Resident rights
Cited in 3 reports, with 3 deficiencies in total.
245 S. EL MOLINO AVE., Pasadena CA 91101
206 bedsLatest official report Mar 19, 2026Licensed
The available records show 15 Type A and 20 Type B deficiencies for this facility.
3 later reports, from Aug 18, 2025 through Mar 19, 2026, recorded no deficiencies, though the records do not say whether they were follow-ups.
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 212 Los Angeles County facilities licensed for 50 or more beds.
In the available public five-year record, CCLD published 59 reports for this facility: 32 inspections, 26 complaint investigations, and 1 licensing or administrative record.
Those records contain 15 Type A and 20 Type B deficiencies.
3 deficiencies have explicit official correction or clearance evidence in the loaded records.
More than the typical 7
1 in the last 12 months
Well above the typical 8
0 in the last 12 months
Well above the typical 3
0 in the last 12 months
Well above the typical 5
0 in the last 12 months
More than the typical 3
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 3 reports, with 3 deficiencies in total.
Cited in 2 reports, with 2 deficiencies in total.
All preserved reports from the most recent to the oldest, sortable by report type.
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportAllegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportAllegations1 substantiated · 1 unsubstantiated · 0 unfounded · 1 cited
Basic Services. A facility need not accept a particular resident for care. However, if a facility chooses to accept a particular resident for care, the facility shall be responsible for meeting the resident's needs as identified in the pre-admission appraisal specified in Section 87457, Pre-admission Appraisal and providing the other basic services specified below, either directly or through outside resources. Based on interviews, observation, and record review resident (R1) was not escorted to exercise class on 7/25/25 and today (7/31/25). Per home health orders R1 requires daily exercise participation. The Appraisal/Needs and Services Plan states R1 is to be escorted to activities. This poses a potentila health, safety, and personal rights risk.
Executive Director agreed to develop a plan of action on how facility will meet all resident's basic needs. Plan shall include staffing, staffing responsibilities, and facility procedures. Submit plan and proof of staff training.
Deadline recorded: Aug 14, 2025. A deadline is not proof that correction was completed.
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportAllegations0 substantiated · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportAllegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
87468.2...Personal Rights...: (a)...shall have all...: (4) To care, supervision, and services that meet their individual needs ... that are sufficient..., qualifications, and competency to meet their needs. This requirement is not met as evidence by: Based on observations, interviews, and documents reviewed licensee failed to ensure R1 was injured by R2 while in care which poses an immediate health, safety, or personal rights risk to the persons in care. *Immediate $500 civil penalty is being assess*
Administrator will update needs and care plan to reflect supervision, care, needs, behaviors, and room status for R2 and will submit a copy to the department by POC due date 11/14/24. **An additional $500 civil penalty was assessed due to repeated violation noted on 4/23/24.** *Civil penalties were assess for a total of $1000.*
Deadline recorded: Nov 14, 2024. A deadline is not proof that correction was completed.
Allegations0 substantiated · 0 unsubstantiated · 1 unfounded
No deficiencies recorded in this reportAllegations0 substantiated · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportAllegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportAllegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportAllegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportAllegations2 substantiated · 0 unsubstantiated · 0 unfounded · 2 cited
87468.2 Additional Personal Rights of Residents...: a)...residential care facilities ...shall ...: 4)..., supervision,... that meet... and are delivered by staff that are sufficient in..., qualifications, and competency to meet their needs.This requirement is not met as evidence by: Based on interviews and documents reviewed licensee did not ensure R1 left the faciltiy unassisted and R1 obtained a fall while unsupervised which poses an immediate risk to the health, safety, or personal rights of the persons in care.
Adminsitrator will ensure that all staff are qualify, sufficient in numbers, and competent to perform their duties and will schedule in-service training on prevention of wandering by POC due date 11/1/23. Will provide a copy of in-service with date, duration, and subject by 11/7/23.
Deadline recorded: Nov 1, 2023. A deadline is not proof that correction was completed.
87705 Care of Persons with Dementia (k) The following...must be met...: (8) Delayed egress devices shall not substitute for trained staff... to meet... supervision needs of all residents and to escort residents who leave the facility. This requirement is not met as evidence by: Based on interviews and documents reviewed licensee did not ensure R1 left the facility unassisted through the front door while a staff was at the front desk which poses an immediate risk to the health, safety, or personal rights of the persons in care.
Adminsitrator will ensure that all staff are qualify, sufficient in numbers, and competent to perform their duties and will schedule in-service training on ensuring egress system is working and escorting residents outside the facility by POC due date 11/1/23. Will provide a copy of in-service with date,
Deadline recorded: Nov 1, 2023. A deadline is not proof that correction was completed.
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportAllegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportAllegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportAllegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportAllegations1 substantiated · 2 unsubstantiated · 0 unfounded · 1 cited
87468.1 Personal Rights of Residents in All Facilities: (a) Residents in all residential care facilities shall...:(2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement is not met as evidence by: Based on interviews, and documents reviewed the licensee failed to ensure R1 did not sustained a hip fracture while in care which poses an immediate health, safety, or personal rights to the persons in care.
Licensee will ensure facility's plan of operation identify the number of caregivers necessary to provide assistance with transfer and will submit a copy by 1/26/23. Number of caregivers should be identified in care plan and discuss with caregivers. Administrator will provide hoyer lift training for staff and will submit copies by 2/1/23.
Deadline recorded: Jan 26, 2023. A deadline is not proof that correction was completed.
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportAllegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportAllegations2 substantiated · 1 unsubstantiated · 0 unfounded · 2 cited · investigated over 2 visits
87466 Observation of the Resident: The licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning and that appropriate assistance is provided when such observation reveals unmet needs... This requirement is not met as evidence by: Based on interviews and documents review licensee failed to provide adequate direct care staff to support R1's needs identify in physician's report which poses a potential risk to the health, safety, or personal rights of persons in care.
Licensee will ensure updated plan care for R1 is review with staff in each shift to ensure that direct care is provided to meet R1's needs. A copy of updated R1's care plan and a copy of staff's sign in log of reviewed care plan is to be submitted to the department by 12/22/22.
Deadline recorded: Dec 22, 2022. A deadline is not proof that correction was completed.
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportReporting Requirements: Occurrences, such as epidemic outbreaks, poisonings, catastrophes or major accidents which threaten the welfare, safety or health of residents, personnel or visitors, shall be reported within 24 hours either by telephone or facsimile to the licensing agency and to the local health officer when appropriate. This This requirement is not met as evidenced by: Dermatologist reported " suspected scabies just based on clinical presentation - did not do biopsy to confirm " ; therefore, facility did not report it to the Public Health Department.
Licensee/Administrator shall read Title 22, Section " Reporting Requirements " and send a written statement to CCL by the POC date - no later than 08/24/22.
Deadline recorded: Aug 24, 2022. A deadline is not proof that correction was completed.
Part of the complaint whose outcome is recorded on Dec 8, 2022 · Control 28-AS-20220104133920
87465 Incidental Medical and Dental Care: (a) A plan for incidental medical and dental care shall be developed by each facility... for assistance in obtaining such care, by compliance with the following:(2) The licensee shall provide assistance in meeting necessary medical and dental needs. This requirement is not met as evidence by: Based on interviews and documents reviewed licensee failed to ensure R1 did not have food intake in the morning prior to surgery which poses a potential health, safety or personal rights risk to the persons in care.
Administrator conducted internal investigation and wrote warning notice form to staff responsible for not meeting R1's needs on 10/19/21. Deficiency cleared.
Deadline recorded: Aug 2, 2022. A deadline is not proof that correction was completed.
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportAllegations2 substantiated · 2 unsubstantiated · 0 unfounded · 2 cited
87303 Maintenance and Operation: (a) (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 evidence by: Based on interviews conducted Licensee did not ensure facility was free of bed bugs in 9 rooms, which poses an immediate Health, Safety, or Personal rights risk to person in care. *Immediate Civil Penalties assess for repeat violation of $250.*
Licensee will ensure pest is under control at all times and to maintain professional pest control services as necessary. Licensee provided copies of pest control service and pest control infection sheet dated 12/13/21 clearing the facility of bed bugs. Deficiency cleared on 12/14/21.
Deadline recorded: Dec 14, 2021. A deadline is not proof that correction was completed.
87705 Care of Persons with Dementia: (j) The licensee shall have an auditory device or other staff alert feature to monitor exits, if exiting presents a hazard to any resident. This requirement is not met as evidence by: Based on interviews Licensee did not ensure exit door's (to courtyard) alarm batteries were working properly which poses an immediate Health, Safety, or Personal risk to the persons in care.
Licensee will ensure alarm system is in working condition. Administrator will maintain a log to track batteries live and will submit log to the department in 7 days. During the visit of 12/1/21 LPA observed alarm working.
Deadline recorded: Dec 14, 2021. A deadline is not proof that correction was completed.
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportCalifornia 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