Avantgarde Senior Living Of Tarzana

Licensing Program Analyst (LPA) Michael Cava conducted a complaint visit to the facility to investigate the above allegations. LPA met with the assistant administrator, Abigail Gigante, and staff Joyce Martinez and Alberta Cedano, and advised them of the allegations. During the course of the investigation, interviews with staff and residents were made. Records were also reviewed and copies obtained. Between 9:30am to 12:00pm, interviews were made with staff and residents. From 12:00pm to approximately 1:00pm, Resident 1 (R1) records were reviewed. Staff do not treat residents with respect: In regards to the allegation, it was reported that some residents are being treated differently than others. LPA conducted interviews with ten of ten residents. There were no complaints or concerns from these residents about being treated different, or better than the other. According to the assistant administrator and staff, they haven't received any complaints either regarding residents being treatRead the full finding— CDSS inspection report, November 1, 2022 · control 31-AS-20221024115542

Licensing Program Analyst (LPA) MIchael Cava conducted a complaint visit to the facility to investigate the above allegations. LPA met with the assistant administrator, Abigail Gigante and advised her of the visit. At approximately 9:45am to 11:30am, interviews with Abigail, front desk staff and two med techs were made. An attempt was also made to interview Resident 1 (R1), but due to their diagnosis, R1 is not responsive to the LPA's questions. From 11:30am to 1:00pm, LPA conducted a review of R1's files and obtained some copies for record. From 1:00pm to 2:00pm, a physical plant inspection of the common areas was made. Staff do not answer the authorized representative questions regarding the resident: In regards to the allegation, it was reported that when R1's family would call the facility to ask what the resident's current condition is, staff will tell them that, that is not their job to report this and won't give the family information on R1. Interviews with the administrator, frRead the full finding— CDSS inspection report, October 13, 2022 · control 31-AS-20221010101800

Licensing Program Analyst (LPA) Michael Cava conducted a complaint visit to the facility to investigate the above allegations. LPA met with the administrator, Carol Garcia-Trejo, and advised her of the visit. During the course of the investigation, LPA conducted an inspection of the physical plant to insure the health and safety of the clients, interviews and record review. Staff is threatening to drug resident: In regards to this complaint, it's being alleged that Resident 1 (R1) is being abused by a staff named "Roberta", who is threatening to use needles to "drug up" R1. Interviews with administrator and staff deny the allegation. Interviews with ten of ten residents also deny that they've been threatened by staff of getting drugged. According to administrator, there is no staff by the name of Roberta employed at this facility. A review of the staff schedule and Licensing Information System (LIS) profile confirms that there is no staff UnsubstantiatedRead the full finding— CDSS inspection report, September 22, 2022 · control 31-AS-20220916121535

Licensing Program Analyst (LPA) Wendell Smith conducted an unannounced subsequent visit to finish investigation into the allegation above. LPA met with administrator and explained the reason for this visit. It is alleged that several employees were not being paid during the period of December 2020 through January 2021. LPA conducted initial visit on 1/27/21 and interviewed Erin Mahoney who was the administrator at that time. During today's visit LPA interviewed the current administrator and facility staff who were working during December 2020 from 10-1pm. LPA also obtained and reviewed documents regarding payroll from the period of December 2020-January 2021 from 1-1:45pm. Interviews with facility staff indicated that staff had were paid and there were no issues with staff being paid. Documents obtained show that employees were paid during December 2020 through Janurary 2021. Based on the information obtained through interviews and documentation this allegation is deemed UnsubstantiateRead the full finding— CDSS inspection report, August 29, 2022 · control 31-AS-20210126132048

Licensing Program Analyst (LPA) Michael Cava conducted a complaint visit to the facility to investigate the above allegation. LPA met with the administrator, Carol Trejo and staff, Joyce Martinez, and advised them of the allegation. It was reported that a friend of facility administrator obtained access to Resident 1 (R1's) confidential information due to facility's failure to safeguard R1's information. During the course of the investigation, interviews and record reveiw were made. According to the administrator and staff, they had no idea that the administrator's friend is in contact with R1. They stated the administrator's friend and R1 only met once, when R1 went out to get a haircut. Both administrator and staff does not know that R1 had multiple interactions with the administrator's friend since they've met. They only know R1 to be low key. In addition, R1 doesn't interact with the other residents in care. UnsubstantiatedRead the full finding— CDSS inspection report, August 24, 2022 · control 31-AS-20220819162959

An unannounced initial 10 day complaint visit was conducted on this day by licensing program analysts (LPA’s) Evelin Rios and Yelena Avetisyan. Approximately 9:30 am upon LPA Rios’s arrival and entrance to the facility the LPA was not properly screened for COVID-19 precautions. LPA Rios were asked to conduct temperature check and Covid-19 screening for herself. LPA Avetisyan arrived to the facility at approximately 10:15 am was asked to conducted temperature check and Covid-19 screening for herself. Upon arrival to the facility LPA Rios met with staff Maria Juarez, who contacted the administrator Carolina Garcia Trejo. Ms. Juarez informed the LPA that administrator would not be able to come to the facility at this time. In regards to the allegation it was reported that the staff are not wearing masks while working or are wearing masks inappropriately. Approximately 9:30 am upon entering the facility LPA Rios observed Staff 1 (S1) at reception wearing a mask inappropriately under theirRead the full finding— CDSS inspection report, July 27, 2022 · control 31-AS-20220721125636

Licensing Program Analyst (LPA) Michael Cava conducted a subsequent visit to the facility to close out the investigation regarding the above facility. During the course of the investigation, interviews and physical plant inspection were made. LPA met with the administrator, Carolina Garcia-Trejo, and advised her of the visit. Staff are making inappropriate comments towards residents: In regards to the allegation, it was reported that a staff had been telling residents that are enrolled in the Assisted Living Waiver (ALW) Program that they shouldn’t be admitted into the facility. At the time of the initial investigation, the facility is retaining approximately 69 residents that are on the ALW program. Random residents on this program were interviewed, and denied this comment was ever made to them. Staff were also interviewed, and they weren’t aware that this comment was made to them, as they’ve never received any complaints or concern from the residents. Based on the information obtaineRead the full finding— CDSS inspection report, May 13, 2022 · control 31-AS-20220209110608

Licensing Program Analyst (LPA) Michael Cava conducted a complaint visit to the facility to investigate the above allegation. It's being reported that Resident 1 (R1) complained of shortness of breath, but was refused immediate medical attention. LPA Cava met with the administrator, Carolina Garcia-Trejo, and advised her of the allegation. During the course of the investigation, a physical plant inspection, interviews and record review was made. Per interviews with the administrator and staff, R1 had only lived in the facility for two weeks. Since admission, R1 has been aggressive towards staff and had made some false allegations. Regarding the allegation of not being provided immediate medical attention, administrator and staff denies them. Staff stated in the early morning of 4/21/22, on or around 4am, R1 never informed the NOC shift he was experiencing pain. R1 carries a personal cell phone and called 911 on his own to get transported to the hospital. R1 was admitted for treatment,Read the full finding— CDSS inspection report, April 26, 2022 · control 31-AS-20220422121241

Licensing Program Analyst (LPA) Michael Cava conducted a complaint visit to the facility to conclude the investigation regarding the allegations above. LPA met with the administrator, Carolina Garcia-Trejo and advised her of the investigation which consisted of interviews with residents, staff and record review. Staff failed to protect resident from being harmed by another resident: In regards to the allegation, it's being reported that Resident 1 (R1) is physically abusive towards staff and other residents, but staff are not doing anything to protect the other residents. It's also alleged that R1 had bitten another resident. Interviews with staff and residents do not corroborate with the allegation. Furthermore, when an interview was held with the reporting party (RP), they could not provide any witnesses vicitms, date and time of when R1 was aggressive towards other residents. Furthermore, RP could not confirm R1 biting another resident as they did not physically witness the incidentRead the full finding— CDSS inspection report, April 15, 2022 · control 31-AS-20200914160454

Licensing Program Analyst (LPA) Wendell Smith conducted an unannounced complaint visit to finish investigation into the allegation above. LPA met with facility staff and explained the reason for this visit. This complaint was referred to accepted by the Investigations Branch (IB). IB Investigator Harmin Sandhu conducted the investigation. It is alleged that resident #1 (R1) was sexually abused by staff #1 (S1). This investigation consisted of interviews with R1 and facility staff on 12/20/21. R1's physician report was obtained and reviewed. Information obtained from interviews reveal that on 10/28/21 at approximately 11am facility staff went to R1's room, knocked on the door then opened the door and observed S1 partially undressed from the waist down with R1. Facility staff promptly left the room and alerted the administrator. S1 was promptly escorted from the facility. Interviews were conducted with R1 and other facility staff. Information from interviews reveal that S1 and R1 were inRead the full finding— CDSS inspection report, March 25, 2022 · control 31-AS-20211101161122

Licensing Program Analyst (LPA) Gary Tan and Michael Cava conducted a complaint visit to facility to investigate the above allegation. LPAs met with the administrator, Carol Trejo, and explained to her the purpose of the day's visit. It's being alleged that the facility has fleas and it was observed in the resident's room, bed and carpeting. Today's investigation consisted of resident and staff interviews, a physical plant inspection of resident rooms and common areas, and record review. According to staff, on or around 3/11/22, R1 was noticed to be scratching self. When staff assessed R1, they did observe fleas and eggs on her. Home Health was notified, prescription and treatment was applied. Staff stated additional flea medication was prescribed and will be applied to R1 every seven days. Staff stated R1's roommate, Resident 2 (R2) was also assessed and was observed with flea eggs. R2 was also given treatment and prescription. In addition to getting both residents treated for fleas,Read the full finding— CDSS inspection report, March 17, 2022 · control 31-AS-20220310161117

Licensing Program Analyst (LPA) Gary Tan and Michael Cava conducted a complaint visit to facility to investigate the above allegation. LPAs met with the administrator, Carol Trejo, and explained to her the purpose of the day's visit. Today's investigation consisted of resident and staff interviews, a physical plant inspection of resident rooms and common areas, and record review. Facility not keeping residents room free from pests: In regards to the allegation, it's alleged that facility has cockroaches and lice. This investigation is made in conjunction to complaint control # 31-AS-20220310161117, allegation facility has insects. LPAs conducted interviews and record review to address the concern. According to staff, on or around 3/11/22, R1 was noticed to be scratching self. When staff assessed R1, they did observe fleas and eggs on her. Home Health was notified, prescription and treatment was applied. UnsubstantiatedRead the full finding— CDSS inspection report, March 17, 2022 · control 31-AS-20220311130718

Licensing Program Analysts (LPAs) Gary Tan and Michael Cava conducted a complaint visit to facility to investigate the above allegations. The day's investigation consisted of a physical plant inspection, record review, and interviews with residents and staff. During the course of the investigation, LPAs met and interveiwed with the administrator, Carolina Garcia-Trejo. LPA's conducted a physical plant inspection at 9:02am, requested and reviewed facility documents at 9:35am, and conducted interviews from 10:00am to 12:45pm. Unqualified staff assessing resident's care/Unqualified staff signing off on resident's documents: In regards to the above allegations, it's alleged that Staff 1 and 2 (S1 & S2) are assessing for resident's care, signing prescription forms that are sent to the pharmacy, and placing residents on hospice care, even if the residents do not qualifiy. S1, admits she is not a nurse. Her job title is care coordinator. UnsubstantiatedRead the full finding— CDSS inspection report, March 3, 2022 · control 31-AS-20220209110608

Licensing Program Analysts (LPAs) Gary Tan and Michael Cava conducted an unannounced subsequent complaint visit to this facility to further investigate the above allegations. LPAs met with Executive Director Carol Trejo and explained the reason for the visit. LPAs conducted physical plant tour at 9:02 AM, requested copy of facility documents relevant to the investigation at 9:35 AM and conducted interview with additional staff and residents between 10:00 AM to 12:45 PM. Regarding the allegation that a Staff pushed resident while in care, it was alleged that Staff #1 (S1) pushed Resident #1 (R1). LPA's record review today at 9:40 AM of Police interview with R1 revealed that the alleged incident occurred on 02/04/2022 at 8:00 PM, further review revealed that S1 was not on duty at the reported time of alleged incident. LPA's interview with R1 on 02/15/22 at 11:45 AM revealed that R1 did not remember the date and time of the alleged incident. LPA's interview with Resident #2 (R2) who is thRead the full finding— CDSS inspection report, March 3, 2022 · control 31-AS-20220207120245

Licensing Program Analysts (LPAs) Gary Tan and Michael Cava conducted a complaint visit to facility to investigate the above allegations. The day's investigation consisted of a physical plant inspection, record review, and held interviews with residents and staff. During the course of the investigation, LPAs met and interveiwed with the operations manager, David Aguiniga. LPA's conducted a physical plant inspection from 9:35am to 10:30am, requested and reviewed facility documents at 10:30am, and conducted interviews from 10:45am to 1:00pm. Facility is out of ratio with hospice residents: In regards to the above allegation, a review of the facility license indicate that facility has a hospice waiver approved for 25. Mr. Aguiniga and staff conducted a count to confirm how many facility residents are receiving hospice care. Their count reveals 22 residents receiving hospice care. LPAs Tan and Cava UnsubstantiatedRead the full finding— CDSS inspection report, February 15, 2022 · control 31-AS-20220209110608

Licensing Program Analyst (LPA) Wendell Smith made an unannounced complaint visit to investigate the allegation above. LPA met with the administrator and explained the reason for this visit. Regarding the allegation it is alleged that resident #1 (R1) moved out and the facility did not refund R1's pre-admission fee. LPA interviewed the administrator regarding this allegation from 1:30-1:45pm. LPA also reviewed R1's admission agreement from 1:45-2:10pm. LPA also interviewed R1's responsible person regarding this allegation. Information from a review of R1's admission agreement found that if the resident has lived in the facility for four or more months, the licensee may, but is not required to make a refund of the preadmission fee. It was noted that R1 lived in the facility from 7/5/21 through 1/13/22 which is more that four months. Based on the information obtained this allegation is deemed Unsubstantiated at this time. Exit Interview conducted. UnsubstantiatedRead the full finding— CDSS inspection report, February 1, 2022 · control 31-AS-20220131121000

Licensing Program Analyst (LPA) Wendell Smith conducted an unannounced subsequent complaint visit to finish investigation into the allegations above. LPA met with the administrator and explained the reason for this visit. LPA conducted a physical plant tour to ensure no immediate health and safety concerns from 11:10-11:30am. Staff left residents in soiled diapers for an extended period of time it is alleged that residents are not being changed in a timely manner. LPA conducted an intial visit on 11/5/21 where LPA conducted interviews with residents regarding this allegation. During today's visit LPA interviewed residents who require assistance with incontinent care from 12pm-2pm. Interviews revealed that residents are satisfied with the time it is taking to get changed when they need assistance. Based on the information obtained through interviews this allegation is deemed Unsubstantiated at this time. UnsubstantiatedRead the full finding— CDSS inspection report, November 19, 2021 · control 31-AS-20211103144234

An unannounced subsequent complaint visit was conducted on this day by licensing program analyst (LPA) Yelena Avetisyan. Regarding the allegation of Smoke alarms were not working it was reported that there was a small fire in the room of a resident in the memory care caused by a lamp, the smoke alarms did not go off when the fire was occurring. On 10/18/2021 LPA conducted a tour of the room indicated on the complaint and spoke with the current administrator. While touring the room LPA did not observe any smoke damage. According to Ms. Trejo the family of the resident brought a new lamp and did not completely remove the plastic. When the lamp was turned on it melted the plastic causing very little smoke. Per administrator the incident did not cause a fire and did not cause heavy smoke to be in the rooms and believes that is the reason the smoke alarms were not activated. On 10/20/2021 at 8:30 am LPA conducted telephone interview with LAFD Inspector regarding the allegation. According toRead the full finding— CDSS inspection report, October 20, 2021 · control 31-AS-20211013141439

Licensing Program Analyst(s) Wendell Smith and LaQueena Lacy conducted an unannounced initial complaint visit to investigate the allegations above. LPA met with the administrator and explained the reason for this visit. Upon entry to the facility a physical plant tour was conducted from 9:45am-10:00 am to ensure no immediate health and safety issues. No immediate health and safety issues were noted during the walk through. Facility did not issue Resident's Representative a refund Regarding this allegation it is alleged that resident # 1(R1) rent was paid in advance for October 2021 and that R1 passed away on 9/24/21 and the facility has not issued a refund for the October 2021 payment. LPA's conducted interviews with the administrator and facility staff regarding this allegation from 10-10:20am. LPA's reviewed R1's facility file and obtained copies of pertinent information related to R1's file from 10:20-11:00am. UnsubstantiatedRead the full finding— CDSS inspection report, October 5, 2021 · control 31-AS-20210929150409

Licensing Program Analyst(s) Wendell Smith and LaQueena Lacy conducted an unannounced subsequent complaint visit to investigate the allegations above. LPA met with the administrator and explained the reason for this visit. Staff are not administering medications to residents according to physicians instructions. It is alleged that the facility changed resident # 1(R1) medication without permission and R1 was not receiving their medication as prescribed. From 12:15-1:00PM LPA's reviewed R1's medication record from January to March 2021. LPA obtained copies of pertinent information related to the allegation. LPA's interviewed facility staff from 1:00-1:15pm. LPA's were not able to interview R1 due to R1 passing on 9/24/21. Interviews revealed that R1's family picked R1's pharmacy and that R1 had their own physician Based on information obtained through interviews and record review this allegation is deemed Unsubstantiated at this time. UnsubstantiatedRead the full finding— CDSS inspection report, October 5, 2021 · control 31-AS-20210120115809

Licensing Program Analyst (LPA) Calvin Tsui and Alex Pritz conducted a unannounced complaint visit to invesitgate the allegations of "Staff do not ensure the residents are properly fed while in care" and "Residents personal belongings are mishandled while in care". For the allegation. "Staff do not ensure the residents are properly fed while in care" the allegation indicates the food is in poor quality and the portions are too small, the meals are served at inconsistant times resulting in residents going hungry. At 11:30 a.m. LPA's interviewed 10% of facility census; 5/5 residents interviewed in memory care and 8/8 interviewed in assisted living stated that they where getting enought to eat. Furthermore, LPA observed residents asking for seconds during lunch and getting more. The allegation is unsubstantiated. UnsubstantiatedRead the full finding— CDSS inspection report, September 28, 2021 · control 31-AS-20210915103232

Licensing Program Analyst (LPA) Wendell Smith conducted an unannounced subsequent visit to further investigate the allegation above. LPA met with the administrator and explained the reason for this visit. Regarding the allegation above it is alleged that staff failed to check on residents in a timely manner when they pushed their pendant in their room. LPA had previously conducted visits regarding this allegation on 6/18/21 and 1/29/21. During today's visit LPA conducted interviews with random residents regarding the allegation from 11:30-12:30pm. Based on the information obtained during interviews this allegation is still deemed Unsubstantiated. Exit Interview conducted. UnsubstantiatedRead the full finding— CDSS inspection report, September 27, 2021 · control 31-AS-20210127105116

Licensing Program Analyst (LPA) Wendell Smith made an unannounced subsequent visit to finish investigation into the allegations above. LPA met with facility staff and explained the reason for this visit. LPA conducted an initial visit to this facility on 8/17/21. Residents are not able to communicate with staff It is alleged that residents are not able to communicate with staff due to staff not speaking english. LPA conducted interviews from approximately 10am-11:30am with various residents regarding this allegation. Information from interviews reveal that residents are able to communicate sufficiently with facility staff. LPA also spoke with various staff throughout the visit and was able to communicate with staff in English. Based on the information obtained through interviews and observation this allegation is deemed Unsubstantiated at this time. UnsubstantiatedRead the full finding— CDSS inspection report, August 24, 2021 · control 31-AS-20210816082350

Licensing Program Analyst (LPA) Wendell Smith conducted an unannounced complaint visit. LPA met with the administrator and explained the reason for this visit. Regarding the allegation above it is alleged that facility failed to report they had active covid cases. At approximately 12:30 pm LPA conducted an interview with the administrator regarding this allegation. Administrator stated that they did covid testing on 7/27/21 and on 7/30/21 late in the afternoon the results came back that one resident and one staff were positive. They then called Department of Public Health and notified them of the situation. Facility then conducted mandatory covid testing for all residents and staff from 4pm-8pm on 7/30/21. They received the results today and all were negative including the two that were initially positive. LPA received an incident report regarding the covid cases this morning at 9:28 am. Based on the information obtained through interviews and documentation received this allegation isRead the full finding— CDSS inspection report, August 2, 2021 · control 31-AS-20210730150302

Licensing Program Analyst (LPA) Gary Tan conducted an unannounced subsequent visit to this facility to further investigate the above stated allegations. LPA met with Assistant Care Coordinator Jero Argota and explained the reason for the visit. LPA also talked to the new Executive Director Carolina Garcia Trejo on the phone and designated Mr. Argota to sign the report. At around 9:00 AM, LPA conducted physical plant tour. At 10:00 AM, LPA requested copy of pertinent facility documents relevant to the investigation. At 11:02 AM to 2:30 PM, LPA conducted interview with staff and residents. Regarding the allegation that Staff did not give resident a sufficient amount of water, LPA interview with five (5) Memory Care Unit staff today between 11:02 to 2:30 PM revealed that staff conduct routine check to ensure that all residents are comfortable and their needs are met. LPA interview with staff present during the incident on 05/22/2020 where Resident #1 (R1) was screaming for water, revealedRead the full finding— CDSS inspection report, July 24, 2021 · control 31-AS-20200601091800