Azalea House

Type of visit: Case Management - Incident

At approximately 8:45AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced to conduct a case management visit in regards to an Unusual Incident Report submitted by the facility on 09/19/2025. LPA met with Administrator Molly Morandi and reviewed records. The report states that on 09/19/2025, Client, C1, received their morning medication twice. Staff, S1, did not review the Medication Administration Record before giving C1 their medication. Physician was notified and C1 was observed. S1 was terminated and medication retraining has been conducted for all staff who handle medications. This is a repeat violation of the same regulation within a 12 month period, resulting in a civil penalty being issued in the amount of $250. Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. This report was reviewed with Molly Morandi and Appeal rights were given.the state’s words, verbatim · CDSS document, Oct 6, 2025

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87465(a)(4) · Plan of correction due date: Oct 7, 2025

87465 Incidental Medical and Dental Care:(4) The licensee shall assist residents with self-administered medications as needed. This requirement is not as evidenced by: Based on records reviewed, Licensee did not ensure resident received medication as ordered. This poses an immediate Health, Safety or Personal Rights risk to persons in care.the state’s words, verbatim · CDSS document, Oct 6, 2025

Plan of correction: Licensee terminated staff responsible and conducted retraining with all medication staff in medication administration. Violation cleared during this visit.

Type of visit: Required - 1 Year

At approximately 8:30AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced to conduct a Required-1 Year inspection. LPA met with Administrator Molly Morandi and explained the purpose of the visit. Administrator certificate is current. Facility has a Hospice waiver for 2 residents. At approximately 8:45AM, LPA toured the facility to ensure the health and safety of residents in care. The facility was observed to be at a comfortable temperature. Areas toured include but are not limited to resident rooms, common areas, bathrooms, kitchen, storage areas and back yard. In the areas toured no immediate health, safety, or personal rights violations were observed. Fire extinguishers were fully charged. Smoke detectors are all operational. Carbon Monoxide Detector was present. The common areas, bathrooms and kitchen were clean and in good repair. All bedrooms had required furniture, bedding, and lighting. The kitchen equipment was clean and in good repair. Dishware appeared to be stored in a sanitary manner. Food appears to be stored and prepared properly. Refrigerators and freezers were maintained at the proper temperature. Facility has required seven-day non-perishable and two-day perishable supply of food. Emergency food stores and water was present to ensure facility can be self-sufficient for 72 hours. Facility has a generator to supply power in an emergency. Emergency lighting devices were present. First aid kit was present. All employees requiring background checks are cleared. No pools/bodies of water are on the premises. Facility has been conducting Emergency drills every 3 months. At approximately 9:15AM, LPA reviewed 4 of 4 resident files. All resident files contained the required documentation. Reappraisals were conducted within the last 12 months. Documentation of a physician visit within the last 12 months was present. Medication records were organized and contained orders for each medication. Medications were secured in a locked cabinet. Continued on LIC809-C… At approximately 10:20AM, LPA reviewed 5 staff files. Staff files reviewed contained evidence of completed annual training. First Aid/CPR certification was current. Updated copies of the following documents were requested for facility file and are to be submitted to CCL within 30 days of this visit: Evidence of Liability Insurance No deficiencies were observed in the areas inspected, No citations were issued during today’s visit.the state’s words, verbatim · CDSS document, Sep 15, 2025

Type of visit: Case Management - Incident

At approximately 8:30AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced to conduct a case management visit in regards to an Unusual Incident Report submitted by the facility on 07/30/2025. LPA met with Administrator Molly Morandi and reviewed records. On 07/27/2025, Resident, R1, morning medication was not administered as ordered. The medication error was realized on 07/29/2025, while conducting a review of the past mediation administration records. All required notifications were made. Administrator revised medication protocols to ensure accountability for each residents medication. All staff have been scheduled for retraining on medication administration being conducted by a Registered Nurse. LPA received copies of completed training documentation. Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. This report was reviewed with Molly Morandi and Appeal rights were given.the state’s words, verbatim · CDSS document, Aug 15, 2025

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87465(a)(4) · Plan of correction due date: Aug 16, 2025

87465 Incidental Medical and Dental Care:(4) The licensee shall assist residents with self-administered medications as needed. This requirement is not as evidenced by: Based on records reviewed, Licensee did not ensure resident received medication as ordered. This poses an immediate Health, Safety or Personal Rights risk to persons in care.the state’s words, verbatim · CDSS document, Aug 15, 2025

Plan of correction: Licensee updated medication practices and all staff are in the process of receiving additional training in medication administration. Violation cleared during visit.

Type of visit: Required - 1 Year

At approximately 8:30AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced to conduct a Required-1 Year inspection. LPA met with Administrator Molly Morandi and explained the purpose of the visit. Administrator certificate shows pending in the system due to the delay in processing. LPA toured the facility to ensure the health and safety of residents in care. Areas toured include but are not limited to resident rooms, common areas, bathrooms, kitchen, storage areas and back yard. In the areas toured no immediate health, safety, or personal rights violations were observed. The common areas, bathrooms and kitchen were clean and in good repair. All bedrooms had required furniture, bedding, and lighting. Cooking/dining equipment and utensils were present. Food appears to be stored and prepared properly. Facility has required seven-day non-perishable and two day perishable food supplies. There is also a separate emergency food supply. Medication is locked and not accessible. The facility was observed to be at a comfortable temperature. First aid kit was present including an AED. Fire extinguishers were fully charged. Smoke detectors are all operational. Fire sprinklers were throughout the building. Carbon Monoxide Detector was present. All employees requiring background checks are cleared. No pools/bodies of water are on the premises. Facility has been conducting drills monthly. At approximately 9:30AM, LPA reviewed Staff and resident files. All resident files contained the required documentation. Staff files reviewed contained evidence of completed annual training. First Aid/CPR certification was current. Exit interview conducted and copy of report was provided to administrator. LPA received Evidence of Liability Insurance during the visit. No deficiencies were observed in the areas inspected, No citations were issued during today’s visit.the state’s words, verbatim · CDSS document, Oct 25, 2024

Type of visit: Required - 1 Year

At approximately 10:45AM, Licensing Program Analyst (LPA) Chris Arnhold made an unannounced annual required inspection of this licensed senior care facility. LPA met with Jessica Grinberg. At approximately 11:00AM, LPA toured the building and grounds which was found to be clean and in good repair. LPA observed all walkways and exits to be unobstructed. All notices that are required to be posted have been posted and are in highly visible areas. LPA observed activity supplies for resident use. The amount of fresh and nonperishable foods is within regulation. Facility kitchen, refrigerators and freezers were clean, and food was stored properly. Toxins are stored in a locked storage closet. Water temperature measured within regulation between 105 and 120 degrees F at faucets accessible to residents. Fire extinguishers inspected were charged. Smoke detectors were found to be in working order. Facility has fire sprinklers throughout. Carbon Monoxide detectors were present. There was enough lighting in all common areas, resident rooms, and hallways. Medication is centrally stored and secure. At approximately 11:30AM, LPA reviewed 3 resident records which were thorough and contained the required documents. Medication records are thorough and contained physician's orders for each resident. At approximately 12:15PM, LPA reviewed 5 staff records. 5 of 5 records contained evidence of completed training as required. Evidence of current first aid and CPR training were current. LPA interviewed 2 staff during this inspection. At approximately 12:50PM, LPA reviewed the facility emergency disaster plan with staff. Facility has a generator to supply power during an outage. The plan outlines evacuation routes, which are shown on facility sketch and has alternative meeting locations. Facility has supplies enough to operate for more than 72 hours in an emergency. Facility conducted and documented a disaster drill on 11/04/2023. No deficiencies were observed in the areas inspected, No citations were issued during today’s visit.the state’s words, verbatim · CDSS document, Nov 30, 2023