Most inspections found no serious deficiencies, and several complaint investigations were unsubstantiated, including allegations about stolen personal items and resident bedtime restrictions. The most recent report from May 29, 2025, was clean with no deficiencies. Earlier annual inspections cited minor issues such as incomplete emergency contact information in 2022, safety and maintenance concerns like a non-working smoke detector and hot water temperatures above limits in 2024, and lack of internet access for residents and bed rail documentation in 2025. These deficiencies were generally isolated and not severe, with no fines or enforcement actions listed in the available reports. The facility’s record shows some improvement over time, culminating in a clean complaint investigation in the latest visit.
Unannounced complaint investigation visit conducted due to an allegation that personal items were stolen from a resident's bedroom.
Findings
The investigation found no supporting evidence that the alleged items were stolen or missing. Interviews indicated the resident was confused and the staff member alleged to have taken items was no longer employed. The complaint was determined to be unsubstantiated.
Complaint Details
Complaint was unsubstantiated due to lack of evidence supporting the allegation of stolen personal items from a resident's bedroom.
Report Facts
Capacity: 6Census: 4
Employees Mentioned
Name
Title
Context
Bethany Moellers
Evaluator / Licensing Program Analyst
Conducted the complaint investigation
Larry Lindsey
Administrator / Licensee
Facility administrator involved in the investigation
An unannounced required 1-Year annual visit was conducted using the CARE Inspection Tool to evaluate compliance with licensing regulations.
Findings
The facility was generally found to be in compliance with physical plant and operational standards; however, two deficiencies were cited: the facility did not provide an internet access device dedicated for resident use, and one resident had full bed rails without a hospice care plan or order.
Deficiencies (2)
Description
The facility did not provide an internet access device such as a computer, smart phone, tablet, or other device dedicated for resident use.
Resident 4 had full bed rails without a hospice care plan or hospice order specifying the need for full bed rails.
Report Facts
Plan of Correction Due Date: Feb 17, 2025Number of residents with full bed rails without hospice plan: 1Number of residents present: 4Facility capacity: 6
Employees Mentioned
Name
Title
Context
Edward Kim
Licensing Program Analyst
Conducted the inspection and authored the report.
Lourdes Montoya
Licensing Program Manager
Supervisor of the inspection.
Imelda Martinez
Caregiver
Met with the Licensing Program Analyst during the inspection and received the exit interview.
Lawrence Lindsey
Administrator
Facility administrator who spoke with the Licensing Program Analyst by phone during the inspection.
An unannounced visit was conducted for the purpose of a required one year annual inspection of Adelya Senior Home.
Findings
The inspection found that resident bedrooms and bathrooms mostly met regulatory requirements, but there were deficiencies including a non-working smoke detector in resident room #1, stove burners requiring a lighter to ignite, hot water temperatures exceeding regulatory limits, a ripped window screen, a printer not in good repair, clutter in the backyard, and insufficient planned activities for residents.
Severity Breakdown
Type A: 3Type B: 4
Deficiencies (7)
Description
Severity
The stove was not in good repair; burners needed to be lit with a lighter to ignite the flame.
Type A
The smoke detector in resident room #1 was not in good working order.
Type A
Hot water temperatures in both resident bathrooms exceeded regulation limits (143.7°F and 139.2°F).
Type A
Ripped window screen in resident room #3.
Type B
Printer in the dining room was not in good repair and requested documents could not be provided.
Type B
Old bed frame and mattress in the backyard needed to be disposed of.
Type B
Insufficient planned activities for residents, posing a personal rights risk.
Type B
Report Facts
Hot water temperature in bathroom #1: 143.7Hot water temperature in bathroom #2: 139.2Facility capacity: 6Census: 5
Employees Mentioned
Name
Title
Context
Jerome Haley
Licensing Program Analyst
Conducted the inspection and authored the report
Lawrence Lindsey
Administrator
Licensee/Administrator contacted during inspection
Imelda Martinez
Facility staff member who greeted the inspector and received the exit interview
Elizabeth Mullins
Administrator
Consulted on importance of keeping the facility organized
The visit was an unannounced complaint investigation triggered by an allegation that residents were not allowed to go to bed when they choose.
Findings
The investigation found that residents do go to bed when they choose, and the allegation was determined to be unfounded based on interviews, observations, and document review.
Complaint Details
The complaint allegation was that residents are not allowed to go to bed when they choose. The allegation was investigated through two visits, interviews with residents and staff, and observations. The allegation was found to be unfounded.
Report Facts
Facility capacity: 6Resident census: 5
Employees Mentioned
Name
Title
Context
Jerome Haley
Licensing Program Analyst
Conducted the complaint investigation and made the unannounced visits
Lawrence Lindsey
Administrator
Facility administrator met during the investigation
This was an unannounced required annual inspection conducted to evaluate compliance with facility regulations and policies.
Findings
One deficiency was cited related to incomplete emergency contact information in three out of five resident files. The facility was otherwise observed to be in compliance with infection control, staffing, and safety standards.
Deficiencies (1)
Description
Three out of five resident files had incomplete emergency contact information, violating emergency care requirements.
Report Facts
Residents with incomplete emergency contact information: 3Total residents in care: 5Total licensed capacity: 6
Employees Mentioned
Name
Title
Context
Lawrence Lindsey
Administrator
Administrator contacted by phone during inspection but was out of town.
Claudia Gutierrez
Licensing Program Analyst
Conducted the inspection and authored the report.
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