Antoria Assisted Living of Tarzana

Allegation investigated: Staff do not change residents briefs timely resulting in a rash Staff do not assist resident with showers

At approximately 9:00 a.m. on 06/04/26 Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced complaint visit. LPA met with staff and disclosed the reason for the visit. To investigate the allegations above, LPA conducted an initial visit on 04/29/26 and toured the facility inside and out at 2:20 p.m., interviewed two (02) staff and the administrator between 2:30 p.m. and 3:30 p.m., and conducted a record review of pertinent records, including but not limited to an admission agreement, medical assessment, care plan, and staff and client rosters at 3:00 p.m. LPA conducted a subsequent visit on 05/07/26 and toured the facility inside and out at 9:15 a.m. and interviewed residents between 9:00 a.m. and 10:30 a.m. Today, LPA toured the facility at approximately 10:00 a.m. Regarding the allegation "Staff do not change resident’s briefs timely resulting in a rash" it was alleged Resident #1 (R1) acquired a rash due to insufficient incontinence care. Interview with R1 at 10:15 a.m. on 05/07/26 revealed they were unsure if they had a rash. Unsubstantiated R1 said they received sufficient and timely assistance from staff without the call button. Interview with the administrator at 3:45 p.m. on 04/29/26 revealed R1 broke their call button. R1 also overused their call button at night which disturbed other residents. The administrator instructed staff to respond to R1’s verbal calls for assistance. Interviews with Staff #1 (S1) at 2:30 p.m. and Staff #2 (S2) at 2:45 p.m. on 04/29/26 revealed staff always responded to R1’s requests for assistance within two (02) minutes. LPA tested R1’s call button at approximately 10:30 a.m. on 05/07/26 and confirmed it did not work. R1 requested staff assistance verbally at approximately 10:31 a.m. on 05/07/26, and staff responded within thirty (30) seconds. LPA tested other resident call buttons during the facility tour at 9:15 a.m. on 05/07/26 which revealed four (04) out of five (05) call buttons were operational. Interviews with four (04) out of five (05) residents revealed their call button were operational. Based on observations and interviews, staff did not ensure R1’s call button worked properly. However, staff provided timely assistance to R1. Therefore, the allegation is SUBSTANTIATED, but no deficiency is issued due to proper care and supervision provided. No immediate health or safety concerns observed during today’s visit. Exit interview conducted. Copy of report provided. R1 requested to be changed every hour, but staff told them they would change R1’s briefs about every three (03) hours. Interviews with four (04) out of four (04) other residents revealed only Resident #2 (R2) receives brief changing assistance from staff. Zero (00) out of four (04) have rashes. Interview with R2 at 9:10 a.m. on 05/07/26 revealed they have no issue with incontinence care, and staff assist them with changing “every few hours”. Interview with Staff #1 (S1) at 2:30 p.m., Staff #2 (S2) at 2:45 p.m., and the administrator at 3:45 p.m. on 04/29/26 revealed staff change R1 in a timely manner, and R1 has no rashes. Interview with S1 indicated they changed R1 in a timely manner and cleaned R1 during changings. Record review of R1’s care plan and medical assessment revealed they had a history of skin breakdown around their groin. Staff were to cleanse the area with warm water and pat dry after changings. Based on interviews and record review, the investigation did not reveal evidence of a rash or untimely changing of residents with incontinence care needs. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. Regarding the allegation "Staff do not assist resident with showers" it was alleged R1 did not feel comfortable showering with staff and had not received a shower in two weeks. Interview with R1 revealed they were not comfortable with staff for a few weeks, but that changed over time. Interviews with R1, S1, S2, and the administrator revealed although R1 does not receive a shower, S2 gives R1 a bed bath every day. Interviews with four (04) out of four (04) other residents revealed all residents were comfortable with staff and received sufficient assistance with bathing. R2 receives daily bed baths. Resident #3 (R3) and Resident #4 (R4) receive standby assistance for showers. Record review of R1’s care plan revealed staff were to provide “substantial” assistance by bathing and lifting limbs, which S2 did. LPA observations from interviews and facility tours on 04/29/26 and 05/07/26 revealed all residents appeared bathed and neatly groomed. Based on observations, record review, and interviews, staff provide sufficient bathing assistance to all residents based on their needs. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. No immediate health or safety concerns observed during today’s visit. Exit interview conducted. Copy of report provided.the state’s words, verbatim · CDSS document, Jun 4, 2026 · control 31-AS-20260424083220

Allegation investigated: Staff are not meeting resident's incontinence care needs Staff do not treat resident with dignity

At approximately 9:00 a.m. on 06/04/26 Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced complaint visit. LPA met with staff and disclosed the reason for the visit. To investigate the allegations above, LPA conducted an initial visit on 05/07/26 and interviewed staff and residents between 9:00 a.m. and 10:30 a.m., toured the facility inside and out at 9:15 a.m., and conducted a record review of pertinent records, including but not limited to an admission agreement, medical assessment, care plan, and staff and client rosters at 11:00 a.m. Today, LPA toured the facility at approximately 10:00 a.m. Regarding the allegation "Staff are not meeting resident's incontinence care needs" it was alleged Resident #1 (R1) was found covered in dry feces. Additionally, R1 was changed every four (04) hours when they requested to be changed every two (02) hours. Interview with R1 at 10:15 a.m. on 05/07/26 revealed they did not see feces, but they heard about the feces from a personal caregiver. Unsubstantiated Interview with Staff #1 (S1) at 9:00 a.m. and Staff #2 (S2) at 9:10 a.m. on 05/07/26 revealed they have never seen dried feces on R1. Staff stated they change R1 about every three (03) hours. The investigation revealed only R1 and one (01) other resident, Resident #2 (R2), required incontinence care from staff. Interview with Resident #2 (R2) at 9:20 a.m. on 05/07/26 revealed they are changed frequently and had no issue with staff care. Record review of R1’s medical assessment and care plan revealed they were incontinent for their bowels and bladder and required “substantial” assistance with toileting. The plan did not specify frequency of changing. Based on interviews and record review, although R1 requested more frequent changing, staff followed R1’s care plan. The investigation did not reveal sufficient evidence to verify that R1 was covered in dry feces. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. Regarding the allegation "Staff do not treat resident with dignity" it was alleged staff are “divisive and rude” towards R1. Interviews with four (04) out of five (05) residents on 05/07/26 revealed they have good relationships with staff and are treated well. Interview with S1 and S2 revealed they treat R1 with respect. R1 yells and cusses at them. Interview with R1 revealed they did not get along with S1 or S2 when they arrived to the facility in March 2026. R1 eventually warmed up to staff and now has a good relationship with them. LPA did not observe staff being rude during the facility visits on 05/07/26 an today. Based on observations and interviews, there is not enough evidence to verify that staff treated a resident without dignity. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. No immediate health or safety concerns observed during today’s visit.\ Exit interview conducted. Copy of report provided. Interviews with five (05) out of five (05) residents revealed they have seen cockroaches or bugs in the facility. Interview with Staff #2 (S2) at 9:10 a.m. on 05/07/26 confirmed the facility had bugs, so they sprayed to get rid of them. Interview with the administrator at 3:45 p.m. today revealed exterminator services were acquired on 05/21/26 to address the issue. The administrator provided proof of service to the LPA at approximately 4:00 p.m. today. Based on interviews and record review, the facility had cockroaches, but the administrator took the proper steps to address the issue. Therefore, the allegation is SUBSTANTIATED at this time. No immediate health or safety concerns observed during today’s visit. Exit interview conducted. Appeal rights discussed. Copy of report provided.the state’s words, verbatim · CDSS document, Jun 4, 2026 · control 31-AS-20260501102227

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87303(a) · Plan of correction due date: Jun 14, 2026

87303 Maintenance and Operation (a) The facility shall be clean, safe, sanitary and in good repair at all times. This requirement was not met as evidenced by: Based on interviews, the licensee did not comply with the section cited above through not addressing the cockroach issue in a timely manner, which posed a potential risk to the Health, Safety, or Personal Rights of residents in care.the state’s words, verbatim · CDSS document, Jun 4, 2026

Plan of correction: The licensee showed proof of monthly exterminator services beginning on 05/21/26. Deficiency cleared.

Type of visit: Required - 1 Year

At approximately 9:00 a.m. on 06/04/26, Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced annual inspection. LPA met with staff and disclosed the reason for the visit. The facility was last visited on 05/07/26 for a complaint visit. It is a single-story building with seven (07) bedrooms, four (04) bathrooms, kitchen, common areas, and outdoor areas. It has an approved fire clearance for 6 non-ambulatory residents, of which one (01) may be bedridden in Bedroom #5 or #6. Approved hospice waivers for six (06). LPA conducted a record review of personnel and resident files at 9:10 a.m. All files were complete and available for audit A file review was conducted prior to today’s inspection. The front yard was maintained and contained a carport and ramps in good condition. The front exterior fence was standing but not secure. A technical violation is noted for its poor condition on the corresponding LIC 9102-TV form. At the main entrance, LPA observed postings for COVID precautions, a blank copy of the admission agreement, confidential complaint contacts, Ombudsman contacts, facility license, administrator certificate, house rules, personal rights, rights of resident councils, emergency disaster plan, theft and loss policy, activity schedule, and the lists of staff and residents. The facility has seven (07) bedrooms. One (01) bedroom near the laundry area served as a staff room. The staff room was free of hazards. All bedrooms contained a chair, lamp, nightstand, storage, and a bed with adequate bedding. All furnishings were clean and in good condition. Hospital style beds had wheels in the locked positions. Walls, floors, windows, screens, and blinds were clean and in good repair. The living room contained exercise equipment, reading material, board games, art supplies, an appropriately covered fireplace, and furniture in good repair. A linen closet in the hallway contained an adequate supply of fresh linens. Another closet near the main entrance had PPE and incontinence supplies. At approximately 10:30 a.m. LPA measured the room temperature to be 75 degrees Fahrenheit. At approximately 10:45 a.m. LPA observed a fully charged fire extinguisher in the kitchen. It was last inspected on 01/28/26. At 11:00 a.m. LPA called the house telephone and confirmed it to be operational. LPA observed an adequate supply of perishable and non-perishable foods in the kitchen. The stove hood was clean. A weekly menu was posted on the refrigerator. Appliances were in good condition. Sharps and confidential files were locked below the counter top. Medications were locked above the counter top. Cleaners were locked below the sink. A washing machine and dryer were located in a laundry area adjacent to the kitchen. Both were in working order. Detergents and cleaning solutions were locked above the appliances. The facility has four (04) bathrooms. All bathrooms contained liquid soap, paper towels, trash can with a tight fitting lid, grab bars near the toilet and shower, and a non-skid mat in the shower. At approximately 11:10 a.m. LPA measured the water temperature in the bathroom near Bedroom #1 to be 111.2 degrees Fahrenheit. LPA observed a covered patio area in the rear of the facility. The patio contained furniture in good condition as well as small animals in cages. Hand rails were secure. The back yard contained a large gardened area and a locked storage shed with tools inside. All emergency exit paths were free from obstructions. Three (03) out of three (03) exit gates were unlocked with self-closing latches. Evacuation routes were posted. Fire sprinklers were observed throughout the house. At approximately 11:20 a.m., smoke and carbon monoxide detectors were tested and operational. During today’s inspection, the facility is in compliance with Title 22 regulations. No immediate health or safety concerns were observed. Exit interview conducted. Copy of report provided.the state’s words, verbatim · CDSS document, Jun 4, 2026

Allegation investigated: Staff are not meeting the needs of a resident Staff do not respond timely to a resident's alert Staff are mishandling a resident's medications Staff are not meeting a resident's bathing needs Staff do not provide adequate food service

At approximately 8:40 a.m. on 12/23/25 Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced complaint visit. LPA met with staff and disclosed the reason for the visit. LPA called the administrator at 9:40 a.m. and disclosed the reason for the visit. To investigate the allegations above, LPA interviewed staff and residents between 8:45 a.m. and 11:00 a.m. today, toured the facility inside and out at 9:00 a.m., and conducted a record review of pertinent records, including but not limited to an admission agreement, medical assessment, face sheet, and staff and client rosters at 9:30 a.m. Regarding the allegation "Staff are not meeting the needs of a resident" it was alleged staff did not provide care and necessary services to Resident #1 (R1). Review of R1’s admission agreement revealed the facility agreed to provide all basic services under Title 22 regulations such as care and supervision, 24 hour observation, and assistance with meals, medications, laundry, bathing, and other activities of daily Unsubstantiated living. Interviews with the administrator at 9:40 a.m. today and Staff #1 (S1) at 9:50 a.m. today revealed they provided all agreed upon services to R1 and all other residents. Interviews with three (03) out of four (04) residents revealed all of their care needs were met. Interview with Resident #2 (R2) at 9:10 a.m. today revealed they need more support in transferring from their bed, but all of their other needs were met. During today’s visit, LPA observed S1 preparing food for residents, providing incontinence assistance, and responding to call system requests between 8:45 a.m. and 11:00 a.m. Based on observations, interviews, and record review, staff are meeting the needs of residents. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. Regarding the allegation "Staff do not respond timely to a resident's alert" it was alleged staff have a delayed response to resident requests. Interviews with four (04) out of four (04) residents today revealed staff come quickly when they request assistance. Interview with S1 revealed the facility call system is very loud. S1 assists residents promptly when they call for assistance. LPA and S1 tested the facility call system today between 9:15 a.m. and 10:45 a.m. The buzzers were operational and audible in all five (05) resident rooms. Interview with Resident #3 (R3) at 10:45 a.m. today revealed that each resident has a unique call system sound. R3 recalled staff assisting R1 promptly after they requested assistance. Based on observations and interviews, staff respond in a timely manner to resident alerts. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. Regarding the allegation "Staff are mishandling a resident's medications" it was alleged R1 may not have received assistance with all medications. LPA reviewed R1’s medications with S1 at approximately 9:50 a.m. today. Interview with S1 revealed they followed all physician orders as well as discontinue orders of medications. The facility did not maintain a medication administration record. Interviews with four (04) out of four (04) residents revealed they received all medications in the proper dosages at the correct times. Based on interviews and record review, there is not enough information to verify the allegation. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. Regarding the allegation "Staff are not meeting a resident's bathing needs" it was alleged R1 did not receive a shower for weeks. It was also noted that they received bed baths consistently. Review of R1’s admission agreement revealed the facility agreed to provide assistance and reminders for their bathing needs. Interview with S1 revealed they provided daily bed baths to R1, R2, and R3. S1 and hospice nurses also provided shower assistance to Resident #4 (R4) and Resident #5 (R5). Interviews with four (04) out of four (04) residents revealed they receive sufficient assistance with their bathing needs. Based on interviews and record review, there is not enough information to verify the allegation. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. Regarding the allegation "Staff do not provide adequate food service" it was alleged the facility provides only Filipino food. Interviews with three (03) out of four (04) residents revealed they enjoyed the food provided. Interview with R2 revealed they would prefer more fresh foods, not froze foods. Interview with R5 at 8:55 a.m. today revealed their favorite meal made by the facility was pancakes and cereal. No residents believed that the facility only provided Filipino food. Interview with S1 revealed they ask residents about their preferences and try to accommodate them. S1 showed LPA tonight’s planned dinner consisting of meatballs and stroganoff. At approximately 9:00 a.m. LPA observed today’s breakfast which consisted of cereal, hashbrowns, fresh fruit, and eggs. LPA observed the weekly menu posted in the kitchen as well as a sufficient supply of perishable and non-perishable foods. Based on observations and interviews, the facility does not provide only Filipino food. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. No immediate health and safety concerns observed during today’s visit. Exit interview conducted. Copy of report provided.the state’s words, verbatim · CDSS document, Dec 23, 2025 · control 31-AS-20251216090008

Type of visit: Required - 1 Year

At approximately 9:15 a.m. on 06/26/25, Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced annual inspection. LPA met with staff and disclosed the reason for the visit. The facility was last visited on 05/01/24 for an annual inspection. It is a single-story building with seven (07) bedrooms, four (04) bathrooms, kitchen, common areas, and outdoor areas. It has an approved fire clearance for 6 non-ambulatory residents, of which one (01) may be bedridden in Bedroom #5 or #6. Approved hospice waivers for six (06). The front yard was maintained and contained a carport and ramps in good condition. At the main entrance, LPA observed postings for COVID precautions, a blank copy of the admission agreement, confidential complaint contacts, Ombudsman contacts, facility license, administrator certificate, house rules, personal rights, rights of resident councils, emergency disaster plan, theft and loss policy, activity schedule, and the lists of staff and residents. A sign was hung stating “No smoking – Oxygen in use”. The facility has seven (07) bedrooms. One (01) bedroom near the laundry area served as a staff room. The staff room was attended and free of hazards. All bedrooms contained a chair, lamp, nightstand, storage, and a bed with adequate bedding. All furnishings were clean and in good condition. Both residents were observed relaxing in their rooms during the inspection. Walls, floors, windows, screens, and blinds were clean and in good repair. The living room contained exercise equipment, reading material, board games, art supplies, an appropriately covered fireplace, and furniture in good repair. A linen closet in the hallway contained an adequate supply of fresh linens. At approximately 9:30 a.m. LPA measured the room temperature to be 75 degrees Fahrenheit. At approximately 9:45 a.m. LPA observed a fully charged fire extinguisher in the kitchen. It was last inspected on 04/23/25. At 10:00 a.m. LPA called the house telephone and confirmed it to be operational. LPA observed an adequate supply of perishable and non-perishable foods in the kitchen. The stove hood was clean. A weekly menu was posted on the refrigerator. Appliances were in good condition. Sharps and confidential files were locked below the counter top. Medications were locked above the counter top. Cleaners were locked below the sink. A washing machine and dryer were located in a laundry area adjacent to the kitchen. Both were in working order. Detergents and cleaning solutions were locked above the appliances. The facility has four (04) bathrooms. All bathrooms contained liquid soap, paper towels, handwashing instruction sign, trash can with a tight fitting lid, grab bars near the toilet and shower, and a non-skid mat in the shower. At approximately 10:10 a.m. LPA measured the water temperature in the bathroom near Bedroom #1 to be 109.9 degrees Fahrenheit. LPA observed a covered patio area in the rear of the facility. The patio contained furniture in good condition as well as small animals in cages. Hand rails were secure. The back yard contained a large gardened area and a locked storage shed with tools inside. All emergency exit paths were free from obstructions. Three (03) out of three (03) exit gates were unlocked with self-closing latches. Evacuation routes were posted. Fire sprinklers were observed throughout the house. At approximately 10:30 a.m., smoke and carbon monoxide detectors were tested and operational. At approximately 10:45 a.m., LPA and staff conducted a medication review. Resident medication counts accurately matched the amounts prescribed and documented. LPA conducted a record review of personnel and resident files at 11:00 a.m. All files were complete and available for audit. During today’s inspection, the facility is in compliance with Title 22 regulations. No immediate health or safety concerns were observed. Exit interview conducted. Copy of report provided.the state’s words, verbatim · CDSS document, Jun 26, 2025

Type of visit: Required - 1 Year

At 10:45 a.m. on 05/01/24, Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced annual inspection. LPA met with staff and disclosed the reason for the visit. LPA and staff toured the facility inside and out at 10:50 a.m. The facility was last visited on 04/19/2023 for a prelicensing visit. It is a single story building with seven (07) bedrooms, four (04) bathrooms, kitchen, common areas, and outdoor areas. It has an approved fire clearance for 6 nonambulatory residents, of which one (01) may be bedridden in Bedroom #5 or #6. The facility serves residents with dementia. Approved hospice waivers for six (06). The front yard was well maintained and contained a fountain, a carport, and ramps in good condition leading to the front door. At the main entrance, LPA observed postings for COVID precautions, visitation policy, confidential complaint contacts, Ombudsman contacts, facility license, administrator certificate, house rules, personal rights, rights of resident councils, emergency disaster plan, theft and loss policy, activity schedule, and the lists of staff and residents. A sign was hung stating “No smoking – Oxygen in use”. At approximately 10:55 a.m. LPA observed a fully charged fire extinguisher in the kitchen. At 11:00 a.m. LPA called the house telephone and confirmed it to be operational. LPA observed an adequate supply of perishable and non-perishable foods in the kitchen. The stove hood was clean. Appliances were in good condition. Sharps were locked below the counter top. Medications and confidential files were locked near the dishwasher. A washing machine and dryer were located in a laundry area adjacent to the kitchen. Both were in working order. Detergents and cleaning solutions were locked above the appliances. The staff room was locked and located past the laundry room. The facility has six (06) other private bedrooms for residents. All bedrooms contained a chair, lamp, nightstand, storage, and a bed with adequate bedding. All furnishings were clean and in good condition. Bathrooms: The facility has four (04) bathrooms. All bathrooms contained liquid soap, handwashing instruction sign, trash can with a tight fitting lid, grab bars near the toilet and shower, and a non-skid mat in the shower. Staff stated residents use their personal hand towels to dry their hands. At approximately 11:10 a.m. LPA measured the water temperatures in the bathrooms near the staff room and the bathroom in Bedroom #5 to be 137.0 degrees Fahrenheit and 134.5 degrees Fahrenheit. This deficiency is cited on the LIC 809-D page. Walls, floors, windows, screens, and blinds were clean and in good repair. A resident was observed watching television in the living room. The living room contained exercise equipment, reading material, an appropriately covered fireplace, and furniture in good repair. A linen closet in the hallway contained an adequate supply of fresh linens. At 11:20 a.m. LPA measured the room temperature to be 71 degrees Fahrenheit. LPA observed a covered patio area in the rear of the facility. The patio contained furniture in good condition as well as two rabbits and a dove. Hand rails were secure. The back yard contained a gardened area. All emergency exit paths were free from obstructions. Three (03) out of three (03) exit gates were unlocked with self-closing latches. Evacuation routes were posted. Auditory alarms were turned on and functioning. Fire sprinklers were observed throughout the house. At approximately 11:30 a.m., smoke and carbon monoxide detectors were tested and operational. LPA conducted a record review of staff and resident files at 11:45 a.m. At approximately 12:45 p.m. LPA observed two (02) out of two (02) staff CPR/First Aid certifications were not present. This deficiency is cited on the LIC 809-D page. Exit interview conducted. Appeal Rights discussed. Copy of report provided.the state’s words, verbatim · CDSS document, May 1, 2024