Inspection Reports for
Maple House II
2000 Brommer St, Santa Cruz, CA 95062, United States, CA, 95062
Back to Facility Profile5 Reports
Inspection Report — Dec 12, 2025
Annual Inspection State
Date: Dec 12, 2025
Visit Reason
An unannounced annual inspection was conducted to evaluate compliance with licensing requirements and ensure the safety and well-being of residents.
Findings
The facility was found to be in compliance with all applicable regulations, with no deficiencies cited during the visit. Safety features such as smoke detectors, fire extinguishers, and exit door alarms were verified, and resident rooms and bathrooms were adequately equipped.
Report Facts
Exit doors tested: 3
Resident records reviewed: 3
Staff records reviewed: 3
Centrally Stored Medication and Destruction Records reviewed: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rose Anne Roxas | Administrator | Met with Licensing Program Analyst during inspection and participated in exit interview |
| Marcella Tarin | Licensing Program Analyst | Conducted the unannounced annual inspection |
| Christine Kabariti | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report — Nov 7, 2025
Complaint Investigation State
Date: Nov 7, 2025
Visit Reason
An unannounced case management visit was conducted to follow up on an incident report of a resident eloping from the facility on 10/29/2025.
Complaint Details
The visit was triggered by a complaint/incident report of a resident eloping from the facility on 10/29/2025. The resident was found approximately 400 feet from the facility and was returned safely. The resident has neurocognitive disorder and cannot leave unsupervised. The complaint was substantiated by the cited deficiency.
Findings
The resident (R1) left the facility unsupervised despite having neurocognitive disorder and wearing alarm devices. A Type A deficiency was cited for failure to ensure residents with neurocognitive disorder were kept safe, posing immediate health, safety, and personal rights risks.
Citations (1)
Failure to ensure residents with neurocognitive disorder were kept safe, as evidenced by R1 leaving the facility unsupervised on 10/29/2025.
Report Facts
Deficiency count: 1
Plan of Correction due date: Nov 8, 2025
Distance resident eloped: 400
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rose-Anne Roxas | Administrator | Interviewed regarding the elopement incident and deficiency. |
| Anshu Gupta | Administrator | Interviewed regarding the elopement incident and deficiency. |
| Marcella Tarin | Licensing Program Analyst | Conducted the unannounced case management visit and interviews. |
| Maria Partoza | Licensing Program Analyst | Interviewed Administrator Anshu Gupta regarding the elopement. |
Inspection Report — Dec 11, 2024
Original Licensing State
Date: Dec 11, 2024
Visit Reason
The visit was a pre-licensing inspection conducted unannounced to follow up on corrections and deficiencies observed during a previous pre-licensing visit on 2024-10-22.
Findings
No deficiencies were cited during this visit. The previously noted issues with a corroded dishwasher and cracked parking lot cement stoppers were corrected. The facility is in the process of replacing the dishwasher and was advised to resubmit a bedridden capacity increase request.
Report Facts
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Anshu Gupta | Applicant | Met with during the inspection and reviewed Component III |
| Marcella Tarin | Licensing Program Analyst | Conducted the inspection and signed the report |
| David Marrufo | Licensing Program Analyst | Conducted the inspection |
Inspection Report — Oct 22, 2024
Original Licensing State
Date: Oct 22, 2024
Visit Reason
The visit was a pre-licensing, unannounced inspection conducted to evaluate the facility under a change of ownership and to assess readiness for licensing.
Findings
The facility was toured and inspected, with observations including secured toxins, working smoke and carbon monoxide detectors, and proper storage of medications. Some corrections were noted, such as a corroded dishwasher and cracked parking lot cement stoppers, which need to be addressed. No deficiencies were cited at this time.
Report Facts
Nonperishable food supply: 7
Perishable food supply: 2
Fire extinguisher inspection date: Mar 13, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Anshu Gupta | Vice President/Applicant | Met during inspection and exit interview |
| Rose Anne Roxas | House Manager/Administrator | Met during inspection and exit interview |
| Marcella Tarin | Licensing Program Analyst | Conducted inspection |
| Maria (Mita) Partoza | Licensing Program Analyst | Conducted inspection |
Inspection Report — Sep 16, 2024
Original Licensing State
Date: Sep 16, 2024
Visit Reason
The visit was conducted as part of the Community Care Licensing evaluation for a change of ownership (CHOW) application and pre-licensing readiness assessment.
Findings
The applicant/administrator participated in a COMP II telephone interview to verify identification and confirm understanding of community care facility licensing laws, including facility operation, admission policies, staffing, emergency preparedness, complaints, and pre-licensing readiness.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rose Anne Roxas | Administrator | Applicant/Administrator who participated in COMP II interview and confirmed understanding of licensing laws. |
| Mirella Quaranta | Licensing Program Manager | Named as Licensing Program Manager on the report. |
| Stefania Fonteno | Licensing Program Analyst | Named as Licensing Program Analyst on the report. |
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