BELMONT VILLAGE ENCINO

Official classification

Type A

Official code

87464(f)(1)

Regulation authority

CCR

What the official deficiency says

(f) Basic services shall at a minimum include: (1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c). This requirement was not met as evidenced by: Based on interview and record review, the Licensee did not comply with the section cited above as the Licensee did not meet R1’s care and supervision needs that resulted in an elopement which posed/poses an immediate health, safety, and/or personal rights risk to residents in care.

Official plan of correction

The facility provided staff in-service training regarding elopement procedures and preventions on 05/28/2026. POC cleared.

Deadline recorded: Jun 18, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87411(a)

Regulation authority

CCR

What the official deficiency says

(a) Facility personnel shall at all times be… competent to provide the services necessary to meet resident needs… This requirement was not met as evidenced by: Based on interview and record review, the licensee did not comply with the above cited section in 2 staff did not follow mandated reporting requirements which poses an immediate health, safety, and personal rights risk to persons in care.

Official plan of correction

A staff in-service training was conducted on 05/22/2026 regarding mandated reporting. The Licensee will conduct the training with absent staff at the time and provide proof by POC due date.

Deadline recorded: May 29, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87303(e)(2)

Regulation authority

CCR

What the official deficiency says

(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 6 resident restroom sinks hot water measured between 104.4 degrees F and 133.5 degrees F which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 06/13/2025 Plan of Correction Executive Director contacted the building engineer to adjust the facility's water boiler/heater. Executive Director will send CCLD proof of adjusted hot water temperatures by POC Due Date.

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

(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: Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above in 2 out of 6 resident restroom sinks were clogged and slow to drain which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 06/13/2025 Plan of Correction Executive Director contacted the building engineer who contacted a third party plumber to visit the facility on 06/11/2025 to clear the pipes. Executive Director will send proof to CCLD of draining sinks and plumber confirmation by POC Due Date.

Official classification

Type B

Official code

87468.2(a)

Regulation authority

CCR

What the official deficiency says

Additional Personal Rights of Residents in Privately Operated Facilities (a) In addition to the rights listed in Section 87468.1...residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above as Resident #1 (R1) was wrongfully overcharged a total of $1,436.57 which poses a potential personal rights risk to persons in care.

Official plan of correction

The facility did not receive payment for the 01/01/2023-01/03/2023 balance of $1,059.15. ED stated they will issue a check for the balance owed, $377.42, and have it mailed to R1/responsible party of R1 and submit proof to CCL by 03/11/2025.

Deadline recorded: Mar 11, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87629(a)(b)(1)

Regulation authority

CCR

What the official deficiency says

87629 (a) (b)(1)-The licensee shall be permitted to accept or retain a resident who requires intramuscular, subcutaneous, or intradermal injections if the injections are administered by the resident or by an appropriately skilled professional. (b)In addition to Section 87611, General Requirements for Allowable Health Conditions, the licensees who admit or retain residents who require injections shall be responsible for the following:(1) Ensuring that injections are administered by an appropriately skilled professional should the resident require assistance. This requirement is not met as evidenced by: Based on observation and record review, the licensee did not comply with the section cited above as five (5) out of seven (7) residents received injections from unskilled professionals, which poses an immediate health and safety risk to persons in care.

Official plan of correction

The Executive Director9ED) has agreed to review the regulations as they pertain to skilled professionals providing injections, and to conduct training to ensure that staff understand their roles and understand the regulations pertaining to injections provided by skilled professionals. The ED will submit proof of the training to the department by July 26th.

Deadline recorded: Jul 26, 2024. A deadline is not proof that correction was completed.