Fire safety and emergency preparedness
Cited in 2 reports, with 3 deficiencies in total.
FALLBROOK ASSISTED LIVING
5504 FALLBROOK AVENUE, Woodland Hills CA 91367
6 bedsLatest official report Jan 29, 2026Licensed
Additional info
- Telephone
- (818) 713-0447
- Licensee
- FALLBROOK ASSISTED LIVING,INC.
- Administrator
- ASATRYAN, YULIYA
- Contact
- ASATRYAN, YULIYA
- License first date
- Jan 20, 2023
- License effective date
- Jan 20, 2023
- District office
- WOODLAND HILLS N.ASC · (818) 596-4334
- Regional office
- 29
- Clients served
- 983 - RCFE / DEMENTIA, 985 - RCFE / HOSPICE
Summary
The available records show 4 Type A and 11 Type B deficiencies for this facility.
- Most recent inspection
- Jan 29, 2026
- Most recent deficiency
- Jan 29, 2026
No later report is available, so the records do not show what happened afterward.
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 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: 4 inspections, 0 complaint investigations, and 2 licensing or administrative records.
Those records contain 4 Type A and 11 Type B deficiencies.
1 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 4
- Recorded deficiencies
- 15
- Type A deficiencies
- 4
- Type B deficiencies
- 11
- Substantiated complaints
- 0
- Repeated topics
- 3
About the same as most this size
1 in the last 12 months
Well above the typical 1
11 in the last 12 months
Most this size have none
3 in the last 12 months
Most this size have none
8 in the last 12 months
Most this size also have none
0 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.
Admission, assessment, and eviction
Cited in 2 reports, with 2 deficiencies in total.
Food service
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
Licensing and administrationType A
- Official classification
- Type A
- Official code
- 1569.618(c)(4)
- Regulation authority
- HSC
What the official deficiency says
(c)The facility shall employ, and the administrator shall schedule, a sufficient number of staff members to do all of the following: (4) Ensure that the facility is clean, safe, sanitary, and in good repair at all times. 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 had personal items including medications accessible to residents which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 01/29/2026 Plan of Correction The Staff secured their items and medications during the visit. POC Cleared.
Official record says corrected or clearedOn or before Jan 29, 2026
Plan of correction recorded
Medication handling and storageType A
- Official classification
- Type A
- Official code
- 87465(h)
- Regulation authority
- CCR
What the official deficiency says
(h) The following requirements shall apply to medications which are centrally stored: 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 medication count and administration was not consistent or maintained which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 01/30/2026 Plan of Correction The Licensee will provide staff with medication training and provide CCLD proof by POC due date.
Plan of correction recorded
Correction not verified in available records
Medication handling and storageType A
- Official classification
- Type A
- Official code
- 87465(h)(2)
- Regulation authority
- CCR
What the official deficiency says
(h) The following requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. 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 medications were not secured which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 01/30/2026 Plan of Correction The Licensee will install locks to secure centrally stored medications and send CCLD proof by POC due date.
Plan of correction recorded
Correction not verified in available records
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87412(g)
- Regulation authority
- CCR
What the official deficiency says
(g) All personnel records shall be maintained at the facility. 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 staff did not have health screening and TB test on file which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 02/06/2026 Plan of Correction The Licensee will obtain the staff's health screening and TB tests and send CCLD proof by POC due date.
Plan of correction recorded
Correction not verified in available records
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 1569.625(b)(2)
- Regulation authority
- HSC
What the official deficiency says
(2) In addition to paragraph (1), training requirements shall also include an additional 20 hours annually, eight hours of which shall be dementia care training, as required by subdivision (a) of Section 1569.626, and four hours of which shall be specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696. This training shall be administered on the job, or in a classroom setting, or both, and may include online training. 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 staff annual training did not meet required topics and hours which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 02/13/2026 Plan of Correction The Licensee will review training requirements and create an annual training schedule and send CCLD proof by POC due date.
Plan of correction recorded
Correction not verified in available records
Food serviceType B
- Official classification
- Type B
- Official code
- 87555(b)(26)
- Regulation authority
- CCR
What the official deficiency says
(b) The following food service requirements shall apply: (26) Supplies of nonperishable foods for a minimum of one week and perishable foods for a minimum of two days shall be maintained on the premises. 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 the facility's non-perishable food was not supplied for 7 days which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 02/02/2026 Plan of Correction The Licensee will obtain more non-perishable food and send CCLD proof by POC due date.
Plan of correction recorded
Correction not verified in available records
Records and plan of operationType B
- Official classification
- Type B
- Official code
- 87506(a)
- Regulation authority
- CCR
What the official deficiency says
(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: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in resident files were incomplete and not maintained which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 02/20/2026 Plan of Correction The Licensee will complete all resident files, obtain updated Physician's Report and Appraisals, and send CCLD proof by POC due date.
Plan of correction recorded
Correction not verified in available records
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87456(a)(2)
- Regulation authority
- CCR
What the official deficiency says
(a) Prior to accepting a resident for care and in order to evaluate his/her suitability, the facility shall, as specified in this article 8: (2) Perform a pre-admission appraisal. 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 1 resident did not have a pre-admission appraisal conducted which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 02/06/2026 Plan of Correction The Licensee will review regulation and submit a statement of understanding by POC due date.
Plan of correction recorded
Correction not verified in available records
Fire safety and emergency preparednessType B
- Official classification
- Type B
- Official code
- 1569.695(a)(2)
- Regulation authority
- HSC
What the official deficiency says
(a)In addition to any other requirement of this chapter, a residential care facility for the elderly shall have an emergency and disaster plan that shall include, but not be limited to, all of the following: (2) Plans for the facility to be self-reliant for a period of not less than 72 hours immediately following any emergency or disaster, including, but not limited to, a short-term or long-term power failure. If the facility plans to shelter in place and one or more utilities, including water, sewer, gas, or electricity, is not available, the facility shall have a plan and supplies available to provide alternative resources during an outage. 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 the emergency food supply had expired items which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 02/06/2026 Plan of Correction The Licensee will discard of expired items and replenish emergency food. The Licensee will also come up with a schedule to review foods supply and send CCLD proof by POC due date.
Plan of correction recorded
Correction not verified in available records
Fire safety and emergency preparednessType B
- Official classification
- Type B
- Official code
- 1569.695(c)
- Regulation authority
- HSC
What the official deficiency says
(c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill, it shall not require any resident participation. Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill. 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 emergency drills are not conducted quarterly which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 02/13/2026 Plan of Correction The Licensee will create an emergency drill schedule and send CCLD proof by POC due date.
Plan of correction recorded
Correction not verified in available records
Medical and dental careType B
- Official classification
- Type B
- Official code
- 87465(i)
- Regulation authority
- CCR
What the official deficiency says
(i) Prescription medications which are not taken with the resident upon termination of services, 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 of according to the hospice’s established procedures or which are otherwise to be disposed of shall be destroyed in the facility by the facility administrator and one other adult who is not a resident. Both shall sign a record, to be retained for at least three years, which lists the following: 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 a prior resident's medications were not destroyed which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 02/01/2026 Plan of Correction The Licensee will have the former resident's family pick up the medications within 48 hours or discard it. The Licensee will send CCLD proof of desctruction record by POC due date.
Plan of correction recorded
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Inspection
Food serviceType A
- Official classification
- Type A
- Official code
- 87555(b)(27)
- Regulation authority
- CCR
What the official deficiency says
(b) The following food service requirements shall apply: (27) All kitchen areas shall be kept clean and free of litter, rodents, vermin and insects. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited abovea, as cockroaches were observed in the space next to the refrigerator, in the kitchen cabinets, and on the kitchen floor, which poses an immediate health and safety risk to persons in care.
Official plan of correction
POC Due Date: 01/25/2024 Plan of Correction Administrator contacted a pest control company during today's visit and indicated they have scheduled the company Fumapest for a visit on Thursday 01/25/2024 and will come every month thereafter. Administrator will provide proof to CCL upon completion of Thursday's pest control visit.
Plan of correction recorded
Correction not verified in available records
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87507(c)
- Regulation authority
- CCR
What the official deficiency says
(c) Admission agreements shall be signed and dated, acknowledging the contents of the document, by the resident or the resident's representative, if any, and the licensee or the licensee's designated representative no later than seven days following admission. Attachments to the agreement may be utilized as long as they are also signed and dated as prescribed above. 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 2 (two) of 5 (five) resident records reviewed contained an Admission Agreement for the previous facility at this location, not the current licensed facility which poses a potential personal rights risk to persons in care.
Official plan of correction
POC Due Date: 02/06/2024 Plan of Correction Administrator agreed to obtain new Admission Agreements with the 2 residents identified and will provide proof to CCL by POC due date.
Plan of correction recorded
Correction not verified in available records
Fire safety and emergency preparednessType B
- Official classification
- Type B
- Official code
- 1569.695(c)
- Regulation authority
- HSC
What the official deficiency says
(c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill, it shall not require any resident participation. Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill. 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 as the last emergency disaster drill was conducted on 01/11/2023, which poses a potential health and safety risk to persons in care.
Official plan of correction
POC Due Date: 02/06/2024 Plan of Correction Administrator agreed to conduct an emergency disaster drill and provide proof to CCL by POC due date. Administrator will also submit a training plan to include conducting an emergency disaster drill quarterly.
Plan of correction recorded
Correction not verified in available records
Dementia careType B
- Official classification
- Type B
- Official code
- 87705(h)
- Regulation authority
- CCR
What the official deficiency says
(h) Outdoor facility space used for resident recreation and leisure shall be completely enclosed by a fence with self-closing latches and gates, or walls, to protect the safety of residents. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above as both outdoor gates are not self-closing or self-latching, which poses/posed a potential health and safety risk to persons in care.
Official plan of correction
POC Due Date: 02/06/2024 Plan of Correction Administrator agreed to provide maintenance for the gates to ensure they self-close and self-latch. Administrator will provide proof of gates in compliance by POC due date.
Plan of correction recorded
Correction not verified in available records
Source 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