Avocet at Playa Vista

Type of visit: Required - 1 Year

On 10/23/25, Licensing Program Analysts (LPA) Regina Cloyd and Socorro Leandro conducted an unannounced required – annual inspection and met with Executive Director Keith McGevna. The facility is licensed to serve 286 ambulatory residents age range 60 and over, of which 98 may be non-ambulatory and of which 28 may be bedridden. Hospice waiver granted for 20 residents. The facility currently has two residents receiving hospice care. Annual Fees are current. The facility consists of floors 1 – 6 and basement. The first floor consists of 24 resident rooms, salon spa, massage, event center, theatre, occupational physical therapy, card rooms, library, grab & go, bar lounge, dining room, living room, private dining, kitchen, memory, two outdoor dining courtyards, and memory care courtyard. The second floor consists of 42 resident rooms and a garden terrace. The third floor consists of 38 resident rooms. The fourth floor consists of 38 resident rooms. The fifth floor consists of 38 resident rooms. The sixth floor consists of 19 resident rooms, wellness center, fitness center, spa, locker rooms, sun deck, and enclosed pool. Continue to LIC809-C. Staff accompanied LPA Leandro inside and outside the facility during this inspection. Outside grounds were toured and no bodies of water were observed. Walkways around the facility were clear of hazards. Common areas were clean and clear of hazards. Doorways were free of obstructions. Resident bedrooms (1-06, 110, 2-9, 2-11 303, 322, 327, 422, 441, 531, 604 and 627) had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. There are no security bars or weapons on the premises. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, shower was free of mold/mildew, a non-skid mat was in place, and hot water temperature properly measured between 114 – 117 degree Fahrenheit. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. LPA Leandro toured the kitchen area and observed a two-day supply of perishable and a seven-day supply of non-perishable food. Knives were kept in the locked kitchen area. First Aid kit was available. Fire Masters tested the exits and fire extinguishers on 06/17/25. Johnson Controls North America conducted its fire inspection on 06/06/25 and the automatic sprinkler systems on 10/08/25. The facility conducted an emergency drill (safety & risk management) occurred on 09/17/25. Ten staff records were reviewed, ten out of ten staff records had required criminal record clearances or criminal record exemptions. Ten resident records were reviewed, ten out of ten resident records had medical assessments and/or annual routine visits, pre-appraisal, and reappraisals. Both medication rooms were inspected and electronic medication administration records reviewed. An exit interview was conducted, technical assistance provide, and a copy of this report was discussed and left with Executive Director Keith McGevna.the state’s words, verbatim · CDSS document, Oct 23, 2025

Type of visit: Case Management - Incident

On 02/21/2025, Community Care Licensing Division (CCLD) Staff conducted a case management - incident visit at the above facility. CCLD Staff spoke with the Executive Director Keith McGevna over the phone and explained that the purpose of the visit was to test the signal system in Resident #1's (R1) apartment. At 1:22 PM, the Director of Assisted Living and CCLD Staff tested the signal system in the kitchen area (across from the dining/living room) and a caregiver responded to the call at 1:29 PM. No deficiencies were cited. An exit interview was conducted and a copy of this report was left with the Director of Assisted Living Chelsea Navarro, RN.the state’s words, verbatim · CDSS document, Feb 21, 2025

Allegation investigated: Questionable Death. Facility staff failed to seek timely medical attention.

The investigation consisted of the following: On 02/19/2025, Community Care Licensing Division (CCLD) Staff conducted a complaint investigation at the above facility to address the following allegations. CCLD Staff met with Executive Director Keith McGevna and explained the purpose of the visit. CCLD Staff reviewed Department, facility, and resident records, interviewed staff and residents, and toured parts of the facility relevant to the allegations. Allegation: Regarding the allegation "Questionable Death,” it is being alleged that Resident #1 (R1) passed away at the facility due to choking. R1’s physician’s report (dated 08/2023) revealed that R1 was not on a special diet and R1 was able to feed self. Department records indicated that R1 had a private caregiver (W1) who is employed by an outside home care organization. W1 was present during the incident. Continue to LIC9099-C. Unsubstantiated Records also indicate that W1 observed R1 lean back in R1’s room chair after dinner and W1 began to prepare dessert in the kitchen. When W1 returned to R1’s room, W1 noticed R1 was pale and unresponsive. W1 made a phone call, pressed the call button, received a call, and then called 911. Interview with the facility’s nurse (S2) indicated that S2 assessed the situation, placed R1 on the floor, and started performing CPR until the paramedics arrived. The death report revealed the following: R1 passed away on 01/09/25 7:01 PM in R1’s apartment; Paramedics determined airway obstruction – food blockage – was the immediate cause of death; At 6:22 PM, R1 was assisted to lying position, CPR initiated, law enforcement contacted, and staff remained with resident; Paramedics and police arrived and called time of death at 7:01 PM. Regarding the allegation “Questionable Death," based on record reviews and interviews, the Department found no evidence to support the allegation mentioned above. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, as a result, the allegation is Unsubstantiated. No deficiency was cited for this allegation. Allegation: "Facility staff failed to seek timely medical attention,” for Resident #1 (R1). Department records indicated that R1 had a private caregiver (W1) who is employed by an outside home care organization. W1 was present during the incident. Records also indicate that W1 noticed R1 was pale and unresponsive. W1 called Witness #2 for guidance, pressed the facility’s call button several times, received a call from Witness #3, and then called 911. Department records also indicated that W1 pressed all three buttons. LPA observed that the call system in residents’ room include three buttons. Interview with the Executive Director (S1) and staff indicated that one of the three buttons is selected to clear the call. Interview with the facility’s nurse (S2) indicated that R1’s family called the lobby and the message was relayed to nursing station. S2 indicated that upon arrival to R1’s room, S2 assessed the situation and performed CPR until the paramedics arrived. Five out of six resident interviews indicated that staff provides timely medical attention. Five out of six staff interviews indicated that staff responds to a call button within five to ten minutes. Continue to LIC9099-C. Regarding the allegation “Facility staff failed to seek timely medical attention,” based on record reviews, interviews, and observations, the Department found no evidence to support the allegation mentioned above. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, as a result, the allegation is Unsubstantiated. No deficiency was cited for this allegation. An exit interview was conducted and a copy of this report was provided to the Executive Director Keith McGenva.the state’s words, verbatim · CDSS document, Feb 19, 2025 · control 11-AS-20250212123219

Type of visit: Case Management - Other

On 02/19/2025, Community Care Licensing Division (CCLD) Staff conducted a case management - other visit at the above facility. CCLD Staff met with the Executive Director Keith McGevna and explained that the purpose of the visit was to investigate complaint 11-AS-20250212123219. During the investigation, the facility was unable to provide the signal system call log reports to CCLD. The facility was also unable to provide the reports on the case management - incident visit on 02/07/25. A Technical Violation is hereby issued. According to Title 22, Division 6, Chapter 8, Article 13, The licensing agency shall have the authority to inspect, audit, and copy resident or facility records upon demand during normal business hours (see LIC9102). An exit interview was conducted and a copy of this report was left with the Executive Director Keith McGevna.the state’s words, verbatim · CDSS document, Feb 19, 2025

Type of visit: Case Management - Incident

On 02/07/2025, Community Care Licensing Division (CCLD) Staff conducted a case management - incident visit at the above facility. CCLD Staff spoke with the Executive Director Keith McGevna over the phone and explained that the purpose of the visit was to collect information about Resident #1's (R1) incident on 01/09/2025. The facility emailed the report to cclascpelsegundoro@dss.ca.gov on 01/16/2025 1:32 PM. CCLD Staff collected resident and facility records. An exit interview was conducted and a copy of this report was left with the Director of Assisted Living Chelsea Navarro, RN.the state’s words, verbatim · CDSS document, Feb 7, 2025

Allegation investigated: Staff did not ensure resident meals are planned with consideration for cultural and religious background and food habits of residents in care.

The investigation consisted of the following: On 12/12/2024, Community Care Licensing Division (CCLD) Staff conducted a complaint investigation at the above facility to address the following allegations. CCLD Staff conducted staff interviews, toured the facility, and reviewed facility records. On 01/14/25, CCLD Staff met with Executive Director Keith McGevna and explained the purpose of the visit. CCLD Staff interviewed one staff member and twelve residents. Allegation: Regarding the allegation "Staff did not ensure resident meals are planned with consideration for cultural and religious background and food habits of residents in care,” it is being alleged residents are scared to eat meat because management has not confirmed whether the meat is kosher; therefore, residents resort to eating fish. Continue to LIC9099-C. Unsubstantiated Record review revealed that the dinner menu (11/10 - 11/16/24) included kosher orange chicken, spaghetti and meatballs, mongolian beef, crusted lamb chops, and whole roasted chicken. Also, dinner menu (12/08/24 - 12/14/24) included kosher spaghetti bolognese, shepherd's pie, wine braised short ribs, ahi poke bowls, and mushroom stroganoff. Kosher Vendor #1 receipts included liver, whole chicken, breasts, beef, lamb sham, chicken thigh, turkey, boneless turkey breast, chicken wings, and boneless chicken leg. Kosher Vendor #2 receipts included boneless rib eye, ground beef, london broil, beef chuck eye - stew cut, boneless flanken, chicken liver, boneless skinless chicken breasts, boneless rib eye, and racks of lamb. Kosher Vendor #3 included chuck tail flap prime creek. During the kitchen tour, CCLD Staff observed whole chickens, wine braised short ribs, and raw chicken livers in the two kitchens. The label on the raw chicken livers was stamped with star that included the letter “k” and stated, “must be koshered by broiling,” and “packed by: Quality Kosher Monroe, NY 10950”. Seven out of night staff interviews indicated that the meat is Kosher. Two out of eight staff interviews indicated they did not know whether the meat was Kosher. Interview with the Executive Director (S1) indicated that the food vendors have not changed between the former Licensee and the current Licensee. Interview with the Head Chef indicated they have not changed Kosher vendors but have added non-kosher items onto the menu. Two out of five resident interviews indicated that cultural and religious preferences are considered on the menu. Three out of five resident interviews indicated that cultural and religious preferences are not considered on the menu. Five out of twelve resident interviews indicated that the meat is kosher because it comes from a kosher source. Four out of twelve resident interviews indicated that the meat is not kosher because of how it is prepared. One of the four residents indicated that the food is Jewish style but not kosher. Interview with S1 indicated that the facility does not have a kosher kitchen. Three out of twelve resident interviews indicated that they are not sure if the meat is kosher. Six out of ten resident interviews indicated are satisfied with the food served. Two out of ten resident interviews felt indifferent about the food served. Two out of ten resident interviews indicated are not satisfied with the food served. Regarding the allegation “Staff did not ensure resident meals are planned with consideration for cultural and religious background and food habits of residents in care," based on record reviews, interviews, and observations, the Department found no evidence to support the allegation mentioned above. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, as a result, the allegation is Unsubstantiated. No deficiency was cited for this allegation. An exit interview was conducted and a copy of this report was provided to the Executive Director Keith McGevna.the state’s words, verbatim · CDSS document, Jan 14, 2025 · control 11-AS-20241206104153

Type of visit: Prelicensing

On 06/07/2024, Licensing Program Analysts (LPAs), Ernand Dabuet and Regina Cloyd, conducted an announced visit to the facility for purpose of a prelicensing evaluation. . LPAs met with Executive Director Keith McGevna and the purpose of today's visit was explained. An application was submitted to CCLD on 04/02/2024 for Change of Ownership for a Residential Care Facility for the Elderly to serve the Elderly for 60 years and older. The requested capacity is for 286 in which 188 may be ambulatory only, 70 non-ambulatory and 28 bedridden. During today’s visit, LPAs and Executive Director toured the facility. The physical plant included floors 1-6, basement, both inside and outside. The facility has an enclosed pool on the 6th floor with a staff member stationed there during business hours. There is a salon, a gym, a card room and arts and craft for residents enjoyment. LPAs toured apartments which house residents with independent living capabilities and memory care (first floor). They include 1 or 2 bedrooms, 1-2 bathrooms, living room, kitchen, and laundry room. Residents have the option to furnish apartments with their own furniture. There is furnishings available if requested. Beds have the required linen/supplies which include, pillowcase, mattress pads, fitted sheet, blanket and bedspreads. The bedrooms are set up with beds, night stands with lamps, dressers, and closet space. LPA tested the hot water temperature on each floor to ensure it is maintained within the required range of 105*F - 120*F degrees. LPA observed the call signal system in the bathrooms, showers, and hallways. Facility is equipped with smoke detectors and strobe detectors were observed in the common areas w/speakers in the rooms & hallways, including a carbon monoxide device on every floor. Fire clearance was approved on 04/19/24. Continue to LIC 809-C.the state’s words, verbatim · CDSS document, Jun 7, 2024

The state marks this report as 3 pages; the online copy we transcribed has 1. You can request the full file from the county licensing office.

Type of visit: Office

Facility Type: RCFE-CCRC Application Type: Change of Ownership Capacity: 286 Census (if any clients in care): 215 COMP II Participants: KEITH MCGEVNA, KRISTEN WILKINSON Interview Method: Telephone interview On May 09, 2024, applicant/administrator participated in COMP II. Identification of the applicant and administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant and administrator confirmed the understanding of the California Code Title 22 Regulations. Signed LIC 809 with copy of photo ID have been obtained. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Admission Policies 3. Staffing requirements & Training 4. Restricted/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing readinessthe state’s words, verbatim · CDSS document, May 9, 2024