Henrietta's Leven Oaks

Licensing Program Analyst (LPA) Christian Gutierrez conducted an unannounced complaint investigation visit regarding above allegations. LPA met with Administrator Claudia Sanchez and explained the reason for the visit. The investigation consisted of the following: LPA requested a copy of resident/staff roster, copies of R1’s identification and emergency information, physician’s report (602), inventory list, special incident report (SIR), and appraisal needs and service plan for resident. SEE LIC 9099C Unsubstantiated— CDSS inspection report, October 16, 2025 · control 28-AS-20251010112505

Licensing Program Analyst (LPA) Ashley Calderon made an unannounced visit to conduct a complaint investigation visit. LPA met with Iterm-Administrator Claudia Sanchez and explained the purpose of the visit. Investigation consisted of: LPA toured residents rooms #3, #9, #15 and #27. Resident #1 (R1) room was observed. LPA collected resident and staff roster. R1's Identification and Emergency Information, Physician Report, Inventory List, Admission Agreement Page Regarding Theft and loss/ Safeguarding Residents property, Preplacement Appraisal, Resident Appraisal . Inventory List for Residents #2-5 (R2-R5). LPA interview Iterm Administrator Claudia Sanchez and Staff #1 - #3 (S1-S3). LPA interviewed Resident #1-#3 (R1-R3) and Resident #5 (R5), LPA checked medications and Centrally Stored Medication Log for Resident #1 - #4 (R1-R4). LPA interview R1's Former Case Manager from Brilliant Corners / DHS. Continuation on 9099-C.... UnsubstantiatedRead the full finding— CDSS inspection report, October 17, 2023 · control 28-AS-20231012115138

Licensing Program Analyst (LPA) Alberto Lopez made an unannounced visit to conduct a complaint investigation visit. LPA met with Assistant Administrator Claudia Sanchez and explained the purpose of the visit. Investigation consisted of LPA taking tour the facility and reviewing the MAR, Physicians Report and medications for 4 residents. LPA interviewed 4 staff (S#1-S#4) and 7 residents (R#1-R#7) Allegation: Staff are mismanaging resident's medication. It is alleged that facility is mismanaging client’s medications and that medications are missing for R1. The investigation revealed that medication is being administered according to doctor's orders. LPA conducted interviews with Assistant Administrator, Staff #1 (S1) and Staff #2 (S2). LPA conducted interviews via phone with Staff #3 (S3) and Staff #4 (S4) All 4 staff denied the allegation. Three staff responsible for administration of medications stated they are in constant communication to prevent medications errors. UnsubstantiatedRead the full finding— CDSS inspection report, September 18, 2023 · control 28-AS-20230913085414

Licensing Program Analyst (LPA) Cynthia Chan conducted a subsequent visit to render the finding for the allegation of a questionable death. LPA met with Staff, Claudia Sanchez, and explained the purpose of the visit. The investigation consisted of the following: On 1/20/23, LPA Chan obtained copies of the staff and resident rosters. LPA toured the facility, inside and out, and inspected random rooms: #1, #4, #7, #10, #12, #15, and #30. There were no immediate health and safety concerns noted. Sufficient food supplies for the current resident census were observed. LPA requested for documents for 4 residents. On 4/28/23, LPA Chan conducted another visit to interview the Administrator, 4 Staff, and 2 Residents. UnsubstantiatedRead the full finding— CDSS inspection report, August 31, 2023 · control 28-AS-20230120090838

Licensing Program Analyst (LPA) Ashley Calderon conducted a complaint visit to deliver report that supersedes report dated 5/02/23. LPA met with Substitute Administrator Stephany Perez and Claudia Sanchez and explained the reason for the visit. On 5/02/23 initial visit, the investigation consisted of: LPA toured with Harvey the facility and observed exits doors, lobby, hallways, dining area, and outside garden and parking lot.LPA conducted interview with Lupe Harvey, Staff #1, Staff #2 and Staff #3 (S1, S2 and S3). LPA interview Resident #1 (R1), Resident #2 and Resident #3 (R1, R2 and R3). LPA obtained copies of Staff and Resident Rosters, R1 and R2's face sheet, Physician's report, and Special Incident Report (SIR). Continuation on Page 9099-C... SubstantiatedRead the full finding— CDSS inspection report, August 30, 2023 · control 28-AS-20230425115536

Licensing Program Analyst (LPA) Ashley Calderon conducted a complaint investigation regarding the allegations listed above. LPA met with Claudia Sanchez, Interim Administrator and explained the reason for the visit. At 1:00pm Substitute Administrator Stephany Perez assisted with the visit. During today's visit: LPA toured the facility along side with Claudia Sanchez. LPA observed med-tech room lost and found area and the laundry room lost and found area, R1's bedroom was observed. LPA obtained copies of the following documents: Staff & Resident Rosters, Resident #1 (R1) : Face sheet (ID and Emergency Info.), Physician’s report and Admission's Agreement. LPA obtained facility daily notes and rent invoices regarding R1. LPA conducted interviews with Assistant Administrator, Sub-Administrator, Staff #1 (S1) and Staff #2 (S2) . LPA conducted interview via telephone with Staff #3 (S3) . LPA interviewed Resident #1(R1) - Resident #5(R5). LPA Calderon attempt to interview former case managerRead the full finding— CDSS inspection report, August 30, 2023 · control 28-AS-20230822163205

Licensing Program Analyst (LPA) Bennette Pena conducted a subsequent complaint investigation regarding the allegations listed above. LPA met with Claudia Sanchez, Assistant Administrator/Med-Tech and explained the reason for the visit. The Administrator is unavailable and not present in the facility during the visit. During the initial complaint investigation conducted on 5/16/2023, LPA Bennette Pena toured the facility and obtained copies of the following documents: Staff & Resident Rosters, In-service training for staff regarding Residents Rights, reviewed Resident #1 (R1) and Resident #2 (R2) files suchas: Face sheet (ID and Emergency Info.), Resident Pre Placement Appraisal, Physician’s report and Admission's Agreement. LPA conducted interviews with Staff #1 (S1) - Staff #4 (S4) and Resident #1 (R1) - Resident #6 (R6). Interview with Resident #1 (R1) was unsuccessful due to cognitive abilities, and Resident #2 (R2) has already moved out of the facility. LPA also obtained contact inRead the full finding— CDSS inspection report, May 30, 2023 · control 28-AS-20230508105637

Licensing Program Analyst (LPA) Ashley Calderon conducted an unannounced complaint visit to gather information pertaining to the above mentioned allegation. LPA met with Administrator Lupe Harvey and explained the reason for the visit. The investigation consisted of: LPA toured with Harvey the facility and observed exits doors, lobby, hallways, dining area, and outside garden and parking lot.LPA conducted interview with Lupe Harvey, Staff #1, Staff #2 and Staff #3 (S1, S2 and S3). LPA interview Resident #1 (R1), Resident #2 and Resident #3 (R1, R2 and R3). LPA obtained copies of Staff and Resident Rosters, R1 and R2's facesheet, Physican's report, and Special Incident Report (SIR). Continuation on Page 9099-C... SubstantiatedRead the full finding— CDSS inspection report, May 2, 2023 · control 28-AS-20230425115536

Licensing Program Analyst (LPA) Galarza conducted a subsequent complaint visit in reference to the above allegations. LPA explained the purpose of the visit to Administrative Assistant/Med-Tech Claudia Sanchez. Administrator Lupe Harvey was not available during the visit. The investigation consisted of the following: On 3/20/23 & today a tour of the interior and exterior physical plant was conducted. The physical plant tour focused on bathroom plumbing, hot water temperature, call light system, and kitchen food supply. Staff (S1- S6) and residents (R1 - R7) were interviewed. The following documents pertaining to R1 were reviewed and obtained: Identification and Emergency Information, Physician Report, Physician Order, resident roster, LIC 500 Personnel Report, and Food Menus [regular, special diets, and alternate menu]. NOTE: Documents not provided: Food Handling Certificates, Registered Dietician information (only website was provided), and plumbing report / invoice. See LIC 9099C forRead the full finding— CDSS inspection report, April 6, 2023 · control 28-AS-20230313092735

Licensing Program Analyst (LPA) Galarza conducted a subsequent complaint visit in reference to the above allegations. LPA explained the purpose of the visit to Administrative Assistant/Med-Tech Claudia Sanchez. Administrator Lupe Harvey was not available during the visit. The investigation consisted of the following: On 3/20/23 & today a tour of the interior and exterior physical plant was conducted. The physical plant tour focused on bathroom plumbing, hot water temperature, and kitchen food supply. Staff (S1- S6) and residents (R1 - R7) were interviewed. The following documents pertaining to R1 were reviewed and obtained: Identification and Emergency Information, Physician Report, Physician Order, resident roster, LIC 500 Personnel Report, and Food Menus [regular, special diets, and alternate menu]. NOTE: Documents not provided: Food Handling Certificates, Registered Dietician information (only website was provided), and plumbing report / invoice. See LIC 9099C for report continuatioRead the full finding— CDSS inspection report, April 6, 2023 · control 28-AS-20230313092735

Licensing Program Analyst (LPA) Ashley Calderon conducted an unannounced complaint visit to gather information pertaining to the above mentioned allegations. LPA met with Assistant Administrator Claudia Sanchez and shortly after met with Administrator Lupe Harvey and explained the reason for the visit. The investigation consisted of: LPA conducted interviews with Assistant Administrator Claudia Sanchez , Administrator Lupe Harvey, Staff #1 and Staff #2 (S1 and S2). LPA attempt to interview Resident #1 (R1) and R1's roommate resident #4 (R4) and was unsucessful. LPA interviewed Resident #2 and #3 (R2 and R3). LPA obtained copies of Staff and Resident Rosters, R1's facesheet, Physican's report, Pre-Apprasial, Apprasial Needs and Service Plan, Resident Appraisal, and Special Incident Report (SIR). LPA alongside with Lupe Harvey toured two floors,common resident restrooms located only on first floor, common areas like dinning/acitivity room,gardens/patios, lobby room, and residents rooms:Read the full finding— CDSS inspection report, March 9, 2023 · control 28-AS-20230228144829

Licensing Program Analyst (LPA) Glenn Trueman made an unannounced visit to the facility and was greeted by Assistant Administrator Claudia Sanchez and explained the reason for the visit. The purpose of the visit is to investigate the above allegation. At today's visit Resident and Staff Roster was submitted. R 1's file was reviewed. At 9:40 A.M. Assistant Administrator was interviewed. At 10:00 A.M. tour of facility was conducted with LPA and Assistant Administrator which included 1st floor front door, R1 Room 11, rear of facility exit, and 2nd floor exit doors. All signal systems were operable. At 10:15 A.M. Staff S 1 was interviewed. At 10:30 A.M. Staff S 2 was interviewed. At 10:50 A.M. interview was conducted telephonically with Administrator Lupe Harvey. In regards to the allegation Facility staff did not adequately supervise resident resulting in resident wandering off on more than one occasion, based on file review, and interviews conducted it was revealed by staff SubstantiatedRead the full finding— CDSS inspection report, January 19, 2023 · control 28-AS-20230110110037

Licensing Program Analyst (LPA) Alma Gonzalez conducted an unannounced complaint visit to gather information pertaining to the above-mentioned allegation. LPA met with Administrator Lupe Harvey and explained the reason for the visit. The investigation consisted of: LPA conducted interviews with Administrator Lupe Harvey, and Resident 1 (R1). LPA obtained copies of Staff and Resident Rosters. LPA conducted a telephone interview with Department of Health Services/ Housing for Health (DHS HFH) Case Worker Carmen Zavala. LPA reviewed R1-2's facility file and collected copies of the following documents: R1-2's Physician's Report for Residential Care Facilities for the Elderly (RCFE), R1-2 Preplacement Appraisal Infromation and R2 Eviction Notice dated 11/23/22. (See LIC9099C for continuation) UnsubstantiatedRead the full finding— CDSS inspection report, December 8, 2022 · control 28-AS-20221201120217

Licensing Program Analysts (LPAs) Joe Katrdzhyan, Nune Margaryan and Valeria Maldonado conducted an unannounced complaint visit at 120 S Myrtle Ave. Upon arriving at the property, LPAs met with Director / Lupe Harvey who assisted with the visit. The purpose of the visit was discussed. The Notice of Operation in Violation of Law was issued during this visit because facility license #198602418 was revoked as of 8/26/22, due to Decision and Order, Stipulation 6120010302E. An exit interview was conducted and a copy of this report was provided. Substantiated— CDSS inspection report, August 30, 2022 · control 28-AS-20220829152934