Atria Santa Clarita

This is an amended copy of the report previously issued on 8/16/2024 and 5/30/2023. This report supersedes reports previously issued. The findings for this complaint remain the same. On 8/14/2024 Licensing Program Analyst (LPA) Melissa Spaeth conducted a subsequent complaint investigation at the above facility to address the following allegation(s). LPA Spaeth was met by the Resident Services Director, Venca Avivi who stated the Administrator would be arriving to the facility. LPA was greeted by the Executive Director, April Princesa at 11:20 am. LPA explained the purpose of this visit was to present the findings. The investigation consisted of the following: On 5/30/2023 LPA Spaeth initiated a complaint investigation for the allegation(s) listed above. LPA Spaeth requested the resident roster and copies of residents’ files. During the visit, LPA received the documentation. Continued on 9099C UnsubstantiatedRead the full finding— CDSS inspection report, August 16, 2024 · control 31-AS-20230524170317

Licensing Program Analyst (LPA) Tuesday Cabiness conducted an unannounced complaint visit and met with the Executive Director (ED) April Princesa, who was informed the reason of the visit. The following was determined: It was alleged the resident's safety pendents were not operable. During today's visit, from 945am to 1230pm, LPA conducted a physical plant inspection, interviewed residents and staff, and reviewed facility documents. On 01/19/2024, the ED and facility staff were notified by residents that there pendants were not working. The alarm was tested, and it was determined by the IT Support team the computer system had crashed, and needed to be replaced. The ED reported to LPA, it took (4) days to repair, and on 01/22/2024, the system was operating properly. LPA verified the system was operating, by having staff do a test check. Residents were notified the system was not working and when it was repaired. LPA confirmed that during interviews with residents. Also LPA obtained faciRead the full finding— CDSS inspection report, January 23, 2024 · control 31-AS-20240122091521

This is an amendment of the report issued on 04/27/23 to rectify a typographical error. Licensing Program Analyst (LPA) Gary Tan conducted an unannounced subsequent complaint visit at this facility to further investigate the above allegation. LPA met with Business Office manager and informed the purpose of the visit. LPA conducted physical plant tour at 9:30 AM, requested copy of facility documents relevant to the investigation and reviewed the same from 10:00 AM to 11:30 AM. LPA also conducted interview with staff from 11:30 AM to 12:30 PM. It was alleged that there was no communication from the facility about Resident #1 (R1) to family member (FM) being rushed to emergency surgery for a broken hip on 10/21/19. LPA's record review today between 10:00 AM to 11:30 AM revealed that staff called the family member of R1 and Primary Care Physician (PCP) on the night of the incident on 10/20/19 at around 11:30 PM. LPA's interview with the former Staff #1 (S1) today at 12:10 PM, who attendedRead the full finding— CDSS inspection report, April 27, 2023 · control 31-AS-20200225154209

This is an amendment of the report issued on 10/28/22 to change the findings. Licensing Program Analyst (LPA) Gary Tan conducted an unannounced subsequent complaint visit to this facility to deliver the findings for the above allegation. LPA met with staff Venca Avivi and explained the reason for today’s visit. On 05/10/21, a complaint was received by the Woodland Hills Adult and Senior Care Regional Office. The complaint was referred to and accepted by Community Care Licensing Division’s Investigations Branch (IB) and assigned to IB investigator Olivia Spindola. On 05/11/2021 at 11:00 AM, LPAs Tuesday Cabiness and Rosaura Valenzuela initiated the complaint visit. LPAs Cabiness and Valenzuela conducted physical plant tour and obtained copies of the facility records relevant to the investigation. (continued on LIC 9099-C) UnsubstantiatedRead the full finding— CDSS inspection report, March 18, 2023 · control 31-AS-20210510084331

Licensing Program Analyst (LPA) Gary Tan conducted an unannounced subsequent complaint visit at this facility to further investigate the above allegations. LPA met with Resident Services Director Venca Avivi and explained the reason for the visit. LPA conducted physical plant tour at 9:40 AM, requested copy of facility documents relevant to the investigation and reviewed the same from 10:00 AM to 1:00 PM. LPA also conducted interview with staff from 1:00 PM to 2:30 PM. Regarding the allegation that staff diagnosed resident without proper consent, it was alleged that the facility did not inform Resident #1 (R1)'s family member regarding a doctor's visit to evaluate R1 which resulted to a new diagnosis. LPA's record review today between 10:00 AM to 1:00 PM revealed that R1 was already diagnosed with Dementia prior to moving in at the facility. Further review also revealed that it was R1's PCP who ordered the evaluation and not the facility staff. (continued on LIC 9099-C) UnsubstantiatedRead the full finding— CDSS inspection report, November 9, 2022 · control 31-AS-20200225154209

Licensing Program Analysts (LPA) Abeye Duguma conducted an unannounced subsequent complaint visit to investigate the above allegations. LPA met with the Executive Director (ED), Johnny Ortiz, and discussed the reason for the visit. --- Facility staff not providing assistance to residents in a timely manner. It was alleged that the residents are waiting a long period of time because the facility is understaffed. To investigate the allegation, on 10/31/2022 at 10:45 AM, LPA requested records, at 12:00 PM, LPA interviewed residents, at 1:45 PM, LPA made observations and, at 2:00 PM, LPA interviewed staff. Record reviews show that in the past seven days the call button was used two hundred sixty four times (264), the average response time was seven minutes (07) and there is at least one caregiver per floor per shift caring for an average ten (10) residents per floor in the Memory Care building and twenty eight (28) in the Assisted Living building. (Cont. on LIC9099-C) UnsubstantiatedRead the full finding— CDSS inspection report, October 31, 2022 · control 31-AS-20221027112508

This is an amendment of the report issued on 10/28/22 to partially change the findings. Licensing Program Analyst (LPA) Gary Tan conducted an unannounced subsequent complaint visit to this facility to deliver the findings for the above allegation. LPA met with staff Venca Avivi and explained the reason for today’s visit. On 05/10/21, a complaint was received by the Woodland Hills Adult and Senior Care Regional Office. The complaint was referred to and accepted by Community Care Licensing Division’s Investigations Branch (IB) and assigned to IB investigator Olivia Spindola. On 05/11/2021 at 11:00 AM, LPAs Tuesday Cabiness and Rosaura Valenzuela initiated the complaint visit. LPAs Cabiness and Valenzuela conducted physical plant tour and obtained copies of the facility records relevant to the investigation. (continued on LIC 9099-C) SubstantiatedRead the full finding— CDSS inspection report, October 28, 2022 · control 31-AS-20210510084331

Licensing Program Analysts (LPA) Abeye Duguma conducted an unannounced subsequent complaint visit to the facility. LPA met with Johnny Ortiz and discussed the reason for the visit. --- Facility staff billed resident for services not being provided. --- Changes in resident’s condition was not discussed with the family and physician. It was alleged that resident #1 (R1) is being billed for care they are not receiving, and that staff reassessed the R1 but did not inform their doctor. To investigate these allegations, on 09/06/2022 at 12:30 PM, LPA interviewed staff, on 09/06/2022 at 2:30PM, LPA requested pertinent documents and, on 10/06/2022 at 01:30 PM, LPA interviewed the Reporting Party (RP). During interviews with staff, they stated they do not charge for services not provided, that R1 was at a Level One (01) with Level One (01) Medication assistance, that R1's spouse requested for a higher level of care by phone and after a reassessment of needs, the level of care was increased to LRead the full finding— CDSS inspection report, October 17, 2022 · control 31-AS-20220829113112

Licensing Program Analysts (LPA) Abeye Duguma conducted an unannounced subsequent complaint visit to investigate the above allegations. LPA met with Johnny Ortiz, Executive Director (ED), and discussed the reason for the visit. --- Staff did not ensure that resident's hygiene needs were met. It was alleged that resident #1 (R1) was found to be malodorous during a visit by the Reporting Party (RP). To investigate this allegation, on 09/06/2022 at 12:30 PM, LPA interviewed staff and residents, on 10/06/2022 at 01:30 PM, LPA interviewed the Reporting Party (RP). In addition to the interviews, on 10/10/2022 at 12:30 PM, LPA conducted a physical inspection of randomly selected rooms. (Cont. on LIC 9099-C) UnsubstantiatedRead the full finding— CDSS inspection report, October 10, 2022 · control 31-AS-20220829113112

Licensing Program Analyst (LPA) Abeye Duguma conducted an unannounced subsequent complaint visit to obtain additional information for the above noted allegations. LPA met with the Executive Director (ED), Johnny Ortiz, and discussed the reason for the visit. --- Resident is not being assisted with services. It was alleged that resident #1 (R1) was not getting the services that the family pays for, such as diaper changing, wrapping his left leg and changing his bedding. To investigate this allegation, on 03/16/2022 at 10:15am, LPA interviewed staff and on 04/20/2022 at 3:30pm, LPA interviewed residents and conducted a physical inspection of randomly selected rooms including R1’s room. The observations and interviews revealed that the beddings were clean and, according to staff, they are changed once a week or as needed. (CONT. on LIC9099-C) UnsubstantiatedRead the full finding— CDSS inspection report, June 29, 2022 · control 31-AS-20220315143212

Licensing Program Analysts (LPA) Abeye Duguma conducted an unannounced subsequent complaint visit. LPA met with Venca Avivi and discussed the reason for the visit. ---Residents door is in disrepair It was reported that the resident's door is in disrepair. To investigate this allegation, on 03/11/2022, between 12:30pm - 2:30pm and on 05/02/2022 between 2:15 PM - 3:20 PM, LPA conducted interviews and requested pertinent documents. The interviews revealed that the resident would often aggressively handle the door, motioning the door handle up and down beyond its intended design limitations and it eventually broke. Although documents revealed that a work order was place for repairs on 03/08/2021 at 12:43pm and the door was repaired the following day, the facility failed to completely remove the mechanism from the disrepaired door which resulted in a visitor and resident being locked in the room. (Cont. on LIC 9099-C) SubstantiatedRead the full finding— CDSS inspection report, May 24, 2022 · control 31-AS-20200309111042

Licensing Program Analysts (LPA) Abeye Duguma conducted an unannounced subsequent complaint visit to obtain additional information for the above noted allegation. LPA met with Venca Avivi and discussed the reason for the visit. --- Staff not providing resident’s medications as prescribed. It was alleged that the Resident #1 (R1) was given his potassium pills twice a day instead of once a day as written on the bottle. To investigate this allegation, on 03/16/2022 at 11:50am, Licensing Program Analysts (LPA) requested pertinent documents and, on 04/20/2022 at 3:45pm, LPA interviewed staff and complainant. A review of R1’s Physician’s Orders revealed that R1 was prescribed potassium 10mg once daily, yet the Medication Administration Records (MAR) dated 08/20/2020 shows that the facility administered the medication twice daily. (Cont. on LIC9099-C) SubstantiatedRead the full finding— CDSS inspection report, May 24, 2022 · control 31-AS-20220315143212

Licensing Program Analysts (LPA) Abeye Duguma conducted an unannounced subsequent complaint visit to the facility. Upon entry, LPA met with Executive Director (ED), Johnny Ortiz, and explained the reason for the visit. --- Staff did not seek timely medical care for resident. It was alleged that the facility did not seek timely medical attention for Resident #1 (R1). To investigate this allegation on 04/06/2022 LPA interviewed staff and requested pertinent documents from 11:00 AM - 2:20 PM. Interviews and record reviews revealed that the facility staff completed a Notice of Change in Condition on 05/03/2020, 05/06/2020 and 05/11/2020 and faxed them to the physician at HealthCare Partners Medical Group and Affiliated Physicians. (Cont. on LIC9099-C) UnsubstantiatedRead the full finding— CDSS inspection report, April 26, 2022 · control 31-AS-20200521113557

Licensing Program Analysts (LPA) Abeye Duguma conducted an unannounced subsequent complaint visit to obtain additional information for the above noted allegations. LPA met with Johnny Ortiz, Executive Director (ED), and discussed the reason for the visit. --- Staff do not assist with showering. It was alleged that R1 did not shower for weeks. To investigate this allegation, on 03/16/2022 at 10:15am, LPA interviewed staff and on 04/20/2022 at 3:45pm, LPA conducted a physical inspection of randomly selected rooms and interviewed staff between 3:30pm-4:30pm. The observations and interviews revealed that all hygiene needs are being met, that each resident has a shower schedule, but are also showered more often if needed, and that caregivers are on standby for those who need assistance. (CONT. on LIC9099-C) UnsubstantiatedRead the full finding— CDSS inspection report, April 20, 2022 · control 31-AS-20220315143212

Licensing Program Analyst (LPA) Gary Tan conducted an unannounced subsequent complaint visit to this facility to investigate the above allegations. LPA met with Resident Care Director Venca Avivi and informed the purpose of the visit. LPA conducted physical plant tour at 9:50 AM, requested facility records relevant to the investigation at 10:30 AM and conducted interview with staff between 11:00 AM to 1:00 PM. Regarding the allegation that resident's walker was in disrepair, it was alleged that Resident #1 (R1)'s walker leg falls off when being picked up. LPA's interview with four (4) staff on 03/26/22 between 10:00 AM to 2:00 PM and two (2) staff today between 10:00 AM to 1:00 PM revealed that no one was aware that R1's walker was broken until it was reported by R1's family member on 04/02/21. LPA's record review on 03/26/22 at around 11:30 AM also revealed that R1 had a new walker delivered the next day, 04.03/21 as ordered by the family member. (continued on LIC 9099-C) UnsubstantiaRead the full finding— CDSS inspection report, April 13, 2022 · control 31-AS-20210510084331

Licensing Program Analysts (LPA) Abeye Duguma conducted an unannounced subsequent complaint visit to the facility. Upon entry, LPA met with Executive Director (ED), Johnny Ortiz, and explained the reason for the visit. --- Resident was overheated. It was alleged that Resident #1 (R1) was in her room with the door shut, and the heater was on full blast. To investigate this allegation, on 03/11/2022 at 9:40 AM, Licensing Program Analysts (LPAs), Abeye Duguma and Gary Tan, conducted a physical plant tour and interviewed staff between 10:15 AM – 11:40 AM. Interviews and observations revealed that the facility staff do not adjust the room’s temperature higher than seventy-eight degrees (78º). (CONT. on LIC 9099-C) UnsubstantiatedRead the full finding— CDSS inspection report, April 6, 2022 · control 31-AS-20220310153449

Licensing Program Analyst (LPA) Gary Tan conducted an unannounced subsequent complaint visit to this facility to investigate the above allegations. LPA met with Resident Care Director Venca Avivi and informed the purpose of the visit. LPA conducted physical plant tour at 10:00 AM, requested facility records relevant to the investigation at 11:00 AM and conducted interview with staff and residents between 11:00 AM to 2:00 PM. Regarding the allegation that the facility is malorodorous, it was alleged that the hallway of the Life Guidance (Memory Care) Unit of the facility reeked of urine. LPA toured all three (3) floors of the Memory Care unit and did not observe any stink and/or bad smell along the hallways and common rooms of the building. (continued on LIC 9099-C UnsubstantiatedRead the full finding— CDSS inspection report, March 26, 2022 · control 31-AS-20210510084331

Licensing Program Analysts (LPAs) Abeye Duguma and Gary Tan conducted an unannounced subsequent complaint visit to obtain additional information for the above noted allegations. LPA met with Johnny Ortiz, Executive Director (ED) and discussed the reason for the visit. ---Staff locked residents in their rooms. It was reported that the resident is being locked in the room. To investigate these allegations, on 03/11/2022 at 2:00pm LPAs conducted a physical plant tour. During the tour, LPAs selected random rooms to inspect and discovered that the rooms may only be locked from the inside. LPAs' interview facility staff between 12:30pm-2:30pm revealed that no one locked any resident inside their rooms at any time. Based on the information gathered during this and prior investigations, the allegation is unsubstantiated at this time. (CONT on LIC9099-C) UnsubstantiatedRead the full finding— CDSS inspection report, March 11, 2022 · control 31-AS-20200309111042

Licensing Program Analysts (LPA) Abeye Duguma conducted an unannounced subsequent complaint visit to the facility. Upon entry, LPA was screened for COVID 19 and met with Executive Director (ED) Johnny Ortiz. --Staff did not safeguard resident's personal belongings It was reported that Resident #1’s (R1) dentures were misplaced/lost and the facility staff felt that they should not be held responsible. During the investigation conducted on 01/24/2022 at 10:30am, LPA interviewed the reporting party. On 02/08/2022 at 11:00am, LPA requested facility records and interviewed the Executive Director (ED). LPA conducted a record review and discovered that the personal belonging in question was not listed on the Client/Resident Personal Property and Valuables Inventory Form which was signed and dated by R1’s responsible party. Based on interviews and record review, there is no relevant information to support the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. UnsubstantiateRead the full finding— CDSS inspection report, February 22, 2022 · control 31-AS-20220121083121

Licensing Program Analysts (LPA) Abeye Duguma conducted an unannounced subsequent complaint visit to the facility. Upon entry, LPA was screened for COVID 19 and met with Executive Director (ED) Johnny Ortiz. --Resident is left in room all day. It was reported that Resident #1's (R1) resident is left in the room all day. To investigate this allegation, on 01/24/2022 at 10:30am LPA spoke to facility staff and residents. During the investigation conducted on 01/24/2022 at 11:00am, LPA randomly selected residents to inspect and a few of the residents were eating in isolation due to a recent COVID-19 outbreak by choice. LPA observed the residents' freewill to move about but were encouraged to social distance and avoid physical contact. Staff stated that they try to encourage R1 to participate in activities and walking but cannot force R1 to do so. Based on interviews, inspection and observation, there is no relevant information to support the allegation. Therefore, the allegation is UNSUBSTRead the full finding— CDSS inspection report, February 8, 2022 · control 31-AS-20220121083121

Licensing Program Analysts (LPA) Abeye Duguma conducted an unannounced subsequent complaint visit to the facility. Upon entry, LPA was screened for COVID 19 and met with Executive Director (ED) Johnny Ortiz. --Staff did not meet resident's hygiene needs. It was reported that Resident #1's (R1) toenails were overgrown, and no one called responsible party to inform. To investigate these allegations, on 01/24/2022 at 10:30am LPA spoke to facility staff and responsible party. Interviews revealed that the facility is not allowed to cut R1's toenails, that the responsible party was made aware of R1's needs and given multiple options, but responsible party failed to act timely resulting in R1's overgrown toenails. During the investigation conducted on 01/24/2022 at 11:00am, LPA randomly selected residents to inspect and all residents appeared to be well groomed. Based on interviews, inspection and observation, there is no relevant information to support the allegation. Therefore, the allegatiRead the full finding— CDSS inspection report, February 2, 2022 · control 31-AS-20220121083121

This is an amendment of the report generated on 08/19/21 to change the findings. Licensing Program Analyst (LPA) Gary Tan conducted an unannounced subsequent complaint visit at this facility to further investigate the above allegation. LPA met with Executive Director Johnny Ortiz and explained the reason for the visit. LPA conducted physical plant tour at 10:11 AM. LPA requested facility documents relevant to the investigation at 10:30 AM and interviewed the Executive Director between 11:00 AM to 11:30 AM. LPA's interview with Staff #1 (S1) on 03/26/21 at 3:44 PM, revealed that on 03/10/21 at around 4:30 PM, S1 witnessed Staff #2 (S2) heavily slapping Resident #1 (R1) at the back to stop R1 because R1 was throwing a fit and throwing food while eating at the dining area of the memory care unit. LPA's interview with the Executive Director on 03/26/21 at 3:00 PM revealed that S2 was immediately suspended on the same day of the incident, eventually terminated on 03/16/2021 and did not workRead the full finding— CDSS inspection report, January 29, 2022 · control 31-AS-20210318171317

Licensing Program Analysts (LPA) Abeye Duguma conducted an unannounced subsequent complaint visit to the facility. Upon entry, LPA was screened for COVID 19 and met with Executive Director (ED) Johnny Ortiz. ----- Staff did not report incident to resident's responsible party. It was alleged that staff did not report incident to resident's responsible party. To investigate these allegations, on 10/26/2021 at 3:30pm, LPA spoke with staff and other parties. In addition, on 10/26/2021 at 4:10pm, LPA observed resident #1 (R1), requested R1’s facility files and researched prior incident reports. After careful review, it was determined that R1 did sustain a small injury, there were hazardous materials found in R1’s room, it was reported to staff, but an incident report was not filed, and the responsible party was not notified timely. Based on the information from interviews and records review, the allegation is SUBSTANTIATED at this time.Read the full finding— CDSS inspection report, January 3, 2022 · control 31-AS-20211020154028