SAGE GLENDALE SENIOR LIVING

Official classification

Type B

Official code

87507(g)(5)(E)(2)(b)

Regulation authority

CCR

What the official deficiency says

87507(g)(5)(E)(2)(b) Admission Agreements...shall be refunded to an applicant, resident, or the applicant/resident’s representative in the following manner:b. A refund of at least 60 percent of the preadmission fee in excess of $500 shall be provided if the resident leaves the facility for any reason during the second month of residency. This requirement is not met by: Based on observation the licensee did not comply with the section cited above in that R1/R1's spouse did not get a portion of their community fee refunded to them which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

The Licensee/Administrator confirmed that R1/R1's spouse is owed a community fee refund and has completed the request today-07/15/26. Therefore, the POC is cleared on today's visit.

Deadline recorded: Jul 29, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

1569.695(f)(1)

Regulation authority

HSC

What the official deficiency says

This requirement is not met as evidenced by:HSC 1569.695(f)(1) where as of July 2019, an evacuation chair is needed for emergency purposes. Deficient Practice Statement Based on observation the licensee did not comply with the section cited above in that there is six (6) evacuation charis needed for each stairway and floor which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/29/2026 Plan of Correction The Licensee/Administrator shall make that every floor/stairway has an evacuation chair.

Official classification

Type B

Official code

87211(a)(1)(D)

Regulation authority

CCR

What the official deficiency says

87211 Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following. (1)A written report shall be submitted to the licensing agency…within seven days of the occurrence of any of the events.. (D) Any incident which threatens the welfare, safety or health of any resident. This requirement is not met as evidenced by. The Licensee did not ensure to report 2 serious incidents reflecting health and safety of the resident #1 (R1). This poses potential hazard to the health, safety and personal rights of the residents.

Official plan of correction

Executive Director will review Title 22 reporting requirements and will trained staff. Written information will be submitted CCLD by POC due date.

Deadline recorded: Feb 13, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87468..2(1)

Regulation authority

CCR

What the official deficiency says

87468.2 Additional Personal Rights of Residents in Privately Operated Facilities (1) To have a reasonable level of personal privacy in accommodations, personal care and assistance… This requirement was not met as evidenced by; The licensee did not ensure to provide timely reasonable accommodation to the residents while one of the elevators was not working. This poses a potential health, safety and personal right violation to residents in care.

Official plan of correction

Executive Director will review Title 22 reporting requirements and will trained staff. Written information will be submitted CCLD by POC due date.

Deadline recorded: Feb 13, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87355(b)(2)

Regulation authority

CCR

What the official deficiency says

All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working... in a licensed facility: (2)Request a transfer of a criminal record clearance as specified in Section 87355(c)... This requirement is not met as evidence by: Based on interview and review of Guardian Background System Check facility Staff S1 and S2 are not criminal background clearanced and association to this facility. No documentation has been submitted to Community Care Licensing. This poses a potential risk to residents in care.

Official plan of correction

Memory Care Director (MCD) has agreed that S1 will not returning to facility until criminal background clearance and associate During today's visit S2 was criminal background clearance & associate. MCD provided a copy of proof clearing this citation.

Deadline recorded: Jul 21, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87465(a)(5)

Regulation authority

CCR

What the official deficiency says

Incidental Medical and Dental Care (a)(5) The licensee shall assist residents with self-administered medications as needed. This requirement was not met as evidenced by: Based on record review and interviews, the licensee did not comply with the section cited by not assisting R1 with self-administered medications as prescribed which poses a potential health and safety and personal right risk to residents in care.

Official plan of correction

Administrator will submit a written letter by the POC due date stating that they will review Title 22 Division 6 Chapter 8 of the CA Code of Regulations 87465 Incidental Medical and Dental Care and that going forward will adhere to these regulations.

Deadline recorded: Oct 18, 2024. A deadline is not proof that correction was completed.

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. This requirement was not met as evidenced by: Based on interviews, the licensee did not comply with the section cited above as R1’s room was not cleaned for an extended time.

Official plan of correction

POC: Administrator will submit a written letter by the POC due date stating that they will review Title 22 Division 6 Chapter 8 of the CA Code of Regulations 87303 Maintenance and Operation and that going forward will adhere to these regulations.

Deadline recorded: Oct 18, 2024. 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 water in the 1st floor resrtrooms sinks measured 74 degrees F. 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: 03/25/2022 Plan of Correction Administrator will hire plummer to adjust water temperture in the first floor restroom facets and send photo as proof of crrection by POC date.