Inspection Reports for
The Gardens at Park Balboa

The complaint involved two allegations: 1) staff handled a resident in a rough manner causing injuries, and 2) staff were unable to provide timely assistance to residents. Both allegations were found unsubstantiated due to insufficient evidence.

The investigation found insufficient evidence to substantiate the allegations that staff handled residents roughly or failed to provide timely assistance. The bruises on Resident #1 were attributed to medical conditions and behaviors rather than staff actions. Staffing levels and resident care practices were found adequate.

The facility was found to be generally in compliance with regulations, including resident and personnel records, infection control, emergency disaster plans, and medication management. No deficiencies were cited, though the analyst advised ensuring direct care staff obtain first aid/CPR certification.

The facility was found to be generally in compliance with regulations, including resident and personnel records, infection control, emergency disaster plans, and medication management. No deficiencies were cited during this inspection.

The facility was found to be in compliance with health and safety regulations, with no deficiencies cited. Resident rooms, common areas, and kitchen facilities were inspected and found to be clean, safe, and properly maintained.

The facility was found to be in compliance with no deficiencies cited. Resident rooms, common areas, and kitchen facilities were inspected and found to be clean, safe, and properly maintained with no immediate health or safety hazards observed.

The complaint alleged that staff did not provide proper mobility assistance to residents. The allegation was found unsubstantiated after investigation, including interviews and record reviews.

The investigation included interviews with staff and residents and review of facility records. It was found that the allegation was unsubstantiated due to insufficient evidence, and staff involved in a related breakroom incident were counseled and required to take workplace harassment training.

The complaint alleged that staff did not provide proper mobility assistance to residents. The investigation revealed a staff conflict unrelated to resident care, and interviews indicated that Staff #2 was attentive and caring. The allegation was determined to be unsubstantiated.

The investigation included interviews with staff and residents and a review of facility records. It was found that the allegation was unsubstantiated due to insufficient evidence, with staff and residents confirming proper care and assistance were provided.

The complaint involved a questionable death of Resident #1. The resident had a history of bipolar disorder and depression but was not on psychiatric medications at admission. The resident was found deceased after falling from the second floor, with the manner of death ruled as suicide by the police and coroner. Family reported threats by the resident to harm themselves, but staff were not informed and did not observe signs of depression. The allegation was unsubstantiated due to lack of evidence.

The investigation found that Resident #1 died by suicide after falling from the second-floor landing. There was no preponderance of evidence to prove the alleged violation occurred, and the allegation was unsubstantiated. No deficiencies were cited during the visit.

The complaint involved an allegation of a questionable death of Resident #1. The investigation included interviews with staff, residents, family, and review of medical and facility records. The police and coroner investigations concluded the death was a suicide by falling from the second floor. The family had reported threats by Resident #1 to harm themselves, but this information was not shared with facility staff. Staff did not observe signs of depression or condition changes in Resident #1. The allegation was unsubstantiated due to lack of evidence.

The investigation found that Resident #1 died by suicide after falling from the second-floor landing. There was no preponderance of evidence to prove the alleged violation occurred, and the allegation was unsubstantiated. No deficiencies were cited during the visit.

The complaint alleged that staff did not safeguard Resident #1's black gel pillow, which was missing after being left in the dining room. Interviews with residents and the Executive Director revealed that Resident #2, who has mild cognitive impairment, admitted to seeing and possibly taking the pillow believing it was theirs. The pillow was not found in Resident #2's room. The Executive Director stated staff regularly remind residents to safeguard their belongings. The allegation was unsubstantiated due to insufficient evidence.

The investigation found insufficient evidence to support the allegation that staff did not safeguard the resident's personal belongings; therefore, the complaint was unsubstantiated.

The complaint included three allegations: 1) Facility staff did not assist resident with medical transportation needs; 2) Facility staff did not treat resident with dignity and respect; 3) Facility overcharged resident. All allegations were found unsubstantiated based on interviews, document reviews, and evidence.

After investigation including interviews and document reviews, all allegations were found to be unsubstantiated due to insufficient evidence. The facility staff assisted with transportation as required, treated residents with dignity and respect, and did not overcharge the resident.

The complaint alleged that staff did not safeguard Resident #1's black gel pillow, which was missing from the dining room. Resident #2 admitted to seeing and possibly taking the pillow due to memory lapses but denied stealing. The Executive Director confirmed efforts to remind residents to safeguard belongings and found no evidence staff were responsible for the missing pillow. The allegation was unsubstantiated.

The investigation found insufficient evidence to support the allegation that staff did not safeguard the resident's personal belongings. The allegation was determined to be unsubstantiated based on interviews with residents and the Executive Director.

The complaint involved three allegations: 1) Facility staff did not assist resident with medical transportation needs; 2) Facility staff did not treat resident with dignity and respect; 3) Facility overcharged resident. All allegations were investigated and found unsubstantiated.

After investigation including interviews and document reviews, there was insufficient evidence to substantiate the allegations. The staff did assist with transportation arrangements, treated the resident with dignity and respect, and did not overcharge the resident. All allegations were found unsubstantiated.

The complaint alleged unlawful eviction of Resident #1. The resident was involved in a financial fraud scheme and unable to pay rent. The facility attempted to assist the resident with payment arrangements and support, but the resident did not comply. The allegation was unsubstantiated.

The investigation found insufficient evidence to support the allegation of unlawful eviction. The resident involved had not paid rent since June 2024 due to financial issues and had not complied with payment arrangements. The allegation was deemed unsubstantiated.

The complaint alleged unlawful eviction of Resident #1. The resident was involved in a financial fraud scheme, resulting in suspended Social Security benefits and inability to pay rent. The facility attempted to assist the resident, but the resident did not comply with payment arrangements. The allegation was unsubstantiated.

The investigation found insufficient evidence to support the allegation of unlawful eviction. The resident involved had not made payments since June 2024 due to financial hardship and had not complied with payment arrangements, but the facility made multiple attempts to assist. The allegation was deemed unsubstantiated.

Immediate Civil Penalties were assessed for the deficiency cited as a result of the substantiated findings for complaint #29-AS-20220601142537 on 2023-04-07.

No deficiencies were observed during this visit. Immediate Civil Penalties were delivered related to a previously substantiated complaint from 2023-04-07. A return visit will be conducted to complete the review of the Physical Plant and Environmental Safety domain.

Immediate Civil Penalties were assessed for the deficiency cited as a result of the substantiated findings for complaint #29-AS-20220601142537 dated 2023-04-07.

No deficiencies were observed during this visit in the domains reviewed. Immediate Civil Penalties were delivered related to a prior substantiated complaint from 2023-04-07. A return visit will be conducted to complete the review of the Physical Plant and Environmental Safety domain.

The complaint involved allegations that staff stole residents' personal belongings and medication. The allegations were unsubstantiated based on interviews and evidence collected during the investigation.

The investigation found insufficient evidence to support the allegations that staff stole residents' personal belongings or medication. Interviews with residents, staff, and the administrator revealed no consistent or substantiated claims, and the staff member named was no longer employed at the facility for unrelated reasons.

The complaint involved allegations that staff stole residents' personal belongings and medication. The allegations were deemed unsubstantiated based on interviews and evidence collected during the investigation.

The investigation found insufficient evidence to support the allegations of staff stealing residents' personal belongings or medication. Interviews with residents, staff, and the administrator revealed no consistent or substantiated claims, and the staff member named was no longer employed.

The complaint alleged staff failed to prevent bullying and failed to provide a safe and comfortable environment. The investigation was unannounced and conducted by Licensing Program Analyst Angel Ascencio. The allegations were deemed unsubstantiated based on interviews and evidence gathered.

The investigation found insufficient evidence to substantiate the allegations. Staff intervened appropriately during a verbal altercation between two residents, and interviews with staff and residents confirmed that the environment is safe and comfortable with no bullying or intimidation reported.

The complaint alleged that staff did not ensure a safe and healthful environment by failing to accord dignity to a resident and that staff yelled at a resident. The complaint was unsubstantiated based on interviews and evidence gathered during the investigation.

The investigation found insufficient evidence to substantiate the allegations. Interviews with the Executive Director, Marketing Director, staff, residents, and the complainant revealed that staff acted professionally and respectfully, and residents felt safe and supported. The allegations were deemed unsubstantiated.

The complaint alleged that staff failed to prevent resident bullying and failed to provide a safe and comfortable environment. The allegations were deemed unsubstantiated based on interviews and evidence gathered during the investigation.

The investigation found insufficient evidence to substantiate the allegations. Staff intervened appropriately during a verbal altercation between two residents, and interviews with staff and residents confirmed that the environment was safe and comfortable with no bullying or intimidation observed.

The complaint alleged that staff did not ensure a safe and healthful environment by according dignity in their relationship with a resident and that staff yelled at a resident. The complaint was unsubstantiated based on interviews and evidence gathered during the investigation.

The investigation found insufficient evidence to substantiate the allegations that staff disrespected or yelled at the resident. Interviews with staff, residents, and management indicated that staff acted professionally and respectfully, and residents felt safe and supported. The allegations were deemed unsubstantiated.

The complaint included allegations that facility staff do not intervene in resident on resident verbal altercations and that Resident #2 was financially abused by being charged for tray service they did not need and being billed incorrectly for medication administration. Both allegations were found unsubstantiated based on interviews and record reviews.

The investigation found insufficient evidence to substantiate the allegations that staff failed to intervene in resident verbal altercations and that financial abuse occurred. Residents and staff interviews indicated staff do intervene when needed and billing discrepancies were clarified with credits issued.

The complaint included allegations that facility staff did not intervene in resident on resident verbal altercations and that financial abuse occurred related to tray service charges and medication billing. Both allegations were investigated and deemed unsubstantiated based on interviews, record reviews, and observations.

The investigation found insufficient evidence to substantiate the allegations. Staff were found to intervene in resident verbal altercations as needed, and the financial abuse claim regarding tray service charges and medication billing was unsubstantiated after review of records and interviews.

The complaint alleged verbal abuse between residents due to lack of care and supervision. Investigations including interviews with residents and staff found insufficient evidence to support the claim. The allegation was unsubstantiated.

Interviews with residents and staff revealed that the residents involved had a history of disagreements but there was no evidence of verbal abuse due to lack of care and supervision. The allegation was deemed unsubstantiated.

The complaint alleged verbal abuse between residents due to lack of care and supervision. Investigations including interviews with residents and staff found insufficient evidence to support the claim. The allegation was unsubstantiated.

Interviews with residents and staff revealed that the residents involved had a history of disagreements but there was no evidence of verbal abuse due to lack of care and supervision. The allegation was deemed unsubstantiated and no deficiencies were cited.

The complaint investigation addressed three allegations: staff failed to treat a resident with dignity and respect, failure to assist with arranging transportation for medical care, and grab bars not placed appropriately. All allegations were deemed unsubstantiated based on interviews, observations, and documentation.

The investigation found insufficient evidence to substantiate any of the allegations. Interviews with staff and residents, facility tours, and document reviews confirmed that staff treated residents respectfully, transportation assistance was provided according to protocol, and grab bars were appropriately placed and installed per resident requests.

The complaint included allegations that staff failed to treat a resident with dignity and respect, failed to assist with arranging transportation for medical care, and that grab bars were not placed appropriately. All allegations were deemed unsubstantiated based on interviews, observations, and document reviews.

The investigation found insufficient evidence to substantiate any of the allegations. Staff were not found to have treated residents disrespectfully, the facility was assisting residents with transportation arrangements as required, and grab bars were appropriately placed and additional bars installed per resident request.

The facility was found to be in compliance with Title 22 Regulations, with clean and safe common areas, adequate infection control measures, and no deficiencies cited at this time.

The facility was found to be in compliance with Title 22 Regulations with no health or safety hazards observed. Common areas were clean and safe, infection control practices were adequate, and no deficiencies were cited at this time.

The complaint alleged that faucets used by residents for personal care did not deliver hot water for 10 days and that the facility was not maintaining hot water temperature between 105 and 120 degrees Fahrenheit as required by Title 22 Regulation section 87303(e)(2). The allegation was found unsubstantiated after investigation.

The investigation found that one of four hot water boilers was in disrepair causing no hot water delivery to half of the building for about 10 days. The facility took immediate action by replacing the boiler, notifying residents, and providing alternative rooms with hot water. Water temperatures in inspected rooms were within the required range. The allegation was unsubstantiated due to insufficient evidence of violation.

The complaint investigation was unsubstantiated. Allegations included the dining hall heater being in disrepair for three weeks and transportation not being available due to the facility bus being out of service for about a month. Interviews, record reviews, and observations showed the heater was repaired with temporary space heaters used in the interim, and residents were provided alternative transportation such as Uber, Lyft, and Access rides paid or reimbursed by the facility.

The investigation found insufficient evidence to substantiate the allegations that the dining hall heater was in disrepair and that transportation was not available to residents. The facility had repaired the heater with temporary space heaters provided during repairs, and alternative transportation options were provided while the facility bus was out of service.

The complaint alleged that faucets used by residents for personal care did not deliver hot water for 10 days and that the facility was not maintaining hot water temperature between 105 and 120 degrees Fahrenheit as required by Title 22 Regulation section 87303(e)(2). The complaint was found unsubstantiated.

The investigation found that one of four hot water boilers was in disrepair causing no hot water delivery to half of the building, but the facility took immediate action by replacing the boiler, notifying residents, and providing alternative rooms with hot water. Water temperatures in ten inspected resident rooms measured between 110.2 and 118.7 degrees Fahrenheit. The allegation was unsubstantiated due to insufficient evidence.

The complaint investigation was unsubstantiated. Allegations included the dining hall heater being in disrepair for three weeks and transportation not being available due to the facility bus being out of service for about a month and lack of a driver. Investigations found temporary space heaters were safely used and the heater was repaired, and alternative transportation options such as ride shares were provided while the bus was out of service.

After interviews, record reviews, and observations, there was insufficient evidence to substantiate the allegations. The dining hall heater was repaired with temporary space heaters provided during repairs, and transportation was intermittently unavailable due to vehicle repairs but alternative transportation was provided to residents.

The complaint involved an allegation that on 2022-05-27, Staff #2 physically abused Resident #1 by grabbing the resident's right arm and pushing them to the ground, causing bleeding to the resident's face. The facility reported the incident to the Local Ombudsman, Community Care Licensing, and the police, and attempted to contact the resident's responsible party.

During the visit, the Licensing Program Analyst conducted interviews, a physical plant tour, and document review. The resident involved appeared in good health with no immediate concerns, and no immediate health and safety issues were observed. Further investigation is required before issuing findings.

The complaint involved an allegation that Staff #2 physically abused Resident #1 by grabbing and pushing the resident to the ground causing bleeding. The facility reported the incident to the Local Ombudsman, Community Care Licensing, and the police. The complaint is under further investigation.

During the visit, the Licensing Program Analyst conducted interviews, a physical plant tour, and document review. The alleged victim appeared in good health with no immediate concerns, and no immediate health and safety concerns were observed. Further investigation is required prior to issuing findings.

The complaint investigation was initiated based on allegations that the facility overcharged a resident and failed to provide an itemized statement. After multiple unannounced visits, record reviews, and interviews, the allegations were found unsubstantiated due to insufficient evidence to prove violations.

The investigation found insufficient evidence to substantiate the allegations. The facility provided documentation and communication showing charges and notifications to the resident and family, and re-assessments were conducted as needed. Therefore, the allegations were determined to be unsubstantiated.

The complaint investigation was initiated based on allegations that the facility overcharged Resident #1 and failed to provide an itemized statement for the resident's care. After record reviews, interviews, and follow-ups, the allegations were found unsubstantiated due to insufficient evidence to prove the alleged violations occurred.

The investigation found insufficient evidence to substantiate the allegations. The facility provided documentation and communication showing charges and notifications to the resident and responsible party, and the allegations were deemed unsubstantiated.

The complaint alleging staff not maintaining residents' hygiene was investigated through visits on 3/24/20, 10/29/20, and 4/15/21. Interviews with administrators, staff, and residents were conducted. The allegation was unsubstantiated.

The Licensing Program Analyst conducted multiple visits and interviews, observing residents to be well groomed and clean. Residents expressed satisfaction with the shower schedule and staff assistance. The allegation was found to be unsubstantiated due to insufficient evidence.

The complaint alleged that staff were not maintaining residents' hygiene, with concerns that residents looked unkempt and dirty. After investigation including multiple visits and interviews, the allegation was found to be unsubstantiated.

The Licensing Program Analyst observed residents appearing well groomed and clean during the facility tour. Interviews with residents and staff indicated satisfaction with the shower schedule and grooming assistance. The allegation that staff were not maintaining residents' hygiene was unsubstantiated.