Gardens At Northridge, The

Allegation investigated: Staff did not provide adequate supervision to prevent harm by another resident resulting in a fracture. Staff did not intervene to prevent inappropriate physical contact between residents.

Licensing Program Analyst (LPA) Abeye Duguma conducted an unannounced subsequent complaint visit to the facility, met with Cynthia Lara-Vargas, and explained the reason for the visit. --- Staff did not provide adequate supervision to prevent harm by another resident resulting in a fracture. It was alleged that Resident #1 (R1) was pushed down by Resident #2 (R2) at the facility causing injury. To investigate the allegation, on March 18, 2026, LPA requested documents at around 9:30 a.m. and interviewed three (03) staff from 10:30a.m. – 12:00p.m., seven (07) residents from 12:00p.m. to 2:30p.m. On April 24, 2026, LPA interviewed an additional three (03) residents at around 01:30p.m. A review of the Serious Incident Report states on December 12, 2025, resident was observed on the floor and per R1, was walking using their walker and when R1 felt someone touch them from behind, they tried to turn around to see, lost their balance and fell. R1 complained of pain on the right shoulder and emethe state’s words, verbatim · CDSS document, Apr 24, 2026 · control 31-AS-20251220163614

Allegation investigated: Staff neglect led to resident death Staff did not adequately address resident's fall risk

On 03/23/26, at 11:36am, Licensing Program Analyst (LPA) Gina Saucedo arrived at the facility to conduct an unannounced, subsequent complaint visit and was greeted by Lisa Villasenor, Executive Director. LPA explained the purpose of this visit was to deliver findings for this complaint. On 12/03/25, the department initiated the twenty-four (24) complaint investigation and asked for pertinent records. LIC 9099C-continued Unsubstantiatedthe state’s words, verbatim · CDSS document, Mar 23, 2026 · control 31-AS-20251203094203

Allegation investigated: Staff did not safeguard resident's personal belongings. Staff financially abused resident.

On 10/13/25, at 8:55am, Licensing Program Analyst (LPA) Gina Saucedo arrived at the facility to conduct an unannounced, subsequent complaint visit and was greeted by Cinthia Lara-Vargas, Resident Services Director. LPA explained the purpose of this visit was to gather additional information and deliver findings for this complaint. On 10/01/2025, Licensing Program Analyst (LPA) Gina Saucedo initiated the complaint investigation. On 10/01/25, LPA Saucedo asked for the census, staff, resident rosters, conducted a physical tour and gathered documents. On 10/13/25, LPA Saucedo interviewed additional staff and residents, conducted another physical tour, gathered additional information, and delivered findings. LIC 9099C-continued Unsubstantiatedthe state’s words, verbatim · CDSS document, Oct 13, 2025 · control 31-AS-20250930212739

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: Licensee did not provide adequate notice of fee increase to resident’s representative. Licensee did not ensure facility was maintained in good repair. Staff did not ensure hazardous equipment was inaccessible to resident.

On 02/24/25, at 9:25am, Licensing Program Analyst (LPA) Gina Saucedo arrived at the facility to conduct an unannounced, initial complaint visit and was greeted by Executive Director, Lisa Villasenor. LPA explained the purpose of this visit was to gather information, interview staff and residents and deliver findings for this complaint. On 02/24/25, LPA Saucedo asked for the census, staff, and resident rosters. On 02/24/25, LPA Saucedo conducted a physical tour and interviewed staff and residents. LIC 9099C-continued Unsubstantiatedthe state’s words, verbatim · CDSS document, Feb 24, 2025 · control 31-AS-20250219151035

Allegation investigated: Staff hit resident

On 10/28/24, at 9:25am, Licensing Program Analyst (LPA) Gina Saucedo arrived at the facility to conduct an unannounced, initial complaint visit and was greeted by Executive Director, Lisa Villasenor. LPA explained the purpose of this visit was to gather information and deliver findings for this complaint. On 10/28/24, LPA Saucedo asked for the census, staff, and resident rosters. On 10/28/24, LPA Saucedo interviewed staff and residents and conducted a physical tour. LIC 9099C-continued Unsubstantiatedthe state’s words, verbatim · CDSS document, Oct 28, 2024 · control 31-AS-20241024162643

Allegation investigated: Staff did not prevent a resident from falling and sustaining injuries while in care Staff illegally evicted a resident in care

On 10/22/24, at 9:45am, Licensing Program Analysts (LPAs) Gina Saucedo and Angelica Segovia arrived at the facility to conduct an unannounced, initial complaint visit and was greeted by Executive Director, Lisa Villasenor. LPA explained the purpose of this visit was to gather information and deliver findings for this complaint. On 10/22/24, LPA Saucedo asked for the census, staff, and resident rosters. On 10/22/24, LPA Saucedo interviewed staff and residents and conducted a physical tour. LIC 9099C-continued Unsubstantiatedthe state’s words, verbatim · CDSS document, Oct 22, 2024 · control 31-AS-20241016115656

Allegation investigated: Staff abandoned resident Staff made inappropriate comments towards resident

On 08/20/24, at 9:25am, Licensing Program Analyst (LPA) Gina Saucedo arrived at the facility to conduct an unannounced, subsequent complaint visit and was greeted by Administrator, Lisa Villasenor. LPA explained the purpose of this visit was to gather additional information and deliver findings for this complaint. On 07/31/2024, Licensing Program Analyst (LPA) Gina Saucedo initiated the complaint investigation. On 07/31/24, LPA Saucedo asked for the census, staff, resident rosters, conducted a physical tour and gathered documents. On 08/20/24, LPA Saucedo interviewed additional staff and residents, conducted a physical tour, gathered additional information, and delivered findings. LIC 9099C-continued Unsubstantiatedthe state’s words, verbatim · CDSS document, Aug 20, 2024 · control 31-AS-20240725162258

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's room is not being cleaned Staff are unable to communicate with residents due to language barrier

On 03/26/24, at 8:25am, Licensing Program Analyst (LPA) Gina Saucedo arrived at the facility to conduct an unannounced, initial complaint visit and was greeted by the Executive Director-Lisa Villasenor. LPA disclosed the purpose of the visit. LPA explained the purpose of this visit was to gather information and deliver findings. On 03/26/2024, at 8:35am, LPA Saucedo asked for the census, resident, and staff roster. The Executive Director-Lisa Villasenor met with LPA Saucedo to conduct the physical tour at 8:45am. During the tour, LPA interviewed eight (08) residents and five (5) staff. LIC 9099C-continued Unsubstantiatedthe state’s words, verbatim · CDSS document, Mar 26, 2024 · control 31-AS-20240320161123

Allegation investigated: Staff are not adhering to residents' admission agreement

On 02/26/24, at 12:49pm, Licensing Program Analyst (LPA) Gina Saucedo arrived at the facility to conduct an unannounced, subsequent complaint visit and was greeted by the Executive Director-Lisa Villasenor. LPA disclosed the purpose of the visit. LPA explained the purpose of this visit was to gather more information and deliver findings. On 02/21/2024, LPA Saucedo initiated the complaint investigation. On 02/26/24 at 12:49pm, LPA Saucedo asked for the census, resident, and staff roster. The Executive Director-Lisa Villasenor met with LPA Saucedo to conduct the physical tour at 12:55pm. During the tour, LPA interviewed ten (10) residents and four (4) staff. LIC 9099C-continued Unsubstantiatedthe state’s words, verbatim · CDSS document, Feb 26, 2024 · control 31-AS-20240216130953

Allegation investigated: Facility is not recognizing resident's current Power of Attorney status

At 10:00am, Licensing Program Analysts (LPAs) Angela Panushkina, and Gina Saucedo conducted an unannounced initial complaint visit at this facility to investigate the above allegation. LPAs met with the Executive Director and explained the reason for the visit. During course of the investigation, interviews and record review were made. At 10:05am, LPAs requested resident and staff roster. At 10:10am, LPAs requested copies of pertinent information which include, but not limited to Admission Agreement, Physician’s Report, Appraisal Needs and Services Plan, R1’s notarized Power of Attorney (POA) etc., relevant to the investigation. At approximately 10:15am, LPAs conducted a physical plant tour, to ensure health and safety of the residents are protected and physical plant is in compliance with Title 22 Regulations. Between 10:30am – 11:30am, LPAs interviewed the Executive Director, Resident Service Director and Resident #1 (R1). Continue on LIC9099-C Unsubstantiatedthe state’s words, verbatim · CDSS document, Nov 21, 2023 · control 31-AS-20231116114248

Allegation investigated: Staff failed to keep resident's room clean Staff failed to provide a safe and comfortable environment for resident Staff neglected resident while in care

Licensing Program Analyst (LPA) Gary Tan, Gina Saucedo and Leslie Ngo-Castaneda conducted an unannounced subsequent complaint visit at this facility to further investigate the above allegations. LPA met with Resident Services Director Cynthia Vargas and explained the reason for the visit. LPAs conducted a physical plant tour at 9:30 AM, requested copies of facility documents at 10:00 AM and interviewed residents and staff between 10:13 AM to 1:15 PM. Regarding the allegation that the facility staff failed to keep resident's room clean, it was alleged that Resident #1 (R1)'s room was not maintained. LPAs' observation during physical plant tour today at 9:30 AM revealed that the six (6) random bedrooms visited at the memory care unit were all clean and well organized. LPAs' interview with eight (8) random residents from Assisted Living sections or 10% of the current census revealed that eight (8) out of eight (8) residents interviewed stated that their room were cleaned regularly by thethe state’s words, verbatim · CDSS document, Oct 31, 2023 · control 31-AS-20230609122426

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: Illegal eviction

At 10:15am, Licensing Program Analyst (LPA’s) Antonia Alvizar and Gina Saucedo arrived at the facility in response to the above mentioned allegation. LPA’s met with Business Office Manager Anne Marie Chan and explained the reason for the visit. To investigate the allegation, on 09/19/2023 at 10:20am, LPA Alvizar requested a copy of facility records. At 10:30am, LPA’s conducted a tour of the facility, made observations and interviewed the Business Office Manager and Resident Service Director, Cinthia Lara- Vargas. Record review (facility resident roster) did not show that the individual in question is a current resident at this facility. Interviews with the Business Office Manager and Resident Service Director revealed that the individual in question was never a resident of this facility. At 11:40am, LPA’s walked to the back side of the property where Skill Nursing Facility is located. Continue on LIC9099-C Unfoundedthe state’s words, verbatim · CDSS document, Sep 19, 2023 · control 31-AS-20230915090228