Facility condition and maintenance
Cited in 2 reports, with 2 deficiencies in total.
GARFIELD TERRACE LLC
1435 N GARFIELD AVE, Pasadena CA 91104
60 bedsLatest official report Aug 18, 2026Licensed
Additional info
- Telephone
- (626) 398-0527
- Licensee
- GARFIELD TERRACE LLC
- Administrator
- SANDOVAL, ROSALIE
- Contact
- SANDOVAL, ROSALIE
- License first date
- Jul 13, 2018
- License effective date
- Jul 13, 2018
- District office
- MONTEREY PARK ASC · (323) 980-4934
- Regional office
- 28
- Clients served
- 935 - ELDERLY
Summary
The available records show 5 Type A and 4 Type B deficiencies for this facility.
- Most recent inspection
- Aug 18, 2026
- Most recent deficiency
- May 4, 2026
2 later reports, from May 8, 2026 through Aug 18, 2026, 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 212 Los Angeles County facilities licensed for 50 or more beds.
In the available public five-year record, CCLD published 34 reports for this facility: 10 inspections, 24 complaint investigations, and 0 licensing or administrative records.
Those records contain 5 Type A and 4 Type B deficiencies.
1 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 10
- Recorded deficiencies
- 9
- Type A deficiencies
- 5
- Type B deficiencies
- 4
- Substantiated complaints
- 4
- Repeated topics
- 2
More than the typical 7
4 in the last 12 months
More than the typical 8
7 in the last 12 months
More than the typical 3
4 in the last 12 months
Fewer than the typical 5
3 in the last 12 months
More than the typical 3
2 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 2 deficiencies in total.
Official report history
All preserved reports from the most recent to the oldest, sortable by report type.
Inspection
No deficiencies recorded in this report
Complaint
Allegations0 substantiated · 6 unsubstantiated · 0 unfounded · investigated over 2 visits
No deficiencies recorded in this reportInspection
Records and plan of operationType B
- Official classification
- Type B
- Official code
- 87506(a)
- Regulation authority
- CCR
What the official deficiency says
87506(a) Resident Records (a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. This requirement is not met as evidenced by: During LPA's visit, staff were unable to provide LPA with R1's Medication Sheets prior to January 2026 and PRN Medication Log prior to 10/8/2024, even though R1 had been living in the facility since 10/11/2018. R1's documents were not readily available for review during visit.
Official plan of correction
Citation was previously cleared on 2/12/2026. Director provided LPA with copies of In-Service Training regarding: Safe Medication Management and Documentation conducted and sign-in sheet for staff attendance.
Deadline recorded: May 26, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline May 26, 2026
Correction not verified in available records
Inspection
Records and plan of operationType B
- Official classification
- Type B
- Official code
- 87506(3)
- Regulation authority
- CCR
What the official deficiency says
Resident Records (e) Original records or photographic reproductions shall be retained for a minimum of three (3) years following termination of service to the resident. This requirement is not met as evidenced by: staff were unable to provide LPA with Medication Sheets prior to January 2026 and PRN Medication Log prior to 10/8/2024, even though R1 had been living in the facility since 10/11/2018. Staff were unable to locate R1's medication records.
Official plan of correction
Citation claered during today's visit. Director provided LPA with copies of In-Service Training regarding: Safe Medication Management and Documentation conducted on 2/12/2026 and sign-in sheet for staff attendance.
Deadline recorded: Mar 23, 2026. A deadline is not proof that correction was completed.
Citation dismissed - not a correctionOn Mar 23, 2026
Deficiency Dismissed Type B 03/23/2026 Section Cited CCR 87506(3)
Plan of correction recorded
Correction deadline recordedDeadline Mar 23, 2026
Correction not verified in available records
Complaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Not classified in the sourceType A
- Official classification
- Type A
- Official code
- 874659(a)(4)
- Regulation authority
- CCR
What the official deficiency says
Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Per interviews with S1 and S5, R1 did not receive their P.M. medication as prescribed several time a week. Review of records and medication by LPA found that R4 has not received their insulin injections as prescribed and facility could not provide the Daily Blood Sugar Readings log for R4 which the facility uses to track resident's blood sugar checks and levels before administering insulin.
Official plan of correction
Citation cleared during today's visit. Director provided LPA with copies of In-Service Training regarding: Safe Medication Management and Documentation conducted on 2/12/2026 and sign-in sheet for staff attendance.
Deadline recorded: Mar 23, 2026. A deadline is not proof that correction was completed.
Official record says corrected or clearedOn or before Mar 23, 2026
Correction deadline recordedDeadline Mar 23, 2026
Complaint
Part of the complaint whose outcome is recorded on May 8, 2026 · Control 28-AS-20251114145415
No deficiencies recorded in this reportInspection
Medical and dental careType B
- Official classification
- Type B
- Official code
- 87465(i)
- Regulation authority
- CCR
What the official deficiency says
Incidental Medical and Dental Care (i)Prescription medications which are... not returned to the issuing pharmacy, nor retained in the facility as ordered by the resident’s physician and documented in the resident’s record nor disposed... shall be destroyed in the facility by the facility administrator and one other adult who is not a resident... This requirement is not met as evidence by: Based on observation licensee did not ensure that expired medication for R5 and R6 was properly destroyed, which poses a potential risk to the persons health, safety, and personal rights of the persons in care.
Official plan of correction
Licensee has cleared the citation during today's visit. Director provided Medication Distuction Records for R5 and R6 expired medication, Discontinued Medication documents and Discontinue Orders from physician for R5 and R6. Director provided proof of pharmacy medication expiration pick up to be conducted during their quarterly collection. Licensee has locked up expired medication in a separate cabinet pending pick up by pharmacy.
Deadline recorded: Feb 17, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Feb 17, 2026
Correction not verified in available records
Complaint
Allegations2 substantiated · 2 unsubstantiated · 0 unfounded · 2 cited · investigated over 2 visits
Facility condition and maintenanceType A
- Official classification
- Type A
- Official code
- 87303(a)(3)(C)
- Regulation authority
- CCR
What the official deficiency says
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: (3) Equipment and supplies necessary for personal care and maintenance of adequate hygiene practice shall be readily available to each resident. The resident may provide the following items; however, if the resident is unable or chooses not to provide them, the licensee shall assure provision of: (C) Clean linen, including blankets, bedspreads, top bed sheets, bottom bed sheets, pillow cases, mattress pads, bath towels, hand towels and wash cloths. The quantity shall be sufficient to permit changing at least once per week or more often when indicated to ensure that clean linen is in use by residents at all times. The linen shall be in good repair. The use of common wash cloths and towels shall be prohibited. Based on observations and interviews licensee did not ensure, residents were provided clean linen free of urine stains which poses an immediate risk to the health, safety, and personal rights of the persons in care.
Official plan of correction
Administrator will insure bedding is free from urine stains and have staff check residents bedding more often. Administrator will go over section 87303(a)(3)(C) training with staff and submit to LPA by POC due date.
Deadline recorded: Jan 17, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jan 17, 2026
Correction not verified in available records
Complaint
Part of the complaint whose outcome is recorded on Jan 16, 2026 · Control 28-AS-20251029154058
Facility condition and maintenanceType A
- Official classification
- Type A
- Official code
- 87303(3)(C)
- Regulation authority
- CCR
What the official deficiency says
87307 Personal Accommodations and Services (3) Equipment and supplies necessary for personal care and maintenance of adequate hygiene practice shall be readily available to each resident. The resident may provide the following items; however, if the resident is unable or chooses not to provide them, the licensee shall assure provision of: (C) Clean linen, including blankets, bedspreads, top bed sheets, bottom bed sheets, pillow cases, mattress pads, bath towels, hand towels and wash cloths. The quantity shall be sufficient to permit changing at least once per week or more often when indicated to ensure that clean linen is in use by residents at all times. The linen shall be in good repair. The use of common wash cloths and towels shall be prohibited. Based on observations and interviews licensee did not ensure, residents were provided clean linen free of urine stains which poses an immediate risk to the health, safety, and personal rights of the persons in care.
Official plan of correction
Administrator will insure bedding is free from urine stains and have staff check residents bedding more often. Administrator will go over section 87307 training with staff and submit to LPA by POC due date.
Deadline recorded: Nov 23, 2025. A deadline is not proof that correction was completed.
Citation dismissed - not a correctionOn Nov 23, 2025
Deficiency Dismissed Type A 11/23/2025 Section Cited CCR 87303(3)(C)
Plan of correction recorded
Correction deadline recordedDeadline Nov 23, 2025
Correction not verified in available records
Resident rightsType A
- Official classification
- Type A
- Official code
- 87468.1(a)(3)
- 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: (3) To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature, such as withholding residents’ money or interfering with daily living functions such as eating, sleeping, or elimination. Based on observations and interviews licensee did not ensure, residents were being free from intimidation, ,or other actions of a punitive nature by staff which poses an immediate risk to the health, safety, and personal rights of the persons in care.
Official plan of correction
Administrator will give training to all staff on personal rights of the residnets 87468.1(a)(3) with all staff and send log to LPA by PO due date.
Deadline recorded: Nov 23, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Nov 23, 2025
Correction not verified in available records
Complaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportInspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Complaint
Allegations0 substantiated · 0 unsubstantiated · 1 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportInspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Complaint
Allegations0 substantiated · 1 unsubstantiated · 1 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 4 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 5 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Resident rightsType A
- Official classification
- Type A
- Official code
- 87468.1
- 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: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. Based on records review and interviews, the Licensee failed to provide a safe environment for residents in care by not ensuring R1 received proper care to address substance abuse problem and continued to house R1 after the facility acknowledged they could no longer assist R1 with care that is needed.
Official plan of correction
Provide LPA with documented needs and services plan to assist R1 with treatment based on care needs and provide adequate supervision,
Deadline recorded: Jun 19, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 19, 2023
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87307(d)(2)
- Regulation authority
- CCR
What the official deficiency says
87307(d)(2) Personal Accommodations and Services. The following space and safety provisions shall apply to all facilities: The premises shall be maintained in a state of good repair and shall provide a safe and healthful environment. This requirement was not met evidenced by: Based on interviews conducted and record review on 7/22/2022 and 7/24/2022 a transient woman entered the facility through unlocked side and/or rear doors and grabbed R1's ankle, and on 7/24/2022 stole R8'scell phone; which poses a potential health and safety risk to persons in care.
Official plan of correction
Administrator shall develop and submit a written Plan of Correction (POC) that addresses how the facility will comply and conduct staff training. ***All side and rear doors shall be repaired and/or replaced due to disrepair. Submit proof of service invoice and pictures by POC due date. If additional time is required to complete noted items to correct submit a written extension request prior to the due date.
Deadline recorded: Aug 4, 2022. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Aug 4, 2022
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
No deficiencies recorded in this report
Complaint
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportSource 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