Ladera Sunrise

Type of visit: Case Management - Deficiencies

On 08/08/2025, Licensing Program Analyst (LPA), Socorro Leandoro conducted a case management visit and met with Property Owners, Susan Atkinson and Kevin Atkinsons. LPA explained the purpose of the visit and was allowed entry to the facility. The facility is vacant and currently going through construction. There are no staff, residents nor furniture in the facility. Interviews conducted with Property Owners, Susan Atkinson and Kevin Atkinsons and Construction Lead, Joseph Elkriaf indicated the following: the facility got fumigated via tenting on 07/30/2025; after that and currently the facility is going through extensive re-modeling due to the severe water, termite, and mold damage; as of right now there is no firm date of when the residents will be able to move back into the facility. Interviews conducted with Property Owners, Susan Atkinson and Kevin Atkinsons indicated the following: they informed Administrator, Tracy Moore a few days before that the facility will be getting fumigated on 07/30/2025; and they informed Administrator, Tracy Moore a week and half before they began construction. 3 residents were observed residing at 6017 S., Croft Ave Los Angeles, CA, 90056. Records Reviewed revealed the following: the Licensee did not submit Unusual Incident Reports (UIRs) indicating that the facility got fumigated, is currently going through construction and residents were relocated to 6017 S., Croft Ave Los Angeles, CA, 90056. Based on observations, interviews, and record review in accordance with the California Code of Regulations, Title 22, Division (6) and Chapter (8) a violation regarding Reporting Requirements is being cited. See LIC809-D. An exit interview was conducted, Plans of Corrections were reviewed and developed. A copy of this report and appeal rights were discussed and left with the Administrator, Kelechi Eronobi at 6017 S., Croft Ave Los Angeles, CA, 90056.the state’s words, verbatim · CDSS document, Aug 8, 2025

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87211(a)(1)(D) · Plan of correction due date: Aug 26, 2025

Reporting Requirement (a)Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: (1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case. (D) Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident. This requirement is not met as evidenced by: Based on observations, interviews, and record review, the licensee did not comply by not submitting unusual incident reports indicating that the facility got fumigated, is under construction, and residents were relocated to 6017 S., Croft Ave Los Angeles, CA, 90056.the state’s words, verbatim · CDSS document, Aug 8, 2025

Plan of correction: The staff has agreed to re-read CCR 87211(a)(1)(A-D). The staff has agreed to retrain staff on Reporting Requierments. The licensee will submit Unusual Incident Reports explaining the events that happend that lead residents to be relocated. The staff will create a plan to ensure that residents are placed in a stable and safe environment. Email proof of correction to Socorro.Leandro@dss.ca.gov

Type of visit: Required - 1 Year

On 01/24/2025 Licensing Program Analyst (LPA) Yolanda Rosser arrived at facility for unannounced Annual visit. LPA explained the purpose of visit was to conduct Annual visit. House Manager, Wendy explained Licensee, Tracy Moore was away from facility, would contact her. House Manager Wendy allowed entrance to LPA into the facility. LPA later met with Tracy Moore, Administrator and explained the purpose of the visit. The facility is licensed to serve 6 non-ambulatory residents with dementia of which one(1) may be bedridden in room #3. The facility has an approved hospice waiver for 6 residents. The facility does not handle any of the residents money. This home is a single story home consisting of: (5) resident bedrooms, (4) full bathrooms , living room, kitchen with dining area/activity area, office and staff area (located in the attached garage). LPA toured the residents bedrooms. All rooms had the required furniture. There was enough bed linens and closet/drawer space to accommodate each resident comfortably. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, shower was free of mold/mildew and a non skid mat was in place, water temperature measured between 111F and 118F. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. Common areas were clean and clear of hazards, doorways were free of obstructions. Kitchen was checked and observed to be within Title 22 regulations. Perishable and non perishable food supply was checked. All cleaning solutions, hazardous items and medications were securely locked and inaccessible to residents. Smoke detectors were working properly and fire extinguishers were fully charged, carbon monoxide detector was operational. First aid kit was available. Outside grounds were toured and an outdoor shaded patio area with a fenced pool in backyard was observed. Walkways around the home were clear of hazards. There are no security bars or weapons on the premises. Fire drills are conducted monthly. An exit interview was conducted and no deficiencies were cited today. A copy of this report was left with the Administrator at time of visit.the state’s words, verbatim · CDSS document, Jan 24, 2025

Type of visit: Required - 1 Year

This is a recreated report due to technical difficulties: On 2/14/2024 Licensing Program Analyst (LPA) Sparkle Day conducted an unannounced visit to the above facility. The purpose of todays visit was to conduct an Annual inspection. LPA met with Tracy Moore, Administrator and the purpose of the visit was discussed. The facility is licensed to serve 6 non-ambulatory residents with dementia of which one(1) may be bedridden in room #3. The facility has an approved hospice waiver for 6 residents. The facility does not handle any of the residents money. This home is a single story home consisting of: (5) resident bedrooms, (4) full bathrooms , living room, kitchen with dining area/activity area, office and staff area (located in the attached garage). LPA toured the residents bedrooms. All rooms had the required furniture. There was enough bed linens and closet/drawer space to accommodate each resident comfortably. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, shower was free of mold/mildew and a non skid mat was in place, water temperature measured between 115F and 118F. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. Common areas were clean and clear of hazards, doorways were free of obstructions. Kitchen was checked and observed to be within Title 22 regulations. Perishable and non perishable food supply was checked. All cleaning solutions, hazardous items and medications were securely locked and inaccessible to residents. Smoke detectors were working properly and fire extinguishers were fully charged, carbon monoxide detector was operational. First aid kit was available. Outside grounds were toured and an outdoor shaded patio area with a fenced pool in backyard was observed. Walkways around he home were clear of hazards. There are no security bars or weapons on the premises. Fire drills are conducted monthly. An exit interview was conducted and no deficiencies were cited today. A copy of this report was left with the Administrator at time of visit.the state’s words, verbatim · CDSS document, Feb 14, 2024