Inspection Reports for Trinity Hills Estates
220 W Naomi Ave, Arcadia, CA 91007, United States , CA, 91007
Back to Facility ProfileDeficiencies per Year
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Census Over Time
Census
Capacity
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 3
Mar 18, 2025
Visit Reason
The inspection was an unannounced required 1-year visit using the full Care Compliance and Regulatory Enforcement (CARE) Tools to evaluate compliance with regulatory standards.
Findings
The facility was found to be generally in good repair with adequate staffing and care provided to six residents, all receiving hospice services. However, deficiencies were noted related to personnel records, criminal background clearance, and expired First Aid/CPR certification for some staff members.
Severity Breakdown
Type A: 1
Type B: 2
Deficiencies (3)
| Description | Severity |
|---|---|
| Staff #2 is not currently associated to the facility and it is not known if Staff #2 has a criminal record clearance, posing an immediate health, safety or personal rights risk. | Type A |
| Staff #2 does not have the personnel records required in section 87412, posing a potential health, safety or personal rights risk. | Type B |
| Staff #3 has an expired First-Aid/CPR certificate, posing a potential health, safety or personal rights risk. | Type B |
Report Facts
Residents: 6
Licensed capacity: 6
Staff files reviewed: 6
Full-time staff: 19
Deficiencies cited: 3
Plan of Correction Due Dates: Apr 15, 2025
Plan of Correction Due Date: Mar 19, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jennifer Sandoval | Administrator | Met during inspection and named in relation to staff training and personnel records deficiencies |
| Erik Zaragoza | Licensing Program Analyst | Conducted the inspection |
| David Sicairos | Supervisor | Named as supervisor overseeing the inspection |
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 1
Apr 18, 2024
Visit Reason
An unannounced annual inspection visit was conducted to evaluate compliance with licensing requirements for the facility.
Findings
The inspection found the facility generally compliant with regulations regarding environment, safety, and supplies. However, deficiencies were cited related to discrepancies between resident medication and medication logs, posing an immediate health and safety risk.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Resident#1's medication and medication log were not matched, with discrepancies of 2 to 4 days for several medications and no explanation provided. | Type A |
Report Facts
Deficiencies cited: 1
POC Due Date: Apr 19, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kenny Yu | Administrator | Met with Licensing Program Analyst during inspection |
| Bonnie Tao | Licensing Evaluator | Conducted the inspection and signed the report |
| Fernando Fierros | Supervisor | Supervisor overseeing the inspection process |
Inspection Report
Original Licensing
Capacity: 6
Deficiencies: 0
Mar 14, 2023
Visit Reason
An announced pre-licensing inspection was conducted as an initial application for Residential Care for Elderly to serve residents age 60 and above.
Findings
The facility was found to be in compliance with requirements including fire clearance, structure, safety features, food service, medication storage, emergency plans, and recreational materials. No issues were observed during the visit.
Report Facts
Fire clearance: 6
Water temperature: 113.6
Fire extinguisher last service date: Feb 3, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| David Yu | co-applicant | Met during pre-licensing inspection. |
| Kenneth Yu | applicant/administrator | Met during pre-licensing inspection. |
| Vanessa Ricchiazzi | consulting manager | Met during pre-licensing inspection. |
| Bonnie Tao | Licensing Program Analyst | Conducted the pre-licensing inspection. |
| Fernando Fierros | Supervisor | Supervisor overseeing the inspection. |
Inspection Report
Original Licensing
Capacity: 6
Deficiencies: 0
Feb 21, 2023
Visit Reason
The visit was an initial licensing evaluation conducted via telephone interview to verify the applicant/administrator's identity and understanding of California Code Title 22 regulations for a Residential Care Facility for the Elderly.
Findings
The applicant/administrator demonstrated understanding of facility operation, admission policies, staffing requirements, restricted health conditions, general provisions, emergency preparedness, complaints and reporting, and pre-licensing readiness. No deficiencies or violations were noted.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kenny Yu | Administrator | Applicant/administrator participating in the initial licensing evaluation and telephone interview. |
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