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Inspection visit

Follow-up on corrections

SAKURA GARDENS AT LOS ANGELESLicense 1986021921 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Elizabeth Irra conducted a Case Management visit. LPA met Dennis Robeniol/Executive Director and discussed the purpose of this visit. During the course of a complaint investigation, (allegation: staff did not follow residents fall plan.), per Christine Ferris (Department of Social Services Community Care Licensing Investigation Branch) investigation, it was discovered that R-1 sustained multiple falls. During R-1’s residency from 06/22/2024 to 04/25/2025, there are at least (11) known incidents of R-1 falling and/or being found on the floor. Per S-1, the incidents did not require a reassessment as R-1 continued to have the ability to walk though R-1 fell or was found on the floor often. No fall precautions were implemented by the facility other than to check on R-1 every (2) hours and no additional accommodations were made available to R-1. Deficiency cited. Refer to LIC 809D. Exit interview and a copy of this report and appeals rights were provided to Dennis Robeniol.

Citations

2 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.

  • 87466Type B

    Regular observation and documentation of resident changes

    Observation of the Resident-The licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning and that appropriate assistance is provided when such observation reveals unmet needs. When changes such as unusual weight gains or losses or deterioration of mental ability or a physical health condition are observed, the licensee shall ensure that such changes are documented and brought to the attention of the resident's physician and the resident's responsible person, if any.This standard is not met as evidenced by: R-1 had at least (11) known fall incidents and staff did not have R-1 reassessed.

  • 87411(a)Type A

    Facility personnel sufficiency and competence

    (a) PERSONNEL REQUIREMENTS. Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. This standard is not met as evidence by:Staff did not seek timely medical care for R-1 after R-1 fell which resulted in a fractured right hip.Civil penalty issued.

FAQ · About this visit

Common questions about this visit

What happened during the January 6, 2026 inspection of SAKURA GARDENS AT LOS ANGELES?

This was an other inspection of SAKURA GARDENS AT LOS ANGELES on January 6, 2026. 1 citation were issued: 1 Type B.

Were any citations issued to SAKURA GARDENS AT LOS ANGELES on January 6, 2026?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "Observation of the Resident-The licensee shall ensure that residents are regularly observed for changes in physical, men..."

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.