Staffing, personnel, and training
Cited in 2 reports, with 3 deficiencies in total.
23427 VICTORY BLVD, West Hills CA 91307
6 bedsLatest official report Jul 10, 2025Licensed
The available records show 23 Type A and 11 Type B deficiencies for this facility.
1 later report, on Jul 10, 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 18 reports for this facility: 7 inspections, 11 complaint investigations, and 0 licensing or administrative records.
Those records contain 23 Type A and 11 Type B deficiencies.
2 deficiencies have explicit official correction or clearance evidence in the loaded records.
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.
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.
Cited in 2 reports, with 2 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 · 5 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportAllegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportAllegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Personnel Requirements - General (c)All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual training as specified in Health & Safety Code sections 1569.625 and 1569.69 (3) The training shall include, but not be limited to, the following: Importance and techniques of personal care services, including but not limited to,..feeding...This requirement is not met as evidenced by; Based on interviews & record review, staff do not have client specific training for feeding assistance & aspiration pneumonia which poses an immediate health, safety and personal rights risk to resident in care.
Administrator will ensure that all staff get client specific training for feeding assistance and aspiration pneumonia by the POC due date.
Deadline recorded: Feb 7, 2023. A deadline is not proof that correction was completed.
Allegations2 substantiated · 0 unsubstantiated · 0 unfounded · 2 cited
Personnel Requirements-Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. This requirement was not met as evidenced by: Based on interviews conducted facility did not have enough staff to meet all resident needs. This poses a potential health and safety risk to residents in care.
Administrator stated they have hired additional staff. A staff schedule will be sent to LPA to clear deficiency.
Deadline recorded: Mar 4, 2022. A deadline is not proof that correction was completed.
Planned Activities-Residents shall be encouraged to maintain and develop their fullest potential for independent living through participation in planned activities. This requirement was not met as evidenced by: Based on interviews conducted residents did not have planned activities which posed a personal rights violation to residents in care.
Corrected before visit. Activity calendar was given to LPA.
Deadline recorded: Mar 2, 2022. A deadline is not proof that correction was completed.
Allegations2 substantiated · 0 unsubstantiated · 0 unfounded · 3 cited
(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (14) To have reasonable access to telephones, to both make and receive confidential calls. The licensee may require reimbursement for long distance calls. This requirement was not met as evidenced by: Based on interview the licensee did not comply with the cited sections by allowing R1 to have personal/confidential phone calls with family which posed an immediate personal rightsviolation to R1.
Licensee will review the cited regulation 87468.1. Licensee will submit a written statement that they have reviewed the regulation and indicate what steps will be taken to ensure the residents personal rights are not violated.
Deadline recorded: Jan 21, 2022. A deadline is not proof that correction was completed.
All facilities shall have telephone service on the premises. Facilities with a capacity of sixteen (16) or more persons shall be listed in the telephone directory under the name of the facility. This requirement was not met as evidenced by: Based on interview and attempted telephone calls to the facility the licensee did not comply with the cited section by not ensuring that a telephone service is available on the premises at all times which poses an immediate personal rights violation to R1.
Licensee will notify the department in writing what steps have been taken to correct this deficiency, Licensee and administrator will also submit a written statement that telephone services will be made available at the facility at all times.
Deadline recorded: Jan 21, 2022. A deadline is not proof that correction was completed.
(5) The licensee shall assist residents with self-administered medications as needed. This requirement was not met as evidenced by: Based on medication count the licensee did not comply with the section cited by not assisting R1 and R2 with self administered medications as prescribed which posed/poses an immediate health and safety and personal right risk to residents in care.
Licensee and all staff attended vendorized medication training on 12/19/2021. Licensee will submit a written statement notifying the department what steps will be taken to ensure residents are assisted with medications as prescribed.
Deadline recorded: Jan 21, 2022. A deadline is not proof that correction was completed.
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportAllegations5 substantiated · 7 unsubstantiated · 0 unfounded · 5 cited · investigated over 2 visits
No deficiencies recorded in this reportAllegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Incidental Medical... A plan for incidental medical...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: The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. This requirement was not met as evidenced by: Based on interviews conducted with administrator and R1 that revealed that the administrator did not receive medical attention in a timely manner which posed an Incidental Medical...violation to resident(s) in care.
Administrator will submit a written step by step guide to ensure that facility clients medical needs are met and that residents do not experience neglect.
Deadline recorded: Dec 24, 2022. A deadline is not proof that correction was completed.
Allegations4 substantiated · 3 unsubstantiated · 0 unfounded · 3 cited
If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication but can communicate his/her symptoms clearly, facility staff shall be permitted to assist the resident with self-administration, provided all of the following requirements are met: (3) A record of each dose is maintained in the resident's record. The record shall include the date & time the PRN medication was taken, the dosage taken, & the resident's response. This requirement was not met as evidenced by: Based on records review and interview the licensee did not comply with the cited sections by not documenting when PRN medications were administered to R1. Which posed an
immediate health, safety and personal rights risk to R1. Licensee/Administrator will schedule vendorized medication training for all staff. Training will need to be scheduled within 24 hours and completed by 11/19/2021
Deadline recorded: Nov 8, 2021. A deadline is not proof that correction was completed.
(c) If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication but can communicate his/her symptoms clearly, facility staff shall be permitted to assist the resident with self-administration, provided the following requirements are met: (2) Once ordered by the physician the medication is given according to the physician's directions.This requirement was not met as evidenced by: Based on medication review the licensee did not comply with the cited sections by not giving medications per the physicians directions which posed an immediate health, safety and personal rights risk to R1.
Licensee/Administrator will schedule vendorized medication training for all staff. Training will need to be scheduled within 24 hours and completed by 11/19/2021 Licensee/Administrator will also submit a written statement notifying the department what steps will be taken to prevent the reoccurrence of the cited deficiency.
Deadline recorded: Nov 8, 2021. A deadline is not proof that correction was completed.
(e) For every prescription and nonprescription PRN medication for which the licensee provides assistance there shall be a signed, dated written order from a physician on a prescription blank, maintained in the resident's file, and a label on the medication. Both the physician's order and the label shall contain at least all of the following information. This requirement was not met as evidenced by: Based on hospital records review the licensee did not comply with the section cited above by not having a signed written order from a physician for the medication Geodon given to resident 1 which posed an immediate health, safety and personal rights risk to R1.
Licensee/Administrator will schedule vendorized medication training for all staff. Training will need to be scheduled within 24 hours and completed by 11/19/2021 Licensee/Administrator will also submit a written statement notifying the department what steps will be taken to prevent the reoccurrence of the cited deficiency.
Deadline recorded: Nov 8, 2021. A deadline is not proof that correction was completed.
Part of the complaint whose outcome is recorded on Dec 23, 2021 · Control 31-AS-20211013144148
Personal Rights of Residents in All Facilities-To be accorded dignity in their personal relationships with staff, residents, and other persons. This requirement was not met as evidenced by: Based on interviews conducted it was revealed that R1 was yelled at by the facility administrator which posed a personal rights violation to residents in care.
Administrator shall submit written statement that no residents will be yelled at and will be talked to appropriately. Copy of written statement will be due by poc due date.
Deadline recorded: Oct 25, 2021. A deadline is not proof that correction was completed.
Personal Rights of Residents in All Facilities-To leave or depart the facility at any time and to not be locked into any room, building, or on facility premises by day or night. This requirement was not met as evidenced by: Based on interviews conducted residents were not able to leave the facility at anytime. This poses a potential personal rights violation to residents in care.
Administrator shall have a meeting with all residents and explain those that are able to leave the facility without supervision shall be able to without permission. Staff will have a sign in sheet to which residents will sign that meeting too place and copy will be sent to LPA by poc due date.
Deadline recorded: Oct 25, 2021. A deadline is not proof that correction was completed.
Personal Rights of Residents in All Facilities-To wear their own clothes; to keep and use their own personal possessions. This requirement was not met as evidenced by: Based on interviews conducted it was observed and admitted to by the administrator that R1 was not able to wear or have access to their own clothes which is a violation of residents personal rights.
Administrator will send statement that all residents will be able to wear whatever clothes they choose to and will have access to all of their clothing without interference from facility staff.
Deadline recorded: Oct 25, 2021. A deadline is not proof that correction was completed.
Planned Activities-Residents shall be encouraged to maintain and develop their fullest potential for independent living through participation in planned activities. This requirement was not met as evidenced by: Based on interviews conducted facility does not have any planned activities for residents.
Administator shall come up with an activity calendar with input from the residents of various activities that residents will be offered and can participate in. Copy of activity calendar will be sent to LPA by poc due date.
Deadline recorded: Oct 25, 2021. A deadline is not proof that correction was completed.
Personal Rights of Residents in All Facilities-To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement was not met as evidenced by: Based on interviews conducted staff were not checking all visitors temperatures upon entry to the facility which poses an immediate health and safety risk to residents in care.
Administrator shall have in-service with facility staff on the importance of checking all visitors temperatures. Copy of in-service sign in sheet shall be sent to LPA.
Deadline recorded: Oct 22, 2021. A deadline is not proof that correction was completed.
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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