Admission, assessment, and eviction
Cited in 2 reports, with 4 deficiencies in total.
PRIMROSE 3
17537 BLYTHE STREET, Northridge CA 91325
6 bedsLatest official report Oct 7, 2025Licensed
Additional info
- Telephone
- (323) 872-2755
- Licensee
- PRIMROSE 3 SENIOR CARE HOME LLC
- Administrator
- NINO SMITH
- Contact
- NINO SMITH
- License first date
- Nov 30, 2020
- License effective date
- Nov 30, 2020
- District office
- WOODLAND HILLS S.RO · (818) 596-4334
- Regional office
- 31
- Clients served
- 935 - ELDERLY
Summary
The available records show 2 Type A and 12 Type B deficiencies for this facility.
- Most recent inspection
- Oct 7, 2025
- Most recent deficiency
- Oct 7, 2025
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 1,564 Los Angeles County facilities licensed for 6 or fewer beds.
In the available public five-year record, CCLD published 5 reports for this facility: 5 inspections, 0 complaint investigations, and 0 licensing or administrative records.
Those records contain 2 Type A and 12 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 5
- Recorded deficiencies
- 14
- Type A deficiencies
- 2
- Type B deficiencies
- 12
- Substantiated complaints
- 0
- Repeated topics
- 2
More than the typical 4
1 in the last 12 months
Well above the typical 1
12 in the last 12 months
Most this size have none
2 in the last 12 months
Most this size have none
10 in the last 12 months
Most this size also have none
0 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.
Records and plan of operation
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.
Inspection
Background checksType A
- Official classification
- Type A
- Official code
- 87355(d)(3)
- Regulation authority
- CCR
What the official deficiency says
(3) The licensee shall submit these fingerprints to the California Department of Justice, along with a second set of fingerprints for the purpose of searching the records of the Federal Bureau of Investigation, or comply with Section 87355(c), prior to the individual's employment, residence, or initial presence in the facility. This requirement is not met as evidenced by: Deficient Practice Statement Based on the record review the licensee did not comply with the section cited above in one (1) out of two (2) staff did not have fingerprinting/criminal form in their file which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 10/08/2025 Plan of Correction The licensee/administrator shall send fingerprinting/criminal record to Community Care Licensing Department for one (1) staff currently working at the faclity.
Plan of correction recorded
Correction not verified in available records
Fire safety and emergency preparednessType A
- Official classification
- Type A
- Official code
- 1569.69(a)(3)
- Regulation authority
- HSC
What the official deficiency says
(a) Each residential care facility for the elderly licensed under this chapter shall ensure that each employee of the facility who assists residents with the self-administration of medications meets all of the following training requirements: (3) An employee shall be required to complete the training requirements for hands-on shadowing training described in this subdivision prior to assisting any resident in the self-administration of medications. The training and instruction described in this subdivision shall be completed, in their entirety, within the first two weeks of employment. 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 in two (2) out of two (2) staff did not have medication training in their file which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 10/08/2025 Plan of Correction The licensee/administrator shall send the medication training of the staff providing medication to the residents to Community Care Licensing Department for both staff currently working at the faclity.
Plan of correction recorded
Correction not verified in available records
Licensing and administrationType B
- Official classification
- Type B
- Official code
- 1569.618(a)
- Regulation authority
- HSC
What the official deficiency says
(a) The administrator designated by the licensee pursuant to paragraph (11) of subdivision (a) of Section 1569.15 shall be present at the facility during normal working hours. A facility manager designated by the licensee with notice to the department, shall be responsible for the operation of the facility when the administrator is temporarily absent from the facility. This requirement is not met as evidenced by: Deficient Practice Statement Based on the interview the licensee did not comply with the section cited above in not leaving someone responsible for the operation of the facility while being out of town which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 10/21/2025 Plan of Correction The administrator/licensee shall send a designee form to Community Care Licensing Department on who is in charge while they are currently out of town.
Plan of correction recorded
Correction not verified in available records
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87412(a)(6)(A)
- Regulation authority
- CCR
What the official deficiency says
(A) For administrators this shall include verification that he/she meets the educational requirements in Section 87405(d) through (g). This requirement is not met as evidenced by: Deficient Practice Statement Based on the record review the licensee did not comply with the section cited above in two (2) out of two (2) staff did not have their a job application in their file thus showing their educational requirements which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 10/21/2025 Plan of Correction The administrator/licensee shall send a copy of the job application which shows their education requirements of the two (2) staff currently working to the Community Care Licensing Department.
Plan of correction recorded
Correction not verified in available records
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 1569.625(b)(1)
- Regulation authority
- HSC
What the official deficiency says
(1) The department shall adopt regulations to require staff members of residential care facilities for the elderly who assist residents with personal activities of daily living to receive appropriate training. This training shall consist of 40 hours of training. A staff member shall complete 20 hours, including six hours specific to dementia care, as required by subdivision (a) of Section 1569.626 and four hours specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696, before working independently with residents. The remaining 20 hours shall include six hours specific to dementia care and shall be completed within the first four weeks of employment. The training coursework may utilize various methods of instruction, including, but not limited to, lectures, instructional videos, and interactive online courses. The additional 16 hours shall be hands-on training. This requirement is not met as evidenced by: Deficient Practice Statement Based on the record review the licensee did not comply with the section cited above in two (2) out of two (2) staff did not have proper/all of their training in their file which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 10/21/2025 Plan of Correction The administrator/licensee shall send two (2) of the staff trainings of two (2) of the staff currently working at the above facility to Community Care Licensing Department.
Plan of correction recorded
Correction not verified in available records
Records and plan of operationType B
- Official classification
- Type B
- Official code
- 87506(b)(17)(B)
- Regulation authority
- CCR
What the official deficiency says
(b) Each resident's record shall contain at least the following information: (17) Documents and information required by the following: (B) Section 87459, Functional Capabilities; This requirement is not met as evidenced by: Deficient Practice Statement Based on the record review the licensee did not comply with the section cited above in five (5) out of five (5) residents did not have their functional capabiliies form in their file which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 10/21/2025 Plan of Correction The administrator/licensee shall put in the residents file their functional capabilities form and send a copy to Community Care Licensing Department.
Plan of correction recorded
Correction not verified in available records
Records and plan of operationType B
- Official classification
- Type B
- Official code
- 87506(b)(17)(E)
- Regulation authority
- CCR
What the official deficiency says
(b) Each resident's record shall contain at least the following information: (17) Documents and information required by the following: (E) Section 87463, Reappraisals; and This requirement is not met as evidenced by: Deficient Practice Statement Based on the record review the licensee did not comply with the section cited above in five (5) out of five (5) residents did not have their resident reappraisal form in their file which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 10/21/2025 Plan of Correction The administrator/licensee shall put in the residents file their resident reappaisal form and send a copy to Community Care Licensing Department.
Plan of correction recorded
Correction not verified in available records
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87456(a)(2)
- Regulation authority
- CCR
What the official deficiency says
(a) Prior to accepting a resident for care and in order to evaluate his/her suitability, the facility shall, as specified in this article 8: (2) Perform a pre-admission appraisal. This requirement is not met as evidenced by: Deficient Practice Statement Based on the record review the licensee did not comply with the section cited above in one (1) resident did not have their pre-placement pre-admission appraisal which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 10/21/2025 Plan of Correction The administrator/licensee shall put in the residents file their pre-placement pre-admission appraisal and send a copy to Community Care Licensing Department.
Plan of correction recorded
Correction not verified in available records
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87458(a)
- Regulation authority
- CCR
What the official deficiency says
(a) Prior to a person's acceptance as a resident, the licensee shall obtain documentation of a medical assessment, signed by a licensed medical professional acting within the scope of their practice and made within the last year, to be kept in the resident's record. This requirement is not met as evidenced by: Deficient Practice Statement Based on the record review the licensee did not comply with the section cited above in one (1) resident did not have their medical assessment/physician's report which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 10/21/2025 Plan of Correction The administrator/licensee shall put in the residents file their medical assessment/physician's report and send a copy to Community Care Licensing Department.
Plan of correction recorded
Correction not verified in available records
Fire safety and emergency preparednessType B
- Official classification
- Type B
- Official code
- 1569.695(e)(2)
- Regulation authority
- HSC
What the official deficiency says
(e) A facility shall have all of the following information readily available to facility staff during an emergency: (2) An appraisal of resident needs and services plan for each resident. 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 in three (3) out of six (6) residents did not have their needs and services plan which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 10/21/2025 Plan of Correction The administrator/licensee shall put in the residents file their needs and services plan and send a copy to Community Care Licensing Department.
Plan of correction recorded
Correction not verified in available records
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87458(c)(1)(8)
- Regulation authority
- CCR
What the official deficiency says
This requirement is not met as evidenced by: Deficient Practice Statement Based on the record review the licensee did not comply with the section cited above in which one (1) resident did not have their tuberculosis poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 10/21/2025 Plan of Correction The administrator/licensee shall put in the residents file their tuberculosis results and send a copy to Community Care Licensing Department.
Plan of correction recorded
Correction not verified in available records
Incident reportingType B
- Official classification
- Type B
- Official code
- 87211(a)
- Regulation authority
- CCR
What the official deficiency says
(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 and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case. This requirement is not met as evidenced by: Deficient Practice Statement Based on the observation, interview and record review the licensee did not comply with one (1) person being sent to the hospital without notifying Community Care Licensing Department and another resident's death was also not reported to Community Care Licensing Department which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 10/21/2025 Plan of Correction The administrator/Licensee shall send the resident's death report that passed away and shall send an unusual incident report of current resident in the hospital to Community Care Licensing Department.
Plan of correction recorded
Correction not verified in available records
Inspection
Records and plan of operationType B
- Official classification
- Type B
- Official code
- 87506(b)(17)(A)
- Regulation authority
- CCR
What the official deficiency says
87506(b)(17)(A) Resident Records: (b) Each resident’s record shall contain at least the following information: Documents and information required by the following:(A)Pre-Admission Appraisal; 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 in two out of five resdients which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 10/21/2024 Plan of Correction The Licensee/Administrator shall send a copy of the Pre-Placement Appraisal of two residents that were missing this information.
Plan of correction recorded
Correction not verified in available records
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87458(b)(1)
- Regulation authority
- CCR
What the official deficiency says
87458(b)(1) (b) The medical assessment shall include, but not be limited to: (1) A physical examination of the resident indicating the physician's primary diagnosis and secondary diagnosis, if any and results of an examination for communicable tuberculosis, other contagious/infectious diseases or other medical conditions which would preclude care of the person by the facility. 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 in two out of five residents which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 10/21/2024 Plan of Correction The licensee/Administrator will ensure that two residents have their tubercolosis on fiile and will send a copy to LPA Saucedo.
Plan of correction recorded
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
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