23 Reports
Inspection Report — Jan 28, 2026
Date: Jan 28, 2026
Visit Reason
The visit was an unannounced case management inspection to confirm Orders to Individual for Immediate Exclusion from All Facilities.
Findings
The Licensing Program Analyst served an order of immediate exclusion effective 01/28/2026, prohibiting a staff member (S1) from working, being present, or having contact with clients at the facility. The facility confirmed that S1 is currently not working there.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Suzanne Dizon | Administrator Designee | Met with Licensing Program Analyst during the inspection. |
| Kerry Hiratsuka | Licensing Program Analyst | Conducted the unannounced case management visit and served the immediate exclusion order. |
| Troy Ordonez | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report — Jan 21, 2026
Annual Inspection
Date: Jan 21, 2026
Visit Reason
The visit was conducted as an unannounced annual inspection to evaluate compliance with licensing requirements and ensure the health and safety of residents.
Findings
No deficiencies were observed or cited during the inspection. The facility met all regulatory requirements including food safety, medication storage, fire safety, and environmental safety.
Inspection Report — Jan 15, 2026
Follow-Up
Date: Jan 15, 2026
Visit Reason
The visit was a follow-up meeting regarding the pending change of ownership (CHOW) to ensure a smooth transition and compliance with licensing requirements.
Findings
No deficiencies were cited during the meeting. The department discussed the CHOW application progress and advised the applicant to contact DHCS for a new waiver application as waivers are non-transferable.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Susie Dizon | Administrator | Present at the meeting and involved in the CHOW discussion. |
| Nisha Patel | Licensee | Present at the meeting and involved in the CHOW discussion. |
| Suzanne Dizon | Present at the meeting and involved in the CHOW discussion. | |
| Laura Munoz | Licensing Program Manager | Present at the meeting representing the licensing agency. |
| Talwinder Bains | Licensing Program Analyst | Present at the meeting representing the licensing agency. |
Inspection Report — Sep 23, 2025
Complaint Investigation
Date: Sep 23, 2025
Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that staff overcharged a resident.
Complaint Details
The complaint alleged that staff overcharged a resident. The allegation was investigated and found to be unfounded, meaning the allegation was false or without reasonable basis.
Findings
The investigation found the allegation to be unfounded after reviewing records and interviewing staff and relevant parties. The facility had charged a community fee which was later refunded to the resident's responsible party, resolving the issue.
Report Facts
Community fee charged: 2000
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Talwinder Bains | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Susie Dizon | Administrator | Facility administrator named in report header |
| Flerida Manarang | Staff | Met with Licensing Program Analyst during investigation |
| Laura Munoz | Supervisor | Supervisor overseeing the investigation |
Inspection Report — Jul 23, 2025
Complaint Investigation
Date: Jul 23, 2025
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations regarding inadequate meal service and inadequate supervision of residents.
Complaint Details
The complaint involved allegations that staff did not follow the meal menu, provided inadequate meal service, and provided inadequate supervision resulting in residents entering other residents' rooms. The investigation found these allegations to be unfounded.
Findings
The investigation found all allegations to be unfounded. Observations and interviews indicated that the facility provided adequate meal service and supervision, residents were satisfied with food and care, and no safety concerns were identified.
Report Facts
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Talwinder Bains | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Maria Susie Dizon | Administrator | Facility administrator met during the investigation and exit interview |
Inspection Report — Jul 23, 2025
Date: Jul 23, 2025
Visit Reason
The visit was a Case Management - Incident inspection conducted due to an incident report submitted regarding a resident's change in health condition and subsequent safety concerns.
Findings
The facility reported an incident where a resident with altered mental status refused emergency medical care and left the facility on foot. The facility notified appropriate agencies and law enforcement, and no citations were issued at this time. The incident remains under review with potential follow-up.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Maria Susie Dizon | Administrator | Met with Licensing Program Analyst during the visit and involved in incident report discussion. |
| Talwinder Bains | Licensing Program Analyst | Conducted the Case Management visit and authored the report. |
| Laura Munoz | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report — Jul 14, 2025
Complaint Investigation
Date: Jul 14, 2025
Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that staff did not ensure the facility elevator was in good repair.
Complaint Details
The complaint alleged that staff did not ensure the facility elevator was in good repair. The allegation was found to be unfounded as the elevator was promptly reported and repaired, and no harm occurred to residents.
Findings
The investigation found that the elevator broke on 2025-07-09 and was repaired by 2025-07-22. The facility implemented a plan to assist residents during the elevator outage, and no harm was caused. The allegation was determined to be unfounded.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Maria Susie Dizon | Administrator | Met with during complaint investigation and mentioned in findings. |
| Talwinder Bains | Licensing Program Analyst | Conducted the complaint investigation. |
Inspection Report — May 14, 2025
Date: May 14, 2025
Visit Reason
The visit was an unannounced case management visit to follow up on an incident reported by the facility involving an unauthorized individual forcibly entering the premises and causing property damage.
Findings
No immediate health and safety concerns related to residents were identified during the visit. No citations were issued per Title 22 Regulations.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Susie Dizon | Administrator | Met with during the inspection and named in the incident report. |
Inspection Report — Apr 10, 2025
Complaint Investigation
Date: Apr 10, 2025
Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that staff did not provide a responsible party with a refund.
Complaint Details
The complaint alleged that staff did not provide a responsible party with a refund. The allegation was found to be unfounded after investigation and record review.
Findings
The investigation found that the facility initially refunded half of the pre-admission fee after the resident's death and later issued the full refund. The allegation was found to be unfounded and resolved.
Report Facts
Refund amount: 2250
Refund amount: 1125
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Talwinder Bains | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Suzanne Dizon | Co-administrator | Met with Licensing Program Analyst during investigation |
Inspection Report — Jan 23, 2025
Date: Jan 23, 2025
Visit Reason
The Licensing Program Analyst conducted a Case Management visit to perform health and safety checks at the facility.
Findings
The facility appeared to be in good repair based on the tour and staff interviews conducted during the health and safety check.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Suzanne Dizon | Assistant Administrator | Met with Licensing Program Analyst during the health and safety check. |
Inspection Report — Jan 8, 2025
Annual Inspection
Date: Jan 8, 2025
Visit Reason
The inspection was conducted as a required unannounced annual inspection to evaluate compliance with regulatory standards.
Findings
No deficiencies were observed or cited during the inspection. The facility was found to be clean, well organized, and in compliance with health and safety regulations including medication management, food storage, and fire safety.
Report Facts
Medication reviews: 6
Staff and resident file reviews: 6
Food supply duration: 2
Food supply duration: 7
Fire extinguisher last serviced: Jan 26, 2024
Hot water temperature range: 108
Hot water temperature range: 112
Inside temperature range: 74
Inside temperature range: 76
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Suzanne Dizon | Administrator | Met with Licensing Program Analyst during inspection and participated in facility tour |
| Talwinder Bains | Licensing Program Analyst | Conducted the annual inspection and evaluation |
Inspection Report — May 23, 2024
Date: May 23, 2024
Visit Reason
The visit was a Case Management health and safety check conducted to assess compliance with health and safety regulations at the facility.
Findings
The facility appeared to be in good repair; however, a deficiency was cited for not providing weekly menus to residents as required by CCR Regulation 87555(b)(6) for facilities serving more than 16 residents.
Citations (1)
CCR 87555(b)(6) requires facilities serving 16 or more residents to provide weekly menus written at least one week in advance and keep dated copies on file for at least 30 days. The facility failed to provide weekly menus to residents, posing potential health and safety risks.
Report Facts
Plan of Correction due date: Jun 6, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Talwinder Bains | Licensing Program Analyst | Conducted the Case Management visit and inspection |
| Susie Dizon | Administrator | Facility administrator not available during visit but gave permission for inspection |
| Suzanne Dizon | Staff | Met with Licensing Program Analyst during the visit |
| Laura Munoz | Supervisor | Supervisor overseeing the licensing evaluation |
Inspection Report — Apr 15, 2024
Complaint Investigation
Date: Apr 15, 2024
Visit Reason
The visit was an unannounced complaint investigation conducted in response to multiple allegations received on 2024-02-08 regarding staff conduct and facility conditions at the Chalet facility.
Complaint Details
The complaint included allegations such as staff not keeping the facility clean, not providing clean mattresses, illegal eviction, staff threats, lack of dignity and respect, harassment, failure to safeguard personal items, denial of shower assistance, improper medication assistance, and uncomfortable accommodations. All allegations were found to be unfounded or unsubstantiated based on interviews, observations, and record reviews.
Findings
The investigation found all allegations to be either unfounded or unsubstantiated after facility observations, interviews with residents and staff, and records review. No violations or deficiencies were confirmed.
Report Facts
Inspection Report — Jan 30, 2024
Annual Inspection
Date: Jan 30, 2024
Visit Reason
The visit was an unannounced annual inspection conducted to evaluate compliance with licensing requirements and ensure the health and safety of residents.
Findings
The inspection found that 11 out of 12 resident files lacked current needs and service plans. No health or safety violations were observed during the facility tour. A deficiency was cited related to reappraisals under Title 22 regulations.
Citations (1)
CCR 87463(c) Reappraisals: The licensee did not arrange required meetings for reappraisals in 11 out of 12 resident files reviewed, posing a potential health, safety, or personal rights risk.
Report Facts
Resident files reviewed: 12
Staff files reviewed: 5
Resident files with missing current needs and service plans: 11
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Susie Dizon | Administrator | Facility administrator involved in inspection and plan of correction |
| Talwinder Bains | Licensing Program Analyst | LPA who conducted the inspection and will be notified upon plan of correction completion |
| Melissa Parks | Licensing Program Analyst | LPA who conducted the inspection and signed the report |
| Maribeth Senty | Supervisor | Supervisor overseeing the inspection |
Inspection Report — Jan 24, 2024
Complaint Investigation
Date: Jan 24, 2024
Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that the HVAC system was not working.
Complaint Details
The complaint was investigated and found to be unfounded, meaning the allegation was false, could not have happened, or was without a reasonable basis.
Findings
The investigation found that all vents for the heating and cooling system were operational with no disrepair observed. The allegation that the HVAC system was not working was found to be unfounded.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Talwinder Bains | Licensing Program Analyst | Conducted the complaint investigation and authored the report. |
| Susie Dizon | Administrator | Facility administrator met during the investigation. |
Inspection Report — Oct 4, 2023
Complaint Investigation
Date: Oct 4, 2023
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations that staff did not provide assistance in a timely manner and that staff left a resident in soiled diapers.
Complaint Details
The complaint investigation was substantiated for the allegation that staff did not provide assistance in a timely manner due to lack of call button access for resident R1. The allegation that staff left a resident in soiled diapers was unsubstantiated based on interviews and observations.
Findings
The complaint that staff did not provide assistance in a timely manner was substantiated due to lack of access to a call button for a resident, posing an immediate health and safety risk. The allegation that staff left a resident in soiled diapers was unsubstantiated after interviews and observations showed staff provided care according to residents' needs.
Citations (1)
CCR 87411(a) Personnel Requirements - Facility personnel were not sufficient or competent to ensure resident R1 had access to a working call button at all times, posing an immediate health and safety risk.
Report Facts
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Susie Dizon | Administrator | Met with licensing evaluator and participated in exit interview |
| Talwinder Bains | Licensing Evaluator | Conducted complaint investigation |
| Laura Munoz | Supervisor | Supervisor overseeing complaint investigation |
Inspection Report — Jun 13, 2023
Date: Jun 13, 2023
Visit Reason
The inspection was an announced case management visit conducted jointly with fire inspectors to review facility compliance, including fire safety and non-ambulatory resident clearance.
Findings
The facility was found to be currently in compliance with fire code regulations, but the previous non-ambulatory clearance was noted as an error due to only one enclosed stairwell. Staff lacked training on an electronic wheelchair/scooter evacuation lift, and the facility agreed to provide immediate training and submit proof.
Report Facts
Non-ambulatory residents on second floor: 5
Residents on second floor: 12
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nisha Patel | Administrator | Facility administrator present during inspection |
| Laura Munoz | Licensing Program Manager | Conducted the case management visit |
| Melissa Parks | Licensing Program Analyst | Conducted the case management visit |
Inspection Report — Apr 19, 2023
Complaint Investigation
Date: Apr 19, 2023
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received on 2023-01-30 regarding staff response times, threats to residents, meal service adequacy, and medication administration.
Complaint Details
The complaint investigation addressed allegations that staff did not respond timely to residents' requests, threatened residents, failed to provide adequate meal service, and did not administer medications as prescribed. All allegations were found to be unfounded based on interviews, observations, and record reviews.
Findings
All allegations investigated were found to be unfounded after interviews, observations, and record reviews. The facility was found to meet residents' needs, provide adequate meal service, and properly administer medications without errors.
Report Facts
Inspection Report — Dec 20, 2022
Annual Inspection
Date: Dec 20, 2022
Visit Reason
The inspection was an unannounced Required-1 Year Inspection focusing on the infection control domain to ensure compliance with health and safety standards.
Findings
The facility was found to be in substantial compliance with no immediate health, safety, or personal rights violations observed. No deficiencies were cited during the inspection.
Inspection Report — Dec 20, 2022
Complaint Investigation
Date: Dec 20, 2022
Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that facility staff do not provide adequate hygiene service.
Complaint Details
The complaint alleging inadequate hygiene service by facility staff was investigated and found to be unfounded.
Findings
The investigation found that the facility had adequate hygiene supplies and staff were providing assistance to residents with their hygiene needs without issues. The allegation was determined to be unfounded.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Talwinder Bains | Licensing Evaluator | Conducted the complaint investigation visit. |
| Maria Susie Dizon | Administrator | Met with the evaluator during the investigation. |
| Nisha Patel | Administrator | Named as facility administrator in the report. |
Inspection Report — Jan 27, 2022
Annual Inspection
Date: Jan 27, 2022
Visit Reason
The visit was an unannounced required 1 year inspection conducted to evaluate the facility's compliance with regulations.
Findings
No deficiencies were cited during the inspection. The facility was found to be in good repair with proper emergency supplies, medication storage, and compliance with COVID-19 protocols.
Inspection Report — Sep 8, 2021
Complaint Investigation
Date: Sep 8, 2021
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations that staff were not facilitating visitation between a resident and her family member and were not providing activities to the resident.
Complaint Details
The complaint was unsubstantiated. Allegations included failure to facilitate visitation and failure to provide activities. The department reviewed documentation and conducted interviews, concluding there was no preponderance of evidence to prove the alleged violations occurred.
Findings
The investigation found that although activities were planned, the facility was under isolation orders due to a COVID-19 outbreak from November 16 to December 18, 2020, during which residents were provided individual in-room activities and virtual visits were accommodated. The allegations were determined to be unsubstantiated due to insufficient evidence.
Report Facts
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Danyle Wolter | Licensing Evaluator | Conducted the complaint investigation and delivered findings |
| Nisha Patel | Administrator | Facility administrator contacted to deliver findings |
| Elsa Ruiz | Caregiver | Met with Licensing Evaluator during the investigation |
Inspection Report — Jul 15, 2021
Annual Inspection
Date: Jul 15, 2021
Visit Reason
The inspection was an unannounced Required-1 Year Inspection focusing on infection control compliance.
Findings
The facility was found to be in substantial compliance with no immediate health, safety, or personal rights violations observed. No deficiencies were cited during this inspection.
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