Inspection Reports for
Alder House
295 ALDER STREET, ARROYO GRANDE, CA, 93420
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
0.6 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
85% better than California average
California average: 4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Occupancy
Latest occupancy rate
66% occupied
Based on a July 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Annual Inspection
Census: 21
Capacity: 32
Deficiencies: 0
Date: Jul 11, 2025
Visit Reason
The inspection was a required unannounced 1-year annual visit to evaluate the facility's compliance with licensing requirements.
Findings
The facility was found to be clean, safe, and sanitary with compliance in infection control, physical plant safety, staffing, personnel records, resident records, food service, disaster preparedness, and resident rights postings. No deficiencies were explicitly cited in the report.
Report Facts
Staff count: 23
Administrator count: 1
Hospice waiver capacity: 6
Food perishables supply: 2
Food non-perishables supply: 7
Inspection Report
Annual Inspection
Census: 19
Capacity: 32
Deficiencies: 0
Date: Jul 11, 2024
Visit Reason
The inspection was a required, unannounced 1-year annual visit to evaluate the facility's compliance with licensing and operational standards.
Findings
The facility was found to be clean, safe, and sanitary with compliance in infection control, physical plant safety, operational requirements, staffing, personnel records, resident records, food service, medical and dental transportation, and disaster preparedness. No deficiencies or violations were noted.
Report Facts
Hospice waiver capacity: 6
Staff count: 23
Administrator count: 1
Inspection Report
Complaint Investigation
Census: 23
Capacity: 32
Deficiencies: 0
Date: Feb 8, 2024
Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that staff were not following infection control protocols.
Complaint Details
The complaint alleged that staff were not following infection control protocols. The investigation included interviews with staff and residents, review of documents, and observation of infection control measures. The allegation was found to be unsubstantiated.
Findings
The investigation found that the facility implemented an infection control plan following a Covid positive case, including isolation of residents and use of PPE by staff. The allegation was deemed unsubstantiated based on interviews and observations.
Report Facts
Capacity: 32
Census: 23
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Todd Tose | Administrator | Met during the investigation and provided information about the Covid positive case and infection control measures |
| Erika Miller | Licensing Program Analyst | Conducted the complaint investigation visit |
Inspection Report
Annual Inspection
Census: 21
Capacity: 32
Deficiencies: 0
Date: Jun 14, 2023
Visit Reason
The inspection was a required unannounced 1-year annual visit to evaluate the facility's compliance with licensing and operational standards.
Findings
The facility was found to be clean, safe, and sanitary with proper infection control measures, adequate staffing, and compliance with operational requirements. No deficiencies or violations were explicitly noted in the report.
Report Facts
Licensed Capacity: 32
Census: 21
Staff Count: 20
Hospice Waiver Capacity: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Todd Tose | Administrator | Met with Licensing Program Analyst during inspection |
| Rachael De Leon | Licensing Evaluator | Conducted the annual inspection |
| Kelly Burley | Supervisor | Supervisor overseeing the licensing evaluation |
Inspection Report
Complaint Investigation
Census: 32
Capacity: 32
Deficiencies: 2
Date: Sep 9, 2022
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations that staff were not dispensing medication as prescribed and were not treating residents with respect.
Complaint Details
The complaint investigation was substantiated. Allegations included improper medication dispensing and disrespectful treatment of a resident. The facility conducted an internal investigation, terminated the responsible staff member, and cited deficiencies.
Findings
The investigation substantiated that staff camouflaged medication in water without a doctor's order and failed to document medication administration. Staff also forced medication on a resident who refused, violating personal rights. The facility terminated the involved staff member and cited deficiencies.
Deficiencies (2)
CCR 87465(a)(5)(D) Assistance with self-administration does not include camouflaging medication or violating a resident's right to refuse medication. Staff camouflaged medication in water without a doctor's order and failed to document it, posing health and safety risks.
CCR 87468.1(a)(1) Residents have the right to dignity in personal relationships. Staff forced medication on a resident who refused and wiped it out of their mouth, violating personal rights and posing immediate risk.
Report Facts
Facility Capacity: 32
Census: 32
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Todd Tose | Administrator | Met with Licensing Program Analyst during investigation and exit interview |
| Rachael De Leon | Licensing Program Analyst | Conducted complaint investigation and interviews |
Inspection Report
Annual Inspection
Census: 18
Capacity: 32
Deficiencies: 0
Date: Jul 28, 2022
Visit Reason
The inspection was a required one-year unannounced infection control annual visit to assess compliance with infection control protocols.
Findings
No deficiencies were observed during the visit. All infection control protocols were implemented and followed, including screening, PPE use, isolation procedures, and staff training.
Inspection Report
Complaint Investigation
Census: 21
Capacity: 32
Deficiencies: 0
Date: Sep 9, 2021
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations received on 04/12/2021 regarding rough handling of residents, verbal abuse, improper medication storage, inadequate staff training, and incomplete resident files.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included rough handling of residents, verbal abuse, improper medication storage, inadequate staff training, and incomplete resident files. None of these allegations were supported by evidence from interviews, observations, or documentation.
Findings
The investigation found no evidence to substantiate any of the allegations. Observations, interviews, and documentation reviews confirmed that residents were handled appropriately, staff were not verbally abusive, medication was stored properly, staff training was current, and resident files were complete.
Report Facts
Serious Incident Reports reviewed: 10
Residents interviewed: 10
Staff interviewed: 4
Inspection Report
Annual Inspection
Census: 20
Capacity: 32
Deficiencies: 1
Date: Jun 15, 2021
Visit Reason
The visit was a required unannounced annual inspection to evaluate the facility's compliance with regulations, including an Infection Control Module screening.
Findings
The inspection found one deficiency related to water temperature exceeding the allowed maximum of 120 degrees Fahrenheit. The licensee was instructed to adjust the water heater temperature to comply with regulations. No other deficiencies were found during the tour.
Deficiencies (1)
87303(e)(2) Water supplies and plumbing fixtures shall deliver hot water between 105 and 120 degrees Fahrenheit. Water temperature was measured at 124 degrees, exceeding the allowed maximum and posing an immediate risk to residents.
Report Facts
Deficiency cited: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mark Jeffries | Licensing Program Analyst | Conducted the inspection and cited the water temperature deficiency |
| JoAnn Bazer | Licensee | Facility licensee who participated in the inspection and plan of correction |
| Todd Tose | Administrator | Facility administrator listed in the report |
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