Most inspections found no deficiencies, including the most recent report on February 20, 2025, which was clean with no citations issued. Earlier reports were also mostly free of issues, with complaint investigations in December 2023 finding no evidence to support allegations about staff records or housing. The only deficiencies appeared in February 2022, when inspectors noted that live-in staff were sleeping in the garage, which is not allowed, and that trash cans in residents’ rooms lacked tight-fitting lids. Since then, the facility corrected these issues and has maintained compliance with licensing requirements. This shows improvement and a consistent record of meeting standards in recent years.
An unannounced annual inspection was conducted to evaluate compliance with licensing requirements at the facility.
Findings
The facility was found to be in good condition with no citations issued. All areas including kitchen, bedrooms, common areas, bathrooms, outside areas, laundry, and garage were clean, properly maintained, and safe. Safety equipment such as fire extinguishers, smoke and carbon monoxide detectors were operational. Resident and staff records were complete and updated.
Report Facts
Residents under hospice care: 2Ambulatory residents: 1Perishable supplies: 2Non-perishable supplies: 7Facility capacity: 6Current census: 6Hot water temperature: 119.8Inspection start time: 945Inspection end time: 1315Records reviewed: 4Staff records reviewed: 2
Employees Mentioned
Name
Title
Context
Paige Esquivel
Administrator
Met with Licensing Program Analyst during inspection
Unannounced one-year required visit to evaluate compliance with licensing regulations for the facility.
Findings
The facility was found to be in compliance with licensing requirements, including infection control, kitchen safety, bedroom conditions, common areas, bathrooms, outside areas, laundry, garage security, smoke and carbon monoxide detectors, resident and staff file reviews, medication documentation, and interviews with staff and clients. No citations were issued during this visit.
Report Facts
Residents under hospice care: 4Perishable supplies: 2Non-perishable supplies: 7Fire extinguisher last serviced: Jul 14, 2023Hot water temperature: 113.9Facility temperature: 74
Employees Mentioned
Name
Title
Context
Paige Esquivel
Administrator
Met with Licensing Program Analyst during inspection and reviewed medication records.
Lorena Casillas
Licensing Program Analyst
Conducted the inspection, interviews, and file reviews.
An unannounced complaint investigation was conducted to investigate allegations that the facility did not maintain accurate staff records, did not have a qualified administrator, and housed staff in the facility garage.
Findings
After interviews, record reviews, and physical inspection, there was no sufficient evidence to support the allegations. The facility staff records were accurate, the administrator was qualified with a valid certificate, and the garage was used only for storage, not housing staff. Therefore, all three allegations were unsubstantiated.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included inaccurate staff records, unqualified administrator, and staff housed in the garage. Interviews with staff and administrator, review of certificates and records, and physical inspection found no evidence to support these claims.
Report Facts
Capacity: 6Census: 6Number of allegations: 3
Employees Mentioned
Name
Title
Context
Paige Esquivel
Administrator
Met with Licensing Program Analysts during the complaint investigation and involved in findings related to administrator qualification and staff records
An unannounced annual inspection was conducted to evaluate compliance with licensing requirements and facility standards.
Findings
The facility was found to be in compliance with infection control, kitchen safety, medication storage, bedroom conditions, bathroom cleanliness, common area safety, and administrative record keeping. No citations were issued during this visit.
Report Facts
Residents reviewed: 6Staff reviewed: 6Hot water temperature: 113.3Facility temperature: 76
An unannounced annual inspection was conducted to evaluate compliance with licensing regulations for the facility.
Findings
The facility was generally clean and properly furnished with adequate infection control measures and sufficient food supplies. However, deficiencies were noted including the use of a garage as a sleeping area for live-in staff, which is not permitted, and trash cans in residents' rooms lacking tight fitting lids.
Deficiencies (2)
Description
Live-in staff sleeping in the garage, which is not an appropriate bedroom and violates personal accommodations requirements.
Trash cans in residents' bedrooms did not have tight fitting lids as required.
Report Facts
Capacity: 6Census: 6Hot water temperature: 116Fire extinguisher service date: Jul 21, 2021Plan of Correction Due Date: Feb 18, 2022
Employees Mentioned
Name
Title
Context
Joscelyn Martinez
Licensing Program Analyst
Conducted the inspection and authored the report
Nichelle Gillyard
Licensing Program Manager
Supervisor overseeing the inspection
Paige Esquivel
Administrator
Facility administrator met during inspection
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