Pricing ranges from
    $1,600 – 3,200/month
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    Arcadia Retirement Village

    607 W Duarte Rd, Arcadia, CA, 91007
    3.7 · 49 reviews
    • Independent living
    • Assisted living
    For pricing and availability(510) 508-4507
    For the front desk(626) 447-6070
    AnonymousLoved one of resident
    3.0

    Warm staff, roomy, limited care

    I moved my mom here and overall the staff are warm, kind, and helpful, the rooms are spacious and clean, activities are plentiful, and the price is good. That said, there are chronic staff shortages, no on-site nurses/doctors, crowded dining with long waits and occasional cold food, and management can be unresponsive on repairs and policy issues. Good value for social care and space, but not the best choice if you need strong medical oversight or prompt maintenance.

    Pricing

    $1,600+/moSemi-privateAssisted Living
    $2,800+/moStudioAssisted Living
    $3,200+/mo1 BedroomAssisted Living

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    3.73 · 49 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1

    • Care

      3.5

    • Staff

      3.6

    • Meals

      3.2

    • Amenities

      3.9

    • Value

      3.6

    Location

    Map showing location of Arcadia Retirement Village

    About Arcadia Retirement Village

    Arcadia Retirement Village sits in Arcadia, CA and takes in both men and women aged 55 and older, offering independent living and assisted living options, which means folks can get the care they need as their needs change over time, and you'll find nurses and staff available around the clock, including help from trained aides who provide both companionship and non-medical care, and staff help with bathing, dressing, grooming, transferring, medication, and special care for things like diabetes, incontinence, and more difficult moving around, plus staff can remind and residents to meals or activities, and laundry, housekeeping, and daily bed making are all included, so no extra chores are needed. The rooms, whether private or shared, each have a patio or balcony and views, and wheelchair-accessible showers and tubs, plus you can decorate the rooms however you like, and bring your cat or dog since pets are welcome, which can be a big comfort, and if you ever need hospice or short-term respite care, those options are there too. The place is big, open, and home-like, with plenty of indoor and outdoor spaces to relax or visit, like patios and garden paths, plus there's a library, beauty and barber shop, and a wellness center offering yoga, physical therapy, massage, and even Wii Fit, and the music lounge and fitness center are handy too, and with transportation services on site, with both complimentary rides and scheduled outings, folks can get to doctor's appointments or errands, and the community connects well with bus lines. Meals happen three times daily in a restaurant style dining area with a snack bar open around the clock, and the meals, planned by chefs, can handle special diets, like low salt or reduced sweets, and there's even vegetarian dishes, with snacks and drinks always ready. Activities fill the calendar, with exercise, music, bingo afternoons, happy hours, and social events, and there's "Family Night" to encourage visits, plus devotional services both on and off site, and staff help people join in if they want. Memory care is available, with programs to help residents who have dementia or Alzheimer's stay safe and comfortable, and care plans fit each resident's needs, so heavier and lighter care is possible, including care for non-ambulatory residents and those with bowel incontinence, and the staff can monitor blood sugar but don't inject insulin. The community gets high marks for friendliness, dining, and activities, and residents say the staff are warm and attentive, and the environment's safe. Costs include a one-time community fee and monthly charges based on care level, with payment options covering private pay, social security, veterans' benefits, and some private insurance, and the village is fully accredited and licensed by the State of California's Department of Social Services as an RCFE, so it meets all the state requirements for a retirement community. The move-in process covers transportation and paperwork help. With the variety of care levels and services, residents can age in place and keep their friends, pets, and routines for as long as they want.

    People often ask...

    State of California Inspection Reports

    228

    Inspections

    17

    Type A Citations

    46

    Type B Citations

    6

    Years of reports

    27 Mar 2025
    Investigated allegations that meals were of poor quality, delivered lukewarm, and that staff could not communicate effectively; found residents and staff described the food as good, meals delivered in a timely manner, and communication as effective.
    28 Jan 2025
    Identified health and safety concerns when hot water in resident bathrooms tested around 124–125 F, above allowed levels. Observed a resident's room with stained carpet and missing vinyl at the bathroom entrance, indicating disrepair.
    28 Jan 2025
    Found hot water was delivered to bathrooms, with temperatures measured around 124–125 degrees Fahrenheit and the thermostat set at 115–120 F. Observed carpet stains and broken vinyl at the bathroom entrance, but mobility was not affected, and interviews and observations provided no evidence to prove these two allegations occurred.
    21 Jan 2025
    Found no signs of neglect, abuse, or immediate health and safety threats after reviewing 74 resident files, staff and resident rosters, and meeting with the administrator and assistant; an exit interview was conducted.
    21 Jan 2025
    Found no evidence to support the allegations that resident rooms had moldy carpet or that staff did not maintain a healthy environment; most residents did not corroborate the claims, and observations showed no mold or musty smell.
    13 Jan 2025
    Investigated two allegations: removal of portable air conditioning units from residents' rooms and interference with a prospective operator's access to records. Found the units were removed from rooms and stored, residents said they did not need them in winter, and there was insufficient evidence to prove interference with the transition to the prospective operator.
    13 Jan 2025
    Identified no signs of neglect or immediate health and safety threats during an unannounced case management check after reviewing staff and resident rosters and files. Photocopying resident files was refused by the administrator's assistant, with a two-day delay requested; noncompliance with Title 22 was noted, deficiencies were cited, and the administrator declined to sign the related documents after an exit discussion.
    02 Jan 2025
    Found no health and safety concerns at the site after reviewing staff and resident rosters and interviewing staff. No signs of neglect or abuse or any immediate health or safety threats were observed.
    31 Dec 2024
    Investigated allegation that residents did not have running water; found water was available with hot water on 12/29/24 and 12/30/24, though pressure was low. Interviews and on-site tests showed no evidence supporting the claim, so the allegation could not be proven.
    31 Dec 2024
    Found no signs of neglect, abuse, or immediate health and safety threats during an unannounced health and safety check, with staff and residents interviewed and the physical plant inspected. No deficiencies were observed, and an exit interview was conducted.
    24 Dec 2024
    Found hot water delivered to resident bathrooms at roughly 124–125 degrees Fahrenheit, above the allowed 105–120 degrees after a new boiler thermostat was set. Found carpet in a resident's room damp with moisture and dark stains, and broken vinyl flooring at the bathroom entrance.
    • § 87303(a)
    • § 87303(e)(2)
    24 Dec 2024
    Identified that staff provided care without required criminal clearances at this location; interviews corroborated the concern, and records showed two associates without fingerprint clearance and two additional uncleared staff, with one no longer employed.
    • § 87411(g)(1)
    24 Dec 2024
    Found no signs of neglect, abuse, or other immediate health and safety threats at the home. Obtained copies of staff roster, resident roster, and 13 resident files.
    23 Dec 2024
    Found no signs of neglect, abuse, or immediate health and safety threats, and no deficiencies were observed. Reviewed 18 resident files and obtained staff and resident rosters.
    20 Dec 2024
    Found all 50 carbon monoxide devices not working. Reviewed 15 resident files, staff roster, and resident roster and observed no signs of neglect, abuse, or immediate health and safety threats; deficiencies were noted.
    03 Dec 2024
    Identified that hot water was not delivered to residents from October 2024 through mid-November 2024 due to plumbing repairs. Tested hot water in multiple rooms, demonstrating availability with temperatures ranging from 105 to 120 degrees Fahrenheit.
    • § 87303(e)(2)
    19 Nov 2024
    Investigated: Allegation that residents were misled into relocating after 12/31/24; interviews with all residents and staff indicated they believed relocation was required, supported by relocation notices in records. Identified: Allegation that an excluded person was present at the home; staff observed the person but residents did not recognize them; records showed no evidence of the excluded person as business partner, and liability insurance was active from 05/20/24 to 05/20/25.
    • § 87468.1(a)(3)
    • § 87468.1(a)(2)
    19 Nov 2024
    Found that a staff member not cleared to work provided care to residents, supported by resident and staff interviews and payroll records.
    • § 87411(g)(1)
    15 Nov 2024
    Found insufficient evidence to confirm the allegation that staff did not dispense medications as prescribed and the allegation that staff neglect resulted in a resident falling. Interviews and record reviews did not provide corroboration for these claims.
    14 Nov 2024
    Found insufficient evidence to support the allegation that staff did not treat a resident with dignity and respect, as residents and staff described respectful interactions and no witnesses confirmed shouting or aggression. Found insufficient evidence to support the allegation that a copy of personal rights was not provided, since rights are provided at admission or on request and are posted and known by residents.
    05 Nov 2024
    Identified residents' questions about the closure and changes at the center during a meeting attended by licensing staff and an ombudsman.
    22 Oct 2024
    Identified a wall-mounted call signal in room 117 with no cover and exposed wiring, leaving two bedridden residents without access to the call system who rely on personal cell phones or shouting for help; the electrical outlet beneath the signal also had no cover. A citation was issued.
    • § 87303(i)(1)
    22 Oct 2024
    Identified hot water in 16 tested faucets ranged from 125°F to 143.1°F, exceeding the safe limit of 120°F. Found insufficient evidence to prove that a staff member gave away a resident's power wheelchair to another resident.
    • § 87303(e)(2)
    18 Oct 2024
    Identified that the lease would not be renewed and a closing date of 12/31/24 was set for the site. Asked to provide by 10/21/24 a closure plan, a resident roster with dates of birth, ambulatory status, rent payer, responsible parties, relocation date and relocation addresses, and a draft 60-day eviction notice, and to contact a potential new applicant to schedule a meeting.
    18 Oct 2024
    Found hot water was not available due to a boiler breakdown, while running water remained throughout. Residents were offered bathing alternatives, and interviews indicated water continued to flow to bathrooms, toilets, and taps.
    16 Oct 2024
    Identified a possible closure due to the lease ending on 12/31/24 and the landlord not extending, with the licensee agreeing to pursue extension and possible placement through the landlord and Assisted Living Waivers. Noted a census of 84 residents and that an exit interview was conducted.
    16 Oct 2024
    Investigated the allegation that residents did not receive hot water for showers and found a boiler breakdown caused no hot water for days. Noted that residents were informed about the issue via posted notices.
    • § 87303(e)(2)
    08 Oct 2024
    Found that there was not enough evidence to prove the allegation that residents did not receive hot water for showers.
    19 Sept 2024
    Found insufficient evidence to prove the allegation that a staff member contaminated a resident's coffee.
    17 Sept 2024
    Identified the allegation that the licensee does not ensure good repair throughout the premises; findings included ceiling leaks from an air conditioning drain pan, missing ceiling panels, broken blinds, a nonworking A/C unit, and damaged bathroom fixtures in several rooms, with residents and staff confirming ongoing repair issues.
    • § 87303(a)
    03 Sept 2024
    Investigated the allegation that staff left a resident in urine and feces for a period; interviews indicated staff checked residents every 2-3 hours and changed diapers as needed, with some residents refusing care. Found no evidence to prove the allegation, noting one resident had hospice care for pressure injuries and others sometimes refused care.
    03 Sept 2024
    Investigated the claim that staff did not provide a 60-day notice of a rent increase. Seven of eight residents could not corroborate the claim, and one resident stated the notice period was insufficient; staff reported verbal notices over several months and provided written notices on 01/22/24 and 03/19/24 for an April 1, 2024 increase, with in-person explanations.
    03 Sept 2024
    Determined no evidence supported the allegation that the staff failed to provide a 60-day notice for rent increases, as interviews and records indicated sufficient notice was given.
    08 Jul 2024
    Identified a toilet leak with water seeping through the base in a resident's room, and a citation was issued.
    08 Jul 2024
    Found no evidence to support the allegation that staff yelled at a resident, the allegation that staff did not accommodate a resident's roommate choice, or the allegation that staff did not safeguard a resident's personal belongings.
    08 Jul 2024
    Investigated seeping toilet water in resident's room, cited facility.
    • § 87303(a)
    13 Jun 2024
    Investigated allegations that staff did not bathe residents or provide hygiene supplies, that rooms were not kept clean, and that rotting food was present. Findings based on interviews, observations, and records showed no evidence to support these claims.
    07 Jun 2024
    Investigated allegations about laundry, temperature, ventilation, yard care, water quality, and surveillance; found the commercial dryer was inoperable and staff used residents' coin-operated dryer, limiting laundry access. Observed HVAC issues in some areas with space heaters and portable units in several rooms, temperatures generally comfortable around 75 degrees, yard maintenance appearing weekly, drinking water generally acceptable with no notable taste or odor, and exterior cameras present but no interior monitoring observed.
    07 Jun 2024
    Confirmed complaint regarding a broken dryer and insufficient laundry machines for residents. HVAC system in disrepair and residents provided with portable units. Grass minimally watered to save costs. Clean drinking water observed, no inappropriate video monitoring found.
    • § 87303(g)(2)
    09 May 2024
    Found insufficient evidence to support the allegations that staff harassed a resident, spoke to a resident in an aggressive or inappropriate manner, allowed bed bugs, or failed to provide a 60-day notice of rent increases.
    09 May 2024
    Investigated allegations of staff harassment, inappropriate communication, bed bug presence, and insufficient notice of rent increase, but found no evidence to support them. Concluded allegations lacked sufficient proof, resulting in a determination of unsubstantiated claims.
    03 May 2024
    Investigated theft of residents' personal belongings and harassment; interviews with residents and staff found no corroboration. Only one resident claimed missing items, but records did not show possession and items were reportedly misplaced or stored, while residents denied harassment and staff denied any harassing behavior.
    03 May 2024
    Investigated allegations of staff failing to safeguard personal belongings and prevent harassment; found insufficient evidence to support either claim. Conducted interviews and reviewed records without confirming the alleged incidents. Conducted exit interview and discussed findings.
    18 Apr 2024
    Investigated the allegation that staff handled a resident roughly and the allegation that staff did not treat residents with respect and dignity. Interviews with residents and staff produced no corroborating witnesses; some residents described staff as kind and gentle, and there was not a preponderance of evidence to prove or disprove the claims.
    18 Apr 2024
    Investigated allegations of staff handling a resident roughly and disrespectfully without finding enough evidence to confirm the claims. Interviewed residents described the staff member in question as kind and respectful.
    15 Mar 2024
    Identified that the central HVAC was not operational in multiple resident rooms; staff reported about 20 rooms affected and four rooms observed not cooling, with portable air conditioners and heaters provided to maintain comfort.
    15 Mar 2024
    Confirmed allegations regarding HVAC system not being operational at the facility. Residents and staff reported issues, with some rooms having portable AC and heaters provided as a temporary solution.
    • § 87303(a)
    12 Feb 2024
    Found no deficiencies after an unannounced annual inspection of a licensed elder care residence; safety features, food supplies, and resident records were in order.
    02 Jan 2024
    Found insufficient evidence to prove or disprove the specific allegation that staff financially abused a resident by charging for replacing the damaged entrance door. Record review showed the door was damaged in 2023 by a resident's electric scooter; the resident paid $270 in installments, and insurance covered the repairs.
    12 Feb 2024
    Found no evidence that staff did not safeguard a resident’s medication or that a heater in a resident’s room was not working; most residents reported a comfortable temperature, and the claim of missing pills was not supported by others or records.
    12 Feb 2024
    Confirmed compliance with regulations during annual inspection visit; no deficiencies cited.
    02 Jan 2024
    Investigated the allegation of illegal eviction; interviews with residents and staff and records review showed no evidence that an illegal eviction occurred, and the resident had returned to the facility after hospital discharge.
    02 Jan 2024
    Determined insufficient evidence to prove or disprove the allegation of staff financially abusing a resident by charging for a damaged entrance door. Confirmed payments made voluntarily by the resident for the door damaged by their electric scooter, as outlined in the resident agreement.
    • § 87468.2(a)(8)
    28 Dec 2023
    Found that transportation was provided as needed, meals followed residents’ dietary needs, therapies and medical care were available, staff responded promptly to calls, and residents had adequate storage. Interviews and records supported appropriate care, and no deficiencies were cited.
    28 Dec 2023
    Investigated several allegations, including failure to provide transportation, non-compliance with dietary needs, lack of medical assistance, insufficient staffing, unmet resident needs, denied access to storage, and inadequate diabetic care. Found insufficient evidence to prove any violations occurred.
    21 Dec 2023
    Investigated six specific claims, including a resident fall with delayed assistance, rough handling or inappropriate comments by staff, ignoring call buttons, unmet ADL needs, inadequate food service, and failure to provide water. Found no convincing evidence to support these claims based on interviews and observations.
    21 Dec 2023
    Investigated several allegations, including delayed response to falls, rough handling by staff, unresponsive call buttons, unmet resident needs, inadequate food and water service, and facility disrepair. Found insufficient evidence to prove any of the allegations, resulting in a conclusion that they were unsubstantiated.
    20 Oct 2023
    Identified inadequate food service, with residents reporting meals had too much carbohydrate and not enough vegetables or fresh fruit, and kitchen observations showing limited produce. Identified a non-working call button in one resident's room, while water temperature tests showed shower water within a safe range and most residents did not perceive it as too hot.
    • § 87303(a)
    • § 87555(a)
    20 Oct 2023
    Found that a staff member refused to assist residents and handled them roughly during care, based on interviews with residents and staff and review of records.
    20 Oct 2023
    Confirmed staff refusal to assist residents and handling residents in a rough manner.
    • § 87468.2(a)(4)
    • § 87468.1(a)(1)
    29 Jun 2023
    Identified deficiencies in three rooms: room 212 has a gapping hole in the tub outer sill. Room 215 has an unglued bathroom baseboard, and room 213 has an inoperable AC unit, a broken front door lock, and water stains on the ceiling tile.
    10 Oct 2023
    Found that a staff member refused to assist residents and handled them roughly, with multiple residents and staff corroborating the allegations. A deficiency was cited based on these findings.
    10 Oct 2023
    Confirmed that a staff member refused to assist residents and handled them roughly, as corroborated by interviews with residents and staff.
    • § 87468.1(a)(1)
    • § 87468.2(a)(4)
    12 Sept 2023
    Investigated the bed bugs infestation, failure to provide clean linens, hot water issues, and medication administration; interviewed residents and staff, reviewed records, and conducted room checks. Found no evidence to support these concerns: bed bugs were not observed, linens and laundry were provided, hot water was available, and medications were administered as prescribed; no deficiencies cited.
    12 Sept 2023
    Found no evidence that a staff member filmed a resident without permission; video was recorded in a common hallway to document an incident and the resident was notified beforehand. Determined that reporting requirements were followed and the allegations of retaliation and illegal eviction were not proven; the resident’s relocation was approved by authorities, and no deficiencies were cited.
    12 Sept 2023
    Found no evidence of bed bug infestation, failure to provide clean linens, lack of hot water, or improper medication administration at the facility.
    12 Sept 2023
    Reviewed allegations of unauthorized filming, failure to follow reporting requirements, retaliation against a resident for complaints, and illegal eviction; found insufficient evidence to support any claims.
    31 Aug 2023
    Investigated the allegation that the licensee did not keep the residence in good repair. Found evidence of ongoing bathroom problems—rust in the tub from pipes, tissue in the tub, and water leaking onto the carpet after flushing—described by staff and a resident as persisting for several days.
    31 Aug 2023
    Confirmed deficiency for not ensuring the facility is in good repair, as rusty water and tissue paper were found in a resident's bathroom, leading to leakage onto the carpet.
    • § 87303(a)
    29 Jun 2023
    Investigated the claim of a leak on the first floor and under a resident’s bathroom sink; no active first-floor leak was observed, though a faulty sink faucet and wear on a tub were noted. Investigated the mold concern in the resident’s tub; no mold was observed by staff or residents, and the dark area beside the tub was identified as wear of the finish rather than mold.
    • § 87303(a)
    29 Jun 2023
    Identified deficiencies in several rooms, including a hole in the tub sill, unglued baseboard, a non-operable AC unit, a broken door lock, and water leak stains on ceiling tiles. An exit interview conducted with the Administrator.
    • § 87303(a)
    20 Jun 2023
    Found no evidence to support the allegation that staff did not treat residents with dignity and respect or that cigarette smoke entered the building; interviews and observations showed appropriate interactions, and doors were knocked before entry with smoking limited to designated areas. Found that one resident’s ceiling panel was being repaired and the slide door lock addressed; the elevator operated normally, and food quality was acceptable.
    20 Jun 2023
    Investigated the allegation of lack of supervision leading to a resident altercation; staff intervened during the incident and most residents could not corroborate it. Investigated the allegation that staff did not provide medication to a resident during police custody; interviews and records did not support that the medication was withheld.
    20 Jun 2023
    Confirmed that staff treated residents with dignity and respect, prevented cigarette smoke from entering, addressed room repairs, and served food of acceptable quality.
    11 May 2023
    Identified an allegation of incorrect ownership information provided to the department. Updated records show ownership at 51% and 49%.
    11 May 2023
    Identified incorrect ownership information provided by licensee and confirmed updated ownership percentages through documentation. Capacity decrease application in process.
    27 Mar 2023
    Investigated the allegation that staff intervened in a resident's ability to communicate directly with their physician. There was insufficient evidence to prove the alleged interference occurred, as medication changes require a scheduled appointment with the physician and telephonic communication was not used without an appointment.
    27 Mar 2023
    Unsubstantiated allegation of staff member interfering with resident's communication with their physician due to resident declining scheduled appointment for medication refill after the facility arranged it.
    23 Mar 2023
    Identified ongoing ceiling water damage and leaks in several areas, with buckets used to collect water. Identified smoke detectors in disrepair in the first-floor medication room and in room 304, while residents reported leaks continuing and staff noted roofing work is still needed.
    23 Mar 2023
    Identified deficiencies including water damage, smoke detector issues, and roofing work needed during an inspection.
    • § 87303(a)
    16 Mar 2023
    Determined there was no change of ownership during the complaint period; records show the new licensee applied in 2020 and began operating in 2021, and residents reported being notified when the change occurred. Found that transportation, daily housekeeping, and weekly laundry were provided as stated in the admission agreement, with residents confirming these services and that paid options existed for additional housekeeping or laundry; allegations about personal rights, medication handling, and maintenance had insufficient evidence to prove they occurred.
    16 Mar 2023
    Investigated allegations of violations at the facility. Residents and staff were interviewed, records were reviewed, and the facility was inspected.
    14 Mar 2023
    Found insufficient evidence to confirm the allegations that resources to operate were lacking (mustard, napkins, copier paper, toner, elevator maintenance, and bus insurance), that residents were financially abused via a debit card, that room temperatures were not comfortable, that residents were denied bedroom keys, that staff training was inadequate, that wheelchair accessibility was limited, or that food supply was inadequate.
    14 Mar 2023
    Reviewed allegations including lack of resources, financial abuse, temperature control, key denial, staff training, accessibility, and food supply. No clear evidence of violations found.
    13 Mar 2023
    Investigated an allegation that staff did not provide meals in adequate quantities to a resident. Found that meals were delivered late for two days to one resident, but interviews with residents and staff and review of records did not show a failure to provide meals, and no evidence supported the claim.
    13 Mar 2023
    Investigated an allegation that staff failed to provide residents with necessary meals, but found no evidence to support the claim, concluding it could not be proven either way.
    03 Mar 2023
    Investigated the allegations that staff refused to assist residents, and that staff did not treat residents with respect and dignity, and that residents waited too long for help. Found insufficient evidence to prove these allegations, noting that some residents experienced delays and that one staff member made an inappropriate comment which was apologized for.
    03 Mar 2023
    Found no evidence that staff failed to refill the resident's narcotic prescription on time, failed to attend to the resident's toe infection, or failed to return the resident's clothes.
    03 Mar 2023
    Confirmed allegations of staff refusing to assist residents and not meeting residents' needs promptly, while allegations of staff failing to treat residents with respect and dignity were not supported by sufficient evidence.
    • § 87468.2(a)(4)
    03 Mar 2023
    Investigated allegations included staff not refilling medications, not attending to injuries properly, and not returning belongings, but all were found to be unsubstantiated due to lack of evidence.
    27 Feb 2023
    Investigated two allegations: staff withheld a resident's property (a broken electrical wheelchair) and failed to assist with ordering a new ambulation device. Found no evidence to support either claim.
    27 Feb 2023
    Reviewed complaints of withholding a resident's broken wheelchair and not assisting with ordering a new one; found no substantial evidence to support these allegations.
    24 Feb 2023
    Identified deficiencies cited for regulatory compliance. Observed secure storage of medications and resident records, functioning safety devices, and overall clean, safe living accommodations.
    • § 87303(a)
    24 Feb 2023
    Found that two residents' washers were not operable for a period, and laundry services were provided weekly to handle residents' laundry.
    24 Feb 2023
    Found ... no evidence that residents did not receive appropriate medical services; medications were administered per prescriptions and physician visits occurred during lockdown. Identified ... no evidence supporting the allegations that pressure dressings were mishandled, residents were unable to communicate with relatives, residents were unnecessarily isolated, hygiene needs were neglected, pests were present, walkers were improperly restricted, or that residents did not receive services noted; most residents could contact families and COVID protocols were followed.
    24 Feb 2023
    Found that two washers for residents' use were broken and not operable at the facility.
    • § 87303(a)
    24 Feb 2023
    Examined multiple allegations about staff conduct and facility conditions, including the administration of medication, response to medical needs, communication access, room isolation during COVID-19, hygiene support, pest control, mobility aid usage, and provision of medical services. Determined insufficient evidence to support any claims despite thorough interviews, record reviews, and facility tours.
    02 Feb 2023
    Found no evidence to support the allegations that staff failed to properly dress a resident, a resident wore another resident's clothes, laundry needs were not addressed, a resident's room or belongings were not properly maintained, activities were not planned, personal belongings were mishandled, records were not kept properly, or feeding was improper; these allegations were unsubstantiated.
    02 Feb 2023
    Investigated allegations about improper dressing of a resident, wearing another resident's clothes, improper maintenance of a resident's room, mishandling personal belongings, and inadequate feeding; determined no substantial evidence to support any violations.
    13 Jan 2023
    Found no evidence to support the allegations that staff spoke inappropriately to residents, did not allow telephone calls, threw water at a resident, treated residents with disrespect, handled residents roughly, or failed to return a resident’s personal property upon termination of services; interviews and records reviewed indicated no deficiencies.
    26 Jan 2023
    Investigated two specific allegations—wound care not followed and delays in providing prescribed medications—reviewed medical records and interviewed staff, and found no clear evidence of violations at this site.
    26 Jan 2023
    Confirmed an allegation regarding wound care not being followed, but determined an allegation regarding medication dispensing to be unsubstantiated.
    19 Jan 2023
    Identified ceiling leaks and damaged flooring in several areas, posing health and safety hazards. Observed cracked and lifted tiles on the first floor, corroborated by staff and resident reports.
    19 Jan 2023
    Found insufficient evidence to prove or disprove the allegation that a staff member spoke inappropriately to a resident. Interviews with staff and residents largely indicated respectful treatment, though one resident noted inappropriate comments from a staff member.
    19 Jan 2023
    Confirmed findings of disrepair on ceilings and floors based on interviews with residents, staff, social worker, and contractor.
    • § 87303(a)
    13 Jan 2023
    Reviewed allegations, including inappropriate staff behavior, phone call restrictions, water throwing, disrespect, rough handling, and property return, finding them to be unsubstantiated.
    09 Nov 2022
    Investigated five concerns about front desk responsiveness, hot water, building condition, food service, and safeguarding residents' personal items. Found that calls were answered, hot water problems were addressed, no persistent disrepair was evident, meals were generally adequate, and residents' belongings were typically safeguarded.
    29 Dec 2022
    Identified rodent activity in the kitchen and holes in the back wall that allowed entry, with droppings observed on the kitchen floor. Residents did not observe the issue, but staff reported rodents and droppings in the kitchen.
    29 Dec 2022
    Found that the claim staff asked a resident for money was not supported by interviews and file reviews; seven of eight residents and all six staff interviewed said it did not happen, while one resident could not recall details. Therefore, the claim remained unverified, and no violations were cited.
    29 Dec 2022
    Confirmed rodent and cleanliness issues in the kitchen area based on interviews with staff and residents, as well as observations during the inspection.
    • § 80087(a)(1)
    20 Dec 2022
    Found no evidence that staff searched a resident’s personal property without consent, and no missing items were reported. Found no evidence that conditions were in disrepair; residents and staff denied the claim and no broken items were observed.
    20 Dec 2022
    Investigated allegations of a staff member searching a resident's personal property without consent and the facility being in disrepair; found insufficient evidence to support either claim, rendering both allegations unsubstantiated.
    12 Dec 2022
    Found insufficient evidence to support the March 2020 allegation that a resident fell, sustained a head injury, and that it went unreported, as well as that staffing was inadequate, incontinence care was neglected, staff spoke inappropriately, or meals did not meet dietary needs. Ownership changed on 02/24/21 and the operation was closed, with findings to be mailed to the former licensee.
    12 Dec 2022
    Investigated allegations of inadequate care, staffing, and food quality; determined lack of sufficient evidence to prove allegations. Facility underwent change of ownership effective 02/24/21.
    09 Nov 2022
    Investigated allegations of staff assistance, hot water availability, facility upkeep, food service, and personal item safety, ultimately finding insufficient evidence to support the claims.
    25 Oct 2022
    Found no evidence of cockroaches in the first-floor bathroom or dining room; residents and staff reported no sightings, and no pests were observed. Found blinds in good repair, toilets functioning, and towels clean; interviews and observations did not support the alleged issues.
    25 Oct 2022
    Reviewed multiple allegations, including pest infestation, facility disrepair, inaccessible toilets, and lack of clean linens; found insufficient evidence to prove these issues occurred.
    20 Oct 2022
    Investigated the allegation that staff do not provide adequate food service to residents; interviews with residents and staff and record review showed meals were provided three times daily with snacks, residents could request second helpings, and alternative menu options were available.
    20 Oct 2022
    Investigated a complaint alleging inadequate food service; found no conclusive evidence to support the claim, with the majority of residents expressing satisfaction with the food quality.
    14 Sept 2022
    Investigated the allegation that staff failed to update a resident's prescription and administer medication as prescribed after hospital discharge. Interviews and file reviews showed the prescription remained the same and medication was dispensed as prescribed; there was insufficient evidence to determine whether the allegation occurred.
    14 Sept 2022
    Investigated allegation that facility staff failed to update and administer a resident's prescription as prescribed; determined not enough evidence to prove or disprove the claim.
    08 Sept 2022
    Found that a staff member did not provide after-hours PRN medication to a resident, and that another staff member dispensed medications without proper training. Based on interviews and records, these findings were supported by the evidence.
    • § 87464(f)(4)
    • § 87411(d)
    08 Sept 2022
    Identified that a volunteer worked at the location without clearance or association, and that there was no policy restricting staff bringing their children to work; staff agreed not to bring children again. A civil penalty was issued for the deficiency.
    • §
    08 Sept 2022
    Identified an incident of unqualified staff administering medication. Two staff admitted it was a single occurrence in which a volunteer helped hand out medication prepared by a med tech, and the resident did not miss a dose.
    08 Sept 2022
    Confirmed accusation of unqualified staff administering medication to a resident.
    • § 87411(d)
    18 Aug 2022
    Identified rodent concerns with dead mice found in the dining room and kitchen, and interviews confirmed the allegation that rodents were not being properly addressed.
    18 Aug 2022
    Confirmed rodent issues at the facility based on interviews and observations.
    • § 87303(a)
    01 Jul 2022
    Found that one incident involved a staff member's son helping to hand out medication prepared by a technician; two staff admitted the incident, the resident did not miss a dose, and no unqualified staff were observed passing medications during the visit. An incident report was filed.
    01 Jul 2022
    Confirmed that an unqualified person briefly handed medication to a resident in a single incident, but no medication was missed, leading to a finding of regulatory non-compliance.
    • § 87411(b)
    27 Jun 2022
    Investigated three allegations of neglect and lack of supervision; all were UNSUBSTANTIATED.
    27 Jun 2022
    Investigated Allegation #1 that Med Techs mishandled residents' medications; found insufficient evidence to support it. Investigated Allegation #3 that staff were not trained to administer medications; found insufficient evidence to support it.
    27 Jun 2022
    Determined that the allegations related to neglect, lack of supervision resulting in injuries, failure to seek timely medical treatment, and failure to notify the responsible party of injury were not substantiated. Gathered evidence indicated no clear proof of violations occurring while the resident was under care.
    22 Jun 2022
    Investigated an allegation of neglect where staff did not attend to a resident’s injury as needed; found insufficient evidence to prove it occurred. Investigated an allegation of staff not refilling a resident’s narcotic medication; found insufficient evidence to prove it occurred.
    22 Jun 2022
    Identified an inoperable bathroom light switch and inadequate lighting in the dining-room bathroom. Found no evidence to support the claim that a resident fell while in care or that staff did not provide timely assistance.
    22 Jun 2022
    Unsubstantiated allegations of neglect/lack of care regarding wound dressing and medication refills.
    29 Apr 2022
    Found that for the call button allegation, some residents reported delays while others did not, but tested call buttons were functioning and staff responded within 3–5 minutes, with not enough evidence to prove the violation occurred. Found that for the medication allegation, staff and administrator indicated adherence to doctors’ orders, and there was not enough evidence to prove the violation occurred; no deficiencies cited.
    23 May 2022
    Identified lack of medication handling training for staff who dispensed medications, with no training record found. Found mixed resident accounts about after-hours PRN medication; most residents could not corroborate and staff denied, so the allegation could not be established.
    23 May 2022
    Confirmed untrained staff gave residents medication and staff did not assist a resident with medication after hours, but could not definitively determine if the latter occurred.
    • § 87411(d)
    05 May 2022
    Identified extensive health and safety deficiencies across multiple areas, including broken doors and latches, a damaged med cabinet, torn window screens, peeling and loose flooring, and non-working lights and A/C. Observed pest activity and sanitation concerns (cockroaches, dead roaches, rodent droppings), leaks, expired emergency water, an inoperable restroom, missing staff safety training records, and a generator needing maintenance.
    • § 1569.625
    • §
    • §
    05 May 2022
    Found rodent infestation issues at the home, supported by staff reports of prior sightings and an exterminator’s note of pest activity, though no live rodents were observed during the visit. Found the allegation that staff served food contaminated by rodents not proven; a kitchen tour noted droppings in a cracker container, but staff disposed of the affected food.
    05 May 2022
    Confirmed rodent infestation, but did not find live rodents. Some staff saw rodents before, but none since exterminator service. Droppings found in food container but staff disposed of them.
    • § 80087(a)(1)
    29 Apr 2022
    Investigated allegations of unresponsive staff to call buttons and improper medication administration; found insufficient evidence to support claims.
    18 Apr 2022
    Investigated a financial abuse allegation involving a resident’s debit card and suspected staff misuse. Interviews and records did not provide enough evidence to prove whether the abuse occurred.
    18 Apr 2022
    Investigated the allegation that staff did not provide adequate supervision; interviews with residents and staff and observations indicated no clear evidence of inadequate supervision, though some residents commented on meal quality.
    18 Apr 2022
    Found that one resident borrowed money from another and did not repay, and the borrower also owed money to additional residents; the administrator noted eviction to protect others. However, there was not enough evidence to clearly prove that the alleged financial issues occurred.
    16 Apr 2022
    Investigated four specific allegations in the care setting: resident not receiving showers as scheduled, rough handling by staff, staff yelling at residents, and failure to provide a comfortable environment; found these allegations unsubstantiated.
    21 Mar 2022
    Found that the allegation that the elevators were in disrepair and out of service for about a month, hindering non-ambulatory residents from accessing the 2nd and 3rd floors, was supported by interviews and observations. The elevators, installed in 1984, are old and prone to breakdowns, with monthly service and signs indicating temporary outages.
    18 Apr 2022
    Investigated allegations of inadequate supervision and determined there was not enough evidence to prove or disprove the claim, while noting some residents were dissatisfied with the food quality.
    19 Mar 2022
    Investigated the allegation that the resident developed a pressure injury while in care and that staff did not seek timely medical attention; records showed the wound existed before admission and there was no indication it developed into a pressure injury during 6/29/2020–8/23/2020, with home health care providing treatment. Investigated the allegation that staff did not safeguard the resident's belongings; the move-out process lacked a documented inventory, and items in the room were not clearly listed.
    16 Apr 2022
    Confirmed allegations of improper treatment and care were found to be unsubstantiated after interviews with residents and staff.
    15 Apr 2022
    Investigated a resident's fall on 7/4/2020 and found care after the incident consistent with records showing independence in daily activities prior to the fall. Found no preponderance of evidence to prove the allegations of leaving residents unsupervised or of failing to notify the authorized representative, and no deficiencies cited.
    15 Apr 2022
    Found that the allegation of not having enough staff to meet residents' needs could not be proven. Interviews with leadership and staff and home observations indicated there were enough staff scheduled to meet residents' needs.
    15 Apr 2022
    Found there was not a preponderance of evidence to prove whether the resident who passed away was pressured for payment. Concluded no deficiencies were cited.
    15 Apr 2022
    Investigated the allegation that a resident was pressured for payment; found insufficient evidence to confirm or refute the claim, leaving it unsubstantiated.
    13 Apr 2022
    Found the allegation that residents were not provided a safe and comfortable environment unsubstantiated. Found the allegation that the place was in disrepair unsubstantiated.
    13 Apr 2022
    Found that the claim that staff argued with a resident did not have a preponderance of evidence, with residents and staff largely disagreeing with the allegation. Found that the claim that staff forcefully removed a resident's key chain also did not have a preponderance of evidence, with mixed resident responses and staff denial.
    13 Apr 2022
    Found no evidence to support allegations of unsafe or uncomfortable environment or facility disrepair.
    07 Apr 2022
    Found that the allegations of leaving a resident in soiled clothing for a long period, calling a resident an inappropriate name, and not accompanying a resident to medical appointments were UNSUBSTANTIATED.
    07 Apr 2022
    Investigated three allegations: staff leaving a resident in soiled clothing, staff calling a resident an inappropriate name, and staff not accompanying a resident to medical appointments; all allegations lacked sufficient evidence.
    21 Mar 2022
    Confirmed that the facility's rear elevator was out of service for approximately one month, causing inconvenience to non-ambulatory residents.
    19 Mar 2022
    Investigated allegations of a resident developing a pressure injury, staff failing to meet the resident's needs, and inadequate medical attention, finding no evidence to support these claims. Reviewed the safeguarding of the resident's belongings, determining insufficient evidence to prove the alleged loss occurred.
    02 Mar 2022
    Identified that a virtual informal conference addressed repairs, communication between the administrator and licensee, dementia planning, resident transportation, rodent reporting, and payroll/utility issues, with agreements on repairs up to $500, reassessment of a resident for dementia, cross-reporting rodents, and transportation arrangements. No deficiencies were issued.
    02 Mar 2022
    Found that the heater in several resident rooms did not heat properly. The administrator indicated portable heaters were used in those rooms to keep residents warm.
    02 Mar 2022
    Confirmed that the facility heater in multiple rooms was not working properly, leading to residents using portable heaters for warmth.
    • § 87303(a)
    25 Feb 2022
    Found that there was no approved dementia care plan in the plan of operation and that it was not allowed to accept or care for residents with dementia, creating an immediate health and safety risk to a resident with dementia.
    25 Feb 2022
    Identified a resident's dementia diagnosis and absence of an approved dementia care plan, creating a health and safety risk.
    25 Feb 2022
    Confirmed deficiency in care for residents with dementia, posing immediate health and safety risk.
    • § 87208
    25 Feb 2022
    Identified deficiency in Dementia Care Plan poses health and safety risk for resident with dementia.
    24 Feb 2022
    Investigated the allegation that a resident stole other residents' belongings. Interviews with seven residents and six staff found no evidence of theft, and records showed nothing indicating theft occurred.
    24 Feb 2022
    Found that a rodent problem was not prevented and that the environment was not kept clean. Evidence included holes at the bottom of a kitchen wall, droppings on the kitchen floor, and staff reports of rodents entering from those openings.
    24 Feb 2022
    Confirmed rodent problem and unclean environment.
    • § 80087(a)(1)
    03 Feb 2022
    Found that the bathroom sink was leaking and in disrepair, supported by on-site observation and staff and resident interviews.
    03 Feb 2022
    Identified that most safety, sanitation, and medication storage standards were met during an unannounced annual visit, but a deficiency was found.
    • § 87465(h)(6)
    03 Feb 2022
    Identified a leaking sink in the resident's bathroom during an inspection.
    • § 87303(a)
    15 Dec 2021
    Found no evidence that R1's room was unkempt; rooms were clean and cleaned daily. Found no evidence that staff failed to respond promptly to resident calls; responses were within 2-3 minutes during testing, and residents reported timely assistance.
    15 Dec 2021
    Investigated allegations of unkempt resident's room and staff response time to calls for assistance were found to be unsubstantiated.
    16 Nov 2021
    Found that the allegation that staff failed to safeguard residents' personal belongings was supported by evidence: two residents reported missing packages that were signed for by staff. During October 2020, deliveries were left at the reception due to COVID restrictions, and staff acknowledged delays in delivering items to residents, with some packages observed in the reception area.
    16 Nov 2021
    Confirmed failure to safeguard residents' personal belongings. Delivery staff signed for packages but did not deliver them to residents as required by facility protocol.
    01 Nov 2021
    Found that staff were not adequately trained and that medication-handling training was not documented. Found that two unrelated adults lived in room 301 without fingerprint clearance, and staff did not notify residents or their authorized representatives about the change in pharmacy.
    01 Nov 2021
    Found allegations of staff not adequately trained and unauthorized individuals living in resident rooms to be substantiated. Allegation of staff not notifying residents of pharmacy change was also substantiated.
    • § 87355(e)
    • § 87411(d)(4)
    • § 87468.1(a)(16)
    • § 87208(a)
    06 Oct 2021
    Investigated the allegation that staff refused to assist a resident with medication after a change; found that the new medications were delivered and given as prescribed after verification with the physician and pharmacy, and residents reported receiving their medications. Investigated the allegation that laundry service was inadequate; observed clean linens and clothes with no odor, and most residents reported satisfaction with laundry services.
    06 Oct 2021
    Found allegations of staff refusing assistance with medication were unsubstantiated, with medications given as prescribed. Allegations of inadequate laundry service were also unsubstantiated, as laundry appeared clean and residents were satisfied.
    28 Aug 2020
    Investigated the allegation that the resident left the home without notifying staff on multiple occasions; staff spoke with and redirected the resident and reminded them of COVID-19 risks, and records showed the resident could leave unassisted. Found insufficient evidence to prove the allegation of lack of adequate supervision.
    08 Sept 2021
    Investigated threat allegation; found four staff denied it, five of six residents could not corroborate, and no threat was observed. Investigated medical paperwork allegation; found paperwork was sent per discharge instructions and the physician did not request a copy.
    08 Sept 2021
    Investigated allegations of staff threatening a resident and failing to send medical paperwork, but both claims found unsubstantiated due to insufficient evidence.
    23 Aug 2021
    Identified a bedbug issue that was treated on August 10, 2021. Interviews indicated belongings were safeguarded and residents had clean clothing, with laundry done weekly.
    23 Aug 2021
    Confirmed bedbug issue and treatment, but did not find evidence of unsafeguarded belongings or lack of clean clothing for residents.
    • § 80087(a)(1)
    08 Jul 2021
    Determined that there was not enough evidence to prove or disprove the allegation that staff failed to report a resident-on-resident fight to the ombudsman; staff reported to the administrator immediately and to licensing, and the ombudsman was notified on 6/24/2021, while residents gave mixed accounts.
    08 Jul 2021
    Investigated an allegation that an incident between residents was not reported to the ombudsman; determined that the incident was reported and allegations lacked sufficient evidence for confirmation.
    02 Oct 2019
    Found no evidence that residents' needs were unmet due to short staffing or that food service was inadequate, based on interviews and observations. Found medication administration records were not kept accurately, with missing signatures and records not updated, and staff acknowledged the issue.
    10 May 2021
    Identified that staff generally knock and announce before entering rooms and provide privacy, with some residents noting entry now waits for a response. Found conflicting accounts about yelling and pushing during an incident, with the police report not confirming yelling or staff hitting residents, and privacy during phone calls not proven.
    10 May 2021
    Confirmed privacy procedures were followed by staff, while allegations of staff yelling and pushing residents were inconclusive due to conflicting statements and lack of evidence. Staff were found to provide residents with access to a private phone for calls, with some residents reporting interruptions.
    08 Apr 2021
    Identified four specific allegations—management availability, staff scheduling accuracy, signal monitoring, and residents’ showers. Found insufficient evidence to prove these allegations, noting that a designated person in charge was in place when needed, schedules were generally followed, the signal system was monitored, and residents received showers as scheduled.
    07 Apr 2021
    Found that the allegation that staff left medications unattended and mishandled medication was supported, based on interviews, a video showing unattended meds, and records reviewed.
    08 Apr 2021
    Investigated allegations of unavailability of management for assistance, inaccuracies in the staff schedule, lack of monitoring of the signal system, and residents not receiving showers, found insufficient evidence to support any claims.
    07 Apr 2021
    Confirmed that medication was left unattended, according to interviews and video evidence reviewed during a telephonic investigation due to COVID-19 mitigation measures.
    • § 87465(h)(2)
    01 Apr 2021
    Investigated the allegation that staff provided the wrong medication to a resident; reviewed medication records and interviewed staff and residents, and found insufficient evidence to confirm that the incident occurred.
    01 Apr 2021
    Investigated an allegation of a resident receiving the wrong medication, but found insufficient evidence to support the claim. Conducted interviews and reviewed records, resulting in the allegation being unsubstantiated.
    18 Feb 2021
    Identified that an application for a change of ownership was submitted to operate a 149-bed residential care home for the elderly, with 134 non-ambulatory and 15 bedridden residents and up to 25 with hospice care. Found during a telephonic pre-licensing visit that the building, safety systems, and required equipment were in place, and fire clearance for the described resident mix had been approved.
    18 Feb 2021
    Confirmed satisfactory conditions were found during the inspection of the facility.
    17 Feb 2021
    Identified two allegations: staff failed to communicate with residents' responsible parties about COVID-19 positive cases; and staff failed to facilitate communication between residents and the Ombudsman. Eight families reported not being notified about COVID-19 cases, and the Ombudsman had difficulty reaching the administrator due to tracking challenges during COVID-19.
    17 Feb 2021
    Confirmed allegations of failure to communicate with residents' families regarding COVID-19 cases and failure to facilitate communication with the Ombudsman.
    • § 87208
    12 Feb 2021
    Found that residents' personal property was not safeguarded, with missing items and no formal safekeeping system; staff did not consistently assist with showers as scheduled; roaches were observed and pest control had not serviced recently; blinds were in disrepair. Interviews and observations supported these concerns.
    12 Feb 2021
    Identified two allegations: resident council meetings held without staff in attendance, and a past-due rent notice that referenced an eviction letter. Found that interviews and records did not provide a preponderance of evidence to prove the allegations occurred.
    12 Feb 2021
    Identified issues with missing personal property, inadequate shower assistance, presence of roaches, and disrepair of blinds. Verified through virtual inspections, interviews, and record reviews.
    • § 87303(a)
    03 Feb 2021
    Completed COMP II for the applicant and administrator, with identification verified and understanding of Title 22 confirmed; advised to email or fax signed LIC 809 with photo ID to CAB for a Residential Care Facility for the Elderly.
    03 Feb 2021
    Confirmed that the applicant and administrator completed COMP II, had their identities verified, and understood Title 22, and were advised to submit LIC 809 with photo ID. Identified that their understanding covered care setting operation, staff qualifications, applicant/administrator qualifications, program policies (abuse, admission agreement, medication management, incident reporting to CCL, restricted and prohibited conditions), grievances and community resources, physical plant and food service, and the required documents and clearances (criminal history clearance, health screening, fire clearance, First Aid/CPR, administrator certificate, financial verification, pre-licensing process, compliance history, and control of property).
    03 Feb 2021
    Identified issues in various areas were discussed during the inspection, including staff qualifications, program policies, physical plant, and community resources.
    29 Jan 2021
    Found no evidence that a staffing shortage prevented meeting residents' needs; staff reported adequate coverage with regular rounds and residents said their needs were met. Found no evidence that residents were left in soiled diapers or that meals were not delivered timely; incontinence care and meals were provided in a timely manner with room delivery and substitutions available.
    29 Jan 2021
    Investigated allegation that staff refused to give residents medication. Interviews with staff and residents indicated medications were provided as prescribed and in a timely manner; five of six residents confirmed this, no staff yelling observed, and no evidence to show staff refused medications.
    29 Jan 2021
    Investigated the allegation of staff refusing to give residents medication and found insufficient evidence to support that staff failed to provide medication as prescribed.
    • § 87468.2(a)(25)
    16 Oct 2020
    Investigated the allegation that the resident's personal belongings were not returned after moving; interviews indicated belongings were returned, with only some clothes missing and unidentifiable, and there was insufficient evidence to prove the allegation.
    16 Oct 2020
    Reviewed an allegation regarding missing belongings during a resident's transfer, with inconsistent statements and insufficient evidence to prove the claim, leading to an unsubstantiated conclusion.
    28 Aug 2020
    Found that a resident walked away from the premises, with incident reports documenting the resident's behaviors on two occasions.
    28 Aug 2020
    Investigated allegations of a resident wandering from the premises; confirmed through incident reports and supporting documentation. Conducted virtual inspection and interviews as part of the inquiry.
    • § 87303(a)(d)
    22 Jul 2020
    Interview with resident conducted via FaceTime to gather information related to a complaint. Exit interview conducted with assistant administrator via phone.
    23 Jun 2020
    Investigated allegation of inadequate food service and determined insufficient evidence to prove the violation due to the facility providing meals and snacks with alternative options and specialized diets available for residents.
    02 Jun 2020
    Confirmed allegations of staff abandoning a resident were unfounded, while allegations of withholding a resident's belongings were inconclusive.
    • § 87506(a)
    05 May 2020
    Investigated allegation of facility not providing dry cleaning services; resident's clothing mostly dry clean only, but does not pay for optional services.
    20 Apr 2020
    Reviewed allegations of inadequate feeding, staff mistreatment, enforced isolation, and failure to transport residents to the hospital; insufficient evidence found to support these claims.
    27 Mar 2020
    Confirmed that staff had wedged a device in the front door to restrict entry and exit, following a nighttime security concern, though later instructed by the Fire Department to cease this practice for safety reasons.
    • § 87303(a)
    • § 87464(f)(4)
    • § 87303(a)
    • § 87217(b)
    11 Mar 2020
    Confirmed that the elevator and generator were not functioning properly, and residents were smoking indoors against house rules.
    • § 87468.1(a)(11)
    • § 87468.1(a)(8)
    26 Feb 2020
    Unsubstantiated allegations included caring for residents with dementia and failing to provide healthful and comfortable accommodations.
    15 Jan 2020
    LPA investigated an allegation of residents' personal rights issue but found insufficient evidence to support the claim.
    18 Oct 2019
    Reviewed financial issues allegation, confirmed compliance with financial regulations and adequate resources to meet needs; allegation unsubstantiated.
    03 Oct 2019
    Confirmed allegations of staff neglect in changing a resident's diaper for an extended period of time, while other allegations of the resident being found without a diaper and being hospitalized due to staff negligence were not supported by sufficient evidence.
    02 Oct 2019
    Reviewed allegations regarding staffing levels and food service, which were unsubstantiated. However, the allegation of inaccurate record-keeping was substantiated.
    30 Sept 2019
    Confirmed allegations of missing documentation, lack of physician orders for medications, residence of residents with dementia, and expired physician reports during inspection visit.

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