Facility condition and maintenance
Cited in 6 reports, with 9 deficiencies in total.
Jun 15, 2026Aug 25, 2025Apr 3, 2025Apr 3, 2025Jul 11, 2024Sep 25, 2023
HENRIETTA'S LEVEN OAKS
120 S. MYRTLE AVENUE, Monrovia CA 91016
80 bedsLatest official report Jun 15, 2026Licensed
Additional info
- Telephone
- (213) 478-0800
- Licensee
- SPECIALIZED COMMUNITY HEALTHCARE COMPANY
- Administrator
- STEPHANY PEREZ
- Contact
- STEPHANY PEREZ
- License first date
- Aug 30, 2022
- License effective date
- Aug 30, 2022
- District office
- MONTEREY PARK ASC · (323) 980-4934
- Regional office
- 28
- Clients served
- 983 - RCFE / DEMENTIA, 985 - RCFE / HOSPICE
Summary
The available records show 13 Type A and 15 Type B deficiencies for this facility.
- Most recent inspection
- Jun 15, 2026
- Most recent deficiency
- Jun 15, 2026
No later report is available, so the records do not show what happened afterward.
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 50 reports for this facility: 11 inspections, 35 complaint investigations, and 4 licensing or administrative records.
Those records contain 13 Type A and 15 Type B deficiencies.
2 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 11
- Recorded deficiencies
- 28
- Type A deficiencies
- 13
- Type B deficiencies
- 15
- Substantiated complaints
- 7
- Repeated topics
- 2
More than the typical 7
1 in the last 12 months
Well above the typical 8
5 in the last 12 months
Well above the typical 3
5 in the last 12 months
Well above the typical 5
0 in the last 12 months
More than the typical 3
1 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.
Staffing, personnel, and training
Cited in 2 reports, with 3 deficiencies in total.
Official report history
All preserved reports from the most recent to the oldest, sortable by report type.
Complaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited · investigated over 2 visits
Staffing, personnel, and trainingType A
- Official classification
- Type A
- Official code
- 87413(a)(2)
- Regulation authority
- CCR
What the official deficiency says
Personnel Operations Care and supervision of residents shall be provided without physical or verbal abuse, exploitation or prejudice. This requirement is not met as evidenced by: Based on interviews conducted and information gathered Licensee failed to ensure that R1 was free from physical or verbal abuse, exploitation or prejudice with S1 using R1's credit card which was an Immediate Health and Safety Risk to residents in care.
Official plan of correction
Facility to submit a plan by POC due date which outlines how facility will handle going forward on how to safeguard residents finances. Deficiency cleared 03/26/26.
Deadline recorded: Mar 27, 2026. A deadline is not proof that correction was completed.
Official record says corrected or clearedOn Mar 26, 2026
Plan of correction recorded
Correction deadline recordedDeadline Mar 27, 2026
Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Part of the complaint whose outcome is recorded on May 8, 2026 · Control 28-AS-20260302114239
Resident rightsType A
- Official classification
- Type A
- Official code
- 87468.1(a)(3)
- 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 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 met as evidenced by: Based on interviews conducted and information gathered Licensee failed to ensure that R1 was free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature with S1 using R1's credit card which was an Immediate Health and Safety risk to residents in care.
Official plan of correction
Facility to submit a plan by POC due date which outlines how facility will handle going forward on how to safeguard residents finances.
Deadline recorded: Mar 27, 2026. A deadline is not proof that correction was completed.
Citation dismissed - not a correctionOn Mar 27, 2026
Deficiency Dismissed Type A 03/27/2026 Section Cited CCR 87468.1(a)(3)
Plan of correction recorded
Correction deadline recordedDeadline Mar 27, 2026
Correction not verified in available records
Complaint
Allegations0 substantiated · 6 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
Part of the complaint whose outcome is recorded on Feb 24, 2026 · Control 28-AS-20251006124649
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations2 substantiated · 3 unsubstantiated · 0 unfounded · 2 cited
Facility condition and maintenanceType A
- Official classification
- Type A
- Official code
- 87307(d)(6)
- Regulation authority
- CCR
What the official deficiency says
(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 during the initial visit dated on 2/7/2025, LPA observed construction workers working on the 2nd floor and noticed tools such as hammers, mallets, drills, vacuum cleaners, wires, and vinyl flooring tiles in the hallway which are potential trip and fall hazards which poses an immediate health, safety, or personal rights in care.
Official plan of correction
Administrator will ensure to keep indoor passageways clear and free of obstruction and provide a photo of the hallways to the LPA by POC due date.
Deadline recorded: Apr 4, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Apr 4, 2025
Correction not verified in available records
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(a)
- Regulation authority
- CCR
What the official deficiency says
(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 is not met as evidenced by: Based on observation, the bathroom in Rm#11 had a showerhead that was not working properly with water pressure was insufficient for a resident to take a shower. The bathroom in Rm#29 also was clean and well-kept but had a very foul odor from an unknown source. This poses a potential health, safety, or personal rights risk to persons in care.
Official plan of correction
Administrator will submit a photo of the showerhead working properly and photo of the clean bathroom in rm#29 to the LPA by the POC due date.
Deadline recorded: Apr 17, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Apr 17, 2025
Correction not verified in available records
Complaint
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 · 2 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 · 3 unsubstantiated · 0 unfounded · investigated over 2 visits
No deficiencies recorded in this reportComplaint
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 23, 2024 · Control 28-AS-20240109123456
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 4 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Part of the complaint whose outcome is recorded on Jan 23, 2024 · Control 28-AS-20240103165532
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 4 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
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited · investigated over 2 visits
Dementia careType B
- Official classification
- Type B
- Official code
- 87705(c)(4)
- Regulation authority
- CCR
What the official deficiency says
87705(c)(4) Care Of Persons With Dementia: There is an adequate number of direct care staff to support each resident’s physical, social, emotional, safety and health care needs as identified in his/her current appraisal. This was not met as evidenced by: Staff were not aware of residents whereabouts. Resident #1 and Resident #2 disappeared and were not on the facility premisis when caregivers went to check on residents.
Official plan of correction
Licensee /Administrator shall: ensure that all staff are trained on the responsibility of providing care and supervision. Administrator will conduct an in service with all staff, and will provide proof of training to LPA Calderon by POC due date.
Deadline recorded: Sep 15, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Sep 15, 2023
Correction not verified in available records
Complaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Part of the complaint whose outcome is recorded on Aug 30, 2023 · Control 28-AS-20230425115536
Licensing and administrationType B
- Official classification
- Type B
- Official code
- 1569.2(c)
- Regulation authority
- HSC
What the official deficiency says
Health and Safety Code- Defintions: 1569.2(c) “Care and supervision” means the facility assumes responsibility for, or provides or promises to provide in the future, ongoing assistance with activities of daily living without which the resident’s physical health, mental health, safety, or welfare would be endangered. Assistance includes assistance with taking medications, money management, or personal care. This was not met as evidenced by: Staff were not aware of residents whereabouts. Resident #1 and Resident #2 disappeared and were not on the facility premisis when caregivers went to check on residents.
Official plan of correction
Licensee /Administrator shall: ensure that all staff are trained on the responsibility of providing care and supervision. Administrator will conduct an in service with all staff, and will provide proof of training to LPA Calderon by POC due date.
Deadline recorded: May 31, 2023. A deadline is not proof that correction was completed.
Citation dismissed - not a correctionOn May 31, 2023
Deficiency Dismissed Type B 05/31/2023 Section Cited HSC 1569.2(c)
Plan of correction recorded
Correction deadline recordedDeadline May 31, 2023
Correction not verified in available records
Complaint
Allegations4 substantiated · 1 unsubstantiated · 0 unfounded · 3 cited · investigated over 2 visits
No deficiencies recorded in this reportComplaint
Part of the complaint whose outcome is recorded on Apr 6, 2023 · Control 28-AS-20230313092735
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. In facilities licensed for sixteen or more, sufficient support staff shall be employed to ensure provision of personal assistance and care... This requirement was not met evidenced by: Based on interviews conducted, staff take a long time to respond to resident calls; which poses a potential health and safety risk to persons in care.
Official plan of correction
Licensee shall: 1. Develop a plan to ensure staffing is compentent and staff receive continuous training in care responsibilities. 2. Conduct staff training Submit proof by POC due date.
Deadline recorded: Apr 14, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Apr 14, 2023
Correction not verified in available records
Food serviceType B
- Official classification
- Type B
- Official code
- 87555(b)(7)
- Regulation authority
- CCR
What the official deficiency says
General Food Service Requirements. The following food service requirements shall apply:Modified diets prescribed by a resident's physician as a medical necessity shall be provided. This requirement was not met evidenced by: Based on record review and interviews conducted, the facility fails to provide R1 physician ordered special diet and a cultural/religious diet that meets dietary standards and physician order; which poses a potential health and safety risk to persons in care.
Official plan of correction
Licensee shall: 1.Consult with a Registered Dietician to formulate special diet foods for R1 2. Submit proof that kitchen staff have food handling certificates 3. Submit a written plan of how the deficiency was corrected.
Deadline recorded: Apr 14, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Apr 14, 2023
Correction not verified in available records
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(e)(6)
- Regulation authority
- CCR
What the official deficiency says
Maintenance and Operation (e) Water supplies and plumbing fixtures shall be maintained as follows: Toilet, handwashing and bathing facilities shall be maintained in operating condition. Additional equipment shall be provided in facilities accommodating physically handicapped and/or nonambulatory residents, based on the residents' needs. This requirement was not met evidenced by: Based on interviews conducted and physical plant observation rooms 28-29, and B1- & B2 have hot water issues and/or plumbing leaks; which poses a potential health and safety risk to persons in care.
Official plan of correction
Licensee shall provide: 1. A written plan of how the deficiency was corrected. 2. Copy of Plumbing Invoice Report **If an extension is needed submit a POC extension request by POC due date.
Deadline recorded: Apr 14, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Apr 14, 2023
Correction not verified in available records
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468.1(a)(9)
- Regulation authority
- CCR
What the official deficiency says
Personal Rights of Residents in All Facilities. Residents in all residential care facilities for the elderly shall have all of the following personal rights: To have communications to the licensee from their representatives answered promptly and appropriately. Based on record review, facility Administrator failed to respond to R1's Ombudsman representative in a timely manner. Ombudsman made two (2) facility visits, 2 telephone messages, and sent 1 email and did not receive a response; which poses a potential health and safety risk to persons in care.
Official plan of correction
Licensee shall submit a written plan of correction, and proof that the Ombudsman has been contacted.
Deadline recorded: Apr 14, 2023. A deadline is not proof that correction was completed.
Citation dismissed - not a correctionOn Apr 14, 2023
Deficiency Dismissed Type B 04/14/2023 Section Cited CCR 87468.1(a)(9)
Plan of correction recorded
Correction deadline recordedDeadline Apr 14, 2023
Correction not verified in available records
Complaint
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Dementia careType B
- Official classification
- Type B
- Official code
- 87705(c)(4)
- Regulation authority
- CCR
What the official deficiency says
Care of Persons with Dementia Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: there is an adequate number of direct care staff to support each resident’s physical, social, emotional, safety and health care needs as identified in his/her current appraisal. This requirement is not met as evidenced by: Based on file review and interviews Licensee failed to support residents safety and health care needs with R 1 leaving the facility on multiple occasions which presented a Potential Risk to residents in care.
Official plan of correction
Administrator to send a plan to licensing regarding how staff will ensure that residents with dementia who are not allowed to go out of the facility unassisted are being provided with adequate supervision. Plan to be sent to Licensing by POC due date (01/26/23)
Deadline recorded: Jan 26, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jan 26, 2023
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
No deficiencies recorded in this report1 complaint has 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.
- May 18, 2023 · Control 28-AS-20221212101301
Allegations2 substantiated · 1 unsubstantiated · 0 unfounded · 2 cited
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