Resident rights
Cited in 6 reports, with 6 deficiencies in total.
Aug 28, 2025Nov 13, 2024Jun 5, 2024May 1, 2024Jan 18, 2024Dec 6, 2023
GARDENA RETIREMENT CENTER
14741 S. VERMONT AVE., Gardena CA 90247
108 bedsLatest official report Jul 28, 2026Licensed
Additional info
- Telephone
- (310) 327-4091
- Licensee
- GARDENA RETIREMENT CENTER, INC.
- Administrator
- SUSANA FUENTES
- Contact
- SUSANA FUENTES
- License first date
- Apr 30, 2008
- License effective date
- Apr 30, 2008
- District office
- EL SEGUNDO ASC · (424) 544-1075
- Regional office
- 11
- Clients served
- 935 - ELDERLY
Summary
The available records show 4 Type A and 23 Type B deficiencies for this facility.
- Most recent inspection
- Apr 27, 2026
- Most recent deficiency
- Feb 19, 2026
5 later reports, from Feb 20, 2026 through Jul 28, 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 212 Los Angeles County facilities licensed for 50 or more beds.
In the available public five-year record, CCLD published 88 reports for this facility: 12 inspections, 76 complaint investigations, and 0 licensing or administrative records.
Those records contain 4 Type A and 23 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 12
- Recorded deficiencies
- 27
- Type A deficiencies
- 4
- Type B deficiencies
- 23
- Substantiated complaints
- 17
- Repeated topics
- 1
More than the typical 7
3 in the last 12 months
Well above the typical 8
1 in the last 12 months
More than the typical 3
0 in the last 12 months
Well above the typical 5
1 in the last 12 months
Well above the typical 3
2 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.
Official report history
All preserved reports from the most recent to the oldest, sortable by report type.
Complaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportInspection
No deficiencies recorded in this report
Complaint
Allegations1 substantiated · 1 unsubstantiated · 0 unfounded · 1 cited · investigated over 3 visits
No deficiencies recorded in this reportComplaint
Part of the complaint whose outcome is recorded on Mar 20, 2026 · Control 11-AS-20250710141135
No deficiencies recorded in this reportComplaint
Part of the complaint whose outcome is recorded on Mar 20, 2026 · Control 11-AS-20250710141135
Basic services and supervisionType B
- Official classification
- Type B
- Official code
- 80078(a)
- Regulation authority
- CCR
What the official deficiency says
80078 Responsibility for Providing Care and Supervision (a) The licensee shall provide care and supervision as necessary to meet the client's needs. This requirement was not met, as evidenced by: Based on records reviewed and interviews, facility staff did not have a plan in place to handle aggressive verbal and physical altercations between residents, which resulted in a physical altercation between R1 and R2 occurring on 7/9/25. This poses a possible health, safety risk to persons in care.
Official plan of correction
The Administrator shall review Title 22 section 80078 (a) and provide in-service training to staff on implementing necessary precautions to prevent altercations between residents and providing more observation of the residents. Copy of training sign in sheet and written statement acknowledging understanding of Title 22 80078(a) shall be submitted to the department by the POC due date of 3/5/26 via email to felisa.shirley@dss.ca.gov or fax to 424-544-1016.
Deadline recorded: Mar 5, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Mar 5, 2026
Correction not verified in available records
Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded · investigated over 2 visits
No deficiencies recorded in this reportComplaint
Part of the complaint whose outcome is recorded on Jan 8, 2026 · Control 11-AS-20251119084839
No deficiencies recorded in this reportInspection
No deficiencies recorded in this report
Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportInspection
No deficiencies recorded in this report
Complaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 2 cited · investigated over 2 visits
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468.1(a)(2)
- Regulation authority
- CCR
What the official deficiency says
(a) Residents in all residential care facilities for the elderly shall have all the following personal rights: (2) to be accorded safe, heathful and comfortable accommodations... This requirement was not met as evidence By: Based on record review and interviews, the Licensee did not permit R1 to return back to the facility which posed a potential personal rights risk to the resident in care.
Official plan of correction
The Administrator will make arrangements to bring the resident back to the facility. And also the Administrator will review title 22 eviction regulations and submit a statement of acknowleding the review and understanding of title 22. POC 09/03/2025 via email to LPA Antonine.Richard@dss.ca.gov
Deadline recorded: Sep 3, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Sep 3, 2025
Correction not verified in available records
Complaint
Part of the complaint whose outcome is recorded on Aug 28, 2025 · Control 11-AS-20250820134633
Not classified in the sourceType B
- Official classification
- Type B
- Official code
- 877224(a)(4)
- Regulation authority
- CCR
What the official deficiency says
87224 Eviction Procedures (a) The licensee may evict a resident for one or more of the reasons... Thirty (30) days written notice to the resident is required except...(4) If, after admission, it is determined that the resident has a need not previously identified and a reappraisal has been conducted pursuant to Section 87463, and the licensee and the person who performs the reappraisal believe that the facility is not appropriate for the resident. Based on interviewed and record review the licensee did not comply with the section cited above. On 08/19/2025 the facility was informed that the R1 was ready to be discharged form the hospital A1 did not want R1 back which posed a potential health and safety risk to resident in care.
Official plan of correction
The Administrator will make arrangements to bring the resident back to the facility. And also The Administrator will review title 22 eviction regulations and submit a statement of acknowleding the review and understanding of title 22. POC 08/29/2025 via email to LPA Antonine.Richard@dss.ca.gov.
Deadline recorded: Aug 29, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Aug 29, 2025
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Complaint
Allegations0 substantiated · 4 unsubstantiated · 0 unfounded · investigated over 2 visits
No deficiencies recorded in this reportComplaint
Part of the complaint whose outcome is recorded on Feb 14, 2025 · Control 11-AS-20250127144734
No deficiencies recorded in this reportComplaint
Allegations2 substantiated · 0 unsubstantiated · 0 unfounded · 2 cited
Resident rightsType A
- Official classification
- Type A
- Official code
- 87468.2(8)
- Regulation authority
- CCR
What the official deficiency says
87468.2 Additional Personal Rights of Residents in Privately Operated Facilities 8) To be free from neglect, financial exploitation, involuntary seclusion, punishment, humiliation, intimidation, and verbal, mental, physical, or sexual abuse. This requirement was not met as evidenced by: Based on interviews and record reviews, due to facility staffs neglect in the care of R1 led to pressure injuries. This poses a potential health and safety risk to all residents in care.
Official plan of correction
The Director shall retrain all staff on incontinence and medical referrrals, and to review regulation and submit a written acknowledgement that regulation is understood and provide evidence of training to CCLD via fax or email by POC due date of 11/27/24. Proof of correction can be emailed to felisa.shirley@dss.ca.gov.
Deadline recorded: Nov 14, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Nov 14, 2024
Correction not verified in available records
Medical and dental careType A
- Official classification
- Type A
- Official code
- 87465(a)(1)
- Regulation authority
- CCR
What the official deficiency says
87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (1) The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. This requirement was not met as evidenced by: Based on interviews and record reviews, facility staff failed to not ensure R1 received timely medical attention. This poses a potential health and safety risk to all residents in care.
Official plan of correction
The Director shall retrain all staff on incontinence and medical referrals to review regulation and submit a written acknowledgement that regulation is understood and provide evidence of training to CCLD via fax or email by POC due date of 11/27/24. Proof of correction can be emailed to felisa.shirley@dss.ca.gov.
Deadline recorded: Nov 14, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Nov 14, 2024
Correction not verified in available records
Complaint
Allegations0 substantiated · 5 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 1 unsubstantiated · 0 unfounded · 1 cited · investigated over 2 visits
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468.1(a)(1)(3)
- Regulation authority
- CCR
What the official deficiency says
87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (1) To be accorded dignity in their personal relationships with staff, residents, and other persons. (3) To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature, such as withholding residents’ money or interfering with daily living functions such as eating, sleeping, or elimination. This requirement is not as evidenced by Based on interview, facility staff did not treat resident with dignity and respect. This poses a potential personal rights risk to persons in care.
Official plan of correction
The Director shall retrain all staff on Resident rights and to review regulation and submit a written acknowledgement that regulation is understood and provide evidence of training to CCLD via fax or email by POC due date of 6/19/24. Proof of correction can be emailed to felisa.shirley@dss.ca.gov.
Deadline recorded: Jun 19, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 19, 2024
Correction not verified in available records
Complaint
Allegations0 substantiated · 6 unsubstantiated · 0 unfounded · investigated over 2 visits
No deficiencies recorded in this reportComplaint
Part of the complaint whose outcome is recorded on Jun 5, 2024 · Control 11-AS-20240418115622
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 1 unsubstantiated · 0 unfounded · 1 cited
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468.1(a)(16)
- Regulation authority
- CCR
What the official deficiency says
Residents in all residential care facilities for the elderly shall have all of the following personal rights: (16) To receive or reject medical care or other services. This requirement was not met: Based on LPA observeation and record review, the facility did not release R1's medication upon request at discharge which poses a potential health risk to resident in care. LPA observed R1's medication in med room, blood pressure meds are to be taken daily, and R1's physcians report says R1 is able to manage R1's own medication.
Official plan of correction
The Administrator will make arrangements to release medication to R1 by the POC due date. See details on LIC811. Proof of correction will be emailed to regina.cloyd@dss.ca.gov
Deadline recorded: May 3, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline May 3, 2024
Correction not verified in available records
Complaint
Allegations1 substantiated · 3 unsubstantiated · 0 unfounded · 1 cited · investigated over 2 visits
Not classified in the sourceType B
- Official classification
- Type B
- Official code
- 85072(b)(9)
- Regulation authority
- CCR
What the official deficiency says
85072 Personal Rights (b) The licensee shall insure that each client is accorded the following personal rights. (9) To have access to telephones in order to make and receive confidential calls, provided that such calls do not infringe upon the rights of other clients and do not restrict availability of the telephone during emergencies. Based on interview and record review administrator confiscated residents personal cellphone and unplugged residents landline in residents private room of whom requires elements of care and supervision poses an immediate Health and safety risk to residents in care.
Official plan of correction
Administrator shall review the personal rights of clients and adhere to all rules and regulations for residents in care. Administrator shall return resident's personal cellphone and landline phone shall be plugged up in residents room by POC due date of 5/2/24.
Deadline recorded: May 2, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline May 2, 2024
Correction not verified in available records
Complaint
Part of the complaint whose outcome is recorded on Jun 5, 2024 · Control 11-AS-20240405100037
No deficiencies recorded in this reportInspection
No deficiencies recorded in this report
Complaint
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded · investigated over 2 visits
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Part of the complaint whose outcome is recorded on Mar 25, 2024 · Control 11-AS-20240129123701
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 5 unsubstantiated · 0 unfounded · 1 cited · investigated over 2 visits
Resident rightsType B
- Official classification
- Type B
- Official code
- 80072(a)(2)
- Regulation authority
- CCR
What the official deficiency says
80072 Personal Rights (a) each client shall have personal rights which include, but are not limited to the following: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. This requirement is not being met by: Based on interview and record review administrator did not allow R1 to ulilize their mobility device which poses a potential Health and safety risk to residents in care.
Official plan of correction
Administrator will amend Community Rules and Submit to Community Care Licensing Division for approval via fax or email by POC due date.
Deadline recorded: Feb 1, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Feb 1, 2024
Correction not verified in available records
Complaint
Part of the complaint whose outcome is recorded on Jan 18, 2024 · Control 11-AS-20231215151234
No deficiencies recorded in this reportInspection
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468.1(a)(3)
- Regulation authority
- HSC
What the official deficiency says
87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: 3) To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature, such as withholding residents’ money or interfering with daily living functions such as eating, sleeping, or elimination. This requirement is not being met by: This requirement is not met as evidence by: Based on interview and record review administrator made resident sit outside until sober and confining a resident to their room who require elements of care and supervision poses an immediate Health and safety risk to residents in care
Official plan of correction
Administrator shall review the personal rights of clients and adhere to all rules and regulations for residents in care
Deadline recorded: Dec 20, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Dec 20, 2023
Correction not verified in available records
Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Part of the complaint whose outcome is recorded on Apr 18, 2024 · Control 11-AS-20230905083922
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportInspection
No deficiencies recorded in this report
Complaint
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 4 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportInspection
No deficiencies recorded in this report
Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportInspection
No deficiencies recorded in this report
Complaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 2 cited · investigated over 2 visits
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(a)
- Regulation authority
- CCR
What the official deficiency says
87303 Maintenance and Operation (a) 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 requirement was not met as evidence by: Based on interviews conducted and records reviewed, showed that Resident (R1) physicians report physicians assessment indicates that R1 was not able to leave the premises unassisted. This is a potential health and safety risk to residents in care.
Official plan of correction
Administrator will submit a plan on how she will ensure that residents that are not able to leave on their own are not walking back and forth in the driveway. Administrator will submit to LPA Brown by POC due date 10/14/22.
Deadline recorded: Oct 14, 2022. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Oct 14, 2022
Correction not verified in available records
Complaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87224(f)
- Regulation authority
- CCR
What the official deficiency says
A written report of any eviction shall be sent to the licensing agency within five (5) days. This requirement is not met as evidenced by: Based on the interview and record review, the licensee failed to provide a copy of the eviction notice for the resident to Community Care Licensing Department within 5 days. This poses a potential personal rights risk to residents in care.
Official plan of correction
The licensee shall review title 22 regulations for evictions and dismiss the eviction notice to the resident in writing and submit a copy of the dismissal letter and acknowledgement of the regulations by the POC due date of 03/16/23.
Deadline recorded: Mar 16, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Mar 16, 2023
Correction not verified in available records
Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations2 substantiated · 0 unsubstantiated · 0 unfounded · 2 cited
Basic services and supervisionType B
- Official classification
- Type B
- Official code
- 87466
- Regulation authority
- CCR
What the official deficiency says
87466 Observation of the Resident. The licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning and that appropriate assistance is provided when such observation reveals unmet needs… This requirement not met as evidenced by: Based on record reviews and interviews, resident (R1) was injured due to neglect/lack of care and supervision and suffered an injury to the leg which poses an immediate health and safety risk to persons in care.
Official plan of correction
The licensee agreed to read, understand, Title 22 Regulation 87466 Observation of the Resident regulations. Licensee to do in-service training with staff on observation of resident and send proof of the in-service with signatures of staff. Proof of correction to CCLD by POC due date of 01/03/2023.
Deadline recorded: Jan 3, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jan 3, 2023
Correction not verified in available records
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87411(d)(5)
- Regulation authority
- CCR
What the official deficiency says
87411 Personnel Requirements-General(d)(5) All personnel shall be given on the job training or have related experience assigned to them. This training and/or related experience…(5) Knowledge necessary in order to recognize early signs of illness and the need for professional help… This requirement not met as evidenced by: Based on record reviews and interviews, resident (R1) was injured due to neglect/lack of care and supervision and suffered an injury to the leg which poses an immediate health and safety risk to persons in care.
Official plan of correction
The licensee agreed to read, understand, sign and date Title 22 Regulation 87411(d)(5) Personnel Requirements-General. Licensee to do in-service training with staff on seeking medical attention and send proof of the in-service with signatures of staff. Proof of correction to CCLD by POC due date of 01/03/2023.
Deadline recorded: Jan 3, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jan 3, 2023
Correction not verified in available records
Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Part of the complaint whose outcome is recorded on Mar 30, 2023 · Control 11-AS-20220519161012
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(a)
- Regulation authority
- CCR
What the official deficiency says
87303 Maintenance and Operation (a) 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 requirement was not met as evidence by: Based on interviews conducted and records reviewed, showed that residents were not able to leave the premises on their own were walk up and down the driveway. This is a potential health and safety risk to residents in care.
Official plan of correction
Administrator will submit a plan on how she will ensure that residents that are not able to leave on their own are not walking back and forth in the driveway. Administrator will submit to LPA Brown by POC due date 10/14/22.
Deadline recorded: Oct 14, 2022. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Oct 14, 2022
Correction not verified in available records
Complaint
Allegations0 substantiated · 8 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 6 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportInspection
No deficiencies recorded in this report
Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations2 substantiated · 3 unsubstantiated · 0 unfounded · 3 cited
Dementia careType A
- Official classification
- Type A
- Official code
- 87705(j)
- Regulation authority
- CCR
What the official deficiency says
The licensee shall have an auditory device or other staff alert feature to monitor exits... This requirement not met as evidenced by: On 3/22/22 and 5/4/22 LPA observed backdoor was opened and auditory device was inoperable. This poses immediate risk to residents in care.
Official plan of correction
Facility will submit in writing plan with timelines to ensure that exits have auditory devices.
Deadline recorded: May 5, 2022. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline May 5, 2022
Correction not verified in available records
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87463(a)
- Regulation authority
- CCR
What the official deficiency says
The pre-admission appraisal shall be updated, in writing as frequently as necessary to note significant changes...This requirement not met as evidenced by: On 3/22/22 LPA didn't observe a reappraisal for R2 after wandering behavior. This poses a potential health and safety risk to resident.
Official plan of correction
Facility will ensure that R2 has a reappraisal on file and will submit document to LPA via email.
Deadline recorded: May 6, 2022. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline May 6, 2022
Correction not verified in available records
Dementia careType B
- Official classification
- Type B
- Official code
- 87705(b)(2)
- Regulation authority
- CCR
What the official deficiency says
Safety measures to address behaviors such as wandering, aggressive behavior...This requirement not met as evidence by: On 3/22/22 LPA observed that R2 exited the facility unassited by staff, there was no staff monitoring exits. This poses a potential health and safety risk to residents.
Official plan of correction
Facility will outline plan with safety measures to address wandering behavior. Ensure all staff receive and understand plan. Submit plan to LPA by email.
Deadline recorded: May 6, 2022. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline May 6, 2022
Correction not verified in available records
Complaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468.1(a)(2)
- Regulation authority
- CCR
What the official deficiency says
87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement was not met as evidence by: Based on observation, interviews, and record reviews (R1) was not accorded a safe environment when staff allowed a child to roam unattended/unsupervised. This violation poses a potential health and safety risk to residents in care.
Official plan of correction
Licensee will review Title 22 Section 87468.1 and shall provide staff with training on supervision observation of the residents. Licensee will provide copies of training materials and sign-in sheet to CCL by POC 04/26/22 due date.
Deadline recorded: Apr 26, 2022. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Apr 26, 2022
Correction not verified in available records
Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Not classified in the sourceType B
- Official classification
- Type B
- Official code
- 80087
- Regulation authority
- CCR
What the official deficiency says
Building and Grounds (c) All outdoor and indoor passageways, stairways, inclines, ramps, open porches and other areas of potential hazard shall be kept free of obstruction. This requirement is not met as evidence by: LPA observed a mat in disrepair in front of the glass doors that lead out to the garden.
Official plan of correction
Administrator will remove the disrepair mat/rug and replace it with one that do not pose hazards or led to residents fall.
Deadline recorded: Mar 25, 2022. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Mar 25, 2022
Correction not verified in available records
Complaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportInspection
Facility condition and maintenanceType A
- Official classification
- Type A
- Official code
- 87303(e)(2)
- Regulation authority
- CCR
What the official deficiency says
Maintenance and operation 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...not less than 105 degree F (41 degree C) and not more than 120 degree F (49 degree C). This requirement is not met as evidence by On 3/8/2022 LPA CIfuentes noted hot water temperature to be 144F. On 3/11/2022, water in four rooms was 130.2F and 135.9F. This is an immediate health and safety risk to the residents in care.
Official plan of correction
Adminstrator turned down water temperature during visit and will monitor water temperature for the next 24 hours.
Deadline recorded: Mar 11, 2022. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Mar 11, 2022
Correction not verified in available records
Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 5 unsubstantiated · 0 unfounded · 1 cited
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468.1(a)(3)
- Regulation authority
- CCR
What the official deficiency says
Personal RIghts of Residents All Facilities To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature, such as withholding residents’ money or interfering with daily living functions such as eating, sleeping, or elimination. This requirement was not met as evidenced by: Based on LPA/RA Cifuentes on 10/19/21 observations and interviews, the facility did not insure residents in the facility were free from intimidation or abuse. This poses a potential Health & Safety risk to residents in care.
Official plan of correction
Administrator will submit a plan to LPA/RA Ceniceros on how they will prevent any resident-on-resident harassment in the future and submit to LPA/RA by POC due date on 03/22/2022.
Deadline recorded: Mar 22, 2022. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Mar 22, 2022
Correction not verified in available records
Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations2 substantiated · 0 unsubstantiated · 0 unfounded · 2 cited
Medical and dental careType B
- Official classification
- Type B
- Official code
- 87465(a)(2)
- Regulation authority
- HSC
What the official deficiency says
87465Incidental Medical and Dental Care(a)(2)(a)...(2)The licensee shall provide assistance in meeting necessary medical and dental needs...y which will meet the resident's need. In providing transportation the licensee shall do so directly or make arrangements for this service. This requirement is not met as evidenced by: Based on interviews, and record review, on 1/20/22, LPA was informed, per interviews, by 4 of 6 residents and 3 of 6 staff persons, that the facility does not pay for resident medical transportation trips as stated in admission agreement, which posed a potential health risk to residents in care.
Official plan of correction
Administrator will fax to LPA a copy of the Gardena Residential Center - Resident Medical Transportation Plan, and also its notification plan to Resident and Staff. POC Due Date is 2/7/22 LPA Fax Number (323)981-1781
Deadline recorded: Feb 7, 2022. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Feb 7, 2022
Correction not verified in available records
Not classified in the sourceType B
- Official classification
- Type B
- Official code
- 87113
- Regulation authority
- HSC
What the official deficiency says
87113 Posting of License. The license shall be posted in a prominent location in the licensed facility accessible to public view. On 1/20/22 at 1:10pm, LPA observed that the Gardena Residential Center license was not posted in the lobby for public view.
Official plan of correction
On 1/20/21, Administrator posted Gardena Retirement Center license on facility lobby wall.
Deadline recorded: Jan 20, 2022. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jan 20, 2022
Correction not verified in available records
Inspection
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87411(c)(1)
- Regulation authority
- CCR
What the official deficiency says
Personnel Requirements - General 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: During complaint investigation, LPA Cifuentes did not observe current CPR/First aid training for Staff 1 - Staff 4. This posses a potential health and safety risk for clients in care
Official plan of correction
Licensee will ensure that staff complete CPR training and submit copies of certificates to CCL by POC due date via fax.
Deadline recorded: Jan 21, 2022. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jan 21, 2022
Correction not verified in available records
Complaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 6 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468.1(a)(3)
- Regulation authority
- CCR
What the official deficiency says
Personal RIghts of Residents All Facilities To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature, such as withholding residents’ money or interfering with daily living functions such as eating, sleeping, or elimination. This requirement was not met as evidenced by: Based on LPA's observations and interviews facility did not insure residents in facility were free from intimidation or abuse. This poses a potential Health and Safety risk to residents in care
Official plan of correction
Administrator will submit a plan to LPA on how they will prevent resident on resident harassment in the future and submit it to LPA by POC due date.
Deadline recorded: Nov 2, 2021. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Nov 2, 2021
Correction not verified in available records
Complaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 5 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 3 unsubstantiated · 0 unfounded
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87411(a)
- Regulation authority
- CCR
What the official deficiency says
Personnel Requirements - General Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs... This requirement was not met as evidenced by: Based on interviews, observation, and record review, on 8/5/2021, LPA that facility does not have sufficient staff which poses a potential health risk to residents in care.
Official plan of correction
Administrator will provide plan to LPA to insure sufficient staff are available for each shift to cover residents needs. Will submit to CCL by POC due date.
Deadline recorded: Aug 19, 2021. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Aug 19, 2021
Correction not verified in available records
Complaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this report2 complaints have no published investigation report
The official record holds these complaints, but no investigation report was published for them. Their outcome is shown as the source recorded it.
- Oct 22, 2021 · Control 11-AS-20210819151014
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
- Oct 8, 2021 · Control 11-AS-20210629115913
Allegations0 substantiated · 6 unsubstantiated · 0 unfounded
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