Generations of los Angeles Assisted Lvng. Facility.

Records reviewed showed multiple in-service trainings reminding staff to treat residents with dignity and respect. Interviews revealed that 11 staff denied the allegation. Among residents, 8 disagreed with the allegation, and 3 agreed. It is noted that 2 of the residents who agreed were hard of hearing, which may have impacted their perception of the incident. Although the allegation may have occurred, there is not a preponderance of evidence to prove the alleged violation did or did not occur. Therefore, the allegation is UNSUBSTANTIATED. No deficiencies were cited. An exit interview was conducted, and a copy of this report was provided to the Administrator.

A review of the residents’ LIC 621 (Personal Property and Valuables) did not include the items reported by the resident. Observations revealed the following: On 08/22/2025 and 09/18/2025, LPA observed staff interacting with residents in a respectful and professional manner. Interviews conducted revealed the following: LPA interviewed 11 residents. Eight (8) residents denied the allegation and reported no issues with staff safeguarding their belongings. Three (3) residents agreed with the allegation. LPA also interviewed eight (8) staff members. All staff denied the allegation. Staff #2 (S2) stated that when incidents involving residents’ belongings occur, residents are assisted in documenting and reporting the issue appropriately. Regarding allegation “Staff did not safeguard residents’ belongings”: although the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation is unsubstantiated. Investigation consisted of the following: Regarding allegation” Staff did not treat resident with dignity and respect” It is being alleged that staff threatened to evict the resident. Observations revealed the following: On 08/22/2025 and 09/18/2025, LPA observed staff interacting with residents in a respectful and professional manner. No concerns were observed regarding staff conduct. Interviews conducted revealed the following: Ten (10) out of eleven (11) residents denied the allegation and reported that staff treat residents with dignity and respect. One (1) resident agreed with the allegation. All eight (8) staff members denied the allegation. Staff #2 (S2) stated not witnessing or hearing of any staff treating residents disrespectfully. Records reviewed revealed the following: LPA reviewed staff training records on Personal Rights conducted in May, June, and August 2025, with sign-in sheets confirming staff participation. Facility’s incident report dated 08/31/2025 stated no eviction notice was issued verbally or in writing. The facility also notified the residents’ placement agency and the Department. No documentation or witness statements were found to support the allegation that staff took the residents’ belongings or threatened eviction. Although the allegation that staff did not treat a resident with dignity and respect may have occurred, there is not a preponderance of evidence to prove the alleged violation did or did not occur. Therefore, the allegation is unsubstantiated. An exit interview was conducted, and appeal rights were provided to the Administrator.

On 07/03/2025 at around 8AM Licensing Program Analyst (LPA) Jose Anguiano conducted an annual required unannounced visit using the CARE Inspection Tool. LPA met with Administrator Camarin Johnson and explained the purpose of the visit. The residents served range from 60 years of age and over. The facility is approved for 108 ambulatory and 70 non- ambulatory.The second floor is approved for ambulatory only. 1st floor approved for delayed egress dementia only. Waiver/granted for hospice. There are currently 94 residents in total at the facility at the time of the visit. The facility consists of the following: Two-story building, 2 activity rooms, 1 kitchen area, 1 laundry, and 2 backyard patio areas with shaded seating. LPA toured the physical plant. There were no bodies of water on the premises. The rooms that were inspected, Beds and bedding supplies were in good condition, adequate lighting was provided, and storage for the resident's personal belongings was observed. Bed linens, comforters, and bath towels were stocked during the visit. The call buttons were pressed and staff responded promptly. Bathrooms were operational with hot water temperature measured at 109 degrees F on both floors. A comfortable temperature was maintained in the facility. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 LPA observed the facility to be furnished at the time of the visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were stored and not accessible to residents. The kitchen was inspected, and 3 days supplies perishable, and 7 days non-perishable food was maintained along with enough food for 94 residents. Fire extinguishers were charged and are due for maintenance on September 2025. A review of the Medication Records Administration (MAR) was observed to be maintained in order and accurately. During the visit, LPA observed the facility's infection control practices. LPA observed screening protocols for visitors, staff, and residents, and sanitizing stations in common areas and restrooms. All mandated inspection control posters were posted including Activities Calendar and Food Menu. LPA conducted an audit of 5 resident records, and 5 personnel records. The facility is current in CCLD annual license fees. The facility has a valid Liability Insurance Certificate. Advisory - Technical Assistance was provided (Please see LIC 9102’s) No deficiencies were cited during today’s visit. An exit interview was conducted with Administrator Camarin Johnson and a copy of the report is provided.

Regarding Allegation #1: Unknown adult grabbed resident roughly causing injury. It is being alleged that R2 grabbed R1 shoulder and dislocated R1 right shoulder. CCLD staff toured the facility and noted R1 did not appear to have a dislocated right shoulder. R1 was moving both arms with no issues. CCLD staff reviewed pre-placement appraisal (date 09/23/2024), physician report (date 09/25/2024), needs and service plan (date 10/01/2024), incident report (date 12/02/2024) for R1. R1 has health issues and claims chronic shoulder pain. CCLD staff reviewed incident report for 12/02/2024, there is no claim of any injury to either resident. CCLD staff and S1 spoke to R1. S1 offered to take R1 to the hospital for the supposed dislocated shoulder, R1 refused. 4 out of 4 staff indicate that R1 and R2 yelled at each other and R2 never grabbed R1 shoulder. R1 indicates that R2 grabbed R1 right shoulder and dislocated R1 right shoulder. 7 out of 8 residents indicate that R2 never grabbed R1 shoulder. Regarding Allegation #2: Staff did not get timely medical care for resident. It is being alleged that staff did not get timely medical care for R1. CCLD staff toured the facility and noted R1 did not appear to have a dislocated right shoulder. R1 was moving both arms with no issues. CCLD staff reviewed pre-placement appraisal (date 09/23/2024), physician report (date 09/25/2024), needs and service plan (date 10/01/2024), incident report (date 12/02/2024) for R1. R1 has health issues and claims chronic shoulder pain. CCLD staff reviewed incident report for 12/02/2024, there is no claim of any injury to either resident. CCLD staff and S1 spoke to R1. S1 offered to take R1 to the hospital for the supposed dislocated shoulder, R1 refused. 4 out of 4 staff indicate that R1 never advised staff that R1 had a dislocated right shoulder on 12/02/2024 incident. S1 and S2 came to the incident scene and spoke to R1 and R2. Staff indicate that R1 or R2 claim any injury from the 12/02/2024 incident and if R1 had claimed R1 was injured staff would have called 911. R1 indicates that R2 grabbed R1 right shoulder and dislocated R1 right shoulder. R1 indicates that staff refused to take R1 to the hospital. 7 out of 8 residents indicate that R1 never advised them of any injury. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 Based on interviews, observations, and supporting documentation, the preponderance of evidence standard has not been met; therefore, the allegations of “Unknown adult grabbed resident roughly causing injury”, “staff did not get timely medical care for resident” is found to be UNSUBSTANTIATED. No deficiencies cited during today's visit. An exit interview was conducted, and a copy of the Complaint Report was provided to the Administrator Camarin Johnson S1.

The investigation revealed the following: Allegation: Facility staff do not intervene when residents engage in physical altercations. It is alleged that a resident was hit in the face by another resident. A review of records revealed that a photograph was taken on 10/24/24 of R1 because they were observed with swelling under their left eye. An Unusual Incident Report (dated: 10/26/24) was submitted to the department reporting that on 10/25/24 R1 was taken to the hospital due to watered filled pockets that developed around R1 left eye. According to records from Norwalk Community Hospital, R1 was discharged on 10/30/24 with discharge information listing facial trauma, fall reported, and failure to thrive (FTT). Additionally, a follow up photograph was taken on 10/30/24 of R1’s eye when they returned from the hospital. An interview conducted with the Administrator Camarin Johnson (A1) revealed that a physical altercation between R1 and R2 was never reported, not by the residents or staff. Johnson denies the above allegation ever happened. She stated that R1 has never had any issues with their roommate. Johnson stated that staff observed R1 with swelling, and fluid filled pockets under their eye on 10/24/24. She stated that they were advised by R1’s doctor to monitor and apply warm compress on the affected area, but after they noticed that wasn’t working, they decided to take R1 to the hospital for further evaluation. LPA conducted interviews with S1-S4, and 4 out of 4 staff interviewed denied the above allegation ever happened. 4 out of 4 staff interviewed stated that R1 was taken to the hospital because swelling was observed on R1’s under eye. LPA conducted interviews with R1-R6, and 5 out of 6 residents interviewed stated that they are not aware of R1 being hit in the face. 5 out of 6 residents interviewed stated that they are satisfied with the services being provided, and that they love it here at this facility. Based on interviews, and records reviewed, LPA did not find sufficient evidence to support the allegation, Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation did or did not occur. Therefore, the allegation is Unsubstantiated. An exit interview was conducted with Administrator Camarin Johnson, and a copy of this report was provided.

On 10/04/2024 at around 8:00 AM, Licensing Program Analyst (LPA) Leandro conducted an unannounced collateral visit regarding the former Licensee (Vista Veranda Assisted Living). LPA was met by Administrator Camarin Johnson and explained the purpose of the visit. LPA interviewed former residents and staff from Vista Veranda Assisted Living; LPA interviewed 7 residents and 6 staff. An exit interview was conducted and a copy of this report was provided to the Administrator.

On 09/06/2024 at around 1:26 pm Licensing Program Analyst (LPA) Hollie Enriquez conducted an unannounced Case Management – Other Visit. LPA met with Administrator Camarin Johnson and explained the purpose of the visit. The facility is licensed to serve adults ages 55 and above. This facility has a capacity for 108 ambulatory residents and 70 non-ambulatory residents making it a total capacity of 178 residents. There are currently 60 residents total in care at facility at the time of the visit. There are 24 residents in Memory Care and 36 residents in the Assisted Living. At 1:36pm Administrator toured LPA through the interior of the facility. Kitchen was clean and fully stocked with additional 3 days emergency supply available. Medication Room, Activities Room, Dining Hall were observed. Common shower on the first floor was clean and sanitary.Delayed egress doors for the first floor Memory Care unit were tested and operational. LPA toured second floor with Administrator who reported that the second floor delayed egress door to the potential Memory Care unit does not work and has not been repaired or replaced. LPA observed that door does not function with delayed egress or sound. LPA observed wall area near room 186 has been repaired and painted. No citations were issued at this visit. A copy of the report and an Advisory Note - Technical violation has been provided to the Administrator Johnson.

On 08/08/2024 at 1:30 pm Licensing Program Analyst Hollie Enriquez (LPA) and Licensing Program Manager Ulysses Coronel (LPM) conducted an unannouced Case Management-Other visit and met with Administrator, Camarin Johnson. LPM explained the purpose of the visit and the Administrator accompanied LPA and LPM on the physical tour of the facility interior. This facility is licensed to serve adults ages 55 and above. This facility has a capacity for 108 ambulatory residents and 70 non-ambulatory residents making it a total capacity of 178 residents. There are 58 residents in care at facility at the time of the visit. At 1:45 pm, Administrator accompanied LPA and LPM on a tour of the facility interior. The second floor delayed egress door to the Memory Care unit was tested and did not delay exit, opened immediately and did not have any alarm sound to signal staff. Memory Care unit on the second floor is fully vacant and has no residents in care. LPA and LPM observed on the second floor by room 186 an area of open dry wall exposing a pipe. Linen closet was fully stocked and second floor stairwell chairs observed. First floor kitchen was toured. Kitchen was sanitary and stocked. LPA and LPM reviewed five (5) resident files. LPM and LPA observed that one (1) out of five (5) Admissions Agreements, pages 3-4 under section Monthly Rental did not indicate an actual monetary amount under the monthly SSI/SSP rate. Only "SSI" was indicated. No citations were issued at this visit. A copy of the report and Advisory Notes - Technical violations have been provided to the Administrator.

On 07/18/2024 at around 10:50 AM, Licensing Program Analyst (LPA), Leandro conducted an unannounced Required Post-Licensing Inspection to the above-named facility and met with Administrator, Camarin Johnson. LPA explained the purpose of the visit and was accompanied by a staff member inside and outside the facility during this inspection. This facility is licensed to serve adults ages 55 and above. This facility has a capacity for 108 ambulatory residents and 70 non-ambulatory residents making it a total capacity of 178 residents. A total of 59 residents are currently residing in this facility. The facility is a two-story building located on a main street. The facility has a memory care unit and an assisted living unit. The facility has 92 resident bedrooms, 94 bathrooms, 2 atriums, 1 lounge, 3 offices, several closets, 1 doctors office, 1 conference room, 1 activity room, 1 industrial kitchen, 2 dining rooms, 1 library, 1 business office, 1 tv room, 1 staff break room, 1 facility laundry room, 1 resident laundry room, 3 emergency stairwells, 1 stairway, 2 lobbies, and 1 elevator. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 Outside grounds were toured and no bodies of water were observed. The patio furniture is under a shaded area and accessible to residents. Walkways around the home were clear of hazards. LPA toured the kitchen area and observed supplies of nonperishable foods for a minimum of one week and fresh perishable foods for a minimum of two days. LPA observed that medications were safe, locked, and inaccessible. All medications observed were labeled and maintained in compliance with label instructions and State and Federal law. Documents are posted as mandated. There are several fire extinguishers around the facility. 5 staff records were reviewed, 5 out of 5 staff records had required documentation. 5 resident records were reviewed and, 5 out of 5 resident records had required documentation. LPA reviewed Client 1’s (C1) blood sugar summary for the month of July 2024. C1 had missing blood sugar checks on 7/1, 7/2, 7/5, 7/15, and 7/16. LPA interviewed C1, and C1 explained that she checks her blood sugar every day with the assistance of staff. Once C1 checks her blood sugar she then proceeds to inject herself with insulin. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 LPA followed up on items numbered 1 through 9 below. 1. bedrooms 142, 145, 144, 149, 154, and 158 are missing beds. – LPA observed beds in these bedrooms. 2. There is an insufficient supply of clean linens to permit weekly changing or more of residents’ top sheets, bottom sheets, bedspreads, blankets, pillowcases, mattress covers for 178 residents. – LPA observed enough linen for facility residents. 3. Window blinds and screen doors are not in good repair throughout the first and second floor bedrooms including bedrooms 31, 33, 37, 142, 145, 147, 156, 185, and 191. – LPA observed blinds and screen doors in good repair. 4. Closet door are not in good repair throughout bedrooms 23, 25, 26, 27, 33, 37, and 12. – LPA observed closet doors in good repair. 5. Bathroom sink and shower faucet drips in bedroom 31. – LPA observed sink and shower faucet in good repair. 6. There are cracks and/or holes in bedroom bathrooms 2, 10, 25, 27, 31, and 34. – LPA observed bathroom walls in good repair. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 7. LPM observed water stains throughout the second-floor ceiling and must be repaired and re-painted. – LPA observed fresh paint on the ceiling of the second floor. 8. North stairwell is missing an evacuation chair. – LPA observed an evacuation chair. 9. First floor memory care unit egress door is in disrepair because it does not open after 15 seconds. – LPA observed first-floor south egress door in good repair. LPA observed north egress door not opening after 15 seconds. LPA observed documentation confirming that technicians came on 5/28/2024 to fix egress doors. On 06/07/2024, LPA observed video conforming that the north egress door was in good repair. Technicians will be coming tomorrow, 07/19/2024, to fix the north egress door. No deficiencies were cited. There is one technical violation which is the first-floor north egress door not opening after 15 seconds. And a technical advisory which is the documentation of blood sugar checks for people with diabetes. An exit interview was conducted, and a copy of this report was left with the Administrator.

On 05/24/2024 Licensing Program Manager (LPM) Ulysses Coronel and Licensing Program Analyst (LPA) Socorro Leandro conducted an announced visit to the facility for purpose of a pre-licensing evaluation. On 03/20/2024 an application was submitted to CCLD, for Initial license for a Residential Care Facility for the Elderly to serve adults ages 60 and over. The requested capacity is for 108 ambulatory residents and 70 non-ambulatory residents making it a total capacity of 178 residents. The facility is a two-story building located on a main street. The facility has a memory care unit and an assisted living unit. The facility has 92 resident bedrooms, 94 bathrooms, 2 atriums, 1 lounge, 3 offices, several closets, 1 doctors office, 1 conference room, 1 activity room, 1 industrial kitchen, 2 dining rooms, 1 library, 1 business office, 1 tv room, 1 staff break room, 1 facility laundry room, 1 resident laundry room, 3 emergency stairwells, 1 stairway, 2 lobbies, and 1 elevator. LPM and LPA conducted a review of the Physical Plant, Bedrooms, Bathrooms, Supplies, Food Service, Medications, Records, Administration, Activities, Pe-Licensing Checklist and Component III Orientation. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 MEDICATIONS There is a locked centralized storage area for resident medications. PHYSICAL PLANT Facility is clean and sanitary. Protective devices are in place to include nonslip material on rugs. Indoor and outdoor passageways, stairways, inclines, ramps, open porches, and other areas of potential hazard are free of obstructions. Pools and bodies of water have fencing of at least five (5) feet high with self-closing, self-latching gates, or locked covers that can support the weight of an adult. All window screens are clean and in good repair. Facility temperature is around 74 degrees. Stairways, inclines, ramps, open porches, and areas of potential hazard are well-lit and equipped with sturdy hand railings. For facilities of 16 or more capacity there is a private office for the administrator, a reception area, and bathroom for visitors. For facilities of 16 or more capacity and facilities having separate floors or buildings without full time staff, there are signal systems in place. Fire Alarms and Smoke alarms operate properly. Carbon monoxide detectors operate properly. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 BEDROOMS Halls, stairways, unfinished attics or basements, garages, storage areas, and sheds, or similar detached buildings are not being used as resident bedrooms. Resident bedrooms are large enough to allow for easy passage and to accommodate furniture and assistive devices such as wheelchairs, walkers, or oxygen equipment. No resident bedroom is a passageway to another room, bath or toilet. There is dresser and closet space for each resident that includes at least two (2) drawers or eight (8) cubic feet of dresser space per resident. There is a chair and lamp for each resident and at least one (1) nightstand per two (2) residents. BATHROOMS There is at least one (1) toilet and washbasin per six (6) residents, family, and personnel. There is at least one (1) shower or bathtub per ten (10) residents, family, and personnel. Hot water temperature is between 105-120 degrees Fahrenheit. Bathroom is located near resident bedrooms. SUPPLIES There are resident personal hygiene supplies to include feminine napkins, soap, toothpaste, toilet paper, and comb. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 FOOD SERVICE Dining room is near kitchen. Refrigerator(s) and freezer(s) are clean and large enough for the storage of at least two (2) days of perishable foods. Freezer is 0 degrees Fahrenheit. Refrigerator is a maximum of 45 degrees Fahrenheit. A seven (7) day supply of non-perishable food is present. There are sufficient amounts of tableware, tables, dishes, and utensils. There are sufficient amounts of equipment for the storage, preparation, and service of food. All equipment, dishes, and utensils are clean and well maintained. All kitchen, food storage, and preparation areas are clean. RECORDS There is confidential storage of personnel records at the facility. There is confidential storage of resident records at the facility. ADMINISTRATION The emergency exiting plan and emergency phone numbers are posted. Resident Personal Rights are posted. Posting both sides of the Personal Rights form LIC 613 meets this requirement. Facility Visiting Policy is posted. Licensing Complaint Poster is posted. There is space available for resident council meetings and resident council postings. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 ACTIVITIES For facilities of seven (7) or more capacity, an activities calendar is posted. There is an outdoor activity space with a shaded area and furnished for outdoor use. There is at least one common room available to residents for visitors. There are activity supplies to include newspapers, magazines, and a variety of reading material. MISCELLANEOUS There are first-aid supplies to include sterile first-aid dressings, bandages, adhesive tapes, scissors, tweezers, thermometer, antiseptic solution, and a current first-aid manual. There is space and equipment for laundry. There is a space for clean linen storage and a separate space for soiled linen. For facilities of 16 or more capacity, there is a designated laundry space. There is an operating telephone available to residents. Emergency lighting and supplies to include flashlights with batteries. Vehicles used to transport residents are in safe operating condition. PRE-LICENSING CHECKLIST Completed by licensee and reviewed by LPM and LPA. COMPONENT III Information was provided about how to operate the facility within substantial compliance. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 During the pre-licensing inspection certain items were observed which do not comply with applicable laws and regulations; the following items must be corrected, and proof of correction shall be submitted to the CCLD office to the attention of LPA by 06/07/2024. If additional time is required to complete noted items to correct, then the applicant will request an extension in writing prior to the due date. Some items may require a follow up inspection for verification of correction. 1. bedrooms 142, 145, 144, 149, 154, and 158 are missing beds. 2. There is an insufficient supply of clean linens to permit weekly changing or more of residents top sheets, bottom sheets, bedspreads, blankets, pillowcases, mattress covers for 178 residents. 3. Window blinds and screen doors are not in good repair throughout the first and second floor bedrooms including bedrooms 31, 33, 37, 142, 145, 147, 156, 185, and 191. 4. Closet door are not in good repair throughout bedrooms 23, 25, 26, 27, 33, 37, and 12. 5. Bathroom sink and shower faucet drips in bedroom 31. 6. There are cracks and/or holes in bedroom bathrooms 2, 10, 25, 27, 31, and 34. 7. LPM observed water stains throughout the second-floor ceiling and must be repaired and re-painted. 8. North stairwell is missing an evacuation chair. 9. First floor memory care unit egress door is in disrepair because it does not open after 15 seconds. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 An exit interview was conducted, and a hard copy of this report has been provided to the applicant. Accordingly, LPA will submit a copy of this facility evaluation report to the Central Applications Unit (CAU) for review. If the applicant has questions regarding the status of the application, they have been instructed to communicate with the CAU Analyst assigned to the applicant.