The Village at Sherman Oaks

87211 Reporting Requirements(a) Each licensee shall furnish...:(1) A written report shall be submitted to... licensing... within seven days of the occurrence of any of the events specified in (A) through (D) below…This requirement is not met as evidenced by: Based on record review and interview the licensee did not comply with the section cited above as two incident reports and one death report were not submitted to licensing within the required timeframe which posed a potential health, safety, or personal rights risk to clients in care.

87465 Incidental Medical and Dental Care(a) A plan for incidental medical and dental care shall be developed...(4) The licensee shall assist residents with self-administered medications as needed.This requirement is not met as evidenced by: Based on record review and interview the licensee did not comply with the section cited above as R1 missed administration of their prescribed Torsemide between 09/30/2025-10/03/2025 which posed a potential health risk to clients in care.

87211 Reporting Requirements(a) Each licensee shall furnish...:(1) A written report shall be submitted to... licensing...within seven days of...(D) Any incident which threatens the welfare, safety or health of any resident...This requirement is not met as evidenced by: Based on record review and interview the licensee did not comply with the section cited above as two incident reports pertaining to incidents involving R1 were not submitted to licensing within the required timeframe which posed a potential health, safety, or personal rights risk to clients in care.

87465 Incidental Medical and Dental Care(a) A plan for incidental medical and dental care shall be developed...(4) The licensee shall assist residents with self-administered medications as needed.This requirement is not met as evidenced by: Based on record review and interview the licensee did not comply with the section cited above as R1 missed administration of their prescribed Olanzapine between 08/04/2025-09/16/2025 which posed a potential health risk to clients in care.

1569.655 (a) If a licensee of a residential care facility for the elderly increases the rates of fees for residents...the licensee shall provide no less than 90 days' prior written notice...the amount of the increase...This requirement is not met as evidenced by: Based on interviews and record review, the licensee did not comply with the section cited above when they issued a general rate increase with less than 90 days’ notice, which posed a potential personal rights risk to residents in care.

Based on observation, the licensee did not comply with the section cited above as LPAs observed three window screens/window screen frames were observed to be in disrepair which poses a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above as one resident's centrally stored medication and destruction record sheet contained inaccurate and out of date information which poses a potential health, risk to persons in care.

Each resident with dementia shall have an annual medical assessment as specified in section 87458, medical assessment, and a reappraisal done at least annually, both of which shall include a reassessment of the resident' dementia care needs. This requirement is not met as evidenced by: Based on record review, the licensee did not comply witht he section cited above as R1 Physician's report (LIC602) is dated 12/20/2022 which poses a potential health and safety risk to residents in 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.

87464 Basic services (f)(1)(c) "Care and supervision" means the facility assumes responsibility for...ongoing assistance with activities of daily living without which the resident’s physical health, mental health, safety, or welfare would be endangered.This requirement is not met as evidenced by: Based on interviews and records review, R1 is not permitted to leave the facility unassisted, and was found outside of the facility without supervision, which poses an immediate health and safety risk to residents in care.

87465(a)(1) Incidental Medical and Dental Care: A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care ...appropriate to the conditions and needs of residents.This requirement is not met as evidenced by: Based on interviews, the licensee did not comply with the section cited above. Staff did not obtain timely medical attention for R1 when R1 fell and complained of hip and back pain, which posed an immediate health and safety risk to residents in care.

1569.269(a)(21) HSC: Enumerated rights; severability. (a) Residents of residential care facilities for the elderly.. (21) To have prompt access to review all of their records.. records shall be promptly provided, not to exceed two business days, at a cost not to exceed the community standard for photocopies. This requirement was not met as evidenced by. Based on a statement of confirmation by Administrator LaBelle on or about 6/22/20 the facility failed to promptly produce requested records resulting in a potential risk to the personal rights of residents in care.