Inspection
No deficiencies recorded in this report
TRINITY HILLS ESTATES - WALNUT
617 WALNUT AVE, Arcadia CA 91007
6 bedsLatest official report Mar 19, 2026Licensed
Additional info
- Telephone
- (626) 235-2988
- Licensee
- ASSISTED LIVING & WELLNESS INC
- Administrator
- SANDOVAL, JENNIFER
- Contact
- SANDOVAL, JENNIFER
- License first date
- Mar 23, 2023
- License effective date
- Mar 23, 2023
- District office
- MONTEREY PARK ASC · (323) 980-4934
- Regional office
- 28
- Clients served
- 935 - ELDERLY
Summary
The available records show 2 Type A and 3 Type B deficiencies for this facility.
- Most recent inspection
- Mar 19, 2026
- Most recent deficiency
- Mar 18, 2025
1 later report, on Mar 19, 2026, recorded no deficiencies, though the records do not say whether they were follow-ups.
What Type A and Type B mean
- Type A
- Violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
- Type B
- Violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care.
Both classifications are published by California CDSS and are shown as published. SeniorLivingFacts does not rename them or add a severity level of its own.
At a glance
Counts cover the five-year public record. Typical figures are the median for the 1,564 Los Angeles County facilities licensed for 6 or fewer beds.
In the available public five-year record, CCLD published 5 reports for this facility: 3 inspections, 0 complaint investigations, and 2 licensing or administrative records.
Those records contain 2 Type A and 3 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 3
- Recorded deficiencies
- 5
- Type A deficiencies
- 2
- Type B deficiencies
- 3
- Substantiated complaints
- 0
- Repeated topics
- 0
Fewer than the typical 4
1 in the last 12 months
More than the typical 1
0 in the last 12 months
Most this size have none
0 in the last 12 months
Most this size have none
0 in the last 12 months
Most this size also have none
0 in the last 12 months
Last 36 months
Repeated topics
Topics cited in more than one report during the last 36 months. A repeat may show a pattern worth asking about. Each date opens its report below.
No topic repeats in the last 36 months
No deficiency topic appears in more than one report during that window. This does not establish that nothing repeated earlier in the five-year record, and it is not a statement about current conditions.
Official report history
All preserved reports from the most recent to the oldest, sortable by report type.
Inspection
Background checksType A
- Official classification
- Type A
- Official code
- 87355(e)(3)
- Regulation authority
- CCR
What the official deficiency says
(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (3) Request a transfer of a criminal record clearance as specified in Section 87355(c) or This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in 1 out of 6 staff members, because Staff #2 is not currently associated to the facility and it is not known if Staff #2 has a criminal record clearance, which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 03/19/2025 Plan of Correction Licensee will associate the staff in question to the facility via Guardian and provide a copy of the association list as proof. This will be emailed to LPA by the POC due date.
Plan of correction recorded
Correction not verified in available records
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87412(a)
- Regulation authority
- CCR
What the official deficiency says
(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in 1 out of 6 staff members, because Staff #2 does not have the records required in section 87412, which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/15/2025 Plan of Correction Licensee/Administrator is to ensure that all staff members have all records required as part of Title 22 section 87412 at all times. Licensee/Administrator is to gather all required documents and submit them to LPA by the POC due date.
Plan of correction recorded
Correction not verified in available records
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87411(c)(1)
- Regulation authority
- CCR
What the official deficiency says
(1) Staff providing care shall receive appropriate training in first aid from persons qualified by such agencies as the American Red Cross. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review and interview, the licensee did not comply with the section cited above in 1 out of 6 staff members, because Staff #3 has an expired First-Aid/CPR certificate, which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/15/2025 Plan of Correction Administrator is to ensure that all staff that assist clients with their ADLs have an active first-aid/cpr certificate at all times. Staff #3 is to renew their certificate and email the updated certificate to LPA by the POC due date.
Plan of correction recorded
Correction not verified in available records
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87412(a)
- Regulation authority
- CCR
What the official deficiency says
(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator, and each employee. Each personnel record shall contain the following information: This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in 1 out of 6 staff members, because Staff #2 did not have any files required in Section 87412, which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/15/2025 Plan of Correction Licensee/Administrator is to ensure that all staff members have all records required as part of Title 22 section 87412 at all times. Licensee/Administrator is to gather all required docuemtns and submit them to LPA by the POC due date.
Plan of correction recorded
Correction not verified in available records
Inspection
Medication handling and storageType A
- Official classification
- Type A
- Official code
- 87465(h)(6)
- Regulation authority
- CCR
What the official deficiency says
Incidental Medical and Dental Care 87465(h)(6) The licensee shall be responsible for assuring that a record of centrally stored prescription medications for each resident is maintained. This requirement is not met as evidenced by: Resident#1's medication (bubble packs) and medication log were not matched. Medication (Rx) of Furosemide 20 mg had 4 days discrepancy with Rx's log; Lorazepam 0.5mg AM and PM had 2 days discrepancy with Rx's log; Metoclopramide 10 mg had 3 days discrepancy with Rx's log. Licensee did not have explanation regarding the discrepancy between R1’s medication and Rx log. Licensee was unsure R1's medication log or start date was updated as Rx was administered. Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/19/2024 Plan of Correction Licensee agreed to provide (1) additional medication administration assistance training to all staff and provide proof to the department; (2) review Title 22, Section 87465(h) and provide a signed statement indicating the review of this section detailing how to prevent future medication errors by the POC date
Plan of correction recorded
Correction not verified in available records
Source and limits
California Department of Social Services, Community Care Licensing Division. Public facility history is described by the source as a five-year window. Older records and previous-licensee history may require a regional-office request. Type 741 RCFE-CCRCs, nursing homes, and other care settings are excluded from this page.
Read the data methodology