Los Feliz Gardens

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 seek timely medical care for resident

On 2/12/2026 at approximately 9:50 AM, Licensing Program Analyst (LPA) Angelica Segovia conducted an unannounced initial complaint visit to the facility. LPA was greeted by staff and stated the reason for their visit. The Administrator, Nonna Shapiro arrived later to assist with today’s visit. To investigate the allegation(s), at approximately 10:00 AM, LPA conducted a physical plant tour. By 10:30 AM, LPA requested relevant documentation. From 10:30 AM to 02:00 PM, LPA attempted interviews with ten (10) resident (R1), three (3) staff members (S1-S3) and conducted record review. (Continue to LIC 9099-C) Unsubstantiatedthe state’s words, verbatim · CDSS document, Feb 12, 2026 · control 31-AS-20260202094224

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: Resident developed multiple pressure injuries in care due to staff neglect Facility staff handled resident in a rough manner

On 07/01/2025 at 11:00 am Licensing Program Analyst (LPA), Lorena Casillas conducted an unannounced complaint visit to investigate the above stated allegations. Staff greeted and allowed LPA entry. Staff called Administrator Nonna Shapiro who arrived shortly after. LPA explained the reason for the visit and an entrance interview was conducted. At 12:15 PM LPA Casillas conducted a physical plant tour with the Administrator. During the investigation, interviews and record reviews were conducted. LPA requested resident roster, LIC 500, and Liability Insurance. LPA requested copies of pertinent information relevant to the investigation including, but not limited to, resident records and any other information pertaining to resident care. LPA conducted interviews of staff and residents from 12:30 to 2:30 pm. Continued on LIC9099-C Unsubstantiatedthe state’s words, verbatim · CDSS document, Jul 1, 2025 · control 31-AS-20250625093354

Allegation investigated: Facility staff interfered with resident's medical care.

This is to amend the report that was delivered on 1/29/2025. Licensing Program Analyst (LPA) Leizl de la Cerra conducted an unannounced subsequent complaint visit on 4/30/25 to this facility to investigate the above allegation. At 11:00am LPA met with Krystie Kim and explained the reason for the visit. Regarding the allegation: Facility staff interfered with resident's medical care. It was alleged that facility staff (S1) coerced resident #1 (R1) by interfering and discouraging R1 and R1's medical case managers (W1 and W2) to stop R1's planned surgery scheduled for 9/05/24. To investigate this allegation on 9/11/2024 LPA de la Cerra requested pertinent documents relevant to the investigation at 11:00AM, conducted and interviewed staff between 11:30PM to 2:30PM, reviewed records from 11:00AM to 12:30AM and conducted physical plant tour at 2:00PM with staff member. On 01/29/25, at 11:00am LPA de la Cerra asked for additional facility records included but not limited to; staff schedule, rthe state’s words, verbatim · CDSS document, Apr 29, 2025 · control 31-AS-20240904125603

Allegation investigated: Staff mismanaged resident's medication Staff did not safeguard resident's personal belongings Illegal eviction Staff did not treat resident with dignity and respect

This is an addendum to the previous licensing report delivered to the facility on 07/02/2024. On 04/23/25, at 9:35am, Licensing Program Analyst (LPA) Gina Saucedo conducted a subsequent visit to the facility to conduct additional investigation for the above noted allegations. LPA met with Maria Chengcuenca, Medical Technichian and explained the reason for the visit. On 07/02/24, LPA Rosaura conducted an initial visit, interviewed staff and residents and delivered findings. On 04/23/25, LPA Saucedo asked for the census, staff, and resident rosters. On 04/23/25, LPA Saucedo conducted a physical tour and interviewed additonal staff, residents and received relevant documentation. LIC 9099C-continued Unsubstantiatedthe state’s words, verbatim · CDSS document, Apr 23, 2025 · control 31-AS-20240628141803

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 mismanaged resident's medication Staff did not safeguard resident's personal belongings Illegal eviction Staff did not treat resident with dignity and respect

Licensing Program Analyst (LPA) Rosaura Valenzuela conducted an unannounced visit for the above noted allegations. LPA met with Administrator Nonna Shapiro and explained the reason for the visit. It was reported that staff mismanaged resident's medication. Resident #1 (R1) alleged that Staff #1 (S1) was trying to over medicate and poison them. To investigate this allegation on 07/02/2024, between 11:30am and 1:07pm, staff interviews were initiated. Interviews revealed that R1 was medication non-compliant. R1 refused to take medication and as a result their condition has became worse. Between 1:15pm and 1:45pm, facility records (physician's report, administrator notes, incident reports, 5150) were reviewed. Records confirmed what staff told LPA. Based on interviews and records review there is not sufficient information to support this allegation. Therefore, this allegation is UNSUBSTANTIATED at this time. Continue on 9099-C Unsubstantiatedthe state’s words, verbatim · CDSS document, Jul 2, 2024 · control 31-AS-20240628141803

Allegation investigated: Staff did not give resident's records to resident's responsible party.

Licensing Program Analyst (LPA) Abeye Duguma conducted an unannounced initial complaint visit to this facility to investigate the above allegations. LPA met with the Executive Director (ED), Nona Shapiro, and explained the reason for the visit. --- Staff did not give resident's records to resident's responsible party. It was alleged that facility did not provide a complete copy of Resident #1’s (R1) records. To investigate this allegation, on 05/23/2024, LPA interviewed the ED from around 1:30 PM – 2:00 PM, and requested all documents that were sent to the responsible party (RP) at around 2:00 PM. During the interview with the ED, they stated documents were requested by R1’s RP on 04/19/2024. After receiving the request from the RP, ED stated they sent partial documents, contacted the RP explaining that remaining documents will take additional time and RP allegedly replied, “take your time”. (CONT. on LIC 9099-C) Substantiatedthe state’s words, verbatim · CDSS document, May 23, 2024 · control 31-AS-20240521173105

Allegation investigated: Staff neglected a resident in care leading to resident developing stage 3 pressure injuries. Staff did not feed a resident in care leading to resident becoming malnourished. Staff did not prevent resident from developing an infection while in care. Resident sustained unexplained injuries while in care.

Licensing Program Analyst (LPA) Abeye Duguma conducted an unannounced subsequent complaint visit to this facility to investigate the above allegations. At around 10:00 AM LPA met with the Administrator, Nonna Shapiro, and explained the reason for the visit. --- Staff neglected a resident in care leading to resident developing stage 3 pressure injuries. It was alleged that Resident #1 (R1) developed stage three injuries while in the facility. To investigate the allegation on 10/23/2023 LPA requested pertinent documents at 12:30 PM and interviewed staff and other parties between 1:00 PM to 03:30 PM. On 04/03/2024, LPA interviewed a third party at 3:00 PM. A review of Physician’s Reports, Home Health records and hospital discharge documents did not indicate that resident had stage three (03) or any other pressure injuries. During interviews with staff, all staff stated that the resident did not have pressure injuries while in the facility. (CONT on LIC 9099-C) Unsubstantiatedthe state’s words, verbatim · CDSS document, Apr 3, 2024 · control 31-AS-20231019120206

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: Resident sustained multiple unexplained injuries while in care

An unannounced subsequent complaint visit was conducted on this day by Licensing Program Analysts (LPAs) Angela Panushkina and Michael Cava to issue the findings of the above listed allegation. Upon arrival, LPAs were greeted by Staff, Maria Chengcuengca, who contacted the Administrator. LPAs met with the Assistant Administrator and explained the reason for the visit. On 06/16/23, the Woodland Hills South Adult and Senior Care Regional Office received a complaint regarding the allegation, “Resident sustained multiple unexplained injuries while in care.” The complaint was referred to Community Care Licensing Division’s Investigations Branch. The complaint was assigned to investigator, Christine Ferris. On 06/19/23, an initial visit was conducted by LPA Panushkina. On that day LPA conducted tour of the facility, interviewed with facility staff and obtained copies of pertinent information related to the allegation. Continue on LIC9099-C Unsubstantiatedthe state’s words, verbatim · CDSS document, Oct 27, 2023 · control 31-AS-20230616145625