7 Reports
Inspection Report — Jan 21, 2026
Annual Inspection
Date: Jan 21, 2026
Visit Reason
This was an unannounced annual inspection visit conducted to evaluate the facility's compliance with licensing requirements.
Findings
The inspection found no deficiencies. The facility was toured, and all areas including resident rooms, bathrooms, and common areas were inspected and found compliant with regulations.
Report Facts
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sayeh Jackson | Administrator | Met during the visit and finished the inspection. |
| Kerry Hiratsuka | Licensing Program Analyst | Conducted the unannounced annual visit. |
| Troy Ordonez | Licensing Program Manager | Named in the report as Licensing Program Manager. |
Inspection Report — Jan 16, 2025
Annual Inspection
Date: Jan 16, 2025
Visit Reason
Licensing Program Analyst Cassandra Mikkelson arrived unannounced to conduct an annual inspection to ensure compliance with Title 22 regulations.
Findings
The inspection found the facility to be in compliance with no deficiencies cited. Resident rooms, bathrooms, kitchen, and safety equipment were all properly maintained and operational.
Report Facts
Resident rooms observed: 6
Staff rooms observed: 1
Common area bathrooms observed: 2
Perishable food supply: 2
Non-perishable food supply: 7
Water temperature: 105.1
Resident files reviewed: 5
Staff files reviewed: 2
Resident medications reviewed: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cassandra Mikkelson | Licensing Program Analyst | Conducted the annual inspection |
| Chynna Strong | House Manager | Met with Licensing Program Analyst during inspection and exit interview |
Inspection Report — Oct 15, 2024
Complaint Investigation
Date: Oct 15, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that staff were not allowing a resident to return to the facility after hospitalization.
Complaint Details
The complaint alleged that staff were not allowing a resident to return to the facility after hospitalization. The allegation was found to be unfounded based on interviews with the resident, administrator, and review of records showing mutual agreement that the resident would not return.
Findings
The investigation found the allegation to be unfounded. Interviews and record reviews showed that the resident and administrator agreed the resident would not return due to changed care needs, and the resident was admitted to another assisted living facility. No eviction notice was necessary.
Report Facts
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sayeh Jackson | Administrator | Named in relation to the complaint investigation and findings |
| Cassandra Mikkelson | Licensing Program Analyst | Conducted the complaint investigation |
| Michael Hood | Licensing Program Analyst | Assisted in conducting the complaint investigation |
| Anthony Perez | Licensing Program Manager | Oversaw the complaint investigation |
Inspection Report — Jan 18, 2024
Annual Inspection
Date: Jan 18, 2024
Visit Reason
The inspection visit was an unannounced continuation of the annual case management inspection to review compliance with licensing requirements.
Findings
The Licensing Program Analyst reviewed resident and staff files, medications, and staff certifications. One deficiency was cited related to personnel records being unavailable during a prior visit, posing a potential health, safety, or personal rights risk.
Citations (1)
Personnel records were unavailable for review during the initial visit on 01/04/24, which poses a potential health, safety, or personal rights risk to persons in care.
Report Facts
Plan of Correction Due Date: Jan 25, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sayeh Jackson | Administrator | Met with Licensing Program Analyst during inspection |
| Bethany Mirlohi | Licensing Program Analyst | Conducted the inspection and cited deficiencies |
| Troy Ordonez | Supervisor | Supervisor overseeing the inspection |
Inspection Report — Jan 4, 2024
Annual Inspection
Date: Jan 4, 2024
Visit Reason
The inspection was an unannounced annual inspection conducted to ensure the health and safety of residents in care.
Findings
No immediate health, safety, or personal rights violations were observed during the tour of the facility. However, the administrator did not have employee files available for review, and a follow-up visit will be conducted to complete the inspection and cite this issue.
Citations (1)
Employee files were not available for Licensing Program Analyst review.
Report Facts
Resident rooms toured: 6
Bathrooms toured: 2
Inspection start time: 1240
Inspection end time: 1515
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sayeh Jackson | Administrator | Met with Licensing Program Analyst during inspection and noted for employee files issue |
| Bethany Mirlohi | Licensing Program Analyst | Conducted the annual inspection |
Inspection Report — Jan 19, 2023
Annual Inspection
Date: Jan 19, 2023
Visit Reason
Licensing Program Analyst Bethany Mirlohi arrived unannounced to conduct an annual inspection of Bridgeway Senior Care, LLC.
Findings
The inspection found no immediate health, safety, or personal rights violations. The facility had adequate PPE, food supply, linens, and a complete first aid kit. No deficiencies were cited.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sayeh Jackson | Administrator | Met with Licensing Program Analyst during the inspection. |
| Bethany Mirlohi | Licensing Program Analyst | Conducted the annual inspection. |
| Troy Ordonez | Licensing Program Manager | Named in the report header. |
Inspection Report — Jan 28, 2022
Original Licensing
Date: Jan 28, 2022
Visit Reason
The visit was a pre-licensing inspection conducted to evaluate the facility prior to licensing approval.
Findings
The facility was found to be in compliance with regulations, appearing clean, well-furnished, and in good condition with adequate supplies and safety equipment. No deficiencies were noted during the pre-licensing visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sayeh Jackson | Administrator | Met with the licensing evaluator during the pre-licensing visit. |
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