Inspection Reports for Taylor Villa of Mt. San Antonio Gardens

The visit was an unannounced collateral visit to conduct interviews with 6 residents regarding an incident that occurred at the residents' previous facility.

Licensing Program Analyst Mary Flores conducted interviews with residents and met with the facility administrator. An exit interview was conducted and a copy of the report was provided.

The inspection was an annual unannounced comprehensive inspection conducted by Licensing Program Analysts to assess compliance with regulatory requirements at Mount San Antonio Gardens, a Continuing Care Retirement Community.

The facility was found to be adhering to operational, staffing, and infection control requirements. Resident records, rights, planned activities, disaster preparedness, and physical plant safety measures were reviewed and found compliant. Food service and environmental safety standards were also met.

An unannounced complaint investigation visit was conducted regarding an allegation that staff did not ensure a safe environment in the dining room, specifically concerning hot coffee spills due to improperly fitting coffee cup lids.

The investigation found that staff placed lids properly on coffee cups and interviews with 8 residents and 6 staff indicated no observed incidents of coffee spills or safety concerns. The distributor recently changed coffee cups, and new lids were ordered within 24 hours of identifying the issue. The allegation was unsubstantiated due to lack of evidence.

The complaint alleged unsafe environment in the dining room due to coffee cup lids not fitting properly, causing hot coffee spills. The allegation was unsubstantiated after investigation.

Licensing Program Analysts conducted a subsequent annual inspection visit as part of case management and annual continuation to evaluate compliance with regulatory requirements.

The inspection found that the physical plant and environment safety measures were in place, including operable carbon monoxide detectors and fire extinguishers. Food service areas were clean and properly stocked, and medications were stored securely and administered as prescribed.

Licensing Program Analysts conducted a subsequent annual inspection visit to evaluate compliance with regulatory requirements at the Continuing Care Retirement Community.

The facility was found to have an Infection Control Plan in place and was adhering to operational and staffing requirements. Staff files were reviewed and found to be current with required certifications and training. Resident records and rights were maintained appropriately. Some domains such as Physical Plant & Environment Safety, Food Service, and Health Related Services remain pending.

The Licensing Program Analyst conducted an announced visit to inspect the newly developed building located within the campus as part of a Case Management - Licensee Initiated visit.

The inspection included a tour of a new three-floor building with 53 independent living units. All units were found to have appropriate amenities and safety features, including grab bars in bathrooms and a signal system for daily check-ins. Fire extinguishers were observed and recently serviced. No deficiencies were noted during the inspection.

An unannounced complaint investigation visit was conducted in response to allegations that the facility was retaining a resident with a higher level of care needs and that staff were not ensuring the resident was eating properly.

The investigation included interviews with staff and residents, file reviews, and observations. There was insufficient evidence to substantiate the allegations regarding the resident's level of care needs and eating habits. The allegations were determined to be unsubstantiated.

The complaint involved two allegations: 1) the facility retaining a resident with a higher level of care needs, and 2) staff not ensuring the resident was eating properly. Both allegations were found to be unsubstantiated based on interviews, observations, and file reviews.

An unannounced Required-1 year visit focusing on COVID-19 Infection Control Practices was conducted to evaluate compliance with infection control protocols.

COVID-19 infection control practices including signage, PPE supplies, and staff mask usage were observed throughout the facility. Medication was reviewed for seven residents, and vaccination status was reported with most residents and all staff fully vaccinated.

The visit was a case management walk-through initiated by the licensee to evaluate the Harrison Villa building, a Skilled Nursing Facility licensed location.

The inspection found that fire alarms, extinguishers, signal systems, and carbon monoxide detectors were tested and operable. The facility was clean, well-maintained, and free from hazards, with appropriate resident accommodations and supplies observed. No deficiencies or violations were noted.

Licensing Program Analyst Elizabeth Irra conducted an unannounced Required-1 year visit focusing on COVID-19 Infection Control Practices at the Continuing Care Retirement Community.

COVID-19 Infection Control Practices were observed throughout the facility including signage, PPE supplies, and social distancing. Residents and staff vaccination status was reviewed, with most fully vaccinated and some pending boosters. Sufficient food supplies were noted and medication was reviewed for select residents.

The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2021-11-08 regarding financial hardship concerns for residents while in care at Mount San Antonio Gardens.

The investigation found no indication that the facility was at risk of insolvency or mismanaging the Homeship Fund set up to assist residents. The allegation of financial hardship was unsubstantiated.

The complaint alleged that the facility was experiencing financial hardship affecting residents. The complaint was investigated through interviews and financial document review and was found to be unsubstantiated.

The visit was a Case Management - Licensee Initiated announced walk-through to evaluate the Taylor Villa location, previously a skilled nursing facility, for its readiness to provide care and supervision for 10 non-ambulatory Memory Care residents aged 60 and above.

The facility was found to be in good repair with operational safety equipment including smoke detectors, carbon monoxide detector, fire extinguishers, and signal system. The physical plant and grounds were free from hazards, and resident rooms and common areas were adequately furnished and maintained. COVID-19 signage and PPE supplies were observed, and emergency and complaint procedures were posted.