Deficiencies (last 4 years)
Deficiencies (over 4 years)
2.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
38% better than California average
California average: 4 deficiencies/year
Deficiencies per year
8
6
4
2
0
Occupancy
Latest occupancy rate
79% occupied
Based on a January 2026 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Complaint Investigation
Census: 67
Capacity: 85
Deficiencies: 1
Date: Jan 26, 2026
Visit Reason
The visit was an unannounced case management inspection to deliver complaint findings related to failure to report resident falls and to investigate additional deficiencies.
Complaint Details
The investigation was triggered by complaint 24-AS-20251119202642. The complaint was substantiated by the finding that the licensee failed to report approximately five falls of resident R1 to the licensing agency.
Findings
The facility failed to report multiple falls of a resident to the licensing agency as required, posing a potential health and safety risk. An additional deficiency was observed during the investigation.
Deficiencies (1)
CCR 87211(a)(1) Reporting Requirements: Licensee did not submit required written reports to the licensing agency regarding resident falls within seven days, posing a potential health and safety risk.
Report Facts
Resident falls: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| David Shellhamer | Administrator | Interviewed regarding failure to report resident falls |
| Alena Lema | Assistant Administrator | Met with Licensing Program Analyst during inspection |
| Shawna Doucette | Licensing Program Analyst | Conducted inspection and delivered complaint findings |
| Alexandria Walton | Licensing Program Manager | Oversaw licensing process and signed report |
Inspection Report
Complaint Investigation
Census: 67
Capacity: 85
Deficiencies: 2
Date: Jan 26, 2026
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations that staff were not abiding by the admission agreement and were not providing adequate transportation services.
Complaint Details
The complaint investigation was substantiated based on interviews and records review. Allegations included failure to abide by the admission agreement and inadequate transportation services. The facility was found charging an unlisted internet fee and not providing transportation to appointments.
Findings
The investigation substantiated that the facility charged residents a $35 internet/wifi fee without listing it in the admission agreement and failed to provide transportation to medical and dental appointments since about August 2025.
Deficiencies (2)
CCR 87507(g)(2) Admission agreements must specify additional items and services available. The licensee does not have an optional services list showing fees in the admissions agreement, posing a potential risk to residents.
CCR 87507(f) The licensee must comply with all terms in the admission agreement. The licensee did not plan, arrange, or provide transportation to medical and dental appointments, posing a potential risk to residents.
Report Facts
Capacity: 85
Census: 67
Additional internet fee: 35
Plan of Correction Due Date: Feb 26, 2026
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Shawna Doucette | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Alena Lema | Assistant Administrator | Met with Licensing Program Analyst during investigation |
| David Shellhamer | Administrator | Facility administrator named in report header |
Inspection Report
Complaint Investigation
Census: 67
Capacity: 85
Deficiencies: 1
Date: Jan 26, 2026
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations that facility staff were not properly supervising a resident who is a fall risk, that the facility retained a resident requiring a higher level of care, and that the facility did not have adequate staffing to meet residents' needs.
Complaint Details
The complaint investigation was substantiated for failure to properly supervise a high fall risk resident. The allegations regarding retention of a resident requiring a higher level of care and inadequate staffing were unsubstantiated.
Findings
The allegation that staff failed to properly supervise a high fall risk resident was substantiated due to use of unprescribed postural supports/restraints. The allegations that the facility retained a resident requiring a higher level of care and that staffing was inadequate were unsubstantiated due to insufficient evidence.
Deficiencies (1)
CCR 87464(f)(1) Basic services shall include care and supervision as defined. Licensee did not provide care and supervision for a high fall risk resident by using unprescribed postural supports/restraints, posing an immediate health and safety risk.
Report Facts
Capacity: 85
Census: 67
Plan of Correction Due Date: Jan 27, 2026
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Shawna Doucette | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Alena Lema | Assistant Administrator | Met with Licensing Program Analyst during investigation |
| David Shellhamer | Administrator | Facility administrator interviewed during investigation |
| Alexandria Walton | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 66
Capacity: 85
Deficiencies: 0
Date: Jan 10, 2026
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations of staff neglect and endangerment of resident health and safety.
Complaint Details
The complaint alleged staff neglected residents of goods and services, neglected physical care, and endangered residents' health and safety. The complaint was found to be unfounded and dismissed.
Findings
The investigation found the complaint to be unfounded after interviews and record review, concluding that the alleged neglect and endangerment did not occur.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Shawna Doucette | Licensing Program Analyst | Conducted the complaint investigation. |
| David Shellhamer | Administrator | Facility administrator involved in the investigation. |
| Alena Lema | Administrator | Facility administrator involved in the investigation. |
| Jessica Onsurez | Medication Technician | Granted entry to the Licensing Program Analyst during the investigation. |
Inspection Report
Complaint Investigation
Census: 58
Capacity: 85
Deficiencies: 0
Date: Jul 8, 2025
Visit Reason
The visit was an unannounced complaint investigation conducted in response to an allegation that the licensee was not ensuring staff were seeking medical attention for a resident as necessary.
Complaint Details
The complaint alleged that staff were not seeking medical attention for a resident as necessary. The allegation was unsubstantiated based on the investigation findings.
Findings
The investigation included a tour of the facility, review of resident records, and staff interviews. The allegation was found to be unsubstantiated as medical attention was being provided according to hospice care plans.
Report Facts
Capacity: 85
Census: 58
Employees mentioned
| Name | Title | Context |
|---|---|---|
| David Shellhammer | Administrator | Met with Licensing Program Analyst during the investigation |
| Lisa Salazar | Licensing Program Analyst | Conducted the complaint investigation |
Inspection Report
Complaint Investigation
Census: 58
Capacity: 85
Deficiencies: 0
Date: May 30, 2025
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations received on 2025-03-12 regarding resident care and facility practices.
Complaint Details
The complaint involved allegations that staff retained a resident whose needs exceeded the facility's scope of care, did not treat residents with respect, and allowed family members to reside at the facility. The investigation concluded these allegations were unsubstantiated.
Findings
The investigation found conflicting evidence regarding the allegations, including resident care and family members residing at the facility. The allegations were determined to be unsubstantiated due to lack of preponderance of evidence.
Report Facts
Capacity: 85
Census: 58
Employees mentioned
| Name | Title | Context |
|---|---|---|
| David Shellhamer | Administrator | Met with Licensing Program Analyst during investigation |
| Lisa Salazar | Licensing Program Analyst | Conducted the complaint investigation |
Inspection Report
Annual Inspection
Census: 58
Capacity: 85
Deficiencies: 0
Date: May 29, 2025
Visit Reason
The inspection was an unannounced annual required inspection conducted by Licensing Program Analysts to assess compliance with licensing requirements.
Findings
The Licensing Program Analysts toured the facility, interviewed residents, and reviewed staff and employee records. No deficiencies were cited during this inspection.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| David Shellhamer | Administrator | Met with Licensing Program Analysts during the inspection. |
Inspection Report
Census: 58
Capacity: 85
Deficiencies: 0
Date: May 29, 2025
Visit Reason
The visit was an unannounced case management inspection based on reported incidents at the facility.
Findings
No deficiencies were cited during this visit. Licensing Program Analysts reviewed resident records and planned to return for further review due to time constraints.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| David Shellhamer | Administrator | Met with Licensing Program Analysts during the inspection. |
Inspection Report
Complaint Investigation
Census: 48
Capacity: 85
Deficiencies: 3
Date: Oct 29, 2024
Visit Reason
Unannounced complaint visit to deliver findings related to a resident's health condition and facility compliance with home health care requirements.
Complaint Details
The visit was triggered by a complaint regarding a resident's health condition and the facility's handling of home health care documentation and reporting. Findings substantiated deficiencies in care plan documentation and incident reporting.
Findings
The facility failed to have a Home Health Care Plan on file for a resident with a serious infection and did not submit an incident report for a change in a resident's health condition. Deficiencies were cited related to prohibited health conditions, home health agency agreements, and reporting requirements.
Deficiencies (3)
CCR 87615(a)(4) Persons with prohibited health conditions, including serious infections, shall not be admitted or retained. Facility retained a resident with a serious infection diagnosed on 9/9/2024.
CCR 87609(4)(C) The licensee and home health agency must have a written agreement signed and placed in the resident's file. Facility did not have a Plan of Care agreement for a resident with a serious infection.
CCR 87211(a) A written report must be submitted within seven days of certain events. Facility did not submit an incident report for a resident referred to their PCP for a health condition change on 8/28/2024.
Report Facts
Deficiencies cited: 3
Plan of Correction Due Dates: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| David Shellhamer | Administrator/Director | Named as facility administrator contacted to review findings. |
| Wendi Valdez | Resident Care Coordinator | Met with Licensing Program Analysts and involved in obtaining Home Health Care plan. |
| Kamaldeep Kaur | Licensing Program Analyst | Conducted inspection and signed report. |
Inspection Report
Complaint Investigation
Census: 48
Capacity: 85
Deficiencies: 0
Date: Oct 29, 2024
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations that facility staff did not dispense medications as prescribed and that the licensee did not ensure medication was administered by appropriately skilled professionals.
Complaint Details
The complaint was received on 2024-09-13 and investigated on 2024-10-29. The allegations were found to be unfounded, meaning the allegations were false or without reasonable basis, and the complaint was dismissed.
Findings
The investigation found that facility staff were administering medications per doctor's orders and were allowed to administer predosed medication from Hospice. The allegations were determined to be unfounded and no deficiencies were cited.
Report Facts
Capacity: 85
Census: 48
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lisa Salazar | Licensing Evaluator | Conducted the complaint investigation |
Inspection Report
Complaint Investigation
Census: 48
Capacity: 85
Deficiencies: 1
Date: Oct 29, 2024
Visit Reason
The visit was an unannounced complaint investigation triggered by a complaint received on 2024-07-25 regarding medication administration and resident care issues at Grand Oaks Assisted Living Facility.
Complaint Details
The complaint investigation was substantiated for failure to administer medication as needed. The other allegations regarding walker and pull cord accessibility were unsubstantiated.
Findings
One allegation regarding failure to ensure resident medication was administered as needed was substantiated based on review of medication records and staff interview. Two other allegations about walker and pull cord accessibility were found unsubstantiated with no deficiencies cited.
Deficiencies (1)
CCR 87465(a)(4) requires the licensee to assist residents with self-administered medications. Resident R1 did not receive medication on 9 out of 23 days in April 2024 as evidenced by medication records and staff interview.
Report Facts
Resident census: 48
Total licensed capacity: 85
Days medication not administered: 9
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lisa Salazar | Licensing Evaluator | Conducted complaint investigation and authored report |
| David Shellhamer | Administrator | Facility administrator involved in exit interview and plan of correction |
| Wendi Valdez | Residential Care Coordinator | Met with evaluators during investigation |
| K. Kaur | Licensing Program Analyst | Assisted in complaint investigation |
| Staff S1 | Interviewed regarding medication administration failure |
Inspection Report
Original Licensing
Census: 8
Capacity: 85
Deficiencies: 0
Date: Oct 29, 2024
Visit Reason
The visit was an unannounced Post Licensing inspection conducted to evaluate the facility's compliance with licensing requirements.
Findings
The facility was found to be in good condition with clear passageways, adequate furnishings, and proper safety measures. No deficiencies were cited during the inspection.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| David Shellhamer | Administrator | Administrator on record, available via telephone during the visit. |
| Wendi Valdez | Residential Care Coordinator | Met with the Licensing Program Analyst during the inspection. |
Inspection Report
Complaint Investigation
Census: 49
Capacity: 85
Deficiencies: 0
Date: Sep 13, 2024
Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation that the licensee did not provide a copy of a resident's records to the resident's legal representative.
Complaint Details
The complaint alleging failure to provide resident records was investigated and found to be unfounded, meaning the allegation was false or without reasonable basis.
Findings
The complaint was found to be unfounded as the resident in question had passed away prior to the licensure of the facility. No deficiencies were cited during the investigation.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melinda Medina | Licensing Program Analyst | Conducted the complaint investigation visit. |
| David Shellhamer | Administrator | Facility administrator not available during the visit. |
| Wendi Valdez | Resident Care Coordinator | Met with the evaluator during the investigation. |
Inspection Report
Complaint Investigation
Census: 49
Capacity: 85
Deficiencies: 0
Date: Aug 28, 2024
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received on 2024-08-19 regarding incorrect medication administration and staff opening residents' mail.
Complaint Details
The complaint investigation was unsubstantiated based on interviews and records review. Allegations included staff administering incorrect medication and opening residents' mail, but no violations were proven.
Findings
The investigation found no preponderance of evidence to substantiate the allegations. No deficiencies were cited and the allegations were determined to be unsubstantiated.
Report Facts
Capacity: 85
Census: 49
Employees mentioned
| Name | Title | Context |
|---|---|---|
| David Shellhamer | Administrator | Met with Licensing Program Analyst during investigation |
| Wendy Valdez | Residential Care Coordinator | Met with Licensing Program Analyst during investigation |
| Lisa Salazar | Licensing Program Analyst | Conducted the complaint investigation |
Inspection Report
Complaint Investigation
Census: 46
Capacity: 85
Deficiencies: 0
Date: Jul 22, 2024
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received on 07/19/2024 regarding inadequate care for a resident.
Complaint Details
The complaint alleged that staff did not provide care, shower and bathe the resident, or change the resident's bedding. The allegations were found to be unfounded after investigation.
Findings
The investigation found that the resident named in the allegations was not present at the facility and actually resided in a different jurisdiction. The allegations were determined to be unfounded and the complaint was dismissed.
Report Facts
Capacity: 85
Census: 46
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lisa Salazar | Licensing Program Analyst | Conducted the complaint investigation |
| David Shellhamer | Administrator | Facility administrator named in the report |
Inspection Report
Original Licensing
Census: 51
Capacity: 85
Deficiencies: 0
Date: Apr 17, 2024
Visit Reason
The visit was an unannounced prelicensing inspection initiated on 2024-01-12 to evaluate the facility's readiness for licensing.
Findings
The Licensing Program Analyst toured the facility and observed new flooring throughout. The facility was deemed ready for licensing, with a post-licensing visit planned to review files.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| David Shellhammer | Administrator | Met with during the inspection and participated in the exit interview. |
Inspection Report
Original Licensing
Census: 55
Capacity: 85
Deficiencies: 2
Date: Jan 12, 2024
Visit Reason
A prelicensing visit was conducted to evaluate the facility's readiness for licensure and compliance with regulations.
Findings
The physical plant was toured and flooring in three hallways off resident rooms was found to be in disrepair and unsafe, creating a trip/fall risk. A hot tub in the fitness room was observed to be unused and requires removal before licensure.
Deficiencies (2)
Flooring throughout hallways off resident rooms is worn, frayed, pulling up, and has large ridges, creating an immediate trip and fall risk to residents. This flooring must be replaced prior to licensure.
Hot tub in the fitness room is not in use and must be removed from the premises before licensure. A written plan with specific dates for removal and resident safety must be submitted.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michelle Lawrence | Administrator | Met with Licensing Program Analysts during prelicensing visit and participated in exit interview. |
| David Shellhamer | Acting Administrator | Met with Licensing Program Analysts during prelicensing visit and participated in exit interview. |
Inspection Report
Census: 56
Capacity: 85
Deficiencies: 0
Date: Dec 18, 2023
Visit Reason
The visit was an office type evaluation involving a COMP II telephone interview with the applicant/administrator to verify identification and understanding of community care facility licensing laws.
Findings
The applicant and administrator confirmed their understanding of licensing laws during the COMP II interview. Identification was verified through interview questions and photo ID, and signed documentation was obtained.
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