Avenir Memory Care Westside

On 01/02/25 The Department of Social Services, Community Care Licensing Division (CCLD) staff conducted a subsequent complaint visit at the facility. LPA was met by Terri Weitzman, Interim Executive Director (S5) and the purpose of the visit was explained. The investigation consisted of the following: On 01/02/25 CCLD requested facility records, which included conversations between the facilities' managment and responsible party(ies) and Power of Attorney's (POA's) and requested video footage of the date listed in the details of the allegation, took a tour of the facility with S6 and interviewed two (2) staff. The video footage was not in-service from the dates of 05/06/24 through 11/19/24. On 09/11/24 CCLD requested documents and toured the facility. LPA interviewed four (4) staff and four (4) residents, one (1) resident did not respond to CCLD staff's interview due to their medical condition. CCLD requested additonal video footage, but the footage was not currently available for LPA'Read the full finding— CDSS inspection report, January 2, 2025 · control 11-AS-20240903161404

On 10/30/24, the Department conducted an unannounced complaint visit at this facility. The Community Care Licensing (CCL) associate was greeted by Executive Director Staff #5 (S5: Terri Weitzman). CCL associate explained the purpose of this visit is to investigate the allegation mentioned above. The investigation consisted of the following: A health and safety inspection. A review of Resigister of Facility Residents LIC 9020 (dated: 10/29/24), Personnel Report LIC 500 (dated: 10/23/24), Admissions Agreement and Contract (dated: 06/17/24), Resident Handbook (dated: 06/17/24), Physicians Report LIC 602A (dated: 06/13/24), Preplacement Appraisal Information LIC 603A (date: 06/13/24), Identification and Emergency Information LIC 601 (dated: 06/17/24), Personal Rights of Resident LIC613-C (dated: 06/17/24), Resident Service Plan (dated: 07/13/24), Facility Visitor Log (dated: 08/01/24 -10/13/24), and Resident Authorization Form-POA (dated: 06/17/24). (Evaluation Report continues LIC 9099-C)Read the full finding— CDSS inspection report, October 30, 2024 · control 11-AS-20241028134758

On 07/31/2024 at around 10:40 AM Licensing Program Analyst (LPA) Socorro Leandro conducted a complaint investigation regarding the allegations listed above. LPA met with the Executive Director Jodi Kanowitz and the purpose of the visit was explained. The investigation consisted of the following: During today’s investigation LPA and the Executive Director conducted a tour of the facility which included the front entrance lobby and medication rooms. LPA interviewed 5 out of 44 staff, 7 out of 54 residents, and 1 witness. LPA reviewed facility records and resident records, which included, Personnel Report, Resident Census, Personnel Records, Plan for Epidemic Outbreak Specific to Covid-19 Mitigation Plan Report, Invoices, etc. UnsubstantiatedRead the full finding— CDSS inspection report, July 31, 2024 · control 11-AS-20240729132131

On 05/02/24 Licensing program analyst (LPA) Lizeth Villegas conducted a subsequent visit to render investigation findings. LPA met withDirector of sales and marketing Ashley Shire and the purpose of the visit was explained. The investigation consisted of the following: On 11/21/23 LPA Villegas conducted an initial complaint investigation visit regarding the above allegation; LPA met with Executive Director (ED) Jodi Kanowitz as the purpose of the visit was explained. On 11/21/23 LPA obtained copies of staff and resident rosters, copies of 16-hour medication training, R1's facesheet, Physicians report, needs and service plan, admission agreement, emergency I.D. form and preplacement appraisal. On 11/21/23 LPA interviewed, ED, and staff #1-6 (S1-S6). LPA was unable to interview R1 as R1 is no longer receiving care from Avenir Memory Care Westside. UnsubstantiatedRead the full finding— CDSS inspection report, May 2, 2024 · control 11-AS-20231116093046

Licensing Program Analysts (LPAs) Pamela Bunker and Elvira Gonzalez conducted an unannounced complaint visit on Wednesday, March 13, 2024. Upon arrival at the facility. LPA Bunker called the facility via telephone and conducted a Risk Assessment. Based on the assessment, the facility is not cleared of COVID-19 infection. LPA Bunker met with Executive Director Jodi Kanowitz. LPA Bunker explained the purpose of today's visit. The investigation consisted of the following: LPAs Bunker and Gonzalez interviewed staff 1-3 (S1-S3) and residents 1-4 (R1-R4). LPAs asked questions relevant to the nature of the complaint. S1-S3 and R1-R4 stated the facility staff is not interfering with the resident's visitations. S1-S3 stated the facility had a COVID-19 outbreak from 02/26/2024 to 03/05/2024. The facility is following the Department of Public Health guidelines according to visitation procedures. S1-S3 stated the facility has been doing mass COVID-19 testing. If a staff or residents have positiveRead the full finding— CDSS inspection report, March 13, 2024 · control 11-AS-20240304160823

On 1/10/24, Licensing Program Analyst (LPA) Felisa Shirley conducted a subsequent complaint visit to deliver the complaint investigation findings at this facility. Upon arrival, LPA met with Jodi Kanowitz, Executive Director, who assisted with the visit. LPA explained the purpose of today's visit. The investigation consisted of the following: On 6/28/22, LPA toured the inside and outside grounds of the facility with Director of Health Services, Jamie Pyles. LPA requested and obtained copies of Staff Roster, Resident Roster, Food Menu, Covid-19 Screening Records (April 2022-June 2022), and Medical Administration Records. LPA interviewed four out of twenty residents and five out of ten staff. On 9/22/2022, LPA attempted to interview a witness, but LPA was unsuccessful in contacting the potential witness. The alleged victim was no longer residing at the facility and LPA did not observe the resident during the visit. Investigations revealed the following: UnsubstantiatedRead the full finding— CDSS inspection report, January 10, 2024 · control 11-AS-20220624095631

Licensing Program Analyst (LPA) Pamela Bunker conducted an unannounced complaint visit on Tuesday, December 05, 2023, Upon arrival at the facility. LPA Bunker called the facility via telephone and conducted a Risk Assessment. Based on the assessment, the facility is cleared of COVID-19 infection. LPA Bunker met with Director of Sales and Marketing Ashely Shire and Director of Plant Operations Robert Garcia, Jr. LPA Bunker explained the purpose of today's visit. The investigation consisted of the following: Involving interviews with both staff members (S1-S2) and residents (R1-R5). LPA Bunker spearheaded the inquiry, asking pertinent questions that aligned with the nature of the complaint. A critical aspect of the investigation included a thorough examination of the emergency exit door and the adjacent passenger elevator on the first and second floors. Our observations confirmed that staff member S1 successfully operated the emergency door in the elevator lobby using a passcode. The staRead the full finding— CDSS inspection report, December 5, 2023 · control 11-AS-20231127130211

Licensing Program Analyst (LPA)/Retired Annuitant (RA) Elizabeth Ceniceros made an unannounced visit to the facility and was greeted by Staff #12 (S12: Martina Williams, A.M. Med Tech) who allowed entry into the secured facility and was then met by Staff #9 (S9: Mario Singh, Director of Activities), and later met by Staff #11 (S11: Ashley Shire, Director of Sales & Marketing) who assisted with the subsequent visit; as Executive Director (A1: Jodi Kanowitz) and Staff #1 (S1: LVN Judy Kamenwa Arreaga, Director of Health Services) were unavailable. LPA/RA conducted a risk assessment with S12 prior to entering the facility and S9 confirmed that the facility has no COVID cases nor do residents or staff have symptoms. The purpose for today’s visit is to conduct a subsequent visit to deliver the findings pertaining to the above-mentioned allegations. An initial 10-Day visit was conducted by LPA Antonia Alvizar on 09/29/22 who was met by the Executive Director (A1: Jodi Kanowitz). During todayRead the full finding— CDSS inspection report, November 8, 2023 · control 11-AS-20220928094223

On 9/14/2023 LPA Alfonso Iniguez conducted and unannounced complaint visit. LPA Iniguez meet with Jodi Kanowitz/Executive Director. LPA explained the purpose of this visit. Investigation Consisted of: LPA conducted Resident’s interviews (R#1-R#4) and did a physical tour of the facility. LPA obtained and reviewed the following documents: Resident’s roster, Personnel roster, (R#1-R#4) Identification and Emergency Information, (R#1-R#4) Admissions agreements, (R#1-R#4) Physicians Report for Residential Care Facilities for the Elderly, (R#1-R#4) Needs and Services Plan, (R#1-R#4) Medication Administration Record (MAR) for the month of August 2023, (S#1-S#4) Admissions Agreement, Staff Relias Training from April to September 2023 and LIC 501. Evaluation Report continues LIC 9099-C UnsubstantiatedRead the full finding— CDSS inspection report, September 14, 2023 · control 11-AS-20230828150708

On 09/06/23 Licensing Program Analyst (LPA) conducted a subsequent complaint visit to the above mentioned facility to further investigate the above allegations. LPA was met by Jodi Kanowitz, Executive Director (S1), and the purpose of the visit was explained. The investigation consisted of the following: On 08/30/23 LPA Leon toured the facility inside and out with Plant Operations staff Robert Garcia (S10), interviewed five (5) staff (S1-S5) and four (4) residents (R1-R4). LPA Leon requested and reviewed facility documents. On 08/31/23 LPA Leon conducted a subsequent visit and collected additional documents. LPA Leon interviewed facility nurse, Judy Arreaga (S9), via telephone, and further interviewed S1. On 09/06/23 LPA Leon conducted further record review, took a tour of the first (1st) floor with S10 and reviewed camera footage of the lobby on 08/04/23 from 10:00PM - 06:30AM with S10. LPA Leon interviewed S1, S9 and S10 regarding the camera footage and the staff members observed. ReRead the full finding— CDSS inspection report, September 6, 2023 · control 11-AS-20230822080312

On 12/07/23 Licensing Program Analyst (LPA) Regina Cloyed conducted an unannounced complaint visit to deliver an amendment of the report delivered by LPA Leon on 08/31/23, the purpose of this amendment is to correct the results of interviews conducted with residents during the visit. This amendment does not change the investigation findings of Unsubstantiated. LPA Cloyd met with Executive Director Jodi Kanowitz, the purpose of the visit was explained, and a copy of this report was provided. On 08/31/23 Licensing Program Analyst (LPA) Mario Leon conducted a subsequent unannounced visit to the above facility to further investigate the above allegations. LPA was met by Jodi Kanowitz, Executive Director (S1), and the purpose of the visit was explained. See: LIC9099C UnsubstantiatedRead the full finding— CDSS inspection report, August 31, 2023 · control 11-AS-20230822080312

On 07/07/23, Licensing Program Analyst (LPA), Wendy Gibbs, conducted a visit to deliver the findings for the allegations listed above. LPA met with Executive Director, Jodi Kanowitz, and the purpose of today's visit was explained. The investigation consisted of: On 05/18/23, LPA conducted a facility tour, interviewed Executive Director, Director of Health Services, Director of Culinary Services, Plant Operation Director, staff (S1 and S2), document review of: Staff/Client Roster, Resident Physician Reports, Nurse Notes, Plan of Operation , Infection Control Plan, Incident Reports for the past 3 months, Procedure for responding to calls, procedure for storing dangerous chemical and items, Menu, Special diet orders, nutritionist report, procedure for cleaning kitchen, and Training logs for new hires, outbreaks, incident reporting, storing and using dangerous chemicals and items, responding to call buttons, and medication distribution and storage. Continued on LIC9099-C UnsubstantiatedRead the full finding— CDSS inspection report, July 7, 2023 · control 11-AS-20230510094342

On 06/16/23, Licensing Program Analyst (LPA), Wendy Gibbs, and Licensing Program Manager (LPM), Eva Alvarez, conducted a subsequent complaint investigation visit. LPA met with Executive Director, Jodi Kanowitz, and explained the purpose of today’s visit. Today’s investigation consisted of: Interviewing Staff (S7-S10), and Residents (R1-R8), review and received copies of Narcotic Count, and observation of resident activities, and staff interaction with residents. Today was a subsequent visit to 05/18/23, to continue interviews of staff and aquire additional documentation pertinent to the investigation. The first initial 10-day visit consisted of: facility tour, interview of Executive Director, Director of Health Services, Director of Culinary Services, Plant Operation Director, staff (S1 and S2), document review of: Resident Physician Reports, Nurse Notes, Plan of Operation , Infection Control Plan, Incident Reports for the past 3 months, Procedure for responding to calls, procedure forRead the full finding— CDSS inspection report, June 16, 2023 · control 11-AS-20230510094342

On 6/02/2023 Licensing Program Analyst (LPA) Jeremiah Randle conducted an unannounced subsequent visit at the facility listed above to deliver findings. LPA arrived at facility and was greeted by Jacqueline Vu Business Office Manager. LPA explained the purposed of the visit is to deliver findings on the allegations listed above. The Investigation consisted of the following: LPA observed facility, as well as common areas of the facility. A comfortable temperature is maintained throughout the facility. LPA observed the facility to be operational and in good repair, LPA reviewed pertinent documents pertaining to the investigation. The following documents were gathered: Staff and Client Rosters, documentation of fire drills, fire clearance and fire inspection logs on 06/01/2023. On 06/1/2023 LPA Randle interviewed Judy Arreaga Director of Health Services (S1). LPA and S1 toured the entire facility as it pertains to all fire doors and exits in the case of an emergency or fire where staff orRead the full finding— CDSS inspection report, June 2, 2023 · control 11-AS-20230526094518

On 05/19/23 Licensing Program Analyst (LPA) Ernand Dabuet made an unannounced visit to the facility and was greeted by Executive Director staff #7 (S7) Jodi Kanowitz. LPA conducted a risk assessment prior to entering the facility. LPA explained the purpose for today’s visit is to conduct a subsequent visit and deliver the findings pertaining to the above-mentioned allegations. The investigation consisted of the following: An initial 10-Day visit was on 06/23/22 with former Executive Director staff #1 (S1) Marissa Drinkhouse-Quintana and subsequent visit on 02/08/23 with Executive Director staff #7 (S7) Jodi Kanowitz. LPA conducted interviews with staff members and residents and an inspection of the facility’s physical plant for health and safety purposes. LPA also requested the following documentation: staff roster, resident roster, staff schedule, incident reports, resident #1 (R1) Admission Agreement, Contact/Face Sheet, Physician Report, Pre Placement Appraisal, Case/Progress NotesRead the full finding— CDSS inspection report, May 19, 2023 · control 11-AS-20220622081934

On 05/19/2023, Licensing Program Analyst (LPA) Perry Scott conducted an initial complaint investigation to address the allegations listed above. LPA Scott met with Jodi Kanowitz, Executive Director (S1), and explained the purpose of this visit is to gather information for the complaint and deliver findings. On 05/19/2023, the investigation consisted of the following: During today's visit LPA conducted a health & Safety check of the entire facility. LPA conducted interviews with the Executive Director, Jodi Kanowitz (S1), staff (S2-S6) and residents (R1-R10). Additionally, LPA reviewed client records and obtained copies of resident & staff rosters. The investigation revealed the following: Regarding allegation #1: Staff are abusing residents in care. On 05/19/23, LPA interviewed S1. S1 denied the allegation that Staff are abusing residents in care. S1 stated that to S1s knowledge, none of the residents have been abused or reported that they were abused by anyone in the facility. ReportRead the full finding— CDSS inspection report, May 19, 2023 · control 11-AS-20230511095837

On 05/19/23, Licensing Program Analyst (LPA) Ernand Dabuet conducted an unannounced subsequent complaint visit at this facility to deliver a complaint finding. LPA spoke with Executive Director Jodi Kanowitz who assisted LPA with the visit. The investigation consisted of the following: On 9/26/2022, LPA Montoya toured the facility. LPA interviewed four (4) residents and four (4) staff. LPA’s attempt to interview two residents was unsuccessful. LPA obtained copies of staff roster, resident roster and Resident #1's service records which includes Admission Agreement, Physician's Report, Appraisals, and Medication Administration Records. Report continued in LIC 9099C SubstantiatedRead the full finding— CDSS inspection report, May 19, 2023 · control 11-AS-20220916154424

On 05/05/23 Licensing Program Analyst (LPA) Ernand Dabuet initiated a subsequent complaint investigation and met with Director of Sales and Marketing Ashley Shire (S3) to deliver findings on the allegation listed above. The investigation consisted of the following: On 03/02/23 Licensing Program Manager (LPM) Ulysses Coronel and Analyst (LPA) Mario Leon conducted an initial unannounced complaint visit at this facility. A plant inspection was conducted. Interviews with five residents (R1-R5) and 3 staff (S1-S3) were conducted. Facility and resident records were requested and reviewed. On 03/06/2023 LPA Leon interviewed witness (W2). (Evaluation Report continues LIC 9099-C) UnsubstantiatedRead the full finding— CDSS inspection report, May 5, 2023 · control 11-AS-20230224151441

On 08/30/23, Licensing Program Analyst (LPA), Mario Leon delivered an amended LIC9099 for the facility listed above. LPA Leon met with Administrator Jodi Kanowitz and explained the purpose of today’s visit. The investigation consisted of the following: On 04/26/23, Licensing Program Analyst (LPA), Wendy Gibbs conducted an unannounced 10-day complaint visit. LPA Gibbs met with Executive Director, Jodi Kanowitz and explained the purpose of today’s visit. The investigation on 04/23/23 included a tour of the facility, document review, staff interview and video review. LPA received a copy of the staff and resident roster, needs and service plan for R1 and R2, preplacement appraisal for R1 and R2, Physicians report for R1 and R2, medication list for R1 and R2, previous incident reports involving R1 and R2, and staff notes from both of the incidents. LPA interviewed Executive Director, Staff #1-5, Resident’s #1-4, and reporting party. LPA viewed the video of the incident and video of staff atRead the full finding— CDSS inspection report, April 26, 2023 · control 11-AS-20230417172233

On 02/10/23 Licensing Program Analyst (LPA) Ernand Dabuet conducted an initial complaint investigation for the allegation listed above. LPA was greeted by Jacqueline Vu Business Office Manager. LPA explained the purpose of today's visit is to review and audit personnel records and conduct staff interview. The investigation consisted of record reviews. A review of the following documents: Resident roster, Staff roster, analysis of personnel records for all (32) staff. Interview with staff #18 (S18). A tour of the facility was conducted. Evaluation Report continue on LIC 9099-C Substantiated— CDSS inspection report, February 10, 2023 · control 11-AS-20230203150359

This report serves as an amendment to clarify findings. It does not supersede the complaint investigation findings reflected on report created 01/12/2023 Licensing Program Analyst (LPA) Jose Calderon conducted an unannounced visit to the facility Avenir Memory Care Westside on 01/12/2023 at around 10:00 AM and was greeted by Director S1. LPA Calderon spoke to S1 prior to entering the facility to conduct a risk assessment. LPA Calderon explained the purpose of this visit is to deliver the findings pertaining to the above-mentioned allegations. Unsubstantiated— CDSS inspection report, January 12, 2023 · control 11-AS-20230104163518