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Inspection visit

Follow-up on corrections

COTTAGE INNLicense 5658500741 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Trevor Byrne conducted an unannounced Case Management - Deficiencies visit at the facility at 10:22 AM. LPA met with facility staff who contacted the Administrator Dania Fayyad via telephone call. The Administrator was unavailable to come to the facility at the time of the visit. LPA explained the reason for the visit to Judith Gonzalez (S1) and entrance interview was conducted. During today’s visit LPA Byrne conducted a physical plant tour, interviewed two (2) staff, two (2) residents, and two (2) witnesses, and collected copies of pertinent documentation between 10:22 AM and 12:56 PM. Continued on LIC 809C. On 01/17/2025 the Woodland Hills North Adult and Senior Care Regional Office (RO) received a complaint against the facility. The case was referred to the Community Care Licensing Division (CCLD) Investigations Branch (IB) and assigned to Investigator Laura Garcia. During the course of the investigation IB concluded the following. On 09/24/2024 at approximately 0800 hours, resident #1 (R1) was found by their commode on the floor. Staff immediately evaluated R1 for any injuries, pain or swelling. Staff did not observe any injuries, swelling or redness. According to staff, R1 was reportedly observed ambulating throughout the facility without pain. However, staff #1 (S1) indicated that when they initially found R1 by their commode, R1 told S1 that they bumped their head but expressed no pain. Upon review, it appeared that staff only monitored R1 for pain levels but failed to seek immediate medical attention on 09/24/2024. On 09/26/2024, R1’s responsible party (W1) came to visit R1 and noticed that R1 had pain and took them to get medically evaluated. R1 was noted to have a fracture to the pelvis. Based on the R1’s medical history it is unknown how/ where the fracture was sustained however, staff should have sent R1 to get medically evaluated. Based on the above information and documentation provided, there is sufficient evidence that the facility failed to seek immediate medical attention for R1. The following deficiency was cited (refer to LIC 809D). The Administrator was unavailable to come to the facility at the time of this inspection but has designated S1 to sign on their behalf. Report was read to the Administrator via telephone call. Exit interview conducted and a copy of the report and appeal rights were provided.

Citations

1 citation 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.

  • Arrange appropriate medical and dental care

    87465 Incidental Medical and Dental Care(a) ...The plan shall... provide for assistance in obtaining such care...(1) The licensee shall arrange...for medical and dental care appropriate to the conditions and needs of residents.This requirement is not met as evidenced by: Based on interviews and record review the licensee did not comply with the section cited above as facility staff observed R1 on the floor after falling off of their commode. R1 expressed that they hit their head but staff did not seek medical attention for R1 which posed a potential health risk to clients in care.

FAQ · About this visit

Common questions about this visit

What happened during the October 28, 2025 inspection of COTTAGE INN?

This was an other inspection of COTTAGE INN on October 28, 2025. 1 citation were issued: 1 Type B.

Were any citations issued to COTTAGE INN on October 28, 2025?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "87465 Incidental Medical and Dental Care(a) ...The plan shall... provide for assistance in obtaining such care...(1) The..."

What type of inspection was this?

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

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