Inspection Reports for
Meridian at Chino
11918 CENTRAL AVENUE, CHINO, CA, 91710
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
1.6 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
60% better than California average
California average: 4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Occupancy
Latest occupancy rate
77% occupied
Based on a October 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Complaint Investigation
Census: 120
Capacity: 156
Deficiencies: 0
Date: Oct 14, 2025
Visit Reason
The inspection was an unannounced complaint investigation conducted in response to allegations that the facility was refusing to communicate with a resident's authorized representative, not properly showering and grooming a resident, and failing to provide proper rent increase documentation to the resident's representative.
Complaint Details
The complaint investigation was unsubstantiated based on evidence including staff interviews and documentation of communications with the resident's authorized representative.
Findings
The investigation found that staff were communicating with the resident's authorized representative, the resident's grooming and bathing needs were being met, and documentation showed no rent increase but a cost of care adjustment was communicated properly. Therefore, the allegations were deemed unsubstantiated.
Report Facts
Capacity: 156
Census: 120
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Javier Prieto | Licensing Program Analyst | Conducted the complaint investigation |
| Isabel Enriquez | Executive Director | Facility administrator met during investigation and named in findings |
Inspection Report
Complaint Investigation
Census: 132
Capacity: 156
Deficiencies: 0
Date: Sep 10, 2025
Visit Reason
An unannounced complaint investigation was conducted regarding allegations that facility staff did not dispense medications as prescribed, did not answer communications from resident’s representative, did not provide quality meals, spoke inappropriately to residents, and did not respond to resident calls for assistance.
Complaint Details
The complaint investigation was unsubstantiated based on interviews with residents and staff. No evidence supported the allegations.
Findings
After interviews with residents and staff, all allegations were found to be unsubstantiated. Residents reported receiving medications as prescribed, staff communication with family was adequate, quality meals were provided, staff were courteous and respectful, and staff responded timely to call buttons.
Report Facts
Capacity: 156
Census: 132
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Isabel Enriquez | Executive Director | Met with Licensing Program Analyst during complaint investigation |
| Javier Prieto | Licensing Program Analyst | Conducted the complaint investigation |
Inspection Report
Annual Inspection
Census: 116
Capacity: 156
Deficiencies: 0
Date: May 22, 2025
Visit Reason
An unannounced annual required visit was conducted by Licensing Program Analyst Javier Prieto to evaluate the facility's compliance with licensing requirements.
Findings
The facility was found to be operating within capacity and maintaining compliance with physical plant, food service, care and supervision, administration, and medical related services standards. No deficiencies were cited during the inspection.
Report Facts
Resident files reviewed: 12
Staff files reviewed: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Isabel Enriquez | Administrator | Met with Licensing Program Analyst during inspection and discussed report findings |
| Javier Prieto | Licensing Program Analyst | Conducted the unannounced annual inspection |
| Karen Clemons | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 115
Capacity: 156
Deficiencies: 1
Date: Feb 10, 2025
Visit Reason
The inspection visit was an unannounced complaint investigation triggered by an allegation of staff mismanaging a resident's medication.
Complaint Details
The complaint was substantiated based on observations, interviews, and records review. The medication for resident #1 was administered at 12:31 PM instead of the scheduled 8:00 AM with an allowable window of one hour before or after the prescribed time.
Findings
The investigation substantiated the allegation that medication for a resident was administered outside the allowable time window. The Executive Director acknowledged the medication error and filed an incident report.
Deficiencies (1)
Incidental Medical and Dental Care plan was not met as medication was not dispensed within the allowable time frame.
Report Facts
Capacity: 156
Census: 115
Plan of Correction Due Date: Feb 14, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Javier Prieto | Licensing Program Analyst | Conducted the complaint investigation |
| Isabel Enriquez | Executive Director | Provided explanation of complaint elements and acknowledged medication error |
Inspection Report
Complaint Investigation
Census: 115
Capacity: 156
Deficiencies: 0
Date: Feb 10, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2021-11-18 regarding a resident's call button being in disrepair and the facility not following the admission agreement.
Complaint Details
The complaint was unsubstantiated. Allegations included a resident's call button being in disrepair and the facility not following the admission agreement. The investigation found no evidence to support these claims.
Findings
The investigation found that the call buttons (pull cords) were not in disrepair and residents reported staff availability. The facility was following the admission agreement, including fall risk assessments and status checks. Therefore, the allegations were deemed unsubstantiated.
Report Facts
Capacity: 156
Census: 115
Average response time: 4
Status checks: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Javier Prieto | Licensing Program Analyst | Conducted the complaint investigation and signed the report |
| Isabel Enriquez | Executive Director | Met with investigator and provided explanations and documentation during the investigation |
Inspection Report
Complaint Investigation
Census: 115
Capacity: 156
Deficiencies: 0
Date: Feb 10, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2023-10-30 regarding staff neglect, medication mishandling, resident soiling, and leaving a resident unattended in the dark.
Complaint Details
The complaint investigation was unsubstantiated based on interviews with staff and the resident, review of medication and physician records, and lack of corroborating evidence for the allegations.
Findings
The investigation found insufficient evidence to substantiate the allegations of staff neglect causing pressure injuries, medication mishandling, resident soiling, or leaving a resident unattended in the dark. Interviews and records reviewed did not support the complaints, and the allegations were deemed unsubstantiated.
Report Facts
Capacity: 156
Census: 115
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Javier Prieto | Licensing Program Analyst | Conducted the complaint investigation |
| Isabel Enriquez | Executive Director | Met with Licensing Program Analyst during investigation |
| Jennifer Heldoorn | Administrator | Facility administrator named in report header |
Inspection Report
Complaint Investigation
Census: 127
Capacity: 156
Deficiencies: 0
Date: Jul 15, 2024
Visit Reason
The inspection was an unannounced complaint investigation conducted in response to allegations received on 07/11/2024 regarding staff mishandling a resident's personal belonging, failure to provide comfortable accommodation, improper bathroom maintenance, leaving a resident soiled for extended periods, and unmet incontinence needs.
Complaint Details
The complaint was unsubstantiated based on documentation, observations, staff and resident interviews. Allegations included mishandling of personal belongings, inadequate accommodation, poor bathroom maintenance, neglect in changing soiled residents, and unmet incontinence needs. Hospice records and staff interviews supported that care needs were met.
Findings
The investigation found no sufficient evidence to substantiate any of the allegations. Observations, interviews, and documentation confirmed that the resident's belongings were accounted for, accommodations were comfortable, bathrooms were properly maintained, incontinence needs were met, and residents were not left soiled for extended periods.
Report Facts
Capacity: 156
Census: 127
Complaint control number: 56-AS-20240711100038
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Javier Prieto | Licensing Program Analyst | Conducted the complaint investigation |
| Isabel Eriquez | Residence Service Director | Met with Licensing Program Analyst during investigation |
Inspection Report
Complaint Investigation
Census: 127
Capacity: 156
Deficiencies: 0
Date: May 16, 2024
Visit Reason
An unannounced complaint investigation was conducted in response to allegations received on 10/12/2020 regarding unsanitary conditions, malodorous room, spoiled foods, and mold in a resident's room.
Complaint Details
The complaint was unsubstantiated after investigation. Allegations included unsanitary room conditions, malodor, spoiled food, and mold in a resident's room. The resident was unavailable for interview as they no longer reside at the facility. Staff interviews and records did not support the allegations.
Findings
The investigation found no substantiated evidence supporting the allegations. Facility records and staff interviews indicated sufficient cleaning and no presence of mold or spoiled food in the resident's room. The allegations were determined to be unsubstantiated.
Report Facts
Facility capacity: 156
Resident census: 127
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Yolanda Delgado | Licensing Program Analyst | Conducted the complaint investigation |
| Jennifer Heldoorn | Administrator | Met with investigator during the visit and participated in exit interview |
| Jazmond D Harris | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 127
Capacity: 156
Deficiencies: 0
Date: May 16, 2024
Visit Reason
The visit was an unannounced complaint investigation into an allegation that facility staff did not notify the responsible party of a rent increase.
Complaint Details
The complaint alleged that facility staff did not notify the responsible party of a rent increase. The complaint was investigated and found to be unfounded.
Findings
The investigation found the complaint to be unfounded. Records and interviews confirmed that the responsible party was notified by mail of the rent increase, and the resident was moved out before the increase took effect.
Report Facts
Capacity: 156
Census: 127
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Yolanda Delgado | Licensing Program Analyst | Conducted the complaint investigation |
| Jennifer Heldoorn | Administrator | Met with the Licensing Program Analyst during the investigation |
| Mandy Taylor | Administrator | Named as facility administrator in the report |
Inspection Report
Annual Inspection
Census: 126
Capacity: 156
Deficiencies: 0
Date: May 7, 2024
Visit Reason
An unannounced annual required visit was conducted to evaluate the facility's compliance with licensing regulations.
Findings
The facility was found to be operating within capacity and maintaining compliance with physical plant, food service, care and supervision, administration, and medical related services requirements. No deficiencies were cited during the inspection.
Report Facts
Resident files reviewed: 7
Staff files reviewed: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jennifer Heldoorn | Executive Director | Met with Licensing Program Analyst and discussed the inspection report |
| Javier Prieto | Licensing Program Analyst | Conducted the inspection |
| Karen Clemons | Supervisor | Supervisor overseeing the licensing evaluation |
Inspection Report
Complaint Investigation
Census: 123
Capacity: 156
Deficiencies: 2
Date: Mar 25, 2024
Visit Reason
The visit was an unannounced complaint investigation conducted to investigate allegations including staff not administering a resident's medication, resident sustaining injuries while in care, and inadequate food service.
Complaint Details
The complaint investigation was triggered by allegations received on 08/04/2020. The allegation that staff did not administer resident’s medication was unsubstantiated. The allegations that Resident 1 sustained injuries while in care and that staff did not provide adequate food service were substantiated.
Findings
The allegation that staff did not administer a resident's medication was unsubstantiated due to lack of evidence. However, allegations that a resident sustained injuries while in care and that staff did not provide adequate food service were substantiated based on interviews and record reviews.
Deficiencies (2)
CCR 87464(f)(1): During investigation of a complaint, it was found that Resident 1 sustained injuries while in the facility's care, posing a potential health and safety risk.
CCR 87464(f)(3): Facility staff failed to provide three nutritionally well-balanced meals and snacks daily as staff forgot to distribute Resident 1’s meals on several occasions, posing a potential health and safety risk.
Report Facts
Facility Capacity: 156
Resident Census: 123
Number of interviews conducted: 6
Date complaint received: Aug 4, 2020
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Janette Romero | Licensing Program Analyst | Conducted the complaint investigation and unannounced visit |
| Isabel Enriquez | Resident Services Director | Met with Licensing Program Analyst during the investigation |
| Mandy Taylor | Administrator | Facility administrator named in the report |
Inspection Report
Census: 122
Capacity: 156
Deficiencies: 0
Date: Mar 20, 2024
Visit Reason
Licensing Program Analyst Javier Prieto conducted an unannounced visit to initiate a Case Management visit and Health & Safety check at the facility.
Findings
No imminent health and/or safety concerns or hazards were observed inside or outside the facility. The facility was found to have sufficient staff present, and the dining and kitchen areas were clean, sanitized, and neat. The needs of the residents appeared to be met during the inspection.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jennifer Heldoorn | Executive Director | Met with Licensing Program Analyst during the inspection and discussed the purpose of the visit. |
| Javier Prieto | Licensing Program Analyst | Conducted the unannounced visit and inspection. |
| Karen Clemons | Supervisor | Supervisor overseeing the inspection. |
Inspection Report
Census: 110
Capacity: 156
Deficiencies: 0
Date: Sep 15, 2023
Visit Reason
Licensing Program Analyst Javier Prieto conducted an unannounced Case Management visit to perform a Health & Safety check at the facility.
Findings
No imminent health or safety concerns or hazards were observed inside or outside the facility. The facility was found to be clean, sanitized, and neat, with sufficient staff present to provide care. The needs of the residents appeared to be met during the inspection.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jennifer Heldoorn | Executive Director | Met with Licensing Program Analyst during the visit and discussed the purpose of the visit. |
| Javier Prieto | Licensing Program Analyst | Conducted the unannounced visit and inspection. |
| Karen Clemons | Supervisor | Supervisor overseeing the licensing evaluation. |
Inspection Report
Annual Inspection
Census: 109
Capacity: 156
Deficiencies: 0
Date: Jun 13, 2023
Visit Reason
Licensing Program Analyst Magda Malcore made an unannounced visit to conduct a required annual inspection of the Residential Care Facility for the Elderly (RCFE).
Findings
The facility was found to be clean, in good repair, and operating in safe conditions with no deficiencies cited. Inspections included facility safety, medication storage and administration, staff records, and client records.
Report Facts
Hospice waiver beds: 25
Client bedrooms inspected: 6
Client bathrooms inspected: 6
Client medications reviewed: 6
Emergency drill date: May 10, 2023
Facility temperature: 71
Hot water temperature: 108
Medication rooms: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jennifer Heldoorn | Executive Director | Met with Licensing Program Analyst during inspection |
| Magda Malcore | Licensing Program Analyst | Conducted the inspection |
| Karen Clemons | Supervisor | Supervisor overseeing the inspection |
Inspection Report
Census: 95
Capacity: 156
Deficiencies: 0
Date: May 10, 2023
Visit Reason
The visit was a case management visit related to the passing of an adult resident (R1) who passed away on 2023-04-29. The Licensing Program Analyst gathered pertinent information regarding the resident's passing.
Findings
The Licensing Program Analyst reviewed documentation including R1's ID, admission agreement, physician's report, resident appraisal, needs and services plan, progress notes, medication records, incident reports, and a 30-day notice from the family. It was confirmed that R1 was visited daily by family, last left the facility on 2023-04-17 for a doctor's appointment, was transferred to a medical hospital, and passed away under medical care per family directive.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jennifer Heldoorn | Executive Director | Met with Licensing Program Analyst during case management visit related to resident passing |
| Javier Prieto | Licensing Program Analyst | Conducted case management visit and gathered information related to resident passing |
| Isabel Enriquez | RSD | Met with Licensing Program Analyst during case management visit |
| Michelle Sosa | Business Office Manager | Received 30 day notice regarding resident's terminal illness and passing |
Inspection Report
Complaint Investigation
Capacity: 156
Deficiencies: 0
Date: Mar 7, 2023
Visit Reason
The visit was an unannounced complaint investigation conducted in response to a complaint alleging that the facility was not allowing a resident access to their records.
Complaint Details
The complaint alleged that the facility was not allowing resident access to their records. The allegation was found to be unsubstantiated after review of communications and records showing the resident's authorized party received the records.
Findings
The investigation found that the resident's authorized party received the requested records on 2022-01-12, and therefore the allegation was unsubstantiated due to lack of preponderance of evidence.
Report Facts
Facility capacity: 156
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Anna Bueno | Licensing Program Analyst | Conducted the complaint investigation |
| Jennifer Heldoorn | Executive Director | Met with Licensing Program Analyst during investigation |
| Michelle Sosa | Business Office Manager | Informed of the reason for the visit and involved in records communication |
| Nedra Brown | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 106
Capacity: 156
Deficiencies: 0
Date: Jan 9, 2023
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations received on 2022-02-28 regarding staff not checking on residents every 2 hours and staff not being properly trained.
Complaint Details
The complaint investigation was triggered by allegations that staff did not check on residents every 2 hours and that staff were not properly trained. The investigation found no physician's order requiring 2-hour checks and confirmed that staff training was conducted yearly and documented. The allegations were determined to be unfounded.
Findings
Based on observation, record review, and interviews, both allegations were found to be unfounded, meaning the allegations were false or without reasonable basis.
Report Facts
Capacity: 156
Census: 106
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Bernadette Allen | Licensing Program Analyst | Conducted the complaint investigation and unannounced visit |
| Jennifer Heldoorn | Administrator | Facility administrator met with the evaluator during the visit |
| Karen Clemons | Supervisor | Supervisor overseeing the licensing evaluation |
Inspection Report
Complaint Investigation
Census: 106
Capacity: 156
Deficiencies: 0
Date: Jan 9, 2023
Visit Reason
An unannounced visit was conducted to investigate a complaint alleging that a resident was locked in a room.
Complaint Details
The complaint alleged that a resident was locked in a room. The finding was unsubstantiated based on observations and interviews.
Findings
The investigation found no evidence to substantiate the allegation; residents' bedroom doors were not locked during the visit, and multiple staff members had keys to locked rooms. Interviews with staff and outside parties confirmed the resident was never left alone in a locked room.
Report Facts
Capacity: 156
Census: 106
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jennifer Heldoorn | Administrator | Met during the investigation and informed of the purpose of the visit |
| Bernadette Allen | Licensing Program Analyst | Conducted the complaint investigation visit |
| Karen Clemons | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 111
Capacity: 156
Deficiencies: 2
Date: May 18, 2022
Visit Reason
Licensing Program Analyst Stephanie Torres conducted an unannounced visit to address violations observed during the investigation of complaint #18-AS-20200731095043.
Complaint Details
The visit was triggered by complaint #18-AS-20200731095043. The complaint involved denial of entry to a home health representative and inadequate COVID-19 infection control measures. Citations were issued.
Findings
The facility denied entry to a home health representative authorized to provide wound care to a resident, posing an immediate threat to the resident's health and safety. Additionally, staff were not properly wearing masks during shifts, and mass COVID-19 testing was delayed, posing a potential threat to resident health and safety. Citations were issued for these violations.
Deficiencies (2)
Licensee did not ensure Resident One maintained the right to receive medical care; a home health representative was denied entry to evaluate the resident.
Licensee did not ensure residents were accorded safe, healthful, and comfortable accommodations; staff were not properly wearing masks and mass testing was delayed.
Report Facts
Capacity: 156
Census: 111
Plan of Correction Due Date: May 20, 2022
Plan of Correction Due Date: May 31, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jennifer Heldoorn | Executive Director | Met with Licensing Program Analyst during inspection and named in findings |
| Stephanie Torres | Licensing Program Analyst | Conducted the unannounced inspection visit |
| Deborah Mullen | Supervisor | Named as supervisor in report |
Inspection Report
Complaint Investigation
Census: 111
Capacity: 156
Deficiencies: 1
Date: May 18, 2022
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that staff neglect resulted in resident #1 sustaining an infected pressure injury (ulcer).
Complaint Details
The complaint was substantiated based on evidence that staff neglect caused resident #1 to sustain an infected pressure injury. The investigation included record reviews and interviews, confirming inadequate care and failure to follow treatment plans.
Findings
The investigation substantiated the allegation that staff neglect led to resident #1 developing an infected Stage III sacral pressure ulcer. The facility failed to provide appropriate care, including proper rotation and incontinence care, and did not ensure coordination with the home health agency. An immediate civil penalty of $500 was assessed.
Deficiencies (1)
Failure to ensure resident received care, supervision, and services to meet individual needs, resulting in neglect of resident #1's infected pressure injury.
Report Facts
Civil penalty amount: 500
Capacity: 156
Census: 111
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Torres | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Jennifer Heldoorn | Executive Director | Met with Licensing Program Analyst during investigation |
| Mandy Taylor | Administrator | Facility administrator involved in review of report and appeal rights |
Inspection Report
Annual Inspection
Census: 111
Capacity: 156
Deficiencies: 0
Date: May 9, 2022
Visit Reason
Licensing Program Analyst Javier Prieto made an unannounced visit to conduct an annual inspection with an emphasis on infection control, continuing from a previous visit on 01/25/2022.
Findings
The facility was found to have proper infection control measures including signage, hand hygiene supplies, cleaning provisions, and PPE use. No deficiencies were cited during this inspection.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jennifer Heldoorn | Administrator | Met with Licensing Program Analyst during the inspection. |
| Javier Prieto | Licensing Program Analyst | Conducted the annual inspection visit. |
| Karen Clemons | Supervisor | Supervisor overseeing the inspection. |
Inspection Report
Complaint Investigation
Census: 105
Capacity: 156
Deficiencies: 2
Date: Nov 9, 2021
Visit Reason
An unannounced visit was conducted to investigate complaints alleging that a resident sustained a fall while in care and that facility staff was insufficient to meet residents' needs.
Complaint Details
The complaint investigation was substantiated based on interviews and file review. Resident 1 sustained two falls, with the second causing a head injury. Staffing was insufficient in the transitional memory care unit on the date of the incident. Resident 1 passed away shortly after the incident.
Findings
The investigation found that Resident 1, admitted to the transitional memory care unit, sustained two falls on 10/17/21, with the second fall resulting in a head injury and hospitalization. Staffing levels in the transitional memory care unit were found to be insufficient compared to the Legacies memory care unit where the resident should have been housed. Both allegations were substantiated.
Deficiencies (2)
Personal Rights of Residents in all Facilities: To be accorded safe, healthful & comfortable accommodations, furnishings and equipment. This requirement was not met as evidenced by Resident 1 falling twice on 10/17/21, resulting in an immediate health and safety risk.
Personnel Requirements: personnel shall be sufficient in numbers and competent to provide the services necessary to meet the residents needs. This requirement was not met as evidenced by insufficient staffing in the transitional memory care unit on 10/17/21, posing an immediate health and safety risk.
Report Facts
Census: 105
Total Capacity: 156
Staffing Ratio Night Transitional Unit: 1
Staffing Ratio Day Transitional Unit: 4
Staffing Ratio Day Legacies Unit: 2
Staffing Ratio Night Legacies Unit: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Shaunte Henry | Licensing Program Analyst | Conducted the complaint investigation |
| Jennifer Heldoorn | Executive Director | Interviewed during investigation |
| Brittany Whitlock | Memory Care Director | Interviewed during investigation |
Inspection Report
Complaint Investigation
Census: 116
Capacity: 156
Deficiencies: 0
Date: Jun 23, 2021
Visit Reason
The visit was an unannounced complaint investigation into the allegation that the facility does not have hot water.
Complaint Details
The complaint alleged that the entire facility had no hot water since June 16, 2021. The facility had been addressing boiler issues and had ordered a replacement. The complaint was found to be unfounded.
Findings
The investigation found that the complaint was unfounded. Hot water temperatures measured in multiple rooms ranged from 74.3 to 76.5 degrees Fahrenheit, and the kitchen dishwashing station measured 129 degrees Fahrenheit. Six of seven residents reported hot water was operable at specific times, while one resident reported no hot water.
Report Facts
Hot water temperature: 75.3
Hot water temperature: 74.3
Hot water temperature: 76
Hot water temperature: 75.7
Hot water temperature: 76.5
Hot water temperature: 75.4
Hot water temperature: 129
Residents interviewed: 7
Staff interviewed: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tricia Danielson | Licensing Program Analyst | Conducted the complaint investigation |
| Mandy Taylor | Executive Director | Met with Licensing Program Analyst during investigation |
| Claudia Ruiz | Business Office Manager | Provided information about boiler issues |
Inspection Report
Annual Inspection
Census: 118
Capacity: 156
Deficiencies: 0
Date: May 18, 2021
Visit Reason
The inspection was conducted as a required annual visit to evaluate the facility's compliance with licensing regulations.
Findings
The inspection found that all staff were following infection control procedures, including wearing masks and maintaining social distancing. The facility had adequate PPE supplies and no citations or technical violations were issued.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mandy Taylor | Executive Director | Met with Licensing Program Analyst and accompanied on facility tour. |
| Gabrielle Rossi | Health Services Director | Oversaw Med-Room audits, staff training, and infection control compliance. |
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