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Inspection visit

Follow-up on corrections

AN ELITE CHATEAULicense 1976104624 citations on this visit
4 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analysts (LPA’s) Mariana Agban and Evelin Rios conducted a Case Management - Deficiency visit in conjunction to Complaint Control Number 31-AS-20251024154115. LPAs were granted access by caregiver and met with Assistant Administrator, Sean V. Abalajon shortly after. LPAs explained the reason for the visit. During the physical plant inspection, LPA Rios observed medications stored in two (2) of the six (6) resident bedrooms. A review of all six (6) residents’ records revealed that Resident #2’s (R2’s) Physician’s Report (LIC 602) indicates R2 as unable to manage or store their own medications. Resident #3 (R3) had an incomplete LIC 602 that did not specify whether they are capable of storing their own medications. In an interview, the Assistant Administrator stated that R2 “chooses” to keep their medications, and there for the facility allows it. They also informed LPA Rios that R3 has a diagnosis that could pose a health and safety risk if R3 were given access to their medications. During the physical plant tour, LPA Rios observed a medication organizer in R2’s bedroom, as well as another organizer in the facility’s medication cabinet. Several small containers filled with various pills were also observed. According to the Assistant Administrator, medications for Residents #1 (R1) and R2 are arranged in weekly organizers due to the volume of medications they require. For the four (4) other residents, medications are placed into small containers labeled “AM” and “PM” to provide scheduled medication. A review of the facility’s medication management policy revealed that all medications are required to be locked, centrally stored, and kept inaccessible to residents. Additionally, the policy states that medications must be prepared by staff in a medication cup one hour prior to administration, in accordance with physician orders. (Continue to LIC809-C) (Continued from LIC809) During the backyard physical plant inspection, LPAs observed that two gates providing access to a filled pool were unlocked and left open. In an interview, the Assistant Administrator revealed that the facility had hosted a gathering about three weeks ago and had forgotten to close the gates since then. An interview with the Assistant Administrator revealed that R3 began receiving hospice services following an incident that required emergency medical attention. However, a review of the Woodland Hills Regional Office files by LPA Rios showed that no incident report had been submitted regarding this event. The Assistant Administrator was uncertain about the date of the incident, and R3’s hospice folder lacked documentation indicating the start of care. Additionally, the LPA was unable to locate a Hospice Notification. Deficiencies cited (Refer to LIC809-D). Exit Interview Conducted / A Copy of the Report was provided to Assistant Administrator.

Citations

5 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.

  • 87465(h)(5)Type B

    (h) The following requirements shall apply to medications which are centrally stored:(5) Each resident's medication shall be stored in its originally received container. No medications shall be transferred between containers.This requirement is not met as evidenced by: Based on observation and record review, the licensee did not comply with the section cited above six (6) out of (6) resdients having medication transfered between containers which poses an potential health, safety or personal rights risk to persons in care.

  • 87555(b)(26)Type B

    (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: Based on LPAs' observations, there were no sufficient food supplies for nonperishable foods for a minimum of one week and perishable foods for a minimum of two days on the premises. This poses a potential health, safety, or personal rights risk to residents in care

  • 87211(a)(1)Type B

    (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to...the following: (1)A written report shall be submitted to the licensing agency...This requirement is not met as evidenced by: This requirement is not met as evidenced by: Based record review and interview, the licensee did not comply with the section cited above in one (1) out of (6) residents had a medical emergency and then started Hospice Services without notification or report submitted to Licensing which poses an potential health, safety or personal rights risk to persons in care.

  • 87307(e)(2)(A)Type A

    (e) The licensee shall supervise residents as needed... when there is use of the following items: (2)...swimming pools...(A) The licensee shall ensure... are inaccessible... when not in active use by residents. This requirement is not met as evidenced by: Based on observation and record review, the licensee did not comply with the section cited above in allowing access to a pool from two gates when not in active use by residents which poses an immediate health, safety or personal rights risk to persons in care.

  • 87463(h)(1)Type B

    (h) The licensee shall request that all residents receive an annual routine visit with a licensed medical professional once every twelve months, either in person or by video appointment.(1)Documentation of the annual routine visit... added to the resident's record. Based on interviews and record review, the licensee did not comply with the section cited above 1 out of 6 residents having an LIC602 form 2023 even with a change in condition and diagnoses which poses an potential health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the October 29, 2025 inspection of AN ELITE CHATEAU?

This was a other inspection of AN ELITE CHATEAU on October 29, 2025. 4 citations were issued: 1 Type A (serious) and 3 Type B.

Were any citations issued to AN ELITE CHATEAU on October 29, 2025?

Yes, 4 citations were issued (1 Type A, 3 Type B). The first citation was for: "(h) The following requirements shall apply to medications which are centrally stored:(5) Each resident's medication shal..."

What type of inspection was this?

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

SourceView on CCLDView original report

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