Inspection Reports for
Westmont of Morgan Hill

1160 Cochrane Rd, Morgan Hill, CA 95037, United States, CA, 95037

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Citations (last 6 years)

Citations (over 6 years) 0.8 citations/year

Citations are regulatory findings recorded during state inspections.

80% better than California average
California average: 4 citations/year

Citations per year

4 3 2 1 0
2021
2022
2023
2024
2025
2026

Occupancy

Latest occupancy rate 73% occupied

Based on a February 2026 inspection.

This facility has shown a steady increase in demand based on occupancy rates.

Occupancy rate over time

40% 60% 80% 100% Jan 2021 Aug 2021 Dec 2021 Aug 2023 May 2025 Feb 2026 Feb 2026

Inspection Report

Annual Inspection
Census: 82 Capacity: 112 Citations: 0 Date: Feb 24, 2026

Visit Reason
An unannounced annual inspection visit was conducted to evaluate compliance with licensing requirements at Westmont of Morgan Hill facility.

Findings
The inspection found the facility to be in compliance with no deficiencies cited. Resident files, medication records, staff files, and safety equipment were all complete and functional. The facility maintained proper environmental conditions and emergency preparedness.

Report Facts
Staff fingerprint clearance: 4 Staff annual training hours: 20 Fire extinguisher last service date: Jun 26, 2025 Emergency drill date: Jan 30, 2026 Resident files reviewed: 4 Resident medications reviewed: 4 Days of perishables: 2 Days of non-perishables: 7

Employees mentioned
NameTitleContext
Michael FountainExecutive DirectorMet with Licensing Program Analyst during inspection
Steve ChangLicensing Program AnalystConducted the unannounced annual inspection visit
Chihhsien ChangLicensing Program AnalystNamed on report
Romeo ManzanoLicensing Program ManagerNamed on report

Inspection Report

Complaint Investigation
Census: 85 Capacity: 112 Citations: 0 Date: Feb 4, 2026

Visit Reason
The visit was an unannounced complaint investigation triggered by allegations that facility staff were not adhering to residents' care plans and were not addressing the issue of ants in residents' rooms and kitchen area.

Complaint Details
The complaint included allegations that staff were not adhering to residents' care plans and not addressing ant infestations. After interviews with staff and residents, and review of records, the allegations were found to be unfounded.
Findings
The investigation found that staff were providing timely care and supervision to residents, with no evidence of residents being left in wheelchairs all day. The facility addressed ant issues promptly through maintenance and a third-party vendor. The allegations were determined to be unfounded with no deficiencies cited.

Report Facts
Capacity: 112 Census: 85 Incidents reviewed: 6 Staff interviewed: 12 Residents interviewed: 10

Employees mentioned
NameTitleContext
Simranjit RaiLicensing Program AnalystConducted the complaint investigation and interviews
Michael FountainExecutive DirectorMet with during investigation and exit interview
Jmy RamosResident Service DirectorMet with during investigation and exit interview

Inspection Report

Complaint Investigation
Census: 90 Capacity: 112 Citations: 0 Date: Nov 13, 2025

Visit Reason
The inspection was an unannounced complaint investigation triggered by allegations received on August 21, 2025, regarding improper care, supervision, and physical assault of a resident at Westmont of Morgan Hill facility.

Complaint Details
The complaint alleged that a resident was physically assaulted and not properly cared for, including not receiving medication, bathing, or escorting assistance. The investigation included interviews with multiple staff members, residents, and review of incident reports and service plans. The allegations were found to be unfounded.
Findings
Based on interviews with staff, residents, and review of records, the investigation found no evidence supporting the allegations. The department concluded the allegations were unfounded, meaning they were false or without reasonable basis.

Report Facts
Capacity: 112 Census: 90 Resident interviews: 17 Staff interviews: 14

Employees mentioned
NameTitleContext
Jolie HigginsAdministratorNamed as facility administrator
Jmy RamosResident Services DirectorInterviewed during investigation regarding allegations
Manuel MonterLicensing Program AnalystConducted the complaint investigation
Gladys DesmaraisFormer Resident Services DirectorInterviewed during investigation
Romeo ManzanoSupervisorSupervisor overseeing the investigation

Inspection Report

Complaint Investigation
Census: 85 Capacity: 112 Citations: 1 Date: Oct 22, 2025

Visit Reason
An unannounced case management visit was conducted to follow up on an incident report regarding a resident (R1) who eloped from the facility on October 15, 2025.

Complaint Details
The visit was complaint-related, triggered by an incident report of a resident eloping. The resident was found outside the facility without injuries. The complaint was substantiated with findings of inadequate supervision and failure of door alarms to alert staff.
Findings
The investigation found that R1, who has a neurocognitive disorder and exit-seeking behavior, left the memory care unit unassisted and was found 0.4 miles away from the facility. Staff did not hear the door alarms, and deficiencies were cited for failure to provide adequate supervision. An immediate civil penalty of $500 was issued.

Citations (1)
Failure to provide care, supervision, and services that meet individual needs, resulting in a resident eloping from the facility.
Report Facts
Civil penalty amount: 500 Distance resident eloped: 0.4 Deficiency count: 1

Employees mentioned
NameTitleContext
Michael FountainAdministratorMet with Licensing Program Analyst during inspection and reviewed report findings.
Manuel MonterLicensing Program AnalystConducted the unannounced case management visit and authored the report.
Jmy RamosResident Services DirectorInterviewed regarding the resident elopement incident.
Rohit SinghMemory Care CoordinatorInterviewed regarding resident behavior and supervision.

Inspection Report

Complaint Investigation
Census: 85 Capacity: 112 Citations: 0 Date: Oct 20, 2025

Visit Reason
An unannounced case management visit was conducted in response to an incident report stating that a resident had eloped from the facility on October 15, 2025.

Complaint Details
The visit was triggered by a complaint incident report regarding a resident eloping from the facility. The incident was substantiated by the facility's report and further investigation was deemed necessary.
Findings
The resident was found outside the community and safely returned with no visible injuries. The Licensing Program Analyst interviewed staff and requested relevant documentation. The incident requires further investigation.

Report Facts
Capacity: 112 Census: 85

Employees mentioned
NameTitleContext
Brianne MerrittBusiness Office DirectorMet with Licensing Program Analyst during the visit and reviewed the report
Manuel MonterLicensing Program AnalystConducted the unannounced case management visit
Romeo ManzanoLicensing Program ManagerNamed in the report as Licensing Program Manager

Inspection Report

Complaint Investigation
Census: 71 Capacity: 112 Citations: 0 Date: May 20, 2025

Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations received on 01/29/2025 regarding resident care and facility practices.

Complaint Details
The complaint included allegations that facility staff told a resident to use their diaper rather than assist them to the bathroom, did not offer water resulting in dehydration, failed to safeguard resident's personal belongings, and handled a resident roughly. These allegations were found to be unsubstantiated due to lack of evidence.
Findings
The investigation found insufficient evidence to substantiate the allegations. Contradictory information and lack of proof led to the conclusion that the allegations were unsubstantiated.

Report Facts
Capacity: 112 Census: 71

Employees mentioned
NameTitleContext
Jaime VadoLicensing Program AnalystConducted the complaint investigation visit
Ria HernandezResident Services DirectorMet with the evaluator during the investigation

Inspection Report

Annual Inspection
Census: 82 Capacity: 112 Citations: 0 Date: Feb 19, 2025

Visit Reason
The inspection was an unannounced annual required 1-year inspection conducted to evaluate compliance with regulations at the facility.

Findings
The inspection found no deficiencies; resident files and medication records were complete, fire safety equipment and emergency plans were in place and functional, and environmental conditions such as temperatures and food storage met standards.

Report Facts
Resident files reviewed: 4 Resident medications reviewed: 4 Staff files reviewed: 4 Fire extinguisher last service date: Jun 28, 2024 Emergency drill frequency: 1 Hot water temperature range: 111 Kitchen refrigerator temperature: 26 Kitchen freezer temperature: 0 Walk-in refrigerator temperature: 36 Walk-in freezer temperature: 0 Food supply duration: 2 Food supply duration: 7

Employees mentioned
NameTitleContext
Jolie HigginsExecutive DirectorMet with Licensing Program Analyst during inspection and reviewed report
Ria HernandezResident Services DirectorMet with Licensing Program Analyst during inspection and reviewed report
Christine KabaritiLicensing Program AnalystConducted the inspection
Jackie JinLicensing Program ManagerNamed in report header

Inspection Report

Annual Inspection
Census: 72 Capacity: 112 Citations: 0 Date: Feb 20, 2024

Visit Reason
The visit was an unannounced required 1-year annual inspection of the facility conducted by the Licensing Program Analyst.

Findings
The inspection found no deficiencies cited under California Code of Regulations, Title 22, but advisory notes were provided. Some egress doors in the memory care area were in disrepair and did not alarm, and the facility took immediate corrective actions while scheduling repairs. Medication record discrepancies were corrected promptly. Staff training and emergency preparedness were reviewed and found adequate.

Report Facts
Fire extinguisher last serviced: May 30, 2023 First Aid certification course scheduled: Feb 26, 2024 Fire drills conducted: 3 Resident files reviewed in memory care: 4 Residents using oxygen with physician order: 3 Residents using half rails with physician order: 2 Resident files reviewed in assisted living: 4 Residents interviewed: 5 Staff records reviewed: 6 Staff with First Aid Certification: 1 Resident apartments toured in memory care: 6 Resident apartments toured in assisted living: 6

Employees mentioned
NameTitleContext
Jolie HigginsExecutive DirectorMet with Licensing Program Analyst during inspection and reviewed report
Ria HernandezResident Care DirectorReviewed report with Licensing Program Analyst
Myrene CarasiMemory Care DirectorReviewed report with Licensing Program Analyst
Christine DoloresLicensing Program AnalystConducted the inspection and authored the report
Sarah YipLicensing Program ManagerNamed in report header and narrative

Inspection Report

Complaint Investigation
Capacity: 112 Citations: 0 Date: Sep 20, 2023

Visit Reason
An unannounced complaint investigation was conducted following a complaint received on 07/20/2023 alleging that facility staff did not file a resident's insurance paperwork for payment since January 2023.

Complaint Details
The complaint alleged that staff did not file resident (R1)'s insurance paperwork for reimbursement since January 2023. The allegation was found unsubstantiated after investigation.
Findings
The investigation found that the allegation was unsubstantiated based on interviews, record review, and observation. The facility was notified of the issue in June 2023 and acted immediately. There was no written agreement that the facility was responsible for filing insurance paperwork, and no deficiencies were cited.

Report Facts
Capacity: 112

Employees mentioned
NameTitleContext
Jolie HigginsExecutive DirectorMet with Licensing Program Analyst during investigation and named in findings
Christine DoloresLicensing Program AnalystConducted the complaint investigation
Sarah YipSupervisorSupervisor overseeing the investigation

Inspection Report

Complaint Investigation
Census: 76 Capacity: 112 Citations: 0 Date: Sep 20, 2023

Visit Reason
The inspection was conducted as an unannounced complaint investigation following a complaint received on 09/11/2023 alleging that staff did not allow a resident to have visitors.

Complaint Details
The complaint alleged that staff did not allow resident (R1) to have visitors. The allegation was found unsubstantiated after investigation, indicating insufficient evidence to prove the violation occurred.
Findings
The investigation found that the resident had a signed visitation list specifying who was allowed and not allowed to visit, and that the resident refused to see visitors. Based on interviews, record review, and observation, the allegation was unsubstantiated and no deficiencies were cited.

Report Facts
Capacity: 112 Census: 76

Employees mentioned
NameTitleContext
Christine DoloresLicensing Program AnalystConducted the complaint investigation
Jolie HigginsExecutive DirectorMet with Licensing Program Analyst during investigation and named in findings
Sarah YipLicensing Program ManagerNamed in report as Licensing Program Manager

Inspection Report

Complaint Investigation
Census: 76 Capacity: 112 Citations: 0 Date: Aug 11, 2023

Visit Reason
An unannounced complaint investigation was conducted regarding allegations that staff were not responding to residents' call buttons in a timely manner, residents' dietary requests were not being met, and the facility failed to maintain residents' rooms in good repair.

Complaint Details
The complaint investigation was unsubstantiated. Allegations included delayed response to call buttons, unmet dietary requests, and failure to maintain resident rooms. Interviews with staff and administrators, record reviews, and facility work orders showed no preponderance of evidence to prove the allegations occurred.
Findings
After interviews, record reviews, and investigation, there was insufficient evidence to substantiate the allegations. The facility follows a pre-set menu and addresses special dietary needs, call system issues were related to an outdated signal system replaced in 2022, and maintenance work orders were completed timely based on priority.

Report Facts
Complaint Control Number: 26-AS-20200825152249 Capacity: 112 Census: 76 Call response time: 12 Call system installation date: New call system installed on 5/25/2022 Work order completion times: Work orders made on 08/09/2020 completed on 08/19/2020; 08/26/2020 completed on 08/27/2020; 08/27/2020 completed on 08/27/2020

Employees mentioned
NameTitleContext
Manuel MonterLicensing Program AnalystConducted the complaint investigation
Jolie HigginsAdministratorMet with Licensing Program Analysts during investigation
Steve ChangLicensing Program AnalystConducted the complaint investigation
Simi RaiLicensing Program AnalystConducted the complaint investigation
Romeo ManzanoLicensing Program ManagerOversaw complaint investigation

Inspection Report

Complaint Investigation
Census: 76 Capacity: 112 Citations: 1 Date: Jul 28, 2023

Visit Reason
The inspection was an unannounced case management incident visit triggered by an incident report received on 07/24/2023 regarding a resident (R1) who eloped from the facility on 07/22/2023.

Complaint Details
The visit was complaint-related due to an incident report of resident elopement. The deficiency was substantiated as the door failure allowed the elopement. The facility corrected the deficiency before the visit and submitted a plan of correction.
Findings
The investigation found that one delayed egress door did not reset properly after power outages, allowing resident R1 to elope, posing an immediate health, safety, and personal rights risk. The facility corrected the deficiency before the visit and implemented staff training and updated care plans.

Citations (1)
Resident was able to elope through a delayed egress door that was not checked to be functioning properly after several power outages, posing an immediate health, safety, and personal rights risk.
Report Facts
Deficiencies cited: 1 Capacity: 112 Census: 76 Delayed egress doors tested: 5 Delayed egress doors working: 4 Delayed egress doors not working: 1

Employees mentioned
NameTitleContext
Jolie HigginsExecutive DirectorMet with Licensing Program Analyst during visit and named in findings
Ria HernandezResident Service DirectorMet with Licensing Program Analyst during visit and named in findings
Christine DoloresLicensing Program AnalystConducted the inspection visit

Inspection Report

Annual Inspection
Census: 69 Capacity: 112 Citations: 3 Date: May 22, 2023

Visit Reason
The Licensing Program Analyst conducted an unannounced annual inspection of the facility to evaluate compliance with regulatory requirements.

Findings
The inspection found several deficiencies including uncovered food items in the refrigerator, accessible cleaning supplies in residents' apartments, and incomplete centrally stored medication records in the memory care medication room. The facility also had one delayed egress door that was not alarming or opening properly but was fixed during the visit.

Citations (3)
Facility's refrigerator contained uncovered food items such as lettuce, deli turkey meat, and a pitcher of liquid substance.
Compass Rose medication room did not properly maintain centrally stored medication records for residents R1-R3.
Residents' apartments in Compass Rose contained accessible cleaning supplies and laundry detergent.
Report Facts
Capacity: 112 Census: 69 POC Due Date: May 23, 2023 Fire extinguisher last serviced: May 13, 2022 Fire extinguisher next service: May 31, 2023 Facility temperature: 71 Facility temperature: 72 Refrigerator temperature: 33 Freezer temperature: 9

Employees mentioned
NameTitleContext
Jolie HigginsExecutive DirectorMet with Licensing Program Analyst during inspection and reviewed report
Ria HernandezResident Service DirectorReviewed report with Licensing Program Analyst
Christine DoloresLicensing Program AnalystConducted the annual inspection and authored the report
Sarah YipSupervisorSupervisor overseeing the inspection

Inspection Report

Complaint Investigation
Census: 74 Capacity: 112 Citations: 0 Date: Dec 15, 2022

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 01/27/2021 alleging that a resident suffered from dehydration.

Complaint Details
The complaint alleged that a resident suffered from dehydration. The investigation included interviews with three hospice care staff and review of medical and hospice records. The allegation was determined to be unsubstantiated due to lack of preponderance of evidence.
Findings
Based on interviews with hospice care staff and record review, the allegation of dehydration was unsubstantiated. The resident was under hospice care, visited regularly, and there was no evidence that facility staff neglected or refused to provide food or fluids. No deficiencies were cited.

Report Facts
Capacity: 112 Census: 74

Employees mentioned
NameTitleContext
Christine DoloresLicensing Program AnalystConducted the complaint investigation and delivered findings
Jolie HigginsExecutive DirectorMet with Licensing Program Analyst during investigation
Steven SilacciAdministratorFacility administrator named in report header
Sarah YipLicensing Program ManagerNamed in report as Licensing Program Manager

Inspection Report

Complaint Investigation
Capacity: 112 Citations: 0 Date: Sep 15, 2022

Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that staff discontinued resident services without adequate notice.

Complaint Details
The complaint alleged that staff discontinued resident services without adequate notice. The investigation determined the allegation was unsubstantiated based on interviews and records review.
Findings
The investigation found that the allegation was unsubstantiated. Residents confirmed they continued receiving all services, and the discontinuation of water bottle supply was communicated through resident council meetings and memos. The supply of water bottles was a courtesy during communicable disease outbreaks and not part of resident services. Multiple hydration stations were available.

Report Facts
Capacity: 112

Employees mentioned
NameTitleContext
Christine DoloresLicensing Program AnalystConducted the complaint investigation
Jolie HigginsExecutive DirectorMet with Licensing Program Analyst during investigation
Ria HernandezResident Service DirectorMet with Licensing Program Analyst during investigation
Sarah YipLicensing Program ManagerNamed in report

Inspection Report

Routine
Census: 69 Capacity: 112 Citations: 0 Date: Dec 3, 2021

Visit Reason
The visit was a scheduled technical assistance visit focused on Case Management related to COVID-19 to provide technical assistance to prevent and mitigate the spread of COVID-19 at the facility.

Findings
No deficiencies were cited during the visit. Recommendations were made to improve infection control practices related to COVID-19, including use of PPE and isolation room protocols. The facility had 8 COVID-19 positive residents and 2 COVID-19 positive staff at the time of the visit.

Report Facts
COVID-19 positive residents: 8 COVID-19 positive staff: 2

Employees mentioned
NameTitleContext
Jeeteeh GigliottiResident Service DirectorMet with Licensing Program Analyst during the visit
Jocelyne BailonCompass Rose Resident Service DirectorMet with Licensing Program Analyst during the visit
Christine DoloresLicensing Program AnalystConducted the scheduled technical assistance visit
Jackie JinLicensing Program ManagerParticipated in Facetime tour and visit
Helen ShiPCCProvided recommendations during the tele-visit

Inspection Report

Complaint Investigation
Census: 71 Capacity: 112 Citations: 0 Date: Oct 29, 2021

Visit Reason
The visit was an unannounced complaint investigation triggered by a complaint received on 2019-11-14 alleging that facility staff caused injury to a resident resulting in bruising.

Complaint Details
The complaint alleged staff caused injury to a resident and pushed the resident, resulting in bruising and swelling. The investigation included interviews with staff and review of resident records. The allegations were found unsubstantiated due to lack of preponderance of evidence.
Findings
The investigation found that the allegations of staff causing injury and pushing the resident were unsubstantiated based on record reviews and staff interviews. The resident sustained bruising and a swollen breast, but no evidence showed staff caused the injury.

Report Facts
Capacity: 112 Census: 71

Employees mentioned
NameTitleContext
Christine DoloresLicensing Program AnalystConducted the complaint investigation visit and authored the report
Jolie HigginsExecutive DirectorMet with Licensing Program Analyst during the investigation and exit interview
Steven SilacciAdministratorFacility administrator named in the report
Karen TakuLicensing Program AnalystConducted initial complaint investigation visit and subsequent visits
Natkarn ShuganLicensing Program AnalystConducted initial complaint investigation visit and interviewed staff
Jackie JinLicensing Program ManagerNamed as Licensing Program Manager overseeing the investigation
Diane MartinezResident Services DirectorInterviewed during initial complaint investigation visit
Charmanie VeradorResident Services DirectorInterviewed during initial complaint investigation visit
Romeo ManzanoLicensing Program ManagerConducted subsequent visit and interviews
Grace DavisLicensing Program AnalystConducted unannounced subsequent complaint investigation tele-visit
ShuganLicensing Program AnalystInterviewed Resident Service Director on 11/21/2019

Inspection Report

Complaint Investigation
Census: 72 Capacity: 112 Citations: 0 Date: Sep 24, 2021

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 07/22/2019 regarding allegations that the facility was not providing services agreed to in the Admissions Agreement, failed to provide activities, adequate food, water, and toileting assistance to residents.

Complaint Details
The complaint investigation was unsubstantiated. Allegations included failure to provide agreed services, activities, adequate food and water, and toileting assistance. Multiple unannounced visits and interviews were conducted between 07/25/2019 and 10/18/2019. Evidence did not support the allegations.
Findings
Based on observations, interviews with residents, visitors, and staff, and records review, the Department found the allegations to be unsubstantiated. Activities were provided daily, residents had adequate food and water, and toileting needs were met. No evidence supported the complaint allegations.

Report Facts
Capacity: 112 Census: 72 Resident interviews: 21 Staff interviews: 6 Visitor interviews: 2 Inspection visits: 4

Employees mentioned
NameTitleContext
Yatfai Eric NgLicensing Program AnalystConducted the complaint investigation visits and interviews
Jolie HigginsExecutive DirectorMet with Licensing Program Analyst during investigation
Steven SilacciAdministratorFacility administrator named in report header
Sarah YipSupervisorSupervisor overseeing the investigation

Inspection Report

Census: 58 Capacity: 112 Citations: 0 Date: Aug 25, 2021

Visit Reason
The visit was an unannounced Case Management Visit to obtain additional information related to 4 incident reports received for the period 7/18/2021 to 7/25/2021 involving a resident (R1), during which 911 was called for each incident.

Findings
The LPAs reviewed resident records, interviewed staff, and toured the facility. R1 had transitioned from Assisted Living to Memory Care and exhibited exiting behaviors. Staff were monitoring the transition and had notified family and primary care provider of changes. A care conference was held and staff were directed to call 911 in emergencies. No citations were issued per California Code of Regulations Title 22.

Report Facts
Incident reports: 4

Employees mentioned
NameTitleContext
Billy MitchellExecutive DirectorMet with LPAs during the visit and discussed findings
Jocelyn BailonCompass Rose Resident Service DirectorMet with LPAs during the visit
Jeeteeh GigliottiResident Service DirectorMet with LPAs during the visit

Inspection Report

Complaint Investigation
Census: 74 Capacity: 112 Citations: 0 Date: Aug 10, 2021

Visit Reason
An unannounced complaint investigation visit was conducted in response to a complaint received on 07/08/2021 alleging multiple concerns including unmet resident needs, failure to prevent resident altercations, visitor restrictions, lack of assistance with medical appointments, poor food quality, and failure to safeguard residents' personal property.

Complaint Details
The complaint investigation was unsubstantiated. Allegations included unmet resident needs, failure to prevent resident altercations, visitor restrictions, lack of assistance with medical and dental appointments, poor food quality, and failure to safeguard residents' personal property. Interviews and observations did not provide a preponderance of evidence to prove violations occurred.
Findings
After interviews with residents, staff, and witnesses, review of records, and observations, the investigation found that although the allegations may have occurred or be valid, there was insufficient evidence to substantiate the complaints. The facility was generally found to be meeting resident needs, preventing altercations, allowing visitors, assisting with medical appointments, serving good quality food, and safeguarding personal property. No deficiencies were cited.

Report Facts
Residents interviewed: 7 Staff interviewed: 10 Witnesses interviewed: 4 Facility capacity: 112 Facility census: 74

Employees mentioned
NameTitleContext
Billy MitchellExecutive DirectorMet with Licensing Program Analyst during the investigation and reviewed the report
David MarrufoLicensing Program AnalystConducted the complaint investigation visit and authored the report
Jackie JinLicensing Program ManagerNamed as Licensing Program Manager overseeing the investigation

Inspection Report

Census: 69 Capacity: 112 Citations: 0 Date: Jul 7, 2021

Visit Reason
The visit was an unannounced Case Management visit to conduct a welfare check on a resident (R1) who resides in Memory Care.

Findings
The resident (R1) was observed to be doing well with no injuries despite recent falls. The resident's care plan and physician's report were reviewed, and no deficiencies were cited during the visit.

Employees mentioned
NameTitleContext
Billy MitchellExecutive DirectorMet during the visit and involved in discussion about resident welfare.
Karen TakuLicensing Program AnalystConducted the unannounced Case Management visit.
Jeeteeh GigliottiiResident Services Director of Assisted LivingMet during the visit and provided information about the resident.
Jocelyne BailonResident Services Director of Memory CareMet during the visit and provided information about the resident.

Inspection Report

Complaint Investigation
Census: 75 Capacity: 112 Citations: 0 Date: Apr 22, 2021

Visit Reason
An unannounced complaint investigation was conducted regarding allegations that staff locked residents in rooms, left residents in soiled bedding for extended periods, did not meet residents' needs, and that the facility smelled like urine.

Complaint Details
The complaint was unsubstantiated due to lack of preponderance of evidence to prove the alleged violations occurred.
Findings
The investigation found no evidence to substantiate the allegations. Residents were not locked in rooms, needs were met including timely changing of soiled bedding, and the facility did not smell like urine according to staff statements.

Report Facts
Capacity: 112 Census: 75

Employees mentioned
NameTitleContext
Billy MitchellExecutive DirectorMet with Licensing Program Analyst during investigation and exit interview
Christopher Hopkins-ClarkeLicensing Program AnalystConducted the complaint investigation
Brenda ChanLicensing Program ManagerNamed in report as Licensing Program Manager
David MarrufoConducted investigation interviews with staff
Karen TakuConducted investigation interviews with staff

Inspection Report

Census: 78 Capacity: 112 Citations: 0 Date: Mar 15, 2021

Visit Reason
The visit was a virtual tele-visit conducted to provide technical assistance to prevent and mitigate the spread of COVID-19 within the facility.

Findings
Recommendations were made to the facility to reach out to the local county health department for assistance regarding incomplete vaccinations and to contact occupational medicine clinics or industrial hygienists for Fit Testing.

Employees mentioned
NameTitleContext
Patrick Frazierinterim Executive DirectorMet with during the tele-visit and reviewed the report
Karen TakuLicensing Program AnalystConducted the virtual tele-visit and provided technical assistance
Marylene MajeskaHealth Facility Evaluator NurseConducted the virtual tele-visit and provided technical assistance

Inspection Report

Census: 85 Capacity: 112 Citations: 0 Date: Jan 4, 2021

Visit Reason
The visit was a virtual tele-visit conducted to provide technical assistance to prevent and mitigate the spread of COVID-19 within the facility.

Findings
The Licensing Program Analyst and Clinical Consultant made recommendations to promote social distancing in the break room and community elevator, including signage and limited occupancy.

Employees mentioned
NameTitleContext
Brianne MerrittBusiness Office DirectorMet with during the tele-visit and involved in review of the report.

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