Complaint Investigation Report

Pasadena Villa Senior Living, Pasadena08/25/2023Licence 198603286

Census76
Date signed08/25/2023 02:39:48 PM
Name of licensing program analystTena Herrera
Name of licensing program managerDavid Sicairos
The inspector’s account

resident files and 4 staff files. Due to time constraints and insufficient information available at the time investigation further investigation was needed.

During todays subsequent on 8/25/23 visit LPA interviewed 8 Residents and reviewed 6 Staff files.

The investigation revealed the following:

It is alleged that the facility "was not clean in any sense", there is no staff assigned with cleaning the facility, all trash cans were overflowing, and "all the rooms are not kept well in any way".

During the tour of the facility LPA entered 10 rooms and all trash cans in rooms and restrooms visited were observed to be empty or with little trash. The housekeepers were making there rounds while tour was conducted and LPA observed them to be emptying the trash cans, sweeping, and cleaning the restrooms. Rooms appeared to be clean and sanitary. LPA reviewed the housekeeping schedule and there is an itinerary with assigned cleaning duties throughout the day/week. LPA conducted 8 staff interviews, 8 out of 8 staff stated that the facility is cleaned regularly and there are housekeepers assigned with cleaning duties. LPA conducted 8 resident interviews, 7 out of 8 residents denied the above allegation and stated that the facility is cleaned regularly and their trash is taken out 2 times a day.

Allegation: Facility does not have an adequate supply of hygiene items.

It is alleged that there was no toilet paper available for the residents.

During tour of the facility LPA observed 10 resident restrooms and saw that there was sufficient amount of toilet paper readily available for residents, there was one on the spool along with one more roll on counter in each of the restrooms. LPA observed housekeepers while cleaning restroom and saw that the toilet paper was being replenished during their rounds. LPA checked the stock room for supply of toiletries and there was a sufficient amount available. Interviews conducted with staff revealed that residents are able to ask for toilet paper if they run out or are low and a surplus stock is kept at front office in the case that a resident is in need. LPA interviewed residents 8 out of 8 residents deny the above allegation and stated that they always have sufficient supply of toiletries and if they are ever in need they ask housekeeping or front staff for more and it is provided to them without any issues.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction