Northridge Retirement Villa

Type of visit: Case Management - Annual Continuation

Licensing Program Analyst (LPA) Mariana Agban conducted an unannounced continuation of the annual inspection. LPA met with Administrator Aida Amante and disclosed the reason for the visit. LPA reviewed 5 resident and 3 personnel files. LPA also reviewed medication and medication records for proper documentation. Pursuant to Title 22 Division 6 of the CA Code of Regulations, there were no deficiencies observed during the visit. Exit Interview Conducted and a Copy of the Report Issued. .the state’s words, verbatim · CDSS document, Sep 8, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Mariana Agban conducted an Annual Required visit and inspection of the facility. Upon arrival, LPA was greeted by staff and explained the reason for the visit. Shortly after, LPA met with Licensee Martin Manzano and explained the reason for the visit. Administrator, Aida Amante was also present during the annual inspection. At approximately 2:15 PM, with the assistance of the Licensee, LPA took a tour of the physical plant, and the following were observed: Required postings were observed in the entry area. The smoke alarms are interconnected and battery-operated. The smoke alarms and the carbon monoxide were tested and they were properly function. Kitchen: The kitchen appliances and fixtures were functional. LPA found a sufficient amount of perishable and non-perishable food at the facility; properly stored. Knives were stored in a locked drawer in the kitchen. Properly labeled medications were locked in one of the kitchen cabinets. The fire extinguisher is located in the kitchen with the purchase date 08/28/25. Bedrooms: There were five (5) bedrooms in the facility. Four (4) are designated for residents' use and one (1) for staff use. Two (2) bedrooms are shared and two are private. All bedrooms were clean, properly furnished, and had sufficient lighting. Bathrooms: There are two (2) bathrooms designated for residents' use. One (1) bathroom in the hallway which is the main, and one (1) in room #3. Both bathrooms were properly supplied and had functional fixtures. Hot water temperature was measured from the bathroom sink at 107.5 and 106.5 degrees Fahrenheit. No cleaning supplies or hazardous items were present in each bathroom during the inspection. (Continue on 809C) Common Areas: These included the living room and dining area. The common areas were properly furnished. The dining room table is large enough to sit the capacity of the facility. Seating such as couches were in good repair and sit the capacity of the facility. The auditory alarms on all exit doors were on and functional at the time of the visit. Surrounding Grounds: Entry/exits were free of obstruction. There was furniture appropriate for outdoor use. The outdoor area was free of hazards. Laundry Area: located through the kitchen. Appliances observed to be in good repair. Laundry detergents were locked inaccessible to residents. Garage: was observed to be only used for storage. Resident Files: LPA conducted a file review for 1 out of 6 residents to ensure compliance with licensing forms. LPA interviewed 6 out of 6 residents. Temperature: Facility maintains a comfortable temperature of 79 degrees Fahrenheit. Due to time constraints, LPA was unable to complete the annual inspection during today's visit. Administrator was informed that a follow up visit will be conducted. During today's the facility was in compliance with Title 22 regulations. No immediate health and safety risks were observed. Exit interview conducted. Copy of report providedthe state’s words, verbatim · CDSS document, Sep 3, 2025

Allegation investigated: Personal Rights

Licensing Program Analysts (LPAs) Mariana Agban and Nadia Shahbizian conducted an unannounced visit to this facility. LPAs met with the Licensee Lani Manzano and explained the reason for the visit. LPAs conducted a physical plant walk through to ensure that the facility is in compliance with rules and regulations under California Code of Regulations, Title 22, Division 6. LPAs did not observe any immediate health and safety issues during the visit. Based on the information LPAs gathered LPAs determined that the allegations are unfounded. Resident#1 (R1) doesn’t live at the address stated on the complaint report. A finding of unfounded means that the allegation is either false, could not have happened, and/or is without a reasonable basis. We have therefore dismissed the complaint. Exit interview conducted and copy of this report issued Unfoundedthe state’s words, verbatim · CDSS document, Apr 23, 2025 · control 31-AS-20250422163601

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Mariana Agban conducted an Annual Required visit and inspection of the facility. Upon arrival, LPA was greeted by staff and explained the reason for the visit. Shortly after, LPA met with Licensee Lani and Martin Manzano and explained the reason for the visit. Administrator, Aida Amante was also present during the annual inspection. At approximately 10:05 am, with the assistance of the Licensee, LPA took a tour of the physical plant, and the following were observed: Required postings were observed in the entry area. The smoke alarms are interconnected and battery-operated. The smoke alarms and the carbon monoxide were tested and they were properly function. Kitchen: The kitchen appliances and fixtures were functional. LPA found a sufficient amount of perishable and non-perishable food at the facility; properly stored. Knives were stored in a locked drawer in the kitchen. Properly labeled medications were locked in one of the kitchen cabinets. The fire extinguisher is located in the kitchen with the purchase date 09/03/24. Bedrooms: There were five (5) bedrooms in the facility. Four (4) are designated for residents' use and one (1) for staff use. Two (2) bedrooms are shared and two are private. All bedrooms were clean, properly furnished, and had sufficient lighting. Bathrooms: There are two (2) bathrooms designated for residents' use. One (1) bathroom in the hallway which is the main,and one (1) in room #3. Both bathrooms were properly supplied and had functional fixtures. Hot water temperature was measured from the bathroom sink at 109.6 and 107.8 degrees Fahrenheit. No cleaning supplies or hazardous items were present in each bathroom during the inspection. Common Areas: These included the living room and dining area. The common areas were properly furnished. The dining room table is large enough to sit the capacity of the facility. Seating such as couches were in good repair and sit the capacity of the facility. The auditory alarms on all exit doors were on and functional at the time of the visit. (Continue on 809C) Surrounding Grounds: Entry/exits were free of obstruction. There was furniture appropriate for outdoor use. The outdoor area was free of hazards. Laundry Area: located through the kitchen. Appliances observed to be in good repair. Laundry detergents were locked inaccessible to residents. Garage: was observed to be only used for storage. Resident Files: LPA conducted a file review of resident records to ensure compliance with licensing forms. Staff Files: LPA also conducted a file review of staff records to ensure forms and training are up to date and compliant with licensing forms. Medications: Medication and Medication Records were reviewed for proper documentation. Temperature: Facility maintains a comfortable temperature of 76 degrees Fahrenheit Pursuant to Title 22 Division 6 of the CA Code of Regulations, there were no deficiencies observed during the visit. Exit Interview Conducted and a Copy of the Report Issued.the state’s words, verbatim · CDSS document, Sep 30, 2024