I placed a loved one at Leven Oaks and overall had an excellent experience - the staff (Lupe, Claudia, med tech Robin and many caregivers) were compassionate, attentive and hardworking, the facility was very clean and home-like, meals and daily activities kept residents engaged, and outdoor/CDC-safe visiting was handled well. Residents seemed happy, well-groomed and social; the grounds are lovely and the staff made us feel welcome. Note: it's an older building with some small/dated rooms, occasional understaffing and spotty communication, and value can feel mixed, but I'm grateful and would recommend it for warm, attentive care.
Henrietta's Leven Oaks by SCH sits right in the heart of Old Town Monrovia, California, in a historic building that was once a hotel built in 1911 and fully restored for senior living, and the place really does feel like it, with big balconies to sit on and look at the city, spacious gardens full of flowers and quiet, and an old charm that makes the halls and rooms calm and homelike, which you'll notice when you walk into one of the 41 elegant units that are tailored for seniors wanting peace, some privacy, and enough space to make it feel truly like home. People can choose between studio and semi-private apartments, and every living space includes a private bathroom, along with lots of other thoughtful little touches, and the facility can welcome up to 80 residents. The community is pretty lively with a mix of assisted living, memory care, independent living, respite care, and skilled nursing options, and there's solid attention given to folks with memory issues, with support and programs for cognitive impairments, and full-day, full-week caregiving staff ready for help and supervision.
Out in the gardens, some folks spend their time gardening or relaxing on the patio or beneath the gazebo, and inside, there's always something to do, whether it's going to the fitness room, joining others in the game room for cards or checkers, spending quiet time in the large library, or sitting at the computer center. Meals come three times a day, served restaurant style in a mission-inspired dining room, and if you need, staff can follow dietary restrictions, offering kosher or vegetarian menus upon request. There's help for everyday things like bathing, dressing, moving around, and special care for those who need diabetic or medication management. The staff assists with medication ordering and dispensing under a doctor's direction, plus there are 24-hour call systems in every room and staff are always on site and supervised by an experienced Administrator.
There's a wellness center for checkups and mental health programs, and wireless internet is available throughout the building. People who live here also have access to scheduled activities, like arts and crafts, exercise plans, devotional services, and planned trips off property, and residents are encouraged to help run some of the events themselves. Housekeeping handles laundry and linens weekly, and move-in services make getting settled less of a hassle. Transportation is available for appointments, and the central location means shops, farmers markets, and doctors are close by. The community allows some pets. Some residents enjoy the large balcony in the mornings and afternoons, and you'll often find groups gathered in the lovely backyard for conversation and fresh air.
The atmosphere here is meant for seniors who want their days structured and full, and the care is individual, whether someone wants independence, needs a bit of support, or needs higher nursing care. Staff pay attention to everyone's unique needs and preferences, and residents are treated with dignity, privacy, and a genuine effort to keep social, emotional, and physical health addressed, whether they're active or need extra help. The building is open 24 hours daily, with visiting hours from 7:00 AM to 7:00 PM every day. You can learn more by visiting the website at schcares.com/henriettas-leven-oaks. The goal here seems to be to let people live in a setting that's safe, comfortable, and supportive, all while leaving behind the worries of home upkeep, enjoying both quiet and busy parts of each day, however they wish.
People often ask...
Henrietta's Leven Oaks by SCH offers competitive pricing, with rates starting at a cost of $2,850 per month.
Henrietta's Leven Oaks by SCH offers independent living, assisted living, and memory care.
There are 32 photos of Henrietta's Leven Oaks by SCH on Mirador.
Yes, Henrietta's Leven Oaks by SCH allows residents to age in place and adjust their level of care as needed.
The full address for this community is 120 S Myrtle Ave, Monrovia, CA, 91016.
Yes, Henrietta's Leven Oaks by SCH offers respite care.
Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.
State of California Inspection Reports
201
Inspections
40
Type A Citations
38
Type B Citations
6
Years of reports
29 Apr 2025
29 Apr 2025
Found insufficient evidence to corroborate the allegation that staff threw away a resident's personal belongings.
Found insufficient evidence to corroborate the allegation that staff did not treat a resident with respect.
10 Apr 2025
10 Apr 2025
Investigated three specific allegations: rough handling of a resident, improper wheelchair positioning leading to a fall, and a staff member covering a resident's mouth. Found not enough evidence to support these allegations; interviews and records did not establish that any of these events occurred.
03 Apr 2025
03 Apr 2025
Identified an allegation that water in bathroom #5 was 142.1°F, not within Title 22 Regulations.
§ 9058
§ 87303(e)(2)
03 Apr 2025
03 Apr 2025
Found evidence supporting the allegation that staff did not ensure good repair and did not provide a safe environment, including 142°F hot water in one bathroom, a non-working showerhead, a foul odor in another bathroom, and construction tools left in hallways without warnings. Found insufficient evidence to support the allegations that staff did not provide adequate food service, did not provide a comfortable temperature, or did not treat residents with dignity and respect.
§ 87303(a)
§ 87307(d)(6)
11 Mar 2025
11 Mar 2025
Found no preponderance of evidence that staff did not assist with showers; the resident often refused assistance, staff logged refusals, and the resident stated they can shower themselves.
Found no evidence that staff did not maintain hygiene; the resident stated they manage hygiene themselves, was observed in clean clothing, and staff provided clean linens as needed.
11 Mar 2025
11 Mar 2025
Investigated the allegation that staff did not meet a resident’s bathroom needs; interviews indicated staff assisted with all ADLs, including toileting, and residents were changed regularly with hygiene training provided. UNSUBSTANTIATED.
28 Jan 2025
28 Jan 2025
Investigated the allegation that staff are not meeting residents' hygiene needs. Interviews with staff and residents showed routine hygiene care and timely diaper changes, and found the allegation unsubstantiated.
15 Aug 2024
15 Aug 2024
Investigated found that the allegation that staff did not provide adequate food service and that requests for coffee were ignored were UNSUBSTANTIATED. The kitchen offered vegetarian options, portions were adequate, and staff provided timely assistance, according to interviews and observations.
15 Aug 2024
15 Aug 2024
Reviewed allegations of inadequate food service and staff ignoring resident requests. Interviews with staff and residents did not support the allegations.
11 Jul 2024
11 Jul 2024
Identified several deficiencies at this site, including an inoperable elevator, water temperatures outside the required range, and absence of a surety bond for resident funds. Observed hospice and dementia care for residents, with a nonworking transport van noted.
11 Jul 2024
11 Jul 2024
- Identified deficiencies in various areas including infection control, operational requirements, physical plant safety, staffing, personnel records, resident records, planned activities, food service, incident medical and dental care, disaster preparedness, and residents with special health needs.
§ 87307(a)(3)
§ 87216(a)
§ 87303
§ 87203
§ 87303(a)
22 Apr 2024
22 Apr 2024
Found that one resident corroborated the allegation that staff covered a resident’s mouth and nose during dressing, while four residents did not corroborate and staff denied it. Interviews and records showed no evidence to support the claim.
22 Apr 2024
22 Apr 2024
Interviews and observations revealed no evidence to support the allegation of staff mistreating a resident by covering their mouth and nose during dressing.
28 Mar 2024
28 Mar 2024
Investigated two allegations—illegal eviction without proper notice and retaliation against a resident for filing a complaint—and found no preponderance of evidence to prove either claim, with residents reporting no eviction or retaliation and the resident continuing to reside at the home.
28 Mar 2024
28 Mar 2024
Confirmed allegations of illegal eviction and staff retaliation were found to be unsubstantiated after interviews with residents, administrators, and a representative from the Department of Health Services.
23 Jan 2024
23 Jan 2024
Found insufficient evidence to concur with the allegation that staff did not provide adequate night-time supervision, as interviews with staff and residents and surveillance footage showed no one sleeping on duty.
23 Jan 2024
23 Jan 2024
Found insufficient evidence to confirm the allegation that staff did not prevent harm during an altercation between two residents. Staff intervened promptly, separated the residents, there were no injuries, authorities were contacted, and there have been no further incidents.
23 Jan 2024
23 Jan 2024
Investigated the allegation that staff did not provide adequate nighttime supervision; interviews and video evidence showed insufficient proof to support claims of staff sleeping during night shifts, resulting in the allegation being unsubstantiated.
16 Jan 2024
16 Jan 2024
Found insufficient evidence to confirm the allegation that staff do not keep resident rooms clean; rooms were observed clean, beds made, trash emptied, and both staff and residents reported daily cleaning. Found insufficient evidence to confirm the allegation that staff administering medications lack proper training; staff files showed required training and residents confirmed that the same staff administer medications.
16 Jan 2024
16 Jan 2024
Allegation of unclean resident rooms was investigated and determined to be unsubstantiated. Allegation regarding staff training was also found to be unsubstantiated.
11 Jan 2024
11 Jan 2024
Investigated allegations that staff tied a resident to a chair overnight, left residents inadequately clothed in cold temperatures, did not dispense medications as prescribed, and did not intervene when residents acted aggressively. Interviews with residents and staff, along with records, found no evidence to support these claims.
11 Jan 2024
11 Jan 2024
Found no evidence to support allegations of residents being restrained, not properly dressed, medication not dispensed as prescribed, or staff not intervening in physical altercations, based on interviews, record reviews, and observations.
09 Jan 2024
09 Jan 2024
Identified a deficiency for failing to submit a special incident report for the incident on 1/2/24 in which one resident threw food and coffee at another, prompting authorities to be called and a police report filed. Conducted an exit interview; appeal rights explained.
§ 87211(a)(1)
09 Jan 2024
09 Jan 2024
Found insufficient evidence that staff failed to prevent harm during a 1/2/24 altercation between two residents; staff intervened, residents reported no injuries, and there have been no further incidents since.
09 Jan 2024
09 Jan 2024
Investigated an allegation that staff did not prevent a resident from being harmed by another resident, finding insufficient evidence to prove whether the allegation occurred.
21 Dec 2023
21 Dec 2023
Identified insufficient evidence to prove the allegation that staff did not safeguard a resident's property. The cabinet lock was functioning, residents mostly reported items were misplaced, and staff denied taking items, with no corroborating findings of wrongdoing.
21 Dec 2023
21 Dec 2023
Determined that the allegation regarding staff failing to safeguard a resident's property, specifically a missing Agave sweetener, lacked sufficient evidence, making it unsubstantiated.
27 Nov 2023
27 Nov 2023
Investigated hot water status, alleged disrepair (rear exit alarm and elevator), dietary needs, and cleanliness; found no evidence to confirm these concerns occurred. Determined the four allegations remained unsubstantiated.
27 Nov 2023
27 Nov 2023
Investigated complaints regarding lack of hot water, facility disrepair, unmet dietary needs, and unclean rooms. Determined insufficient evidence to support any allegations.
17 Oct 2023
17 Oct 2023
Found that the allegation that medications were not dispensed as prescribed and the allegation that resident property was not safeguarded were UNSUBSTANTIATED after interviews and record reviews.
17 Oct 2023
17 Oct 2023
Investigated allegations of improper medication dispensing and failure to safeguard residents' property; determined no substantial evidence to support these claims.
13 Dec 2022
13 Dec 2022
Found that staff and resident records were reviewed, a site tour was conducted, and safety systems—smoke and carbon monoxide detectors, fire extinguishers, and locked toxins—were in place. Hot water temperatures were checked, food supplies met requirements, and an exit interview with the administrator was conducted.
26 Sept 2023
26 Sept 2023
Investigated five staff records at the home and identified two deficiencies: one file lacked a job application and required health screening, and another lacked a clearance record in the system. Found no deficiencies in medication review.
26 Sept 2023
26 Sept 2023
Identified deficiencies in personnel records and staff clearances during the inspection.
§ 87412(a)(7)
§ 87355(e)(1)
§ 87412(a)(11)
25 Sept 2023
25 Sept 2023
Found cleaning chemicals left unsecured and accessible to residents, outdoor areas with damaged patio chairs and a ladder left on the patio leading to the roof, and an unlocked shed storing cleaning items; liability insurance had expired.
20 Sept 2023
20 Sept 2023
Found no deficiencies after an unannounced annual visit. Three residents and three staff were interviewed, and bedridden bedrooms B1, A2, 4, 5, 8, 9, and 12 were cleared for bedridden residents.
25 Sept 2023
25 Sept 2023
Identified deficiencies in cleanliness, accessibility to cleaning products, maintenance issues, and safety hazards during an annual inspection.
§ 87303(a)
§ 87309(a)
20 Sept 2023
20 Sept 2023
Found no deficiencies during the annual inspection visit.
18 Sept 2023
18 Sept 2023
Found no evidence to support mismanagement or missing medications for a resident; staff and most residents reported medications were given per doctor’s orders, and four medication files showed all medications accounted for.
18 Sept 2023
18 Sept 2023
Investigated an allegation of staff mismanaging residents' medication and found insufficient evidence to confirm the claim. Interviews and document reviews indicated medications administered according to doctor's orders.
31 Aug 2023
31 Aug 2023
Found that the allegation that a staff member provided drugs to a resident leading to death was not supported by evidence. The coroner’s findings indicated the death was due to natural causes.
31 Aug 2023
31 Aug 2023
Investigated an allegation of a questionable death, focusing on whether a staff member provided drugs to a resident who passed away. Found insufficient evidence to confirm the allegation, with the coroner’s report listing natural causes as the cause of death.
30 Aug 2023
30 Aug 2023
Identified that a resident wandered away due to lack of supervision; staff were distracted and residents exited through a back gate, but were found shortly after and returned.
§ 87705(c)(4)
30 Aug 2023
30 Aug 2023
Found no evidence to prove the eviction procedures were improper; eviction notices were issued for non-payment with time to pay, and interviews did not support improper evictions. Found no evidence to prove that resident belongings were not safeguarded; staff and residents reported belongings were safeguarded and moved only as needed, with no corroborating evidence.
30 Aug 2023
30 Aug 2023
Found insufficient evidence to support allegations of improper eviction procedures and staff not safeguarding residents' belongings.
24 Aug 2023
24 Aug 2023
Found that staff failed to report the incident and failed to notify appropriate parties about a resident’s positive COVID-19 test.
24 Aug 2023
24 Aug 2023
Confirmed allegations of staff failing to report an incident and notify others about a positive COVID-19 case at the facility.
§ 87468.1(a)(2)
§ 87211(a)(2)
31 Aug 2022
31 Aug 2022
Investigated the allegation that a resident engaged in a physical altercation with another resident and that staff refused to seek medical attention for a resident; found the incident occurred between two residents, staff intervened quickly, and there was insufficient evidence to prove these allegations.
30 May 2023
30 May 2023
Investigated allegations that staff were not communicating effectively with authorized representatives, were not addressing residents' needs, and that residents were being inappropriately restrained. Found no evidence to support these allegations; interviews and records indicated staff generally responded to requests and no restraints were observed.
30 May 2023
30 May 2023
Investigated complaints regarding communication issues, resident needs, and inappropriate restraints, but found insufficient evidence to support the allegations.
17 May 2023
17 May 2023
Determined that there was no current liability insurance meeting required coverage for resident injuries, due to a shared policy with six other facilities and multiple exclusions that left coverage incomplete.
17 May 2023
17 May 2023
Determined that the facility lacked sufficient liability insurance coverage for resident injuries from 08/26/2022 to 12/06/2022, as policies shared with other locations and containing exclusions did not meet Title 22 Regulations requirements.
§ 1569.605
§ 1569.605
02 May 2023
02 May 2023
Identified the allegation that a resident wandered away due to lack of supervision; staff were unaware of the resident's whereabouts until they were outside the premises. The incident involved the disappearance being reported by the family and authorities being notified.
02 May 2023
02 May 2023
Confirmed that a resident wandered away from lack of supervision.
§ 1569.2(c)
06 Apr 2023
06 Apr 2023
Found that the allegation that staff did not treat residents with dignity or respect, and that responsiveness and overall service quality were lacking, were investigated; seven residents were interviewed, and some reported rude behavior by staff, but there was not enough evidence to prove the allegations. Concluded that no deficiencies were identified.
06 Apr 2023
06 Apr 2023
Found that staff did not respond promptly to residents' call buttons, did not provide meals meeting medical dietary needs, and that bathroom plumbing issues with low hot water temperatures persisted. Found that the administrator did not respond to Ombudsman communications.
06 Apr 2023
06 Apr 2023
Confirmed findings of inadequate staff response times to resident call buttons, inadequate provision of nutritious meals for a resident with specific dietary requirements, and unresolved plumbing issues in resident bathrooms.
§ 87468.1(a)(9)
§ 87555(b)(7)
§ 87411(a)
§ 87303(e)(6)
09 Mar 2023
09 Mar 2023
Found no evidence to support the allegation that staff did not assist residents with toileting; staff and residents described timely help and call-button responses. Found no evidence to support the allegation that residents were locked in bathrooms; restrooms could not be locked from the outside and safety features were observed functioning.
09 Mar 2023
09 Mar 2023
Details of the inspection were reviewed, various allegations were investigated, and it was ultimately concluded that there was not enough evidence to prove the alleged violations.
19 Jan 2023
19 Jan 2023
Found that staff did not adequately supervise a resident, who wandered off unassisted on at least two occasions, including incidents where police escorted him back after leaving to a nearby bank and restaurant.
19 Jan 2023
19 Jan 2023
Confirmed deficiencies in supervision resulting in a resident leaving the facility unassisted on multiple occasions.
§ 87705(c)(4)
13 Dec 2022
13 Dec 2022
Confirmed that the facility met required standards for resident care, safety, and operational procedures during the visit.
08 Dec 2022
08 Dec 2022
Found that only one eviction notice was issued to a resident, and the other resident who recently moved in stated they were not being evicted and wished to move, with no eviction notice in their file. Concluded insufficient evidence existed to prove the eviction allegation.
08 Dec 2022
08 Dec 2022
Investigated the allegation that a resident was being unlawfully evicted; found insufficient evidence to support the claim as the relevant documents and interviews indicated only one resident received an eviction notice.
31 Aug 2022
31 Aug 2022
Identified an inoperable front-door chime, which posed an immediate health and safety risk for residents with dementia. A deficiency under state regulations was observed.
31 Aug 2022
31 Aug 2022
Confirmed an immediate health and safety concern regarding an inoperable auditory chime device during a recent visit.
§
31 Aug 2022
31 Aug 2022
Confirmed allegations of a physical altercation between residents, but found insufficient evidence to support claims of staff's refusal to seek medical attention.
30 Aug 2022
30 Aug 2022
Identified the allegation that a license had been revoked as of 8/26/22, triggering a notice of violation.
30 Aug 2022
30 Aug 2022
Identified concerns about operating two floors without an operable elevator and about a wheelchair lift whose permit was canceled, with removal required within 30 days, while 28 residents were living on site. Found several residents' medical records incomplete or outdated, with corrections expected by the end of September.
30 Aug 2022
30 Aug 2022
Revoked license due to violation of law.
26 Aug 2022
26 Aug 2022
Identified safety and compliance issues needing correction before licensure, including missing bathroom doors in multiple rooms (and one in B2), high hot water temperatures in rooms 24 (122.4°F) and 35 (104.5°F), and a pending fire safety item related to main staircase egress due to a stair chair installed without a permit.
26 Aug 2022
26 Aug 2022
Identified that proof of liability insurance was not submitted by the due date, resulting in civil penalties for a 10-day period in August 2022 totaling $1,000. Explained the penalties and appeal rights during the exit interview.
26 Aug 2022
26 Aug 2022
Confirmed concerns with missing bathroom doors, high water temperatures, and pending fire safety approval during a follow-up inspection.
26 Aug 2022
26 Aug 2022
Confirmed citation for failure to submit proof of liability insurance. Civil penalties assessed for the deficiency.
23 Aug 2022
23 Aug 2022
Identified multiple health and safety concerns and compliance items at the site during a pre-licensing visit, including an inoperable elevator, pending final fire-safety approval, and incomplete physician reports for some residents. Noted room-by-room issues such as missing doors and privacy locks, missing window screens, water leaks, and high hot-water temperatures.
23 Aug 2022
23 Aug 2022
Identified concerns with safety and maintenance issues during the inspection at the facility.
16 Aug 2022
16 Aug 2022
Identified that, on 7/13/22, the home was cited for failing to maintain required liability insurance and for not submitting proof by the due date. Civil penalties were assessed for 14 days (8/3/22–8/16/22) at $100 per day, totaling $1,400.
16 Aug 2022
16 Aug 2022
Confirmed deficiency in liability insurance coverage, resulting in civil penalties issued.
10 Aug 2022
10 Aug 2022
Investigated the allegation that a resident was hit while in care. Found no witnesses or evidence to confirm the incident, and the resident could not identify a possible perpetrator; there is insufficient proof to establish the claim.
10 Aug 2022
10 Aug 2022
Interviews and records reviewed did not provide enough evidence to support the allegation that a resident was hit in their room, therefore the allegation remains unsubstantiated.
02 Aug 2022
02 Aug 2022
Found safety concerns during an unannounced visit: a staff member inside the home did not wear a mask and COVID entry screening was not conducted, posing an immediate health risk, while one resident was COVID-positive in isolation.
§
02 Aug 2022
02 Aug 2022
Identified that proof of liability insurance was not submitted by the due date, resulting in a civil penalty of $1,200 for 12 days (7/22/22–8/2/22). An exit interview explained the penalties and appeal rights to staff and the site manager.
02 Aug 2022
02 Aug 2022
Confirmed concerns about staff not wearing face coverings/masks and lack of COVID screening upon entry, in addition to a resident testing positive for COVID.
§
21 Jul 2022
21 Jul 2022
Identified failure to submit proof of liability insurance by the POC due date, resulting in civil penalties for six days. Explained the citations, penalties, and appeal rights, and conducted an exit interview.
21 Jul 2022
21 Jul 2022
Cited a deficiency in maintaining liability insurance coverage as required by state law, resulting in civil penalties being issued.
18 Jul 2022
18 Jul 2022
Completed COMP II by phone with the applicant and administrator, who demonstrated understanding of license type, client/resident populations, staff qualifications, program policies, grievances, and required documents; acknowledged that excluded individuals cannot be involved and that their presence could lead to citations, fines, or license revocation.
18 Jul 2022
18 Jul 2022
Confirmed understanding of facility operation, staff qualifications, program policies, and exclusion regulations during COMP II.
13 Jul 2022
13 Jul 2022
Identified that the licensee did not submit liability insurance as required during an unannounced case management visit; explained appeal rights to the med tech and conducted an exit interview.
§
13 Jul 2022
13 Jul 2022
Confirmed failure to submit proof of liability insurance as required by law.
§
14 Jun 2022
14 Jun 2022
Identified that liability insurance coverage did not meet required limits after reviewing the policy. Civil penalties totaling $1,200 were assessed for 12 days (6/3/22–6/14/22), and the penalties and appeal rights were explained during an exit interview.
14 Jun 2022
14 Jun 2022
Confirmed deficiencies in liability insurance coverage and issued a civil penalty for non-compliance.
02 Jun 2022
02 Jun 2022
Investigated allegation of pests and found evidence of rats in the kitchen and nearby hallway, based on staff interviews, observations, and a heavy-duty glue trap under the kitchen counter. Record review noted prior pest-control concerns and past recommendations for rodent-proofing and fixes around the building.
02 Jun 2022
02 Jun 2022
Identified that liability insurance did not meet state requirements, leading to civil penalties. A certificate of insurance was provided later, and the penalties and appeal rights were explained at the exit.
02 Jun 2022
02 Jun 2022
Confirmed allegation of pests in the facility based on interviews, observations, and records.
§ 87303(a)
19 May 2022
19 May 2022
Identified an unannounced case management visit at this location, during which the current resident roster and emergency contact/identification information for four residents were collected. Spoke with four residents to provide updates about the Decision and Order and the stipulation, and conducted an exit interview.
19 May 2022
19 May 2022
Identified that liability insurance coverage did not meet state requirements, with civil penalties assessed for 13 days at $100 per day, totaling $1,300.
19 May 2022
19 May 2022
Confirmed deficiencies in liability insurance coverage were identified during the inspection, resulting in a civil penalty.
06 May 2022
06 May 2022
Determined that a liability insurance certificate provided on 11/29/21 failed to meet the required coverage of at least $1,000,000 per occurrence and $3,000,000 annual aggregate, resulting in a civil penalty of $1,400 for 14 days from 4/23/22 to 5/6/22.
06 May 2022
06 May 2022
Identified deficiencies in liability insurance coverage resulting in a civil penalty assessment.
22 Apr 2022
22 Apr 2022
Identified that liability insurance coverage did not meet required minimums. Civil penalties totaling $1,000 were assessed for a 10-day period in 2022.
22 Apr 2022
22 Apr 2022
Confirmed citation for not meeting liability insurance requirements, resulting in a civil penalty issued.
12 Apr 2022
12 Apr 2022
Identified that liability insurance coverage did not meet state requirements after review of the submitted certificate, with civil penalties assessed for a 14-day period totaling $1,400.
12 Apr 2022
12 Apr 2022
Found deficiencies in liability insurance coverage requirements and issued a civil penalty for non-compliance.
29 Mar 2022
29 Mar 2022
Identified that a follow-up visit found liability insurance did not meet required coverage; the site manager provided a certificate that still did not satisfy the requirements. Civil penalties totaling $1,300 were assessed for 13 days (3/17/22–3/29/22), with the LPA explaining the penalties and appeal rights during the exit interview.
29 Mar 2022
29 Mar 2022
Identified insurance coverage deficiency. Civil penalties issued for noncompliance.
16 Mar 2022
16 Mar 2022
Identified that liability insurance did not meet state requirements, resulting in civil penalties totaling $1,400 for a 14-day period. LPA explained the citations and appeal rights during the visit.
16 Mar 2022
16 Mar 2022
Confirmed deficiency in liability insurance coverage, resulting in civil penalty assessment.
02 Mar 2022
02 Mar 2022
Identified that liability insurance coverage did not meet state requirements, resulting in a $1,400 penalty for a 14-day period.
02 Mar 2022
02 Mar 2022
Identified maintenance issues from 2/2/22, including a leaky faucet aerator in room A2, a missing closet door handle in room 32, a sink that would not drain in room 35, and ceiling damage. A late submission resulted in a civil penalty of $300, and the deficiency was cleared on 2/24/22.
02 Mar 2022
02 Mar 2022
Identified deficiency in insurance coverage for residents and guests, resulting in a civil penalty assessment.
26 Feb 2022
26 Feb 2022
Found that a resident left unassisted on more than one occasion, indicating supervision lapses. Found no evidence that any resident was slapped or bitten by another resident; toilets functioned and there was no disrepair; incontinent care logs showed checks every 2–3 hours and laundry was performed weekly.
§ 87464(d)
26 Feb 2022
26 Feb 2022
Investigated a complaint and identified that a resident eloped more than once and those elopements were not reported to the Licensing office; a citation was issued.
26 Feb 2022
26 Feb 2022
Confirmed lack of supervision resulting in resident eloping, denied allegations of resident being hit or bit by another resident, and unsubstantiated claim of resident left in soiled undergarments.
16 Feb 2022
16 Feb 2022
Identified health and safety concerns, including hot water temperatures in multiple rooms outside the required range and a missing physician's order for supplements. Also identified maintenance issues such as a spraying faucet aerator, a missing door handle, a non-draining sink, and ceiling damage, with civil penalties assessed for late documentation.
16 Feb 2022
16 Feb 2022
Found that liability insurance did not meet the required coverage, resulting in penalties assessed for a two-week period.
02 Feb 2022
02 Feb 2022
Identified multiple health and safety deficiencies during the visit, including hot water temperatures outside allowed ranges in several rooms, laundry detergent accessible to residents, an exit door near the kitchen lacking an audible chime, a missing smoke detector in one room, rubbing alcohol found under a sink, medications in a resident’s room without physician’s orders, missing orders for Fish Oil Gummies and B12, and disrepair items such as a dripping faucet aerator, a missing closet door handle, a non-draining sink, and ceiling damage from rain.
16 Feb 2022
16 Feb 2022
Identified liability insurance deficiency resulting in civil penalties.
§ 87303(a)
02 Feb 2022
02 Feb 2022
Identified that liability insurance coverage did not meet requirements, and civil penalties totaling $1,400 were assessed for a 14-day period (1/20/22–2/2/22).
02 Feb 2022
02 Feb 2022
Identified deficiencies during inspection included issues with water temperature, laundry detergent accessibility, missing auditory chime on an exit door, absent smoke detector, presence of rubbing alcohol, improper storage of medications, missing physician's orders, and various maintenance issues within the facility.
27 Dec 2021
27 Dec 2021
Identified that liability insurance did not meet required limits, and civil penalties totaling $1,300 were assessed for 12/15/21–12/27/21.
19 Jan 2022
19 Jan 2022
Found that the liability insurance on file did not meet minimum coverage requirements, and fines were assessed for a 13-day period in January 2022. Explained the findings and appeal rights during the exit interview with the site manager.
19 Jan 2022
19 Jan 2022
Identified liability insurance deficiency and issued civil penalty.
12 Jan 2022
12 Jan 2022
Found no evidence that staff were required to work while diagnosed with COVID; the staff member in question did not have COVID and was not asked to sleep in a hallway. Masks were mandatory, gloves were used for care, and sick leave could be taken from existing balances since COVID‑specific paid leave had expired.
12 Jan 2022
12 Jan 2022
Investigated allegations that management required staff to work while diagnosed with COVID-19, did not enforce mask-wearing, and did not require glove use; found insufficient evidence to support these claims, concluding the allegations were unsubstantiated.
§ 87211(a)(2)
§ 87468.1(a)(2)
06 Jan 2022
06 Jan 2022
Identified that liability insurance coverage did not meet required limits, based on the prior allegation. Civil penalties were issued for a set period, and the licensing analyst explained the penalties and appeal rights during the exit interview.
06 Jan 2022
06 Jan 2022
Identified liability insurance deficiency at the facility resulted in a civil penalty assessment.
27 Dec 2021
27 Dec 2021
Cited for failure to maintain required liability insurance coverage. Civil penalties issued for non-compliance.
14 Dec 2021
14 Dec 2021
Identified that two stairwell exits lacked evacuation chairs and that required paperwork was not submitted on time. As a result, penalties were imposed for a two-day period.
14 Dec 2021
14 Dec 2021
Found that a staff member did not wear a face covering and there was no COVID screening upon entry, posing an immediate health and safety risk to people in care.
14 Dec 2021
14 Dec 2021
Identified that liability insurance did not meet required coverage; civil penalties were issued for a 15-day period, and rights to appeal were explained during an exit interview.
14 Dec 2021
14 Dec 2021
Confirmed citation for not meeting liability insurance coverage requirements, resulting in a civil penalty.
30 Nov 2021
30 Nov 2021
Identified a health and safety issue: two second-floor stairwell exits were missing evacuation chairs, in violation of required safety provisions. Observed operable auditory exit chimes on all doors and noted that a resident’s physician report from 2019 required reevaluation by their physician no later than 12/10/21.
30 Nov 2021
30 Nov 2021
Investigated failure to submit proof of liability insurance by the required date, leading to fines assessed for a 10-day period from 11/20/21 to 11/29/21 totaling $1,000.
30 Nov 2021
30 Nov 2021
Found deficiencies during a health and safety check, including missing evacuation chairs in stairwells.-Requested reevaluation of a resident by their physician to ensure proper care.
17 Nov 2021
17 Nov 2021
Found failure to submit proof of liability insurance meeting the required minimums of $1,000,000 per occurrence and $3,000,000 in the annual aggregate for injuries to residents and guests. Spoke with the manager and explained appeal rights; an exit interview was conducted.
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17 Nov 2021
17 Nov 2021
Confirmed failure to submit required liability insurance documentation.
02 Nov 2021
02 Nov 2021
Identified the allegation that proof of liability insurance was not submitted by the due date. Noted that civil penalties were issued for the violation.
02 Nov 2021
02 Nov 2021
Confirmed deficiencies in licensing compliance were noted during the visit, along with civil penalties being assessed for non-compliance.
28 Oct 2021
28 Oct 2021
Identified the allegation of disrepair. Hot water temperatures in bathrooms and resident rooms were not in compliance with regulations, and the elevator was out of order and padlocked for months.
28 Oct 2021
28 Oct 2021
Confirmed allegations of hot water temperature not in compliance with regulations and elevator out of order after 10-day unannounced visit.
27 Oct 2021
27 Oct 2021
Found that a refund issue for a resident's responsible party remained unresolved after an extension, and a later visit led to penalties for not submitting proof; as of 10/27/21, no proof had been provided, so the deficiency was cited again with a new due date.
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27 Oct 2021
27 Oct 2021
Identified deficiencies related to a refund not provided by the responsible party.
20 Oct 2021
20 Oct 2021
Found that the licensee failed to submit proof of liability insurance by the due date, and that the insurer’s general aggregate coverage for four locations did not meet the total $12,000,000 requirement; deficiency not cleared, with civil penalties assessed for 13 days (10/8/21–10/20/21) totaling $1,300.
20 Oct 2021
20 Oct 2021
Identified deficiencies in insurance coverage resulted in civil penalties being issued.
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08 Oct 2021
08 Oct 2021
Found deficiencies related to a late refund owed to a resident's responsible party, with a due date of 9/10/21 and an extension to 10/1/21 that was not met. Identified that civil penalties will be issued for the late response, and an exit interview with the administrator was conducted.
08 Oct 2021
08 Oct 2021
Identified deficiencies were not corrected within the specified timeline, resulting in civil penalties being issued.
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07 Oct 2021
07 Oct 2021
Identified an overdue annual fee of $1,484 due March 14, 2021 during a collateral visit.
07 Oct 2021
07 Oct 2021
Identified operable exit door chimes and adequate food supplies during a health and safety check. Found missing medications and unapproved administration of vitamins for a resident, posing an immediate health and safety concern.
07 Oct 2021
07 Oct 2021
Confirmed a prior deficiency requiring proof of liability insurance by the due date remained unresolved, with civil penalties assessed for the period after that date. Explained the citations and appeal rights to the site manager, and an exit interview was conducted.
07 Oct 2021
07 Oct 2021
Identified missing medications and improper administration of vitamins during the visit.
16 Jul 2021
16 Jul 2021
Investigated the allegation of deficiencies, amended to correct citations and penalties from a July 16, 2021 visit, with the deficiencies and penalties to be dismissed or reissued as appropriate.
29 Jul 2021
29 Jul 2021
Amended and superseded for a visit conducted on July 16, 2021, to correct citations and penalties. Dismissed and/or reissued the deficiencies and civil penalties as appropriate, and the corrections were reflected on the document issued on September 28, 2021.
12 Aug 2021
12 Aug 2021
Corrected and superseded for the July 16, 2021 visit to fix citations and penalties issued on the above dates. Deficiencies noted and penalties issued were to be dismissed or reissued as appropriate, with corrections reflected in a form issued September 28, 2021.
23 Aug 2021
23 Aug 2021
Corrected citations and civil penalties were amended, with the deficiencies and penalties to be dismissed or reissued as appropriate.
31 Aug 2021
31 Aug 2021
Identified an allegation of noncompliance with required care standards during a July 16, 2021 visit. Amended and superseded citations and penalties issued on prior dates.
28 Sept 2021
28 Sept 2021
Identified an accusation served but not posted or shared with residents or the long-term care ombudsman. Found additional deficiencies including an inoperable door chime, a staff member working before clearance, and missing medications, with civil penalties potentially assessed.
23 Sept 2021
23 Sept 2021
Identified that proof of liability insurance was not submitted by the due date, resulting in civil penalties for a specified period. Explained the penalties and appeal rights during an exit interview with the site manager.
28 Sept 2021
28 Sept 2021
Identified an inoperable auditory chime on the exit door to the courtyard, creating an immediate safety risk for residents with dementia.
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28 Sept 2021
28 Sept 2021
Identified deficiencies in medication administration and staff clearance requirements during the inspection.
23 Sept 2021
23 Sept 2021
Confirmed citation for failure to submit proof of liability insurance by specified deadline. Civil penalties issued.
§ 87303(a)
§ 87303(e)(2)
09 Sept 2021
09 Sept 2021
Identified safety and privacy concerns, including no temperature screenings for staff, inoperable exit door chimes, no perishable foods available for at least two days, a privacy violation during a diaper change with the door open, and a bed frame blocking a walkway outside.
09 Sept 2021
09 Sept 2021
Identified the allegation that the licensee failed to submit proof of liability insurance by the due date, and penalties were assessed for the related period.
09 Sept 2021
09 Sept 2021
Identified concerns during the visit included lack of temperature screenings, inoperable auditory chimes on exit doors, insufficient perishable food supply, violation of resident privacy during diaper change, and presence of a bed frame on a walkway.
02 Sept 2021
02 Sept 2021
Investigated five specific allegations: a refund owed after discharge; administration of morphine to a resident allergic to it; dirty and unsanitary environment; inadequate drinking water; and neglect leading to hospitalization. Found refund obligation for February 2019 and preadmission fees; found no convincing evidence of the remaining four issues.
02 Sept 2021
02 Sept 2021
Identified that three caregivers lacked the required 40-hour training on file. Found staffing levels insufficient, leading to delayed emergency responses and a resident wandering unsupervised, with pendant alarms unanswered for about an hour.
§ 1569.625(b)(1)
§ 87411(a)
02 Sept 2021
02 Sept 2021
Confirmed allegations regarding improper administration and lack of refund, while determining other allegations unsubstantiated.
31 Aug 2021
31 Aug 2021
Identified that a staff member had been employed before obtaining a transfer of a criminal record clearance, creating an immediate health and safety concern for residents. Found a deficiency for violating applicable regulatory requirements.
31 Aug 2021
31 Aug 2021
Identified violation of regulations in hiring process, posing a safety risk to residents.
30 Aug 2021
30 Aug 2021
Identified that the licensee discussed closing all locations and relocating residents by a set deadline, with no new admissions. Noted that a closure plan for larger sites was requested and that relevant regulations were reviewed.
30 Aug 2021
30 Aug 2021
Confirmed closure plan for multiple facilities and discussed relocation of residents.-Requested necessary documents from licensee representatives.
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23 Aug 2021
23 Aug 2021
Identified deficiencies and civil penalties from the inspection conducted on July 16, 2021, were corrected on the revised report issued on September 28, 2021.
20 Aug 2021
20 Aug 2021
Reviewed a case management visit after two complaints; staff files were locked and inaccessible for review as of 3:20 pm, hindering assessment. Exit interview held.
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20 Aug 2021
20 Aug 2021
Investigated issues related to staff file access during a complaint visit, with files locked in an office inaccessible to facility staff, causing a delay in the review process. Identified deficiencies documented, and exit interview conducted.
12 Aug 2021
12 Aug 2021
Identified deficiencies during the inspection were addressed and civil penalties issued were corrected on September 28, 2021.
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29 Jul 2021
29 Jul 2021
Identified an exit-door chime to the courtyard that had been turned off, creating an immediate health and safety risk for residents with dementia during a visit on 7/29/21.
29 Jul 2021
29 Jul 2021
Identified deficiencies and civil penalties were corrected and reissued after a visit by the California Department of Social Services.
16 Jul 2021
16 Jul 2021
Amended report dismissed deficiencies and civil penalties issued during a visit on July 16, 2021. Corrections reflected on a subsequent report issued on September 28, 2021.
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30 Jun 2021
30 Jun 2021
Investigated the allegation that staff do not have required training. Interviews and training records showed most staff had NG-tube care training; one staff member's training could not be found, and the specific incident details could not be confirmed due to lack of date and witnesses.
30 Jun 2021
30 Jun 2021
Investigated allegation that staff lacked required training for g-tube care; found insufficient evidence to confirm or deny the claim. Interviewed multiple staff and residents, with no corroborating evidence found; incident details and witness information lacking; no deficiencies cited.
24 Jun 2021
24 Jun 2021
Identified a pest issue with rats, observed droppings near the kitchen entrance and basement door, and noted rat traps in place, with some staff and residents reporting they had seen a rat. Found no clear evidence of abuse or mistreatment; most people said needs were met, though one resident reported rough handling by a caregiver and concerns about night-shift supervision, while meals were balanced with alternatives and adequate food.
24 Jun 2021
24 Jun 2021
Confirmed allegations of pest issues in the kitchen and facility, with evidence of rat sightings and droppings.
24 May 2021
24 May 2021
Found that the allegation that staff administered medications without proper qualifications was accurate. Records reviewed showed no evidence of required medication administration training, and multiple medication errors were observed, with deficiencies issued at the time.
24 May 2021
24 May 2021
Confirmed lack of qualifications for administering medications by staff members.
12 May 2021
12 May 2021
Identified an inoperable exit chime on the courtyard exit door and a nonfunctional elevator that had been out of service for months, with only ambulatory residents on the second floor.
12 May 2021
12 May 2021
Identified that a resident sustained multiple falls, including a 9/14/19 fall with a left hip fracture and head injury, and that a fall risk plan was not in place to monitor and prevent further falls. Determined that staffing was insufficient, with only three caregivers on the floor during daytime hours, causing delays in assisting residents.
12 May 2021
12 May 2021
Identified deficiencies in exit door chime device and elevator maintenance during the visit.
03 Nov 2020
03 Nov 2020
Found that staff mismanaged residents’ medications and did not administer them as prescribed. OTC medications were unlabelled or lacked orders, several residents lacked central medication records or medication sheets for multiple months, and staff could not provide complete documentation or training records.
03 Nov 2020
03 Nov 2020
Confirmed that staff mismanaged residents' medication, including incorrect administration and lack of proper documentation, involving missing medication sheets and untrained staff handling medications.
§ 87507(g)(5)
22 Sept 2020
22 Sept 2020
Investigated; found the six allegations unsubstantiated: that staff slapped a resident; that staff did not prevent harm between residents; that residents were not properly fed; that unsafe sugary drinks were provided to diabetics; that staff lacked oxygen-related training; and that medications were mishandled.
22 Sept 2020
22 Sept 2020
Investigated allegations of staff misconduct, inadequate resident protection, improper feeding, unsafe liquids, lack of oxygen administration training, and medication mishandling; found no sufficient evidence to support any of these claims.
27 Feb 2020
27 Feb 2020
Identified deficiencies in care and safety protocols during the visit, including issues with resident evaluations, staffing levels, emergency exit devices, and hazardous materials storage.
§ 1569.17(b)
20 Feb 2020
20 Feb 2020
Identified deficiencies during the inspection led to the issuance of appeal rights to the individuals involved.
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14 Feb 2020
14 Feb 2020
Confirmed regulatory violation due to an unassociated individual working significant hours without proper staff documentation during an administrative leave.
06 Feb 2020
06 Feb 2020
Identified a violation related to lack of electricity and heat in two rooms during an unannounced visit.
