05 Sept 2024 | | 05 Sept 2024 Investigated allegations included a resident choking on food due to lack of supervision and developing a UTI while in care. Found both allegations lacked sufficient evidence, deeming them unsubstantiated. | |
06 Aug 2024 | | 06 Aug 2024 Investigated allegations of inadequate safeguarding of personal belongings, fall-related negligence, lack of feeding assistance, resident abuse, and improper medication assistance; determined all lacked sufficient evidence to confirm validity. | |
30 Jul 2024 | | 30 Jul 2024 Confirmed staff physically abused residents and spoke inappropriately to them during the visit. | |
15 Jul 2024 | | 15 Jul 2024 Interviews and document reviews showed no evidence to support allegations of withholding resident records or blocking communication with family members. | |
08 Jul 2024 | | 08 Jul 2024 Found that staff do not disturb residents' sleep or make inappropriate comments, after conducting interviews and observations during a visit. | |
03 Jul 2024 | | 03 Jul 2024 Confirmed that residents did not witness any inappropriate behavior from other residents or staff members, and that communication with the administration is prompt and appropriate. | |
19 Jun 2024 | | 19 Jun 2024 Confirmed that residents have adequate space for personal belongings in their rooms and that resident closets are not used for facility supplies. Substantiated water leaks, holes in the hallway, and baseboard damage in resident rooms were observed. | |
11 Jun 2024 | | 11 Jun 2024 Found that allegations of inadequate housekeeping services and odor control were unsubstantiated, but presence of roaches in the facility was substantiated. | |
06 Jun 2024 | | 06 Jun 2024 Confirmed staff and resident accounts of an incident involving aggressive behavior by one resident towards another, with documentation supporting previous occurrences of similar behavior. | |
03 Jun 2024 | | 03 Jun 2024 Confirmed staff were not keeping the facility free of mold, and that the facility was not consistently clean. Residents confirmed their hygiene needs were being met. | |
22 May 2024 | | 22 May 2024 Investigator found no evidence of illegal drugs being used or provided for free at the facility. Residents and staff denied any knowledge or involvement in drug activities. | |
16 May 2024 | | 16 May 2024 Reviewed allegations of lack of activities, staff isolating residents, inaccurate record keeping, and residents being locked in rooms. All allegations were deemed unsubstantiated based on interviews, observations, and record reviews. | |
13 May 2024 | | 13 May 2024 Confirmed illegal drug use and subsequent eviction of a resident based on interviews, records, and physical evidence. | |
02 Apr 2024 | | 02 Apr 2024 Confirmed theft allegation regarding resident's missing fanny pack and money was unsubstantiated based on interviews, documentation, and policy review. | |
13 Mar 2024 | | 13 Mar 2024 Confirmed that the facility met all required safety and operational standards during the inspection. | |
12 Mar 2024 | | 12 Mar 2024 Confirmed that residents are aware of and informed of the no smoking policy in designated areas of the facility. | |
26 Feb 2024 | | 26 Feb 2024 Reviewed allegations of staff behavior and resident care practices at the facility. No evidence found to support the claims. | |
02 Feb 2024 | | 02 Feb 2024 Confirmed staff did not ensure the facility was free of pests and found insufficient evidence for the cleanliness allegation. | |
30 Jan 2024 | | 30 Jan 2024 Investigated allegations of staff causing injury, being physically abusive, and being verbally abusive to residents; determined none were supported by interviews, observations, or records. | |
04 Oct 2023 | | 04 Oct 2023 Investigated multiple allegations, including the sale and use of illicit drugs, failure to seek timely medical treatment, improper food service, verbal abuse, and failure to safeguard personal belongings. Determined insufficient evidence to substantiate any of the claims. | |
06 Sept 2023 | | 06 Sept 2023 Observed unauthorized staff working at the facility resulting in a deficiency being cited and civil penalty assessed. | |
31 Aug 2023 | | 31 Aug 2023 Reviewed allegation of inadequate record keeping for a resident, but found no evidence to support it. Also reviewed allegation of resident not receiving timely medical attention, but found insufficient evidence to confirm it. | |
30 Aug 2023 | | 30 Aug 2023 Reviewed allegations of not providing admission agreement, improper medical assessment, and staff denying resident's request to leave. Insufficient evidence to confirm any allegations. | |
23 Aug 2023 | | 23 Aug 2023 Investigated allegations of inappropriate placement of a resident in memory care and staff yelling at residents. Insufficient evidence to prove or disprove the allegations. | |
16 Aug 2023 | | 16 Aug 2023 Identified violations of Fire Codes during a visit to an assisted living facility, leading to a immediate civil penalty being issued. | |
14 Aug 2023 | | 14 Aug 2023 Confirmed inadequate bathing assistance allegation was inconclusive. Found insufficient evidence for the allegation of not arranging necessary medical care for residents. | |
01 Aug 2023 | | 01 Aug 2023 Confirmed an incident where a resident exited the premises through a window, prompting a search by staff and police, ended with the resident being located and confirmed safe by a family member. | |
29 Jul 2023 | | 29 Jul 2023 Reviewed allegations regarding inadequate provision of toileting items, unmet hygiene needs, denial of access to personal records, and interference during a complaint investigation but found them unsubstantiated, as supplies and services were provided by hospice care, access was restricted due to privacy regulations, and there was no evidence of interference. | |
25 Jul 2023 | | 25 Jul 2023 Investigated allegations regarding staff not meeting resident needs, insufficient staffing, and staff preventing residents from making decisions; determined there was insufficient evidence to support these claims. | |
07 Jul 2023 | | 07 Jul 2023 Confirmed no health and safety risks at the facility. No recent issues with rodents or insects observed. | |
21 Jun 2023 | | 21 Jun 2023 Identified the inappropriate use of a restraint on a resident during a facility inspection. | |
10 Jun 2023 | | 10 Jun 2023 Investigated allegations of neglect and misconduct, finding them unsubstantiated. Staff did not refuse to adjust a resident's bed, withhold mail without verification, or confiscate personal items improperly. Regular checks confirmed residents were not left in soiled diapers for extended periods. | |
20 May 2023 | | 20 May 2023 Investigated whether staff impeded an ombudsman's ability to address a resident's concerns; lack of evidence led to the allegation being unsubstantiated. | |
13 May 2023 | | 13 May 2023 Investigated allegations of staff mimicking residents, moving call buttons, and not logging inventory lists; all allegations were unsubstantiated based on interviews and record review. | |
17 Apr 2023 | | 17 Apr 2023 Found rodent droppings in the kitchen and a resident's room. Plumbing fixtures were not found to be in disrepair. | |
18 Mar 2023 | | 18 Mar 2023 Confirmed allegations of staff not wearing masks appropriately and residents' rooms not in good condition during an inspection. Other allegations of neglect and lack of assistance with resident needs were deemed unsubstantiated. | |
14 Mar 2023 | | 14 Mar 2023 Reviewed allegations of staff not assisting resident with dental care, ADLs, and room cleanliness. Insufficient evidence to confirm allegations at this time. | |
25 Jan 2023 | | 25 Jan 2023 Confirmed staff did not clean a resident's room while the resident was in skilled nursing, and belongings were left in the room for an extended period after the resident moved out. | |
19 Jan 2023 | | 19 Jan 2023 Found insufficient evidence of physical abuse allegation against a resident by staff members at the facility. | |
11 Jan 2023 | | 11 Jan 2023 Confirmed that Resident 1 requested a refrigerator and microwave but did not receive them, while the allegation of lack of cold water and a toilet in disrepair were found to be unsubstantiated. | |
04 Jan 2023 | | 04 Jan 2023 Investigated claims of inappropriate handling and assault of a resident by staff, but insufficient evidence found to support the allegations. | |
21 Dec 2022 | | 21 Dec 2022 Found allegations of sexual abuse and rough handling of residents to be unsubstantiated after interviews with residents and their family members. | |
15 Dec 2022 | | 15 Dec 2022 Investigated the allegation that a resident choked on food due to lack of supervision; found insufficient evidence to support the claim, with staff and residents indicating close supervision during mealtimes. | |
20 Oct 2022 | | 20 Oct 2022 Investigated allegations of abuse and neglect of residents, as well as concerns about personal belongings, incontinence care, feeding, and therapy were all found to be unsubstantiated. | |
06 Oct 2022 | | 06 Oct 2022 Determined that the allegation of a resident sustaining multiple pressure injuries while in care was unsubstantiated, as the injuries were present prior to the resident's admission and did not occur during their stay. | |
14 Sept 2022 | | 14 Sept 2022 Confirmed inadequate food service for residents receiving room tray delivery and substantiated concerns regarding lack of dignity in staff interactions with residents. Deficiencies issued and appeal rights provided.- § 87468.1(a)(1)
- § 87411(a)
| |
09 Sept 2022 | | 09 Sept 2022 Confirmed that facility staff did not let a resident speak to their medical provider despite multiple attempts by the provider to contact the resident. | |
07 Sept 2022 | | 07 Sept 2022 Confirmed expired food, trash, and foul odor in a resident's room, with housekeeping not maintaining the expected cleaning schedule. | |
16 Aug 2022 | | 16 Aug 2022 Interviews and document review indicated that the allegations pertaining to transportation services and soiled sheets were unsubstantiated. | |
30 Jun 2022 | | 30 Jun 2022 No immediate health or safety issues were found during the visit. Allegations of staff mishandling personal belongings and inadequate record keeping were unsubstantiated. | |
26 May 2022 | | 26 May 2022 Identified incontinence care deficiencies during a subsequent complaint visit. Multiple residents reported incidents of being left in soiled diapers for extended periods of time. | |
16 May 2022 | | 16 May 2022 Confirmed allegations of inadequate care, delayed response to call lights, and residents being left in soiled diapers at the facility.- § 87464(f)(4)
- § 87625(b)(3)
- § 87468.2(a)(4)
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06 May 2022 | | 06 May 2022 Found allegations of staff misconduct to be unsubstantiated based on interviews, medical records, and lab results. | |
03 May 2022 | | 03 May 2022 Confirmed that there was only one power outage at the facility, which was fixed the same day, therefore the allegation of electricity malfunction is unsubstantiated. | |
02 May 2022 | | 02 May 2022 Investigated complaints about unlocked doors in memory care units; confirmed doors sometimes locked to protect residents’ belongings when they are away. Concluded no evidence of wrongdoing with resident wandering and door-locking practices. | |
22 Apr 2022 | | 22 Apr 2022 Confirmed pressure injuries sustained by a resident were not being properly addressed at the facility. | |
16 Apr 2022 | | 16 Apr 2022 Investigated allegations of a resident being left in a soiled diaper for an extended period and staff not allowing resident visitations, both found unsubstantiated based on interviews and record reviews. | |
06 Apr 2022 | | 06 Apr 2022 Investigated allegations of one resident touching another, but insufficient evidence to support claim. | |
30 Mar 2022 | | 30 Mar 2022 Confirmed allegations of improper cleaning in one resident's room, but found insufficient evidence to support claim of resident injury by another resident. | |
26 Mar 2022 | | 26 Mar 2022 Determined that staff did not neglect supervising a resident, whose fall and injuries were not due to staff negligence. Allegation of inadequate supervision deemed unfounded. | |
16 Mar 2022 | | 16 Mar 2022 Investigated allegation of staff mismanaging a resident's medication and determined insufficient evidence to support the claim, with resident and staff interviews and record reviews showing no issues. | |
10 Feb 2022 | | 10 Feb 2022 Confirmed presence of rodents in the facility based on pest control records and resident interviews. | |
16 Dec 2021 | | 16 Dec 2021 Confirmed that resident eviction was due to breaking house rules, not in retaliation to a complaint. | |
14 Dec 2021 | | 14 Dec 2021 Interviews and observations regarding allegations of staff misconduct or negligence regarding resident care and finances did not provide any evidence to support the claims. | |
07 Dec 2021 | | 07 Dec 2021 Confirmed that resident's needs were being met and the allegation was unsubstantiated. | |
29 Nov 2021 | | 29 Nov 2021 Identified non-compliance with eviction notice regulations during the inspection.- § 87224(a)(4)
- § 87211(a)(1)
| |
18 Nov 2021 | | 18 Nov 2021 Investigated allegations of resident abuse and forced residency, determined no evidence of abuse and confirmed resident was not forced to stay. | |
05 Nov 2021 | | 05 Nov 2021 Confirmed multiple pressure injuries on a resident were present and may have been preventable with appropriate care. | |
28 Oct 2021 | | 28 Oct 2021 Investigated an allegation that staff did not answer phones during evening and night shifts; interviews and tests found no evidence to support this claim, concluding that calls were prioritized based on emergency need. | |
25 Oct 2021 | | 25 Oct 2021 Confirmed findings of unsanitary conditions, pest infestation, and insufficient supervision of residents based on interviews, observations, and records obtained during the visit. | |
13 Oct 2021 | | 13 Oct 2021 Identified failures to comply with fire safety regulations during a recent visit. | |
11 Oct 2021 | | 11 Oct 2021 Confirmed that the Administrator responded appropriately in handling a resident who went missing. | |
04 Oct 2021 | | 04 Oct 2021 Identified deficiencies in safety and health standards were observed during an inspection of the assisted living facility, including issues with emergency preparedness, resident room conditions, and staff training records.- § 87705(c)(5)
- § 87303(a)
- § 87203
- § 87307(a)(3)
- § 87303(e)(2)
- § 87618(b)(3)
- § 87203
- § 87608(a)(3)
- § 87608(a)(5)
- § 87633(b)
- § 87202(a)(2)
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14 Sept 2021 | | 14 Sept 2021 Confirmed allegations of unlawful eviction and facility roof leaks were found to be unsubstantiated after interviews, record reviews, and physical plant inspections were conducted. | |
13 Jul 2021 | | 13 Jul 2021 Identified deficiencies in resident file documentation and lack of signed agreement between facility and home health agency during inspection. | |
29 Jun 2021 | | 29 Jun 2021 Confirmed lack of activities and isolation of residents at the facility following a visit and interviews with residents and staff. | |
23 Jun 2021 | | 23 Jun 2021 Determined that allegations of staff providing medical care to residents were unsubstantiated after interviews and record reviews. | |
16 Jun 2021 | | 16 Jun 2021 Confirmed mismanagement of a resident's SSI benefits by the facility. | |
10 Jun 2021 | | 10 Jun 2021 Confirmed roofing issue, but did not find evidence of staff negligence or confiscation of resident's belongings. | |
26 May 2021 | | 26 May 2021 Confirmed allegation that resident's records were not released to authorized representative. | |
14 Apr 2021 | | 14 Apr 2021 Investigated allegations that a resident refused to return to the facility after hospitalization and that the facility did not safeguard the resident's personal belongings; both claims unsubstantiated as it was determined the resident chose not to return and belongings were not collected. | |
16 Nov 2020 | | 16 Nov 2020 Found staff mismanaged and did not administer resident's medication as prescribed, resulting in a delay. | |
28 Oct 2020 | | 28 Oct 2020 Confirmed failure to safeguard resident's valuables and communicate promptly with family members after a resident's passing.- § 87468.1(a)(9)
- § 87217(j)
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19 Aug 2020 | | 19 Aug 2020 Determined inadequate evidence to support claims of poor food quality and consistently cold meals, as COVID-19 led to meals being served in resident rooms, causing temperature issues; new batch method implemented to address concerns. | |
18 Aug 2020 | | 18 Aug 2020 Investigated allegations of pest issues and facility disrepair, including dysfunctional air conditioning and heating units. Determined insufficient information to confirm or deny either claim, resulting in both being deemed unsubstantiated. | |
01 Jul 2020 | | 01 Jul 2020 Found no evidence of poor quality or insufficient quantity of food, adequate access to drinking water, or lack of a comfortable environment for residents. | |
19 Jun 2020 | | 19 Jun 2020 Confirmed an inappropriate sexual act occurred at the facility following an incident witnessed by a staff member. | |
04 May 2020 | | 04 May 2020 Investigated allegations of sexual abuse; found insufficient evidence to support claims against staff, resulting in the allegation being determined as unsubstantiated. | |
27 Apr 2020 | | 27 Apr 2020 Investigated claims of insufficient cleaning and failure to protect residents from insect bites, determined both allegations unsubstantiated based on interviews and observations. | |
22 Apr 2020 | | 22 Apr 2020 Investigated allegations of neglect, finding insufficient evidence for maggots in a resident's wound and determining appropriate medical care given for a resident with scabies. | |
26 Feb 2020 | | 26 Feb 2020 Identified deficiencies related to medication administration and resident appraisal during the visit. | |
30 Jan 2020 | | 30 Jan 2020 Confirmed allegations regarding the resident's fall due to lack of supervision, but found no evidence for the allegation of physical abuse or neglect. | |
09 Jan 2020 | | 09 Jan 2020 Investigated allegations that staff did not feed a resident appropriate food leading to weight loss and failed to provide them with their own clothing; determined both claims lacked sufficient evidence. | |
06 Jan 2020 | | 06 Jan 2020 Confirmed presence of live roaches in resident rooms and bathtubs. Deficiencies cited, civil penalty assessed. | |
30 Dec 2019 | | 30 Dec 2019 Identified deficiencies in various areas, including hot water temperatures, cleanliness issues, and food supply shortages, during an inspection at a memory care and assisted living unit. | |
23 Dec 2019 | | 23 Dec 2019 Identified deficiencies in the condition of the rear exit door and failure to report suspected elder abuse incidents. | |
19 Dec 2019 | | 19 Dec 2019 Confirmed deficiency in reporting and following mandated requirements for a resident with scabies. | |
06 Dec 2019 | | 06 Dec 2019 Confirmed illegal eviction of a resident due to lack of proper documentation and resources provided. | |
16 Oct 2019 | | 16 Oct 2019 Investigated an allegation involving an altercation between two residents resulting in a leg wound; determined staff provided necessary care, and additional medical attention was not requested or required by the involved resident. | |
09 Oct 2019 | | 09 Oct 2019 Investigated a self-reported incident where a resident claimed their personal rights were violated by a staff member; further investigation needed after interviewing staff and residents and conducting a facility tour with no immediate hazards observed. | |
30 Sept 2019 | | 30 Sept 2019 Investigated an incident where a resident reported their personal rights were violated by a staff member; further investigation needed after reviewing records and conducting interviews, with no immediate health and safety hazards observed. | |