Village At Northridge, The

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff did not ensure food was free of contamination resulting in multiple illness to residents in care

Licensing Program Analyst (LPA) Mariana Agban conducted an unannounced initial complaint visit for the above allegation. LPA arrived, was greeted by the receptionist, and met with the Assisted Living Director, Mary Okhata, explaining the reason for the visit. LPA requested copies of pertinent information, including the Staff Roster, Resident Roster, Discharge Notes for R1, R2, R3, and R4, and other documents pertinent to the investigation. Today's investigation consisted of interviews with ten residents and four staff members. . Regarding the allegation: Staff did not ensure food was free of contamination resulting in multiple illness to residents in care. It was alleged that several residents contracted food poisoning due to food served at the facility on 04/02/2026.LPA conducted interviews with Staff #1 (S1), Staff #2 (S2), Staff #3 (S3), and Staff #4 (S4), none of whom were able to confirm the allegation. (Continue on 9099C) Unsubstantiatedthe state’s words, verbatim · CDSS document, Apr 23, 2026 · control 31-AS-20260414111909

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff did not properly address resident's multiple falls at facility.

Licensing Program Analyst (LPA) Mariana Agban conducted an unannounced subsequent complaint visit to include additional interviews for the Substantiated complaint report on 12/30/2024. LPA arrived and was greeted by the receptionist and met with the Assisted Living Director Mary Okahata, and explained the reason for the visit. LPA requested copies of pertinent information, which includes LIC 500 and the Resident Roster. LPA conducted a physical plan tour to ensure the health and safety of the residents are protected and are in compliance with Title 22 Regulations. During today's visit, LPA interviewed an additional 5 residents, 3 staff member, and the Executive Director. Based on information obtained, the allegation remains Substantiated at this time. Facility staff did not properly address multiple falls at the facility. Resident#1(R1) Service Plan acknowledges that R1 is a fall risk; however did not address actions taken to prevent future falls. R1 had 18 fall incidents at the facilithe state’s words, verbatim · CDSS document, Sep 26, 2025 · control 31-AS-20241213122323

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff did not make resident records available to resident's authorized representative

Licensing Program Analyst (LPA) Mariana Agban conducted an unannounced initial complaint visit for the above allegation. LPA arrived and was greeted by the receptionist and met with Executive Director Thomas Rekowski and explained the reason for the visit. LPA requested copies of pertinent information which includes LIC 500 and Resident Roster. LPA conducted a physical plan tour, to ensure health and safety of the residents are protected and are in compliance with Title 22 Regulations. Today's investigation consisted of interviews with 15 out of 160 residents, 1 staff members and record review. Allegation: Staff did not make resident records available to resident's authorized representative It was alleged that staff did not make Resident#1's (R1) records available to R1's authorized representative. Per the complainant, the written request was sent on 02/24/25, however, there was no response from facility staff until 03/25/25. Interview with Staff#1(S1) revealed that there was a delay dthe state’s words, verbatim · CDSS document, Apr 4, 2025 · control 31-AS-20250325133704

Allegation investigated: Staff did not properly address resident's multiple falls at facility.

Licensing Program Analysts (LPAs) Mariana Agban and Michael Cava conducted an unannounced subsequent complaint visit for the above allegation. LPAs arrived and were greeted by the receptionist and met with the Assisted Living Director and explained the reason for the visit. LPAs requested copies of pertinent information which includes LIC 500 and Resident Roster. LPAs conducted a physical plan tour to ensure the resident's health and safety were protected and in compliance with Title 22 Regulations. On today's visit, LPAs conducted additional resident and staff interviews and obtained additional documentation relevant to the investigation. Allegation: Staff did not properly address resident's multiple falls at facility. It was alleged that staff failed to properly address Resident#1(R1) multiple falls at the facility. Interview with Staff#1(S1) revealed that R1 is a fall risk and sustained multiple falls causing wounds and skin tears. LPAs conducted a file review and observed that R1'sthe state’s words, verbatim · CDSS document, Dec 30, 2024 · control 31-AS-20241213122323

Allegation investigated: Facility staff yelled at resident in care Facility staff did not treat residents with dignity and respect.

Licensing Program Analyst (LPA) Mariana Agban conducted unannounced subsequent complaint visit to include additional interviews for the Substantiated complaint report on 8/15/24. LPA arrived and was greeted by the receptionist and met with Executive Director and explained the reason for the visit. LPA requested copies of pertinent information which include LIC 500 and Resident Roster. LPA conducted a physical plan tour, to ensure health and safety of the residents are protected and is in compliance with Title 22 Regulations. During today's visit, LPA interviewed 15 out of 150 residents. The allegations remain Substantiated. POC is cleared as of 08/19/24. Exit interview conducted and a copy of this report delivered. Substantiatedthe state’s words, verbatim · CDSS document, Oct 3, 2024 · control 31-AS-20240809162409

Allegation investigated: Facility not clean, safe, sanitary and in good repair

Licensing Program Analyst (LPA) Mariana Agban conducted an unannounced initial complaint visit for the above allegation. LPA arrived and was greeted by the receptionist and met with Assisted Living Director and explained the reason for the visit. LPA requested copies of pertinent information which includes LIC 500 and Resident Roster. LPA conducted a physical plan tour, to ensure health and safety of the residents are protected and are in compliance with Title 22 Regulations. Allegation: Facility not clean, safe, sanitary and in good repair It was alleged that the facility has mold and leak issues in different areas, including residents' rooms on the third floor, the basement ceiling, Staff break room, and staff restrooms. LPA toured residents rooms on the third and second floors and observed no mold or leak issues. LPA also toured the basement, staff breakroom, and restrooms and observed no leak or mold issues. LPA interviewed the Assisted Living Director and 10 staff members and 15 othe state’s words, verbatim · CDSS document, Sep 11, 2024 · control 31-AS-20240905092917

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Facility staff yelled at resident in care Facility staff did not treat residents with dignity and respect.

Licensing Program Analyst (LPA) Mariana Agban conducted an unannounced initial complaint visit for the above allegations. LPA arrived and was greeted by the receptionist and met with Director Assisted Living and explained the reason for the visit. LPA requested copies of pertinent information which include LIC 500 and Resident Roster. LPA conducted a physical plan tour, to ensure health and safety of the residents are protected and is in compliance with Title 22 Regulations. Allegation: Facility staff yelled at resident in care It was alleged that facility staff yelled at R1 about R1's pet. Interview with S1 denied the allegation. S1 stated that they were trying to explain the situation to R1 and their voice might have elevated from frustration. Interview with staff revealed that S1 and R1 were in the medication room where S1 was asking staff to witness R1's pet urinating in the facility hallways and on the walls. Six (6) out of 10 staff members confirmed that S1 yelled at the R1. Basethe state’s words, verbatim · CDSS document, Aug 15, 2024 · control 31-AS-20240809162409

Allegation investigated: Staff made financial decisions on behalf of resident without proper authorization Staff turned off resident's telephone service Staff turned off resident's Wi-Fi service

Licensing Program Analyst (LPA) Mariana Agban conducted an unannounced initial complaint visit for the above allegations. LPA arrived and was greeted by the receptionist and requested the Administrator. The Nursing Director Represnantive greeted and assisted LPA until Executive Director arrived. LPA conducted a physical plan tour, to ensure health and safety of the residents are protected and is in compliance with Title 22 Regulations. LPA requested copies of pertinent information which include LIC 500 and Resident Roster. Interview with Executive Director and records review revealed that R1 lives in the independent living community part of the facility and not the Assisted living section which is licensed by Community Care Licensing. The department does not have jurisdiction in the Independent Living section of the facility. LPA obtained copies of R1's Residency and Service Agreement. Based on the information LPA gathered LPA determined that the allegation is unfounded. A finding of uthe state’s words, verbatim · CDSS document, May 23, 2024 · control 31-AS-20240517081647