Deficiencies per Year
4
3
2
1
0
Severe
High
Moderate
Low
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Annual Inspection
Census: 4
Capacity: 6
Deficiencies: 0
Jun 16, 2025
Visit Reason
The inspection was an unannounced 1-Year Required visit of the licensed Residential Care Facility for The Elderly (RCFE) to assess compliance with licensing regulations.
Findings
The facility was found to be clean, in good repair, and compliant with regulations including fire safety, food storage, staff background checks, and emergency preparedness. No deficiencies or citations were issued during the visit.
Report Facts
Facility capacity: 6
Current census: 4
Fire extinguisher last charged date: Jul 30, 2024
Emergency supplies duration: 72
Disaster drill date: Jun 10, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lovelyn Hojilla | Administrator | Administrator present during inspection and named in relation to TB test documentation and certification |
| Ali Deniz | Licensing Program Analyst | Conducted the inspection visit |
Inspection Report
Annual Inspection
Census: 4
Capacity: 6
Deficiencies: 0
May 2, 2024
Visit Reason
An unannounced Annual Required – 1 year inspection was conducted to evaluate the facility's compliance with licensing regulations.
Findings
The facility was found to be clean, safe, and well-maintained with functioning safety equipment and appropriate food storage. Staff training and certifications were in order, and no deficiencies were cited during this inspection.
Report Facts
Administrator Certification Number: 6055000735
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lovelyn Hojilla | Licensee and Administrator | Facility administrator and licensee present during inspection |
| Suzette Hojilla | House Manager | Met with Licensing Program Analyst during inspection |
| Dominic Tobola | Licensing Program Analyst | Conducted the inspection |
| Kimberley Mota | Licensing Program Manager | Named in report header and signature section |
Inspection Report
Complaint Investigation
Census: 5
Capacity: 6
Deficiencies: 0
Sep 20, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to a complaint alleging violation of personal rights of a resident.
Findings
The complaint alleging violation of personal rights was found to be unsubstantiated after interviews with residents, staff, and review of records. No deficiencies were cited during the visit.
Complaint Details
Complaint alleged violation of personal rights of resident (R1). Investigation confirmed R1 was not a resident. Interviews with residents and staff indicated respectful treatment and no mistreatment observed. Allegation was unsubstantiated.
Report Facts
Capacity: 6
Census: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dominic Tobola | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Kimberley Mota | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 2
Jun 5, 2023
Visit Reason
The inspection was a Required - 1 Year unannounced visit to evaluate compliance with licensing regulations for the facility.
Findings
The inspection found two deficiencies: a fire clearance violation due to an unapproved shed occupied by staff and a postural supports violation where all residents had half-rails without physician orders. An immediate civil penalty of $500 was assessed for the fire clearance violation.
Severity Breakdown
Type A: 1
Type B: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Fire clearance violation: shed in backyard occupied by staff/non-client resident not approved by Fire Department. | Type A |
| Postural supports violation: 5 of 5 residents observed with half-rails without doctor's orders for mobility and support. | Type B |
Report Facts
Civil penalty amount: 500
Residents observed with half-rails: 5
Capacity: 6
Census: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Karina Canela | Licensing Program Analyst | Conducted the inspection and authored the report. |
| Lovelyn Hojilla | Administrator | Facility administrator involved in inspection and plan of correction. |
Inspection Report
Plan of Correction
Census: 3
Capacity: 6
Deficiencies: 0
Jul 22, 2022
Visit Reason
The inspection was conducted as a Plan of Correction (POC) visit to verify compliance with previously identified issues.
Findings
The sliding door alarm was tested and found operational, the facility was clean and at a comfortable temperature, exits were unobstructed, and food was properly stocked and stored. No deficiencies were observed or cited during this inspection.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lovelyn Hojilla | Administrator | Met with Licensing Program Analyst during the inspection and involved in compliance discussions. |
| Farhaan Sarangi | Licensing Program Analyst | Conducted the Plan of Correction inspection. |
| Hope DeBenedetti | Licensing Program Manager | Named in the report header. |
Inspection Report
Complaint Investigation
Census: 5
Capacity: 6
Deficiencies: 0
Jul 6, 2022
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to allegations that staff did not provide a safe and comfortable environment for residents and did not provide adequate food service.
Findings
The investigation found the allegations to be unsubstantiated, with observations of a clean, comfortable facility, proper food storage, and no concerns raised during staff and resident interviews.
Complaint Details
The complaint allegations that staff did not provide a safe and comfortable environment and did not provide adequate food service were investigated and found to be unsubstantiated due to lack of preponderance of evidence.
Report Facts
Capacity: 6
Census: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Farhaan Sarangi | Licensing Program Analyst | Conducted the complaint investigation and inspection |
| Hope DeBenedetti | Licensing Program Manager | Named in report as Licensing Program Manager |
| Sylvia Cabannila | Staff member interviewed during investigation and recipient of report |
Inspection Report
Census: 5
Capacity: 6
Deficiencies: 1
Jun 30, 2022
Visit Reason
The inspection was an unannounced Case Management-Deficiencies visit conducted to evaluate compliance with licensing regulations.
Findings
The inspection found that the auditory device by the rear sliding door leading to the backyard was not operational, posing a potential risk to residents. This deficiency was cited under California Code of Regulations, Title 22, Division 6, Chapter 8.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Auditory device or other staff alert feature to monitor exits was not operational, presenting a hazard to residents with dementia. | Type B |
Report Facts
Capacity: 6
Census: 5
Plan of Correction Due Date: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Farhaan Sarangi | Licensing Program Analyst | Conducted the inspection and cited deficiencies |
| Hope DeBenedetti | Licensing Program Manager | Supervisor overseeing the inspection |
| Terecita Abaya | Staff member who met the Licensing Program Analyst at the facility |
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 0
May 13, 2022
Visit Reason
An unannounced annual inspection visit was conducted to evaluate the facility's infection control procedures and practices.
Findings
The facility was found to be clean, with proper COVID-19 signage, hand-washing signs, and staff wearing masks. The facility maintains a twice daily cleaning schedule, adequate PPE and medication supplies, daily COVID-19 symptom screening, and has a staffing shortage plan. Fire safety equipment was tested and operational. No deficiencies were cited during this inspection.
Report Facts
Capacity: 6
Census: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lovelyn Hojilla | Administrator | Met with Licensing Program Analyst during inspection |
| Caitlynn Felias | Licensing Program Analyst | Conducted the inspection |
| Kimberley Mota | Licensing Program Manager | Named in report header |
Inspection Report
Complaint Investigation
Census: 4
Capacity: 6
Deficiencies: 1
Jan 27, 2022
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by multiple allegations including questionable death, failure to obtain timely medical care, inadequate food service, unsecured resident medication, presence of an adult not fingerprint cleared, and failure to assist with medication administration.
Findings
The investigation found the allegations of questionable death, untimely medical care, inadequate food service, and unsecured medication to be unsubstantiated due to lack of preponderance of evidence. The allegation regarding an adult not fingerprint cleared was unfounded as the individual was verified to be criminal record cleared. However, the allegation that staff did not assist with medication administration was substantiated, with evidence showing failure to test blood sugar as ordered, posing an immediate risk to resident health.
Complaint Details
The complaint investigation was initiated based on allegations received on 11/29/2021 regarding questionable death, failure to obtain timely medical care, inadequate food service, unsecured medication, presence of an adult not fingerprint cleared, and failure to assist with medication administration. The investigation included site visits, document reviews, and interviews. The allegations about death, medical care, food service, and medication security were unsubstantiated. The fingerprint clearance allegation was unfounded. The medication administration allegation was substantiated.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to arrange or assist in arranging for medical care as evidenced by failure to test resident's blood sugar as frequently as ordered by physician, posing immediate risk to resident health. | Type A |
Report Facts
Capacity: 6
Census: 4
Deficiencies cited: 1
Plan of Correction Due Date: Jan 31, 2022
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| David Leibert | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Carla Martinez | Licensing Program Manager | Oversaw the complaint investigation |
Inspection Report
Follow-Up
Census: 5
Capacity: 6
Deficiencies: 3
Oct 27, 2021
Visit Reason
The visit was an unannounced Case Management follow-up inspection to review a self-reported incident involving resident R1 who sustained a fall and subsequent hospitalization.
Findings
The inspection found that tenant/staff S4 had fingerprint clearance but was not properly associated with the facility, staff were not wearing masks upon arrival, and auditory devices on sliding doors were not operational. Additionally, resident R2 lacked a current annual medical assessment as required. A civil penalty was assessed for staff S4's improper association.
Severity Breakdown
Type A: 1
Type B: 2
Deficiencies (3)
| Description | Severity |
|---|---|
| Tenant/staff S4 had fingerprint clearance but was not associated with the facility, posing an immediate risk to residents. | Type A |
| Auditory devices on sliding doors were not operational, posing a potential risk to residents with dementia. | Type B |
| Resident R2 did not have a current annual medical assessment as required for residents with dementia. | Type B |
Report Facts
Civil penalty amount: 100
Capacity: 6
Census: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lovelyn Hojilla | Administrator | Administrator mentioned in relation to inspection and facility operations |
| Araceli Canela | Licensing Program Analyst | Conducted the inspection and authored the report |
| Kimberley Mota | Licensing Program Manager | Supervisor overseeing the inspection |
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 0
Jun 10, 2021
Visit Reason
An unannounced Annual Required – 1 Year Infection Control inspection was conducted to assess compliance with infection control regulations and facility conditions.
Findings
The facility was found to be in compliance with no deficiencies cited. Staff were observed following infection control protocols including wearing masks and gloves, and the facility maintained adequate supplies of PPE and medication.
Report Facts
Staff providing care: 4
PPE supply: 60
Medication supply: 30
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lovelyn Hojilla | Administrator | Facility Administrator met during inspection and involved in risk assessment and infection control training |
| Katrina Walters | Licensing Program Analyst | Conducted the inspection and requested mitigation plan changes |
| J. Nakagawa | Licensing Program Analyst | Conducted the inspection |
Loading inspection reports...



