West Hills Care Home

Type of visit: Required - 1 Year

On 1/22/2026 Licensing Program Analyst (LPA) Perchui Milena Khurshudyan arrived at this facility to conduct the required Annual Inspection. Upon arrival, LPA was greeted by the Caregiver Mercy Malano, who granted access to the facility. LPA explained the reason for the visit. LPA Khurshudyan reviewed the required postings posted on the entrance wall and on kitchen wall. At approximately 1:45pm LPA requested staff and residents’ rosters for review. The inspection tool was used to complete the visit. At 2:10pm LPA, with the help of the Caregiver, began a physical plant tour of the facility and the following was observed: This is a single-story building with four (4) bedrooms all designated for residents’ use. There are three (3) bathrooms, a kitchen, common areas: living and dining rooms, and an outdoor area. Facility has an approved fire clearance for six (6) Non-ambulatory residents, two (2) bedridden resident for room #4, and a Hospice waiver for four (4) residents. Kitchen: LPA observed a seven-day supply of non-perishable food, and a two-day supply of perishable food properly stored and labeled. No expired food was observed. Facility stores knives and sharps under the sink inside the locked cabinet. Sufficient amount of emergency supply of food / water was readily available. Food storage and preparation areas are clean and inaccessible to pests. LPA observed one (1) fire extinguisher located on the kitchen wall. The fire extinguisher was last serviced on 12/30/2025. Dish soap and other chemicals were observed to be stored inside the locked cabinet and inaccessible to residents in care. Continue on LIC809-C Bedrooms: LPA observed bedrooms to be properly furnished with beds, linens, night stands, chairs, drawers, closets, and adequate lighting. All bedrooms appeared organized and clean. Residents have enough personal hygiene products. Common Areas: These include a den, living and dining areas. LPA observed dining, living areas clean and clear of clutter. Furniture is generally new and in a good repair. Dining and living room furniture sits at the capacity of the facility. Walls, floors, windows, screens, and blinds were clean and in good repair. At 2:15pm, LPA measured the room temperature to be 74 degrees Fahrenheit. There is a linen closet with an adequate supply of fresh linens ready to use. No obstructions and or tripping hazards found inside the facility. Facility has landline, LPA checked it was operational. Bathroom: The bathrooms contained hand soap, paper towels, toilet paper and trash bins with lids. The hot water temperature was measured at approximately 2:25pm to be 111.4 degrees Fahrenheit. The bathrooms were checked for cleanliness and proper operations. Towels and washcloths are not shared. LPA observed non-skid mats and grab bars inside the bathrooms. Smoke and Carbon Monoxide Detectors: The smoke and carbon monoxide detectors were tested by staff at approximately 2:50pm and were observed to be operational. Garage: There is a garage in the premises and is currently being used for storage. Laundry Room: Functioning washer and dryer located in the den area, inside a separate locked closet. Laundry detergents and other chemical supplies were also inside the same locked closet and inaccessible to residents in care. Backyard/Front yard: LPA observed sufficient yard space and fenced backyard with appropriately covered shaded area available for residents to rest. There is outdoor furniture under the shaded area. LPA discussed the importance of maintaining care and supervision to meet the needs of clients. During the physical walk through LPA observed all exit areas to be free of clutter and obstruction. There is no body of water. Staff/Client File review: Facility records are kept in the office area next to the living room. Between 2:30pm -3:30pm LPA conducted records review of four (4) staff files and five (5) residents’ records. Files were complete and updated. Continue On LIC809C Medications: At approximately 3:35pm, LPA reviewed Centrally Stored Medication Destruction Records for proper documentation. The facility also maintains Medical Administration Records (MAR). LPA observed centrally stored medications locked inside the commercial cabinet and inaccessible to residents in care. Complete First-aid kit is also available and placed in the common area. No potentially dangerous items were found in the facility. The facility operates with two (2) shifts and has two (2) staff members for each shift. LPA conducted interviews with two caregivers and one (1) resident who was able to communicate and answer questions. Facility plan/sketch is posted on the wall along with other posting requirements. LPA collected LIC500, LIC9020, and copy of Liability Insurance at the time of the visit. The Administrator certificate will be expiring on 2/1/2027. The facility is current with licensing fees. A Deficiency issued during today’s visit, check LLIC809-D page. Exit interview conducted, a copy of this report signed and delivered.the state’s words, verbatim · CDSS document, Jan 22, 2026

Type of visit: Required - 1 Year

On 1/30/25 an unannounced annual visit was conducted by Licensing Program Analyst (LPA) Perchui Milena Khurshudyan. Upon arrival, LPA met with the Caregiver Mercedita Malano, who granted access to the facility. LPA introduced herself by showing her badge and explained the reason for the visit. Shortly after the Administrator, Elaine Bote arrived and helped with physical plant tour and staff/residents’ files. During today's visit, LPA conducted a physical plant walk through at approximately 11:00am, to ensure that the facility is in compliance with rules and regulations under California Code of Regulations, Title 22. The following was observed: The facility is a single-story home and is licensed for capacity of six (6) residents, of which six (6) may be Non-Ambulatory and of which fire clearance approved for two (2) Bedridden. Facility also has a hospice waiver for one (1) resident. There are four (4) bedrooms in the facility and all bedrooms are designated for residents’ use. Bedrooms observed to be appropriately furnished. LPA observed rooms to have clean bedding sheets, pillowcase, blankets, mattress pads, which are in good condition. All bedrooms have appropriate lighting. LPA observed obstruction in front of the exit door in bedroom #4. There are three (3) bathrooms in the facility of which two (2) are designated for residents’ use and one (1) for staff use. LPA observed bathrooms have soap, paper towels and hand washing signs. The hot water temperature measured at 11:30 to be 118°F. Extra towels and linens were readily available inside the linen cabinet located in the hallway. There are grab bars for each toilet and shower, bathrooms have non-skid mats. All trash cans in bathrooms had fitted lids to protect from cross contamination. LPA observed facility alarms were present on all exit doors and all the signals were functional. SMOKE DETECTORS/CARBON MONOXIDE. The smoke detectors and carbon monoxide are hard wired, inter-connected and were located throughout the facility. At 12:00pm they were tested and observed to be operational. The facility has one (1) fire extinguisher located in the kitchen that was last purchased on January 1st, 2025. Continue on LIC809-C KITCHEN: The facility has a Kitchen area that is equipped with a refrigerator, microwave oven, dish washer and sink. The kitchen appliances and fixtures were functional. LPA observed the kitchen area, there was sufficient stock of one week non-perishable foods and two days of perishable foods. Frozen foods are properly wrapped and stored. Food storage and preparation areas are clean and inaccessible to pests. LPA observed that sharp objects were stored in a locked kitchen cabinet under the sink and inaccessible to residents in care. Extra emergency food was properly stored inside the industrial cabinet located within the kitchen and the dining room areas. The common areas which include dining and living room appeared clean and were properly furnished. Temperature was comfortable it was measured at 11:45am to be 69°F. No tripping hazards found throughout the facility. MEDICATION: LPA observed centrally stored medication and First Aid kit locked in the kitchen cabinet and inaccessible to residents in care. LPA observed First-aid kit is complete and has new manual. Facility has Dementia Care Program. PRN medications have written orders from a physician. The facility serves residents with dementia and facility has trained staff to meet the needs of residents who are diagnosed with dementia. Facility has two (2) staff for AM shift and two (2) awake caregivers for PM shift. COMMON AREAS: LPA observed living room and a dining room that appeared generally clean and were properly furnished. Facility has land line, LPA checked its operational. LAUNDRY ROOM: Laundry machines are located in the separate locked area next to the second living room. LPA observed chemicals and detergents were properly stored, locked and inaccessible to residents in care. LPA discussed the importance of keeping potentially dangerous items locked at all times. SURROUNDING GROUNDS: LPA observed sufficient yard space with fenced backyard. Appropriate outdoor furniture, with covered shaded area was available for residents to rest and enjoy outside weather. LPA discussed the importance of maintaining the care and supervision to meet the needs of clients. Exit doors were unlocked and free of obstructions. The facility does not have a swimming pool or body of water. There is a garage in the property, which is currently being used for storage. FILE REVIEW: Between 12:00pm to 1:00pm, LPA reviewed records and files of three (3) residents and three (3) staff/caregivers. A review of staff and resident records appeared to be complete. Resident’s files contain signed admission agreements and a medical assessment, and all other required documentarians. Continue on LIC809-C A review of staff records indicates that all facility staff and who required caregiver background checks have received criminal record clearances. There are no residents with prohibited conditions residing at the facility. Facility also provides activities to the residents. An emergency exit plan/sketch along with other posting requirements are posted on the wall in the living room. Medications Review: At approximately 1:30pm. LPA reviewed Centrally Stored Medication Destruction Records for proper documentation. Facility also maintains Medical Administration Records (MAR). PRN medications have written orders from a physician. Potentially dangerous items are kept inaccessible to residents in care. Facility operates with two (2) shifts. LPA collected LIC500, LIC9020, copy of Liability Insurance Certificate, and copy of the facility license. Citation issued during this visit and appeal rights were provided. See LIC809-D Exit interview conducted and copy of this report signed and delivered.the state’s words, verbatim · CDSS document, Jan 30, 2025

Type of visit: Required - 1 Year

On 01/24/24 at 10:00 am Licensing Program Analyst (LPA) Christopher Alemoh conducted an Annual required visit and inspection of the facility. LPA met with Administrator, Elaine Bote, and explained the reason for the visit. Five (5) residents and two (2) staff were present during this inspection. Facility is following COVID protocols, LPA was screened upon entry and asked to sign in. The facility has four (4) bedrooms and three (3) bathrooms designated for residents. Hospice waiver approved for 1 (1) resident. The facility serves residents with dementia. One resident uses an oxygen tank. Signage posted on the front door and throughout the facility. At 10:15am, with the assistance of (S1) Administrator Elaine Bote, LPA conducted a physical plant to ensure facility is in compliance with Title 22 Regulations. Facility Temp measured at 76 degrees. Required postings were observed in the entry area. The smoke alarms are hardwired and interconnected. 3 out of 3 auditory alarms were on and functioning during today’s visit. The carbon monoxide and smoke detectors were tested and function properly. One (1) fire extinguisher was observed in the kitchen. The charge date is 12/27/23. Kitchen: The kitchen appliances and fixtures were functional. LPA found a sufficient amount of perishable and non-perishable food at the facility located in a brown industrial sized cabinet.; properly stored. Knives were stored and locked under the sink the kitchen. Properly labeled medications were locked and secured in a grey industrial cabinet near the kitchen the Administrator office along with resident files. All household cleaning products were locked in the laundry area. Bedrooms: There were five (4) bedrooms designated for residents' use. Two (2) rooms will be shared, and one (1) room were private at the time of the visit. LPA observed rooms to have bedding sheets, pillowcase, blankets, mattress pads, which are in good condition. There is at least one chair, a night stand, and sufficient lighting for each client. (Cont. from 809) The mattresses and bedsprings were also checked for condition. Window covering and window screens are in good repair for each room. Bathrooms: There are three (3) bathrooms designated for residents' use. All bathrooms were properly supplied and had functional fixtures. Hot water temperature was measured at 113 degrees Fahrenheit. Cleaning supplies are being stored. Laundry area was observed to be locked. Both appliances were in good working order. Detergents and solutions were locked and secured inaccessible to residents. Common Areas: These included the living room and dining area. The common areas were properly furnished. The auditory alarms on all exit doors were on and functional at the time of the visit. LPA observed surveillance cameras in common areas. Outside grounds were toured and no bodies of water were observed. Facility has two (2) sheds in the backyard. The grey shed was located in the east corner of the facility stored extra supplies. The second shed located in west corner stored garden supplies. Both had padlocks and secured. Facility also has a basketball court and workout equipment for residents and staff. Patio furniture under a shaded area was accessible to clients. Walkways around the home were clear of hazards. There are no security bars or weapons on the premises. At 11:02 AM LPA conducted a file review. 7 staff records were reviewed, 7 out of 7 staff records had current first aid certificates and had required criminal record clearances or criminal record exemptions. 5 resident records were reviewed and, 5 out of 5 client records had Admission Agreements, Medical Assessments, Pre-appraisals (or Reappraisals) and/or Needs & Services Plans. Medication and Medication Records were reviewed for proper documentation. No deficiencies cited. An exit interview was conducted, A copy of this report and appeal rights were discussed and left with Administrator Elaine Bote.the state’s words, verbatim · CDSS document, Jan 24, 2024