Facility condition and maintenance
Cited in 2 reports, with 2 deficiencies in total.
11949 STRATHERN STREET, North Hollywood CA 91605
6 bedsLatest official report Oct 22, 2025Licensed
The available records show 1 Type A and 6 Type B deficiencies for this facility.
No later report is available, so the records do not show what happened afterward.
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.
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 4 reports for this facility: 2 inspections, 0 complaint investigations, and 2 licensing or administrative records.
Those records contain 1 Type A and 6 Type B deficiencies.
1 deficiencies have explicit official correction or clearance evidence in the loaded records.
Fewer than the typical 4
1 in the last 12 months
Well above the typical 1
2 in the last 12 months
Most this size have none
1 in the last 12 months
Most this size have none
1 in the last 12 months
Most this size also have none
0 in the last 12 months
Last 36 months
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.
Cited in 2 reports, with 2 deficiencies in total.
All preserved reports from the most recent to the oldest, sortable by report type.
(6) All outdoor and indoor passageways and stairways shall be kept free of obstruction. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above as bedroom #4's exit to the outdoors of the facility was partially blocked by a resident bed which posed an immediate safety risk to persons in care.
POC Due Date: 10/22/2025 Plan of Correction Administrator rearranged the bedroom furniture in room number 4 at the time of the visit to ensure clear passageways to the exterior sliding door. POC cleared.
(a) The pre-admission appraisal, as specified in Section 87457, Pre-Admission Appraisal, shall be updated, in writing as frequently as necessary or once every 12 months, whichever occurs first, to note significant changes in condition, as defined in Section 87101, Definitions, and to keep the appraisal accurate. For the purposes of this section, the updated pre-admission appraisal shall be referred to as the reappraisal. 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 as five of five resident's appraisal needs and services plans contained identical information in some sections including other resident's names which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 11/05/2025 Plan of Correction Administrator agreed to redo all appraisal needs and services plans for all five residents of the facility and to ensure that the plans are developed for the specific individual. Administrator agreed to submit the revised Appraisal needs and services plans to CCLD no later than POC due date.
(h) The following requirements shall apply to medications which are centrally stored: (5) Each resident's medication shall be stored in its originally received container. No medications shall be transferred between containers. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above as one resident's medicatioons were prepped a week in advance utilizing a Sunday-Saturday medication organizer which poses a potential health and safety risk to persons in care.
POC Due Date: 10/18/2024 Plan of Correction Licensee will submit a statement of understanding confirming they have reviewed CCR 87465 and will submit a statement that they will not prep medications more than one day in advance. Licensee will submit the required documents to CCL no later than POC due date.
(c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill, it shall not require any resident participation. Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill. This requirement is not met as evidenced by: Deficient Practice Statement Based on interview and record review, the licensee did not comply with the section cited above as the last emergency disaster drill was not conducted quarterly which poses a potential health and safety risk to persons in care.
POC Due Date: 10/18/2024 Plan of Correction Licensee will submit proof of completed emergency disaster drill to CCL no later than POC due date.
(h) Outdoor facility space used for resident recreation and leisure shall be completely enclosed by a fence with self-closing latches and gates, or walls, to protect the safety of residents. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited aboveas the front gate / emergency exit gate to the facility failed to self latch which poses a potential safety risk to persons in care.
POC Due Date: 10/18/2024 Plan of Correction Licensee will submit either, proof of repairs made to gate and proof of gate self latching or proof of scheduled repairs and an invoice of repairs to be completed. Licensee will submit the required proof to CCL no later than POC due date.
87307 Personal Accommodations and Services (a) Living accommodations and grounds shall be related to the facility's function. The facility shall be large enough to provide comfortable living accommodations and privacy for the residents, staff, and others who may reside in the facility. The following provisions shall apply: This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above as one resident room contains three beds, one of which the facility administrator sleeps in to monitor residents at night which poses personal rights risk to persons in care.
POC Due Date: 10/18/2024 Plan of Correction Licensee will dismantle the third bed in bedroom #4. Additionally licensee will submit a statement of understanding confirming that they understand that this is a potential violation of resident's rights. Licensee may submit an updated LIC500 showing nighttime awake staff to mitigate the risk of falls for residents in care. Licensee will submit the required documents to CCL no later than POC due date.
(c)The facility shall employ, and the administrator shall schedule, a sufficient number of staff members to do all of the following: (3) Ensure that at least one staff member who has cardiopulmonary resuscitation (CPR) training and first aid training is on duty and on the premises at all times. This paragraph shall not be construed to require staff to provide CPR. 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 as one staff member that was left alone with clients in care did not have an active 1st aid certification in their file which poses a potential health and safety risk to persons in care.
POC Due Date: 10/18/2024 Plan of Correction Licensee will submit proof of completed 1st aid certification for the identified staff member to CCL no later than the POC due date.
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.
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