Senior Care Records.

Facility Evaluation Report

Toluca Lake Manor Senior Assisted Living LLC, Toluca Lake09/17/2024Licence 197607575

Capacity6
Census3
Date signed09/17/2024 05:05:26 PM
The inspector’s account

Licensing Program Analyst (LPA) Trevor Byrne arrived to the facility to conduct an unannounced 10-day complaint visit ( CONTROL NUMBER 29-AS-20240910144537).

While conducting record review for the complaint investigation, LPA observed Resident 1's (R1) file. R1's physician report was not dated but was faxed to the facility on 07/28/2023. R1 has a diagnosis of dementia and their physician's report was not updated annually.

Pursuant to Title 22 of the CA Code of Regulations, the following deficiency was cited (refer to LIC 809-D): Exit interview conducted and copy of the report was issued and appeal rights provided.

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