Eisenberg Vlg of the La Jewish Home for the Aging

Allegation investigated: Staff did not ensure residents personal property was safely secured

Licensing Program Analyst (LPA) Quoc Huynh conducted a subsequent complaint visit for the above allegation. The LPA arrived at 2:08PM and met with the Executive Director (ED) Kathleen Glass. Entrance interview conducted. On 05/22/2026, the LPA conducted an initial visit. Between 10:35AM and 12:54PM the LPA conducted a physical plant tour, interviewed two (2) residents, three (3) staff, and the ED. The LPA also reviewed and obtained pertinent documents. During today’s visit, the LPA and Administrative Assistant conducted a physical plant tour at 2:16PM, and no immediate concerns were observed. The following was then determined: Report Continued on LIC 9099-C Unsubstantiated Allegation: “Staff did not ensure residents personal property was safely secured” It was reported that upon Resident #1’s (R1) discharge, staff did not safeguard their belongings. On 03/31/2026, R1 was transferred for long-term care skilled nursing facility (SNF). R1 stated that before leaving the facility, they separated their items into two (2) groups: items to be donated and items to be transported to the SNF. After all belongings were delivered to the SNF, R1 reported that four (4) handbags were missing, described as one (1) black, one (1) beige, one (1) denim, and one (1) multicolored. R1 insisted these handbags were not at the SNF and may have been mistakenly placed in the donation pile. Interviews with staff and the ED revealed that the facility maintains an inventory list for all residents at admission, hospital and SNF transfers, and upon discharge. Staff reported that they offered R1 assistance with packing and conducting an inventory list prior to the 03/31/2026 transfer; however, R1 declined. Staff confirmed that essential items were sent with R1 at the time of transfer, and the remaining belongings were delivered to the SNF the following day through the facility’s laundry service vehicle. Record review showed that the SNF completed an initial inventory list on 03/31/2026 and an updated list on 04/01/2026 when the remaining belongings arrived. The 04/01/2026 inventory list documented receipt of nine (9) handbags received which included two (2) black, two (2) brown, one (1) beige, one (1) dark blue denim, and three (3) canvas bags including a navy and multicolored bag. On 06/01/2026, LPA Huynh contacted SNF social services staff, who confirmed awareness of the missing items. The LPA requested a reinspection of R1’s belongings, which staff agreed to conduct. Later that same day, the facility’s ED notified the LPA that the missing handbags had been located inside a suitcase in R1’s possession. Based on interview and record review, although the allegation may have happened or is valid, there is insufficient evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed UNSUBSTANTIATED at this time. No deficiency cited. Exit interview conducted. A copy of the report was reviewed and provided.the state’s words, verbatim · CDSS document, Jul 28, 2026 · control 29-AS-20260515171134

Allegation investigated: Staff do not maintain a comfortable temperature for the residents

Licensing Program Analyst (LPA) Quoc Huynh conducted a subsequent visit to deliver findings for the above allegation. The LPA Arrived at 2:08PM and met with Executive Director (ED) Kathleen Glass. Entrance interview conducted. On 07/01/2026, the LPA conducted an initial visit. Between 11AM and 3:40PM, the LPA toured the physical plant and interviewed six (6) residents, one (1) private companion, five (5) staff, and the ED. During today’s visit, the LPA and 2:16PM toured the physical plant and no immediate concerns were observed. The following was then determined: Report Continued on LIC 9099-C Unsubstantiated Allegation: “Staff do not maintain a comfortable temperature for the residents” It was reported that the temperature in common areas, specifically the dining room, was too hot. Resident interviews produced conflicting statements, with some residents reporting that the dining room was too hot and others stating that it was too cold, depending on the weather. Several residents stated that when they experience discomfort, they inform staff, who then adjust the thermostat. Residents reported no concerns regarding common areas such as hallways and community rooms, and stated that the air conditioning units in their own rooms were functional and could be adjusted to their preferred temperature. Overall, resident interviews indicated varying individual preferences regarding thermostat settings. Staff interviews confirmed that they have received multiple complaints from residents regarding the dining room temperature; however, they noted that the number of complaints has decreased recently. Staff explained that the residents inform them when the dining room feels too hot or too cold, and staff then contact the Maintenance team, who promptly address the concern. The ED stated that the facility makes every effort to accommodate all residents’ temperature preferences by finding a reasonable middle ground. The ED explained that the dining room is located within a large building that takes time to heat and cool, so staff and Maintenance adjust the thermostat in advance based on anticipated weather conditions. The ED also encouraged residents to limit unnecessary door usage by designating specific entrance and exit doors to reduce drafts. During the physical plant tour conducted on 07/01/2026, the Maintenance team assisted in measuring the temperature in the dining room, which ranged between approximately 71 degrees F and 73 degrees F. Based on interviews and observation, although the allegation may have happened or is valid, there is insufficient evidence to prove the alleged violation did or did not occur; therefore, the allegation is deemed UNSUBSTANTIATED at this time. No deficiency cited. Exit interview conducted. A copy of the report was reviewed and provided.the state’s words, verbatim · CDSS document, Jul 28, 2026 · control 29-AS-20260624142233

Allegation investigated: Staff do not ensure that the facility has an appropriate auditory system for residents in care

Licensing Program Analyst (LPA) Quoc Huynh conducted a subsequent visit to deliver findings for the above allegation. The LPA arrived at 2:08PM and met with Executive Director (ED) Kathleen Glass. Entrance interview conducted. On 07/01/2026, the LPA conducted an initial visit. Between 11AM and 3:40PM, the LPA toured the physical plant and interviewed six (6) residents, one (1) private companion, five (5) staff, and the ED. The LPA additionally reviewed and obtained pertinent documents. During today’s visit, the LPA and Administrative Assistant toured the physical plant at 2:16PM and no immediate concerns were observed. The following was then determined: Report Continued on LIC 9099-c Substantiated Allegation: “Staff do not ensure that the facility has an appropriate auditory system for residents in care” It was reported that the facility’s call system was non-operational and residents were given a whistle to utilize as a replacement. A physical plant tour conducted on 07/01/2026 confirmed that the call system was not functional. Interviews revealed that the call system was on and off operational for approximately two (2) months. The ED reported that towards the end of May, the system had worsened and the facility acted by inquiring with third parties regarding a system replacement. The ED expressed that the project would take awhile due to the building’s old system in addition to the approval process. Residents were reportedly given a whistle to utilize due to the inoperable call system. Prior to providing the whistles, staff stated that each resident tested the whistles to ensure they could successfully utilize it. Residents reported no concerns regarding the call system and expressed that they do not often utilize the system. Instead, the residents typically use their personal phones to call the nurses’ station or will walk to find staff for assistance. Residents confirmed that they were provided bracelets with whistles attached to utilize in lieu of the call system. Review of the facility’s communications revealed that on 05/19/2026, the ED contacted the Information Technology (IT) team on the status of the call light system. The IT team reported that the call lights were presumed to be operational stating, “The IT team has restored the Newman Nurse Call system twice in the last week.” On 05/22/2026, the facility’s Maintenance team contacted IT reporting that the pull cords were not communicating with the base station and were inoperable. The LPA determined that although the call system is inoperable, the facility took immediate action to rectify the situation and provided residents with a temporary alternative solution. Additionally, the violation did not present an immediate risk to residents in care; therefore, the allegation is deemed SUBSTANTIATED and considered a TECHNICAL VIOLATION. No citation was issued. The LPA discussed the importance of maintaining an efficient and functional call system to maintain compliance. The ED agreed to streamline the call system replacement project and to provide the Department with the facility’s project plan and estimated completion date. No deficiency cited. Exit interview conducted. A copy of the report was reviewed and provided. Allegation: “Staff do not respond to residents’ care needs in a timely manner” It was reported that due to the facility’s inoperable call system, residents’ needs were not attended to in a timely manner. Interviews with staff and residents revealed no concern regarding staff response times. Although the facility’s call system is non-operational, residents were provided whistles to use; however, residents reported that they do not often need to utilize the call system or whistles. Some residents stated they are independent and do not request staff assistance, while others reported that staff response times range between immediate to approximately ten (10) minutes. Staff reported, and were observed, conducting routine checks with residents throughout the day and night, and more frequently when residents do not show up for meals or medication administration. Staff stated that when a resident blows their whistle, they respond immediately and check every room in the area the sound originated from until they locate the resident needing assistance. Staff and residents indicated that individuals regularly walk through the hallways and can hear whistles or calls for help, allowing them to respond at any moment. It was also reported that residents look out for one another other and assist by notifying staff when someone needs help, particularly those in shared rooms. Staff reported no issues with the whistle system and stated they have not received complaints from residents or families regarding response times. Based on interviews, although the allegation may have happened or is valid, there is insufficient evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed UNSUBSTANTIATED at this time. No deficiency cited. Exit interview conducted. A copy of the report was reviewed and provided.the state’s words, verbatim · CDSS document, Jul 28, 2026 · control 29-AS-20260623101240

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Quoc Huynh arrived unannounced at 10:25AM for a required one-year visit. The LPA met with the Executive Director (ED) Kathleen Glass and explained the reason for the visit. Entrance interview conducted. At 11:02AM, the LPA and ED toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. The following was observed: RESIDENT ROOMS: The LPA observed ten (10) randomly selected rooms on the first and second floors and no immediate health or safety hazards were observed. Appropriate furniture was observed in each unit. Restrooms were clean, with properly installed grab-bars in resident bathrooms and non-skid strips in shower tubs. Water temperature was tested throughout the units and measured between 113.5 degrees F and 117 degrees F, which is within the required range. At 11:31AM, the LPA tested the facility’s pull cord with staff response at 11:33AM. Report Continued on LIC 809-C KITCHEN: The facility’s dining room and commercial kitchen were inspected and found to be in compliance with Title 22 regulations. Facility uses third party vendors and receives food deliveries about twice a week. There was a sufficient supply of perishable and non-perishable food. The LPA observed the walk-in refrigerator and freezer; food appeared to be of good quality and labeled with expiration dates. Kitchen sinks had signage of tap water delivering above 125 degrees F. Emergency food and water was observed to allow the facility to be self-sufficient during an emergency. COMMON AREAS: The facility had two (2) total floors with resident units, medication rooms, offices, resident lounges and treatment rooms. Additional buildings contained resident recreation center, synagogue, dining area, kitchen, grab-n-go café, administrative offices, and medical clinic. The facility also shares outdoor space with Fountainview at Eisenberg Village and a Nursing School. LPA Huynh observed common areas to be clean, clear of obstructions/hazards, and furniture was in good condition with patios/courtyards providing shade for residents. Required postings were temporarily stored in an office as the facility had recently repainted the walls. There were no bodies of water observed during today’s visit. There were fire extinguishers throughout the facility, which were serviced on 01/30/2025. RECORDS: Record review began at 12:03PM. LPA Huynh reviewed five (5) files for, but not limited to: admissions agreements, medical assessment, appraisals, and consent forms. Resident records reviewed were in order at this time. The LPA reviewed five (5) personnel records for, but not limited to: job application, health assessments, TB results, criminal record statements and clearances, first aid/CPR certification, and appropriate training. Staff files reviewed were in compliance with regulation at this time. Report Continued on LIC 809-C INFECTION CONTROL/EMERGENCY DISASTER: The LPA reviewed the facility's Infection Control Plan and Emergency Disaster Plan. LPA noted that the facility is in compliance with regulation with both plans reviewed annually. The facility conducts emergency disaster drills as required, with the last drill documented on 06/29/2025. Fire alarm system is tested annually with the last inspection between 06/23/2025 to 06/27/2025 with a follow up inspection to be determined. MEDICATION: Medication review began at 3:02PM. The LPA reviewed medications for four (4) residents. Medications were maintained inaccessible to residents in the medication room located on the first and second floor. Resident medications reviewed were documented and stored in compliance with regulation at this time. No deficiency cited. Exit interview conducted. A copy of the report was reviewed and provided.the state’s words, verbatim · CDSS document, Aug 18, 2025

Allegation investigated: Staff did not maintain a comfortable temperature for residents.

Licensing Program Analyst (LPA) Trevor Byrne conducted a unannounced complaint investigation visit at the facility at 12:09 PM. LPA met with facility Executive Administrative Assistant Allison Tepper the reason for the visit was explained and entrance interview was conducted. During today’s visit LPA conducted a physical plant tour, and interviewed the Administrator, five (5) Staff members, and ten (10) residents between 12:25 PM and 02:15 PM. Continued on LIC-9099C Substantiated The allegation of “Staff did not maintain a comfortable temperature for residents.” alleges that common rooms in the facility are not maintained at a comfortable temperature for residents. During today’s visit the outside temperature was approximately 72 degrees Fahrenheit. During the physical plant tour LPA observed the Newman Building in which the resident rooms are located. LPA observed the thermostats to be set at a comfortable temperature of 76 degrees Fahrenheit. LPA observed resident rooms to be equipped with their own AC/Heater unit with controls that can be adjusted on a room-to-room basis. Additionally, LPA toured the conference room, the synagogue, lounge rooms, library, dining room, and crafts room. All rooms were observed to be within a range of 68-76 degrees Fahrenheit. All rooms LPA toured at the time of the visit were a comfortable temperature. Interviews with residents revealed that the dining room, library, post office, and beauty salon have all been uncomfortably cold previously. Residents stated that the dining room side doors, when opened, create a strong draft that rapidly cools the room. LPA interviewed staff members who stated that the complaints about the dining room’s temperature come from residents utilizing the side doors to enter/exit the room which creates a draft. Staff stated that residents are instructed to not utilize the side doors and measures including signage, cones, and yellow tape are used to dissuade residents from using the side doors. LPA interviewed the Administrator who stated that they have not received complaints about the temperature of the facility recently. The Administrator was aware of the issues in the dining room regarding the side doors. The Administrator stated that in addition to the previous measures the facility has rearranged the dining room layout to move resident’s tables away from the doors. The Administrator stated that they would instruct maintenance to perform room temperature checks prior to scheduled activity times to ensure rooms are maintained at a comfortable temperature. Additionally, the Administrator agreed to speak with residents who do not follow the facility’s directive to avoid using the side doors of the dining room. Based on the information obtained during interviews there is sufficient evidence to support the allegation of “Staff did not maintain a comfortable temperature for residents.” Therefore, the allegation is deemed Substantiated at this time. The Administrator was unable to come to the facility at the time of the inspection but has designated Executive Administrative Assistant Allison Tepper to sign this report on their behalf. The following deficiency was cited (refer to LIC 9099D). A copy of the report was printed, appeal rights were provided, and exit interview was conducted.the state’s words, verbatim · CDSS document, Mar 19, 2025 · control 29-AS-20250314141748

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87303(b) · Plan of correction due date: Apr 2, 2025

87303 Maintenance and Operation (b) A comfortable temperature for residents shall be maintained at all times. This requirement is not met as evidenced by: Based on interviews the licensee did not comply with the section cited above as residents have stated that common rooms of the facility are not maintained at a comfortable temparature which poses a potential health and personal rights risk to clients in care.the state’s words, verbatim · CDSS document, Mar 19, 2025

Plan of correction: Licensee will submit proof of appropriate room temparatures for common rooms of the facility and their plan on how they will ensure common rooms are maintained at a comfortable temparature. Licensee will submit these documents to CCLD no later than POC due date.

Allegation investigated: Questionable Death Facility staff did not seek timely medical attention for resident Staff neglect led to resident sustaining hip fracture

Licensing Program Analyst (LPA) Erica Mosley arrived at the facility unannounced to conduct an initial 10-day complaint visit for the above allegations. On today’s visit at 2:20 pm LPA Mosley met with Executive Director (ED) Kathleen Glass and explained the reason for the visit. On 2/21/2025 the Department received a complaint regarding the following allegations: Questionable Death, Facility staff did not seek timely medical attention for resident, and Staff neglect led to resident sustaining hip fracture. It is the concern of the Reporting Party (RP) that Resident #1 (R1) had sustained a hip fracture, and soon after died as a result of negligence from the facility. Report continued on LIC 9099-C... Unfounded Report continued from LIC 9099... To investigate this complaint, LPA obtained pertinent documents relevant to the investigation and interviewed the ED at 2:21pm. Interview with the ED and documentation received revealed that R1 did not reside at Eisenberg Village of the LA Jewish Home for the Aging 191201867 licensed by Community Care Licensing Division (CCLD). However, the resident resided at the Eisenberg Village Skilled Nursing Facility which is all on the same property and is licensed by a different regulatory agency of which CCLD has no jurisdiction over. Based on the information obtained, the allegations are deemed UNFOUNDED at this time. A finding of unfounded means that the allegation is either false, could not have happened, and/or is without a reasonable basis. Exit interview conducted. A copy of the report was provided.the state’s words, verbatim · CDSS document, Feb 24, 2025 · control 29-AS-20250221153403

Type of visit: Required - 1 Year

Licensing Program Analysts (LPAs) Erica Mosley and Sandra Urena conducted the required annual inspection. LPAs met with Kathleen Glass, Executive Director (ED) and explained the reason for visit was stated. Entrance interview conducted. LPA Urena and the ED toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. COMMON AREAS: At the time of the visit, furniture in the common areas were observed to be in good condition. The facility maintained a comfortable temperature. The fire extinguishers were fully charged and were last serviced on 07/31/2024. The facility’s Fire Drill Report dated 08/26/2024, records the date and time of the last test of the smoke detectors. The LPA observed required postings near the entrance way. The LPA observed the stairwells and they each had an emergency evacuation chair. The Activity Room/Library, and lounge areas were observed to be clean at the time of visit. At approximately 11: 24 a.m., the LPA observed residents playing Bingo in the library/activity room. BEDROOMS: The LPA randomly selected residents’ bedrooms. Most bedrooms are shared rooms. The bedrooms were observed to be furnished appropriately with linens, appropriate furnishings, and sufficient lighting. The LPA observed a sufficient supply of towels and linens. RESTROOMS: The resident restrooms appeared clean and sanitary and in operating condition with grab bars and non-skid surfaces. The bathrooms were sufficiently stocked with supplies and paper towels; towels and washcloths are not shared in the private rooms. The hot water temperature in residents’ rooms ranged between 105.9 – 108.1 degrees Fahrenheit all within the required range. (Continue to LIC809c) (Continued from to LIC809) DINING/KITCHEN AREA: The dining room is located in a separate building (from the main residents’ building), adjacent to the patio area. The LPA observed a computer area for residents’ use, separated from the dining area. Weekly menus were observed at each table. In addition to the weekly menu, residents are given a choice of everyday food items they can order at La Carte. KITCHEN: Kitchen was observed to be inaccessible to residents in care. Knives and sharps were stored and inaccessible at the time of the visit. Kitchen appliances appeared clean and were in operable condition at the time of the visit. The facility has a sufficient supply of perishable food. The kitchen has three (3) industrial walk-in refrigerators. Each refrigerator had a temperature thermometer which recorded the temperature at 38.0 degrees. In addition to the refrigerators, the kitchen has a walk-in freezer, which had the temperature recorded at below zero (0) degrees. Refrigerator and freezer temperatures are recorded in a log sheet three (3) times a day. The LPA found that the seven-day non-perishable food is not sufficient for the 84 currently admitted residents; furthermore, the emergency food is located in the basement of the Skill Nursing building (SNB). The food was found located on shelves that were blocked by additional kitchen equipment. OUTSIDE GROUNDS: LPA toured the outside area of the facility. LPA observed appropriate outdoor furniture, with a covered shaded area for residents’ use. No bodies of water were observed. The Weinberg building is currently not in use for resident care. LPA observed it to be empty at this time. It is currently used to store extra office supplies. Doors are locked and inaccessible to residents and it is monitored by guards in the evening. RESIDENT / PERSONNEL RECORDS: Resident Records and Personnel records were reviewed from approx. 11:20 am – 1:30 pm. LPA Mosley reviewed Resident Records at approx. 12:30 p.m. Eight (8) personnel files were reviewed for, but not limited to: personnel records, health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. At approx. 1:30 pm Eight (8) resident files were reviewed for, but not limited to, the following: signed admission agreements, current medical assessments with TB results, LIC627(c) Consent for Treatment form, and current needs and services plan. Daily vehicle inspection list and California Highway Patrol Inspection report was reviewed for facility vehicles. All records were in order. (continue to LIC809C) (CONTINUED FROM LIC809C) Infection Control / Emergency disaster planning: During today’s visit LPA Mosley reviewed the facility’s infection control practices and the facilities emergency disaster plan. The facilities policies and procedures as it pertains to infection control are adequate. MEDICATION: LPA’s conducted a medication review on four (4) randomly selected residents at approx. 02:35 pm, The medications are centrally stored in the medication rooms located on both the 1st and 2nd floor. Medication for each resident is located on the floor they reside in. Both medication rooms were reviewed during the visit. Medications are labeled and checked for expiration dates. All medications including PRNs were labeled, stored, and locked inaccessible to residents in care. No errors observed during review. LPAs conducted staff and resident interviews during the visit. During today's inspection, the facility is in compliance with Title 22 regulations. Decencies were. LPAs obtained the following documents - Resident roster, LIC 500, and copy of the Limited Liability insurance. Exit interview conducted. Copy of report provided.the state’s words, verbatim · CDSS document, Sep 23, 2024

Allegation investigated: Due to staff neglect, resident had a reoccurance of scabies

Licensing Program Analyst (LPA) Elsie Campos arrived to the facility unannounced to conduct an initial 10 day complaint visit for the above allegation. The LPA met with Executive Director Kathleen Glass and Administrative Assistant Allison Tepper and explained the reason for the visit. The LPA conducted interviews with Executive Director and Staff between 10:00 a.m. and 11:00 a.m. the LPA conducted a physical plant tour at 11:30 a.m. and reviewed documents between approximately 1:45 p.m. and 2:45 p.m. **Continued on LIC 9099-C** Unsubstantiated Regarding the allegation: Due to staff neglect, resident had a reoccurrence of scabies. It was alleged that due to staff neglect Resident had a reoccurrence of scabies. Documentation confirmed that at the suspicion of the rash for Resident #1 (R1) on 8/30/2023, treatment advice and treatment was started. On 9/26/2023 R1’s symptoms persisted. R1 was seen by the dermatologist on 9/29/2023 and treatment was continued. On 9/29/2023, Dermatologist diagnosed R1 with Dermatitis and suspected scabies. R1 was subsequently confirmed to positive to Scabies on 10/20/2023. Resident #2 (R2) presented rash symptoms on 9/29/23 at which time was treated with Elimite (Permethrin) cream, which is used for various skin conditions including scabies, however R2 was not confirmed to be positive for scabies and was prescribed the treatment as a preventative measure. R2 was treated again on 10/17/2023 and 10/19/2023 as symptoms continued. On 11/3/2023 R2 was on continued treatment for skin itching and on 11/9/2023 R2 had reported that symptoms had improved. R2 was not diagnosed with a confirmed case of Scabies. Interviews confirmed that for precautionary reasons, the facility treated twenty-nine (29) residents and one (1) staff with topical cream for presumed scabies exposure as they were exhibiting itchiness and skin rash between the dates of 9/27/2023 and 11/26/2023. Interviews and documentation confirmed that the initial residents who were identified with rashes in September 2023 and October 2023 received prescription medication to treat the rashes. Interviews with the Executive Director and Clinical Manager confirmed that a community-wide clean-up took place and continues to be in effect, which included laundering all the resident clothing and linens, washing the carpets, sanitizing and cleaning all common spaces, replacing mattresses and disposing of furniture suspected of being a source. When the facility had a confirmed case of scabies, it was reported to the Department and the local health department and staff conducted appropriate cleaning and isolation protocols and took immediate preventative measures. Based on the evidence obtained, there is insufficient evidence to support the claim that the due to staff neglect resident had a reoccurrence of Scabies. This allegation is deemed Unsubstantiated at this time. No deficiencies cited at this time. Exit interview conducted. A copy of the report was issued.the state’s words, verbatim · CDSS document, Dec 5, 2023 · control 29-AS-20231128091732