Health conditions and treatments
Cited in 2 reports, with 3 deficiencies in total.
1314 WOODBURY ROAD, Pasadena CA 91104
6 bedsLatest official report Nov 6, 2025Licensed
The available records show 2 Type A and 10 Type B deficiencies for this facility.
1 later report, on Nov 6, 2025, 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 1,564 Los Angeles County facilities licensed for 6 or fewer beds.
In the available public five-year record, CCLD published 6 reports for this facility: 6 inspections, 0 complaint investigations, and 0 licensing or administrative records.
Those records contain 2 Type A and 10 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
More than the typical 4
2 in the last 12 months
Well above the typical 1
1 in the last 12 months
Most this size have none
0 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 3 deficiencies in total.
All preserved reports from the most recent to the oldest, sortable by report type.
(a) The licensee shall be permitted to accept or retain residents who have been diagnosed as terminally ill by his or her physician and surgeon and who may or may not have restrictive and/or prohibited health conditions, to reside in the facility and receive hospice services from a hospice agency in the facility, when all of the following conditions are met: (2) The licensee remains in substantial compliance with the requirements of this section, with the provisions of the Residential Care Facilities for the Elderly Act (Health and Safety Code Section 1569 et seq.), all other requirements of Chapter 8 of Title 22 of the California Code of Regulations governing Residential Care Facilities for the Elderly, and with all terms and conditions of the waiver. 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 in LPA observed the facility to have 1 resident (R6) on hospice, but no approved Hospice Waiver on file which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 10/13/2025 Plan of Correction Administrator agrees to review Title 22 Regulation Section 87632 & 87633, and submit a Hospice Waiver with all required information to the CCL office for review and approval. The waiver request is due by POC due date.
(a) Each facility shall have and maintain a current, written definitive plan of operation. The plan and related materials shall be on file in the facility and shall be submitted to the licensing agency with the license application. Any significant changes in the plan of operation which would affect the services to residents shall be submitted to the licensing agency for approval. The plan and related materials shall contain the following: 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 in that the licensee cannot provide copy of the Plan of Operation and stated that the plan is not kept and maintained in the facility which poses/posed a potential health, safety or personal rights risk to residents in care.
POC Due Date: 10/11/2024 Plan of Correction Licensee will submit a copy of the Plan of Operation to LPA/CCL by POC due date.
(c) A licensee who accepts or retains residents diagnosed by a physician to have dementia shall include additional information in the plan of operation as specified in Section 87705(b). This requirement is not met as evidenced by: Deficient Practice Statement Based on interview andrecord review, the licensee did not comply with the section cited above in that the licensee retains dementia residents but cannot provide prrof that the dementia plan is in place and included in the Plan of Operation which poses/posed a potential health, safety or personal rights risk to residents in care.
POC Due Date: 10/11/2024 Plan of Correction Licensee agreed to send a copy of the dementia plan and ensure that the informaiton is added to the Plan of Operation to CCL/LPA by POC due date.
(e) Water supplies and plumbing fixtures shall be maintained as follows: (2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degrees C) and not more than 120 degree F (49 degrees C). This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in that the water reading in bathroom #3 did not go higher than 89.4 deg F which poses/posed a potential health, safety or personal rights risk to residents in care.
POC Due Date: 10/11/2024 Plan of Correction Licensee agreed to send a hot water reading log for 7 days along with a copy of the request correspondence to the property owner to fix the water heater. These documents will be submitted to CCL/LPA by POC due date.
(a) A licensee shall not operate a facility beyond the conditions and limitations specified on the license, including specification of the maximum number of persons who may receive services at any one time. An exception may be made in the case of catastrophic emergency when the licensing agency may make temporary exceptions to the approved capacity. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, record review, the licensee did not comply with the section cited above in that the facility is providing care for 6 non ambulatory residents, but was only licensed for 4 non ambulatory residents which poses/posed a potential health, safety or personal rights risk to residents in care.
POC Due Date: 10/11/2024 Plan of Correction Licensee will submit an updated physician's report for 2 residents proving ambulatory status and/or send a request to increase the number of non ambulatory residents in the facility to LPA/CCL by POC due date.
(b) Each employee who received training and passed the examination required in paragraph (5) of subdivision (a), and who continues to assist with the self-administration of medicines, shall also complete eight hours of in-service training on medication-related issues in each succeeding 12-month period. 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 which some of the staff who administer medication have not completed medication training which poses/posed a potential health, safety or personal rights risk to residents in care.
POC Due Date: 10/11/2024 Plan of Correction Licensee will ensure that staff completes medication training and submit a copy of the completed medication training to CCL/LPA by POC due date.
(a) Based on the individual's preadmission appraisal, and subsequent changes to that appraisal, the facility shall provide assistance and care for the resident in those activities of daily living which the resident is unable to do for himself/herself. Postural supports may be used under the following conditions: (3) 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: Deficient Practice Statement Based on observation, interview, record review, the licensee did not comply with the section cited above in which 2 of 6 residents (Residents #4-#5) did not have a written order from a physician to use 1/2 bedrail on their files which poses/posed a potential health, safety or personal rights risk to residents in care.
POC Due Date: 10/11/2024 Plan of Correction Licensee will submit the physician's order for 1/2 bedrails for Residents #4-#5 to LPA/CCL by POC due date.
(B) Bed rails that extend the entire length of the bed are prohibited except for residents who are currently receiving hospice care and have a hospice care plan that specifies the need for full bed rails. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, record review, the licensee did not comply with the section cited above in that Resident #6 uses full bed rail but not under hospice care which poses/posed a potential health, safety or personal rights risk to residents in care.
POC Due Date: 10/11/2024 Plan of Correction Licensee agreed to send doctor's authorization for the correct postural support/bed rail order for Resident #6 to LPA/CCL by POC due date.
(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, Staff#1 (S1) personnel record was missing and could not be located during visit per licensee,the licensee did not comply with the section cited above in 6 out of 6 residents, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 10/27/2023 Plan of Correction Licensee will recreate documents for personnel records per title 22 and send LPA Ramirez a copy via email.
(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: (11) A health screening as specified in Section 87411, Personnel Requirements - General. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review), Staff#1 (S1) was missing health screening, the licensee did not comply with the section cited above in 6 out of 6 residents which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 10/31/2023 Plan of Correction Licensee will have S1 complete new health screening and send to LPA via email.
87355 Criminal Record Clearance (e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: This requirement is not met as evidenced by: Staff #3 (S3) and private caregiver #1 were observed to be providing care and supervision to residents. Licensee could not provide proof of fingerprint clearance. Deficient Practice Statement Based on interview and record review, the licensee did not comply with the section cited above in 6 out of 6 residents, which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 10/21/2023 Plan of Correction Licensee will remove staff#3 (S3) and private caregiver#1 until they have fingerprint clearance. Licensee will certify via email to LPA Ramirez, private caregiver will not provide care and supervision unless they have been fingerprint cleared.
(e) Water supplies and plumbing fixtures shall be maintained as follows: (2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degrees C) and not more than 120 degree F (49 degrees C). This requirement is not met as evidenced by: Deficient Practice Statement Based on (observation), the licensee did not comply with the section cited above in [which the hot water temperature readings for bathrooms #2 and #3 read at 136.1 and 141.2 respectively which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 10/13/2022 Plan of Correction The Administrator/House Manager will fix the hot water temperature in both bathrooms immediately and will send the 7 days hot water log via email to LPA by 10/19/2022.
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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