Inspection Reports for
Savant of Tarzana

5711 RESEDA BLVD, TARZANA, CA, 91356

Back to Facility Profile

Deficiencies (last 4 years)

Deficiencies (over 4 years) 3.8 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

5% better than California average
California average: 4 deficiencies/year

Deficiencies per year

8 6 4 2 0
2023
2024
2025
2026

Occupancy

Latest occupancy rate 64% occupied

Based on a January 2026 inspection.

This facility has shown a steady increase in demand based on occupancy rates.

Occupancy rate over time

0% 30% 60% 90% 120% Feb 2023 Mar 2024 Jul 2024 Oct 2024 May 2025 Sep 2025 Jan 2026

Inspection Report

Complaint Investigation
Census: 112 Capacity: 176 Deficiencies: 1 Date: Jan 22, 2026

Visit Reason
An unannounced complaint investigation was conducted to investigate allegations that the licensee did not comply with the terms of a resident's admission agreement, specifically regarding overcharging a resident.

Complaint Details
The complaint was substantiated. The allegation was that the licensee did not comply with the terms of a resident's admission agreement, including overcharging Resident #1 and discrepancies in Resident #2's charges.
Findings
The investigation substantiated that the licensee did not comply with the terms of admission agreements for two residents. Resident #1 was overcharged about $400 monthly since April 2023, and Resident #2 was charged less than their admission agreement amount. Additionally, Resident #1 was charged for a day before the facility was licensed. No immediate health or safety concerns were observed.

Deficiencies (1)
CCR 87507(f) Admission Agreements: The licensee did not comply with the terms of the admission agreements for two residents, posing a potential risk to health, safety, or personal rights.
Report Facts
Census: 112 Total Capacity: 176 Overcharge amount: 400 Deficiencies cited: 1

Employees mentioned
NameTitleContext
Narine MertkhanyanAdministratorMet with Licensing Program Analyst during the investigation
Nicholas ReedLicensing Program AnalystConducted the complaint investigation

Inspection Report

Complaint Investigation
Census: 107 Capacity: 176 Deficiencies: 0 Date: Dec 22, 2025

Visit Reason
Unannounced complaint investigation visit conducted to investigate allegations regarding resident safety, medication administration timeliness, and facility cleanliness.

Complaint Details
The complaint alleged that staff did not ensure a safe environment, timely medication administration, and cleanliness. After interviews, observations, and record reviews, all allegations were deemed unsubstantiated.
Findings
The investigation found no evidence to substantiate the allegations. Staff provided a safe environment, assisted residents with medications timely, and maintained facility cleanliness. No immediate health or safety concerns were observed.

Report Facts
Capacity: 176 Census: 107 Medication assistance frequency: 3 Resident interviews: 11

Employees mentioned
NameTitleContext
Narine MertkhanyanAdministratorMet during investigation and interviewed regarding allegations
Nicholas ReedLicensing Program AnalystConducted the complaint investigation visit

Inspection Report

Complaint Investigation
Census: 107 Capacity: 176 Deficiencies: 0 Date: Dec 22, 2025

Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that staff do not prevent residents from smoking in non-designated areas.

Complaint Details
The complaint alleged that staff failed to prevent residents from smoking in non-designated areas such as the central courtyard, garage, and a room affecting Resident #1's health. The allegation was unsubstantiated based on observations and interviews.
Findings
The investigation found no evidence of residents smoking in non-designated areas. Observations and interviews with staff and residents indicated the allegation was unsubstantiated, with smoke smell attributed to smoke lingering on clothing.

Report Facts
Residents interviewed: 11 Residents observed smoking in designated area: 4

Employees mentioned
NameTitleContext
Narine MertkhanyanAdministratorMet during the investigation and interviewed regarding smoking allegations
Nicholas ReedLicensing Program AnalystConducted the complaint investigation visit

Inspection Report

Complaint Investigation
Census: 107 Capacity: 176 Deficiencies: 0 Date: Dec 11, 2025

Visit Reason
An unannounced complaint investigation visit was conducted to investigate allegations regarding staff not providing requested records timely, retaliation against residents, and delayed response to emergency call systems.

Complaint Details
The complaint investigation was triggered by allegations that staff did not provide requested records timely, retaliated against residents, and failed to respond promptly to emergency call systems. After investigation, all allegations were determined to be unsubstantiated.
Findings
All three allegations were found to be unsubstantiated based on interviews with residents and staff, physical plant inspection, and observations during the visit.

Report Facts
Residents interviewed: 10 Staff interviewed: 5 Facility capacity: 176 Facility census: 107

Employees mentioned
NameTitleContext
Narine MertkhanyanExecutive DirectorMet with during investigation and named in report
Tuesday CabinessLicensing Program AnalystConducted the complaint investigation visit

Inspection Report

Census: 110 Capacity: 176 Deficiencies: 1 Date: Oct 20, 2025

Visit Reason
The visit was an unannounced office inspection to discuss facility operations, a recent deficiency, and to provide guidance for successful care and supervision of residents.

Findings
The report noted ongoing issues with staff ability to meet the needs of residents with special needs, including behavioral expressions and substance abuse. The facility had frequent administrator turnover and was cited a Type A deficiency related to a resident overdose.

Deficiencies (1)
Subsection 87466 - Observation of the Resident. The facility was cited a Type A deficiency after a resident overdosed in the facility on 08/14/25.
Report Facts
Number of administrators since licensure: 6

Employees mentioned
NameTitleContext
Narine MertkhanyanAdministratorFacility administrator named in the report
Nirjara AcharyaVice President of Regional OperationsMet during the informal conference
Lisa PhamRegional DirectorMet during the informal conference
Naira MargaryanLicensing Program ManagerConducted the inspection and noted facility requirements
Nicholas ReedLicensing Program AnalystConducted the inspection and authored the report

Inspection Report

Complaint Investigation
Census: 109 Capacity: 176 Deficiencies: 0 Date: Oct 8, 2025

Visit Reason
Unannounced complaint investigation visit conducted to investigate allegations regarding bug bites and trash removal at the facility.

Complaint Details
The complaint was unsubstantiated after investigation. Allegations included failure to prevent resident bug bites and failure to ensure staff take out trash. Interviews, observations, and record reviews did not support these claims.
Findings
The investigation found no evidence to substantiate the allegations. Staff were observed and interviewed confirming regular trash removal, and no residents reported issues with bug bites inside the facility. No immediate health or safety concerns were observed.

Report Facts
Resident census: 109 Facility capacity: 176 Residents interviewed: 11

Employees mentioned
NameTitleContext
Narine MertkhanyanAdministratorMet with during the investigation and interviewed regarding allegations
Nicholas ReedLicensing Program AnalystConducted the complaint investigation visit

Inspection Report

Complaint Investigation
Census: 109 Capacity: 176 Deficiencies: 0 Date: Oct 8, 2025

Visit Reason
The visit was an unannounced complaint investigation conducted to investigate allegations that staff did not prevent a resident from wandering away from the facility.

Complaint Details
The complaint alleged that staff did not prevent a resident from wandering away from the facility. The investigation found the resident was no longer at the facility at the time and the allegation was unsubstantiated.
Findings
The investigation found that the resident in question had been hospitalized and discharged to a different facility prior to the alleged wandering incident. The facility had no updated contact information for the resident's family. The allegation was deemed unsubstantiated and no immediate health or safety concerns were observed.

Report Facts
Capacity: 176 Census: 109

Employees mentioned
NameTitleContext
Narine MertkhanyanAdministratorMet with during the investigation
Nicholas ReedLicensing Program AnalystConducted the complaint investigation

Inspection Report

Complaint Investigation
Census: 103 Capacity: 176 Deficiencies: 0 Date: Sep 19, 2025

Visit Reason
The visit was an unannounced complaint investigation conducted to address allegations that staff did not safeguard residents' personal property and that staff were not meeting residents' nutritional needs.

Complaint Details
The complaint investigation was unsubstantiated. Allegations included staff not safeguarding residents' personal property and not meeting residents' nutritional needs. Interviews, observations, and record reviews did not support these allegations.
Findings
The investigation found insufficient evidence to confirm that the facility did not safeguard resident property, and the allegation was deemed unsubstantiated. The facility was also found to meet residents' nutritional needs with sufficient portion sizes, and that allegation was also deemed unsubstantiated. No immediate health and safety hazards were observed during the visit.

Report Facts
Capacity: 176 Census: 103 Resident interviews: 11 Staff interviews: 2

Inspection Report

Complaint Investigation
Census: 103 Capacity: 176 Deficiencies: 0 Date: Sep 18, 2025

Visit Reason
The visit was an unannounced case management inspection conducted in conjunction with the investigation of complaint #31-AS-20250917085457, focusing on potential compliance issues with resident admission agreements and facility maintenance.

Complaint Details
Investigation of complaint #31-AS-20250917085457 regarding resident admission agreements and facility maintenance issues. No immediate health or safety concerns were found. Further follow-up is planned to discuss rear elevator operations and adherence to admission agreements.
Findings
No immediate health or safety concerns were observed during the visit. The Licensing Program Analyst discussed the status of the rear elevator and requested additional documentation related to admission agreements and the plan of operations.

Employees mentioned
NameTitleContext
Narine MertkhanyanAdministrator/DirectorMet with Licensing Program Analyst during the inspection.
Nicholas ReedLicensing Program AnalystConducted the unannounced case management visit and investigation.
Naira MargaryanLicensing Program ManagerNamed in the report as Licensing Program Manager.

Inspection Report

Complaint Investigation
Capacity: 176 Deficiencies: 0 Date: Sep 16, 2025

Visit Reason
The visit was an unannounced complaint investigation to examine allegations that staff disposed of a resident's food and stole a resident's personal belongings.

Complaint Details
The complaint involved allegations that staff disposed of resident food and stole resident personal belongings. After interviews with residents and staff and facility tours, the allegations were found unsubstantiated due to lack of sufficient evidence.
Findings
The investigation found insufficient evidence to substantiate the allegations of staff disposing of resident food and stealing resident personal belongings. No health and safety hazards were noted during the visit.

Report Facts
Facility Capacity: 176

Inspection Report

Complaint Investigation
Census: 103 Capacity: 176 Deficiencies: 0 Date: Sep 10, 2025

Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that staff emotionally abused a resident while in care.

Complaint Details
The complaint alleged that staff emotionally abused Resident #1 by teasing and making fun of them. The allegation was unsubstantiated after investigation.
Findings
The investigation found insufficient evidence to substantiate the allegation of emotional abuse. Interviews with staff, residents, and the resident's family, along with record reviews and observations, indicated respectful treatment of the resident and no teasing or emotional abuse.

Report Facts
Capacity: 176 Census: 103 Resident interviews: 11

Employees mentioned
NameTitleContext
Narine MertkhanyanAdministratorMet during the investigation and provided information
Nicholas ReedLicensing Program AnalystConducted the complaint investigation visit

Inspection Report

Complaint Investigation
Census: 103 Capacity: 176 Deficiencies: 0 Date: Sep 10, 2025

Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that staff physically abused a resident.

Complaint Details
The complaint alleged that staff physically abused Resident #1 by pulling their hair, ripping their clothes, pushing them down, and kicking them. The allegation was unsubstantiated after investigation.
Findings
The investigation included interviews with staff, residents, and the administrator, as well as a review of records and a facility tour. No evidence was found to substantiate the allegation of physical abuse, and no immediate health or safety concerns were observed.

Report Facts
Census: 103 Total Capacity: 176 Residents interviewed: 11

Employees mentioned
NameTitleContext
Narine MertkhanyanAdministratorMet with during the investigation and interviewed
Nicholas ReedLicensing Program AnalystConducted the complaint investigation visit

Inspection Report

Complaint Investigation
Census: 103 Capacity: 176 Deficiencies: 1 Date: Sep 4, 2025

Visit Reason
The inspection was an unannounced complaint investigation visit conducted to investigate allegations including staff not meeting residents' laundry needs, not ensuring facility phones are answered, facility cleanliness, absence of an activities director, and disrepair of a resident's shower.

Complaint Details
The complaint investigation was substantiated regarding staff not meeting residents' laundry needs, specifically Resident #1's laundry not being cleaned for three weeks. Other allegations including unanswered facility phones, facility cleanliness, lack of activities director, and shower disrepair were unsubstantiated.
Findings
The allegation that staff did not meet residents' laundry needs was substantiated due to laundry not being cleaned for over a week for one resident. All other allegations regarding phone answering, facility cleanliness, presence of an activities director, and shower disrepair were unsubstantiated. No immediate health or safety hazards were observed.

Deficiencies (1)
CCR 87307(a)(3)(F) Basic laundry service requirement was not met as evidenced by at least one resident's laundry not being completed for over a week, posing a potential health, safety, or personal rights risk.
Report Facts
Capacity: 176 Census: 103 Laundry days added: 2

Employees mentioned
NameTitleContext
Nicholas ReedLicensing Program AnalystConducted the complaint investigation
Rita MeldonianAdministratorFacility administrator during inspection
Narine MertkhanyanPerson met with during inspection
Naira MargaryanSupervisorSupervisor overseeing the investigation
S5Laundry staff responsible for cleaning Resident #1's laundry
S6Staff assigned to clean laundry when S5 was out
S9Activity DirectorConfirmed as activity director during investigation

Inspection Report

Complaint Investigation
Census: 103 Capacity: 176 Deficiencies: 0 Date: Sep 4, 2025

Visit Reason
The visit was an unannounced complaint investigation conducted to investigate allegations that staff did not provide a resident with copies of documents in a timely manner and that the licensee did not repair a resident’s shower in a timely manner.

Complaint Details
The complaint investigation was unsubstantiated. Allegation one involved staff not providing a resident with copies of documents timely; investigation showed copies were provided within 48 hours. Allegation two involved a broken shower; investigation showed the shower cartridge was broken but replaced the same day with no ongoing disrepair.
Findings
Both allegations were found to be unsubstantiated based on interviews, observations, and record reviews. Staff provided copies of documents within 48 hours, and the shower repair was addressed and completed the same day with no health and safety hazards noted.

Report Facts
Facility Capacity: 176 Resident Census: 103

Employees mentioned
NameTitleContext
Abeye DugumaLicensing Program AnalystConducted the complaint investigation and interviews
Narine MertkhanyanExecutive DirectorMet with Licensing Program Analyst during investigation

Inspection Report

Complaint Investigation
Census: 103 Capacity: 176 Deficiencies: 0 Date: Sep 4, 2025

Visit Reason
Unannounced complaint investigation visit conducted to investigate allegations including unsafe environment, admission of an unsuitable resident, and inadequate bathing assistance.

Complaint Details
The complaint investigation was unsubstantiated. Allegations included unsafe environment due to resident harassment, admission of an unsuitable resident who slept outside, and inadequate bathing assistance. Investigations found insufficient evidence or confirmed appropriate care and supervision.
Findings
All allegations were found to be unsubstantiated after interviews, record reviews, and observations. No immediate health or safety concerns were observed during the visit.

Report Facts
Capacity: 176 Census: 103 Incident reports: 2 Bathing schedule frequency: 2 Supervision interval: 30 Supervision interval: 120 Temperature: 90

Inspection Report

Monitoring
Census: 99 Capacity: 176 Deficiencies: 0 Date: Aug 28, 2025

Visit Reason
The visit was a Case Management - Health Checks to verify the relocation of Resident #1 to the facility and to confirm their health and safety following the transition.

Findings
No immediate health or safety concerns were observed during the visit. Resident #1 expressed satisfaction with the transfer and the facility.

Inspection Report

Complaint Investigation
Census: 100 Capacity: 176 Deficiencies: 0 Date: Aug 21, 2025

Visit Reason
The visit was an unannounced complaint investigation conducted to investigate the allegation that staff illegally evicted a resident in care.

Complaint Details
The complaint alleged that Staff #1 illegally evicted Resident #1 by providing a 3-day eviction notice. The investigation found no evidence of eviction notices or paperwork being issued, and the allegation was deemed unsubstantiated.
Findings
The investigation found that staff did not issue an eviction notice or paperwork to the resident. Interviews and record reviews confirmed the allegation was unsubstantiated and no immediate health or safety concerns were observed.

Report Facts
Capacity: 176 Census: 100

Employees mentioned
NameTitleContext
Narine MertkhanyanAdministratorMet during the investigation and confirmed no eviction was issued
Nicholas ReedLicensing Program AnalystConducted the complaint investigation

Inspection Report

Complaint Investigation
Census: 100 Capacity: 176 Deficiencies: 1 Date: Aug 15, 2025

Visit Reason
The visit was an unannounced case management inspection conducted after reviewing two incident reports involving Resident #1's hospital admissions and overdoses.

Complaint Details
The investigation was triggered by incident reports of Resident #1 being admitted to hospital twice for opioid overdose within two weeks. The complaint was substantiated with findings of inadequate care planning and supervision.
Findings
The facility failed to update the care plan adequately to address Resident #1's opioid dependence and prevent subsequent overdoses. A deficiency was issued for inadequate care planning and a $500 immediate civil penalty was assessed.

Deficiencies (1)
CCR 87466 Observation of the Resident: The licensee did not ensure adequate care to Resident #1 to address their substance use issue, posing an immediate risk to health, safety, or personal rights.
Report Facts
Immediate civil penalty: 500 Incident reports reviewed: 2 Supervision frequency: 8

Employees mentioned
NameTitleContext
Narine MertkhanyanAdministrator/DirectorFacility administrator named in the report.
Nicholas ReedLicensing Program AnalystConducted the inspection and authored the report.
Naira MargaryanLicensing Program ManagerNamed as licensing program manager overseeing the inspection.

Inspection Report

Census: 100 Capacity: 176 Deficiencies: 0 Date: Aug 5, 2025

Visit Reason
The visit was an unannounced case management visit conducted to ensure the health and safety of two recently admitted residents.

Findings
No immediate health or safety concerns were observed during the visit. Interviews with the administrator, Wellness Director, and residents indicated satisfaction and safety at the facility.

Inspection Report

Complaint Investigation
Census: 90 Capacity: 176 Deficiencies: 0 Date: May 15, 2025

Visit Reason
The visit was an unannounced complaint investigation conducted to address allegations that staff were not assisting residents in a timely manner and that staff did not provide adequate food service.

Complaint Details
The complaint investigation was unsubstantiated. Allegations included staff not assisting residents timely and inadequate food service. Investigations included interviews, call system tests, kitchen tour, and record reviews. Staff response times and food quality were found adequate.
Findings
The investigation found that staff assist residents in a timely manner and respond to calls within five minutes. The facility provides adequate food service with good quality food, supported by observations, interviews, and a registered dietitian's periodic menu approval. Both allegations were deemed unsubstantiated.

Report Facts
Capacity: 176 Census: 90 Residents interviewed: 9 Residents confirming timely assistance: 7 Residents confirming good food quality: 7 Residents disliking food: 2 Call response time: 5 Registered dietitian visit frequency: 3

Employees mentioned
NameTitleContext
Narine MertkhanyanAdministratorMet during investigation and provided information on staff response and food service
Nicholas ReedLicensing Program AnalystConducted the complaint investigation visit
Staff #1Interviewed regarding staff response times
Staff #2Interviewed regarding staff response times
Staff #3Kitchen staff interviewed about food service and resident complaints
Staff #4Kitchen staff interviewed about food service and resident meetings

Inspection Report

Complaint Investigation
Census: 90 Capacity: 176 Deficiencies: 0 Date: May 15, 2025

Visit Reason
The visit was an unannounced complaint investigation conducted to investigate an allegation that staff do not treat residents with dignity and respect.

Complaint Details
The allegation was that Staff #1 spoke in a rude tone to Resident #1. Interviews revealed the issue was a misunderstanding and was resolved. Staff and resident interviews and observations confirmed appropriate staff behavior. The allegation was deemed unsubstantiated.
Findings
The investigation found that the allegation was unsubstantiated. Interviews with staff, residents, and observations during the facility tour confirmed that staff treat residents with respect and dignity.

Report Facts
Capacity: 176 Census: 90 Residents interviewed: 9

Employees mentioned
NameTitleContext
Narine MertkhanyanAdministratorMet with during the investigation and provided information about the allegation resolution
Nicholas ReedLicensing Program AnalystConducted the complaint investigation visit

Inspection Report

Complaint Investigation
Census: 91 Capacity: 176 Deficiencies: 1 Date: May 1, 2025

Visit Reason
The visit was an unannounced complaint investigation conducted in conjunction with an annual inspection to investigate allegations including the facility not allowing residents to choose their third-party health care providers and insufficient staff to meet resident needs.

Complaint Details
The complaint investigation was substantiated regarding the facility not allowing residents to choose their third-party health care providers. Multiple residents were enrolled into home health and hospice services without being offered alternative choices. The allegation of insufficient staff to meet resident needs was unsubstantiated.
Findings
The allegation that the facility did not allow residents to choose their third-party health care providers was substantiated, with at least 8 out of 91 residents not given choices for home health or hospice agencies. The allegation of insufficient staff to meet resident needs was unsubstantiated, with interviews and record reviews indicating adequate staffing.

Deficiencies (1)
CCR 87468.2(a)(18) was not met as the licensee did not comply with residents' rights to select their own hospice agency and health care providers consistent with the admission agreement. This affected at least 8 out of 91 residents and posed a potential health, safety, or personal rights risk.
Report Facts
Residents affected: 8 Census: 91 Total Capacity: 176 Residents assigned to Skilled Home Health, Inc.: 6 Residents interviewed regarding care needs: 9 Residents interviewed regarding home health agency choice: 5

Inspection Report

Annual Inspection
Census: 91 Capacity: 176 Deficiencies: 0 Date: May 1, 2025

Visit Reason
An unannounced annual inspection was conducted to evaluate compliance with licensing requirements and facility operations.

Findings
The facility was found to be in compliance with Title 22 regulations with no immediate health or safety hazards observed. All areas inspected, including resident rooms, common areas, kitchen, and fire safety systems, were in good repair and operational.

Report Facts
Residents reviewed for medication: 9 Fire safety inspection date: Nov 26, 2024 Fire safety drill date: Apr 26, 2025 Temperature measurements: 71 Water temperature range: 105.4 Water temperature range: 109.8 Walk-in freezer temperature: -8 Refrigerator temperature: 32

Employees mentioned
NameTitleContext
Nicholas ReedLicensing Program AnalystConducted the inspection and signed the report.
Naira MargaryanLicensing Program ManagerNamed as Licensing Program Manager overseeing the inspection.
Rita MeldonianAdministratorFacility administrator present during inspection.
Narine MertkhanyanMet with Licensing Program Analyst during inspection.

Inspection Report

Complaint Investigation
Census: 91 Capacity: 176 Deficiencies: 0 Date: May 1, 2025

Visit Reason
The visit was an unannounced complaint investigation conducted in conjunction with an annual inspection to investigate an allegation that facility staff did not ensure a resident's call pendant worked.

Complaint Details
The complaint alleged that a resident pushed their call pendant three times without receiving staff assistance. The allegation was unsubstantiated after investigation, interviews, and testing of the call system.
Findings
The investigation found that the facility had replaced the call pendant system with a bedside telephone that directly calls the front desk. Testing and interviews confirmed the call system was functional and the allegation was unsubstantiated. No immediate health and safety concerns were observed.

Report Facts
Capacity: 176 Census: 91

Employees mentioned
NameTitleContext
Nicholas ReedLicensing Program AnalystConducted the complaint investigation and inspection
Rita MeldonianAdministratorFacility administrator interviewed during investigation

Inspection Report

Annual Inspection
Census: 90 Capacity: 176 Deficiencies: 0 Date: Apr 30, 2025

Visit Reason
An unannounced annual inspection was conducted by Licensing Program Analyst Nicholas Reed to evaluate compliance with licensing requirements.

Findings
The inspection included a facility tour, medication review for nine residents, and file reviews of resident and personnel records. Due to time constraints, the inspection was not completed on the initial day and was scheduled to continue the following day.

Inspection Report

Complaint Investigation
Census: 91 Capacity: 176 Deficiencies: 0 Date: Mar 5, 2025

Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that staff were not distributing resident's medications as prescribed.

Complaint Details
The complaint alleged that staff were not distributing resident's medications as prescribed. The investigation found no evidence to support this claim, and the complaint was unsubstantiated.
Findings
The investigation found that Resident #1 was properly assisted with medications at all required times despite verbal refusals on some dates. The allegation was deemed unsubstantiated based on interviews and record review.

Report Facts
Capacity: 176 Census: 91

Inspection Report

Census: 91 Capacity: 176 Deficiencies: 0 Date: Mar 5, 2025

Visit Reason
The visit was an unannounced case management inspection conducted after the facility submitted an incident report regarding a resident's fall outside the community while intoxicated.

Findings
The inspection found that some residents consume alcohol at night within the facility. Staff reported no training on managing residents with substance abuse issues, and the administrator agreed to provide training and update the facility program plan accordingly.

Inspection Report

Complaint Investigation
Census: 90 Capacity: 176 Deficiencies: 1 Date: Feb 7, 2025

Visit Reason
The visit was an unannounced case management inspection conducted in conjunction with a complaint investigation for complaint #31-AS-20250205150035.

Complaint Details
The visit was conducted in conjunction with complaint #31-AS-20250205150035. A deficiency related to the Activity Director's duties was substantiated during the investigation.
Findings
A deficiency was found involving the facility's Activity Director who had to drive the facility van and perform other duties, preventing them from fulfilling their full-time responsibility to organize and conduct planned activities.

Deficiencies (1)
CCR 87219(f) requires one staff member to have full-time responsibility for planned activities. The Activity Director did not comply as they participated in other duties, including driving the facility van, posing a potential health, safety, or personal rights risk to residents.
Report Facts
Census: 90 Total Capacity: 176 Plan of Correction Due Date: Feb 17, 2025

Employees mentioned
NameTitleContext
Nicholas ReedLicensing Program AnalystConducted the inspection and authored the report
Rita MeldonianAdministrator/DirectorConfirmed the Activity Director's duties during the inspection
Marilou MendozaMet with the Licensing Program Analyst during the visit

Inspection Report

Complaint Investigation
Census: 88 Capacity: 176 Deficiencies: 1 Date: Jan 29, 2025

Visit Reason
The visit was conducted to investigate a complaint alleging that a resident was smoking too close to the facility entrance, causing smoke to enter the building and affect other residents.

Complaint Details
The complaint alleging a resident was smoking too close to the facility was investigated through multiple visits and interviews. The allegation was deemed unsubstantiated due to insufficient evidence that smoking affected others inside the facility.
Findings
The allegation was found to be unsubstantiated after multiple visits, interviews, and observations. The facility had implemented a plan of correction with a designated smoking area and staff training, and no residents were observed smoking outside designated areas during the investigation.

Deficiencies (1)
The facility was previously issued a deficiency for not preventing residents from smoking in non-designated areas on 10/18/24.
Report Facts
Capacity: 176 Census: 88 Residents interviewed: 9 Chronic smokers interviewed: 4 Residents observed smoking: 3 Residents observed smoking: 1

Employees mentioned
NameTitleContext
Nicholas ReedLicensing Program AnalystConducted the complaint investigation and authored the report
Rita MeldonianAdministratorFacility administrator interviewed regarding smoking policies

Inspection Report

Complaint Investigation
Census: 89 Capacity: 176 Deficiencies: 0 Date: Jan 9, 2025

Visit Reason
An unannounced complaint investigation visit was conducted to investigate allegations that staff left a resident in soiled bedding for an extended period and did not ensure the resident was showered.

Complaint Details
The complaint investigation was unsubstantiated. Allegations included staff leaving a resident in soiled bedding overnight and failure to ensure the resident was showered promptly. Interviews and record reviews confirmed timely assistance and showering within approximately 30 minutes after the incident.
Findings
The investigation found that staff assisted the resident within 30 minutes after the colostomy bag incident and provided shower assistance in a timely manner. Both allegations were deemed unsubstantiated. No immediate health or safety concerns were observed during the visit.

Report Facts
Capacity: 176 Census: 89 Resident sample interviewed: 10

Employees mentioned
NameTitleContext
Nicholas ReedLicensing Program AnalystConducted the complaint investigation
Rita MeldonianAdministratorFacility administrator named in report header

Inspection Report

Complaint Investigation
Census: 89 Capacity: 176 Deficiencies: 0 Date: Jan 9, 2025

Visit Reason
The visit was an unannounced complaint investigation conducted to investigate allegations including the facility not providing a comfortable environment, not following reporting requirements, and not ensuring resident belongings are safeguarded.

Complaint Details
The complaint investigation was unsubstantiated. Allegations included verbal harassment by a resident, failure to report incidents, and theft of resident belongings. Interviews and observations did not confirm these allegations.
Findings
The investigation found insufficient evidence to substantiate the allegations. Interviews and observations indicated the facility provided a comfortable environment, followed reporting requirements, and sufficiently safeguarded resident belongings. No immediate health or safety concerns were observed.

Report Facts
Capacity: 176 Census: 89 Residents interviewed: 10 Residents interviewed: 9 Residents interviewed: 8

Inspection Report

Complaint Investigation
Census: 79 Capacity: 176 Deficiencies: 1 Date: Oct 18, 2024

Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that staff do not prevent residents from smoking in prohibited areas.

Complaint Details
The complaint was substantiated. Staff did not prevent residents from smoking in prohibited areas, affecting at least two residents. The facility is working on hiring additional staff and making renovations to improve supervision and safety of the designated smoking area.
Findings
The allegation was substantiated as staff failed to prevent residents from smoking in non-designated areas, which affected the health and safety of other residents. Observations and interviews confirmed residents smoking in prohibited areas despite verbal warnings and posted signs.

Deficiencies (1)
CCR 87468.1(a)(2) Personal Rights of Residents were not met as residents were exposed to smoking in non-designated areas, posing a health and safety risk. The licensee has taken steps to prohibit smoking in these areas and will submit a plan of correction.
Report Facts
Census: 79 Total Capacity: 176 Cigarette butts observed: 6 Residents interviewed: 3 Staff interviewed: 2

Inspection Report

Census: 79 Capacity: 176 Deficiencies: 0 Date: Oct 18, 2024

Visit Reason
The visit was an unannounced case management survey conducted to identify appropriate areas for smoking designation and to address any areas of noncompliance while providing guidance.

Findings
The inspection noted minor facility maintenance issues including an open maintenance storage door, a tripping hazard, blemishes on walls, unused items in the courtyard, broken screen doors, a loose face plate, a kitchen area needing retiling, and an accessible unattended laundry area. No deficiencies were assessed at this time.

Inspection Report

Complaint Investigation
Census: 81 Capacity: 176 Deficiencies: 1 Date: Sep 26, 2024

Visit Reason
The visit was an unannounced complaint investigation conducted to investigate multiple allegations including tripping hazards in the hallway, facility malodor, carpet cleanliness, and management availability to residents' families.

Complaint Details
The complaint investigation was substantiated regarding the tripping hazard caused by a plastic tarp in the hallway. Other allegations about malodor, carpet cleanliness, and management availability were unsubstantiated.
Findings
The investigation substantiated that a plastic tarp in the hallway posed a tripping hazard to a resident. Other allegations regarding facility malodor, carpet cleanliness, and management availability were found to be unsubstantiated based on observations, interviews, and record reviews.

Deficiencies (1)
CCR 87303(a) Maintenance and Operation: The facility did not maintain a clean, safe, and sanitary environment as evidenced by a plastic tarp in the hallway posing a tripping hazard to residents.
Report Facts
Capacity: 176 Census: 81 Deficiency Type B: 1

Employees mentioned
NameTitleContext
Nicholas ReedLicensing Program AnalystConducted the complaint investigation and authored the report
Rita MeldonianAdministratorFacility administrator interviewed during investigation
Marilou MendozaFacility representative met during the inspection
Pamela GarrovilloWellness CoordinatorDesignated manager in charge during administrator’s absence, interviewed regarding management availability

Inspection Report

Complaint Investigation
Census: 78 Capacity: 176 Deficiencies: 0 Date: Sep 25, 2024

Visit Reason
An unannounced complaint investigation was conducted to investigate allegations that staff did not ensure a resident was taken to medical appointments.

Complaint Details
The complaint alleged that staff did not ensure a resident was taken to medical appointments. The investigation included interviews with staff, the resident, and transportation service, as well as record reviews. It was found that the resident refused to attend appointments, and transportation was provided as needed. The allegation was unsubstantiated.
Findings
The investigation found that the resident refused to attend multiple medical appointments despite transportation being available and staff notifying the resident of each appointment. The allegation was deemed unsubstantiated.

Report Facts
Capacity: 176 Census: 78 Missed appointments: 3

Employees mentioned
NameTitleContext
Nicholas ReedLicensing Program AnalystConducted the complaint investigation

Inspection Report

Complaint Investigation
Census: 78 Capacity: 176 Deficiencies: 0 Date: Aug 16, 2024

Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that the facility elevator was not maintained in good repair.

Complaint Details
The complaint alleging the facility elevator was not maintained in good repair was substantiated. The elevator had been out of service for approximately eight months, with ongoing repairs and pending vendor and city inspections. No deficiency was issued.
Findings
The rear elevator was found to be out of service for about eight months and still not operational at the time of the visit. The allegation was substantiated due to ongoing maintenance and repair efforts, but no deficiency was issued and no immediate health and safety risks were observed.

Report Facts
Facility Capacity: 176 Resident Census: 78 Complaint Control Number: 31

Employees mentioned
NameTitleContext
Nicholas ReedLicensing Program AnalystConducted the complaint investigation visit
Rita MeldonianAdministratorFacility administrator named in the report

Inspection Report

Complaint Investigation
Census: 78 Capacity: 176 Deficiencies: 0 Date: Aug 16, 2024

Visit Reason
The visit was an unannounced complaint investigation conducted to address allegations including failure to meet residents' dietary needs, facility maintenance issues, and delayed response to a resident's call button.

Complaint Details
The complaint investigation was unsubstantiated. Allegations included staff not meeting dietary needs, facility maintenance problems, and delayed response to a resident's call button. Investigations included interviews, records review, and facility tours, all supporting unsubstantiated findings.
Findings
All allegations were found to be unsubstantiated. The facility appropriately addressed a water line maintenance issue, met residents' dietary needs during the kitchen outage, and responded promptly to resident call button requests with no immediate health or safety risks observed.

Report Facts
Capacity: 176 Census: 78 Residents interviewed: 8 Staff interviewed: 4 Days kitchen was shut down: 14

Employees mentioned
NameTitleContext
Nicholas ReedLicensing Program AnalystConducted the complaint investigation
Rita MeldonianAdministratorFacility administrator involved in interviews and investigation

Inspection Report

Complaint Investigation
Census: 78 Capacity: 176 Deficiencies: 0 Date: Aug 9, 2024

Visit Reason
The visit was an unannounced complaint investigation conducted to investigate allegations that staff were administering expired medication and not administering medication as prescribed.

Complaint Details
The complaint alleged staff administered expired medication and did not administer medication as prescribed. The allegations were investigated through interviews, record reviews, and medication administration records. Both allegations were found unsubstantiated.
Findings
The investigation found no expired medications were administered and that the facility followed physician orders despite resident medication refusals. Both allegations were deemed unsubstantiated with no immediate health or safety risks observed.

Report Facts
Capacity: 176 Census: 78 Medications prescribed: 14 Medications refused: 14 Medications resident wanted: 3

Inspection Report

Complaint Investigation
Census: 75 Capacity: 176 Deficiencies: 1 Date: Jul 16, 2024

Visit Reason
The visit was an unannounced complaint investigation conducted to investigate allegations regarding improper transportation assistance to residents' medical appointments and other complaints related to resident care.

Complaint Details
The complaint investigation was triggered by allegations that staff did not provide proper transportation assistance to a resident's medical appointments, specifically dialysis. The allegation was substantiated based on interviews and record review. Other allegations about failure to report an incident, room cleanliness, odor control, and food service were unsubstantiated.
Findings
The investigation substantiated that the facility failed to provide proper transportation assistance to at least one resident's dialysis appointments, resulting in the resident being stranded multiple times. Other allegations regarding failure to report incidents, cleanliness, odor control, and food service were found to be unsubstantiated.

Deficiencies (1)
CCR 87465(a)(2) requires a plan to meet necessary medical and dental needs including transportation. The licensee did not comply with this requirement for at least one resident out of seventy-five, posing a potential health and safety risk.
Report Facts
Resident census: 75 Total licensed capacity: 176 Number of residents affected: 1 Number of times resident was stranded: 3 Deficiency count: 1

Employees mentioned
NameTitleContext
Nicholas ReedLicensing Program AnalystConducted the complaint investigation and authored the report
Jina MaleksarkissiansAdministratorFacility administrator named in the report

Inspection Report

Complaint Investigation
Census: 75 Capacity: 176 Deficiencies: 0 Date: Jul 16, 2024

Visit Reason
The visit was conducted to investigate a complaint alleging that staff were allowing residents to smoke in non-smoking areas of the facility.

Complaint Details
The complaint alleged staff allowed residents to smoke in non-smoking areas, specifically a central courtyard. The allegation was unsubstantiated based on interviews with residents and staff, observations of signage, and facility policies.
Findings
The investigation found that residents were smoking in the courtyard at night due to safety concerns, but the facility took corrective actions including posting 'No Smoking' signs and reiterating house rules. Interviews and observations confirmed that residents were not smoking in non-smoking areas, and the allegation was unsubstantiated.

Report Facts
Capacity: 176 Census: 75 Residents interviewed: 8 Staff interviewed: 6 No Smoking signs observed: 4 Residents interviewed regarding courtyard smoke: 7

Employees mentioned
NameTitleContext
Nicholas ReedLicensing Program AnalystConducted the complaint investigation
Rita MeldonianAdministrator / Executive DirectorFacility administrator interviewed regarding smoking allegation

Inspection Report

Complaint Investigation
Census: 75 Capacity: 176 Deficiencies: 0 Date: Jul 12, 2024

Visit Reason
The visit was an unannounced complaint investigation conducted to investigate allegations that staff did not recognize a resident's change in condition, were not giving medication timely, and were not assisting with transportation to medical appointments.

Complaint Details
The complaint investigation was unsubstantiated. Allegations included failure to recognize a resident's change in condition, untimely medication administration, and lack of transportation assistance. Interviews and record reviews supported that the facility met care and service requirements.
Findings
The investigation found that the facility provided sufficient care to support the resident, assisted with medication in a timely manner, and arranged transportation for medical care. All allegations were deemed unsubstantiated with no immediate health and safety risks observed.

Report Facts
Medication cycles: 3 Medication maximum dose: 6 Transportation dates: 3

Employees mentioned
NameTitleContext
Nicholas ReedLicensing Program AnalystConducted the complaint investigation visit
Rita MeldonianAdministratorFacility administrator met during the investigation

Inspection Report

Complaint Investigation
Census: 75 Capacity: 176 Deficiencies: 0 Date: Jul 12, 2024

Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that staff threatened a resident with eviction after bounced checks.

Complaint Details
The complaint alleged that staff threatened a resident with eviction due to bounced checks. The allegation was investigated and found unsubstantiated as the eviction was properly issued and later voided when the resident sought financial assistance.
Findings
The investigation found that the facility properly issued an eviction notice for nonpayment of rent, which was later considered void as the resident was applying for a waiver program to pay rent. The allegation was deemed unsubstantiated and no immediate health or safety risks were observed.

Report Facts
Capacity: 176 Census: 75 Number of bounced checks: 2 Days until resident return: 60

Employees mentioned
NameTitleContext
Nicholas ReedLicensing Program AnalystConducted the complaint investigation visit
Rita MeldonianAdministratorFacility administrator interviewed during investigation

Inspection Report

Complaint Investigation
Census: 75 Capacity: 176 Deficiencies: 0 Date: Jul 12, 2024

Visit Reason
The visit was an unannounced case management inspection conducted in conjunction with Complaint #31-AS-20240628155820 to investigate resident concerns and facility conditions.

Complaint Details
The visit was related to Complaint #31-AS-20240628155820. Resident interviews revealed issues such as mold in bathrooms and a resident biting incident. The complaint was not substantiated during this visit, and no deficiencies were cited. Further investigation is planned.
Findings
The facility was found to be in compliance with Title 22 regulations with no deficiencies observed. Several resident concerns were noted, including mold in bathrooms and an incident of a resident being bitten by a roommate, which will be further investigated on a future visit.

Report Facts
Complaint Number: 31 Days since attack incident: 3 Days since roommate bite incident: 2 Weeks since mold issue resolved: 1

Employees mentioned
NameTitleContext
Rita MeldonianExecutive DirectorMet during inspection and discussed incidents and facility conditions
Nicholas ReedLicensing Program AnalystConducted the unannounced case management visit and investigation

Inspection Report

Complaint Investigation
Census: 75 Capacity: 176 Deficiencies: 0 Date: Jul 12, 2024

Visit Reason
The visit was an unannounced complaint investigation triggered by allegations received on 2023-12-05 regarding inadequate resident care at the facility.

Complaint Details
The complaint involved multiple allegations including failure to meet showering needs, allowing a resident to be soiled, unmet incontinence needs, denial of access to water, and leaving a resident unattended on the toilet. All allegations were investigated and deemed unsubstantiated based on interviews with staff and the resident, record reviews, and observations.
Findings
The investigation found all allegations unsubstantiated after interviews, record reviews, and observations. The facility was found to have provided appropriate care, supervision, and access to services despite some resident refusals.

Report Facts
Facility Capacity: 176 Resident Census: 75 Shower Frequency: 6 Shower Refusals: 2 UTI Treatment Duration: 7 Water Preference: 3 Shift Notes Review Dates: 2

Inspection Report

Life Safety
Census: 75 Capacity: 176 Deficiencies: 1 Date: Jul 2, 2024

Visit Reason
The visit was an unannounced case management inspection triggered by a prior fire safety compliance review that found multiple fire protection systems past due for testing or retesting.

Findings
The facility was found in violation of fire safety regulations due to past due tests and retests of fire protection systems, including the Stored Electrical Energy System and Automatic Closing Fire Assemblies. A fire door near Room #105 was observed not closing properly but was repaired during the visit. A $500 immediate civil penalty was issued.

Deficiencies (1)
CCR 87203 Fire Safety: The facility failed to maintain compliance with fire protection system testing and retesting requirements, including overdue tests for the Stored Electrical Energy System and Automatic Closing Fire Assemblies. The rear elevator and emergency power generator were also overdue for testing, posing an immediate health and safety risk.
Report Facts
Civil penalty amount: 500 Deficiency count: 1

Employees mentioned
NameTitleContext
Rita MeldonianExecutive DirectorMet during inspection and involved in discussion of fire safety issues
Nicholas ReedLicensing Program AnalystConducted the inspection
Linsay PellegriniLos Angeles City Fire InspectorConducted fire safety review and inspection

Inspection Report

Complaint Investigation
Census: 72 Capacity: 176 Deficiencies: 0 Date: Jun 20, 2024

Visit Reason
The visit was conducted to investigate a complaint alleging that the facility issued an improper rent increase notice.

Complaint Details
The complaint alleged that a rental increase letter issued in November 2023 did not comply with Title 22 regulations. The allegation was unsubstantiated after investigation.
Findings
The investigation found that the facility provided a rental increase letter dated November 2023 with more than 60 days' notice to residents, including a general reason for the increase. Based on interviews and record reviews, there was insufficient evidence to verify the allegation, and no health or safety hazards were noted.

Report Facts
Capacity: 176 Census: 72

Employees mentioned
NameTitleContext
Abeye DugumaLicensing Program AnalystConducted the complaint investigation
Rita MeldonianAdministratorFacility administrator named in the report
Rita LimarBusiness Office ManagerMet with Licensing Program Analyst during investigation

Inspection Report

Complaint Investigation
Census: 75 Capacity: 176 Deficiencies: 0 Date: May 30, 2024

Visit Reason
The visit was an unannounced complaint investigation conducted to investigate allegations that staff were not providing housekeeping services, adequate food service, and that the facility was not free from rodents.

Complaint Details
The complaint investigation was unsubstantiated based on interviews, record reviews, and physical plant observations. Allegations included lack of housekeeping services, inadequate food service, and presence of rodents. None of these were verified.
Findings
The investigation found insufficient evidence to substantiate any of the allegations. Housekeeping services were provided weekly with caregivers cleaning daily, food was found to be well balanced and nutritious, and no rodents or rodent droppings were observed during the visit.

Report Facts
Capacity: 176 Census: 75 Staff interviewed: 4 Residents interviewed: 13

Employees mentioned
NameTitleContext
Abeye DugumaLicensing Program AnalystConducted the complaint investigation
Rita MeldonianExecutive DirectorFacility representative met during investigation

Inspection Report

Complaint Investigation
Census: 74 Capacity: 176 Deficiencies: 1 Date: May 15, 2024

Visit Reason
The visit was an unannounced complaint investigation conducted to investigate allegations including staff not preventing a resident from hitting others, mismanagement of resident finances, failure to prevent inappropriate behaviors, and not meeting medical needs.

Complaint Details
The complaint investigation was substantiated for the allegation that staff did not prevent Resident #2 from hitting other residents and staff. Other allegations regarding mismanagement of resident funds, stalking behavior, and unmet medical needs were unsubstantiated.
Findings
The allegation that staff did not prevent a resident from hitting others was substantiated due to failure to update care plans and provide formal staff training. Allegations of mismanaged resident finances, failure to prevent inappropriate behaviors, and unmet medical needs were unsubstantiated. No immediate health and safety risks were observed.

Deficiencies (1)
CCR 87468.1(a)(1) Personal Rights of Residents was not met as the licensee failed to update the resident's care plan and provide formal staff training to manage aggressive behavior. The deficiency was cleared after corrective action in January 2024.
Report Facts
Capacity: 176 Census: 74 Residents interviewed: 6 Staff interviewed: 5 Resident percentage interviewed: 10 Amount withheld: 1000

Employees mentioned
NameTitleContext
Nicholas ReedLicensing Program AnalystConducted the complaint investigation and authored the report
David AguinigaAdministratorFacility administrator named in the report
Rita MeldonianFacility representative met during inspection
Naira MargaryanSupervisorSupervisor overseeing the licensing evaluation

Inspection Report

Annual Inspection
Census: 67 Capacity: 176 Deficiencies: 0 Date: Apr 18, 2024

Visit Reason
An unannounced annual inspection was conducted to evaluate compliance with licensing regulations and facility conditions.

Findings
The facility was found to be in compliance with Title 22 regulations with no immediate health or safety risks observed. The inspection included a review of staff files, facility tour, equipment testing, and observation of resident areas and activities.

Report Facts
Water temperature: 107.6 Water temperature: 114.3 Water temperature: 113.6 Freezer temperature: -9 Refrigerator temperature: 32 Resident count on third floor: 1 Shaded seating areas: 2 Dining areas: 3 Approved hospice waivers: 30 Nonambulatory residents capacity: 176 Bedridden residents capacity: 50

Inspection Report

Complaint Investigation
Census: 60 Capacity: 176 Deficiencies: 0 Date: Mar 13, 2024

Visit Reason
The visit was an unannounced complaint investigation triggered by allegations received on 2024-02-14 regarding facility disrepair, safeguarding of resident belongings, and reasonable accommodations for a resident.

Complaint Details
The complaint investigation was unsubstantiated. Allegations included facility disrepair, failure to safeguard resident belongings, and failure to provide reasonable accommodations. The facility addressed the issues promptly and no immediate health or safety risks were observed.
Findings
All allegations were investigated and deemed unsubstantiated. The facility repaired a broken lock within 24 hours, safeguarded the resident's belongings, and provided reasonable accommodations including a new room and roommate.

Report Facts
Capacity: 176 Census: 60

Inspection Report

Complaint Investigation
Census: 60 Capacity: 176 Deficiencies: 0 Date: Mar 13, 2024

Visit Reason
The visit was an unannounced complaint investigation triggered by allegations that staff did not respond to a resident's call for assistance and that staff do not provide daily activities for residents in care.

Complaint Details
The complaint was unsubstantiated. Allegations included staff not responding to a resident's call for assistance and failure to provide daily activities. Investigations included interviews, record reviews, and observations. Staff response to calls and provision of activities were confirmed.
Findings
The investigation found that staff responded to resident calls for assistance in a timely manner and that physical activities were provided to residents, although sometimes outside the scheduled times. Both allegations were deemed unsubstantiated, with a note of Technical Assistance issued regarding daily activities.

Report Facts
Facility Capacity: 176 Resident Census: 60 Resident Call Frequency: 4 Resident Call Frequency: 6 Resident Interviews: 3 Resident Interviews: 7 Resident Total: 53 Resident Total: 59 Staff Interviews: 4 Staff Interviews: 4 Staff Interviews: 3

Inspection Report

Complaint Investigation
Census: 60 Capacity: 176 Deficiencies: 0 Date: Mar 13, 2024

Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that staff do not respond to residents' call buttons in a timely manner.

Complaint Details
The complaint alleged staff did not respond promptly to resident call buttons. Multiple interviews with residents and staff were conducted over several visits. The allegation was found unsubstantiated due to mixed evidence and observations.
Findings
Based on interviews and observations, there were mixed accounts of staff response times to resident call buttons. Some residents reported delays over an hour, while others and staff stated responses typically occur within 10 to 15 minutes. The allegation was deemed unsubstantiated with no immediate health or safety risks observed.

Report Facts
Capacity: 176 Census: 60 Residents interviewed: 7 Residents interviewed: 6 Staff interviewed: 4 Staff interviewed: 5 Staff interviewed: 4

Inspection Report

Complaint Investigation
Census: 59 Capacity: 176 Deficiencies: 1 Date: Mar 8, 2024

Visit Reason
The visit was conducted as a case management follow-up after the administrator reported that a resident left the facility unsupervised on 02/25/2024.

Complaint Details
The complaint was substantiated based on the incident where Resident #1 left the facility unsupervised at approximately 5:00 a.m. on 02/25/2024. The facility reported the incident and followed required procedures.
Findings
The facility was found deficient for failing to provide adequate supervision to one resident, resulting in an immediate civil penalty of $500. The facility reported the incident properly and followed the plan of operations for missing residents.

Deficiencies (1)
CCR 87464(d) Basic Services: The facility failed to meet the supervision needs of one resident who left unsupervised, posing an immediate health, safety, or personal rights risk.
Report Facts
Immediate civil penalty: 500 Residents affected: 1 Plan of Correction due date: Mar 15, 2024

Employees mentioned
NameTitleContext
Nicholas ReedLicensing Program AnalystConducted the unannounced case management visit and evaluation
Rita MeldonianAdministratorFacility administrator who reported the incident and met with the evaluator

Inspection Report

Complaint Investigation
Census: 59 Capacity: 176 Deficiencies: 0 Date: Mar 8, 2024

Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that facility staff verbally abused a resident while in care.

Complaint Details
The complaint alleged that an unknown staff member verbally abused Resident #1. After interviews and investigation, the allegation was found unsubstantiated.
Findings
The investigation found no evidence to support the allegation of verbal abuse by facility staff. Interviews with the resident and others revealed no issues, and the allegation was deemed unsubstantiated. No immediate health or safety hazards were observed.

Report Facts
Facility Capacity: 176 Resident Census: 59

Employees mentioned
NameTitleContext
Nicholas ReedLicensing Program AnalystConducted the complaint investigation
Diane TorresLong Term Care OmbudsmanJoined the investigation visit
Jina MaleksarkissiansAdministratorFacility administrator met during the investigation

Inspection Report

Complaint Investigation
Census: 60 Capacity: 176 Deficiencies: 2 Date: Mar 6, 2024

Visit Reason
An unannounced complaint investigation visit was conducted to investigate allegations that staff were not providing laundry service for residents and that staff did not ensure the elevator was not in disrepair.

Complaint Details
The complaint investigation was substantiated based on interviews with staff and residents and physical plant observations confirming the laundry service interruption and elevator disrepair.
Findings
The investigation substantiated that the facility dryer was in disrepair for three days causing an interruption in laundry services. Additionally, one out of two elevators was not in working order, posing potential health, safety, and personal rights risks to residents.

Deficiencies (2)
CCR 87307(a)(3)(F) Basic laundry service was not provided as the facility dryer was in disrepair for three days, posing a potential health, safety, and personal rights risk to residents.
CCR 87303(a) The facility was not maintained in good repair as one out of two elevators was not working, posing a potential health, safety, and personal rights risk to residents.
Report Facts
Facility Capacity: 176 Resident Census: 60 Laundry service interruption duration: 3 Elevators not working: 1

Employees mentioned
NameTitleContext
Abeye DugumaLicensing Program AnalystConducted the complaint investigation visit
Rita MeldonianExecutive DirectorFacility administrator met during the investigation

Inspection Report

Complaint Investigation
Census: 56 Capacity: 176 Deficiencies: 0 Date: Jan 26, 2024

Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that the facility did not adhere to a resident's request to remove their name plate outside their room.

Complaint Details
The complaint alleged the facility did not remove the name plate outside Resident #1's room as requested. The investigation found the allegation unsubstantiated based on interviews with the resident, staff, and former and current executive directors, and a facility tour.
Findings
The allegation was unsubstantiated after interviews and observations showed that name plates were used for emergency evacuation and medication assistance. The resident agreed to keep the name plate if others had them as well. No immediate health or safety hazards were observed.

Report Facts
Capacity: 176 Census: 56 Rooms with name plates: 7 Rooms without name plates: 3 Rooms in hallway: 11 Residents interviewed: 5

Employees mentioned
NameTitleContext
Nicholas ReedLicensing Program AnalystConducted the complaint investigation visit
Jina MaleksarkissiansAdministratorFacility administrator named in the report
Rita MeldonianMet with during the visit

Inspection Report

Complaint Investigation
Census: 56 Capacity: 176 Deficiencies: 0 Date: Jan 26, 2024

Visit Reason
The visit was an unannounced complaint investigation triggered by allegations received on 2023-12-20 regarding staff handling a resident roughly and not treating a resident with dignity and respect.

Complaint Details
The complaint involved allegations that staff handled a resident in a rough manner and did not treat the resident with dignity and respect. After interviews and record reviews, both allegations were deemed unsubstantiated.
Findings
The investigation found both allegations unsubstantiated after interviews with staff and the resident. No immediate health or safety hazards were observed during the visit.

Report Facts
Capacity: 176 Census: 56

Inspection Report

Complaint Investigation
Census: 53 Capacity: 176 Deficiencies: 0 Date: Nov 22, 2023

Visit Reason
The visit was an unannounced complaint investigation triggered by a complaint received on 2023-10-04 regarding facility disrepair, specifically issues with the front elevator.

Complaint Details
The complaint was substantiated. The allegation was that the facility was in disrepair due to elevator noise issues. Multiple maintenance visits were made, and the problem was resolved. A Technical Violation was issued without deficiency.
Findings
The investigation substantiated the allegation that the front elevator was in disrepair, with a loud squeaking and banging noise occurring in October 2023. The facility requested maintenance multiple times, and the issue was eventually fixed by 2023-11-02. No immediate health and safety hazards were noted.

Report Facts
Residents interviewed: 6 Staff interviewed: 5 Facility capacity: 176 Resident census: 53

Employees mentioned
NameTitleContext
Nicholas ReedLicensing Program AnalystConducted the complaint investigation and authored the report.
David AguinigaAdministratorFacility administrator met during the investigation.
Jina MaleksarkissiansMet with during the investigation.

Inspection Report

Complaint Investigation
Census: 53 Capacity: 176 Deficiencies: 0 Date: Nov 1, 2023

Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation of staff financially abusing a resident.

Complaint Details
The complaint alleged staff financially abused a resident by stealing personal checks. The investigation determined the allegation was false and unfounded as it related to a previous facility operation.
Findings
The allegation that Staff #1 stole personal checks from residents between April and December 2022 was found to be unfounded because the alleged events occurred prior to the operation of the current facility.

Inspection Report

Complaint Investigation
Census: 53 Capacity: 176 Deficiencies: 0 Date: Nov 1, 2023

Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that staff do not ensure residents receive personal mail in a timely manner.

Complaint Details
The complaint alleged that staff did not ensure residents received personal mail in a timely manner. After interviewing six residents and staff, the allegation was found unsubstantiated.
Findings
The investigation found that the receptionist sorts and distributes mail daily, and resident interviews revealed no issues with mail delivery. The allegation was deemed unsubstantiated and no immediate health or safety hazards were noted.

Report Facts
Capacity: 176 Census: 53

Inspection Report

Complaint Investigation
Census: 38 Capacity: 176 Deficiencies: 0 Date: Aug 22, 2023

Visit Reason
The visit was an unannounced complaint investigation conducted to investigate multiple allegations received on 05/16/2023 regarding resident care and facility conditions at Summit Assisted Living of Tarzana.

Complaint Details
The complaint investigation was unannounced and conducted following allegations of poor resident care and facility conditions. Each allegation was investigated through physical plant tours, staff and resident interviews, and observations. All allegations were found to be unsubstantiated based on the evidence collected.
Findings
All allegations including resident room disrepair, lack of activities, staff threatening residents, leaving residents in soiled diapers, failure to safeguard personal belongings, emotional abuse, and breach of confidentiality were investigated through interviews and observations. There was insufficient evidence to substantiate any of the allegations, and no health or safety hazards were noted during the visit.

Report Facts
Capacity: 176 Census: 38

Employees mentioned
NameTitleContext
Abeye DugumaLicensing Program AnalystConducted the complaint investigation
Carmelita RoxasWellness CoordinatorFacility staff member met during the investigation and designated responsible person to sign the report
David AguinigaExecutive DirectorDesignated Carmelita Roxas as responsible person to sign and accept the report

Inspection Report

Complaint Investigation
Capacity: 176 Deficiencies: 0 Date: Jun 23, 2023

Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that the facility did not have hot water.

Complaint Details
The complaint alleging the facility did not have hot water was substantiated. The issue was acknowledged by maintenance and resolved the following day. No citation was issued as the facility took timely corrective action.
Findings
The investigation substantiated the allegation that the facility lacked hot water on 06/20/2023 due to parts malfunction. The issue was resolved within 48 hours after maintenance installed replacement parts, and no health or safety issues were noted during the visit.

Report Facts
Facility Capacity: 176

Inspection Report

Complaint Investigation
Census: 33 Capacity: 176 Deficiencies: 0 Date: May 3, 2023

Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received on 2023-04-25 regarding facility disrepair, inadequate housekeeping, vermin presence, and inadequate food services.

Complaint Details
The complaint investigation was unsubstantiated for all four allegations: facility disrepair including no hot water and roaches; inadequate housekeeping services; presence of vermin; and inadequate food services.
Findings
All allegations were found to be unsubstantiated after physical plant inspections, interviews with residents and staff, and review of pest control and food service practices. The facility was found to have adequate hot water, no observed roaches or rodents, ongoing pest control services, housekeeping services in place, and improved food quality.

Report Facts
Facility Capacity: 176 Resident Census: 33

Employees mentioned
NameTitleContext
Nirjara AcharyaExecutive DirectorMet with Licensing Program Analyst during complaint investigation
Tuesday CabinessLicensing Program AnalystConducted the complaint investigation visit

Inspection Report

Complaint Investigation
Census: 33 Capacity: 176 Deficiencies: 0 Date: May 3, 2023

Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received on 2023-04-25 regarding staff not having snacks for residents and staff speaking inappropriately to a resident.

Complaint Details
The complaint investigation was unsubstantiated. Allegation #1 regarding lack of snacks was unsubstantiated after inspection and interviews. Allegation #2 regarding inappropriate speech to a resident was unsubstantiated based on interviews with staff and residents, including the resident involved.
Findings
Both allegations were found to be unsubstantiated based on interviews, physical plant inspection, and resident reports. Snacks were available upon request and staff were reported to be respectful and treat residents with dignity.

Report Facts
Capacity: 176 Census: 33

Employees mentioned
NameTitleContext
Tuesday CabinessLicensing Program AnalystConducted the complaint investigation
Nirjara AcharyaExecutive DirectorFacility administrator present during investigation
Carmelita RoxasWellness CoordinatorStaff member interviewed during investigation

Inspection Report

Original Licensing
Census: 36 Capacity: 176 Deficiencies: 0 Date: Mar 21, 2023

Visit Reason
An unannounced prelicensing visit was conducted to evaluate the facility for licensing approval.

Findings
The facility was toured and inspected with no immediate health or safety concerns observed. The facility was found to be in compliance with Title 22 regulations and had no deficiencies.

Report Facts
Fire clearance capacity: 126 Fire clearance bedridden capacity: 50 Hot water temperature: 109 Hot water temperature: 117 Room temperature: 73 Refrigerator temperature: 39 Freezer temperature: 0 Number of laundry machines: 4 Fire extinguisher last inspection date: Apr 26, 2022

Employees mentioned
NameTitleContext
Nicholas ReedLicensing Program AnalystConducted the prelicensing visit and inspection
Sherine ThomasAdministratorFacility administrator met with Licensing Program Analyst during inspection

Inspection Report

Census: 37 Capacity: 176 Deficiencies: 0 Date: Feb 14, 2023

Visit Reason
The visit was an office evaluation related to a change of ownership (CHOW) application for the assisted living facility.

Findings
The applicant and administrator participated in a COMP II interview to verify their understanding of community care facility licensing laws, facility operation, admission policies, staffing requirements, emergency preparedness, complaints and reporting, and pre-licensing readiness.

Viewing

Loading inspection reports...