Greenridge Senior Living

Type of visit: Required - 1 Year

On 07/14/2026 at 9:30 am, Licensing Program Analyst (LPA) Y. Brown conducted an unannounced annual 1-year required inspection. LPA met with facility manager Tamika Hill and explained the purpose of the visit. The facility’s fire clearance was approved for thirty-eight (38) residents, nine (9) may be non-ambulatory. LPA toured the facility including but not limited to bedrooms, bathrooms, kitchen, common area and outdoor area. All indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature for residents is maintained at 74 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. Hot water temperature in the residents shared bathroom was measured at 120.0 degrees Fahrenheit. All toilets, hand washing, and bathing are safe, sanitary and in operating condition. The supply of extra hygiene was available for residents. Smoke detectors and carbon monoxide combination were in operating condition during visit. Fire extinguisher was last serviced on 7/13/2026. LPA reviewed four (4) staff and five (5) resident records. Emergency disaster plan was last reviewed on 6/2026. Emergency fire drills were last conducted on 7/2/2026. LPA reviewed a sample of medication. Continued on LIC809C. Continued from LIC809. Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 07/21/2026: LIC610D: Emergency disaster plan LIC500: Personnel Record The following deficiencies were observed: At 11:15 am, LPA observed missing 20 hr training from four (4) staff members. At 11:30 am, LPA observed missing first aid certificates from four (4) staff members. Deficiencies are cited per Title 22 California Code of Regulations and listed on LIC809D. Failure to submit proof of corrections (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties. Exit interview conducted with Tamika. A copy of the appeal rights and this report provided.the state’s words, verbatim · CDSS document, Jul 14, 2026

Allegation investigated: Unlawful eviction

On 11/18/2025 at 10:50AM, Licensing Program Analyst (LPA) Carol Fowler arrived unannounced to deliver findings in regards to the allegation above. LPA met with Manager, Tamika Hill and informed her the reason for the visit. During the course of investigation, LPA C. Fowler interviewed staff, R1, and Witness 1. LPA reviewed and obtained admission agreement, physician's report, care plan, emergency information, eviction notice, eviction letter, care plan, progress notes, and copy of first payment from RP. (Continue on LIC9099...) Unsubstantiated (continue from LIC9099) After reviewing eviction notice, the 30-day notice does meet requirements in regulation 87224. Facility filed an eviction letter and notice to the RP, which was delivered to RP home by Greenridge staff, Manager, Tamika Hill and Business Office Manager, Carry Townson. R1 is being evicted due to non-payment of the rate for basic services and the inability of the facility to meet the resident's needs due to diagnosis. Interview with S1 revealed that R1's RP has not issued payment for rent. S1 stated that S1 is not aware of the last payment made by RP. The facility has attempted to contact the RP multiple times, but calls were not answered. Voicemail's were left with no return calls to the facility. S1 also stated that R1 is in need of a higher level of care. Additionally R1 has not received any medication for approximately two months and is exhibiting behaviors such as elopement and combativeness due to R1's diagnosis. Interview with W1 revealed that W1 called RP and left a voicemail. The RP returned the call but W1 was not able to answer. W1 attempted to call back several times but has not received a return call. W1 also confirmed that R1 has not received any medication for approximately two months and is exhibiting behavioral concerns. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did occur, therefore the allegations are UNSUBSTANTIATED. Exit interview conducted. A copy of this report provided.the state’s words, verbatim · CDSS document, Nov 18, 2025 · control 15-AS-20251113115058

Allegation investigated: Staff did not comply with reporting requirements. Licensee did not ensure medications were administered by an appropriately skilled professional. Staff did not maintain accurate records for residents.

On 08/14/25 around 09:00 AM L. Holmes, Licensing Program Analyst (LPA), arrived unannounced to deliver the complaint findings for the investigation. LPA met with Tamika Hill, Manager and explained the purpose for the visit; Patrick Blanc, Administrator, was in a meeting and not available during the visit. LPA toured the facility, requested and reviewed the following, but not limited to staff roster with scheduled hours & contact information (LIC 500), staff training records, resident roster, resident records including but not limited to Residents' (R1, R2, R3, R4, R5, R6, R7): LIC602, ID/Emergency Contact information, Progress/Hospice/Home Health Notes (March - April 2025), Centrally Stored Medications/Destruction Records, Medication Administration Records, and Physician's Orders, Death Report for R7. LPA conducted resident, and staff interviews. Administrator Personnel records and remaining documents to be provided to CCLD by 04/09/25. Substantiated ...continued from LIC9099 Allegations: SUBSTANTIATED Staff did not comply with reporting requirements. On 04/02/25 and 08/06/25, LPA requested the Death Report for R7 from S1 and S2. S2 is new to the position and stated he/she would have to research the details. On 03/27/25, LPA advised S1, S2 and S3 of Title 22 reporting requirements. On 08/06/27, S2 confirmed that additional Hospice and Death Reports had not been reported for R3, R4, R5 and R7. Staff did not maintain accurate records for residents. On 04/02/25 and 08/06/25, LPA requested the Death Report for R7 from S1 and S2. S2 is new to the position and stated he/she would have to research the details. The additional Hospice and Death Reports for R3, R4, R5 and R7 were not available or in the files. On 08/06/25, LPA provided S2 with the Unusual Incident Report (LC624) and Death Report (LIC624A) forms to assist with maintaining accurate records for residents’ incidents, hospice, and deaths. On 08/08/25 LPA received R4’s LIC602 that was incorrect with the sex of the resident and not signed by a physician. Licensee did not ensure medications were administered by an appropriately skilled professional. On 04/02/25, 04/21/25, 08/06/25 and 08/07/25, LPA requested the LIC602 and staff training records for those that assisted R1 to confirm and determine R1’s primary condition and medication management requirements. Records dated 04/22/25 revealed that R1’s medication order list for an Insulin Pen-Injector was ordered 02/05/25 and administered by four different staff members throughout April. S2 stated that S3, who’s a registered nurse, normally administers insulin. Due to lack of information (LIC 602 and training records) from S1, LPA was unable to confirm that any of the staff were professionally trained to administer injections. Based on LPA’s interviews and records reviewed, the preponderance of evidence standard has been met; therefore, the above allegation is SUBSTANTIATED. Deficiencies are cited from Title 22 California Code of Regulations and listed on LIC9099D. Failure to submit proof of corrections by plan of correction due date, and any repeat violations within a 12-month period may result in civil penalties. Exit interview conducted, appeal rights and a copy of this report provided to Tamika Hill, Manager. ...continued from LIC9099 UNSUBSTANTIATED Licensee did not provide planned activities for residents. On 04/02/25, LPA arrived unannounced and upon arrival LPA observed three (3) – four (4) residents engaged in morning exercises and during departure the residents were present for Music and Memory activities. S2 provided LPA with an activities calendar for April with 1-5 various activities each day of the month. In addition to being the facility’s Manager, S2 was also an activities director and still oversees what is scheduled on the monthly calendar. Staff spoke to residents in an inappropriate manner. R4 was in his/her room and did not respond when asked about the treatment at the facility and if he/she felt everything was okay. R7 is deceased. R5 and R6 have some physical limitations, both have home health aide assistance, are neither stated that the were spoken to inappropriately or heard staff speak to other residents in an inappropriate manner. LPA confirmed that Home Health Aides who are mandated reporters (W1, W2 & W3) never heard or witnessed staff speaking to residents in an inappropriate manner. Licensee retained resident(s) requiring a higher level of care. LPA reviewed Resident (R1, R2, R3, R4, R5, R6) records. On 03/26/25 and 03/28/25, R2’s care notes recorded a swallow assessment and dysphasia management. On 03/12/25, R4’s progress notes states there was wound care (not staged), good and no concerns; on 03/14/25 R4 denied pain and discomfort. On 04/14/25 Hydrofera Blue dressings applied to R6’s leg wound (not staged), and on 04/11/25 the wound was healing without infections. The records reviewed did not reveal that R1, R2, R3, R4, R5, and R6 required a higher level of care. Based on LPA’s interviews, observations, and records reviewed, the allegations are UNSUBSTANTIATED. The finding that the complaint is unsubstantiated means that the allegations are not valid because the preponderance of the evidence standard has not been met. Exit interview conducted, and a copy of this report provided to Tamika Hill, Manager.the state’s words, verbatim · CDSS document, Aug 14, 2025 · control 15-AS-20250327095632

From the deficiency page — Deficiency type: Type B · Section cited: HSC 87211(a) · Plan of correction due date: Aug 21, 2025

Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports as the Department may require...(1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days...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. -This requirement is not met as evidenced by: Licensee/ADM did not provide the required written reports for residents to CCLD.the state’s words, verbatim · CDSS document, Aug 14, 2025

Plan of correction: Licensee/ADM to review regulations by POC, provide in-service training for care staff and ensure that all required written reports are provided to CCLD.

From the deficiency page — Deficiency type: Type B · Section cited: HSC 87629(b)(1) · Plan of correction due date: Aug 21, 2025

87629 Injections (b) In addition to Section 87611, General Requirements for Allowable Health Conditions... residents who require injections shall be responsible for the following: (1) Ensuring that injections are administered by an appropriately skilled professional should the resident require assistance.-This requirement is not met as evidenced by: Licensee/ADM did not ensure that injections were administered by an appropriately skilled professionals.the state’s words, verbatim · CDSS document, Aug 14, 2025

Plan of correction: Licensee/ADM to review regulations, provide in-service training, and update staff’s training records by POC.

From the deficiency page — Deficiency type: Type B · Section cited: HSC 87506(a) · Plan of correction due date: Aug 21, 2025

87506 Resident Records (a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. -This requirement is not met as evidenced by: Licensee/ADM did not ensure that all resident records were maintained.the state’s words, verbatim · CDSS document, Aug 14, 2025

Plan of correction: Licensee/ADM to review regulations by POC, provide in-service training for care staff and ensure that all resident records are maintained to CCLD.

Type of visit: Required - 1 Year

On 07/22/2025 around 10:00 AM, Licensing Program Analysts (LPA) Greg Clark and Andrew Christy arrived unannounced for a required Annual Inspection. LPAs met with Patrick Blanc, Administrator, and explained the purpose of the visit. LPAs toured the facility, including but not limited to, the facility's common areas, bathroom, kitchen, dining room, front area and courtyard. All outdoor and indoor passageways were free of obstruction. No bodies of water were present. A comfortable temperature was maintained at 71 degrees Fahrenheit. LPAs observed lighting in all areas to be adequate for the comfort and safety of the residents. The hot water temperature was measured at 119.7 degrees Fahrenheit. All shared restrooms, hand washing, and bathing areas were safe, sanitary and in operating condition. There was a sufficient supply of 2-day perishables and 7-day supply of non-perishable foods. Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was observed full and serviced 01/15/2025. Safety drills were last conducted 05/09/2025. LPAs reviewed three (5) staff records and five (5) residents records were reviewed and are complete. Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 8/01/25: LIC 610E Emergency Disaster Plan (9 page version) No deficiencies cited during visit. Exit interview conducted and a copy of this report provided to RCFE Manager.the state’s words, verbatim · CDSS document, Jul 22, 2025

The state marks this report as 4 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.

Allegation investigated: Due to a lack of supervision, residents with dementia and at risk of falling wander around Staff did not provide comfortable accommodations for residents Staff did not provide a safe and comfortable environment for residents

This report was amended on 10/28/2024 to make report public. On 10/24/2024 at 9:30am, Licensing Program Analyst (LPA), L. Hall arrived unannounced to deliver complaint findings for the allegations above. LPA met with Patrick Blanc, Administrator and explained the purpose of the visit. During the investigation the LPA interviewed staff, three (3) residents, obtained and reviewed staff and resident roster. Allegation: Due to a lack of supervision, residents with dementia and at risk of falling wander around. During the investigation visit LPA observed four (4) staff between the 1st and 2nd Continued on LIC9099. Unsubstantiated Continued LIC9099C. floor. During 2nd floor tour LPA observed a camera at the end of the hallway that was placed in the upper corner across from the stairwell that leads to the 1st floor. At the bottom of the stairwell there is a door that leads to the outside of the facility; however, the door that leads outside has an alarm. LPA also observed that both windows on the 2nd floor had screens that was not in disrepair. S3 stated the offices that are located on the 2nd floor also has staff but there was meeting today that staff had to attend. During record review LPA observed only one (1) resident had the diagnosis of dementia. Based on the investigation the above allegations are unsubstantiated. Allegation: Staff did not provide comfortable accommodations for residents. Upon arrival LPA observed the residents were having lunch in the dining room. The temperature was at 75 degrees inside the facility. LPA also observed a couple of the residents sitting outside the facility with family. The housekeeper was on the 2nd floor cleaning the rooms. LPA interviewed three (3) residents and all residents stated they are very comfortable. The staff stated if residents need anything they let them know and the family will speak to the staff if necessary. Allegation: Staff did not provide a safe and comfortable environment for residents. Based on interviews with staff and residents. All feel the facility is a safe place to live. The residents interviewed stated the staff treats them nice. R1 stated this is the second time around and if it wasn't safe she would not have returned. Continued on LIC9099C. Continued from LIC9099C. Based on observation during tour LPA observed bells sitting on the night stands of residents to ring for assistance. LPA also observed a long string located at the side of the residents’ bed that can be pulled and the string then notifies staff that help is needed. 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, therefore the allegation is UNSUBSTANTIATED. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Oct 24, 2024 · control 15-AS-20240807135801

Type of visit: Required - 1 Year

On 07/08/24 around 12:30 PM, Licensing Program Analyst (LPA) L. Holmes arrived unannounced for a required Annual Inspection. LPA met with Patrick Blanc, Administrator (ADM) and explained the purpose of the visit. ADM currently holds a standard certificate (#6065998740) that expires on 06/26/25. The facility’s fire clearance was approved for thirty-eight (38), nine (9) non-ambulatory residents; tens (10) may be hospice. Upon arrival, LPA was greeted by ADM. LPA observed several groups of residents dining. LPA and ADM toured the facility, including but not limited to the facility's common areas, bathroom, kitchen, dining room, front area and courtyard(s). All outdoor and indoor passageways were free of obstruction. No bodies of water were present. A comfortable temperature was maintained at 71 degrees Fahrenheit (F). LPA observed lighting in all areas to be adequate for the comfort and safety of the residents. The hot water temperature was measured at 115.5 degrees (F). All shared restrooms, hand washing, and bathing areas were safe, sanitary and in operating condition. Hand washing signs, paper towels, and soap observed at all hand washing stations. Linen and hygiene products were available for all residents. PPE, sanitizer, and paper goods remain sufficient. ...continued on LIC809C. ...continued from LIC809 There was a sufficient supply of 2-day perishables and 7-day supply of non-perishable foods. Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was observed full and serviced 03/13/24. Emergency Disaster Plan is updated. Safety drills are conducted every month and are rotational between AM and PM schedules. LPA reviewed three (3) staff records and five (5) residents records were reviewed and are complete. The following forms are to be updated and submitted to CCLD: -LIC500 Personnel Report (Reviewed) -LIC308 Designation of Administrative Responsibility -LIC610E Emergency Disaster Plan (Reviewed) -An updated copy of Administrator Certificate(s) (Reviewed) No deficiencies cited during visit. Exit interview conducted and a copy of this report provided to ADM.the state’s words, verbatim · CDSS document, Jul 8, 2024