GENERATIONS OF LOS ANGELES ASSISTED LVNG. FACILITY

Official classification

Type B

Official code

87465(a)(4)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care (a) A plan for incidental medical/ dental care shall be developed by each facility. The plan shall encourage routine medical/dental care & provide for assistance in obtaining such care. (4) The licensee shall assist residents with self-administered medications as needed. Deficient Practice Statement Based on interviews and records review, records revealed that there were 8 medications; (5 medications for R7 on 07/12/26 and 3 medications for R9 on 7/14/26) had entries on the MAR as administered but medications were not dispensed and still in the bubble pack. This action poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 08/04/2026 Plan of Correction The licensee will have all staff who administer medication to the residents retrained on medication pass procedures and medication documentation. LPA to obtain copies of in-service sign in sheet as well as materials reviewed by POC due date.

Official classification

Type B

Official code

1569.699(a)(4)

Regulation authority

HSC

What the official deficiency says

1569.699 Exit doors; egress-control devices of time-delay type; fences (a) When approved by the person responsible for enforcement, as described in Section 13146, exit doors in facilities classified as Group R, Division 2 facilities under the California Building Standards Code, licensed as residential care facilities for the elderly, and housing clients with Alzheimer’s disease or major neurocognitive disorder, may be equipped with approved listed special egress-control devices of the time-delay type, provided the building is protected throughout by an approved automatic sprinkler system and an approved automatic smoke-detection system. The devices shall conform to all of the following requirements: (4) Initiate an irreversible process that will deactivate the egress-control device whenever a manual force of not more than 15 pounds (66.72?N) is applied for two seconds to the panic bar or other door-latching hardware. The egress-control device shall deactivate within an approved time period not to exceed a total of 15 seconds, except that the person responsible for enforcement, as described in Section 13146, may approve a delay not to exceed 30 seconds in residential care facilities for the elderly serving patients with Alzheimer’s disease. The time delay established for each egress-control device shall not be field adjustable. This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above in time-delay-egress-doors did not open after 30 seconds of having manual force pressing on the door latching hardware; during the health and safety tour of the facility, the first-floor north side memory care unit door, which is a time-delay-egress-door was manually pushed on the door latching hardware for 52.20 seconds when the door finally opened; the first-floor south side memory care unit door, which is a time-delay-egress-door was manually pushed on the door latching hardware for 49.88 seconds when the door finally opened; which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

The Administrator has agreed to test out the delay-egreess-doors with the Delta fire company and if the timer is off she will have them adjust the timer. Adminstrator will submit proof of correction via email to Socorro.Leandro@dss.ca.gov

Deadline recorded: Mar 9, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87307(d)(6)

Regulation authority

CCR

What the official deficiency says

87307 Personal Accommodations and Services (d) The following space and safety provisions shall apply to all facilities: (6) All outdoor and indoor passageways and stairways shall be kept free of obstruction. This requirement is not met as evidenced by: Based on observation and interviews, the licensee did not comply with the section cited above in, adding large white double doors in the front entrance in-between the front lobby and the residents living quarters without residents being able to open the doors from the residents living quarters; staff and resident interviews indicated that doors were installed more than 5 months ago; resident indicated that residents are not able to open the doors and residents are not allowed to go into the facility’s front lobby; LPA attempted to open the double doors from the residents living quarters but was unable to open the door, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

The Administrator has agreed to create a plan to verify that all outdoor and indoor passageways are free of obstruction, for example, all residents including residents with mobility devices have the ability to move through passageways and doorways without the assistance of others. Email Plan to: Socorro.Leandro@dss.ca.gov

Deadline recorded: Feb 25, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87468.1(a)(2)

Regulation authority

CCR

What the official deficiency says

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 accommodation, furnishings and equipment. This requirement is not met as evidenced by: Based on observations and interviews, the licensee failed to ensure that residents were afforded their personal rights to maintain communication with family and others by not consistently answering the facility phone or properly routing calls intended for residents. Which poses a potential risk to the health, safety and personal rights of the residents in care.

Official plan of correction

The Administrator agrees to implement the Plan of Correction, including staff training and monitoring phone accessibility, and will submit proof of correction by the due date via email to Jose.Anguiano@dss.ca.gov.

Deadline recorded: Jan 16, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87506(a)(b)(15)

Regulation authority

CCR

What the official deficiency says

87506...The licensee shall ensure that a…complete, and current record is maintained for each resident in the facility…to licensing agency staff. (b) Each resident’s record…The admission agreement…specified in... 87507…This requirement is not met as evidenced by: Based on interviews and records reviewed, the licensee failed to comply with the section cited above by failing to maintain and make available the admission agreement for Resident 1 (R1), who is the reporting party for a complaint investigation conducted on 12/04/2025.

Official plan of correction

Licensee agreed to provide more oversight on the admision process to ensure that all forms are signed and sent to LPA Anguiano by Due date. jose.anguiano@dss.ca.gov

Deadline recorded: Dec 11, 2025. A deadline is not proof that correction was completed.

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. Based on observation and staff interviews, the licensee did not comply with the section cited above as staff were not trained to transfer calls to the memory care unit which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

LPA Jose Anguiano collaborated with the Administrator during the visit. The Administrator agreed to develop a plan to ensure that staff are trained on how to transfer calls to the memory care unit and to submit the plan via email to jose.anguiano@dss.ca.gov by the due date.

Deadline recorded: Oct 30, 2025. 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 evidence by: Based on observation during the health and safety tour of the facility, the resident call system in multiple rooms within the dementia care unit was not functioning. This poses a potential health and safety risk to residents in care.

Official plan of correction

Effective 08/23/2025, the facility will implement hourly check-ins in the dementia care unit, with staff maintaining communication and documentation logs. As a long-term solution, the facility is upgrading to a new call system. Proof of correction, including interim logs and system update status, will be submitted to LPA Jose Anguiano at Jose.Anguiano@dss.ca.gov by 09/05/2025.

Deadline recorded: Sep 5, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87463(a)(1)(3)

Regulation authority

CCR

What the official deficiency says

Reappraisal (a) The pre-admission appraisal shall be updated...to keep the appraisal accurate...Significant changes shall include...limited to: (1) A physical trauma..(3) Any..trauma, or change in the health care needs of the resident... This requirement is not met as evidenced by: Based on record review and interviews conducted the licensee did not comply with the section cited above in not having an updated Reappraisail and Needs and Services Plan to include R1's Fall Risk Prevention Plan which poses a potential health and safety risk to R1.

Official plan of correction

The Licensee will create a plan to update R1's Reappraisal, Appraisal/Needs And Services Plan to include a Fall Prevention Plan for R1. The LIcensee will also create a plan to assist R1 with attaining Durable Medical Equipment (DME) for example walkers, wheelchairs, devices that assist residents in their daily activities. Licensee will email proof of correction to Socorro.Leandro@dss.ca.gov.

Deadline recorded: Sep 3, 2024. A deadline is not proof that correction was completed.