Inspection Reports for
Peninsula Pointe by Cogir
27520 Hawthorne Blvd, Rolling Hills Estates, CA 90274, United States, CA, 90274
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
1.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
68% better than California average
California average: 4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Occupancy
Latest occupancy rate
60% occupied
Based on a January 2026 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Complaint Investigation
Census: 72
Capacity: 121
Deficiencies: 0
Date: Jan 15, 2026
Visit Reason
The inspection was an unannounced complaint investigation visit conducted to investigate allegations received on 2025-11-20 regarding resident care issues including soiled diapers, facility odors, incident documentation, and medication log forgery.
Complaint Details
The complaint included allegations that staff left residents in soiled diapers for extended periods, the facility was not free of odors, incidents were not documented, and staff were forging medication logs. All allegations were investigated through interviews, document reviews, and observations and were found to be unsubstantiated.
Findings
The investigation found insufficient evidence to substantiate any of the allegations. Interviews with staff, residents, and witnesses, as well as document reviews and facility inspections, indicated that residents were not left in soiled diapers, the facility was clean and odor-free, incidents were properly documented, and medication logs were not forged. No deficiencies were cited.
Report Facts
Capacity: 121
Census: 72
Staff interviewed: 6
Residents interviewed: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Julius Osorio | Administrator | Met during the investigation and interviewed regarding allegations |
| Deborah Lee | Licensing Evaluator | Conducted the complaint investigation |
| Eva M Alvarez | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 42
Capacity: 121
Deficiencies: 1
Date: May 29, 2025
Visit Reason
The inspection was an unannounced complaint investigation conducted due to an allegation that facility staff caused bruising to a resident in care during an elopement incident.
Complaint Details
The complaint was substantiated. The allegation was that facility staff caused bruising to a resident during an elopement incident. Evidence included surveillance footage, hospital medical records, and interviews. The preponderance of evidence standard was met.
Findings
The investigation substantiated the allegation that staff caused bruising to a resident while redirecting them back to their room during an elopement. Surveillance and hospital medical records confirmed bruising on the resident's upper extremities, and interviews supported the findings. The facility was cited for violating personal rights regulations.
Deficiencies (1)
Failure to ensure staff followed residents' personal rights, resulting in bruising of a resident in care.
Report Facts
Estimated Days of Completion: 90
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mario Leon | Licensing Program Analyst | Conducted the complaint investigation and signed the report |
| Ulysses Coronel | Licensing Program Manager | Oversaw the complaint investigation and signed the report |
| Desiree Kitagawa | Administrator | Interviewed during the investigation |
| Julius Osorio | Executive Director | Met with Licensing Program Analyst during the visit |
Inspection Report
Complaint Investigation
Census: 42
Capacity: 121
Deficiencies: 1
Date: May 29, 2025
Visit Reason
The inspection was an unannounced complaint investigation conducted in response to a complaint received on 2024-11-13 alleging that facility staff caused bruising to a resident in care.
Complaint Details
The complaint was substantiated. The allegation was that facility staff caused bruising to a resident during an elopement incident. The preponderance of evidence standard was met based on record reviews, interviews, and surveillance footage.
Findings
The investigation substantiated the allegation that staff caused bruising to a resident during an elopement incident on 2024-11-08. Surveillance and hospital records confirmed bruising on the resident's upper extremities, and interviews supported the findings. The facility was cited for violating residents' personal rights.
Deficiencies (1)
Failure to ensure staff followed residents' personal rights, resulting in bruising of a resident in care.
Report Facts
Estimated Days of Completion: 90
Deficiency Type: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mario Leon | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Ulysses Coronel | Licensing Program Manager | Supervised the investigation and involved in record collection |
| Desiree Kitagawa | Administrator | Interviewed during investigation and cited in findings |
| Julius Osorio | Executive Director | Met with Licensing Program Analyst during investigation |
Inspection Report
Census: 40
Capacity: 121
Deficiencies: 0
Date: May 14, 2025
Visit Reason
The visit was a Case Management visit conducted by Licensing Program Analyst Alfonso Iniguez to review the facility's compliance and address previous concerns.
Findings
No deficiencies were observed during this visit. The previous concern about locked fire extinguishers was reviewed, and it was noted that one out of eight fire extinguishers had a sticker indicating emergency use and was accessible. No citations were issued.
Report Facts
Fire extinguishers inspected: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Julius Osorio | Executive Director | Met with Licensing Program Analyst during the Case Management visit and involved in facility tour |
| Alfonso Iniguez | Licensing Program Analyst | Conducted the Case Management visit and facility inspection |
Inspection Report
Annual Inspection
Census: 35
Capacity: 121
Deficiencies: 1
Date: Mar 27, 2025
Visit Reason
The inspection was an unannounced annual required visit conducted using the CARE Inspection Tool to evaluate compliance with licensing requirements.
Findings
The facility was found to be clean, sanitary, and appropriately furnished with no discrepancies in medication administration records. One deficiency was cited regarding a medtech lacking a First Aid/CPR card on file, which poses a potential health and safety risk.
Deficiencies (1)
MedTech with no First Aid/CPR card on file
Report Facts
Residents' service files reviewed: 5
Staff personnel files reviewed: 5
Medication Administration Records reviewed: 5
Fire/Disaster Drills last conducted: Jan 25, 2025
Plan of Correction Due Date: Apr 7, 2025
Facility Annual Fees Due Date: Apr 12, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Julius Osorio | Executive Director | Met with Licensing Program Analyst during inspection and received report |
| Alfonso Iniguez | Licensing Program Analyst | Conducted the inspection and authored the report |
| Eva M Alvarez | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 20
Capacity: 121
Deficiencies: 1
Date: Aug 21, 2024
Visit Reason
An unannounced complaint investigation was conducted due to an allegation that staff were exposing residents to a contagious illness.
Complaint Details
The complaint alleged that staff were exposing residents to a contagious illness. The allegation was substantiated based on record review and interviews, including with the Executive Director. Two staff members worked within five days after testing positive for COVID-19, violating public health guidance.
Findings
The investigation substantiated the allegation that two staff members who tested positive for COVID-19 continued to work within five days of testing positive, contrary to Los Angeles County Department of Public Health guidelines. Deficiencies were issued and plans of correction were developed.
Deficiencies (1)
The licensee did not comply with the requirement to exclude staff who tested positive for COVID-19 from the workplace for five days, posing an immediate health risk to residents.
Report Facts
Capacity: 121
Census: 20
Staff interviews: 8
Resident interviews: 3
Deficiency due date: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Desiree Kitagawa | Executive Director | Interviewed during the investigation and named in findings |
| Regina Cloyd | Licensing Program Analyst | Conducted the complaint investigation |
| Ulysses Coronel | Licensing Program Manager | Oversaw the complaint investigation |
Inspection Report
Original Licensing
Census: 8
Capacity: 121
Deficiencies: 0
Date: May 8, 2024
Visit Reason
An unannounced post-licensing visit was conducted to review personnel policies, abuse reporting procedures, in-service training, and medication procedures as part of the initial licensing process.
Findings
No deficiencies were observed during the visit, and no citations were issued. The Licensing Program Analyst and Executive Director reviewed policies and conducted a joint tour of the facility.
Report Facts
Facility capacity: 121
Current census: 8
Fire clearance capacity: 101
Fire clearance capacity: 20
Hospice waiver capacity: 15
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Desiree Kitagawa | Executive Director | Met with Licensing Program Analyst during post-licensing visit |
| Alfonso Iniguez | Licensing Program Analyst | Conducted the unannounced post-licensing visit |
Inspection Report
Original Licensing
Capacity: 121
Deficiencies: 0
Date: Apr 3, 2024
Visit Reason
A pre-licensing evaluation was conducted for an RCFE facility type to assess the facility prior to licensing and to evaluate compliance with regulations for serving elderly residents.
Findings
The facility was found to be clean, sanitary, and in good repair with all required protective devices in place. No corrections were needed during this pre-licensing inspection. The facility has appropriate medication storage, adequate bedrooms and bathrooms, sufficient supplies, proper food service, confidential record storage, and emergency and safety measures in place.
Report Facts
Licensed capacity: 121
Census: 0
Fire clearance capacity: 101
Fire clearance capacity: 20
Hospice waiver capacity: 15
Toilet and washbasin count: 95
Shower or bathtub count: 87
Food supply duration: 7
Food storage duration: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Desiree Kitagawa | Administrator | Facility Administrator present during pre-licensing evaluation and exit interview |
| Alfonso Iniguez | Licensing Program Analyst | Conducted pre-licensing evaluation and Component III Orientation |
| Wendy Gibbs | Licensing Program Analyst | Conducted pre-licensing evaluation and observed delay egress functioning |
| Eva M Alvarez | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Original Licensing
Capacity: 121
Deficiencies: 0
Date: Jan 29, 2024
Visit Reason
The visit was conducted as an initial facility evaluation for licensing of a Residential Care Facility for Elderly (RCFE).
Findings
The Component II completion was successful, confirming the applicant and administrator's understanding of licensing laws and facility operation requirements. No deficiencies or issues were noted in the report.
Report Facts
Capacity: 121
Census: 0
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Desiree Kitagawa | Administrator | Met during inspection and participant in Component II |
| Benoit Levesque | Applicant | Met during inspection and participant in Component II |
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