SAVANT OF ALHAMBRA

Official classification

Type A

Official code

87203

Regulation authority

CCR

What the official deficiency says

Fire Safety. All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic. This item was not met as evidence by: the facility had two elevators broken at the same time. the 1st elevator was broken since last monday 05/31/25, and the 2nd was in disrepair for at least 3 hours while LPA Wesley was in the building, the facility had it fixed, and it broke again. The Non Ambulatory clients could not get to their room which posed a health and safety issue to the cleints in care.

Official plan of correction

The facility shall ensure all elevators are working properly at all times. Please provide the service repair sheet for the elevator for today encounter to Attn Nicol Wesley 323 980 4912 by POC date 07/11/25

Deadline recorded: Jul 10, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87203

Regulation authority

CCR

What the official deficiency says

Fire Safety. All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic. This item was not met as evidence by: the facility had two elevators broken at broken since last monday 05/31/25, and the 2nd was in disrepair for at least 3 hours while LPA Wesley was in the building, the had it fixed, and it broke again. The Non Ambulatory clients could not get to their room which posed a health and safety risk to clients in care.

Official plan of correction

The facility shall ensure all elevators are working properly at all times. Please provide the service repair sheet for the elevator for today encounter to Attn Nicol Wesley 323 980 4912 by POC date 07/11/25

Deadline recorded: Jul 10, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87468.1(a)(2)

Regulation authority

CCR

What the official deficiency says

Personal rights Residents in all residential care facilities for the elderly shall have all of the following personal rights: To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This evidence was not met as required: LPA Wesley and the Administrator found resident #1 was smoking in her room where oxygen was in use. She also shares a room with the another resident who was at risk. Which posed a health and safety risk to the clients in care.

Official plan of correction

The Administrator advised that she spoke to the resident previously and documented her conversation. The administrator shall come up with a plan and give a copy to the LPA to ensure the resident is in compliance by 07/11/25, to Atth: Nicol Wesley 323 980 4912.

Deadline recorded: Jul 10, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87203

Regulation authority

CCR

What the official deficiency says

Fire Safety. All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic. This item was not met as evidence by: the facility had two elevators broken at the same time. the 1st elevator was broken since last monday 05/31/25, and the 2nd was in disrepair for at least 3 hours while LPA Wesley was in the building, the had it fixed, and it broke again. The Non Ambulatory clients could not get to their room which posed a health and safety risk to clients in care.

Official plan of correction

The facility shall ensure all elevators are working properly at all times. Please provide the service repair sheet for the elevator for today encounter to Attn Nicol Wesley 323 980 4912 by POC date 04/04/25

Deadline recorded: Apr 4, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87468.1

Regulation authority

HSC

What the official deficiency says

Personal rights Residents in all residential care facilities for the elderly shall have all of the following personal rights: To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This evidence was not met as required: LPA Wesley and the Administrator found resident #1 was smoking in her room where oxygen was in use. She also shares a room with the another resident who was at risk.

Official plan of correction

The Administrator advised that she spoke to the resident and documented her conversation. The administrator shall come up with a plan to ensure the resident is in compliance. Give a copy of the plan to Atth: Nicol Wesley 323 980 4912.

Deadline recorded: Apr 4, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

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. The requirement was not met as evidence by LPA Wesley witnessed the facility elevators(two) were broke at the same time and the non ambulatory clients couldn't go to their rooms or leave their rooms to visit friends, eat lunch etc.

Official plan of correction

The facility shall make sure the elevators are working at all times, and have them serviced. please send elevator repair sheet to LPA Wesley 323 980 4912 By POC date 04/04/25.

Deadline recorded: Apr 3, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87203

Regulation authority

CCR

What the official deficiency says

Fire Safety All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic. This item was not met as evidence by: the facility had two elevators broken at the same time. the 1st elevator was broken since last monday 05/31/25, and the 2nd was in disrepair for at least 3 hours while LPA Wesley was in the building, the had it fixed, and it broke again. The Non Ambulatory clients could not get to their room which posed a health and safety risk to clients in care.

Official plan of correction

The facility shall ensure all elevators are working properly at all times. Please provide the service repair sheet for the elevator for today encounter to Attn Nicol Wesley 323 980 4912 by POC date 04/04/25

Deadline recorded: Apr 4, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

8746.1(a)(2)

Regulation authority

CCR

What the official deficiency says

Personal rights Residents in all residential care facilities for the elderly shall have all of the following personal rights: To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This evidence was not met as required: LPA Wesley and the Administrator found resident #1 was smoking in her room where oxygen was in use. She also shares a room with the another resident who was at risk.

Official plan of correction

The Administrator advised that she spoke to the resident and documented her conversation. The administrator shall come up with a plan to ensure the resident is in compliance. Give a copy of the plan to Atth: Nicol Wesley 323 980 4912.

Deadline recorded: Apr 4, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

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. The requirement was not met as evidence by LPA Wesley witnessed the facility elevators(two) were broke at the same time and the non ambulatory clients couldn't go to their rooms or leave their rooms to visit friends, eat lunch etc.

Official plan of correction

The facility shall make sure the elevators are working at all times, and have them serviced. please send elevator repair sheet to LPA Wesley 323 980 4912 By POC date 04/04/25.

Deadline recorded: Apr 3, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87303(e)(2)

Regulation authority

CCR

What the official deficiency says

(e) Water supplies and plumbing fixtures shall be maintained as follows: (2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degrees C) and not more than 120 degree F (49 degrees C). This requirement is not met as evidenced by: Deficient Practice Statement Based on observation the licensee did not comply with the section cited above water in room 246 and 247 measured 121.8 and 125.5 degrees] which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 06/11/2024 Plan of Correction Administrator had water adjusted and is now within range. ***NO FURTHER ACTION REQUIRED***

Official classification

Type B

Official code

87161(a)(2)

Regulation authority

CCR

What the official deficiency says

87161 Resubmission of Application (a) A new application shall be made whenever there is any change in conditions or limitations described on the current license, including, but not limited to: (2) Any change in the licensee This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, record review, the licensee did not comply with the section cited above. Facility changed the name of the facility from Alhambra Senior Villa to Savant of Alhambra without prior department approval. which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 06/17/2024 Plan of Correction Facility will submit revised plan of operation as well as other documents required to change the name of the facility to LPA for approval by POC date.