Inspection Reports for
Savant of Norwalk
11515 FIRESTONE BLVD, NORWALK, CA, 90650
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
3.2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
20% better than California average
California average: 4 deficiencies/yearDeficiencies per year
8
6
4
2
0
Occupancy
Latest occupancy rate
99% occupied
Based on a November 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Annual Inspection
Census: 79
Capacity: 80
Deficiencies: 0
Date: Nov 14, 2025
Visit Reason
The inspection was a required unannounced annual inspection to evaluate compliance with licensing requirements for the facility.
Findings
No deficiencies were observed during the visit. The facility met requirements in infection control, operational standards, physical plant safety, food service, staffing, personnel records, resident records, residents' rights, medication management, disaster preparedness, and care for residents with special health needs.
Report Facts
Licensed Capacity: 80
Census: 79
Bedridden Resident Capacity: 10
Hospice Waiver Capacity: 30
Resident Rooms: 40
Food Supply - Perishables: 2
Food Supply - Non-perishables: 7
Staff Files Reviewed: 6
Resident Files Reviewed: 9
Residents Using Hospice Services: 3
Bedridden Residents Present: 0
Last Disaster Drill Date: Oct 16, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| David Hernandez | Executive Director | Met with Licensing Program Analyst during inspection and named in report. |
| Tena Herrera | Licensing Program Analyst | Conducted the inspection. |
| David Sicairos | Licensing Program Manager | Named in report as Licensing Program Manager. |
Inspection Report
Complaint Investigation
Census: 73
Capacity: 80
Deficiencies: 0
Date: May 6, 2025
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations including financial abuse of a deceased resident, failure to notify the resident's authorized representative of death, failure to safeguard client's personal belongings, and improper management of resident's medication.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included financial abuse of a deceased resident, failure to notify the resident's authorized representative of death, failure to safeguard client's personal belongings, and improper medication management. Evidence did not support these allegations.
Findings
The investigation found no evidence of financial abuse of the deceased resident. The facility notified responsible parties about the resident's death and managed personal belongings appropriately. Medication management was found to be in compliance for the residents reviewed. Overall, the allegations were unsubstantiated due to insufficient evidence.
Report Facts
Capacity: 80
Census: 73
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nicol Wesley | Licensing Program Analyst | Conducted the complaint investigation |
| Janice Anguiano | Business Office Manager | Met with investigator during complaint visit |
| David Hernandez | Executive Director | Met with investigator during complaint visit and received report copy |
Inspection Report
Complaint Investigation
Census: 71
Capacity: 80
Deficiencies: 0
Date: Mar 27, 2025
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations that facility staff were not dispensing medication as prescribed and were not providing adequate activities to residents.
Complaint Details
The complaint investigation was unsubstantiated. Allegations regarding medication dispensing and adequacy of activities were not supported by the evidence gathered during interviews and document reviews.
Findings
The investigation found insufficient evidence to substantiate the allegations. Interviews with staff and residents indicated that medications were dispensed correctly and that activities were provided, although some residents did not participate.
Report Facts
Capacity: 80
Census: 71
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Janice Anguiano | Business Office Manager | Met with during the investigation and received a copy of the report |
| Nicol Wesley | Licensing Program Analyst | Conducted the complaint investigation |
| Lisa Hicks | Licensing Program Manager | Named in the report as Licensing Program Manager |
| Chanel A. Sanchez | Administrator | Facility administrator named in the report |
Inspection Report
Complaint Investigation
Census: 74
Capacity: 80
Deficiencies: 0
Date: Feb 7, 2025
Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that staff did not prevent an inappropriate sexual interaction between residents.
Complaint Details
The complaint alleged that staff failed to prevent an inappropriate sexual interaction between residents. The allegation was unsubstantiated due to lack of sufficient evidence after interviews with staff and residents.
Findings
The investigation found insufficient evidence to substantiate the allegation. Staff and most residents denied witnessing the incident, and the resident involved was no longer at the facility and could not be contacted.
Report Facts
Capacity: 80
Census: 74
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Alberto Lopez | Licensing Program Analyst | Conducted the complaint investigation |
| Chanel A. Sanchez | Administrator | Facility administrator named in the report |
| David Hernandez | Executive Director | Facility executive director met during the investigation |
| Janice Anguiano | Business Manager | Facility business manager met during the investigation |
Inspection Report
Complaint Investigation
Census: 77
Capacity: 80
Deficiencies: 0
Date: Jan 14, 2025
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received on 2024-11-27 regarding staff misconduct and resident care issues at the facility.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included staff not securing residents' personal belongings, altering medication, not addressing health care needs, and not ensuring a safe living environment. Interviews and document reviews did not provide sufficient evidence to prove the allegations.
Findings
The investigation found insufficient evidence to substantiate the allegations related to staff securing residents' belongings, altering medication, addressing health care needs, and ensuring a safe living environment. Interviews with residents and staff and medication checks did not support the claims.
Report Facts
Capacity: 80
Census: 77
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Christian Gutierrez | Licensing Program Analyst | Conducted the complaint investigation visit |
| Janice Anguiano | Business Office Manager | Met with Licensing Program Analyst during the investigation |
| Chanel A. Sanchez | Administrator | Facility administrator named in the report |
Inspection Report
Complaint Investigation
Census: 74
Capacity: 80
Deficiencies: 0
Date: Nov 19, 2024
Visit Reason
The visit was an unannounced complaint investigation triggered by a complaint received on 2024-11-15 regarding staff not providing a statement of monthly cost upon a resident's request.
Complaint Details
The complaint alleged that staff did not provide a statement of monthly cost upon the resident's request. The allegation was unsubstantiated due to insufficient evidence. Staff denied the allegation and residents confirmed awareness of their financial situations. The resident was satisfied with the facility at the time of the visit.
Findings
The investigation found insufficient evidence to substantiate the allegation that staff failed to provide the resident with monthly cost information. Interviews with staff and residents indicated that financial information was provided and residents expressed confidence in the facility's handling of financial affairs.
Report Facts
Capacity: 80
Census: 74
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Alberto Lopez | Licensing Program Analyst | Conducted the complaint investigation visit |
| Rochalle Reyes | Executive Director | Assisted with the investigation visit and exit interview |
| Janice Anguiano | Business Office Manager | Assisted with the investigation visit |
Inspection Report
Annual Inspection
Census: 77
Capacity: 80
Deficiencies: 0
Date: Oct 24, 2024
Visit Reason
The inspection was an unannounced Required 1 Year visit to evaluate compliance with care and regulatory standards using the full Care Compliance and Regulatory Enforcement (CARE) Tools.
Findings
The facility was found to be in compliance with all reviewed domains including infection control, physical plant safety, staffing, personnel records, resident rights, food service, planned activities, incident medical and dental, disaster preparedness, and residents with special health needs. No deficiencies were observed during the visit.
Report Facts
Staff members: 26
Resident files reviewed: 8
Fire extinguishers: 6
Emergency drill date: Aug 13, 2024
Bedridden resident capacity: 10
Hospice waiver capacity: 30
Resident rooms: 40
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Daniel Konishi | Licensing Program Analyst | Conducted the unannounced Required 1 Year visit |
| Rachelle Reyes | Executive Director | Facility representative met during inspection and received report |
| Chanel A. Sanchez | Administrator | Administrator with expired certificate pending renewal |
| David Sicairos | Supervisor | Supervisor named in the report |
Inspection Report
Complaint Investigation
Census: 77
Capacity: 80
Deficiencies: 2
Date: Oct 17, 2024
Visit Reason
Unannounced complaint investigation visit triggered by allegations of staff mismanaging residents' medication and failing to provide a safe and comfortable environment for residents.
Complaint Details
The complaint investigation was substantiated. Staff mismanaged residents' medication by leaving medications unattended on dressers, dining tables, and trash cans. Six of eight staff confirmed these observations. An unlocked medication cart was observed accessible to residents. Nine of twelve residents could not corroborate the allegation. The allegation of failure to provide a safe and comfortable environment was also substantiated.
Findings
The investigation substantiated the allegation that staff mismanaged residents' medication, including leaving medications unattended and unlocked in accessible areas. The allegation that staff failed to provide a safe and comfortable environment was also substantiated.
Deficiencies (2)
CCR 87465(a)(4) Incidental Medical and Dental Care: The licensee failed to assist residents with self-administered medications as needed, posing an immediate health and safety risk.
CCR 87465(h)(2) Centrally stored medicines were not kept in a safe and locked place, leaving medications accessible to unauthorized persons.
Report Facts
Facility Capacity: 80
Census: 77
Staff confirming medication mismanagement: 6
Residents unable to corroborate allegation: 9
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tyler Reyes | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Rachelle Reyes | Administrator | Facility administrator interviewed during investigation and exit interview |
| Fernando Fierros | Licensing Program Manager | Oversaw licensing program related to the investigation |
Inspection Report
Complaint Investigation
Census: 78
Capacity: 80
Deficiencies: 0
Date: Sep 30, 2024
Visit Reason
An unannounced complaint investigation was conducted to determine the validity of allegations regarding staff contaminating residents' medication, improper medication dispensing, and failure to assist residents with medical and dental appointments.
Complaint Details
The complaint investigation was triggered by allegations that staff contaminated residents' medication, did not dispense medications as prescribed, and failed to assist residents with medical and dental appointments. The allegations were unsubstantiated after interviews with staff and residents, review of medication administration records, and confirmation from a pharmacist and dental care providers.
Findings
The investigation found no evidence to substantiate the allegations. Staff and residents denied the claims, medication was confirmed to be administered as prescribed, and medical paperwork handling was consistent with procedures. The allegations were deemed unsubstantiated due to lack of preponderance of evidence.
Report Facts
Facility Capacity: 80
Resident Census: 78
Staff Denials: 5
Resident Denials: 6
Staff Denials: 5
Resident Denials: 6
Staff Denials: 5
Resident Denials: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tyler Reyes | Licensing Program Analyst | Conducted the complaint investigation |
| Fernando Fierros | Licensing Program Manager | Oversaw the complaint investigation |
| Rachelle Reyes | Administrator | Facility administrator met during the investigation and exit interview |
Inspection Report
Complaint Investigation
Census: 78
Capacity: 80
Deficiencies: 0
Date: Sep 27, 2024
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received on 09/20/2024 regarding staff behavior and resident treatment.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included staff speaking inappropriately to residents and cutting a resident's hair against their will. Interviews and training records did not support these claims.
Findings
The investigation found no substantiated evidence that staff spoke inappropriately to residents or cut a resident's hair against their will. Residents and staff interviews indicated respectful interactions and that haircuts are not provided by staff.
Report Facts
Capacity: 80
Census: 78
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cynthia D Chan | Licensing Program Analyst | Conducted the complaint investigation |
| Rachelle Reyes | Administrator | Met with Licensing Program Analyst during investigation |
| Chanel A. Sanchez | Administrator | Named as facility administrator |
| Tony Vasallo | Licensing Program Manager | Named in report |
Inspection Report
Complaint Investigation
Census: 78
Capacity: 80
Deficiencies: 0
Date: Sep 19, 2024
Visit Reason
An unannounced complaint investigation was conducted regarding an allegation that staff did not seek timely medical care for a resident.
Complaint Details
The complaint alleged that a resident developed an open wound that went unnoticed for several days, resulting in maggot infestation. Interviews and file reviews showed timely wound care and medical attention once the issue was identified. The allegation was unsubstantiated.
Findings
The investigation found that staff and residents denied the allegation. The resident received weekly wound care from a specialist, and the facility sought timely medical care once aware of the wound issue. The allegation was determined to be unsubstantiated due to insufficient evidence.
Report Facts
Capacity: 80
Census: 78
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jose Villalobos | Licensing Program Analyst | Conducted the complaint investigation |
| Fernando Fierros | Licensing Program Manager | Named in report signature |
| Rachelle Reyes | Administrator | Met with Licensing Program Analyst during investigation |
Inspection Report
Complaint Investigation
Census: 79
Capacity: 80
Deficiencies: 0
Date: Sep 12, 2024
Visit Reason
An unannounced complaint investigation was conducted in response to allegations that the facility illegally evicted a resident and was not following a resident's contract.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included illegal eviction of a resident and failure to follow the resident's contract. Interviews and document reviews did not provide sufficient evidence to prove violations.
Findings
The investigation found that the resident did not adhere to house rules per the admission agreement and the 30-day eviction notice contained all required elements. Both allegations were determined to be unsubstantiated due to lack of preponderance of evidence.
Report Facts
Capacity: 80
Census: 79
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Christian Gutierrez | Licensing Program Analyst | Conducted the complaint investigation |
| Tony Vasallo | Licensing Program Manager | Named in report as Licensing Program Manager |
| Rachelle Reyes | Administrator | Facility administrator met during investigation |
Inspection Report
Complaint Investigation
Census: 75
Capacity: 80
Deficiencies: 1
Date: Aug 27, 2024
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations that staff mismanaged residents' medication and did not provide a safe and comfortable environment for residents.
Complaint Details
The complaint investigation was conducted following allegations received on 02/13/2024. The investigation included interviews with staff and residents, review of resident and staff rosters, medication records, and direct observations. The allegation regarding unsafe environment was substantiated, while the medication mismanagement allegation was unsubstantiated.
Findings
The allegation that staff did not provide a safe and comfortable environment was substantiated due to evidence of medication carts being left unattended and unlocked. The allegation that staff mismanaged residents' medication was unsubstantiated based on interviews, record reviews, and observations.
Deficiencies (1)
CCR 87465(h)(2) requires centrally stored medicines to be kept in a safe and locked place accessible only to responsible employees. Staff #8 left the medication cart unattended and unlocked for several minutes, posing an immediate health and safety risk.
Report Facts
Facility Capacity: 80
Resident Census: 75
Staff Confirmations: 5
Residents Not Corroborating: 10
Residents Denying Medication Mismanagement: 9
Staff Denying Medication Mismanagement: 8
Resident Medication Records Reviewed: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tyler Reyes | Licensing Program Analyst | Conducted the complaint investigation |
| Francine Reyes | Wellness Director | Met with Licensing Program Analyst during investigation and exit interview |
| Chanel A. Sanchez | Administrator | Facility administrator mentioned in report |
| Elizabeth Martinez | Assistant | Met with Licensing Program Analyst during prior complaint visit |
| Rachelle Reves | Administrator | Met with Licensing Program Analyst during subsequent complaint visit |
Inspection Report
Complaint Investigation
Census: 76
Capacity: 80
Deficiencies: 0
Date: Aug 6, 2024
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations that staff did not assist residents with obtaining and administering medication and did not ensure the facility was clean and sanitary.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included failure to assist residents with medication and failure to maintain cleanliness. Interviews with staff and residents, record reviews, and facility tours did not confirm the allegations.
Findings
The investigation found no preponderance of evidence to substantiate the allegations. Staff and residents denied the allegations, and records showed medications were administered as prescribed except for a brief delay due to insurance billing. Housekeeping was performed daily with regular deep cleaning.
Report Facts
Capacity: 80
Census: 76
Medication delay days: 6
Residents interviewed: 7
Staff interviewed: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Francine Reyes | Wellness Director | Met with Licensing Program Analyst during investigation and provided information |
| Sanjay Vaid | Licensing Program Analyst | Conducted the complaint investigation |
| Fernando Fierros | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 73
Capacity: 80
Deficiencies: 0
Date: Jul 2, 2024
Visit Reason
An unannounced complaint investigation visit was conducted due to an allegation that staff did not safeguard a resident's personal items.
Complaint Details
The complaint alleged that staff and residents were stealing information and documents from Resident #1's locked drawer. Staff denied the allegation, and most residents could not corroborate it. Resident #1 believed someone was stealing documents but could not specify details. The Licensing Program Analyst observed that Resident #1 had the key to their drawer and found no incident reports or documentation supporting the claim. The allegation was deemed unsubstantiated due to lack of evidence.
Findings
The investigation found insufficient evidence to substantiate the allegation that staff or residents were stealing documents from a resident's locked drawer. Interviews, file reviews, and observations did not support the claim, resulting in the allegation being unsubstantiated.
Report Facts
Capacity: 80
Census: 73
Inspection Report
Complaint Investigation
Census: 76
Capacity: 80
Deficiencies: 0
Date: May 31, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that staff were not preventing a resident from harassing another resident while in care.
Complaint Details
The complaint alleged that roommates R1 and R2 were involved in verbal altercations with R1 being harassed by R2 and staff not intervening. Interviews with staff and residents denied knowledge or occurrence of such altercations. Resident R1 was sent for psychiatric evaluation unrelated to the allegation. The allegation was determined to be unsubstantiated due to lack of evidence.
Findings
The investigation found insufficient evidence to substantiate the allegation. Interviews with staff and residents, review of incident reports, and resident files did not support the claim that staff failed to intervene in resident altercations.
Report Facts
Capacity: 80
Census: 76
Inspection Report
Complaint Investigation
Census: 75
Capacity: 80
Deficiencies: 0
Date: May 3, 2024
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations of staff mismanaging residents' medication and not providing a safe and comfortable environment for residents.
Complaint Details
The complaint alleged staff mismanaged residents' medication and failed to provide a safe and comfortable environment. The investigation found no preponderance of evidence to substantiate these allegations, and they were deemed unsubstantiated.
Findings
The investigation included interviews with residents and staff, review of medication and training records, and observation. The allegations were found to be unsubstantiated due to insufficient evidence to prove the violations occurred.
Report Facts
Facility Capacity: 80
Resident Census: 75
Inspection Report
Complaint Investigation
Census: 75
Capacity: 80
Deficiencies: 0
Date: May 3, 2024
Visit Reason
The visit was an unannounced complaint investigation triggered by multiple allegations including questionable death, resident fall, medication mismanagement, delayed medical treatment, unresponsiveness to resident calls, and neglect related to soiled diapers.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included questionable death, resident fall, medication mismanagement, delayed medical treatment, unresponsiveness to resident calls, and neglect with soiled diapers. Interviews and record reviews did not support the allegations.
Findings
The investigation found no sufficient evidence to substantiate the allegations. Medical treatment was timely, staff responded to calls, and medication management was appropriate. The allegations were deemed unsubstantiated due to lack of preponderance of evidence.
Report Facts
Facility Capacity: 80
Resident Census: 75
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nicol Wesley | Licensing Program Analyst | Conducted the complaint investigation and interviews |
| Lisa Hicks | Licensing Program Manager | Named in report as Licensing Program Manager |
| Rachelle Reves | Administrator | Met with Licensing Program Analyst during investigation |
Inspection Report
Complaint Investigation
Census: 76
Capacity: 80
Deficiencies: 0
Date: Feb 29, 2024
Visit Reason
The visit was an unannounced complaint investigation conducted in response to multiple allegations received on 2023-04-18 regarding resident care and facility management at Norwalk Retirement Villa.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included staff failing to prevent resident drug use, medication errors, delayed medication replenishment, residents left in soiled clothing, improper financial ledger maintenance, inadequate safety measures to prevent wandering, and unauthorized persons sleeping in the facility. None of these allegations were corroborated by staff or resident interviews or documentation.
Findings
The investigation found no preponderance of evidence to substantiate any of the allegations, including issues related to illegal narcotics use, medication dispensing, resident care, financial ledger maintenance, safety measures, and unauthorized persons in the facility. All allegations were determined to be unsubstantiated based on staff and resident interviews, record reviews, and observations.
Report Facts
Capacity: 80
Census: 76
Inspection Report
Complaint Investigation
Census: 68
Capacity: 80
Deficiencies: 0
Date: Dec 21, 2023
Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that staff did not provide adequate supervision resulting in a resident wandering away from the facility.
Complaint Details
The complaint alleged inadequate supervision leading to a resident wandering away. The investigation found the allegation unsubstantiated due to lack of sufficient evidence, with staff and residents affirming proper supervision and the resident having the right to leave unassisted.
Findings
Based on interviews with staff, residents, review of client files, and facility records, there was insufficient evidence to substantiate the allegation of inadequate supervision. The resident in question had physician authorization to leave the facility unassisted and was currently hospitalized.
Report Facts
Facility Capacity: 80
Resident Census: 68
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Chanel A. Sanchez | Administrator | Met during investigation and named in report |
| Glenn Trueman | Licensing Program Analyst | Conducted the complaint investigation |
Inspection Report
Complaint Investigation
Census: 68
Capacity: 80
Deficiencies: 1
Date: Dec 8, 2023
Visit Reason
A case management visit was conducted during the investigation of complaint 28-AS-20231201155952 by Licensing Program Analyst Nune Margaryan.
Complaint Details
The visit was conducted as part of the investigation of complaint 28-AS-20231201155952.
Findings
One deficiency was observed related to staff handling of residents' financial information. It was found that one staff member (S3) assisted residents in obtaining personal financial information, which is not permitted except by the designated staff member (S2).
Deficiencies (1)
CCR 87208(a): The facility failed to maintain a current, written plan of operation as required. One staff member (S3) was found assisting residents with financial matters and obtaining personal information, which is restricted to a designated staff member (S2).
Report Facts
Deficiency Type B: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Chanel A. Sanchez | Administrator | Facility administrator interviewed during the visit and provided with report and appeal. |
| Nune Margaryan | Licensing Program Analyst | Conducted the complaint investigation visit and authored the report. |
| Wei Siew Ho | Supervisor | Supervisor overseeing the licensing evaluation. |
Inspection Report
Complaint Investigation
Census: 68
Capacity: 80
Deficiencies: 0
Date: Dec 8, 2023
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations that staff did not provide a 60-day notice of rent increase and that staff demanded financial information from a resident.
Complaint Details
The complaint involved two allegations: failure to provide a 60-day notice of rent increase and staff demanding financial information from a resident. Both allegations were investigated through record reviews and interviews with staff and residents and were found unsubstantiated.
Findings
The investigation found insufficient evidence to corroborate the allegations. Records and interviews confirmed that residents were notified of rent increases and that staff did not demand debit card PINs from residents. Both allegations were unsubstantiated.
Report Facts
Capacity: 80
Census: 68
Inspection Report
Complaint Investigation
Census: 68
Capacity: 80
Deficiencies: 0
Date: Dec 7, 2023
Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation of illegal eviction at Norwalk Retirement Villa.
Complaint Details
The complaint alleged illegal eviction. After review of resident files, staff files, eviction notices, warning letters, and interviews, the allegation was found unsubstantiated due to lack of preponderance of evidence.
Findings
The investigation found the eviction notice to be legal after reviewing documents and interviews. There was insufficient evidence to substantiate the allegation, resulting in an unsubstantiated finding.
Report Facts
Facility Capacity: 80
Resident Census: 68
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Chanel A. Sanchez | Administrator | Named in relation to eviction notice and investigation |
| Nicol Wesley | Licensing Program Analyst | Conducted the complaint investigation |
| Elizabeth Martinez | Involved in attaching warning notices to eviction notice |
Inspection Report
Complaint Investigation
Census: 68
Capacity: 80
Deficiencies: 0
Date: Dec 7, 2023
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received on 2023-11-09 regarding failure to assist a resident with diaper changes, denial of visitors violating residents' personal rights, and failure to keep residents' furniture in good repair.
Complaint Details
The complaint investigation was unsubstantiated based on interviews with residents and staff, review of client files, and facility records. Allegations included failure to assist with diaper changes, denial of visitors, and failure to maintain furniture. No preponderance of evidence was found to prove violations.
Findings
The investigation found insufficient evidence to substantiate the allegations. Interviews with residents and staff indicated that diaper changes and showers were provided timely, visitation was not denied in the recent month, and furniture was maintained or repaired as needed.
Report Facts
Capacity: 80
Census: 68
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Chanel A. Sanchez | Administrator | Met during the investigation and given a copy of the report |
| Nicol Wesley | Licensing Program Analyst | Conducted the complaint investigation |
| Lisa Hicks | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Annual Inspection
Census: 66
Capacity: 80
Deficiencies: 0
Date: Nov 21, 2023
Visit Reason
Licensing Program Analyst Nicol Wesley conducted a required 1 year (annual continuation) visit to evaluate compliance and facility conditions.
Findings
The facility was toured and inspected including medication room, fire safety equipment, and resident interviews. No deficiencies were found according to California Code of Regulations, Title 22.
Report Facts
Fire extinguishers observed: 7
Residents interviewed: 9
Staff interviewed: 5
Hospice waiver capacity: 30
Resident rooms: 40
Bedridden resident rooms: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Chanel A. Sanchez | Administrator | Met with Licensing Program Analyst during the inspection. |
| Elizabeth Martinez | Assistant Administrator | Met with Licensing Program Analyst during the inspection. |
| Nicol Wesley | Licensing Program Analyst | Conducted the annual continuation visit. |
Inspection Report
Complaint Investigation
Census: 66
Capacity: 80
Deficiencies: 1
Date: Nov 21, 2023
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations received on 2023-11-16 regarding staff not preventing smoking in undesignated areas and improper ventilation in residents' rooms.
Complaint Details
The complaint investigation was substantiated for the allegation that staff do not prevent smoking in undesignated areas. The allegation that staff do not provide proper ventilation in residents' rooms was unsubstantiated.
Findings
The allegation that staff do not prevent smoking in undesignated areas was substantiated, with residents ignoring posted signs and staff not consistently enforcing rules. The allegation regarding improper ventilation in residents' rooms was unsubstantiated as most residents reported adequate ventilation and air conditioning service records were provided.
Deficiencies (1)
CCR 87468.1(a)(2): The facility failed to keep residents from smoking in undesignated areas in front of the facility, posing health and safety risks.
Report Facts
Capacity: 80
Census: 66
Plan of Correction Due Date: Dec 5, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nicol Wesley | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Chanel A. Sanchez | Administrator | Facility administrator met during the investigation |
Inspection Report
Annual Inspection
Census: 66
Capacity: 80
Deficiencies: 0
Date: Nov 16, 2023
Visit Reason
Licensing Program Analyst Nicol Wesley conducted a required 1 year unannounced visit to evaluate the facility's compliance with licensing requirements.
Findings
The facility is licensed to serve 80 non-ambulatory residents aged 60 and above, with 10 designated bedridden beds and an approved hospice waiver for 30 residents. The visit included a tour of the facility and inspection of the medication room and hot water temperature.
Inspection Report
Complaint Investigation
Census: 70
Capacity: 80
Deficiencies: 0
Date: Nov 6, 2023
Visit Reason
The visit was an unannounced complaint investigation conducted to examine allegations that staff did not provide residents with meals and that staff stole money from a resident.
Complaint Details
The complaint involved two allegations: staff not providing residents with meals and staff stealing money from a resident. Both allegations were unsubstantiated after investigation.
Findings
The investigation found no corroborating evidence from staff or resident interviews to support the allegations. Based on record review and interviews, the allegations were determined to be unsubstantiated.
Report Facts
Capacity: 80
Census: 70
Meals provided: 3
Snacks provided: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Irra | Licensing Program Analyst | Conducted the complaint investigation |
| Elizabeth Martinez | Business Office Manager/Assistant Administrator | Met with Licensing Program Analyst during investigation |
| Chanel A. Sanchez | Administrator | Facility administrator named in report header |
Inspection Report
Complaint Investigation
Census: 67
Capacity: 80
Deficiencies: 0
Date: Nov 2, 2023
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations received on 2023-04-07 regarding a resident sustaining an unexplained fracture and improper transfer by staff resulting in dropping the resident.
Complaint Details
The complaint involved two allegations: a resident sustained an unexplained fracture while in staff care, and staff did not transfer the resident properly resulting in dropping. The investigation found no conclusive evidence to substantiate these allegations.
Findings
The investigation included interviews, record reviews, and medical evaluations. The allegations were found to be unsubstantiated due to lack of preponderance of evidence.
Report Facts
Capacity: 80
Census: 67
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Angelica Rea | Licensing Program Analyst | Conducted the complaint investigation and issued the report |
| Chanel A. Sanchez | Administrator | Facility administrator who assisted with the investigation visit |
Inspection Report
Complaint Investigation
Census: 72
Capacity: 80
Deficiencies: 0
Date: Sep 21, 2023
Visit Reason
The visit was an unannounced complaint investigation conducted to investigate multiple allegations received on 09/13/2023 regarding resident care and facility practices at Norwalk Retirement Villa.
Complaint Details
The complaint investigation was triggered by allegations including staff leaving a resident in soiled incontinence briefs, unlawful eviction, failure to update SSI on residents' living situations, unauthorized disclosure of confidential information, and failure to assist residents with medication and wound care orders. The investigation concluded all allegations were unsubstantiated due to lack of evidence.
Findings
The investigation found no corroborating evidence to substantiate the allegations, including claims of staff neglect, unlawful eviction, failure to update SSI, unauthorized disclosure of confidential information, and failure to assist residents with medication or wound care orders. The allegations were determined to be unsubstantiated.
Report Facts
Capacity: 80
Census: 72
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Irra | Licensing Program Analyst | Conducted the complaint investigation |
| Chanel A. Sanchez | Executive Director/Administrator | Facility administrator involved in the investigation |
| Elizabeth Martinez | Business Office Manager/Assistant Administrator | Facility staff met during the investigation |
Inspection Report
Complaint Investigation
Census: 72
Capacity: 80
Deficiencies: 0
Date: Aug 25, 2023
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations received on 04/18/2023 regarding food quality, emergency evacuation plan posting, fire drill frequency, and planned activities for residents.
Complaint Details
The complaint investigation was unsubstantiated based on record review, observations, and interviews with staff and residents. Allegations included poor food quality, lack of posted emergency evacuation plan, failure to conduct monthly fire drills, and absence of planned activities.
Findings
The investigation found no preponderance of evidence to substantiate the allegations. Food quality was observed to be good, the emergency evacuation plan was posted and legible, fire drills were conducted every three months as required, and residents had planned activities.
Report Facts
Capacity: 80
Census: 72
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Chanel A. Sanchez | Administrator | Met with Licensing Program Analyst during investigation and participated in exit interview |
| Kruz Long | Licensing Program Analyst | Conducted the complaint investigation visit |
Inspection Report
Complaint Investigation
Census: 74
Capacity: 80
Deficiencies: 0
Date: Aug 18, 2023
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received on 2023-04-21 regarding resident care issues including timely showering, assistance with getting out of bed, provision of special diets, and offering food to residents missing meals due to dialysis.
Complaint Details
The complaint investigation was unsubstantiated based on interviews with residents and staff, review of resident records, and facility documentation. Allegations included failure to shower residents timely, failure to assist residents out of bed, failure to provide special diets, and failure to offer food to residents missing meals due to dialysis. No preponderance of evidence was found to prove violations.
Findings
The investigation found insufficient evidence to substantiate the allegations. Interviews with residents and staff, as well as review of records, indicated that residents receive timely shower assistance, help with getting out of bed, accommodation of special diets, and food offerings before and after dialysis.
Report Facts
Capacity: 80
Census: 74
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Erik Zaragoza | Licensing Program Analyst | Conducted the complaint investigation |
| David Sicairos | Licensing Program Manager | Oversaw the complaint investigation |
| Chanel A. Sanchez | Administrator | Facility administrator involved in the investigation |
| Elizabeth Martinez | Assistant Administrator | Met with Licensing Program Analyst during investigation |
| S6 | Dietary Cook | Interviewed regarding specialized diets and food provision |
Inspection Report
Complaint Investigation
Census: 69
Capacity: 80
Deficiencies: 0
Date: Jul 31, 2023
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations including failure to report unusual incidents, non-adherence to resident payment agreements, and presence of an exposed pipe in a resident's bedroom.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included failure to report unusual incidents, non-adherence to payment agreements, and an exposed pipe in a resident's room. Evidence did not support violations.
Findings
The investigation found no substantiated violations. Staff were unaware of the alleged unreported incident. A payment plan was in place for the resident with outstanding balance, and the resident did not dispute it. A partially exposed pipe was observed but was not deemed a health or safety hazard.
Report Facts
Capacity: 80
Census: 69
Inspection Report
Complaint Investigation
Census: 67
Capacity: 80
Deficiencies: 1
Date: Jun 12, 2023
Visit Reason
An unannounced complaint investigation visit was conducted to investigate multiple allegations including wrongful eviction, failure to safeguard resident belongings, lack of privacy, inadequate medical attention, uncomfortable room temperature, and poor communication responsiveness.
Complaint Details
The complaint investigation was unannounced and focused on allegations including wrongful eviction, failure to safeguard belongings, lack of privacy, inadequate medical attention, uncomfortable room temperature, and poor communication. All allegations except the facility disrepair were found unsubstantiated due to lack of evidence.
Findings
The investigation found insufficient evidence to substantiate most allegations, including wrongful eviction, safeguarding belongings, privacy, medical attention, room temperature, and communication issues. However, the allegation that the facility was in disrepair was substantiated due to a damaged screen door rail posing a health and safety hazard.
Deficiencies (1)
CCR 87303(a) Maintenance and Operation. The facility was not in good repair as the screen door in room 19A did not close properly and posed a health and safety hazard to residents.
Report Facts
Capacity: 80
Census: 67
Deficiencies cited: 1
Plan of Correction Due Date: 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Chanel A. Sanchez | Administrator | Interviewed regarding allegations and facility operations |
| Alberto Lopez | Licensing Program Analyst | Conducted the complaint investigation visit |
| Lisa Hicks | Licensing Program Manager | Oversaw the complaint investigation report |
Inspection Report
Complaint Investigation
Census: 61
Capacity: 80
Deficiencies: 0
Date: May 23, 2023
Visit Reason
An unannounced complaint investigation visit was conducted to investigate allegations regarding residents smoking in undesignated areas, facility maintenance issues, and obstruction of passageways.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included staff not preventing residents from smoking in undesignated areas, staff not maintaining the facility in good repair, and staff not maintaining passageways free from obstruction. Interviews and observations did not support these allegations.
Findings
The investigation found insufficient evidence to substantiate the allegations. Staff and residents reported that smoking occurs only in designated areas, the facility's air conditioning and heating were functioning properly, and the entrance/exit door was not obstructed by residents in wheelchairs.
Report Facts
Capacity: 80
Census: 61
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Chanel A. Sanchez | Administrator | Met with Licensing Program Analyst during complaint investigation |
| Alma Gonzalez | Licensing Program Analyst | Conducted the complaint investigation visit |
Inspection Report
Complaint Investigation
Census: 65
Capacity: 80
Deficiencies: 0
Date: Apr 24, 2023
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations received on 01/04/2022 regarding insufficient care for a resident with COVID-19, unsafe food, facility cleanliness, and untrained staff.
Complaint Details
The complaint involved allegations that a resident with COVID-19 was not receiving sufficient care, unsafe food was served, the facility was dirty, and staff were untrained. After interviews and observations, the allegations were unsubstantiated.
Findings
The investigation found no preponderance of evidence to substantiate the allegations. Staff and residents denied the claims, and observations showed compliance with infection control, food safety, and housekeeping protocols.
Report Facts
Capacity: 80
Census: 65
Staff interviewed: 6
Residents interviewed: 4
Food handler certificates verified: 3
Senior staff training certificates verified: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Ramirez | Licensing Program Analyst | Conducted the complaint investigation visit |
| Chanel Sanchez | Administrator | Facility administrator involved in the investigation and interview |
Inspection Report
Complaint Investigation
Census: 65
Capacity: 80
Deficiencies: 0
Date: Apr 24, 2023
Visit Reason
The visit was an unannounced complaint investigation conducted in response to multiple allegations received on 03/18/2022 regarding security breaches, notification failures, financial fraud, and facility phone disrepair.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included staff failing to prevent strangers from breaking into a resident's room, failure to notify police and residents' authorized representatives, financial fraud, and facility phone disrepair. Interviews and document reviews did not support these claims.
Findings
The investigation found no preponderance of evidence to substantiate the allegations. Staff and residents denied the claims, no police reports or incident reports were found, and the facility phone was operational during the visit.
Report Facts
Capacity: 80
Census: 65
Staff interviewed: 6
Residents interviewed: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Ramirez | Licensing Program Analyst | Conducted the complaint investigation visit |
| Chanel Sanchez | Administrator | Met with Licensing Program Analyst during the visit |
Inspection Report
Complaint Investigation
Census: 69
Capacity: 80
Deficiencies: 0
Date: Apr 7, 2023
Visit Reason
An unannounced complaint investigation visit was conducted regarding an allegation that facility staff did not treat a resident with dignity and respect.
Complaint Details
The complaint alleged that facility staff did not treat a resident with dignity and respect. The investigation found no preponderance of evidence to prove the alleged violation, resulting in an unsubstantiated finding.
Findings
Interviews with six residents and five staff members indicated that staff treated residents respectfully. Documentation review and staff training records were consistent with compliance. The allegation was unsubstantiated due to lack of preponderance of evidence.
Report Facts
Capacity: 80
Census: 69
Inspection Report
Complaint Investigation
Census: 76
Capacity: 80
Deficiencies: 0
Date: Mar 3, 2023
Visit Reason
The visit was an unannounced complaint investigation triggered by multiple allegations received on 06/11/2021 regarding staff mismanagement of residents' medication, inadequate food service, failure to safeguard residents' belongings, failure to prevent inappropriate resident comments, failure to seek medical attention, and facility phone disrepair.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included medication mismanagement, inadequate food service, failure to safeguard belongings, failure to prevent inappropriate comments, failure to seek medical attention, and phone disrepair. Staff and residents denied these allegations, and no evidence was found to prove violations.
Findings
The investigation found no substantiated evidence to support the allegations. Staff and residents interviewed denied the allegations, observations confirmed proper medication administration, food handling, safeguarding of belongings, resident supervision, medical attention, and phone operability.
Report Facts
Capacity: 80
Census: 76
Staff interviewed: 5
Residents interviewed: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Ramirez | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Tony Vasallo | Licensing Program Manager | Oversaw the complaint investigation |
| Chanel Sanchez | Administrator | Facility administrator present during investigation and interview |
Inspection Report
Complaint Investigation
Census: 64
Capacity: 80
Deficiencies: 0
Date: Feb 27, 2023
Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that a resident was denied a rent refund.
Complaint Details
The complaint alleged that a resident was denied a rent refund. The investigation included interviews with staff, the resident, and the resident's financial representative, as well as review of supporting documentation. The allegation was found to be unsubstantiated.
Findings
The investigation found that the resident was issued a pro-rated refund check to their payee representative and confirmed by staff and the resident's financial representative. There was insufficient evidence to prove the allegation, so it was unsubstantiated.
Report Facts
Capacity: 80
Census: 64
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Martinez | Assistant Administrator | Interviewed during complaint investigation |
| Ashley Calderon | Licensing Program Analyst | Conducted complaint investigation |
Inspection Report
Complaint Investigation
Census: 71
Capacity: 80
Deficiencies: 0
Date: Jan 31, 2023
Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that facility staff did not ensure a resident received their dialysis treatment while in care.
Complaint Details
The complaint alleged that facility staff did not ensure that a resident received their dialysis treatment while in care. The allegation was found to be unsubstantiated after investigation.
Findings
The investigation found that Resident #1 refused dialysis treatments on multiple occasions, with refusals documented and the dialysis center and doctor notified each time. Interviews with other residents indicated they were receiving medical assistance. The allegation was unsubstantiated due to lack of preponderance of evidence.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kruz Long | Licensing Program Analyst | Conducted the complaint investigation and authored the report. |
| Fernando Fierros | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation. |
| Chanel Sanchez | Executive Director | Facility representative met during the investigation and exit interview. |
Inspection Report
Annual Inspection
Census: 60
Capacity: 80
Deficiencies: 3
Date: Dec 6, 2022
Visit Reason
An unannounced site visit was conducted for the Required - 1 Year inspection focusing on infection control.
Findings
The inspection found several deficiencies related to maintenance and operation, including improper water temperature in resident tubs, a broken towel rack, and a torn door screen. All deficiencies were corrected during the visit or scheduled for correction with plans of correction submitted.
Deficiencies (3)
CCR 87303(e)(2) Water supplies and plumbing fixtures were not maintained properly. Room 33 tub water measured 90°F and room 11 tub water measured 123.5°F, posing an immediate health and safety risk.
CCR 87303(a) The facility was not maintained in good repair. Room 13 towel rack was off the wall, posing a potential health and safety risk.
CCR 87303(c) Window screens were not maintained in good repair. One door screen was torn, posing a potential health and safety risk.
Report Facts
Deficiencies cited: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Alberto Lopez | Licensing Evaluator | Conducted the inspection and signed the report |
| Lisa Pham | Administrator | Met with Licensing Evaluator during inspection and named in report |
| Elizabeth Martinez | Assistant Administrator | Met with Licensing Evaluator during inspection and named in report |
| Lisa Hicks | Supervisor | Named as supervisor on the report |
Inspection Report
Complaint Investigation
Census: 49
Capacity: 80
Deficiencies: 0
Date: Nov 29, 2022
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations that staff were not providing residents with adequate food service and were not treating residents with dignity.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included inadequate food service and lack of dignity in staff treatment. Interviews and observations did not support these claims.
Findings
The investigation found that six out of seven residents reported receiving a second round of food when requested and that food service was adequate. Most residents and staff denied the allegations of disrespectful treatment, and observations confirmed staff treated residents with respect. The allegations were unsubstantiated due to lack of preponderance of evidence.
Report Facts
Capacity: 80
Census: 49
Number of interviewed residents: 7
Number of interviewed staff: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Bonnie Tao | Licensing Program Analyst | Conducted the complaint investigation |
| Lisa Pham | Administrator | Facility administrator met during the investigation and exit interview |
| Elizabeth Martinez | Administrator Assistant | Met with Licensing Program Analyst during the investigation |
Inspection Report
Complaint Investigation
Census: 48
Capacity: 80
Deficiencies: 0
Date: Nov 1, 2022
Visit Reason
The visit was an unannounced complaint investigation regarding an allegation that the facility does not adhere to the Admissions Agreement, specifically concerning rent increases without proper notice.
Complaint Details
The complaint alleged that the facility increased rent without providing a 60-day notice. The investigation included interviews with residents and staff, and review of admission agreements and notices. The allegation was found to be unsubstantiated.
Findings
The investigation found that the facility increased rent without a 60-day notice prior to the increase. Interviews and document reviews showed mixed awareness among residents and staff about the rent increase and admissions agreement. The allegation was found to be unsubstantiated based on the preponderance of evidence.
Report Facts
Capacity: 80
Census: 48
Rent increase amount: 1234
Previous rent amount: 1099
Date of rent increase notice: Dec 13, 2021
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lisa Pham | Administrator | Facility administrator present at exit interview |
| Mary G Flores | Licensing Program Analyst | Conducted complaint investigation visit |
| Kimberly Ramirez | Licensing Program Analyst | Conducted complaint investigation visit |
Inspection Report
Complaint Investigation
Census: 48
Capacity: 80
Deficiencies: 0
Date: Oct 31, 2022
Visit Reason
The visit was an unannounced complaint investigation regarding an allegation that staff did not provide a resident with an admissions agreement when requested.
Complaint Details
The complaint alleged that staff did not provide a resident with an admissions agreement upon request. The allegation was unsubstantiated after interviews and review of documentation showed no proof the resident requested the agreement after moving in.
Findings
The investigation found that the resident was provided a copy of the admissions agreement once signed and an explanation of the price. Staff denied the allegation and residents could not corroborate it, resulting in the allegation being unsubstantiated due to lack of evidence.
Report Facts
Facility Capacity: 80
Resident Census: 48
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jose Villalobos | Licensing Program Analyst | Conducted the complaint investigation visit |
| Elizabeth Martinez | Assistant Administrator | Met with Licensing Program Analyst during the investigation |
Inspection Report
Complaint Investigation
Census: 48
Capacity: 80
Deficiencies: 0
Date: Oct 27, 2022
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations received on 2022-01-12 regarding staff not assisting residents with self-administration of medication and not responding to residents' calls for assistance.
Complaint Details
The complaint investigation was unsubstantiated for both allegations: 1) Staff do not assist resident with self-administration medication, and 2) Staff do not respond to resident's call for assistance.
Findings
The investigation found no preponderance of evidence to substantiate the allegations. Staff were observed administering medications timely and responding to residents' calls. Both allegations were found to be unsubstantiated.
Report Facts
Capacity: 80
Census: 48
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Ceniceros | Licensing Program Analyst | Conducted the complaint investigation visit |
| Elizabeth Martinez | Assistant Administrator | Facility representative met during investigation |
Inspection Report
Complaint Investigation
Census: 34
Capacity: 80
Deficiencies: 0
Date: Jul 25, 2022
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations received on 07/19/2022 regarding resident care and safety concerns at the facility.
Complaint Details
The complaint included allegations that staff did not ensure a resident was properly dressed at night, a staff member was verbally abusive toward a resident, and the facility did not provide a safe environment. The investigation was unsubstantiated based on interviews, observations, and file reviews.
Findings
The investigation found no preponderance of evidence to substantiate the allegations that staff failed to properly dress a resident at night, verbally abused a resident, or failed to provide a safe environment. Residents and staff interviews, file reviews, and observations supported that residents were properly cared for and felt safe.
Report Facts
Capacity: 80
Census: 34
Inspection Report
Census: 36
Capacity: 80
Deficiencies: 1
Date: May 17, 2022
Visit Reason
The visit was a case management inspection initiated upon completion of an initial 10-day complaint visit at the facility.
Findings
The facility was found to have deficiencies related to the absence of a permanent sign displaying the facility's business name on the building or marquee, which poses a health and safety risk to residents.
Deficiencies (1)
CCR 87303(a): The facility was not clean, safe, sanitary, and in good repair as it lacked a permanent sign displaying the facility's business name on the building or marquee. This deficiency was previously cited on 06/18/21 and poses a health and safety risk to residents.
Report Facts
Capacity: 80
Census: 36
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lisa Pham | Administrator | Named in relation to the inspection and deficiencies |
| Elizabeth Martinez | Assistant Administrator | Met with Licensing Program Analyst during the inspection |
| Nicol Wesley | Licensing Program Analyst | Conducted the case management inspection |
| Lisa Hicks | Supervisor | Supervisor overseeing the inspection |
Inspection Report
Capacity: 80
Deficiencies: 1
Date: May 13, 2022
Visit Reason
The inspection was a case management visit initiated upon completion of an initial 10-day complaint visit at the facility.
Findings
Deficiencies were observed and cited related to the facility not having a permanent sign with the business name on the building, which poses a health and safety risk to residents. The deficiency was previously cited and remains uncorrected.
Deficiencies (1)
CCR 87303(a): The facility shall be clean, safe, sanitary and in good repair at all times. The facility does not have their business name on the building, marque, or attached anywhere on the building, which poses a health and safety risk to residents.
Report Facts
Plan of Correction Due Date: May 27, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lisa Pham | Administrator | Facility Administrator present during inspection |
| Elizabeth Martinez | Assistant Administrator | Assistant Administrator present during inspection |
| Nicol Wesley | Licensing Program Analyst | Licensing evaluator who conducted the inspection |
| Lisa Hicks | Supervisor | Supervisor overseeing the inspection |
Inspection Report
Complaint Investigation
Census: 30
Capacity: 80
Deficiencies: 0
Date: May 10, 2022
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations that the facility does not provide hygiene items for residents and does not maintain testing equipment for residents.
Complaint Details
The complaint investigation was unannounced and conducted by Licensing Program Analyst Mary G Flores. Allegations included failure to provide hygiene items such as razors and failure to maintain testing equipment. Interviews with residents and staff, document reviews, and observations were conducted. The allegations were found unsubstantiated due to lack of preponderance of evidence.
Findings
The investigation found that residents generally receive basic hygiene supplies, but some residents reported not receiving razors. The facility maintains blood pressure and blood sugar testing equipment for residents who require it. There was insufficient evidence to substantiate the allegations, so both were deemed unsubstantiated.
Report Facts
Capacity: 80
Census: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mary G Flores | Licensing Program Analyst | Conducted the complaint investigation |
| Elizabeth Martinez | Assistant Administrator | Met with Licensing Program Analyst during investigation and exit interview |
| Lisa Pham | Administrator | Facility administrator named in report header |
Inspection Report
Complaint Investigation
Census: 31
Capacity: 80
Deficiencies: 1
Date: Mar 24, 2022
Visit Reason
The inspection was conducted as a Case Management visit following an unannounced initial 10-day complaint investigation at the facility.
Complaint Details
The visit was triggered by a complaint investigation identified as Complaint Control #28-AS-20220318145550.
Findings
The inspection found that the facility was conducting an exterior painting project without notifying the Community Care Licensing Division. Additionally, a fire safety deficiency was observed where windows and exit doors were covered with masking and tape, obstructing emergency exits. This deficiency was corrected at the time of the visit.
Deficiencies (1)
CCR 87203 Fire Safety. Facility windows and sliding glass exit doors were covered with masking and tape, obstructing emergency exits and posing a health and safety issue. The obstruction was removed during the visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Adam Zenou | Licensee | Named in relation to the painting project and correction of fire safety deficiency. |
| Elizabeth Martinez | Assistant Administrator | Met during the inspection and provided information about the painting project. |
Inspection Report
Complaint Investigation
Census: 26
Capacity: 80
Deficiencies: 0
Date: Mar 2, 2022
Visit Reason
An unannounced complaint investigation was conducted to investigate allegations including unsafe environment, over medication, inadequate hygiene services, and failure to safeguard resident personal information.
Complaint Details
The complaint investigation was unsubstantiated based on interviews, document reviews, and observations. Allegations included unsafe environment, over medication, inadequate hygiene, and failure to safeguard personal information, all found unsubstantiated.
Findings
The investigation found no evidence to substantiate the allegations. Residents and staff reported feeling safe, proper medication administration, adequate hygiene care, and safeguarding of personal information were maintained.
Report Facts
Capacity: 80
Census: 26
Inspection Report
Complaint Investigation
Census: 26
Capacity: 80
Deficiencies: 0
Date: Mar 2, 2022
Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation of insufficient staffing to meet residents' needs.
Complaint Details
The complaint alleged insufficient staffing to meet residents' needs. The allegation was unsubstantiated after interviews with staff and residents and review of staffing rosters.
Findings
The investigation found no health or safety concerns and determined that the allegation of insufficient staffing was unsubstantiated. Interviews with staff and residents confirmed that residents' needs were being met and the facility maintained adequate staffing per shift.
Report Facts
Capacity: 80
Census: 26
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Alberto Lopez | Licensing Program Analyst | Conducted the complaint investigation |
| Lisa Pham | Administrator | Facility administrator involved in investigation |
| Elizabeth Martinez | Assistant Administrator | Facility assistant administrator involved in investigation |
Inspection Report
Complaint Investigation
Census: 27
Capacity: 80
Deficiencies: 1
Date: Jan 5, 2022
Visit Reason
An unannounced complaint investigation visit was conducted to address allegations regarding resident care including access to wheelchairs, diapering needs, dignity and respect, and showering needs.
Complaint Details
The complaint investigation was triggered by allegations received on 12/29/2021 concerning resident care issues. The investigation was unannounced and conducted by Licensing Program Analyst Christine Wong. The complaint was partially substantiated regarding showering needs but unsubstantiated for other allegations.
Findings
The investigation found the allegations about wheelchair access, diapering needs, and dignity and respect to be unsubstantiated. However, the allegation that residents' showering needs were not being met was substantiated due to staff not assisting residents and showing impatience during showers.
Deficiencies (1)
CCR 87459(a)(1)(B) Functional Capabilities: The facility failed to meet residents' showering needs as staff only watched residents shower without assisting and sometimes became upset if showers took too long.
Report Facts
Capacity: 80
Census: 27
Plan of Correction Due Date: Jan 18, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Christine Wong | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Lisa Pham | Administrator | Facility administrator named in the report |
Inspection Report
Annual Inspection
Census: 28
Capacity: 80
Deficiencies: 0
Date: Dec 23, 2021
Visit Reason
An unannounced site visit was conducted for the Required - 1 Year inspection to evaluate compliance with licensing regulations.
Findings
The facility was found to be in compliance with Title 22 regulations with no deficiencies observed. The medication storage, fire safety equipment, and facility conditions met regulatory standards.
Inspection Report
Complaint Investigation
Census: 7
Capacity: 80
Deficiencies: 1
Date: Jul 2, 2021
Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that facility staff did not safeguard residents' personal property.
Complaint Details
The complaint alleging failure to safeguard resident personal property was substantiated based on interviews and record reviews. The licensee reimbursed the resident for the missing cellphone with a check dated 01/14/2021.
Findings
The investigation substantiated that staff failed to safeguard resident #1's cellphone, which was missing while the resident was at the facility. The licensee agreed to reimburse the resident for the missing phone.
Deficiencies (1)
CCR 87218(a)(2): The licensee failed to make reasonable efforts to safeguard resident property and must reimburse or replace stolen or lost resident property at its current value. Resident #1's cellphone was last seen at the facility prior to hospital transfer but was not included in the resident's personal property or valuables.
Report Facts
Capacity: 80
Census: 7
Check number: 132
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Martinez | Assistant Administrator | Interviewed regarding safeguarding of resident property |
| Lisa Pham | Administrator | Interviewed regarding missing resident cellphone |
| Adam Zenou | Licensee | Interviewed during complaint investigation |
| Nicol Wesley | Licensing Program Analyst | Conducted complaint investigation |
| Luis Mora | Licensing Program Analyst | Conducted complaint investigation |
Inspection Report
Complaint Investigation
Census: 7
Capacity: 80
Deficiencies: 2
Date: Jun 18, 2021
Visit Reason
The visit was a case management initiated complaint investigation for allegations under complaint control #28-AS-20200220130538.
Complaint Details
The visit was complaint-initiated and involved allegations under complaint control #28-AS-20200220130538. Appeal rights were given and an exit interview was conducted.
Findings
Two deficiencies were noted: medications were not centrally stored and locked, posing a safety hazard, and the facility was found to be unclean and in need of maintenance.
Deficiencies (2)
CCR 87465(h)(1)(C): Medications were not centrally stored and locked, as three labeled boxes of prepared medication were found in an unlocked conference room.
CCR 87303(a): The facility was not clean or in good repair, with leftover food on a dining table, a non-operable TV, debris in the courtyard, and missing business signage.
Report Facts
Deficiencies cited: 2
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