Senior Care Records.

Complaint Investigation Report

Fairhaven Home 3, West Hills08/06/2025Licence 197610513

Census6
Date signed08/06/2025 09:45:12 AM
The inspector’s account

Interview with the administrator at 3:15 p.m. on 06/04/25 revealed they did not send CCLD or NLACRC an incident report to communicate the power outage to the authorized agencies. LPA issued a deficiency for not submitting incident reports during the annual inspection which occurred on the same day, 06/04/25. Today, LPA conducted a record review of NLACRC’s Corrective Action Plan at 9:00 a.m. and toured the facility at 9:20 a.m. Review of the Corrective Action Plan revealed that the facility was cited by the NLACRC for not submitting an incident report after LPA Reed notified the NLACRC about the power outage. Based on interviews and record review, the facility did not submit an incident report to the required agencies after the June 2025 power outage. Therefore, the allegation is deemed SUBSTANTIATED without deficiency at this time since the facility was previously cited for this violation on 06/04/25.

No immediate health or safety concerns were observed during today’s visit.

Exit interview conducted. Appeal rights discussed. Copy of report provided.

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