11 Reports
Inspection Report — Oct 15, 2025
Complaint Investigation
Date: Oct 15, 2025
Visit Reason
An unannounced complaint investigation was conducted to investigate the allegation that the licensee refused to return resident medication unless rent was paid.
Complaint Details
The complaint was unsubstantiated, meaning there was not a preponderance of evidence to prove the alleged violation did or did not occur.
Findings
Based on interviews with facility staff, witnesses, and outside parties, there was no evidence to support the allegation that the licensee withheld resident medication pending rent payment. The allegation was found to be unsubstantiated.
Report Facts
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Eldin Serrano | Licensing Program Analyst | Conducted the complaint investigation |
| Magda Malcore | Licensing Program Analyst | Conducted the complaint investigation |
| Vilma Reyes | Caregiver | Met with investigators during the visit |
| Raul Velazquez | Administrator | Facility administrator named in the report |
| Karen Clemons | Supervisor | Supervisor overseeing the investigation |
Inspection Report — Jul 31, 2024
Annual Inspection
Date: Jul 31, 2024
Visit Reason
The visit was an unannounced required comprehensive annual inspection conducted by the Licensing Program Analyst to evaluate the facility's compliance with regulations.
Findings
The facility was found to be operating within its licensed capacity, clean, in good repair, and safe for residents. No deficiencies were cited during the inspection.
Report Facts
Staff present: 3
Resident files reviewed: 4
Staff files reviewed: 3
Water temperature: 112
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Raul Velazquez | Facility Administrator | Met with Licensing Program Analyst during inspection and participated in exit interview |
| Paola Guerrero | Licensing Program Analyst | Conducted the unannounced annual inspection visit |
| Efren Malagon | Supervisor | Supervisor overseeing the licensing evaluation |
Inspection Report — Jul 21, 2022
Annual Inspection
Date: Jul 21, 2022
Visit Reason
Licensing Program Analyst Javier Prieto made an unannounced visit to conduct an annual inspection with an emphasis on infection control.
Findings
The facility was found to have proper infection control measures including signage, hand hygiene supplies, PPE use, and a designated infection control lead. No deficiencies were cited during the inspection.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Raul Velazquez | Administrator | Met with Licensing Program Analyst during the inspection. |
| Javier Prieto | Licensing Program Analyst | Conducted the annual inspection. |
| Karen Clemons | Licensing Program Manager | Named in the report as Licensing Program Manager. |
Inspection Report — Jun 16, 2021
Original Licensing
Date: Jun 16, 2021
Visit Reason
The visit was an office evaluation conducted as part of the original licensing process for Hacienda Living Facility, including verification of applicant and administrator qualifications and understanding of regulatory requirements.
Findings
The applicant and administrator successfully completed Component II of the licensing process via telephone, confirming understanding of Title 22 regulations and facility operation requirements. No clients were in care at the time of the evaluation.
Report Facts
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Raul Velazquez | Applicant/Administrator | Participated in Component II licensing evaluation |
| Julia Kim | Licensing Program Manager | Named in report header |
| Thai Doan | Licensing Program Analyst | Conducted Component II evaluation and signed report |
Report — August 25, 2026
August 25, 2026
Report — May 22, 2026
May 22, 2026
Report — May 11, 2026
May 11, 2026
Report — October 15, 2025
October 15, 2025
Report — October 15, 2025
October 15, 2025
Report — July 21, 2022
July 21, 2022
Report — June 16, 2021
June 16, 2021
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