Pricing ranges from
    $5,805 – 7,546/month

    Leisure Vale Assisted Living

    413 E Cypress St, Glendale, CA, 91205
    4.4 · 48 reviews
    • Assisted living
    AnonymousLoved one of resident
    3.0

    Great staff, inconsistent overall care

    I have mixed feelings about this senior living community. Jessie (the administrator) and many long-tenured caregivers are phenomenal - warm, professional, clean rooms, good food, lovely garden, lots of activities, reliable meds and communication. However, I've also seen troubling lapses: inexperienced or unresponsive staff at times, safety/neglect concerns and high turnover that worry me. If you tour, look for Jessie and the longtime staff - they make it great, but quality can be inconsistent.

    Pricing

    $5,805+/moSemi-privateAssisted Living
    $6,966+/mo1 BedroomAssisted Living
    $7,546+/moStudioAssisted Living

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    Amenities

    Healthcare services

    • 24-hour nursing
    • Accept incoming residents on hospice
    • Activities of daily living assistance
    • Administer insulin injections
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Coordination with health care providers
    • Diabetes care
    • Hospice waiver
    • Medication management
    • Mental wellness program
    • Physical therapy
    • Preventative health screenings
    • Rehabilitation program
    • Respite program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision
    • Same day assessments

    Meals and dining

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

    Room

    • 1 bedrooms
    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Internet
    • Kitchenettes
    • Private bathrooms
    • Spa
    • Studios
    • Telephone
    • Wifi

    Memory care community services

    • Care with behavioral issues
    • Dementia waiver
    • Mild cognitive impairment
    • Parkinson's care
    • Specialized memory care programming

    Transportation

    • Community operated transportation
    • Located close to restaurants
    • Located close to shopping centers
    • Transportation arrangement
    • Transportation arrangement (medical)
    • Transportation arrangement (non-medical)
    • Transportation to doctors appointments

    Common areas

    • Beauty salon
    • Cafe
    • Computer center
    • Dining room
    • Family private dining rooms
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor patio
    • Outdoor space
    • Religious/meditation center
    • Small library
    • Wellness center

    Community services

    • Family education and support services
    • Fitness programs
    • Move-in coordination
    • Swimming pool

    Activities

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

    4.44 · 48 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      4.0
    • Staff

      4.3
    • Meals

      4.0
    • Amenities

      3.9
    • Value

      1.0

    Location

    Map showing location of Leisure Vale Assisted Living

    About Leisure Vale Assisted Living

    Leisure Vale Assisted Living in Glendale has served the community since 1990, offering a warm place where seniors can feel at home, keep their independence, and also get help when needed, and the community's been Medi-Cal Approved with California license #197610442, so families don't have to worry about the legal side of things. It's a place where residents can grow, connect, and take part in things like Sports Day, New StARTS Paint Class, gardening, and seasonal art classes, or just enjoy sitting in the library or taking a walk on the paths outside. The staff has over 50 years of experience in senior care, and they're available 24/7 for peace of mind, helping with things like bathing, dressing, and making sure medications are managed correctly, with nurses and caregivers always on duty. There's always a lot going on with engaging activities, outings, and family events that help residents, their families, and the team build real connections, and the programs focus on movement, creativity, safety, and mental clarity to support each person's total well-being.

    Residents have a choice of private apartment styles with unique names like Pine Peak Studio, Summit Suite Studio, Aspen Retreat Studio, Rocky Ridge One Bedroom, or Canyon View One Bedroom with Den, and each apartment is meant to feel like home with emergency call systems for safety, plus the place is pet-friendly and has high-speed Wi-Fi and TV service for comfort. There's a chef who prepares three nutritious meals daily, and residents can also use a private dining room for special occasions, while housekeeping, laundry, and scheduled transportation take care of everyday chores, so people can spend more time enjoying things they like. Leisure Vale offers different care levels, including assisted living, independent living, memory care, nursing care, short-term stays, and is a provider of continuing care retirement community services, which means the staff can support changing care needs as time goes on.

    You'll find a salon, religious services, garden areas, and lots of organized activities, and all the programs, even for short-term guests, include care, meals, and access to group events or simple get-togethers so no one feels left out. The community has a celebration of life approach and always tries to make residents feel valued, safe, and respected. The front desk and emergency call systems are always running, the environment is clean and welcoming, and you'll see a lot of effort in building a respectful place where people can relax, join in, and feel comfortable. For residents who need help with daily living or memory support, personal care programs and special activity groups give just the right balance of support and independence, and the focus stays on being a place that feels like home while helping each person feel their best each day.

    People often ask...

    State of California Inspection Reports

    241

    Inspections

    12

    Type A Citations

    25

    Type B Citations

    6

    Years of reports

    10 Jun 2025
    Investigated an allegation that staff did not seek timely medical attention for a resident on 06/05/2025. Interviews and records showed the resident did not report constipation or neck pain on that date, prior medical attention had been provided on 02/27/2025 through hospice after a constipation report, and most residents interviewed stated no concerns.
    30 May 2025
    Identified that emergency medical services were not called promptly for a resident on 6/21/24, with 911 summoned around 11:20 p.m. after vomiting and breathing difficulties. Identified insufficient evidence to support concerns about staff response times to residents' call pendants.
    • § 87465(g)
    30 May 2025
    Found insufficient evidence to support the allegation that staff failed to provide a copy of the admission agreement to a resident. Interviews and records showed copies were provided, though one resident declined a copy during signing due to a disputed share of cost, while others received copies.
    12 May 2025
    Investigated three specific concerns about emergency alerts, medical attention after a fall, and room maintenance. Found no evidence to support the claim that staff did not respond timely to emergency alerts, did not provide required medical attention, or did not keep a resident's room properly cleaned.
    16 Apr 2025
    Found 169 residents occupying a 199-capacity site, with non-ambulatory and bedridden residents on the first floor and hospice care for thirty; second and third floors were for ambulatory residents. Noted overall safety and care conditions were in good order: one entrance in use, outdoor seating, toxins locked away, kitchen well stocked, clean common areas, ambient temperature around 73°F, hardwired detectors, extinguishers charged with last inspection on 10/21/2024, hot water about 118°F, linens available, medications inaccessible, and no health or safety hazards observed.
    • § 9058
    12 Mar 2025
    Found the elevator functioning during the visit. Seventeen residents and three staff members confirmed the elevator was working, and observed residents on the second and third floors not using wheelchairs.
    05 Mar 2025
    Found insufficient information to verify that staff did not assist with a resident's HMO coverage; interviews indicated the issue was resolved and care was provided.
    25 Oct 2024
    Investigated allegations that a staff member financially abused multiple residents, with several residents filing police reports and a debit card found on the staff member. Noted that an incident report for 09/25 was not submitted, four of six alleged victims were interviewed, and the amounts involved remained unknown.
    • § 87211(a)(2)
    05 Sept 2024
    Investigated allegation that staff did not provide adequate supervision resulting in a resident eloping; record review and interviews showed insufficient information to confirm the incident.
    05 Sept 2024
    Investigated an allegation that a resident eloped and was later found nearby; determined that the resident could leave unassisted and the incident was isolated, leading to insufficient evidence to support the claim. No health and safety hazards noted.
    29 Aug 2024
    Found that the allegation that staff did not provide a copy of the admission agreement to a resident was not supported by interviews and records. The resident was not available for interview at the time, but records showed a copy was provided when the agreement was signed, and the resident later disputed the share of cost.
    10 Jul 2024
    Identified insufficient information to support the allegation that staff did not respond promptly to a resident’s call pendant. Identified insufficient information to support the allegation that staff did not provide emergency medical services promptly; no health and safety issues noted at the time.
    28 Jun 2024
    Found staff did not intervene in time to prevent an altercation between two residents. Interviews and records showed the argument began in the dining area, included one resident slapping the other after derogatory remarks, and staff intervened only after the incident had begun.
    • § 87468.1(a)(2)
    28 Jun 2024
    Found that staff followed physician orders for the resident’s medications; when a dose discrepancy was noted, a new order reduced the dosage and records were updated accordingly. Found that the resident initially refused a lab appointment but later completed a follow-up; results showed no concerns and medical needs were met, with no immediate health and safety risks observed.
    12 Jun 2024
    Investigated the allegation that staff did not safeguard residents' belongings; found insufficient information to support it. No health or safety issues were noted during the visit.
    29 May 2024
    Investigated the allegations of resident-on-resident assault and unsafe environment; interviews and records showed an in-room altercation between two non-ambulatory residents, one hospitalized and another preparing to move, but there was not enough information to support the assault claim. Found that staff supervised residents and residents reported feeling safe, with insufficient information to support the unsafe environment allegation.
    29 May 2024
    Found insufficient information to confirm the allegation that staff did not provide a safe environment for a resident and that an unknown male resident threatened and attempted to assault that resident.
    21 May 2024
    Investigated the allegation that a resident was not allowed to have a cat; interviews and records showed insufficient information to support the claim.
    11 May 2024
    Found insufficient evidence to prove financial abuse and failure to ensure mail delivery allegations.
    22 Feb 2024
    Found pre-licensing complete with no deficiencies. Observed clean, well-maintained areas with functioning equipment and safety measures, including secured medications, working call lights, interconnected detectors, and records stored securely.
    25 Apr 2024
    Investigated alleged incidents of staff behavior, room odor, response to call buttons, medication administration, and COVID prevention, with findings inconclusive for all allegations.
    18 Apr 2024
    Found no evidence that lack of supervision allowed a resident to leave unassisted; interviews and records showed the resident arrived on 4/16 and left the same day, did not return for belongings or to sleep, is ambulatory, and the area was not locked. No health or safety issues were noted.
    18 Apr 2024
    Unsubstantiated allegation of lack of supervision leading to resident leaving unassisted due to resident's ability to leave unassisted and facility not being locked down. No health and safety issues found during the visit.
    09 Apr 2024
    Interviews and observations revealed that house rules, including visiting hours, no smoking policies, and door locking procedures, were being enforced at the facility.
    20 Mar 2024
    Staff were found to be financially abusing a resident in care.
    • § 87468.2(a)(8)
    05 Mar 2024
    Found no evidence of staff speaking inappropriately to residents, not meeting incontinence needs, improperly supervising residents, divulging confidential information, maintaining an unclean facility, storing hazardous items improperly, or failing to assist residents with behavior management.
    29 Feb 2024
    Investigated the allegation that staff failed to safeguard a resident's money, with findings revealing insufficient evidence to support the claim of money theft.
    22 Feb 2024
    Confirmed no deficiencies found during visit to the facility, all areas observed to be clean, well-maintained, and in compliance with regulations.
    12 Feb 2024
    Reviewed allegations of unsafeguarded belongings and improper maintenance, ultimately finding them to be unsubstantiated based on interviews and observations.
    30 Jan 2024
    Confirmed resident's history of making false allegations due to confusion and disorientation; unsubstantiated allegation of sexual abuse at the facility.
    23 Jan 2024
    Confirmed no evidence of outsiders entering after visiting hours to engage in inappropriate behavior with residents at the facility.
    16 Jan 2024
    Interviews and observations at the facility did not substantiate allegations of insufficient supervision leading to inappropriate behaviors by a resident.
    10 Jan 2024
    Confirmed allegations of mold and pest control issues, but did not substantiate claims of staff neglect with emergency call buttons, appliance provision, or contaminated medical devices.
    • § 87303(a)
    09 Jan 2024
    Reviewed an allegation of wrongful eviction and determined it was unsubstantiated, as the resident required a higher level of care due to medical and behavioral issues.
    20 Dec 2023
    Determined insufficient information to support the allegation that staff did not refill the resident's medication prescription. The pharmacy reported the resident had used multiple pharmacies and doctors to obtain narcotics, leading to a refusal to dispense, and records reviewed aligned with this finding.
    20 Dec 2023
    Found no evidence of reported water damage or leaks in a resident's room during an inspection visit.
    04 Dec 2023
    Investigated allegation that there was no qualified administrator; interviews and records showed the administrator is qualified, holds a current administrative certificate, and has prior administrator experience; claim could not be confirmed at this time.
    04 Dec 2023
    Investigated the allegation that there was no qualified administrator; confirmed through interviews and document review that the administrator was qualified and held the necessary certification and experience.
    30 Nov 2023
    Confirmed identities of the applicant and administrator during COMP II and their understanding of licensing laws and the reviewed areas, including license type, client populations, program, admission policies, staffing requirements and training, restrictive health conditions, general provisions, emergency preparedness, complaints and reporting, and pre-licensing readiness.
    30 Nov 2023
    Confirmed successful completion of COMP II for a change in ownership application for a residential care facility for elderly with a capacity of 199 beds.
    28 Nov 2023
    Investigated the allegation that staff retaliated against a resident for filing complaints; interviews indicated staff are not retaliating and support the resident’s right to file complaints. Found insufficient information to verify the allegation.
    28 Nov 2023
    Investigated inappropriate interaction allegation between residents; insufficient evidence found to confirm.
    07 Nov 2023
    Found no evidence to support the allegation that staff did not treat residents with respect. Interviews and observations indicated residents were treated with dignity and staff interacted cordially, with no rude or disrespectful behavior observed.
    07 Nov 2023
    Investigated the allegation that staff did not provide a safe environment for residents. Interviews and a site tour found no evidence of safety issues.
    07 Nov 2023
    Found no evidence to support the allegation of staff not providing a safe environment for residents.
    03 Nov 2023
    Identified a history of compliance concerns and a high volume of resident complaints, including maintenance problems, staffing shortages, and delays in reporting serious incidents; representatives discussed these concerns during an informal conference.
    03 Nov 2023
    Identified high volume of complaints and discussed solutions in informal conference.
    30 Oct 2023
    Found insufficient information to verify the allegation that staff removed a resident's call light and replaced it with a pendant system, noting that pendants were issued to all residents and some chose not to use them. Found insufficient information to verify the allegation that staff did not respond to a resident's call light in a timely manner, with interviews indicating a response occurred but the specific staff member requested was not available.
    30 Oct 2023
    Reviewed allegations related to the call light system at the facility. Findings did not confirm the allegations at this time.
    23 Oct 2023
    Identified that a former employee was hired without a health screening and that a staff member’s TB test was incomplete. Found that a serious incident involving a resident and a staff member was not reported, potentially affecting health, safety, and residents’ personal rights.
    23 Oct 2023
    Investigated the allegation that staff did not meet residents' bathing needs; interviews showed that one staff member bathed a resident daily for about 90 minutes, and the resident only wanted that staff member to assist them. There was insufficient information to support the allegation, so it remained unsubstantiated.
    23 Oct 2023
    Identified deficiencies were found during a visit to address reported issues in the facility.
    • § 87211(a)(1)
    • § 87412(a)(11)
    18 Oct 2023
    Confirmed staff medication errors and improvements in medication dispensing processes.
    11 Oct 2023
    Investigated allegations that staff did not help a resident schedule a doctor’s appointment, did not provide transportation, and spoke badly about a resident. Interviews with staff and residents indicated insufficient information to verify these claims, and no health or safety hazards were found.
    11 Oct 2023
    Investigated allegations of staff not assisting a resident with doctor appointments or transportation and not treating the resident with dignity and respect; determined insufficient evidence to verify claims.
    05 Oct 2023
    Identified safety and care concerns at the site, including insufficient staffing affecting residents’ care and a non-working call system delaying assistance. Noted the allegation that illegal drugs were confiscated from a resident’s room and not reported to the Licensing Office or police, and observed 40 residents under 60—11 under 50 and 29 between 51 and 59—with missing preadmission appraisals and needs and service plans for those under 60.
    05 Oct 2023
    Confirmed that staff do not distribute medications as prescribed. Found insufficient information to support claim of resident being left soiled for an extended period of time.
    • § 78465(c)(2)
    25 Sept 2023
    Allegation of staff inability to effectively communicate with residents was investigated, with interviews revealing use of translation application and basic language skills, resulting in an unsubstantiated finding.
    19 Sept 2023
    Confirmed allegation of incorrect medication administration, but unsubstantiated allegation of delayed response to resident assistance requests.
    • § 87465(c)(2)
    18 Sept 2023
    Confirmed inadequate staffing levels impacting resident care. Allegations of staff forcing a resident to sign documents were not substantiated.
    07 Sept 2023
    Found insufficient staffing affecting residents' care, supervision, and medication assistance, and a non-working call system that left residents without proper toileting help. Observed hazards including holes in walls, exposed wiring, clutter in the garage with debris, non-operational pool cords, and that an unusual incident had not been reported to the Licensing Office.
    07 Sept 2023
    Identified issues with safety hazards, cleanliness, staffing levels, and call system functionality during the visit.
    29 Aug 2023
    Investigated the allegation that staff did not provide medical attention to a resident in a timely manner, the allegation that medications were not ensured to be filled, the allegation that medications were not administered as prescribed, and the allegation that fall-risk precautions were not followed. Found unsubstantial for all four allegations.
    29 Aug 2023
    Confirmed staff assisted resident requesting medical attention, but allegations of medication refill issues and overmedication were unsubstantiated. Fall risk measures were not deemed necessary for the resident. No health or safety hazards were found during the visit.
    24 Aug 2023
    Investigated four specific allegations: staff did not safeguard the grounds by allowing visitors inside; residents were not afforded privacy because visitors snooped in rooms; staff allowed unauthorized individuals access; and residents were not provided a comfortable environment due to ongoing renovations. Found no evidence to support these allegations.
    24 Aug 2023
    Reviewed complaints about visitor access, privacy, unauthorized entries, and comfort; all allegations found to be unsupported after interviews, document reviews, and observations.
    16 Aug 2023
    Found no evidence to support the two specific allegations—that some residents use profanity and are not disciplined, and that a resident lies about another. Interviews indicated most residents did not report concerns about profanity and staff were actively redirecting rule violations; no immediate health and safety hazards were observed.
    16 Aug 2023
    Confirmed use of profanity by one resident, but found no evidence to support allegations of lying or inappropriate behavior. No immediate health or safety hazards were identified during the visit.
    11 Aug 2023
    Investigated the allegation that staff failed to obtain timely medical attention for a resident with bruising to the chest, observed by the night shift on 11/24/22 and by a visitor on 11/25/22, with care provided only at 1 PM on 11/25/22, about six hours after awareness. Found deficiencies in meeting residents' health care needs due to the delay.
    11 Aug 2023
    Identified deficiencies after reviewing records and interviewing staff showing that a resident with a stage 3 pressure injury, a prohibited health condition, was admitted and received home health care but was not on hospice, and no exception to accept residents with prohibited health conditions was requested.
    11 Aug 2023
    Investigated the allegation that a resident sustained a Level 4 pressure injury due to neglect while in care and found there was not enough evidence to prove or disprove the claim.
    11 Aug 2023
    Identified deficiencies related to admitting a resident with prohibited health conditions.
    • § 87615(a)(1)
    04 Aug 2023
    Determined there was not a preponderance of evidence to prove the allegations that staff made sexual gestures about a resident’s genital size and made inappropriate comments toward a resident. Most residents could not corroborate the claims, and the Power of Attorney could not corroborate them either.
    04 Aug 2023
    Reviewed allegations of inappropriate behavior by staff towards a resident, but there was insufficient evidence to prove or disprove the claims.
    01 Aug 2023
    Investigated the complaint that the facility refused to accept a resident back, found it unsubstantiated due to the resident's voluntary return without any eviction from the facility.
    31 Jul 2023
    Found no evidence that a resident was sexually abused while in care. Interviews with residents and staff and review of records showed no abuse and confirmed staff had the required reporting documentation.
    02 Aug 2022
    Confirmed a pending Change of Management after the death of the previous board members, with the organization remaining active and continuing to operate under the current licensee while maintaining control of property. Noted were a recent LIC 309 reflecting changes and an updated organizational chart; documentation requested included current control of property and written notification of board changes, and the regional office had no objections.
    31 Jul 2023
    Determined the allegation that a resident sustained a chest bruise due to lack of care and supervision was unsubstantiated. Interviews with staff and residents and review of records found no evidence of neglect or harm, and the cause of the bruise could not be determined.
    31 Jul 2023
    Investigated whether a resident was left in a soiled diaper for a long period, whether residents were ignored, and whether hygiene needs were not being met. Found no evidence to support these claims; staff and several residents described routine checks and assistance with toileting and hygiene, and records showed attempts to provide care.
    31 Jul 2023
    Investigated an allegation of a resident sustaining injuries due to lack of care and supervision, but found insufficient evidence to determine how the bruising occurred or if neglect was involved. Concluded that although the incident may have happened, there wasn't enough evidence to prove it resulted from staff neglect or harm.
    24 Jul 2023
    Found two specific allegations reviewed: staff handle residents in a rough manner and untrained staff. Identified these allegations as unsubstantiated.
    24 Jul 2023
    Found no evidence of animosity, retaliation, or negativity toward the resident as alleged. Interviews with staff and nine of ten residents indicated they were treated with respect and well.
    24 Jul 2023
    Found no evidence of alleged mistreatment or negativity towards a specific individual by staff and residents after interviews and record review.
    21 Jun 2023
    Investigated the allegation that a resident's HVAC unit leaked; found that it had reportedly been fixed in December 2021, after which the resident sealed the unit with styrofoam cups and refused entry to a licensed vendor. Five random rooms were checked and all HVACs were operating; interviews with residents indicated repairs were generally handled, leaving not enough information to verify the allegation.
    21 Jun 2023
    Investigated two specific allegations: a resident fell due to a ripped hallway carpet and lack of safety signage; and the carpet was in disrepair, with replacement planned by licensed vendors.
    21 Jun 2023
    Investigated the allegation that the resident missed their PRN medication due to lack of staff and UNSUBSTANTIATED at this time; interviews and records showed a trained staff member assisted after a med tech called out on 5/30/23, and the resident received clonazepam on 5/30/23 at 5:47 a.m. and on 5/31/23 at 8:00 a.m. and 11:00 p.m.
    21 Jun 2023
    Investigated an allegation that a resident's HVAC system was leaking; found insufficient evidence to verify this claim after reviewing records, conducting interviews, and inspecting other rooms.
    20 Jun 2023
    Found that a resident’s window was broken and held together with tape and boarded from the inside, with staff admitting it had been in that condition for over a month. No other health and safety hazards were noted.
    20 Jun 2023
    Confirmed broken window in resident's room.
    • § 87303(a)
    19 Apr 2023
    Interviews and record review revealed an unsubstantiated allegation of wrongful eviction at the facility.
    13 Feb 2023
    Investigated two specific allegations: that a resident sustained a pressure injury around 04/04/2021 and that staff did not check on the resident on 04/06/2021; based on records and interviews, no evidence supported either allegation.
    14 Mar 2023
    Found no evidence that a resident was mistreated; staff and residents denied the allegation. Determined the preponderance of evidence not met.
    14 Mar 2023
    Found insufficient evidence to prove staff mishandled medications. Found insufficient evidence to prove staff failed to meet residents' hygiene needs.
    14 Mar 2023
    Investigated allegations of staff mishandling medication and failing to meet residents' hygiene needs; neither allegation confirmed due to insufficient evidence and contradictory reports from interviews and observations.
    • § 87466
    21 Dec 2022
    Investigated five allegations: a broken wheelchair not reported to the family; dinner left on a tray out of the resident's reach; staff force-fed medication; inadequate incontinence care including failing to dry after wiping; and the call button moved out of the resident's reach. Found insufficient evidence to support these allegations.
    13 Feb 2023
    Found no preponderance of evidence to prove the allegation that a resident sustained a pressure injury while in care around 04/04/2021, based on interviews and record reviews. Found no preponderance of evidence to prove the allegation that staff did not check on the resident and left them soiled on 04/06/2021, after reviewing care logs and response times.
    27 Feb 2023
    Found that the allegation that residents smoked indoors is unsubstantiated. Found also that the allegations of insufficient emergency disaster training and retaliation against residents for complaints are unsubstantiated.
    27 Feb 2023
    Investigated allegations of improper smoking, inadequate staff training for emergencies, and staff retaliation against residents for complaints, with findings showing insufficient evidence to prove these allegations occurred.
    13 Feb 2023
    Confirmed allegation of pressure injury unsubstantiated; Staff neglect allegation of not checking on resident also unsubstantiated.
    • § 87211(a)(1)
    • § 87412(a)(11)
    09 Feb 2023
    Found no evidence to support the allegations that a resident's room carpet was dirty, that staff threatened eviction, or that a phone jack was broken.
    09 Feb 2023
    Confirmed that allegations of a dirty carpet and threats of eviction were unsubstantiated, as well as determining that a broken phone jack allegation was also unsubstantiated.
    08 Feb 2023
    Found insufficient evidence to support the allegation that care was inadequate, staff were unreliable, or residents were not properly assessed or informed about their needs. Most residents reported satisfaction with care, and staff described appropriate assessment procedures and adequate staffing.
    08 Feb 2023
    Investigated whether the facility provided adequate care to residents; determined no sufficient evidence to support the allegation, as staff and several residents reported satisfaction with care, and observations indicated clean conditions and adequate staffing.
    01 Feb 2023
    Investigated missing medication for a resident, including interviews and review of the medication administration log; a follow-up visit may be conducted.
    01 Feb 2023
    Investigated missing medication incident on reported date in January, followed by interviews and medication log review.
    • § 87211(a)(1)
    • § 87455(b)(7)
    • § 7506(a)
    • § 87303(i)(1)
    17 Jan 2023
    Found that medications were not consistently administered as prescribed, with residents reporting late or missing doses and MAR records showing missing signatures and a missed dose.
    • § 87468.1(a)(2)
    17 Jan 2023
    Confirmed that staff at the facility were not providing medications as prescribed, according to interviews with staff and residents and a review of medication records.
    13 Jan 2023
    Found no evidence that staff gossiped about residents or failed to treat them with dignity and respect; interviews with staff contradicted the allegation.
    13 Jan 2023
    Found that the allegation that staff did not safeguard a resident's personal belongings was unsubstantiated, because a resident voluntarily delivered a small package to another resident with no staff instruction. Found that the allegation that staff did not ensure a resident received mail unopened was unsubstantiated, as deliveries occur at the reception, packages were not opened, and staff denied going through residents’ grocery bags.
    13 Jan 2023
    Investigated allegations regarding staff handling of residents' personal belongings and mail were found to be unfounded.
    03 Jan 2023
    Found that the allegation of missed medications by a resident was not supported; records showed no misses of routine meds and only occasional delays with PRN meds, with the resident noting PRN status and possible requests to change how they were given. The other resident did not miss medications, with only occasional delays.
    03 Jan 2023
    Found that the allegation that staff and a resident plotted to administer a knockout drug to the resident to appear dead was based on an old incident and is unfounded.
    03 Jan 2023
    Found during an inspection that an allegation of staff and resident plotting to give a resident a drug was unfounded.
    22 Dec 2022
    Determined that the resident’s phone line was operational but not internet-capable, and that the resident moved to a room with internet access. Concluded there was not enough evidence to prove the disrepair allegation.
    22 Dec 2022
    Found that the allegation of a broken phone jack and facility disrepair was unsubstantiated due to the phone line being operational, but lacking internet capabilities.
    21 Dec 2022
    Unsubstantiated allegations were investigated regarding the resident's wheelchair, meal assistance, medication administration, incontinence care, and call button accessibility.
    • § 87303(a)
    13 Dec 2022
    Investigated the allegation that staff terminated residents' home health without their consent. Found that residents denied the claim and staff stated they cannot terminate services without consent, with care guided by physician orders and wound care notes showing improvement, and concluded there was insufficient evidence to prove or disprove the allegation.
    13 Dec 2022
    Investigated the allegation that staff terminated a resident's home health services without consent; found no substantial evidence to support the claim, concluding it was unsubstantiated.
    12 Dec 2022
    Found that the personal belongings allegation was unsubstantiated: three of eight residents recalled items missing at times but could not identify when, and five staff denied taking or witnessing anything. Found that the beverage contamination allegation was unsubstantiated: all residents denied contamination, staff denied adding anything to beverages, and kitchen and storage areas showed no issues.
    12 Dec 2022
    Investigated claims of staff not safeguarding residents' belongings and contamination of beverages; found insufficient evidence to confirm either allegation.
    09 Dec 2022
    Found insufficient evidence to prove that a resident threatened to kill another on two occasions; the dining room incident involved a sock dispute and verbal confrontation, with one resident denying threats. Two residents did not feel safe, while staff stated safety was maintained.
    09 Dec 2022
    Determined that the allegation that staff did not respond to call buttons in a timely manner could not be proven. Interviews indicated responses were generally within minutes, although staffing shortages were noted.
    09 Dec 2022
    Investigated an allegation regarding staff not responding timely to residents' call buttons, especially affecting those needing incontinence assistance. Despite recent staffing shortages, interviews revealed responses typically occurred within several minutes, and no significant issues with wait times were reported by residents.
    08 Dec 2022
    Investigated the allegation that staff do not treat residents with respect. Found a 12/01/2022 incident where a resident became upset over a sugar container, staff offered packets, the resident became verbally aggressive and moved a wheelchair toward a staff member, and police were called; other residents said staff treat residents with respect, while the involved resident corroborated the incident; there was not a preponderance of evidence to prove or disprove the allegation, UNSUBSTANTIATED.
    08 Dec 2022
    Confirmed that a staff member did not allow a resident to take a sugar container to their room, leading to an altercation where the police were called. Resident interviews did not support the allegation that staff do not treat residents with respect.
    06 Dec 2022
    Found that one resident claimed a staff person looked through a delivered package; seven of eight residents stated privacy and safeguarding were provided, while the administrator and staff denied the allegation. There was insufficient evidence to prove or disprove the allegations.
    06 Dec 2022
    Investigated allegations of staff not providing privacy and not safeguarding personal belongings; determined there was insufficient evidence to support the claims.
    01 Dec 2022
    Investigated two specific allegations—illegal eviction and staff threatening a resident regarding a service dog—and found insufficient evidence to prove or disprove either claim.
    01 Dec 2022
    Investigated claims of illegal eviction and staff threats toward a resident; determined insufficient evidence to confirm or refute the allegations.
    • § 87615(a)(1)
    25 Oct 2022
    Investigated allegation that transportation was inconsistent, with residents unable to rely on staff for appointments; interviews and records showed the resident never requested or used transportation and staff reported no reservations by the resident. Found insufficient evidence to prove the transportation issue occurred.
    25 Oct 2022
    Investigated complaint about inconsistent transportation services; determined that despite allegations, insufficient evidence to confirm or deny occurrence.
    21 Oct 2022
    Found no conclusive evidence to prove the following allegations occurred: that medical care and services were not provided, that residents with special diets did not receive healthy meals, and that mobility supports were not provided to unstable or disabled residents. Documentation showed no IHSS qualification for the resident, the resident self-arranged medical appointments, and the physician’s report indicated ambulatory status with no stroke history; the resident was not on a special diet and the menu offered healthy options; the resident was observed mobile with no mobility assistance needed.
    21 Oct 2022
    Reviewed a complaint regarding inadequate medical care, unhealthy meals for those on special diets, and lack of mobility support, but found insufficient evidence to confirm these issues.
    04 Oct 2022
    Found that the allegation that a resident was given another resident's medication was supported by evidence, while the allegation that staff did not respond to calls in a timely manner was not supported, based on interviews and record reviews.
    04 Oct 2022
    Investigated the allegation that staff are not properly maintaining a resident's room. Found 7 of 8 rooms were clean and residents reported rooms were kept clean, with staff not corroborating the claim.
    04 Oct 2022
    Confirmed medication error and unsubstantiated staff response time allegation.
    • § 87303(a)
    • § 87468.1(a)(2)
    15 Sept 2022
    Investigated three allegations about staff and residents’ personal rights, including sexual harassment, inappropriate comments about sexual/gender identity, and not treating a resident with dignity. Interviews and records showed no evidence to confirm any of these incidents occurred.
    15 Sept 2022
    Interviews and documentation were reviewed, and it was determined that allegations of staff mistreatment towards residents were unsubstantiated. Residents were found to feel supported and comfortable expressing themselves at the facility.
    30 Aug 2022
    Investigated two allegations: the back and side doors not being locked to keep outsiders from entering; found those doors are locked from the outside and monitored, with residents feeling safe. Determined that the night shift staffing was not proven to be inadequate; some residents questioned staffing, but there was not a preponderance of evidence to prove violations, so the allegations were unsubstantiated.
    30 Aug 2022
    Reviewed allegations of an unsafe environment due to unlocked doors and inadequate night staffing; found no conclusive evidence to support either claim.
    29 Aug 2022
    Found that the allegation of a visitor harassing a resident could not be proven based on interviews and medical notes, with inconsistent statements and no witnesses. The patio area was observed to be enclosed, limiting access.
    29 Aug 2022
    Reviewed an allegation of a resident being harassed; found insufficient evidence to support claims due to inconsistent statements and resident's history of paranoia and hallucinations.
    25 Aug 2022
    Investigated the allegation that staff did not assist a resident's bathroom needs in a timely manner. Found no preponderance of evidence to prove the allegation and determined it to be unsubstantiated.
    25 Aug 2022
    Investigated the allegation that staff did not assist residents with bathroom needs in a timely manner; found insufficient evidence to prove or disprove the claim. Conducted interviews with staff and residents, indicating adequate nighttime staffing and timely assistance with residents' needs.
    23 Aug 2022
    Found no preponderance of evidence to prove or disprove that a resident was left in soiled clothing for a long period.
    23 Aug 2022
    Investigated the claim that a resident was left in soiled clothing for an extended period; found insufficient evidence to confirm or deny the allegation.
    02 Aug 2022
    Confirmed changes in the corporation's management structure and board of directors, with intentions to continue operating as a Residential Care Facility for the Elderly. Required documents were requested and no objections were raised by the Regional Office.
    19 Jul 2022
    Found that the allegations that staff overmedicated residents, staff not properly supervising residents, overcharging rent to increase to $3000, cigarette smoke entering a resident's room, and staff threatening a resident were UNSUBSTANTIATED. No deficiencies were cited.
    19 Jul 2022
    Investigated allegations of over-medicating residents, improper supervision, overcharging rent, cigarette smoke entering a room, and staff threats. Found no preponderance of evidence to support these claims, resulting in all allegations being unsubstantiated.
    01 Apr 2022
    Identified overall compliance with safety and care practices, including secure medication storage, infection control measures, and adequate food supplies. Found a documentation issue with one resident's medication administration records, missing signatures for February and March though medications were administered.
    01 Apr 2022
    Identified deficiencies in medication administration and lack of proper documentation during the inspection.
    29 Mar 2022
    Investigated two allegations and found the incontinence supplies issue unsubstantiated and the medication refill timeliness issue unsubstantiated.
    29 Mar 2022
    Found insufficient evidence to prove the allegation that staff did not respond to call lights promptly; residents reported mixed experiences—from quick responses to delays up to 30 minutes or not using the system, while staff generally indicated responses within 30 minutes.
    29 Mar 2022
    Interviews and observations were conducted regarding the allegation of staff not responding timely to residents' call button, with mixed responses from residents and staff about the call light response time and usage.
    17 Mar 2022
    Investigated two allegations: that automatic fire doors were in disrepair and buzzing and held open by rubber stoppers, and that staff do not safeguard the premises. Found that corridor fire doors were repaired and operable, the wooden stoppers were temporary during repairs, the exterior exit door remains closed and requires a key to re-enter from outside, and residents reported feeling safe with no health or safety concerns observed during nighttime rounds.
    17 Mar 2022
    Found that the resident call light system in the west end was not fully operable, affecting rooms 51–88 for about four weeks; technicians identified a faulty transformer and relay, and bulbs needed replacement, with five of seven residents reporting non-working call lights. Interviews with staff confirmed the issue and that chime sounds were not heard, and a service invoice for call light repairs was obtained.
    17 Mar 2022
    Confirmed allegations regarding fire door repairs and operation, while insufficient evidence for allegations of staff not safeguarding the premises. Residents feel safe and the exit door is secure.
    18 Feb 2022
    Found no evidence to support the allegation that staff did not provide adequate supervision. Interviews with staff and residents indicated checks occur every 2 to 3 hours, and most residents reported adequate supervision.
    18 Feb 2022
    Found no evidence to support the allegation of inadequate supervision at the facility after conducting interviews with staff and residents.
    24 Dec 2021
    Determined that resident call lights were operational and repaired promptly when reported, and found insufficient evidence to prove that alarm doors prevented residents from leaving their hall.
    24 Dec 2021
    Reviewed allegations of broken call lights and closed alarmed doors, but found insufficient evidence to prove if they occurred or not.
    20 Dec 2021
    Determined that the allegation that staff did not safeguard residents' personal belongings was not supported by a preponderance of evidence.
    20 Dec 2021
    Found the allegation that call lights were broken and conditions were in disrepair not supported by evidence. Observations showed call lights and heating/cooling units in resident rooms were functional, repair logs documented prompt fixes, and residents reported timely repairs.
    20 Dec 2021
    Investigated the allegation that a resident was given medications not prescribed. Found insufficient evidence to prove whether this occurred, after reviewing records and interviewing staff and residents.
    20 Dec 2021
    Investigated complaint of broken call lights and disrepair; found call lights and AC/heating units operational, with residents reporting timely repairs, leading to the conclusion that the allegation lacked sufficient evidence.
    08 Dec 2021
    Found no evidence to support the allegation that staff used a resident's diapers for other residents, leaving that resident with an insufficient supply. Observed a sufficient diaper supply in storage and residents reported no concerns.
    08 Dec 2021
    Investigated allegation of staff using a resident's diapers for others; found insufficient evidence to support the claim.
    10 Nov 2021
    Investigated allegation that staff threaten to harm a resident; interviews with residents and staff found no threats or evidence of threatening behavior.
    10 Nov 2021
    Found that staff were not threatening any residents at the facility as alleged.
    19 Oct 2021
    Investigated allegation that staff interfered with residents' personal mail. Found no evidence of interference; eight residents reported no issues, mail is kept in locked mailboxes at the front desk with sorting by staff, and assistance with mail occurs only with resident consent; the allegation is UNSUBSTANTIATED.
    19 Oct 2021
    Investigated an allegation that staff interfered with resident's mail, but interviews and evidence did not support the claim, resulting in an unsubstantiated conclusion.
    20 Aug 2021
    Found that the allegation that staff made inappropriate comments toward a resident was not proven; six of seven residents denied it, all residents said staff treated them well, and staff denied the allegation.
    20 Aug 2021
    Investigated the allegation that staff made inappropriate comments towards residents; determined that while the allegation may have occurred, there wasn't enough evidence to confirm it.
    13 Aug 2021
    Found insufficient evidence to prove or disprove the allegation that staff poisoned a resident's food; interviews with staff and the resident and a kitchen tour found no toxins and no witnesses.
    13 Aug 2021
    Found insufficient evidence to corroborate the allegation that staff did not notice a change in the resident's condition, did not change the resident's diapers, did not respond to the call light, or did not ensure the resident was eating.
    13 Aug 2021
    Investigated the allegation of staff poisoning a resident's food; found insufficient evidence to support the claim, rendering it unsubstantiated.
    23 Jun 2021
    Found Allegation 1 about a delayed fix to a phone jack in room 62 was based on a misunderstanding; the issue was a weak internet signal, and the resident was moved to a room with better service. Found Allegation 2 about internet access and extra charges showed residents pay for additional services and that internet is not included in the base rate, with most residents aware; the available evidence did not establish the alleged violations.
    23 Jun 2021
    Reviewed allegations regarding delayed phone jack repair and lack of internet provision, finding insufficient evidence to support claims.
    09 Jun 2021
    Found no preponderance of evidence to prove the caregiver failed to assist Resident #1 with toileting or a bedpan, and interviews with residents and staff did not corroborate the allegation.
    09 Jun 2021
    Allegation of caregiver not assisting resident with toileting was investigated, but evidence did not support the claim.
    • § 87465(a)(5)
    03 Jun 2021
    Investigated allegation that a copy of a resident's records was not provided to the authorized representative; records were requested on 5/17/20 but not furnished until 6/8/20, with delay caused by offsite storage.
    02 Jun 2021
    Found that interviews with residents and staff indicated no ongoing wandering or knocking on doors by residents, though one resident described rare wandering that staff promptly managed. Determined there was not a preponderance of evidence to prove the wandering allegation occurred or did not occur.
    03 Jun 2021
    Confirmed allegations that records were not promptly provided to a resident's authorized representative after a request.
    02 Jun 2021
    Interviews and observations indicated no evidence to prove the alleged wandering and knocking on doors by residents at the facility.
    26 May 2021
    Found insufficient evidence to prove the allegation that services advertised as available in residents' rooms, such as phone lines and internet, were not provided. Indicated by interviews, residents were responsible for setting up and paying for these services, and most were aware they were not part of Basic Services.
    26 May 2021
    Interviews with staff and residents did not support the allegation of the facility advertising services that were not provided. Residents are responsible for setting up and paying for phone and internet services, which are not included in the basic services offered.
    07 May 2021
    Found insufficient evidence to prove the allegation that a staff member spoke inappropriately to a resident during an incident on 11/26/2019.
    07 May 2021
    Investigated an allegation that a staff member spoke inappropriately to a resident but found insufficient evidence to confirm the incident occurred.
    04 May 2021
    Found that an allegation claimed a staff member tipped off the Department of Social Services about a resident's assets, triggering a Medi-Cal re-determination, but there was not enough evidence to prove whether this occurred.
    04 May 2021
    Confirmed the allegation regarding a staff member reporting resident's assets to the Department of Social Services was unsubstantiated after interviews and record review.
    • § 87303(a)
    28 Apr 2021
    Investigated allegations of dirty carpet; after interviews and a virtual tour, the carpet condition was not confirmed and the resident moved to a room with new floors. Determined that the eviction-threat allegation was not supported, with the resident noting only discussion of past-due rent.
    • § 87303(a)
    28 Apr 2021
    Investigated complaints involved issues with a non-functioning phone jack and dirty carpet; confirmed the phone jack issue but did not find evidence of dirty carpet, and clarified that a resident received a past due invoice but was not threatened with eviction.
    26 Apr 2021
    Investigated two specific allegations: that staff did not treat residents with dignity and respect, and that staff refused to change a resident's soiled linens. Based on interviews and records, credible evidence supported the first allegation, while the second was not supported.
    26 Apr 2021
    Found an A/C wall unit in disrepair in room 62, unplugged and taped off to prevent use, with a small space heater used temporarily; as of 4/26/2021, the unit had not yet been replaced.
    26 Apr 2021
    Found that the allegation that residents' rooms had uncomfortable temperatures due to heaters and central air conditioning not functioning was supported by maintenance records and resident reports.
    26 Apr 2021
    Confirmed that staff verbally insulted a resident while assisting with changing soiled linens, supporting the allegation of lack of dignity and respect.
    19 Apr 2021
    Found neglect and lack of supervision leading to a resident's injuries after several falls and relocation within the home, ending in a hip fracture; a civil penalty of $500 was issued.
    • § 87411(a)
    20 Apr 2021
    Investigated two concerns: an allegation of illegal eviction, which could not be proven or disproven. Found that the resident’s room air conditioner had dirty filters causing a strong odor, which was addressed after the filters were replaced and the unit operated properly.
    20 Apr 2021
    Confirmed complaint about heavy fumes from air conditioner in resident's room, substantiated due to dirty filters needing cleaning.
    19 Apr 2021
    Confirmed multiple instances of resident falls resulting in injuries and lack of supervision. An immediate civil penalty was issued as a result.
    29 Mar 2021
    Investigated a complaint about a resident developing diaper dermatitis with redness in the groin and buttocks, leading to hospital treatment on 1/28/2020. Found that staff checked incontinent residents every 2-3 hours and changes were frequent, but there wasn’t enough evidence to determine whether the alleged violation occurred.
    02 Apr 2021
    Investigated via teleconference due to COVID-19, interviewing the assistant administrator, staff, and residents about heater functionality and room cleaning. Found no clear evidence that any resident heater was nonfunctional and residents reported working heat; staff said rooms were cleaned daily and residents were satisfied with cleaning, with no deficiencies identified.
    02 Apr 2021
    Investigated a complaint about phone lines; interviews with staff and residents showed no clear evidence that the violation occurred.
    02 Apr 2021
    Found no evidence to prove or disprove the allegation regarding phone line issues at the facility..
    30 Mar 2021
    Identified that the elevator was out for more than one day, causing residents to use the stairs; some staff were unaware, and a repair invoice confirmed service on 8/27/20.
    30 Mar 2021
    Confirmed allegations of disrepair, including a malfunctioning elevator, at the facility.
    29 Mar 2021
    Investigated the complaint of inadequate care related to a resident's diaper dermatitis; determined there was not enough evidence to prove or disprove the allegation.
    • § 87303(i)(1)
    03 Mar 2021
    Found that staff provided supervision overall, with nine staff interviewed stating residents were adequately supervised and most residents felt safe. COVID-19 measures included sign-in, screening, and staff knocking before entering rooms; a resident described a door incident and another expressed a need for more night staffing, though there was no clear evidence of unauthorized room entry or contamination.
    03 Mar 2021
    Investigated alleged staff supervision issue; found no evidence of wrongdoing. Residents feel safe, staff provide adequate supervision, and entrance to rooms is monitored.
    11 Feb 2021
    Found two allegations—hiding resident medications in food and giving false information to a resident's physician—were not corroborated by staff or resident interviews, with no evidence to prove the violations.
    11 Feb 2021
    Found that staff provided clean linens on a weekly basis or as needed, and residents reported linens were kept in good condition with no complaints. Found that staff safeguarded residents' personal property with no missing items reported, and most residents said the residence was clean and odor-free with no odor complaints.
    11 Feb 2021
    Investigated allegations of staff hiding medication in food and providing false information to a physician were not verified by interviews with staff and residents.
    07 Jan 2021
    Found that hospice enrollment was physician-ordered due to declining health, with input from the resident’s POA; residents stated they were not forced to enroll in hospice. Observed two hospice residents who appeared bed-bound and in poor health, but there was no evidence of coercion in the enrollment decision.
    07 Jan 2021
    Investigated the allegation that a resident was forced to receive hospice care; found no preponderance of evidence to support this claim, as hospice services were ordered by physicians due to residents' declining health conditions.
    • § 87465(c)(2)
    29 Oct 2020
    Investigated allegations that staff mismanaged a resident's medications and failed to administer them as prescribed, identifying missing initials on MAR entries, unrecorded refills, and medications not reflected in the physician's orders.
    29 Oct 2020
    Confirmed mismanagement of resident medications and failure to administer medications as prescribed.
    17 Aug 2020
    Investigated the allegation that staff poisoned residents’ food; interviews with residents and staff and a kitchen tour found no evidence of poisoning and residents described meals as good quality and at the proper temperature. No conclusive evidence to prove or disprove the allegation.
    17 Aug 2020
    Determined that there is no evidence to support the allegation that staff mishandled resident funds or attempted unauthorized withdrawals from the resident's bank account. The August rent check was deposited late, causing a withdrawal on August 11, and interviews indicated no improper withdrawals or eviction attempts.
    17 Aug 2020
    Investigated an allegation of staff poisoning residents' food and found insufficient evidence to prove the claim, leading to the conclusion that it was unsubstantiated.
    26 Jun 2020
    Investigated allegation of hazardous material being sprayed in resident's room found to be unfounded.
    24 Jun 2020
    Investigated the allegation that residents were not assisted with medication as prescribed; found it unsubstantiated based on interviews and observations.
    28 May 2020
    Investigated alleged staff member yelling at residents, found allegations unsubstantiated.
    22 May 2020
    Investigated allegations regarding staff tampering with residents' lotion and water, and presence of bed bugs; determined both allegations lacked supporting evidence, as interviews with staff and residents, along with pest control documentation, did not indicate any issues.
    • § 87303(b)
    21 May 2020
    Interviews conducted revealed that the allegation regarding the frequency of washing bed sheets for a specific resident was deemed unsubstantiated.
    20 May 2020
    Found rough handling and inadequate safeguarding of resident's belongings.
    10 Mar 2020
    Reviewed concerns about medication administration, and while issues were identified, evidence was insufficient to confirm any specific violations occurred.
    • § 87303(a)
    04 Mar 2020
    Reviewed multiple incidents of falls and injuries of a resident, leading to a substantiated allegation and citation against the facility.
    26 Feb 2020
    Investigated an allegation of staff mismanaging residents' funds, but found no evidence to support the claim and confirmed that residents had secure access to manage their own valuables.
    21 Feb 2020
    Investigated allegations of mishandled medications, overcharging, hygiene neglect, and failure to address changes in care; determined insufficient evidence to substantiate any claims.
    • § 87303(a)
    05 Feb 2020
    Identified deficiencies related to the care of bedridden residents during a surprise visit by licensing analysts.
    16 Jan 2020
    Interviews and observations found no evidence to support allegations of residents being left in soiled clothing, not receiving assistance with hygiene needs, rooms not being kept clean, or residents' closets being used for storage.
    • § 87468.1(a)(1)
    09 Jan 2020
    Interviews with residents and staff, as well as a review of medication logs, did not provide enough evidence to support allegations of neglect or improper medication administration.
    26 Dec 2019
    Found no evidence of staff threatening residents based on interviews and observations. Also found no evidence of staff poisoning residents' food based on resident statements and file review.
    20 Dec 2019
    Investigated the allegation of a hidden camera in a resident's room; no evidence of cameras found in rooms or common areas, making the claim unsubstantiated.
    09 Dec 2019
    Investigated allegations of staff harassment and resident threats related to political opinions; however, insufficient evidence found to support claims.
    27 Nov 2019
    Investigated a complaint about potential mishandling of a resident's medications, found insufficient evidence to determine if the alleged violation occurred.
    15 Nov 2019
    Confirmed multiple incidents of resident falls, with lack of prevention plan in place.
    08 Nov 2019
    Unsubstantiated claim regarding resident comfort in different rooms after inspection and interviews with residents and staff.
    • § 87303(a)
    25 Oct 2019
    Identified deficiencies in care and administration at the facility were addressed through corrective training sessions and documentation requirements.
    11 Oct 2019
    Identified deficiencies in criminal record and fire clearances during inspection.
    • § 87465(c)(2)
    • § 87465(c)(2)
    04 Oct 2019
    Found no evidence of mishandling of residents' food or medication based on interviews with residents and staff, observations of kitchen and medication room, and review of documentation.

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