina | Licensing Program Analyst | Conducted the inspection and interviews. |
| Nichelle Gillyard | Supervisor | Supervisor overseeing the inspection. |
Inspection Report
Annual Inspection
Census: 84
Capacity: 110
Deficiencies: 0
Date: Aug 6, 2021
Visit Reason
The inspection was a required one-year unannounced infection control visit to evaluate compliance with health and safety standards at the facility.
Findings
The facility was found to have appropriate COVID-19 prevention measures, clean and well-maintained resident rooms and common areas, secure medication and storage rooms, a clean kitchen with proper food storage, and functioning fire safety equipment. No deficiencies or violations were explicitly noted in the report.
Report Facts
Hospice residents: 17
Rooms observed: 9
First Aid kits: 3
Fire extinguisher service tag date: Jul 6, 2021
Water temperature range: 108.9 to 119.6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lisa Villasenor | Administrator | Met with Licensing Program Analyst and provided information about facility procedures |
| LaQueena Lacy | Licensing Program Analyst | Conducted the inspection visit and authored the report |
| Alvin | Staff observed spraying disinfectant in the facility | |
| Patty | Staff who responded to pull cord tests in resident rooms |
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