Ivy Park at Woodland Hills.

A large home, reviewed on public record.

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Compared to 84 California facilities with a similar number of beds.
RCFE memory care · 36-month window. Higher percentile = better performance on inspection record. Source: California Dept. of Social Services · Community Care Licensing.
among peers to rank.
Rankings based on 36-month CDSS inspection data. Severity and frequency: fewer citations = higher percentile. Repeat rate: lower repeat citation share = higher percentile.
Citation history, plotted month by month.
4 deficiencies on record. Each bar is a month with a citation.
Finding distribution
4 total · 36 monthsScope × Severity (CMS A–L)
The rules that apply to this facility.
State requirements with the exact regulation citation, plain-language explanation, and a question to ask on tour. Rules this facility has been cited for appear first.
Plain language
Elopements, fires, epidemic outbreaks, and poisonings must be reported immediately. Abuse with serious bodily injury requires a 2-hour phone report + 2-hour written report to CDSS, Adult Protective Services, and law enforcement. Abuse without serious bodily injury must be reported within 24 hours. A resident death requires a phone call by the next working day and a written report within 7 days. Injuries requiring medical treatment beyond first aid, and bankruptcy/foreclosure/utility shutoff notices, must also be reported. Incidents not reported on time are a separate violation — families may file a complaint directly with CDSS.
Ask on tour
“When was the last incident report filed with CDSS, and may I see your incident log summary for the past 12 months?”
Questions to ask before you visit.
A short pre-tour checklist tailored to Ivy Park at Woodland Hills's record and state requirements.
Four complaints are on file with CDSS — were any substantiated, and what remediation did the facility take in response to substantiated findings?
Ask the operator on tour. Take notes and compare answers across facilities you visit.
The facility has two deficiencies on file across all inspections — can you provide your corrective-action plan for each cited item, and show families any documentation of remediation steps taken?
Ask the operator on tour. Take notes and compare answers across facilities you visit.
The most recent inspection occurred on January 30, 2026 — can you provide a copy of that inspection report and walk families through any findings or areas flagged for follow-up?
Ask the operator on tour. Take notes and compare answers across facilities you visit.
Every inspection visit, verbatim.
9 inspections in the public record, most recent first. Plain-language summaries open first — click into any row for the full citation text.
2026-08-19Other VisitType B · 1 finding
“Based on record review, the licensee did not comply with the section cited above in resident medication records were not maintained which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 08/26/2026 Plan of Correction 1 2 3 4 The Licensee will provide staff with medication training through a third party vendor and provide a plan to oversee all medication protocols and provide proof to CCLD by POC due date.”
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Licensing Program Analysts (LPAs) Quoc Huynh and Angela Barutyan arrived at the facility unannounced to conduct a required annual visit at 09:40AM. LPAs met with Executive Director (ED) Lilit Mnatsakanyan and Business Office Director (BOD) Aurora Israelson. Entrance interview conducted. Beginning at 10:08AM, the LPAs, along with ED Mnatsakanyan and BOD Israelson, toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that facility is in compliance with Title 22 Regulations. The following was observed: FACILITY LAYOUT: The facility is a five (5) story building, including an underground parking garage. There are sixty-two (62) private-use units throughout the assisted living (AL) levels and twenty-seven (27) units in the memory care (MC) level which is the entirety of the third floor. KITCHEN: At 10:08AM, LPAs observed the kitchen to have a sufficient supply of perishable and non-perishable food at the time of the visit. Appliances in the kitchen were clean and appeared functional. Snacks and beverages are available for residents. Food is prepared in the main kitchen, which is located on the first floor and is delivered to the common dining areas and MC Unit. Emergency water supply is stored in the locked laundry room in the basement. Report Continued on LIC 809-C 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: The LPAs toured a total of twelve (12) randomly selected resident rooms. LPAs observed two (2) resident rooms in the MC Unit. Lighting in the rooms appeared adequate. The rooms were properly furnished and were large enough to allow for easy passage between the beds and furniture with a wheelchair or walker. BATHROOMS: LPAs observed the bathrooms to be equipped with grab bars near the toilet and shower/tub, and slip-resistant surfaces and mats in the shower/tub. LPAs tested hot water temperatures in resident bathrooms which were measured to be between 105.4-110.3 degrees Fahrenheit, which is within the required range. COMMON AREAS: LPAs inspected the common areas throughout the facility including the Activity Room, Lobby, reading room, lounge, café, health center, theater, and salon. All rooms were furnished appropriately, and no immediate health and safety concerns were noted. The fire extinguishers are located on every floor in each building and were observed to be fully charged and serviced on 10/24/2025. There is a functioning telephone on the premises. Required postings were posted in the facility entryway and LPAs observed the Ombudsman Poster, DSS Complaint Poster, and emergency exiting plans/sketch posted in the hallways throughout the community. The signal system can be activated in the resident bedrooms and restrooms by a pull cord. At 10:47AM, LPA Barutyan pulled the signal cord in a resident restroom. After ten (10) minutes of waiting for staff response, LPA informed ED to have a staff member come clear the signal. Staff #1 (S1) arrived at 10:59AM, approximately twelve (12) minutes after pulling the pull cord, to clear the signal. Staff members stated that the resident was in the common area; ED explained to staff that signals should still be cleared regardless. LPA observed the signal system to be in working order. Staff provided clarification on signal clearing protocol to S1. Residents also have pendants they can wear to signal staff. All systems go directly to a central tablet and to hand-held devices. Designated staff carry a handheld device, which displays the location of the alarm that has been pulled. Staff also utilize walkie-talkies to communicate accordingly. There are two (2) delayed egress doors in the MC unit. LPAs tested one (1) delayed egress door at 11:05AM which was operational at the time of the visit. Report Continued on LIC 809-C 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 The community’s smoke detectors and carbon monoxide detectors are hard wired and were last tested on 07/16/2026 by American Eagle Fire Protection and approved by the Los Angeles Fire Department. OUTDOOR AREAS: LPAs toured the outdoor perimeter and observed self-latching gates. All exits were observed to be clear and free of hazards. There are several enclosed patios. No health and safety hazards observed. MEDICATION REVIEW: Medications are locked and centrally stored in the medication office on the second floor and the MC unit medication room. Beginning at 4:06PM , medications for two (2) residents were reviewed for compliance. Both residents’ medications were not labeled and maintained on the centrally stored medication and destruction record. RECORD REVIEW: Beginning at 4:05PM, five (5) resident and five (5) staff records were reviewed for documents including, but not limited to: health screening, TB test, staff training records, fingerprint clearance, resident physician's report, needs and service appraisal, personal rights, and first aid/CPR training. All resident and staff files reviewed were complete and were observed to be in compliance. During today’s visit, LPAs obtained a copy of the facility’s liability insurance. INFECTION CONTROL/EMERGENCY DISASTER PLANNING: The LPAs reviewed the facility's infection control practices and the facility's emergency disaster plan. The facility’s policies and procedures as it pertains to infection control are adequate. Emergency disaster plan is updated annually as required. Emergency disaster drills are conducted at least quarterly as required, with the last drill conducted on 07/12/2026. Pursuant to Title 22 CA Code of Regulations and/or the Health and Safety Code, the following deficiency was cited (Refer to LIC 809-D). Exit interview conducted. A copy of the appeal rights and report was reviewed and provided.
2026-07-28Complaint InvestigationType B · 1 finding
“Based on file review, the facility didnot submit incident reports involving R1 to the department as specified in the regulation, which poses a potential safety risk to persons in care.”
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Licensing Program Analyst (LPA) Sandra Urena conducted a Case Management - Deficiencies visit in conjunction with a complaint visits (Complaint Control # 29-AS-20260701152144 and C# 29-AS-20260624155120). The purpose of the visit is to issue a citation for deficiencies observed during the initial complaint investigations unrelated to the complaints. During today’s visit, LPA Urena met with Lilit Mnatsakanyan, Executive Director and the reason for the visit was explained. During the course of the investigations, it was discovered that the facility failed to inform the department of several incidents involving a resident; furthermore, the facility failed to inform the department of renovation work being done at the facility prior to all commencement of such work. Per CCR regulations, all incidents must be reported to the CCLD via the LIC 624 (Report of unusual incidents...) Data search of the incidents involving the resident and the renovation/alterations to the facility were not submitted to the office within the specified time frame of seven(7) days. Pursuant to Title 22, California Code of Regulations and/or CA Health and Safety Code, the following deficiencies were cited (refer to LIC 809-D.) Exit interview conducted, and a copy of this report and appeal rights were provided.
2026-01-30Other VisitNo findings
Plain-language summary
This was a complaint investigation into two allegations: that staff gave a resident unauthorized medication, and that staff did not properly assist a resident with hygiene. The facility's medication staff denied giving any unprescribed medication, eight residents interviewed (including those named in the complaints) reported no issues with medication or hygiene care, and the inspector found insufficient evidence to substantiate either allegation.
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It was reported that sometime on or about 11/20/25, staff gave an unauthorized medication to resident #1. Staff interviewed denied the allegation and stated that they would never give any resident medication that is not prescribed to the resident. LPA asked staff if they ever gave any resident something that might look like medication and staff said no. Staff also reported that residents on medication management would only receive medications from the medtechs and no other staff. Staff interviewed reported that medication policy and procedures are that only medtechs dispense medication and all medications handled by the facility require a doctors order. LPA interview total of eight (8) residents including resident #1 and all residents reported that they have never been offered any type of medication or vitamins from any facility staff. Residents on medication management stated that staff dispense prescribed medications only. Resident #1 manages own medications. All residents interviewed were observed very alert and able to communicate well with LPA. Based on the above information gathered although the allegations may be valid, there is insufficient evidence to support the allegation or that a violation occurred; therefore, the allegation “Staff did not dispense medications as prescribed” is deemed UNSUBSTANTIATED at this time. Regarding allegation “Staff did not meet resident's hygiene needs”: Information was received that resident #2 was observed to have something dark under fingernails, most likely feces and staff was unable to remove it with a wet wipe and did not try washing resident’s hands. Staff interviewed reported that residents requiring assistance with toileting and showers are always assisted with hygiene care. Staff reported that residents are not left unclean or unsanitary. LPA conducted interview with resident #2. Resident #2 is alert and able to communicate needs. Resident #2 did not report any issues with staff. Resident #2 stated that staff assist with daily living activities and medications. Resident #2 was satisfied with the services provided by staff. Random residents interviewed also expressed satisfaction with the care team services. Eight (8) out of eight (8) residents interviewed reported no issues with care services provided by staff. Based on the above information gathered although the allegation may be valid, there is insufficient evidence to support the allegation or that a violation occurred; therefore, the allegation “Staff did not meet resident's hygiene needs” is deemed UNSUBSTANTIATED at this time. Exit interview conducted. A copy of the report was provided.
2025-09-27Annual Compliance VisitType B · 1 finding
Plain-language summary
A follow-up inspection after a complaint found that medication records for two residents were not accurately recorded in the facility's centrally stored log. The facility received a citation for this medication record-keeping deficiency. The facility was notified of its appeal rights.
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“Based on record review, the licensee did not comply with the section cited above. Two out Two residents medications reviewed revealed inaccurate medication record keeping. Medications were not recorded on the centrally stored log. This poses/posed a potential health, safety or personal rights risk to persons in care.”
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Licensing Program Analysts (LPA) Zabel Chochian conducted a Case Management - Deficiencies visit in conjunction with a complaint visit (Complaint Control # 29-AS-20250602091623 ). The purpose of the visit is to issue a citation for a deficiency observed during the complaint investigation. During the complaint investigation of complaint # 29-AS-20250602091623 , the following deficiency was observed: Two out Two residents medications reviewed revealed inaccurate medication record keeping. Resident #1's and Resident #2's medications were not accurately recorded on the centrally stored medication record log (medication not recorded on the centrally stored log). Pursuant to Title 22 Division 6 Chapter 8 of the CA Code of Regulations, the following deficiency was cited (refer to LIC 809-D). Exit Interview. Citation issued. A copy of the report and appeal rights were issued.
2025-09-27Complaint InvestigationUnsubstantiatedNo findings
Plain-language summary
A complaint investigation found no evidence of violations regarding medication storage and handling at this facility. Inspectors reviewed staff training records, audited resident medications, interviewed staff and residents, and found that only qualified medical technicians dispense medications, the medication room is kept locked and secured, and sanitary practices are followed during medication administration. All allegations were unsubstantiated.
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It was reported that med-techs leave the residents medications out in the caregiver office with the door open. Staff interviewed reported that if any medication is found on the floor it is picked up and taken to the medication room to report, record and properly disposed. Staff interviewed did not report any issues with missing medications. Two randomly selected residents medication was audited and found to be accurate in remaining quantity during initial visit. Seven (7) out of seven (7) residents interviewed reported that the medication room is kept lock and never unattended. Based on the above information gathered although the allegations may be valid, there is insufficient evidence to support the allegation or that a violation occurred; therefore, the allegations “Staff does not ensure medications are kept centrally stored and secured at all times” is deemed UNSUBSTANTIATED at this time. Regarding allegation “Licensee allows unqualified staff to dispense medication to residents in care”: Information was received that caregivers who are not qualified and trained are asked to dispense medications to the residents. LPA reviewed staff training records and observed that the designated staff handling residents medication have completed the required training to assist residents with medication. Staff interviewed reported that only the med-techs and nurses prepare and assist residents with medication. Medtech staff interviewed denied ever asking caregivers to pass medication to residents. Residents interviewed confirmed that the med-techs provide their medication and not a caregiver. Based on the above information gathered although the allegations may be valid, there is insufficient evidence to support the allegation or that a violation occurred; therefore, the allegations “Licensee allows unqualified staff to dispense medication to residents in care” is deemed UNSUBSTANTIATED at this time. Regarding allegations “Staff do not ensure spoiled medication is properly discarded and Staff do not ensure sanitary practices are followed while dispensing medications to residents in care”. It was reported that medications are not properly discarded and the med-techs have unsafe and careless methods of dispensing residents medications. It was reported that the med-techs will stop and use the restroom and will bring the medication tray into the restroom with them. Staff interviewed reported that medication destruction procedures are followed accordingly. Staff reported that expired medication and discontinued medications are stored in the medication room in a bin and secured in a cabinet until it is picked up by the company. Regarding med-techs practicing unsafe and careless methods of dispensing medication – Staff interviewed denied taking medication trays in the bathroom. Residents interviewed reported that they have not seen med-techs take medication into the restrooms. 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 Residents reported that medtech and caregiver staff have gloves on when providing assistance with care and medications. Based on the above information gathered although the allegations may be valid, there is insufficient evidence to support the allegation or that a violation occurred; therefore, the allegations “Staff do not ensure spoiled medication is properly discarded” and “Staff do not ensure sanitary practices are followed while dispensing medications to residents in care” is deemed UNSUBSTANTIATED at this time. Exit interview conducted. A copy of the report was provided.
2025-08-04Complaint InvestigationUnsubstantiatedNo findings
Plain-language summary
This was a complaint investigation into whether staff failed to accommodate a resident's request to change apartments and properly address room repairs following flooding incidents. The facility's room change requests are evaluated case-by-case at management discretion, and while there was disagreement about whether a rent reduction was offered, the investigator found no written documentation to prove the allegations and found no water damage when inspecting the resident's unit and others. The complaint was found to be unsubstantiated.
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Continued from LIC 9099 Throughout the course of the investigation, LPA reviewed all documents obtained, conducted telephonic and in-person interviews with additional credible witnesses and other relevant parties. During today's visit, LPA conducted a brief physical plant tour, no health and safety concerns. The following was then determined: Regarding allegation of “Staff does not ensure residents are accorded reasonable accommodations” it was alleged that a resident’s request to move to a vacant, refurbished room, due to recent flooding, outdated room conditions, and high monthly fees, was not considered by the former ED, Terri Seifert. Interview with former ED revealed that room change requests are evaluated on a case-by-case basis at management discretion, based on individual circumstances and unit availability. The current ED Lilit Mnatsakanyam, explained that according to corporate, residents who lived in the community prior to the ownership change from “Sunrise Senior Living of Woodland Hills” (Sunrise) to Ivy Park at Woodland Hills (Ivy Park) were communicated verbally during a meeting held with residents of the option to either keep their original Sunrise agreement with existing perks and discounts or sign a new agreement under Ivy Park. The Reporting Party (RP), who pays a monthly rent and a $42 care fee under a Sunrise agreement, did not recall being offered a new contract and admitted not inquiring about the differences. The RP expressed concern that new residents are paying significantly lower rent than those who moved in under previous ownership. In December 2024, the RP requested to be moved to a vacant, recently refurbished apartment of the same size, and to pay the same monthly rent as new residents moving into the community. According to the RP, this request was submitted verbally to community management. The RP stated that initially, there was no response, but after several weeks, they were approved to move into the refurbished unit, However, the monthly rent amount was not going to be reassessed or reduced. RP declined this offer and reported that later, they requested to remain in their current apartment and have their rent lowered instead, but the former ED indicated that they were never presented with this request. When asked, the RP acknowledged that they eventually stopped inquiring about the matter. Continued on LIC 9099-C 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 Continued from LIC 9099-C Neither Ivy Park management nor the RP were able to provide written documentation to confirm that these conversations took place or that a formal request was submitted. LPA reviewed RP’s Sunrise admission agreement with revision date of 05/2015. LPA was unable to identify any clause specifying the process or terms applicable when a resident wishes to substitute their apartment. Regarding flooding incidents, the RP stated that maintenance staff responded by drying the carpet using a commercial vacuum cleaner. The RP also confirmed that there was no water damage present in their unit. LPA visited multiple random units including the RP’s apartment, no visible stains on the carpet, mold on the walls, or any sign of water damage inside the unit were observed. Based on the information obtained during the investigation, the Department does not have sufficient evidence to corroborate the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the above allegation. “Staff does not ensure residents are accorded reasonable accommodations” is deemed Unsubstantiated at this time. It was reported that "Staff are not properly addressing room repairs for residents in care”. According to the allegation, a resident left the water running, which resulted in flooding into other units and the saturation of carpets in neighboring rooms. It was further alleged that staff responded by only drying the affected carpets without taking further action. Interviews with the former ED revealed that in December 2024, there were two separate incidents involving flooding. One involved a resident who left water running for an extended period, resulting in overflow and water dripping into units below. The second incident was related to a plumbing issue, in which a resident had flushed excessive amounts of toilet paper, leading to a clogged pipeline. In both cases, maintenance staff were immediately dispatched to the affected areas. The maintenance team cleaned the flooded units and used a plumbing snake from the parking lot to the affected unit’s pipelines to address the clog. A review of Ivy Park’s maintenance work orders showed that both residents and staff submitted requests related to carpet cleaning and clogged plumbing. These work orders were completed in a timely manner by maintenance staff. Additionally, the former ED stated that carpets are cleaned as needed and shampooed on a regular schedule. Residents interviewed stated that when they submit work order requests, the issues are generally addressed promptly. While not every problem is resolved on the first attempt, maintenance staff are reported to follow up and ensure completion. Continued on LIC 9099-C 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 Continued from LI 9099-C Residents also noted that for minor repairs, such as replacing light bulbs, changing broken accessories or fixing broken screens, a formal work order is not always necessary, as these concerns are often resolved on the spot by available staff. With regards to carpet cleaning, residents reported that when requested, carpets are cleaned and shampooed using the community’s own carpet cleaning equipment, and that these requests are generally fulfilled without issue. Based on the information obtained during the investigation, the Department does not have sufficient evidence to corroborate the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the above allegation. “Staff are not properly addressing room repairs for residents in care” is deemed Unsubstantiated at this time. Exit interview was conducted. No citations issued. A copy of the report was issued.
2025-07-24Other VisitType B · 1 finding
Plain-language summary
This was a required annual inspection of the facility. The inspector found the building well-maintained with clean common areas, properly equipped resident rooms, functioning fire safety features, and all staff and resident records in order, but cited one deficiency related to food storage after observing uncovered items in the freezer and refrigerator.
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“Based on observation and interview, the licensee did not comply with the section cited above. Food such as vegetables, ice cream, pies and other items observed stored in the freezer and refrigerator observed uncovered. This poses a potential health and safety risk to persons in care. POC Due Date: 07/31/2025 Plan of Correction 1 2 3 4 Executive Director agreed to submit a plan of correction to ensure future compliance with section cited. Also provide in-service for kitchen staff.”
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Licensing Program Analyst (LPA) Zabel Chochian conducted a required annual visit. LPA met with the new Executive Director (ED), Lilit Mnatsakanyan, and explained the reason for the visit. The facility is a (five) 5 story building including an underground garage. At approximately 10A.M., LPA observed the posting of required documents near the entrance of the facility. The common areas were observed to be properly furnished and relatively clean at the of the visit. At the time of the visit, living room and dining room furniture was observed to be in good condition. The facility maintained a comfortable temperature at the time of visit. A physical plant tour of the inside and outside of the facility with the ED. There are fire sprinklers and fire doors throughout the facility. Emergency/disaster drills are conducted monthly. Last fire drill was conducted on 07/15/2025. LPA inspected the common areas throughout the facility including the Activity room, Lobby, reading room, lounge, café, health center. All the rooms have been appropriately furnished. All exits in Memory care have functioning auditory devices and were operational at the time of the visit. There is an evacuation chair in each stair well on each side of the building. LPA inspected eight (8) randomly selected rooms in all four (4) floors including the memory care unit. resident rooms are set up with beds, nightstands, lamps, chests of drawers, chairs and closet space. The beds are furnished with box springs, comfortable mattress and clean linen; which includes, a mattress pad, top and bottom linens, pillowcases, and a bedspread. All rooms had a comfortable room temperature of 75 degrees Fahrenheit. Hot water temperature was measured in all eight (8) bathrooms and they were between the temperature range of 105-120 degrees Fahrenheit. Lighting in the rooms appeared adequate. All rooms were free of odors. All window screens were clean and maintained in good repair. The resident bathroom(s) have a shower with non-skid materials. The toilets were in working conditions and the showers observed with grab bars. (Continued on LIC 809-C) 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 The kitchen was observed to be inaccessible to residents in care. Knives are kept inaccessible to residents in care. Kitchen appliances were observed to be in operable condition. The facility has a sufficient supply of perishable and non-perishable food. Dining room furniture were observed to be in good condition and appeared to be relatively clean. The supply of dishes, utensils, pots, pans and drink ware is adequate. The freezer was maintained at zero degrees Fahrenheit (0*F) and the refrigerator was maintained at 40*F. There are no pesticides (poisons) or toxins stored in any food storage area or preparation area with utensils. No flies or other vermin were observed. At approximately 1:06PM - 1:12PM, LPA observed ice cream, sauces, vegetables and other items stored in the freezer uncovered. Also, pies and other deserts observed in the refrigerator that were made a day or two ago according to the Executive Chef, were observed uncovered in the refrigerator. Resident records review began at 2:30 P.M. Eight (8) resident records were reviewed for, but not limited to: appraisals, medical records, admissions agreement, consent forms. Staff records review began at 1:30 P.M, Eight (8) personnel records were reviewed for, but not limited to: personnel records, health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. All records were observed to be in order at this time. The first aid supplies were complete, including a thermometer and a current version of a first aid manual. the main two (2) first aid kits were observed in the memory care director office and the health service office. Medications are stored in a medication cart which are kept in each floor and inaccessible to residents in care. Medications review began at approximately 12P.M. Medications are documented on a centrally stored log printed by the pharmacy and maintained in a folder in a drawer in the medication room. Random sample review of residents medication completed during visit. Current procedures in place by ED and LVN with regards to record keeping. Centrally Stored records are being moved into binders for easy access. Entry/exits were free of obstructions. The outdoor areas were clean and free of hazards. The patios and balconies observed have proper furnishings. There were no bodies of water noted. Pursuant to Title 22 of the CA Code of Regulations, the following deficiency was cited (refer to LIC 809-D): Exit inter view conducted and copy of the report and appeal rights provided.
2025-04-08Complaint InvestigationUnsubstantiatedNo findings
Plain-language summary
An investigator looked into a complaint that staff weren't preparing and serving food safely. The facility showed proper food safety practices in place, staff confirmed they wear gloves and hair nets while preparing meals, and all ten residents interviewed said they were satisfied with the food and meals — so the complaint was not substantiated.
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Following records reviewed: Facility's March 2025 Dietitian Report did not reveal any food preparation and meal service issues. According to staff interviews the cooks and staff preparing/handling food items are to wear gloves and hair nets. LPA was informed that the servers that do not handle/prepare meals are not required to wear hair nets or gloves. LPA observed supply of gloves and hair nets stationed through out the kitchen in different areas. Staff interviewed confirmed that the cooks and any staff preparing meals is required to wear gloves and hair nets. Interview conducted with ten (10) random residents revealed no issues or concern with the facility food service. Residents interviewed expressed being satisfied with the food service and meals. Ten (10) out of ten (10) residents interviewed were all satisfied with the culinary team. No health and safety issues or concerns reported. Based on the above information gathered, although the allegation may be valid, there is insufficient evidence to support the allegation or that a violation occurred; therefore, the allegation “ Staff do not prepare and serve food in a safe and healthful manner ” is deemed unsubstantiated at this time. Exit interview conducted and copy of report provided.
2024-07-19Complaint InvestigationNo findings
Plain-language summary
This was a pre-licensing inspection for a change of ownership at a 5-story facility with 119 residents, including 8 bedridden residents, where inspectors reviewed the physical plant, resident rooms, common areas, kitchen, medication storage, and staff and resident records. The inspectors found no violations — the facility met requirements for safety features (fire sprinklers and doors), cleanliness, food storage and preparation, accessible bathrooms with grab bars, proper medication storage, and staff documentation. The facility is awaiting final license approval from the state before it can begin operating under the new ownership.
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Licensing Program Analysts (LPAs) Valeria Conway and Brian Balisi conducted a pre-licensing visit to this property at 09:45AM. LPAs met with Executive Director (ED), Patrice O’Grady, and explained the reason for the visit. This application is for a Change of Ownership Application (CHOW) currently operating with Facility license #197608478 and the current licensed facility has residents in care. The applicant has obtained fire clearance for One hundred and nineteen (119) non-ambulatory which eight (8) bedridden residents. There is a pending hospice care waiver. The facility is a (five) 5 story building including an underground garage. At approx. 10:30 A.M., a physical plant tour was conducted inside and out. There are fire sprinklers and fire doors throughout the facility. The kitchen was observed to be inaccessible to residents in care. Knives are kept inaccessible to residents in care. Kitchen appliances were observed to be in operable condition. The facility has a sufficient supply of perishable and non-perishable food. Dining room furniture were observed to be in good condition and appeared to be relatively clean. The supply of dishes, utensils, pots, pans and drink ware is adequate. The freezer was maintained at zero degrees Fahrenheit (0*F) and the refrigerator was maintained at 40*F. There are no pesticides (poisons) or toxins stored in any food storage area or preparation area with utensils. Trash cans had tight fitting lids. No flies or other vermin were observed. At 10:35 A.M. hot temperature water measured at 113 degrees Fahrenheit. Continued on LIC 809-C 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 Continued from LIC 809 At approximately 10:50 A.M, LPAs inspected eight (8) randomly selected rooms in all four (4) floors including the memory care unit. All resident rooms are set up with beds, nightstands, lamps, chests of drawers, chairs and closet space. The beds are furnished with box springs, comfortable mattress and clean linen; which includes, a mattress pad, top and bottom linens, pillowcases, blanket (if needed) and a bedspread. All rooms had a comfortable room temperature of 75 degrees Fahrenheit. Hot water temperature was measured in all eight (8) bathrooms and they were between the temperature range of 105-120 degrees Fahrenheit. Lighting in the rooms appeared adequate. In addition, no bedroom was used as a passageway to another room, bath or toilet. There is a brake room for staff at the facility. For nocturnal (NOC) shift, there will be awake night staff only. All rooms were free of odors. All window screens were clean and maintained in good repair. The resident bathroom(s) have a shower with non-skid materials. The toilets were in working conditions and the showers have grab bars. LPAs inspected the common areas throughout the facility including the Activity room, Lobby, reading room, lounge, café, health and fitness center. All the rooms have been appropriately furnished. There is a dedicated area for the posting of required documents throughout the facility. The common areas were observed to be properly furnished and relatively clean at the of the visit. At the time of the visit, living room and dining room furniture was observed to be in good condition. The facility maintained a comfortable temperature. All exits in Memory care have functioning auditory devices and were operational at the time of the visit.There is an evacuation chair in each stair well on each side of the building. Resident records review began at 11:55 A.M. Six (6) resident records were reviewed for, but not limited to: appraisals, medical records, admissions agreement, consent forms. Staff records review began at 12:30 P.M, Six (6) personnel records were reviewed for, but not limited to: personnel records, health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. Daily vehicle inspection list and California Highway Patrol Inspection report was revieweds. Last emergency disaster drill was conducted 07/09/2024. Continued on LIC 809-C 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 Continued from LIC-809C All records were observed to be in order at this time. The first aid supplies were complete, including a thermometer and a current version of a first aid manual. the main two (2) first aid kits were observed in the memory care director office and the health service office. Medications are stored in a medication cart which are kept in each floor and inaccessible to residents in care. Medications review began at approximately 12:45 P.M. Medications are properly documented on the centrally stored medications and destruction record. Entry/exits were free of obstructions. The outdoor areas were clean and free of hazards. The patios and balconies observed have proper furnishings. There were no bodies of water noted. Component III was conducted in conjunction with the visit. No corrections required on a pre-licensing visit at this time. Exit interview conducted. Report issued and provided to Executive Director. This report will be sent to the Centralized Application Bureau (CAB). You will be notified by the CAB Analyst when your license has been approved. You are not allowed to begin operating until you have been notified that your license has been approved by the CAB Analyst. Failure to comply could affect approval of your license.
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Other facilities under this operator
Transformer Opco LLC;oakmont Management Group LLC — as recorded on state license extracts. Each facility still has its own inspection history.
