Inspection Reports for The Watermark at Westwood Village

The visit was an unannounced complaint investigation conducted to investigate allegations that staff did not ensure residents' personal belongings were safely secured and that the facility was not in good repair.

The investigation found insufficient evidence to substantiate the allegations. Interviews with residents, staff, and a witness, as well as review of records and facility inspection, did not corroborate claims of missing personal belongings or non-operational elevators. The allegations were determined to be unsubstantiated.

The complaint included two main allegations: (1) staff does not ensure residents’ personal belongings are safely secured, with reports of missing items from Resident #1's room over the past three years; (2) staff does not ensure the facility is in good repair, specifically that two out of three elevators were out of order since November 2024. Both allegations were investigated and found unsubstantiated.

The visit was an unannounced Case Management investigation triggered by an Unusual Incident Report received on 2025-05-28 regarding missing items from residents' rooms, including cash, credit cards, unauthorized charges, and a wedding band.

The Licensing Program Analyst conducted interviews with residents and witnesses and reviewed documentation. No deficiencies were observed and no citations were issued at this time.

The complaint involved missing items from residents' rooms, including a $2,900 check, six unauthorized credit card charges, two missing credit cards, $300 in cash, and a wedding band. The complaint was investigated and found to have no deficiencies.

The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2024-02-09 regarding questionable death and failure of facility staff to meet a resident's oxygen needs.

The investigation found no evidence to support the allegations. The department reviewed records, interviewed staff, residents, and the administrator, and concluded the allegations were unsubstantiated. No deficiencies were cited.

The complaint alleged that a resident (R1) died due to failure of staff to provide lifesaving oxygen and that staff did not meet the resident's oxygen needs, resulting in oxygen saturation dropping below 60%. The investigation included interviews with staff, residents, and review of medical and emergency reports. The department found no preponderance of evidence to prove the alleged violations and classified the allegations as unsubstantiated.

The visit was conducted as a Case Management visit following a complaint received on 2025-05-14 regarding two facility employees allegedly joking around and possibly tapping a dementia resident inappropriately.

No deficiencies were observed during the visit, and no citations were issued. The Licensing Program Analyst met with the Assistant Executive Director and explained the purpose of the visit.

Complaint involved two facility employees observed joking around with a dementia resident and possibly tapping the resident's inner thigh. The complaint was investigated but no deficiencies were found.

The inspection was an unannounced complaint investigation visit conducted due to allegations that the licensee did not comply with facility theft and loss program requirements and that staff did not safeguard a resident's personal belongings.

The investigation substantiated that the facility failed to comply with theft and loss program requirements, including failure to provide required forms to the resident and failure to train staff on the theft and loss program. Additionally, the facility staff did not safeguard a resident's personal belongings, resulting in stolen items. Another allegation that staff did not ensure a safe environment for residents was found to be unsubstantiated.

The complaint was substantiated regarding failure to comply with theft and loss program requirements and failure to safeguard resident's personal belongings. The allegation that staff did not ensure a safe environment was unsubstantiated. The investigation included interviews with the resident, staff, executive director, and witnesses, review of police reports, video footage, and facility records.

The inspection was an unannounced complaint investigation visit triggered by allegations received on 02/09/2024 regarding questionable death and failure of facility staff to meet a resident's oxygen needs.

The investigation found no evidence to support the allegations. Interviews, record reviews, and evidence showed that staff provided appropriate care, including medication administration and oxygen equipment maintenance. The resident was pronounced deceased due to cardiac arrest from hypoxia and other medical conditions, but no violations were substantiated.

The complaint involved two allegations: 1) questionable death due to failure to provide lifesaving oxygen, and 2) failure to meet the resident's oxygen needs resulting in oxygen saturation dropping below 60%. Both allegations were found to be unsubstantiated after thorough investigation including interviews with staff, residents, and review of medical and emergency reports.

An unannounced annual required visit was conducted using the CARE Inspection Tool to evaluate compliance with licensing regulations and facility conditions.

The facility was found to be clean, sanitary, and appropriately furnished with operational safety equipment and adequate food supplies. However, deficiencies were cited related to 9 employees not being associated on guardian and 3 employees lacking TB test/health screening documentation.

An unannounced complaint investigation was conducted due to an allegation that staff transported clients while under the influence of marijuana.

The investigation included interviews with the administrator, staff, and residents, as well as review of relevant documents. The Licensing Program Analyst found insufficient evidence to substantiate the allegation, concluding the complaint was unsubstantiated.

The allegation was that a facility driver transported residents while under the influence of marijuana. Interviews and document reviews did not find sufficient evidence to support this claim. The allegation was found to be unsubstantiated.

The inspection was a Case Management visit conducted by Licensing Program Analyst Alfonso Iniguez to review documentation related to an open investigation pertaining to a complaint.

The Licensing Program Analyst requested additional documentation regarding an open complaint investigation, which was provided by the Senior Executive Director. An exit interview was conducted and a copy of the Facility Evaluation Report was given to the facility representative.

The visit involved review of documentation related to complaint #11-AS-20240910162855; no substantiation status was provided.

The visit was a Case Management visit conducted to review records related to an ongoing investigation at the facility.

The Department discovered that the surveillance cameras in the common areas were equipped with audio recording capabilities, infringing upon the privacy rights of the residents. A deficiency was cited under California Code of Regulations, Title 22, Division 6, Chapter 8.

The visit was a Case Management visit conducted by Licensing Program Analyst Alfonso Iniguez to request additional documentation regarding an open investigation related to a complaint.

The Licensing Program Analyst met with the Senior Executive Director, Stephanie Koffman, and reviewed documentation related to an open complaint investigation. An exit interview was conducted and a copy of the Facility Evaluation Report was provided to the facility representative.

The visit involved a request for documentation pertaining to an open investigation related to complaint #11-AS-20240910162855.

The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2024-04-19 regarding residents' pendants being disabled due to a transition between new management companies.

The investigation substantiated that residents' pendants were disabled for several days during the management transition, posing a health and safety risk. However, the allegation that residents missed meals due to phones not working was unsubstantiated. The pendant system was found operational at the time of the visit.

The complaint was substantiated regarding disabled residents' pendants due to management transition. The allegation that residents missed meals due to phones not working was unsubstantiated. The investigation included interviews with staff and residents, facility tours, and pendant testing.

An unannounced Case Management visit was conducted following reports of a male dressed as a service worker entering community care facilities in the Westwood area.

The Licensing Program Analysts conducted a health and safety check, reviewed staff and resident rosters, and examined security measures. No deficiencies were observed and no citations were issued.

The visit was an unannounced one-year inspection to evaluate compliance with licensing regulations for the facility.

The facility was found to be in compliance with all applicable regulations. No deficiencies were cited. The kitchen, safety equipment, and premises were all inspected and found to be satisfactory.

The inspection was conducted as a complaint investigation following an allegation that the facility was not following Emergency Disaster Plan protocols.

The investigation found that the facility maintains an updated register of residents indicating location and ambulatory status, staff were knowledgeable about their emergency roles, and the facility has an evacuation procedure plan. Resident feedback indicated some perceived chaos during drills but confidence in receiving help. The allegation was unsubstantiated and no deficiencies were cited.

The complaint alleged that the facility did not have a register of residents indicating location and ambulatory status readily available to first responders and that staff did not know what to do during emergency disaster drills. The allegation was unsubstantiated due to lack of preponderance of evidence.

The inspection was an unannounced complaint investigation visit conducted to address multiple allegations including failure to follow Covid-19 protocols, facility disrepair, lack of emergency disaster plan, unsafe environment, unsafe food handling practices, and inaccurate resident paperwork.

The investigation substantiated that the facility failed to report positive Covid-19 cases and was in disrepair with patio lifters caving inward. Other allegations regarding emergency disaster plan, safe environment, food handling, and resident paperwork were found unsubstantiated based on interviews, observations, and record reviews.

The complaint investigation was substantiated for failure to follow Covid-19 protocols including unreported positive cases and facility disrepair. Other allegations such as lack of emergency disaster plan, unsafe environment, unsafe food handling, and inaccurate resident paperwork were unsubstantiated.

The inspection visit was conducted as an unannounced complaint investigation to address allegations that facility staff were not safeguarding residents' personal property and that a resident was being financially abused while in care.

The investigation included interviews with residents and staff, a tour of the facility, and record reviews. The allegations were found to be unsubstantiated as the majority of residents and staff denied the allegations and there was insufficient evidence to prove the violations occurred.

The complaint investigation was triggered by allegations of staff not safeguarding residents' personal property and financial abuse of a resident. The allegations were unsubstantiated based on interviews and evidence reviewed.

The inspection was an unannounced complaint investigation visit conducted in response to an allegation that staff do not assist residents with bathing.

The investigation included interviews with residents and staff, review of shower schedules, and observations. All residents interviewed stated they had no issues with bathing and sometimes refused showers. Staff confirmed they assist residents with bathing as scheduled. The allegation was found to be unsubstantiated due to lack of preponderance of evidence.

The complaint alleged that staff do not assist residents with bathing. The investigation found no evidence to substantiate the allegation; residents and staff confirmed bathing assistance was provided as scheduled.

The visit was conducted as a Case Management - Annual Continuation to complete the facility annual inspection originally conducted on 03/28/2023 and 03/29/2023 at Watermark at Westwood Village.

Multiple deficiencies were observed including exposed walls with holes and no posted signs in fire escape stairways on all 14 floors, a machine blocking an emergency exit door in the Memory Care Unit stairwell, a non-operational van blocking a parking garage entrance, knives and cleaning chemicals improperly stored in the kitchen, lack of CPR training for 3 staff, lack of educational verification for staff, expired and outdated food, and missing records of medication dosages maintained by the facility. Plans of correction were developed for all deficiencies.

An unannounced annual inspection visit was conducted at the Watermark at Westwood Village to evaluate compliance with licensing requirements.

No deficiencies were cited during the visit. The Licensing Program Analyst reviewed resident medication records, resident and staff interviews, client and staff records, and inspected the facility and grounds. A subsequent visit is required due to time constraints.

An unannounced comprehensive annual inspection visit was conducted at the Watermark at Westwood Village on 03/28/2023.

No deficiencies were cited during the visit. The inspection included review of resident medication records, resident and staff interviews. A subsequent visit is required due to time constraints.

An unannounced complaint investigation visit was conducted in response to an allegation that staff do not safeguard residents' personal property.

The investigation found that although there were allegations of missing personal items from a resident's apartment, the facility had functioning cameras and locks, staff denied taking items, and most residents did not report problems. There was insufficient evidence to substantiate the complaint, resulting in an unsubstantiated finding.

The complaint alleged that staff do not safeguard resident's personal property, specifically that Resident 1's clothing, shoes, jewelry, undergarments, and watch had gone missing. The investigation included interviews with staff and residents, review of camera footage, and file review. The allegations were found to be unsubstantiated due to lack of preponderance of evidence.

The inspection was an unannounced complaint investigation conducted in response to allegations received on 12/06/2021 regarding the facility not meeting residents' needs, medication administration issues, insufficient staffing, and failure to respond to emergency pendants.

The investigation substantiated the allegations that the facility did not meet residents' needs due to staffing shortages, failed to dispense medications according to doctors' orders, lacked sufficient staff to meet resident needs, and did not respond adequately to emergency pendants. These deficiencies pose potential health and safety risks.

The complaint investigation was substantiated. Allegations included failure to meet residents' needs, improper medication administration, insufficient staffing, and failure to respond to emergency pendants. Interviews with staff, residents, and witnesses confirmed these issues, and record reviews supported the findings.

The visit was an unannounced complaint investigation conducted to address allegations that the facility did not have an Emergency Disaster Plan and was not following COVID-19 guidelines.

The investigation substantiated that the facility lacked a proper Emergency Disaster Plan, had not trained staff or residents on emergency procedures, and did not conduct required drills. Additionally, the facility failed to ensure unvaccinated staff were tested weekly as required by COVID-19 guidelines.

The complaint investigation was substantiated. Allegations included lack of an Emergency Disaster Plan and failure to follow COVID-19 testing guidelines for unvaccinated staff. Interviews with staff, residents, and witnesses, along with record reviews, supported these findings.

The inspection was an unannounced complaint investigation initiated due to allegations that unqualified staff were administering medications to residents and that residents' belongings were not being safeguarded while in care.

The investigation included interviews with staff and residents, a facility tour, and record reviews. All staff and residents interviewed denied the allegations. Medication administration records and training documentation were verified. The facility does not have a surety bond and residents are discouraged from bringing high-value items. The allegation was determined to be unsubstantiated due to lack of preponderance of evidence.

The complaint investigation was unsubstantiated. Allegations included unqualified staff administering medications and residents' belongings not being safeguarded. Interviews with 9 staff and residents denied these claims. Medication administration training and records were verified. The facility denies liability for personal belongings unless delivered for safeguarding. The preponderance of evidence standard was not met.

An announced virtual pre-licensing evaluation visit was conducted to assess the facility for an initial license as a Residential Care Facility for the Elderly serving assisted living, independent living, and memory care residents aged 60 and older.

The facility was found to be in substantial compliance with applicable laws and regulations during the pre-licensing inspection. No items of noncompliance were observed. The facility is approved for a capacity of 237 residents, including provisions for non-ambulatory and bedridden residents, and is equipped with safety features such as a sprinkler system and backup generator.

Initial licensing evaluation visit conducted via phone call (COMP II) with applicant and administrator to verify identification and confirm understanding of Title 22 regulations and facility operation requirements.

Applicant and administrator successfully completed the COMP II component, demonstrating understanding of licensing requirements including staff qualifications, program policies, and application document review. No deficiencies or violations are noted in the report.