Inspection Reports for
The Lighthouse

10406 MAGNOLIA BLVD., TOLUCA LAKE, CA, 91601

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Deficiencies (last 5 years)

Deficiencies (over 5 years) 0.2 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

95% better than California average
California average: 4 deficiencies/year

Deficiencies per year

4 3 2 1 0
2021
2022
2023
2024
2025

Occupancy

Latest occupancy rate 49% occupied

Based on a August 2025 inspection.

Occupancy rate over time

40% 60% 80% 100% Aug 2021 Jul 2022 Aug 2024 Jul 2025 Aug 2025

Inspection Report

Annual Inspection
Census: 24 Capacity: 49 Deficiencies: 0 Date: Aug 20, 2025

Visit Reason
The visit was an unannounced continuation of the required annual inspection to evaluate compliance with licensing requirements.

Findings
No deficiencies were observed during the record review, medication review, or infection control and emergency disaster planning evaluation. The facility's policies and procedures were found to be adequate and up to date.

Inspection Report

Annual Inspection
Census: 24 Capacity: 49 Deficiencies: 0 Date: Jul 29, 2025

Visit Reason
The inspection was a required unannounced annual visit to evaluate compliance with licensing regulations.

Findings
The facility was found to be in compliance with health and safety regulations with no deficiencies observed. The physical plant, resident rooms, bathrooms, common areas, kitchen, and outdoor spaces were all clean, well-maintained, and properly equipped.

Report Facts
Number of bedrooms: 27 Number of resident rooms toured: 10 Number of private resident bathrooms observed: 10 Number of staff interviewed: 3 Number of residents interviewed: 3 Fire extinguisher last serviced date: Feb 14, 2025 Smoke and carbon monoxide detectors last tested date: Apr 3, 2025 Perishable food supply duration: 2 Non-perishable food supply duration: 7

Employees mentioned
NameTitleContext
Gabriela VisovanAdministratorFacility Administrator met during inspection and involved in tour
Trevor ByrneLicensing Program AnalystConducted the inspection
Kasandra LopezLicensing Program ManagerNamed as Licensing Program Manager on report

Inspection Report

Complaint Investigation
Census: 25 Capacity: 49 Deficiencies: 0 Date: Jan 13, 2025

Visit Reason
The visit was an unannounced complaint investigation triggered by allegations received on 2025-01-07 regarding mattress conditions and threats of eviction at the facility.

Complaint Details
The complaint alleged that the facility did not provide a resident with a clean and comfortable mattress and that staff threatened eviction if the resident complained to the licensing agency. Both allegations were deemed unsubstantiated after interviews with the resident, administrator, and other residents.
Findings
The investigation found insufficient evidence to substantiate the allegations that the facility did not provide a clean and comfortable mattress and that staff threatened a resident with eviction for complaining. No deficiencies were observed during the inspection.

Report Facts
Capacity: 49 Census: 25 Estimated Days of Completion: 7 Number of residents interviewed: 5 Number of mattress replacements: 5 Duration mattress on mats: 6

Employees mentioned
NameTitleContext
Gabriela VisovanAdministratorFacility administrator involved in investigation and interviews
Trevor ByrneLicensing Program AnalystEvaluator who conducted the complaint investigation

Inspection Report

Annual Inspection
Census: 26 Capacity: 49 Deficiencies: 0 Date: Aug 16, 2024

Visit Reason
The inspection was an unannounced required annual visit to evaluate the facility's compliance with Title 22 regulations and ensure health and safety standards.

Findings
The facility was found to be in compliance with all applicable regulations. No deficiencies were cited during the inspection, and all areas including bedrooms, bathrooms, common areas, kitchen, and records were observed to be clean, safe, and properly maintained.

Report Facts
Days of perishable food supply: 2 Days of non-perishable food supply: 7 Number of bedrooms: 27 Number of resident rooms toured: 5 Number of resident bathrooms toured: 5 Number of staff files reviewed: 5 Number of resident files reviewed: 5 Number of residents' medications reviewed: 5 Water temperature range (°F): 105.4 Water temperature range (°F): 109.7

Inspection Report

Complaint Investigation
Census: 26 Capacity: 49 Deficiencies: 0 Date: Aug 30, 2023

Visit Reason
The visit was an unannounced complaint investigation triggered by allegations received on 01/03/2023 regarding incomplete medical records and failure to observe a resident's change in condition.

Complaint Details
The complaint alleged that staff failed to have complete medical records on file and did not observe Resident #1's change in condition prior to hospitalization. The investigation included interviews, file reviews, and a physical plant tour. The allegations were unsubstantiated due to lack of preponderance of evidence.
Findings
The investigation found no sufficient evidence to substantiate the allegations. Resident files were found complete and staff did observe and respond to the resident's change in condition, including calling 911 when necessary. Both allegations were deemed unsubstantiated.

Report Facts
Capacity: 49 Census: 26

Employees mentioned
NameTitleContext
Emily PeraldiLicensing Program AnalystConducted the complaint investigation
Gabriela VisovanAdministratorFacility administrator interviewed during investigation

Inspection Report

Annual Inspection
Census: 26 Capacity: 49 Deficiencies: 0 Date: Aug 30, 2023

Visit Reason
The Licensing Program Analyst conducted an unannounced required annual visit to evaluate the facility's compliance with Title 22 Regulations and ensure health and safety standards.

Findings
The facility was found to be in compliance with regulations with no health or safety hazards observed. The kitchen, bedrooms, restrooms, common areas, and outdoor spaces were all maintained properly. Medication and staff training records were in order, and no deficiencies were cited.

Report Facts
Fire extinguisher last serviced date: Feb 6, 2023 Fire alarm system last tested: 202302 Residents interviewed: 5 Staff interviewed: 4 Resident files reviewed: 5 Staff files reviewed: 5 Medication reviews: 5

Employees mentioned
NameTitleContext
Gabriela VisovanAdministratorMet with Licensing Program Analyst during the inspection and involved in medication documentation review
Emily PeraldiLicensing Program AnalystConducted the inspection visit and evaluation
Kristin HeffernanSupervisorSupervisor overseeing the licensing evaluation

Inspection Report

Annual Inspection
Census: 27 Capacity: 49 Deficiencies: 0 Date: Jul 19, 2022

Visit Reason
The visit was a required unannounced annual inspection with a specific emphasis on infection control practices and procedures.

Findings
The facility was found to be in compliance with Title 22 Regulations, with no deficiencies observed. Infection control practices, physical plant safety, and sanitation were adequate.

Inspection Report

Complaint Investigation
Census: 24 Capacity: 49 Deficiencies: 0 Date: Mar 18, 2022

Visit Reason
The visit was conducted to investigate complaints alleging staff physically abused a resident and denied a resident food and water at the facility.

Complaint Details
The complaint was received on 2020-08-21 alleging physical abuse and denial of food and water to a resident. The investigation included interviews, medical record reviews, and virtual and in-person visits. The allegations were deemed unsubstantiated.
Findings
The investigation found no sufficient evidence to support the allegations. Medical records and physician statements indicated no signs of abuse, and interviews with residents and staff confirmed that food and water were not denied.

Report Facts
Facility Capacity: 49 Resident Census: 24

Inspection Report

Annual Inspection
Census: 23 Capacity: 49 Deficiencies: 1 Date: Aug 24, 2021

Visit Reason
The visit was a required unannounced annual inspection with a specific emphasis on infection control practices and procedures.

Findings
The facility was generally found to be in compliance with health and safety regulations, including clean and properly furnished areas, operable kitchen appliances, and adequate infection control protocols. One deficiency was cited for accessible over-the-counter medications in a resident room, which posed an immediate health and safety risk.

Deficiencies (1)
CCR 87705(f)(2) Care of Persons with Dementia: Over-the-counter medications were accessible to residents with dementia, posing an immediate health, safety, or personal rights risk. The items were removed upon observation.
Report Facts
Deficiency cited: 1 Hot water temperature: 113.3 Fire extinguisher last serviced: Feb 3, 2021

Employees mentioned
NameTitleContext
Gabriela VisovanAdministratorFacility administrator involved in the inspection and plan of correction
Emily PeraldiLicensing Program AnalystLicensing evaluator conducting the inspection
Kristin HeffernanSupervisorSupervisor overseeing the licensing evaluation

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