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Inspection visit

Office review

ANNA'S HOME & PARADISELicense 1976101777 citations on this visit
7 citations recorded

Inspector’s narrative

What the inspector wrote

At approximately 1:30 p.m. on 06/18/25 Licensing Program Analyst (LPA) Nicholas Reed initiated an unannounced case management visit at the Woodland Hills-South Regional Office. LPA met with the licensee and disclosed the reason for the visit. The purpose of today’s case management visit was to issue deficiencies previously noted at the facility during complaint investigations on 06/05/25 and 06/17/25 of complaints # 31-AS-20250602111246 and # 31-AS-20250616164325. During the investigations, LPA requested records for all residents. Record review at 10:30 a.m. on 06/17/25 revealed that Resident #1 (R1) was admitted without a medical assessment within the past twelve (12) months. R1 also did not have a preplacement appraisal, admission agreement, care plan. inventory list, or signed personal rights form. R1 was admitted with a G-tube and a catheter and was receiving hospice services, yet the licensee admitted at 1:20 p.m. on 06/18/25 that the facility did not retain R1’s hospice paperwork. R1 was readmitted to the facility around 06/11/25 with a Total Parenteral Nutrition (TPN) line and a catheter but no home health services or documents. Resident #2 (R2) had a medical assessment which was older than twelve (12) months. The facility did not update the care plan for Resident #3 (R3) within the past twelve (12) months. Resident #4 (R4) signed up for a private room in their admission agreement. R4 also did not have signed consent forms, tuberculosis results, inventory sheet, or signed personal rights form. Around 10:00 a.m. on 06/17/25 and at 1:00 p.m. on 06/05/25, LPA observed R4 was in a shared room with R3. Additionally, R3 and R4 both noted that they did not enjoy living with one another in the same room. Licensee to submit a written statement that all resident records, including but not limited to, medical assessments, appraisals, care plans, consent forms, and admission agreements, will be reviewed and completed. In lieu of all deficiencies cited on this report, the administrator demonstrated a lack of ability to provide appropriate care and supervision for residents. Deficiencies are assessed on the corresponding LIC 809-D page. Exit interview conducted. Appeal rights discussed. Copy of report provided.

Citations

7 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 87405Type B

    87405 Administrator - Qualifications and Duties (d) The administrator shall have the qualifications… for… (1) Knowledge of the requirements for providing care and supervision appropriate to the residents. This requirement was not met as evidenced by: Based on record review, the licensee did not comply with the section cited above through providing insufficient care and supervision which posed a potential risk to the Health, Safety, or Personal Rights of persons in care.

  • 87457(c)Type B

    Complete admission suitability appraisal

    87457 Pre-Admission Appraisal (a) Prior to admission, the prospective resident... shall be interviewed by the licensee... (c)... a determination of the prospective resident's suitability for admission shall be completed. This requirement was not met as evidenced by: Based on record review, the licensee did not comply with the section cited above through not documenting a preplacement for Resident #1 (R1) which posed a potential risk to the Health, Safety, or Personal Rights of persons in care.

  • 87458(a)(1)(A)Type A

    87458 Medical Assessment (a) Prior to a person's acceptance as a resident, the licensee shall obtain... (1) A physical examination... and results of an examination for...: (A) Communicable tuberculosis.This requirement was not met as evidenced by: Based on record review, the licensee did not comply with the section cited above through not documenting a preplacement for Resident #1 (R2

  • 87467(a)Type B

    Admit resident care meeting requirements

    87467 Resident Participation in Decisionmaking (a) Prior to, or within two weeks of the resident’s admission, the licensee shall arrange a meeting... to prepare a written record of the care the resident will receive in the facility. This requirement was not met as evidenced by: Based on record review, the licensee did not comply with the section cited above through not comlpeting a care plan for Resident #1 (R1) which posed a potential risk to the Health, Safety, or Personal Rights of persons in care.

  • 87505Type B

    87505 Documentation and Support - Each facility shall document in writing the findings of the pre-admission appraisal and any reappraisal or assessment which was necessary. This requirement was not met as evidenced by: Based on record review, the licensee did not comply with the section cited above through not updating the reappraisal for Resident #3 (R3) within twelve months which posed a potential risk to the Health, Safety, or Personal Rights of persons in care.

  • 87507Type B

    87507 Admission Agreements (a) The licensee shall complete an individual written admission agreement, as defined in Section 87101(a), with each resident or the resident's representative, if any.This requirement was not met as evidenced by: Based on record review, the licensee did not comply with the section cited above through not comlpeting an admission agreement for Resident #1 (R1) which posed a potential risk to the Health, Safety, or Personal Rights of persons in care.

  • 87633(b)Type A

    Facility must keep complete hospice care plan on file

    87633 Hospice Care of Terminally Ill Residents (b) A current and complete hospice care plan shall be maintained in the facility for each hospice resident.This requirement was not met as evidenced by: Based on record review, the licensee did not comply with the section cited above through not maintaining a hospice care plan for Resident #1 (R1) which posed a potential risk to the Health, Safety, or Personal Rights of persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the June 18, 2025 inspection of ANNA'S HOME & PARADISE?

This was an other inspection of ANNA'S HOME & PARADISE on June 18, 2025. 7 citations were issued: 2 Type A (serious) and 5 Type B.

Were any citations issued to ANNA'S HOME & PARADISE on June 18, 2025?

Yes, 7 citations were issued (2 Type A, 5 Type B). The first citation was for: "87405 Administrator - Qualifications and Duties (d) The administrator shall have the qualifications… for… (1) Knowledge ..."

What type of inspection was this?

This was an other inspection. other inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLDView original report

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.