Sakura Gardens At Los Angeles

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.

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.

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.

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.

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: Staff did not ensure hot water was available at the facility for residents in care.

Licensing Program Analyst (LPA), Mayra Cota, conducted an initial unannounced complaint visit to investigate the above allegation. LPA met with Dennis Robeniol, Executive Director and explained the reason for the visit. The investigation consisted of the following: LPA, Cota, obtained copies of client and staff rosters, toured common areas of the facility, inspected 14 resident rooms/bathrooms and interviewed Resident 1 - Resident 9 (R1-R9) and Staff 1 - Staff 5. ***Continues on LIC 9099C Substantiatedthe state’s words, verbatim · CDSS document, May 29, 2025 · control 28-AS-20250522082132

Allegation investigated: Staff did not ensure the facility generators were not in disrepair

Licensing Program Analyst (LPA) Glenn Trueman conducted a complaint investigation regarding the allegation above. LPA arrived unannounced and met with Executive Director Dennis Robeniol. The purpose for the visit was explained. LPA obtained a copy of the staff and resident roster. LPA interviewed Executive Director Dennis Robeniol and Staff S1. LPA and Staff S1 toured the exterior of the facility where the generators for the facility are located. In regards to the allegation Staff did not ensure the facility generators were not in disrepair, based on interviews conducted, tour conducted and information gathered it was revealed by the Executive Director that the generators have been non-operable for at least a year. Stated that the copper wires connected to the generators were stolen by individuals from outside the facility. Said the blackout was about 2 hours in the facility. Interview with Staff S1 who stated that all the wiring was stolen and that the generators have been non-operablthe state’s words, verbatim · CDSS document, Mar 10, 2025 · control 28-AS-20250228153319

Allegation investigated: Staff did not meet resident’s needs.

Licensing Program Analysts (LPAs), Mayra Cota and Blanca Gonzalez, conducted an unannounced visit to deliver findings regarding the above-mentioned allegation. LPA met with Dennis Robeniol, Execitive Director and discussed the purpose of the visit. The investigation consisted of the following: LPA toured the facility, reviewed file and records of Resident #1 (R1) and obtained copies of the following documents: Face Sheet, Needs and Service Plan, Resident Assessment, Admissions Agreement, Physician’s Report, Medication Administration Record (MAR) for November 2024, Admission Orders (medication), photo of purchase receipt for glucometer and test strips, Physician Orders for Life-Sustaining Treatment (POLST), Unusual Incident Report (11/14/24) and Admission Record and Order Summary Report from convalescent hospital. Staff also provided staff and resident rosters. LPA conducted interviews with residents 1-9 (R1-R9), staff 1-4 (S1-S4), and convalescent hospital staff (CS). ***Continues on Lthe state’s words, verbatim · CDSS document, Feb 13, 2025 · control 28-AS-20241118081448

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 are not following proper infection control protocols with residents in care. Licensee is not ensuring that the facility is kept free from bed bugs. Facility is in disrepair. Licensee does not ensure facility serves food of good quality and quantity to residents in care. Facility is not adhering to resident(s)' Admission Agreement.

Licensing Program Analyst (LPA) Christian Gutierrez conducted a subsequent complain visit in regard to the allegations listed above. LPA met with Administrator Jina Malekarkissians and explained the purpose of the visit. The investigation consisted of the following: During the initial visit conducted on 12/09/2024, LPA interviewed Staff #1- Staff #4, Residents #1 -Residents #5, and toured the facility, LPA obtained copies of the following documents: personnel report LIC 500, resident roster, invoice for pest control, invoices for food purchased, food menu, and physicians reports along with narrative report for three (3) residents. During todays visit LPA Gutierrez interviewed Residents #6- Residents #9, and Staff #5- Staff #6 and obtained copies of elevator maintenance repair receipts, and room change letters. SEE LIC 9099C Unsubstantiatedthe state’s words, verbatim · CDSS document, Feb 4, 2025 · control 28-AS-20241204135046

Allegation investigated: Resident was sexually abused while in care

Licensing Program Analyst (LPA) Bennette Pena conducted a subsequent visit to investigate the above allegation. LPA met with Tomoko Hino, Marketing Director and Alejandro Lozoya, Business Office Manager and explained the purpose of today’s visit. LPA spoke with Jina Maleksarkissian, Executive Director on the phone and discussed the purpose of the visit. On 12/24/2024, LPA Cota conducted the initial 10-day complaint visit and obtained relevant documentation. During today's visit, LPA Pena obtained staff & resident rosters, Facility's Abuse Neglect and Exploitation Policy, Resident #1 (R1) files such as: Identification and Emergency Information (Face sheet), Pre Admission Application, Resident Assessment, Admission Agreement, Physician's report, Kaiser Hospital Discharge record (12/24/2024), Medication Administration Record (MAR) for Nov. 2024-Jan. 2025 and Incident Report (12/22/2024). LPA interviewed Staff #1 (S1)-Staff #5 (S5) and Resident #1 (R1)-Resident #12 (R12). LPA requested copthe state’s words, verbatim · CDSS document, Jan 10, 2025 · control 28-AS-20241223145347

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: Licensee does not ensure that residents are provided with a comfortable environment while in care. Facility is in disrepair.

During today's visit, Licensing Program Analyst (LPA) Nune Margaryan conducted an initial complaint visit to investigate the allegations listed above. LPA met with Tomoko Hino, Marketing Director. Administrator Jina Malesarkissians arrived shortly thereafter. The inspection consisted of the following: LPA conducted a tour of facility including kitchen, dining room, common areas. LPA obtained staff and resident rosters, a copy of documents pertaining to this complaint, interviewed Administrator, Staff 1 - Staff 3 (S1 - S3) and Resident 1 - Resident 12 (R1 - R12). Continue 9099C Substantiatedthe state’s words, verbatim · CDSS document, Sep 12, 2024 · control 28-AS-20240905151659

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: Staff are not providing adequate supervision to residents. Staff yell at residents. Staff do not treat residents with respect. Staff did not safeguard residents' personal belongings. Staff are not properly dispensing medication as prescribed.

Licensing Program Analyst (LPA) Galarza conducted a subsequent complaint visit to deliver findings on the above allegations. The purpose of the visit was explained to new Executive Director Jina Maleksarkissians. The investigation consisted of the following: On11/28/23, 2/8/24, and 5/9/24 LPA visited the facility to investigate complaint allegations. On 2/8/24, findings were delivered on 4 allegations. Each visit consisted of physical plant observations, records review, and interviews. Resident file documents were requested and obtained, which included [Medication Administration Records [MARs Sep. 2023- Nov. 2023], Appraisals, Physician's Reports, incident reports] and other relevant documents. Copies of the Neurocognitive Disorder Care Plan of of Operation, Designation of Facility Responsibility, Administrator Certificate, LIC 500 Personnel Report, and resident rosters were obtained. During the course of the investigation, pictures and video evidence was obtained. ***Narrative summarythe state’s words, verbatim · CDSS document, May 17, 2024 · control 28-AS-20231120121606

Allegation investigated: Staff did not provide a safe and comfortable environment for residents Facility is in disrepair

During today's visit, Licensing Program Analyst (LPA) Erik Zaragoza conducted an initial complaint visit to investigate the allegations listed above. LPA met with Janice Shimozawa, Front Desk Receptionist for the facility, and was granted entrance. Current Administrator Jina Malesarkissians arrived shortly thereafter. The inspection consisted of the following: LPA obtained staff and resident rosters, a copy of the sketch of the facility, interviewed residents #1 - 10 (R1 - R10), and staff #1 - 4 (S1 - S4). The inspection revealed the following: In regards to the allegation that "Staff did not provide a safe and comfortable environment for residents," it is alleged that homeless people have been entering the facility campus by cutting holes in fencing that surrounds the facility, and they have been squatting in a large abandoned building formerly known as the Intermediate Care Facility (ICF) building that stands next to the main assisted living building for the facility as well as in bathe state’s words, verbatim · CDSS document, May 9, 2024 · control 28-AS-20240501153246

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: Administrator is not at the facility for the required amount of time.

Licensing Program Analyst (LPA) Cynthia Chan conducted a complaint investigation regarding the allegation above. LPA arrived unannounced and met with Administrator, Jina Maleksarkissian. The purpose for the visit was explained. LPA obtained a copy of the staff and resident roster. LPA also reviewed the administrator's file and interviewed the administrator, 6 staff and 5 residents. For allegation, administrator is not at the facility for the required amount of time. It is alleged that the administrator is not available for residents and staff and is not in the building. LPA interviewed the administrator who started on 2/21/24. She stated she works Monday through Friday, 9:30am - 5pm, and is available on call. She is normally in the building except when she has any business meetings or business developments. She will attend the meeting and return to the community right after. Unsubstantiatedthe state’s words, verbatim · CDSS document, Mar 20, 2024 · control 28-AS-20240315143603

Allegation investigated: Staff interfere with resident's sleep. Staff do not properly store residents' personal hygiene care items.

Licensing Program Analyst (LPA) Galarza conducted a subsequent complaint visit to investigate the above allegations. The purpose of the visit was explained to receptionist Janice Shimozawa. The facility does not currently have an Executive Director. Rodora Marijna Merana arrived later and assisted with today's visit. The investigation consisted of the following: On 11/28/2023, LPA conducted a tour of the facility with focus on the Memory Care Units and one staff was interviewed. The Neurocognitive Disorder Care Plan of of Operation, Designation of Facility Responsibility,Personnel Records and training, LIC 500 Personnel Report, and resident rosters were obtained. Photographs were taken of the storage rooms were resident's hygiene products were being stored. During today's visit, LPA obtained Dementia Care Plan of Operation [Service Plans, Resident Dining, Northstar Food Service, and kitchen meal time schedule. A tour of the facility and Memory Care Unit was conducted, 7 staff were intethe state’s words, verbatim · CDSS document, Feb 8, 2024 · control 28-AS-20231120121606

Allegation investigated: Resident sustained multiple falls due to staff neglect Staff did not follow protocol regarding resident falling Staff administered resident medications not on medication list Facility staff did not report resident's fall to the proper agencies

Licensing Program Analyst (LPA) Mary Flores conducted an unannounced complaint investigation visit regarding the above allegations. LPA met with Tomoko Hino and explained the reason for the visit. Whitney Blake Regional Vice President of Operations and Sale for North Star was notified of the reason of the visit via phone. The investigation consisted of the following: LPA requested a copy of staff and resident roster. Interviewed administrator, 5 staff, 8 residents, reviewed resident’s #1(R1) file, staff provided a copy of R1’s file and incident reports for incidents on 1/15/24 and 1/24/24. Interview hospice services over the phone. The investigation revealed the following: Regarding allegation: Resident sustained multiple falls due to staff neglect. It is alleged R1 has a history of falls and fell on 1/15/24 and 1/24/24. Interviews with staff revealed R1 resided at the assisted living prior to moving to their transitional memory care unit. While living at the assisted living R1 had susthe state’s words, verbatim · CDSS document, Feb 7, 2024 · control 28-AS-20240129142303

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: Staff not safeguarding resident’s personal belongings. Staff not preventing resident’s room from getting broken in.

Licensing Program Analyst (LPA) Angelica Rea conducted an initial complaint visit in response to the allegation(s) listed above. LPA met with Administrator, Daniel Konishi, who assisted with today's visit. Regarding the allegation that : Staff are not safeguarding resident’s personal belongings. The investigation consisted of interviews with Administrator, Staff #1 - Staff #3, and Resident #1 - Resident #6, and review of Resident #1's file. Administrator and staff interviewed denied the allegation. They stated that staff do safeguard residents personal belongings. Administrator and staff stated that resident #1 has expressed concerns that their personal belongings are missing, and staff have conducted an internal investigation. Administrator and staff stated that some of the items that were said to be missing, were located in resident #1's room. Residents interviewed were unable to corroborate the allegation. Five out of six residents interviewed stated that their belongings are safeguthe state’s words, verbatim · CDSS document, Aug 22, 2023 · control 28-AS-20230817162758