Incident reporting
Cited in 2 reports, with 2 deficiencies in total.
TRACY'S BOARDING CARE - LASSEN
17419 LASSEN ST, Northridge CA 91325
6 bedsLatest official report May 19, 2025Licensed
Additional info
- Telephone
- (818) 882-4930
- Licensee
- REMY'S HT RN CARE, LLC
- Administrator
- MATHEW, THRESIAMMA
- Contact
- MATHEW, THRESIAMMA
- License first date
- Jun 13, 2019
- License effective date
- Jun 13, 2019
- District office
- WOODLAND HILLS S.RO · (818) 596-4334
- Regional office
- 31
- Clients served
- 935 - ELDERLY
Summary
The available records show 1 Type A and 6 Type B deficiencies for this facility.
- Most recent inspection
- May 19, 2025
- Most recent deficiency
- Mar 4, 2025
1 later report, on May 19, 2025, recorded no deficiencies, though the records do not say whether they were follow-ups.
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 8 reports for this facility: 6 inspections, 2 complaint investigations, and 0 licensing or administrative records.
Those records contain 1 Type A and 6 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 6
- Recorded deficiencies
- 7
- Type A deficiencies
- 1
- Type B deficiencies
- 6
- Substantiated complaints
- 1
- Repeated topics
- 1
More than the typical 4
0 in the last 12 months
Well above the typical 1
0 in the last 12 months
Most this size have none
0 in the last 12 months
Most this size have none
0 in the last 12 months
Most this size have none
0 in the last 12 months
Last 36 months
No inspection in the last 12 months, so a zero above means no record rather than a clean visit.
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.
Official report history
All preserved reports from the most recent to the oldest, sortable by report type.
Inspection
No deficiencies recorded in this report
Inspection
Incident reportingType B
- Official classification
- Type B
- Official code
- 87211(a)(1)(A)
- Regulation authority
- CCR
What the official deficiency says
87211 (a)(1)(A)Reporting Requirements: (a) Each licensee shall furnish to the licensing agency such reports... 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 requirement is not met as evidenced by: Based on the LPA observation and interviews the licensee/administrator did not ensure resident reports to be submitted to CCLD from the above facility involving multiple incidents which poses a potential Health, Safety or Personal Rights risks to persons in care.
Official plan of correction
An Unusual Report is to be sent to Community Care Licensing Department within seven (7) days regarding a death report and/or resident injuries/hospitalizations while in care. POC Due Date: 03/12/25
Deadline recorded: Mar 12, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Mar 12, 2025
Correction not verified in available records
Dementia careType B
- Official classification
- Type B
- Official code
- 87705(e)(5)
- Regulation authority
- CCR
What the official deficiency says
87705 Care of Persons with Dementia (e) Licensees..5) Facility staff shall ensure the continued safety of residents if they wander away from the facility without violating.. Personal Rights of Residents in All Facilities.. Additional Personal Rights of Residents in Privately Operated Facilities.This requirement is not met as evidenced by: Based on the observation, interviews and record reviews, the licensee did not ensure one out of three staff at the facility to be on duty at night and supervise the care of the residents of dementia have which poses a potential Health, Safety or Personal Rights risks to person in care.
Official plan of correction
The licensee/admnistrator will send the LPA an updated personnel report showing the caregivers schedule showing there is a night person on duty seven (7) days out of the week to care for residents with dementia. POC Due Date: 03/12/25
Deadline recorded: Mar 12, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Mar 12, 2025
Correction not verified in available records
Inspection
Incident reportingType B
- Official classification
- Type B
- Official code
- 87211(a)(1)(A)
- Regulation authority
- CCR
What the official deficiency says
87211 (a)(1)(A)Reporting Requirements: (a) Each licensee shall furnish to the licensing agency such reports... 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 requirement is not met as evidenced by: Based on the LPA observation and interviews the licensee/administrator did not ensure resident reports to be submitted to CCLD from the above facility involving multiple incidents which poses a potential Health, Safety or Personal Rights risks to persons in care.
Official plan of correction
An Unusual Report is to be sent to Community Care Licensing Department within seven (7) days regarding a death report and/or resident injuries/hospitalizations while in care. POC 10/30/24
Deadline recorded: Oct 16, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Oct 16, 2024
Correction not verified in available records
Health conditions and treatmentsType B
- Official classification
- Type B
- Official code
- 87608(a)(3)
- Regulation authority
- CCR
What the official deficiency says
A written order from a physician indicating the need for the postural support shall be maintained in the resident’s record. The licensing agency shall be authorized to require other additional documentation if needed to verify the order. This requirement is not met as evidenced by: Based on observation the licensee failed to ensure that Resident has a written order for postural support placed in Residents file. This poses an immediate health and safety risk to the residents in care.
Official plan of correction
The Licensee/Administrator will contact resident physicians to obtained required medical documentation for postural supports. POC due date:10/30/24
Deadline recorded: Oct 16, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Oct 16, 2024
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
87303 Maintenance and Operation (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 the LPA's observations, staff/ resident interviews, the staff did not ensure the residents to have a clean and sanitary facility including rooms, common areas clean of roaches thus ensuring the facility was clean, which poses a potential Health, Safety or Personal Rights risks to persons in care.
Official plan of correction
The administrator/Licensee must at all times keep a facility free of roaches. The administrator/licensee is to show proof of pest control service/documentation and send to LPA by POC 10/30/2024
Deadline recorded: Oct 16, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Oct 16, 2024
Correction not verified in available records
Not classified in the sourceType B
- Official classification
- Type B
- Official code
- 8705(c)(4)(A)
- Regulation authority
- CCR
What the official deficiency says
87705 Care of Persons with Dementia (c) Licensees who accept and retain residents with dementia...(4)There is an adequate number of direct care...safety and health care needs… (A) In addition to... specified in Section 87415, Night Supervision, a facility with fewer than 16...at least one night staff person...This requirement is not met as evidenced by: Based on the observation, interviews and record reviews, the licensee did not ensure one out of three staff at the facility to be on duty at night and supervise the care of the residents of dementia have which poses a potential Health, Safety or Personal Rights risks to person in care.
Official plan of correction
The licensee/admnistrator will send the LPA an updated personnel report showing the caregivers schedule showing there is a night person on duty seven (7) days out of the week to care for residents with dementia. LPA by POC 10/30/2024
Deadline recorded: Oct 16, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Oct 16, 2024
Correction not verified in available records
Complaint
Allegations1 substantiated · 1 unsubstantiated · 0 unfounded · 1 cited
Resident rightsType A
- Official classification
- Type A
- Official code
- 87468.1(a)(1)
- 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: (1)To be accorded dignity in their personal relationships with staff, residents, and other persons. This requirement is not met by: Based on the observations and interviews the licensee did not ensure one out of five residents at the above facility to receive visitation rights which poses an immediate Health, Safety or Personal Rights risks to person in care.
Official plan of correction
The Licensee/Administrator will allow all visitors to visit the above facility unless there is a health and safety issue and is to notify LPA Saucedo immediately if this occurs. POC 10/09/24
Deadline recorded: Oct 8, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Oct 8, 2024
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Complaint
Allegations0 substantiated · 0 unsubstantiated · 3 unfounded
No deficiencies recorded in this reportInspection
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