Westfield Senior Living

Type of visit: Required - 1 Year

On 11/6/2025, 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 Champo Chilambwe , who granted access to the facility. LPA introduced herself by showing her badge and explained the reason for the visit. The facility Administrator Mariam Balasanyan was contacted by phone and informed about the visit. LPA Khurshudyan reviewed the required postings on a wall throughout the facility. The inspection tool was used to complete today's visit. At 10:25am 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 six (6) bedrooms, two (2) bathrooms, kitchen, common areas, and outdoor areas. This facility is operating as RCFE, has an approved fire clearance for six (6) non-ambulatory residents, of which one (1) may be bedridden. The facility also has approved Hospice waiver for six (6) 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 inside the locked kitchen cabinet. Emergency supply of food / water was stored inside the pantry. Food storage and preparation areas are clean and inaccessible to pests. LPA observed two (2) fire extinguishers in the facility, one (1) located in the hallway, and one (1) next to the kitchen area with a last service date 11/6/2025. A weekly menu was also available for clients and was posted on the fridge. Bedrooms: There are six (6) bedrooms in the facility designated for residents’ use, the office is in the living area. All bedrooms are for private use. LPA observed bedrooms to be properly furnished with beds, linens, night stands, chairs, drawers, closets, and adequate lighting. All bedrooms appeared organized and clean. Continue on LIC809-C Common Areas: These include 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 11:00am LPA measured the room temperature to be 72 degrees Fahrenheit. There is a linen closet with an adequate supply of fresh linens ready to use. No obstructions and or tripping hazards found throughout the facility. Facility has landline, LPA checked it was operational. There is a television, cabinet for activities, and art supplies available for clients’ use. Bathroom: There are two (2) bathrooms in the facility. The bathrooms contained hand soap, paper towels, toilet paper and trash bins with lids. The hot water temperature was measured at approximately 11:15am to be 117.9 degrees Fahrenheit. LPA also observed required signs on the bathroom walls and non-skid mats inside the showers. Smoke and Carbon Monoxide Detectors: The smoke and carbon monoxide detectors were tested by staff at 11:25am and were observed to be operational. Garage: There is no garage on the property. Laundry Room: Functioning washer and dryer located in the backyard, inside a separated space. Laundry detergents and other chemical supplies are locked inside the cabinets placed in the laundry space. LPA observed all chemicals were inaccessible to residents in care. Backyard: The backyard is fenced and has sufficient yard space. Appropriately covered shaded area available for residents use. LPA discussed the importance of maintaining care and supervision to meet the needs of clients. Entry / Exit doors were unlocked and free of obstructions. There is no body of water in the property. Staff/Client File review: Facility records are kept inside the locked commercial cabinets located in the office area. Between 11:30am -12:35pm LPA conducted records review of three (3) staff files and four (4) residents’ records. Files were complete and updated. Continue on LIC809-C Medications: At approximately 12:45pm. 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 kitchen cabinet and inaccessible to residents in care. Complete First-aid kit is in the office area, new manual for first aid kit was also available. No potentially dangerous items were found in the facility. The facility operates with two (2) shifts and has one to three (1-3) staff members for each shift. Three out of four residents were present during the visit; LPA interviewed Administrator, Caregiver, and three (3) residents. Facility plan/sketch is posted on the entrance wall along with other posting requirements. LPA collected LIC500, LIC9020, the Copy of Administrator Certificate, and a copy of the Liability Insurance Ex. 12/20/2025. The Administrator's certificate - Exp date is 1/16/2027. No citations issued during today's visit. Exit interview conducted. Copy of this report provided.the state’s words, verbatim · CDSS document, Nov 6, 2025

Type of visit: Case Management - Other

On 9/3/2025 at 1:45pm, Licensing Program Analyst (LPA), Perchui Milena Khurshudyan conducted an unannounced Case Management visit to amend the complaint report: LIC9099A and LIC9099-Cs recorded during a visit date conducted on 08/08/2025. Complaint Control #31-AS-20240911101938 Upon arrival LPA met with the Caregiver Anahit Grigoryan and explained the reason for the visit. Exit interview conducted and copy of this report signed and deliveredthe state’s words, verbatim · CDSS document, Sep 3, 2025

Allegation investigated: Licensee used full bed rails for non-hospice resident.

On 8/7/2025, Licensing Program Analyst (LPA) Perchui Milena Khurshudyan conducted a subsequent complaint visit at this facility to conclude the investigation regarding the above allegation and to deliver the final report. Upon arrival LPA met with the facility Caregiver Anahit Grigoryan and explained the reason for the visit. Entrance interview conducted. During the initial visit on 9/19/24, LPA Khurshudyan conducted interviews and records review. At 10:15am LPA requested resident and staff roster. At approximately 10:20am, requested copies of pertinent information which include, but not limited to Physician’s report, Admission Agreement, Appraisal Needs and Services Plan, Staff Training, Incident Reports, and potential documents relevant to the investigation. At 10:30am, LPA with the help of facility Administrator, conducted a physical plant tour to ensure health and safety of the residents are protected. Between 10:50am – 1:30pm, LPA interviewed two (2) out of four (4) residents who were able to communicate, two (2) caregivers, and Administrator. Continue on 9099-C Substantiated During today’s visit, LPA requested copies of resident and staff rosters. At approximately 11:40am, LPA conducted a physical plant tour, to ensure health and safety of the residents are protected. No full bed observed on residents' beds. Allegation: Licensee used full bed rails for non-hospice resident. It was reported and stated by RP that on 08/27/2024, s/he noticed full bed rails were installed on R1's bed. RP states s/he believes the full bed rails were placed on R1's bed as a way to restrain him and keep him in bed. RP also states the full bed rails were still in place on 09/10/2024 when they moved R1 out to another facility. To investigate this allegation, LPA conducted interviews and collected R1's records for review. Based on interviews with the facility Administrator and two (2) caregivers, it was revealed that the Resident #1 (R1) was observed attempting to get out of bed independently despite his/her health condition requiring assistance. All staff members stated that R1 was at high risk of falling from the bed. In an effort to prevent a fall, staff utilized a full bed rail on R1's bed. Staff also stated that multiple times they asked R1's POA to speak with the physician to get R1 re-evaluated and request full bed rail order if with physician's approval. POA never requested stating R1 does not need full bed rail. LPA reviewed R1's records and observed that R1 was receiving Palliative care, however, there was no physician's order for the use of full bed rail at that time. Per Title 22 regulations, the use of full bed rail without a doctor's order constitutes a violation of the regulation. Based on observations, interviews, and records review there is sufficient evidence to conclude that the above allegation is Substantiated. Deficiency issued per CA code of Regulations Title 22 on LIC-9099D Exit interview conducted, appeal rights explained, and a copy of this report signed and delivered. During today’s visit, LPA requested copies of resident and staff rosters. At approximately 11:40am, LPA conducted a physical plant tour, to ensure health and safety of the residents are protected. Allegation: Staff did not assist resident with transfers. It was reported that S1 refused to move R1 out of bed because S1 said s/he was not comfortable moving R1. RP stated when asked S1 to put R1 in the wheelchair so R1 could go outside during a visit, S1 refused to get R1 out of bed. To investigate the allegation LPA conducted interviews with Administrator, S1 and S2, who denied ever refusing assisting residents with transfers. Interviews also revealed that due to some residents’ heavy weight or health issues sometimes 2 caregivers assistance is required for transfers from or to bed. Staff members confirmed that resident #1 (R1) family member got frustrated and complaint that R1 did not get assistance with transfer. The family member got explained that once the second caregiver finishes the round, R1 will get assistance. However, the family member refused to wait because they wanted assistance immediately and started to verbally attack caregivers. Interview with two (2) out of four (4) residents confirmed that staff never refused assisting residents with transfers whenever they asked for. Residents also stated that since R1 moved to the facility, family members expected R1 to have 24 hours of 1:1 care and always created arguments with staff members. Residents stated that they are very happy with the care and assistance they receive from the caregivers and would never move out to another facility. During the visit LPA also observed that residents receive adequate care by caregivers and caregivers provide proper assistance with transfers. Based on the observation, records review, and interviews, there is insufficient evidence to support the allegation that the facility staff fails to assist residents with transfers. Therefore, the allegation is deemed Unsubstantiated at this time. Allegation: Licensee does not provide planned activities for residents. It was reported that R1 was always in bed in the room just staring at the wall because R1 did not have a TV, and no activities were provided by staff. To investigate the allegation LPA conducted interviews with the Administrator, two (2) staff members, and two (2) out of four (4) residents who were able to communicate. Interview with staff members confirmed that, although various activities get provided to residents in care regularly, not all residents wish to participate or are capable of it, due to their diagnosis or health condition. Staff members confirmed they do morning exercises, art/coloring books, board games, memory games and music. Continue on LIC9099-C During the interview the administrator reported that his/her working hours are M/W 10am-7pm, Th-F 1pm-7pm, Sun 10am-5pm, that totals 37 hours per week, which meets the minimum requirement for administrator presence as outlined by Title 22 regulations. The administrator also added that due to his/her current condition of high-risk pregnancy, there have been occasional fluctuations in on-site hours related to frequent doctor appointments. However, s/he remains accessible via phone and is in regular communication with staff to ensure facility operations. Interview with residents revealed that the administrator is present at the facility several days each week and regularly engages in one-on-one conversations with residents to check on their well-being. Staff roster review also confirmed the administrator’s shift days and hours. Based on observation, interviews, and records review, there is insufficient evidence to support the allegation that the administrator is not present adequate hours to operate the facility. Therefore, the allegation is deemed Unsubstantiated at this time. Allegation: Licensee did not ensure staff administering oxygen to resident was appropriately trained. It was reported by RP when they moved R1 out from the facility, S1 was the only staff at the facility and s/he did not know how to connect R1’s oxygen to the oxygen tank, so R1 was without oxygen for 15 minutes, which caused R1 to have a medical episode once R1 was at the new facility. To investigate the allegation, interviews were conducted with the facility administrator, two (2) staff members, two (2) out of four (4) residents who were able to communicate, and with the Administrator where R1 transferred to. During the interview, the administrator confirmed that all staff members received training on administering oxygen to residents. The administrator also provided copies of all training materials for LPA’s review. The administrator also added that currently there is no resident in the facility who requires oxygen tank, however, Resident #1 (R1) who resided in the facility from 7/23/24 through 9/10/24 had the physician’s order to use oxygen during the nighttime and daytime as needed. LPA reviewed the oxygen and vital signs log for R1 and detected that staff followed proper procedures to monitor R1’s oxygen level daily and use the oxygen tank as needed. Although staff was providing sufficient care to R1, R1’s POA was very aggressive towards caregivers, demanding, and was arguing and verbally attacking everyone for everything. Interview with S1 confirmed that on the day when R1 was being transferred to another facility by POA and some family members, the POA asked S1 how to operate the oxygen tank and how to turn it On and Off, S1 showed the switch on the machine and explained the process that, although the machine is always connected to the power, there is a separate switch on the machine that once the nasal cannula gets installed on R1 that switch needs to get turned on as well. Continue on LIC9099-C Residents who have dementia and are mainly inside their rooms watching TV or listening to music, some residents refuse to participate in activities and staff can't force them. Staff members also stated that they always tried to engage R1 with activities, however, due to R1's mental status and severe Dementia, R1 was not interested in any of the activities provided to him/her and was always requesting to stay in bed. Interview with two out of four residents confirmed that caregivers do provide different activities during the day, for example painting, seat exercise in the morning, bingo, etc., however, they do not wish to participate every day. Residents also added that they prefer doing puzzles and other activities on their devices. During the visit, LPA observed cabinet with books, puzzles, art and craft activities, etc. Based on the observation, records review, and interviews, there is insufficient evidence to support the allegation that the facility does not provide planned activities to residents. Therefore, the allegation is deemed Unsubstantiated at this time. Allegation: Licensee operated facility over capacity. It was reported that there were seven residents being cared and the licensee operated facility over capacity. To investigate the allegation interviews were conducted with the facility administrator, two (2) staff members and two (2) out of four (4) residents who were able to communicate. All parties consistently reported that the facility never operated over its approved capacity. LPA also conducted records review, including admission records, resident roster, and staffing schedule which also confirmed that the facility operated within its capacity. No documentation or evidence was found to indicate that the facility exceeded the approved number of residents at any time. Based on observation, interviews, and records review, there is insufficient evidence to support the allegation that the licensee operates or operated over the capacity. Therefore, the allegation is deemed Unsubstantiated at this time. Allegation: Facility administrator is not present adequate hours to operate facility. It was reported that the owner / Licensee / Administrator was never present at the facility and RP was only able to speak with the administrator by phone. RP stated she/he believes the administrator may live out of state because s/he is not at the facility as an administrator should be to properly operate it. To investigate the allegation, interviews were conducted with the facility administrator, two (2) staff members and two (2) out of four (4) residents who were able to communicate. Continue on LIC9099-C POA and family had not arrive with non-ambulatory and/or emergency transportation, to transfer R1, and R1 had no access to the oxygen tank on the way to the other facility. S1 also confirmed that on the day of the transfer staff checked the vitals and the oxygen level was in the normal range. POA was informed that during the transfer the machine won’t operate since there is no power. The POA started falsely accusing S1 that S1 does not want to help because does not know how to connect the tank. S1 confirmed that the training was provided to her/him, and s/he is very comfortable to assist residents who require oxygen tank per doctor’s order. R1 exited the facility around 2pm. Interview with the Administrator where R1 transferred to on 9/10 2024 confirmed that R1 arrived around 4-4:30pm, was alert, had no issues with oxygen, had dinner and did not show any issues with health. The Administrator from the second facility also confirmed that R1 does not use oxygen in his/her facility. LPA also reviewed staff training materials and revealed that all staff members received the required training. Based on observation, interviews, and records review, there is insufficient evidence to support the allegation that the administrator failed to provide appropriate training to staff on administering oxygen to residents. Therefore, the allegation is deemed Unsubstantiated at this time. Exit interview conducted, copy of this report signed and delivered.the state’s words, verbatim · CDSS document, Aug 8, 2025 · control 31-AS-20240911101938

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87608(a)(5)(B) · Plan of correction due date: Aug 8, 2025

Postural Supports. Bed rails that extend the entire length of the bed are prohibited except for residents who are currently receiving hospice care and have a hospice care plan that specifies the need for full bed rails. This requirement is not met as evidenced by: Based on records review and interviews, the licensee did not comply with the section cited above by not obtaining a full bedrail doctor's order for R1 who was not currently on hospice care, which posed a potential health and safety risk to residents in care.the state’s words, verbatim · CDSS document, Aug 8, 2025

Plan of correction: The Licensee/Administrator has conducted training on Postural Supports-Bed rails, and provided training materials to LPA on the day of the visit.

Allegation investigated: Resident sustained pressure injuries while in care.

On 7/31/2025, Licensing Program Analyst (LPA) Perchui Milena Khurshudyan conducted a subsequent complaint visit at this facility to conclude the investigation regarding the above allegation and to deliver the final report. Upon arrival LPA met with the Staff/Caregiver Armine Kiseleva and explained the reason for the visit. Entrance interview conducted. During the initial visit on 9/25/24, LPA Khurshudyan conducted interviews and records reviews. At 10:25am, LPA requested resident and staff rosters. LPA also requested copies of pertinent information which include, but not limited to Admission Agreement, Physician’s Report, Appraisal Needs and Services Plan, copies of Incident Reports, R1’s hospice records, and additional documents relevant to the investigation. At approximately 10:10am, LPA conducted a physical plant tour, to ensure health and safety of the residents are protected and physical plant is in compliance with Title 22 Regulations. Between 10:15am – 2:00pm, LPA interviewed the Administrator, two (2) staff members and two (2) out of four (4) residents, who were able to communicate. Continue on 9099-C Unsubstantiated During today’s visit, LPA requested copies of resident and staff rosters. At approximately 2:15pm, LPA conducted a physical plant tour, to ensure health and safety of the residents are protected. Allegation: Resident sustained pressure injuries while in care. It was reported that R1 sustained pressure injuries while receiving care and that the reporting party did not know when the wounds occurred or if the resident was on hospice. The RP also mentioned that R1 did not have any wounds before being placed at the facility. To investigate the allegation LPA conducted thorough review of facility records, hospice agency documentarians, wound care specialist visitation notes, as well as interviews with the facility administrator, two (2) caregivers, and the following were obtained. R1 got admitted to the facility on 8/24/22. Records review revealed that R1 got admitted under hospice care on 11/18/2022 with full consent and agreement from RP. According to the records, R1 developed stage 3 pressure injuries in early October of 2023 and wound care treatment was initiated immediately on 10/6/23. Wound care services were provided in coordination with the hospice agency and a wound care specialist. LPA reviewed records and noted consistent wound assessments, treatment updates, and ongoing monitoring of R1’s condition. Interviews with all staff members confirmed that the facility followed all required protocols, including timely notification of hospice, wound care orders, repositioning R1 every one (1) or two (2) hours, and regular communication with RP. There was no delay in addressing R1’s skin condition, and care was provided in accordance with regulatory requirements. As RP did not specify when the wounds allegedly occurred and was uncertain if R1 was receiving hospice services at that time, the investigation confirms that hospice services were in place and pressure injuries were treated promptly. The interview with two (2) residents confirmed that caregivers do provide adequate care and supervision to all residents and that they witnessed the proper care R1 received while residing in the facility. Residents also stated that RP was visiting R1 frequently, RP was aware of R1’s health condition, and was always thanking caregivers for the best service R1 receives in the facility. Based on the observation, records review, and interviews, there is insufficient evidence to support the allegation that the facility staff neglected care to R1 and failed to provide proper care resulting in pressure injuries. Therefore, the allegation is deemed Unsubstantiated at this time. Exit interview conducted and report signed and delivered.the state’s words, verbatim · CDSS document, Jul 31, 2025 · control 31-AS-20240924123647

Type of visit: POC

Licensing Program Analysts (LPAs) Leslie Ngo-Castaneda and Nadia Shahbazian met with facility designee Armine Kiseleva for a Plan Of Correction (POC) visit. The purpose of the POC visit is to make sure deficiencies were corrected on reports issued on 10.23.2024 Entrance interview conducted. At 12:45PM LPAs toured the home and requested the following: -CCR 874659(c)(3) Incidental Medical and Dental Care Services: POC: Based on record review, the licensee did not comply with the section cited above in 1 count out of 1 PRN medications were not documents in CSMDR which poses/posed a potential health, safety. POC date 10.8.2024: All supplements and PRN medications is documented in CSMDR. For todays visit 11.18.2024, LPAs saw a repeat violation that was cleared on 10.23.2024. Therefore, an immediate civil penalty is issued for failure to correct the violation, and a new LIC 809-D is created with a new Plan of correction (POC) date. Administrator was contacted and LPA was informed that all required documents will be submitted promptly. Exit interview conducted, appeal rights given and a copy of this report signed and delivered.the state’s words, verbatim · CDSS document, Nov 18, 2024

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87309(a)(1) · Plan of correction due date: Nov 19, 2024

(a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients. (1) Storage areas for poisons, and firearms and other dangerous weapons shall be locked.This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above in 1 out of 1 aerosols, scissors, and lighter were accessible to residents which poses/posed a potential health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Nov 18, 2024

Plan of correction: Licensee needs to ensure any hazardous items should be lock and inaccessible to residents.

From the deficiency page — Deficiency type: Type A · Section cited: HSC1569.695(a)(7)(E) · Plan of correction due date: Nov 19, 2024

(a)In addition to any other requirement of this chapter, a residential care facility for the elderly shall have an emergency and disaster plan that shall include, but not be limited to, all of the following: (7) Procedures that address, but are not limited to, all of the following: (E) Storage and preservation of medications, including the storage of medications that require refrigeration. Based on observation, the licensee did not comply with the section cited above in 1 out of 1 over the counter medication, PRN and staff medication was kept unlock in the refrigerator which poses an immediate health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Nov 18, 2024

Plan of correction: Licensee needs to ensure PRN and/or OTC medications shoule be stored in a lockbox in the refrigerator.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87303(a) · Plan of correction due date: Dec 2, 2024

The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This was observed were LPAs saw R4 bedroom has other individuals belongings in their bedroom which poses/posed a potential health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Nov 18, 2024

Plan of correction: Licensee needs to ensure that R4 bedroom is free of other individuals belongings, only R4 can have their belongings inside.

From the deficiency page — Deficiency type: Type B · Section cited: CCR87506(a) · Plan of correction due date: Dec 2, 2024

The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. This requirement is not met as evidenced by: Based on the LPAs observations and interviews the licensee/administrator did not ensure one out of four files to be available for licensing to review which poses a Potential Health, Safety or Personal Rights risks to persons in care.the state’s words, verbatim · CDSS document, Nov 18, 2024

Plan of correction: Administrator/Licensee shall do R4 complete files via email to LPA by: POC 12.2.2024.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Leslie Ngo-Castaneda conducted an annual required visit and inspection of the facility. LPA was greeted by staff Armine Kiseleva and was advised for the reason of the visit. At 10AM Mariam Balasanyan who is the administrator met with LPA, explained the reason for the visit. At 9:30 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 operational that are located each bedroom, the hallway and kitchen. There are carbon monoxide detectors that functions properly. The fire extinguisher is in the dining room, bedrooms and hallway. The charge date is 9/25/2024. During the visit the facility is at 73 degrees Fahrenheit. The facility is fire cleared for six (06) non-ambulatory residents; hospice waiver six (6). Kitchen: The kitchen appliances and fixtures were functional. The kitchen has a working gas stove, faucet, freezer, refrigerator, and microwave. LPA found enough at least two (2) days perishable and seven (7) days non-perishable food at the facility that is properly stored. Frozen foods are wrap, dated, and stored properly as well. Knives were stored in a locked drawerin the kitchen. Food storage and preparation areas are clean and inaccessible to pests. Garbage cans have tight fitting covers. Cleaning supplies, pesticides or toxic cleaning supplies were stored locked away in the kitchen. During the tour, LPA found over-the-counter medication in an unlocked drawer in the kitchen and accessible to residents. Deficiencies will be issued in LIC 809-D. Bedrooms: There were six (6) bedrooms designated for residents' use. Bedroom #1, bedroom #2, bedroom #3 (vacant), bedroom #4 (vacant), bedroom #5 and bedroom #6 are for private used, all of the bedrooms that are used by residents were properly furnished with appropriate dresser, beddings, and linens with sufficient lighting. During physical plant tour LPA noticed PRN, medications and supplements were seen in their residents bedrooms, deficiencies will be cited on LIC 809-D. Continue to LIC 809-C Bathrooms: There are two (2) bathroom designated for residents' use. The bathrooms were properly supplied and had functional fixtures. Hot water temperature was measured at 119.8 degrees Fahrenheit for bathroom #1 located in the hallway beside room #1. Bathroom #2 is inside bedroom #3. Hot water temperature was measured at 119.7 degrees Fahrenheit. There was enough clean linen available in the cabinets in the hallway. Common Areas: LPA toured all common areas of the facility. These included the living room and dining area for residents. The common areas were properly furnished. Residents dining table fits enough for six (6). LPA observed common areas to be very clean and tidy. LPA observed the floors to be in very good condition. No obstructions and or tripping hazards throughout the facility. Furniture in common area was observed to be in good repair. There are no issues with Fire Clearance. Infection control: Facility mitigation plan to make sure licensee was following current infection control recommendations. LPA obtain a copy and reviewed the infection control plan during this visit. Surrounding Grounds: Entry and exits were free of obstruction. There was furniture appropriate for outdoor use. The outdoor area was free of hazards. The facility does not have a swimming pool or body of water. Facility has no garage, but just a car port. Laundry service: There is enough linen available to change weekly or more if need. Cleaning supplies are being stored in a unlocked cabinet in the laundry area located in the backyard. Cleaning supplies were also seen on the floor that was kept unlock that is accessible to the residents. Deficiency will be cited on LIC 809-D. Staff Files: LPA conducted a file review of staff records to ensure forms and training are up to date and compliance with licensing forms. Office space is in the living room. Records were checked for expired or missing certificates and clearances: LPA conducted a file review of staff for criminal record clearances and current First Aid. The administrator file was reviewed for current first aid, fingerprint clearance, administrator certificate, and HIV/AIDS and TB training. Continue to LIC 809-C Medications are in a centrally stored but not in a locked place, LPA found staff medication, residents PRN, medications, and supplements in the living room and the bedrooms of the residents. Medications including over-the-counter medicines; medications are properly labeled and checked for expiration dates. Each centrally stored prescription and PRN medication has been not been logged in the medications log with proper documentation from the clients’ doctor. Proper medication dispensing instruction are followed and checked for contamination. First-aid has all proper items and is current. Resident records were reviewed for requirements and legibility: Planned activities are offered. LPA reviewed all of the resident files and is complete. Facility is NOT within CA code of Regulations Title 22 or Health and Safety Code. Deficiencies were found, this will be cited on LIC 809-D. exit interview conducted, copy of report has been issued and discussed.the state’s words, verbatim · CDSS document, Oct 23, 2024

Allegation investigated: Staff are not providing resident with adequate food and liquids while in care

On 9/25/2024 at approximately 9:45am Licensing Program Analyst (LPA), Perchui Milena Khurshudyan arrived to Westfield Senior Living in response to the above mentioned allegation. Upon arrival LPA met with the facility Administrator and explained the reason for the visit. It was alleged that facility staff failed to provide adequate food service. To investigate this allegation, LPA conducted a physical plant walk through at 10:15am and observed the refrigerator to be fully stocked with adequate amount of perishable and non-perishable food. Additionally, LPA observed lunch being prepared for the residents, and it was observed to be nutritious. Lastly, LPA conducted interviews with two (2) out of three (3) residents and one (1) family member who was visiting the resident at the time of the visit. Both residents and one family member stated they were happy with the food services and meals they are provided. Based on LPA's observations and interviews, this allegation is deemed Unsubstantiated, at this time. Exit interview conducted and copy of this report signed and delivered. Unsubstantiatedthe state’s words, verbatim · CDSS document, Sep 25, 2024 · control 31-AS-20240924123647

The state marks this report as 2 pages; the online copy we transcribed has 1. You can request the full file from the county licensing office.