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Inspection visit

Complaint

SAKURA GARDENS AT LOS ANGELESLicense 1986021922 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

During interviews with the residents, one (1) out of ten (10) residents interviewed stated that they have been uncomfortable by the homeless at the facility. This resident stated that about a week ago a homeless individual began came from the ICF building area of the facility and began following the resident, who then proceeded to retreat into the main lobby of the facility due to being uncomfortable. One (1) other resident stated that they have witnessed homeless people staying in the ICF building, however they also indicated that they have not come to the main building on the facility campus. During interviews with the staff, all indicated that homeless have been entering the abandoned ICF building by cutting through the fencing. One staff stated that the ICF building is abandoned and therefore no longer part of the facility campus, however it is true that homeless people have been coming into the campus through fencing next to the ICF building as well as along the back lot of the facility which is connected to the Santa Ana 101 Freeway. This staff further explained that the fencing along the highway belongs to Caltrans, and that they routinely fix the fencing however the homeless continue to cut new holes through the fences. Another staff interviewed stated that they call police whenever a homeless is spotted on the campus, and that they have been advised by other staff to not confront the homeless alone because they may potentially have weapons on them. During the physical plant walk through, LPA observed that there were multiple holes cut into the fencing along the ICF building, as well the fencing along the 101 freeway through which homeless have been coming into the facility campus. LPA also observed that there were rooms along the basement of the facility that had been broken into by the vagrants to use as rooms to sleep in, and found mattresses inside these rooms as well. LPA also observed that there were shards of broken glass along the floor of the main campus of the facility next to the ICF building, which were part of the windows of the ICF building that the vagrants have broken while squatting in the building. The building has graffiti on several walls and broken windows which LPA took a picture of. Additionally, according to the facility sketch obtained by the administrator, the ICF building is still listed as one of the buildings of the facility. In regards to the allegation that the "Facility is in disrepair," it is alleged that the homeless individuals who have been entering the facility have been stealing the copper wiring from the ICF building as well as from the main back up power generator from the facility as well, as wall as the phone and fax lines which has caused some of the resident phones to not work. During interviews with the residents, two (2) out of ten (10) residents confirmed that their phones were not operational. During interviews with the staff, four (4) out of four (4) corroborated the allegation that the wiring in the facility has been tampered with. One resident interviewed stated that the phone in her room has not been working for one (1) to two (2) weeks and that it has been very annoying for them. One staff explained that the homeless individuals who have been entering the facility have been stealing the copper wiring from the abandoned ICF building as well as other materials from the building to sell for money. Another staff stated that they have tampered with the AT&T phone box, which has caused disruptions to the phone service for several residents as well as the fax lines for the facility. During the physical plant walk through, LPA observed that the backup power generator the facility has been completely stripped of most of its components, and is therefore not operational at the moment. It has additionally been proven that the fax lines of the facility have not worked for a period of time. Based on LPAs interviews conducted with the clients and staff, the preponderance of evidence standard has been met for the above allegation, therefore the allegation is found to be SUBSTANTIATED. California Code of Regulations Title 22, Division 6, Chapter 8 are being cited on the attached LIC9099D. Exit interview held and a copy of the report and appeal rights were provided.

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.

  • 87705(c)(5)Type B

    Care of Persons with Dementia (c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (5) 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’s dementia care needs. Based on LPA's record review of R1's file the Physician's Report dated 02/02/2021 it was observed that the resident did not have an annual medical assesment, as required for Dementia residents; which poses a potential health and safety risk to residents in care.

  • 87705(g)(1)Type A

    Care of Persons with Dementia (g) residents with dementia shall be allowed to keep personal grooming and hygiene items in their own possession, unless there is evidence to substantiate that the resident cannot safely manage the items. (1)Evidence means documentation from the resident’s physician that the resident is at risk if allowed direct access to personal grooming and hygiene items. Based on LPA's observation during the tour of the physcial plant at 11:18am in room number 1010 an open bottle of Listerine Antiseptic Mouthwash on the window seal was observered. The poses an immediate health/safety risk to the residents in care.

  • 87303(a)Type B

    Maintain facility in clean, safe, sanitary condition

    (a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors.This requirement is not met as evidenced by: Based on observation and interview, LPA determined that the facilities phone lines, fax lines, backup power generator, and also dining room AC units have been damaged by individuals stealing their parts, which poses a potential health and safety risk for residents in care.

  • Safe, healthful, comfortable accommodations

    (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment.This requirement is not met as evidenced by: Based on observation and interview, LPA determined that homeless individuals have been entering the campus of the facility through holes cut into the fencing along the 101 freeway and also along the ICF building, which poses a potential health and safety risk to residents in care.

  • 87211(a)(1)(D)Type B

    (a) Each licensee shall furnish to the licensing agency (...) (1) A written report shall be submitted to the licensing agency (...) within seven days of (...) (D) Any incident which threatens the welfare, safety, or health of a resident. Based on record review and interview, the LPA determined that the facility did not submit incident reports for events involving police being called to the facility, along with the phone, fax, AC unit, and backup generator being dismantled, which poses a potential safety risk to residents.

FAQ · About this visit

Common questions about this visit

What happened during the May 9, 2024 inspection of SAKURA GARDENS AT LOS ANGELES?

This was a complaint inspection of SAKURA GARDENS AT LOS ANGELES on May 9, 2024. 2 citations were issued: 2 Type B.

Were any citations issued to SAKURA GARDENS AT LOS ANGELES on May 9, 2024?

Yes, 2 citations were issued (0 Type A, 2 Type B). The first citation was for: "Care of Persons with Dementia (c) Licensees who accept and retain residents with dementia shall be responsible for ensur..."

What type of inspection was this?

This was a complaint inspection. Complaint inspections are triggered when someone reports a concern about the facility to CCLD.

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