i
11
Inspections
Surveyor visits
i
4
With deficiencies
Visits that cited something
i
5
Clean visits
Nothing cited
i
8
Deficiencies
Individual findings
i
0
Serious deficiencies
Class 1 and 2
2
Legal actions
Fines and sanctions

Santa Susana Assisted Living Facility INC was inspected 11 times between September 16, 2014 and December 5, 2024 by Florida's Agency for Health Care Administration. 4 of those visits ended with deficiencies cited and 5 with none, and 2 were follow-up visits confirming corrections. Across that history AHCA recorded 8 deficiencies, none of them in the two most serious classes. The state has taken 2 legal actions against this license, with fines totalling $1,000.

The most recent visit is recorded as “No Deficiencies”. A deficiency is a rule violation recorded by a state surveyor. Follow-up visits that confirm a correction are counted separately from the visits that cited the problem, so the same issue is never counted twice.

Provider Information

Status
Licensed
Licensee
Santa Susana Assisted Living Facility INC
Administrator
Deiby Jacinto
Ownership
For-Profit
Phone
(813) 304-2896
Licensed since
July 28, 2014
Medicaid services
Assistive Care Services
Nurse availability
No nurse on staff

Inspection History

11 documents across 11 visits
Visit dateTypeOutcomeDocument
December 5, 2024MonitorCorrectedStatement of Deficiencies
December 5, 2024StandardNo deficienciesStatement of Deficiencies
September 30, 2024MonitorDeficiencies citedStatement of Deficiencies
August 19, 2024MonitorDeficiencies citedStatement of Deficiencies
December 12, 2022StandardNo deficienciesStatement of Deficiencies
December 18, 2020StandardNo deficienciesStatement of Deficiencies
January 9, 2019StandardCorrectedStatement of Deficiencies
November 9, 2018StandardDeficiencies citedStatement of Deficiencies
September 19, 2018StandardDeficiencies citedStatement of Deficiencies
September 14, 2016StandardNo deficienciesStatement of Deficiencies

Deficiencies

8 deficiencies - Class 3: 7 / Class 4: 1
Survey dateSeverityRequirement citedCorrected
August 19, 2024Class 3Records - FacilityDecember 5, 2024
November 9, 2018Class 4Background Screening ClearinghouseJanuary 9, 2019
September 19, 2018Class 3Admissions - Continued ResidencyNovember 9, 2018
September 19, 2018Class 3Medication - Assistance With Self-adminNovember 9, 2018
September 19, 2018Class 3Medication - AdministrationNovember 9, 2018
September 19, 2018Class 3Staffing Standards - StaffNovember 7, 2018
September 19, 2018Class 3Staffing Standards - LevelsNovember 7, 2018
September 19, 2018Class 3Emergency Environmental ControlNovember 9, 2018

Enforcement Actions

2 actions, $1,000 in fines
October 29, 2024$500 fine
Action
Fine
Reason
Survey
Date imposed
December 16, 2024

Final order 2024014693

January 17, 2019$500 fine
Action
Fine
Reason
Survey
Date imposed
September 13, 2021

Final order 2019004998