Elegant Senior Living Encino

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Tihesha Smith made an unannounced 1-year inspection to this facility. LPA Smith was greeted by staff and disclosed the purpose of the Staff contacted the administrator who arrived later. LPA conducted a tour of the physical plant at approximately 10:45 am to ensure there are no health and safety hazards, and facility is in compliance with Title 22 Regulations. Common areas were observed for the ability to safely serve the needs of the residents. These included the living and dining room combination, kitchen, and family area. The common areas were checked for cleanliness and furniture was checked for functionality. Common areas observed to be clean, sanitary and have adequate seating for residents. LPA reviewed the food service areas, food storage and supply (perishable and nonperishable foods). The kitchen food supply was observed and sufficient for the six (6) residents currently residing there. Two (2) days of perishable food observed. The freezer is stocked with meat and frozen foods. Medication stored and locked in closet next to office. Most medication in bubble packs. Sharps are stored in kitchen drawer. Sharps observed to be locked and inaccessible to residents in care. First aid kits stored in upper cabinets in living room. Toxins are stored and locked under kitchen sink and observed to be locked and inaccessible to residents. The facility has a total of six (6) bedrooms, each with private bathrooms and one (1) main bathroom. There is also an office and staff room. The residents’ bedrooms were properly furnished with at least one chair, nightstand, and sufficient lighting for each resident. The bedrooms had appropriate and adequate bedding and linens such as sheets, pillowcases, and blankets. Each bathroom has the following items available: hand soap,towels, and trash cans. The hot water temperature was measured for the seven (7) bathrooms to ensure it is within the required range for residents’ comfort and safety. The water temperature range for all bathrooms was between 108.9- 116.3 -degrees Fahrenheit. There are two (2) wall mounted fire extinguishers in the facility: One (1) in the kitchen and one (1) in the family area. Both fire extinguishers were observed to be charged. Carbon monoxide and smoke detectors were tested and operable at time of visit. Backyard has the following: Covered patio with tables and chairs. Patio furniture observed to be in good repair with adequate seating for residents. No Garage at the facility Facility grounds were free of hazards. At approximately 12:45 pm, LPA reviewed six (6) resident files and assessments, personal rights. Four (4) random staff files reviewed. Staff files had clearances and current First aid and CPR. No deficiencies observed at time of visit. Exit Interview Conducted /Copy of the Report Issuedthe state’s words, verbatim · CDSS document, Jan 10, 2026

Type of visit: Required - 1 Year

At approximately 10:45 a.m. on 02/20/2025, Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced annual inspection. LPA met with staff and later the administrator and disclosed the reason for the visit. A file review was conducted prior to today’s visit. The facility was last visited on 12/18/2023 for an annual visit. It is a single story building with seven (07) bedrooms, seven (07) bathrooms, kitchen, laundry room, common areas, and outdoor areas. It has an approved fire clearance for six (06) nonambulatory residents. Approved hospice waivers for six (06). LPA observed a maintained front yard. A screening station at the front contained sanitizer, masks, and a visitor log. Postings at the front and in the main hallway included COVID precautions facility license, confidential complaints contacts, ombudsman contacts, neighborhood complaint procedures, theft and loss policy, facility sketch with evacuation routes clearly labelled, emergency disaster plan, non-discrimination notice, a blank copy of the admission agreement, rights of resident councils, and personal rights. Walls, floors, windows, screens, and blinds were clean and in good repair. At 11:15 a.m. LPA measured the room temperature to be 70 degrees Fahrenheit. The living room contained a television, reading material, games, exercise equipment, and furniture in good repair. A fireplace was turned off and appropriately covered. Resident artwork was hung in the dining area. An office near the front entrance was locked and contained an additional refrigerator, confidential files, and extra supplies. Medications were inaccessible in a separate closet near the office. An additional activity area near the middle of the facility contained music supplies, exercise equipment, and reading materials. The facility has seven (07) bedrooms. One (01) bedroom is designated as a staff room. The staff room was unlocked and free of hazards. All bedrooms contained a chair, lamp, nightstand, storage, bed alarms, call systems, and a bed with adequate bedding. All furnishings were clean and in good condition. All rooms had hospital beds with wheels in the locked position. The facility has seven (07) bathrooms. Each bedroom has a private bathroom in addition to the staff bathroom. All resident bathrooms contained liquid soap, paper towels, trash can with a tight fitting lid, and grab bars near the toilet and shower or commodes with grab bars. At approximately 11:50 a.m. LPA measured the water temperature in the private bathroom to Bedroom #2 be 119.3 degrees Fahrenheit. LPA called the house telephone at 12:15 a.m. The phone was deemed operational. LPA observed an adequate supply of perishable and non-perishable foods in the kitchen. Appliances were in good condition. Sharps were locked under the counter top. At 12:20 p.m. LPA observed a fully charged fire extinguisher in the kitchen. It was last inspected on 07/17/24. The laundry area was adjacent to the kitchen. It was locked and contained a washing machine, a dryer, and chemicals. Both appliances were in working order. LPA observed a shaded patio area in the rear of the facility along with sufficient space for activities. The patio contained furniture in good condition. The emergency exit path was free from obstructions. The exit gate was unlocked. Two (02) out of two (02) auditory alarms were turned on and functioning. At approximately 12:30 p.m., smoke and carbon monoxide detectors were tested and operational. Detectors were hard-wired and operated simultaneously. The hallway fire door closed automatically when tested. LPA reviewed staff and resident files. All files were complete and available for audit. During today's inspection, the facility was in compliance with Title 22 regulations. No immediate health or safety hazards were observed. Exit interview conducted. Copy of report provided.the state’s words, verbatim · CDSS document, Feb 20, 2025

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Tihesha Smith conducted an announced pre-licensing visit with administrator Daniel Sagal. Identification of the Applicant/Administrator was verified by photo ID. The facility has a capacity of six (6). Application received for six (6) Non-ambulatory residents. LPA conducted a tour of the physical plant at approximately 10:50 am to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. Common areas were observed for the ability to safely serve the needs residents. These included the living room, dining room combination, kitchen, and family area. The common areas were checked for cleanliness and furniture was checked for functionality. Common areas observed to be clean, sanitary and have adequate seating for residents. LPA reviewed the food service areas, food storage and supply (perishable and nonperishable foods). The kitchen food supply was observed and sufficient for the five (5) residents currently residing there. Two (2) days of perishable food observed. The freezer is stocked with meats and frozen foods. Sharps are stored in kitchen drawer. Sharps observed to be locked and inaccessible to residents in care. First aid kits stored in upper cabinets in living room. Toxins are stored and locked under kitchen sink and observed to be locked and inaccessible to residents. There are two (2) fire extinguishers in the facility: One (1) attached to the kitchen wall and one (1) attached to wall in family area. Both fire extinguishers observed to be charged. Laundry room is located at the back of the kitchen. (Cont. to 809) (Cont. from 809C) The facility has a total of six (6) bedrooms, six (6) in room bathrooms for residents in care, and one (1) main bathroom. There is also an office with an additional refrigerator stocked with perishable foods. The resident bedrooms were properly furnished with at least one chair, nightstand, and sufficient lighting for each resident. The bedrooms had appropriate and adequate bedding and linens such as sheets, pillowcases, and blankets. Extra linen stored in each room. Each bathroom has posted “wash your hands” signs and the following items available: hand soap, paper towels, and trash cans. The hot water temperature was measured from empty room and main bathroom The water temperature range was between 112.8 and 117.3 -degrees Fahrenheit. Backyard has the following: Covered patio with tables and chairs. Patio furniture observed to be in good repair with adequate seating for residents. Two (2) sheds: used for emergency food and equipment storage. Sheds observed to be locked an inaccessible to residents in care. No Garage at the facility Smoke detector/carbon monoxide detector were tested and operable at time of visit. Facility grounds were free of hazards. At time of visit this facility is ready to be licensed. A copy of this report will be forwarded to the Centralized Applications Bureau (CAB). Exit Interview Conducted /Copy of the Report Issuedthe state’s words, verbatim · CDSS document, Dec 18, 2023

Type of visit: Office

Facility Type: RCFE Application Type: Change of ownership Capacity: 6 Census (if any clients in care): 5 COMP II Participants: Daniel Sagal Interview Method: Telephone interview On November 28, 2023, applicant/administrator participated in COMP II. Identification of the applicant and administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant and administrator confirmed the understanding of the California Code Title 22 Regulations. Signed LIC 809 with copy of photo ID have been obtained. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Admission Policies 3. Staffing requirements & Training 4. Restricted/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing readinessthe state’s words, verbatim · CDSS document, Nov 28, 2023