Citations (last 5 years)
Citations (over 5 years)
1 citations/year
Citations are regulatory findings recorded during state inspections.
75% better than California average
California average: 4 citations/yearCitations per year
4
3
2
1
0
Occupancy
Latest occupancy rate
82% occupied
Based on a December 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Complaint Investigation
Census: 54
Capacity: 66
Citations: 0
Date: Dec 9, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to multiple allegations received on May 9, 2024, concerning billing services, maintenance issues, sensor installation, medication management, and document tracking at the facility.
Complaint Details
The complaint investigation was triggered by allegations including inadequate billing services, sink disrepair, inappropriate sensor installation on a resident's door, mismanagement of resident's medication, and failure to keep track of resident's documents. The allegations were either unsubstantiated or unfounded based on interviews, document reviews, and observations.
Findings
The investigation found conflicting information regarding billing services, sink disrepair, and sensor installation allegations, resulting in these being deemed unsubstantiated. Allegations of medication mismanagement and failure to keep track of resident documents were found to be unfounded with no citations issued.
Report Facts
Capacity: 66
Census: 54
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Alvaro Ramirez Jr. | Licensing Program Analyst | Conducted the complaint investigation and unannounced visit |
| Erin Palposi | Executive Director | Met with Licensing Program Analyst during the investigation |
| Zehra Syed | Administrator | Facility administrator mentioned in the report |
Inspection Report
Annual Inspection
Census: 50
Capacity: 66
Citations: 0
Date: Sep 22, 2025
Visit Reason
The inspection was an unannounced required annual visit to evaluate compliance with licensing requirements for the facility.
Findings
The facility was found to be in compliance with all licensing requirements with no deficiencies noted. The physical plant, infection control practices, medication records, emergency preparedness, and documentation were all satisfactory.
Report Facts
Licensed capacity: 66
Current census: 50
Hospice residents present: 3
Fire extinguishers observed: 8
Evacuation chairs: 3
Medication records reviewed: 6
Residents' service files reviewed: 6
Staff personnel files reviewed: 6
Emergency food kit servings: 12
Emergency food kit servings: 93
Water temperature range (F): 112.8
Water temperature range (F): 117.3
Facility temperature (F): 74
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dan Kashani | Executive Director | Assisted with the facility inspection and participated in exit interview |
| Putri Tarigan | Director of Health Services | Assisted with the facility inspection and physical plant tour |
| Jenifer Tirre | Licensing Program Analyst | Conducted the inspection visit |
| Eboni Bentley | Licensing Program Analyst | Conducted the inspection visit |
| Faraz Kashani | Administrator | Current administrator with certification on file |
Inspection Report
Annual Inspection
Census: 45
Capacity: 66
Citations: 1
Date: Aug 21, 2024
Visit Reason
The inspection was an unannounced required annual inspection conducted by Licensing Program Analysts to assess compliance with regulations at the Kirkwood Orange assisted living and memory care facility.
Findings
The facility was generally found to be in compliance with safety and operational standards, including secure medication storage, emergency preparedness, and resident accommodations. However, one type B deficiency was issued due to outdated medical assessments for two residents with dementia, and two technical assistance advisories were given regarding staff association and hand-washing facilities.
Citations (1)
Two out of six resident files reviewed included an outdated medical assessment for residents with an indication of dementia, posing a potential health, safety or personal rights risk.
Report Facts
Residents in assisted living: 16
Residents in memory care: 29
Residents receiving hospice care: 6
Resident files reviewed: 6
Staff files reviewed: 8
Technical Assistance advisories: 2
Plan of Correction due date: Sep 21, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kevin Saborit-Guasch | Licensing Program Analyst | Conducted the inspection and signed the report |
| William Vanegas | Licensing Program Analyst | Conducted the inspection |
| Megan Blacher | Executive Director | Facility representative present during inspection |
| Sheila Santos | Supervisor | Supervisor overseeing the inspection |
Inspection Report
Complaint Investigation
Census: 44
Capacity: 66
Citations: 1
Date: May 8, 2024
Visit Reason
The visit was an unannounced case management inspection conducted due to an incident report received on April 24, 2024, regarding a medication error that occurred on April 22, 2024.
Complaint Details
The visit was triggered by a complaint/incident report regarding a medication error involving resident 1 (R1). The error was substantiated by interviews and document review. Resident 1 was placed on a 48-hour observation and assessed by a physician. No health and safety concerns were expressed by the resident during the interview.
Findings
The inspection found that resident 1 (R1) received a medication error involving a double dose of prescribed medication, posing a potential health and safety risk. Citations were issued per Title 22 Division 6 of the California Code of Regulations.
Citations (1)
Resident 1 (R1) had a medication error due to being given double the dose of the prescribed medication, posing a potential health and safety risk.
Report Facts
Plan of Correction Due Date: May 17, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Celine De Perio | Licensing Program Analyst | Conducted the unannounced case management visit and evaluation |
| Megan Blacher | Executive Director | Met with the Licensing Program Analyst during the visit and participated in the exit interview |
| Sheila Santos | Licensing Program Manager / Supervisor | Named as Licensing Program Manager and Supervisor in the report |
| Zehra Syed | Administrator/Director | Facility Administrator/Director |
Inspection Report
Complaint Investigation
Census: 45
Capacity: 66
Citations: 2
Date: Mar 20, 2024
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations that the facility did not provide medications to residents as prescribed and failed to follow reporting requirements of missed medications to the department.
Complaint Details
The complaint was substantiated based on interviews, document reviews, and observations. The facility missed medications for 9 residents and failed to report the incidents within the required timeframe due to management and staffing changes.
Findings
The investigation substantiated that the facility missed medications for 9 residents on 12/16/2023 and delayed reporting the incidents to the department until 12/29/2023. Interviews with residents and staff confirmed the missed medications and failure to report in a timely manner, posing immediate and potential health and safety risks.
Citations (2)
Facility did not give medications to 9 residents according to physician's directions, evidenced by medication logs and incident reports.
Facility failed to report incidents of missed medications to the licensing department within seven days as required.
Report Facts
Residents with missed medications: 9
Days delayed in reporting: 13
Facility capacity: 66
Facility census: 45
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Celine De Perio | Licensing Program Analyst | Conducted the complaint investigation and unannounced visit |
| Sheila Santos | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
| Alexis Islas | Business Office Manager | Met with during the investigation and exit interview |
Inspection Report
Complaint Investigation
Census: 56
Capacity: 66
Citations: 1
Date: Feb 6, 2023
Visit Reason
Unannounced visit to investigate a complaint received on 10/26/2022 alleging that a resident sustained a fracture while in care.
Complaint Details
Complaint alleging that a resident sustained a fracture while in care was substantiated. The investigation found that the night shift caregiver moved the resident's legs incorrectly and failed to report the injury.
Findings
The complaint was substantiated based on observations, interviews, and record reviews. It was found that a night shift caregiver was not paying attention and moved the resident's legs incorrectly, causing injury, and failed to report the incident to a supervisor. Deficiencies were issued per Title 22, California Code of Regulations.
Citations (1)
Facility did not comply with CCR 87464(f)(1) Basic Services requiring care and supervision; resident sustained a fracture while in care and staff failed to report it.
Report Facts
Capacity: 66
Census: 56
Deficiencies cited: 1
Plan of Correction due date: Feb 20, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Celine De Perio | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Sarah John | Facility Administrator / Executive Director | Met with Licensing Program Analyst during investigation and exit interview |
| Luz Adams | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 55
Capacity: 66
Citations: 0
Date: Oct 28, 2022
Visit Reason
An unannounced visit was conducted to perform a case management and health and safety check in conjunction with complaint 22-AS-20221026170408.
Complaint Details
Visit was conducted in conjunction with complaint 22-AS-20221026170408. No citations or deficiencies were issued, indicating no substantiated immediate threats.
Findings
The facility was found to be in good repair with no immediate threats to resident health and safety. Fire and safety equipment were operational and recent fire inspections were passed. No citations were issued during this visit.
Report Facts
Residents on hospice: 8
Water temperature: 109.3
Fire alarm inspection date: Oct 22, 2022
Fire sprinkler inspection date: Oct 24, 2022
Assisted living units: 23
Memory care units: 25
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sarah John | Executive Director | Met with Licensing Program Analyst during the inspection and participated in exit interview |
| Celine De Perio | Licensing Program Analyst | Conducted the unannounced inspection visit |
Inspection Report
Annual Inspection
Census: 54
Capacity: 66
Citations: 0
Date: Aug 17, 2022
Visit Reason
The inspection was an unannounced Required 1 Year inspection conducted to evaluate the facility's compliance with regulatory standards.
Findings
The facility was found to be clean and sanitary with all required elements present. No deficiencies were cited during the inspection. COVID-19 precautions and emergency preparedness measures were observed and found adequate.
Report Facts
Residents receiving Hospice services: 11
Hot water temperature: 113.1
Fire drill date: Aug 2, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sarah John | Executive Director | Facility representative who greeted the Licensing Program Analyst and accompanied the tour |
| Shobhana Frank | Licensing Program Analyst | Conducted the inspection visit |
| Armando J Lucero | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Annual Inspection
Census: 50
Capacity: 66
Citations: 0
Date: Oct 1, 2021
Visit Reason
The inspection was an unannounced Required 1 Year inspection conducted to evaluate the facility's compliance with licensing requirements.
Findings
The facility was found to be clean and sanitary with all required elements present, including COVID-19 precautions, emergency supplies, and updated resident files. No deficiencies were cited during the inspection.
Report Facts
Residents receiving Hospice services: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Zehra Syed | Executive Director | Met with Licensing Program Analyst during inspection and involved in facility tour |
| Shobhana Frank | Licensing Program Analyst | Conducted the unannounced Required 1 Year inspection |
| Marina Stanic | Licensing Program Manager | Named in report header |
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