Northridge Garden Villa

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Mariana Agban conducted an Annual Required visit and inspection of the facility. LPA met with staff, Perscillla Bance, and explained the reason for the visit. Administrator Anita Ortiz could not attend the annual and staff Ruel Richohermoso was designed for the Administrator. At approximately 10:15 am, with the assistance of staff, LPA took a tour of the physical plant. Required postings were observed in the entry area. The smoke alarms are interconnected and battery-operated. There is a carbon monoxide detector that functions properly installed in the hallway between resident rooms. The fire extinguisher is located in the living room and laundry room with a purchase date of 10/04/25. Kitchen: The kitchen appliances and fixtures were functional. LPA found a sufficient amount of perishable and non-perishable food at the facility, properly stored. Knives were stored in a locked drawer in the kitchen. Properly labeled medications were locked in one of the kitchen cabinets. Bedrooms: There were four(4) bedrooms designated for residents' use and two (2) bedrooms designated for staff. All bedrooms, in use by residents, were properly furnished with appropriate beddings and linens with sufficient lighting. Bathrooms: There are three (3) bathrooms designated for residents' use. All bathrooms were properly supplied and had functional fixtures. Hot water temperature was measured from the bathroom sink at 108.7 degrees Fahrenheit. No cleaning supplies or hazardous items were present in each bathroom during the inspection. Common Areas: The common areas were properly furnished. The auditory alarms on all exit doors were on and functional during the visit. The dining room table is large enough to accommodate the facility's capacity. Seating, such as couches, was in good repair and sat the capacity of the facility. The living room has televisions and comfortable furniture. Laundry Area: Laundry detergents were locked in a cabinet, and thus, toxins were inaccessible to residents. Surrounding Grounds: Entry/exits were free of obstruction. (Continue on 809C ) There was furniture appropriate for outdoor use. The outdoor area was free of hazards. There is a swimming pool that is fenced all around its perimeter. The fence was at least five feet high with a gate that was also five feet high. The gate was observed locked, making it inaccessible for residents to enter The gates at both sides of the home were checked to ensure no locks were installed and that exits and passageways were clear for emergency evacuation. LPA observed the Administrator's office and garage. Resident Files: LPA conducted a file review of resident records to ensure compliance with licensing forms. LPA observed that R1-R5 files do not have an updated physician report (LIC 602) and Appraisal Needs and Services. Staff Files: LPA also conducted a file review of staff records to ensure forms and training are up to date and in compliance with licensing forms. Medications: Medications and Medication Records were reviewed for proper documentation. LPA observed that R2 did not take his morning medications. S1 stated that they had administered morning medication; however, S1 had used stored bubble packs medications from previous months. LPA also observed that the R3 medication record was not consistent. Temperature: Facility maintains a comfortable temperature of 77 degrees Fahrenheit. Exit interview conducted, citations issued, appeal rights given, copy of this report signed and delivered.the state’s words, verbatim · CDSS document, Oct 15, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Mariana Agban conducted an Annual Required visit and inspection of the facility. LPA met with staff and explained the reason for the visit. Administrator, Anita Ortiz was contacted and arrived shortly after. At approximately 10:15 am, with the assistance of staff, LPA took a tour of the physical plant. Required postings were observed in the entry area. Common Areas: The common areas were properly furnished. The auditory alarms on all exit doors were on and functional during the visit. The dining room table is large enough to accommodate the facility's capacity. Seating such as couches were in good repair and sat the capacity of the facility. The living room has televisions and comfortable furniture. LPA observed the fire extinguisher with a purchase date of 08/19/2024. Fire alarm and carbon monoxide function properly. Bedrooms: There were four(4) bedrooms designated for residents' use and two (2) bedrooms designated for staff. All bedrooms, in use by residents, were properly furnished with appropriate beddings and linens with sufficient lighting. Bathrooms: There are three (3) bathrooms designated for residents' use. All bathrooms were properly supplied and had functional fixtures. Hot water temperature was measured from the bathroom sink at 112.8 degrees Fahrenheit. No cleaning supplies or hazardous items were present in each bathroom during the inspection. Kitchen: The kitchen appliances and fixtures were functional. LPA found a sufficient amount of perishable and non-perishable food at the facility; properly stored. Knives were stored in a locked drawer in the kitchen. Properly labeled medications were locked in one of the kitchen cabinets. Laundry Area: located through the kitchen. Appliances were observed to be in good repair. Laundry detergents were locked in a cabinet and thus toxins were inaccessible to residents. Surrounding Grounds: Entry/exits were free of obstruction. There was furniture appropriate for outdoor use. The outdoor area was free of hazards. There is a swimming pool that is fenced all around its parameters. The fence was at least five feet high with a gate, that was also five feet high. The gate was observed locked, making it inaccessible for residents to enter. Resident Files: LPA conducted a file review of resident records to ensure compliance with licensing forms. (Continue on 809C) Staff Files: LPA also conducted a file review of staff records to ensure forms and training are up to date and in compliance with licensing forms. Medications: Medication and Medication Records were reviewed for proper documentation. Temperature: Facility maintains a comfortable temperature of 75 degrees Fahrenheit. Pursuant to Title 22 Division 6 of the CA Code of Regulations, there were no deficiencies observed during the visit. Exit Interview Conducted and a Copy of the Report Issuedthe state’s words, verbatim · CDSS document, Dec 9, 2024

Type of visit: Required - 1 Year

On 10/16/2023 Licensing Program Analyst (LPA) Mariana Agban conducted an Annual Required visit and inspection of the facility. Upon arrival, LPA was greeted by staff and explained the reason for the visit. Shortly after, LPA met with Back up Administrator Paul Apolinario. A tour of the physical plant was conducted at 10:40AM. Kitchen: The kitchen appeared clean and the appliances and fixtures functional. LPA found a sufficient amount of perishable and non-perishable food at the facility; properly stored. Sharp objects were stored in locked drawers and cabinets. Medications are locked in the kitchen cabinet. LPA observed fully stocked first aid kit in the kitchen cabinet. Laundry Area: located through the kitchen. Appliances observed to be in good repair. Door was locked and thus laundry detergents were inaccessible to residents. Temperature: Facility maintains a comfortable temperature of 77 degrees Fahrenheit. Surrounding Grounds: Entry/exits were observed to be locked. The outdoor area was clean and free of hazards .There is a pool observed to be enclosed by a fenced and locked. Storage rooms and garage observed in the backyard area. Smoke Alarms and Carbon Monoxide: There are 2 fire extinguisher located in the dining room, and kitchen observed to be fully charged and was purchased on 10/22/23. Bedrooms: the facility has six (6) bedrooms. Four (4) designated for residents use in which they were clean, properly supplied and had functional fixtures and two (2) for staff. Bathrooms: All bathrooms observed properly supplied; with grab bars and non-skid mats installed. LPA observed water temperature to be 114.4 degrees F. Common Areas: These included the living room and dining area. The common areas were checked for cleanliness and furniture was checked for functionality. Common areas observed furnished appropriately. Resident Files: LPA conducted a file review of resident records to ensure compliance of licensing forms. Staff Files: LPA also conducted a file review of staff records to ensure forms and training are up to date and compliance with licensing forms. No deficiencies issued during today’s visit. Report was signed and delivered and an exit interview was conductedthe state’s words, verbatim · CDSS document, Oct 16, 2023