Deficiencies (last 5 years)
Deficiencies (over 5 years)
1.6 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
60% better than California average
California average: 4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
64% occupied
Based on a November 2025 inspection.
Occupancy over time
Inspection Report
Annual Inspection
Census: 23
Capacity: 36
Deficiencies: 2
Date: Nov 7, 2025
Visit Reason
An unannounced required Annual Inspection was conducted to assess compliance with licensing requirements at the Residential Care Facility for the Elderly.
Findings
The facility was found to be in good repair with proper postings, clean environment, and adequate food and medication storage. However, deficiencies were cited related to clerical errors in staff criminal background clearance and association to the facility, posing immediate health and safety risks.
Deficiencies (2)
Clerical error resulted in no criminal background clearance being completed for Staff 3 prior to working in the facility, posing an immediate health and safety risk.
Two staff members (S1 and S2) were not properly associated to the facility, posing an immediate health and safety risk.
Report Facts
Capacity: 36
Census: 23
Hospice waiver capacity: 20
Hospice residents: 5
Fire extinguisher inspection date: Nov 3, 2025
Plan of Correction Due Date: Nov 10, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mitchell Leichter | Administrator | Named as facility administrator, unavailable during inspection |
| Jackie Barron | Assisted Living Coordinator | Met with Licensing Program Analyst during inspection |
| Dalia Gutierrez | Business Director | Unavailable during inspection |
| Kristin Kontilis | Licensing Program Analyst | Conducted the inspection |
| Kelly Burley | Licensing Program Manager | Named as Licensing Program Manager |
Inspection Report
Annual Inspection
Census: 25
Capacity: 36
Deficiencies: 0
Date: Nov 12, 2024
Visit Reason
The inspection was an unannounced annual evaluation visit to assess compliance with Title 22 regulations for a Residential Care Facility for the Elderly (RCFE).
Findings
The facility was found to be in compliance with health and safety regulations, including proper food service, clean and appropriate furnishings, adequate emergency preparedness, and secured medication storage. No health or safety hazards were observed during the inspection.
Report Facts
Maximum capacity: 36
Licensed bedridden residents: 10
Hospice care waiver: 20
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Brian Phillips | Licensing Program Analyst | Conducted the inspection and evaluation visit |
| Dalia Gutierrez | Associate Executive Director | Met with the Licensing Program Analyst during the inspection |
| Mitchell Leichter | Administrator/Director | Facility Administrator named in the report |
Inspection Report
Annual Inspection
Census: 25
Capacity: 36
Deficiencies: 0
Date: Nov 12, 2024
Visit Reason
The inspection was an unannounced required annual evaluation visit to assess compliance with Title 22 regulations for a Residential Care Facility for the Elderly (RCFE).
Findings
The facility was found to be in compliance with health and safety regulations, including proper food service, clean and appropriate furnishings, adequate emergency preparedness, and proper medication storage. No hazards or violations were observed during the inspection.
Report Facts
Maximum capacity: 36
Bedridden residents allowed: 10
Hospice care waiver: 20
Inspection start time: 12
Inspection end time: 15
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Brian Phillips | Licensing Program Analyst | Conducted the inspection and authored the report |
| Dalia Gutierrez | Associate Executive Director | Facility representative who met with the Licensing Program Analyst during the inspection |
| Mitchell Leichter | Administrator/Director | Facility Administrator named in the report |
| Kelly Burley | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 22
Capacity: 36
Deficiencies: 1
Date: Dec 20, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 07/09/2021 regarding staff response times to resident call buttons and other resident care concerns.
Complaint Details
The complaint investigation was substantiated for the allegation that staff did not answer resident call buttons in a timely manner. Other allegations including insufficient staffing, rough handling, lack of dignity, and failure to safeguard belongings were unsubstantiated.
Findings
The investigation substantiated that staff did not respond to resident call buttons in a timely manner, with documented delays exceeding 20 minutes on multiple occasions. Other allegations including insufficient staffing, rough handling of residents, lack of dignity in staff-resident relationships, and failure to safeguard belongings were found to be unsubstantiated.
Deficiencies (1)
Failure to maintain and operate signal systems properly, resulting in unanswered call buttons for extended periods posing potential health and safety risks.
Report Facts
Call response times: 20
Call response times: 10
Call response times: 4
Call response times: 1
Call response times: 2
Deficiency count: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kristin Kontilis | Licensing Program Analyst | Conducted the complaint investigation and issued final findings |
| Dahlia Gutierrez | Business Office Manager | Met with Licensing Program Analyst during investigation and provided information |
| Mitchell Leichter | Administrator | Facility administrator interviewed regarding staff performance and complaint allegations |
| Kelly Burley | Supervisor | Supervisor overseeing the licensing evaluation process |
Inspection Report
Complaint Investigation
Census: 22
Capacity: 36
Deficiencies: 1
Date: Dec 20, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 07/09/2021 regarding staff response times to resident call buttons and other resident care concerns.
Complaint Details
The complaint investigation was substantiated for the allegation that staff did not answer resident call buttons in a timely manner. Other allegations regarding staffing sufficiency, rough handling, dignity, and safeguarding belongings were unsubstantiated.
Findings
The investigation substantiated that staff did not respond to resident call buttons in a timely manner, with documented response times exceeding 20 minutes on multiple occasions. Other allegations including insufficient staffing, rough handling of residents, lack of dignity in staff-resident relationships, and failure to safeguard belongings were found to be unsubstantiated.
Deficiencies (1)
Facilities shall have signal systems which shall meet the following criteria: All facilities licensed for 16 or more and all residential facilities having separate floors or buildings shall have a signal system which shall... This requirement was not met as evidenced by: Based on record review and interview, the licensee did not comply with the section cited above when the signal system went unanswered for an extended period of time, which posed a potential health and safety risk to residents in care.
Report Facts
Call response times: 20
Call response times: 10
Call response times: 4
Call response times: 1
Call response times: 2
Facility capacity: 36
Facility census: 22
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kristin Kontilis | Licensing Program Analyst | Conducted the complaint investigation and issued final findings |
| Kelly Burley | Licensing Program Manager | Oversaw the complaint investigation report |
| Dahlia Gutierrez | Business Office Manager | Met with Licensing Program Analyst during the investigation |
| Mitchell Leichter | Administrator | Facility administrator mentioned in relation to staff performance and investigation |
Inspection Report
Annual Inspection
Census: 26
Capacity: 36
Deficiencies: 0
Date: Nov 20, 2023
Visit Reason
The inspection was an unannounced annual facility site inspection visit conducted to ensure compliance with Title 22 Regulations for a Residential Care Facility for the Elderly (RCFE).
Findings
The facility was found to be in compliance with all applicable regulations, including health and safety standards, kitchen and food service safety, common area conditions, resident bedrooms, restrooms, medication storage and administration, infection control, and facility documentation. No deficiencies were cited during the inspection.
Report Facts
Capacity: 36
Census: 26
Hospice Waiver: 20
Non-ambulatory residents: 36
Bedridden residents: 10
Kitchen hot water temperature range: 105
Kitchen hot water temperature range: 120
Restroom hot water temperature range: 105
Restroom hot water temperature range: 120
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mitchell Leichter | Administrator | Met with Licensing Program Analyst during the inspection |
| Brian Phillips | Licensing Program Analyst | Conducted the annual facility site inspection visit |
Inspection Report
Annual Inspection
Census: 26
Capacity: 36
Deficiencies: 0
Date: Nov 20, 2023
Visit Reason
The inspection was an unannounced Annual facility Site Inspection Visit conducted to ensure compliance with Title 22 Regulations for a Residential Care Facility for the Elderly (RCFE).
Findings
The facility was found to be in compliance with health and safety regulations, including proper kitchen sanitation, safe medication storage, adequate infection control measures, and well-maintained common areas and resident rooms. No deficiencies were cited during the inspection.
Report Facts
Licensed capacity: 36
Current census: 26
Bedridden residents allowed: 10
Hospice waiver residents: 20
Inspection start time: 930
Inspection end time: 1530
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mitchell Leichter | Administrator | Met with Licensing Program Analyst during inspection |
| Brian Phillips | Licensing Program Analyst | Conducted the annual inspection |
Inspection Report
Annual Inspection
Census: 25
Capacity: 36
Deficiencies: 0
Date: Oct 20, 2022
Visit Reason
The inspection was an on-site 1-year infection control annual visit conducted to evaluate the facility's compliance with infection control policies and procedures.
Findings
The facility demonstrated full implementation and adherence to infection control protocols including symptom screening, PPE use, isolation procedures, staff training, and environmental cleaning. No deficiencies or violations were noted during the visit.
Report Facts
PPE supply duration: 30
Resident medication supply duration: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Corinne Satterthwaite | Licensed Vocational Nurse (LVN) | In charge of infection control and provides training and education to staff, residents and visitors |
| Mitchell Leichter | Administrator | Facility Administrator with a plan in place for outbreak notification and emergency response |
| Karen Dacome | Associate Executive Director | Met with Licensing Program Analyst during the inspection |
Inspection Report
Annual Inspection
Census: 25
Capacity: 36
Deficiencies: 0
Date: Oct 20, 2022
Visit Reason
The inspection was a required unannounced 1-year infection control annual visit to evaluate compliance with infection control policies and procedures.
Findings
The facility demonstrated full implementation and adherence to infection control protocols including screening, PPE use, isolation procedures, and staff training. The facility maintains adequate PPE supplies, follows current guidance, and has valid certifications and safety equipment inspections.
Report Facts
PPE supply duration: 30
Resident medication supply duration: 30
Number of residents: 25
Facility capacity: 36
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Corinne Satterthwaite | Licensed Vocational Nurse (LVN) | In charge of infection control and provides training and education to staff, residents, and visitors |
| Mitchell Leichter | Administrator | Facility Administrator with a plan in place for outbreak notification and emergencies |
| Karen Dacome | Associate Executive Director | Met with Licensing Program Analyst during inspection and assisted with facility tour |
| Diego Cortez | Licensing Program Analyst | Conducted the on-site 1-year infection control annual visit |
| Kelly Burley | Licensing Program Manager | Named as Licensing Program Manager overseeing the inspection |
Inspection Report
Census: 26
Capacity: 36
Deficiencies: 0
Date: Sep 29, 2021
Visit Reason
Licensing Program Analyst Kristin Kontilis conducted a Case Management visit to investigate various incidents that occurred from 7/18/2021 through 9/29/2021.
Findings
Due to time restraints, further investigation will be needed and the Licensing Program Analyst will return at a later date. No deficiencies were issued during this visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kristin Kontilis | Licensing Program Analyst | Conducted the Case Management visit and interviews. |
| Mitchell Leichter | Administrator | Met with Licensing Program Analyst during the visit. |
Inspection Report
Complaint Investigation
Census: 26
Capacity: 36
Deficiencies: 0
Date: Sep 29, 2021
Visit Reason
The visit was a Case Management investigation to review various incidents that occurred from 07/18/2021 through 09/29/2021 at the facility.
Complaint Details
Investigation of various incidents reported between 07/18/2021 and 09/29/2021; further investigation planned; no deficiencies issued at this time.
Findings
The Licensing Program Analyst conducted interviews and requested documents related to the investigation but due to time constraints, further investigation was needed. No deficiencies were issued during this visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mitchell Leichter | Administrator | Met with Licensing Program Analyst during investigation |
| Kristin Kontilis | Licensing Program Analyst | Conducted the Case Management visit and investigation |
| Kelly Burley | Licensing Program Manager | Named in report header |
Inspection Report
Complaint Investigation
Census: 25
Capacity: 36
Deficiencies: 1
Date: Jul 16, 2021
Visit Reason
This was an unannounced complaint investigation visit triggered by a complaint received on 07/09/2021 regarding restricted visitation at the facility.
Complaint Details
The complaint investigation was substantiated regarding restricted visitation. The facility allowed visitors only on Tuesdays, Thursdays, Fridays, and Sundays at 11:30 am, 1:30 pm, and 3:30 pm for 30 minutes by appointment only, which violated residents' rights.
Findings
The investigation substantiated that the facility restricted visitation by allowing residents only two visitors at a time on specific days and times by appointment only, which is a violation of residents' personal rights and poses an immediate health and safety risk.
Deficiencies (1)
Violation of CCR 87468.1(a)(11) Personal Rights of Residents: restricting visitors to two at a time on specific days and times by appointment only, limiting private visitation rights.
Report Facts
Census: 25
Total Capacity: 36
Visitors allowed: 2
Visiting days: 4
Visiting times per day: 3
Visiting duration: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kristin Kontilis | Licensing Evaluator | Conducted the complaint investigation and authored the report |
| Dalia Gutierrez | Business Office Manager | Interviewed during investigation and involved in visitation policy discussion |
Inspection Report
Follow-Up
Census: 25
Capacity: 36
Deficiencies: 1
Date: Jul 16, 2021
Visit Reason
This Case Management visit was conducted to address deficiencies noted during a complaint investigation visit on 07/16/2021, specifically to discuss the serious illness/injury reporting requirement as per regulation 87211(a)(1)(D).
Complaint Details
The visit was a Case Management follow-up to deficiencies noted during Complaint Control #29-AS-20210709080012 investigation visit conducted on 07/16/2021.
Findings
The visit found that four fall incidents occurred between 06/25/2021 and 07/16/2021 that were not reported to the Community Care Licensing (CCL) as required by regulation, posing an immediate health and safety risk to residents.
Deficiencies (1)
Failure to report serious illness/injury incidents (four fall incidents) to CCL within seven days as required by CCR 87211(a)(1)(D).
Report Facts
Fall incidents not reported: 4
Capacity: 36
Census: 25
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dahlia Gutierrez | Business Office Manager | Stated that the falls were not reported to CCL during the inspection. |
Inspection Report
Follow-Up
Census: 25
Capacity: 36
Deficiencies: 1
Date: Jul 16, 2021
Visit Reason
This Case Management visit was conducted to address deficiencies noted during a complaint investigation visit on 7/16/2021, specifically to discuss the serious illness/injury reporting requirement as per regulation 87211(a)(1)(D).
Complaint Details
The visit was conducted to address deficiencies noted during Complaint Control #29-AS-20210709080012 investigation visit conducted on 7/16/2021.
Findings
The visit found that four fall incidents occurred between 6/25/2021 and 7/16/2021 that were not reported to the Community Care Licensing (CCL) as required, posing an immediate health and safety risk to residents.
Deficiencies (1)
Failure to report serious illness/injury incidents (four fall incidents between 6/25/2021 and 7/16/2021) to CCL as required by regulation 87211(a)(1)(D).
Report Facts
Fall incidents not reported: 4
Capacity: 36
Census: 25
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dahlia Gutierrez | Business Office Manager | Stated that the falls were not reported to CCL during the visit. |
| Kelly Burley | Licensing Program Manager | Supervisor named in the report. |
| Kristin Kontilis | Licensing Program Analyst | Licensing evaluator who conducted the visit and signed the report. |
Inspection Report
Complaint Investigation
Census: 25
Capacity: 36
Deficiencies: 1
Date: Jul 16, 2021
Visit Reason
An unannounced complaint investigation visit was conducted following a complaint received on 07/09/2021 regarding restricted visitation at the facility.
Complaint Details
The complaint alleging restricted visitation was substantiated based on interviews and document reviews showing visitation was limited to two visitors at specific times and days by appointment only.
Findings
The investigation substantiated that the facility restricted visitation by allowing residents only two visitors at a time on specific days and times by appointment only, which is a violation of residents' personal rights and poses an immediate health and safety risk.
Deficiencies (1)
Failure to allow residents to have visitors, including ombudspersons and advocacy representatives, visit privately during reasonable hours and without prior notice, infringing on residents' personal rights.
Report Facts
Capacity: 36
Census: 25
Visitors allowed: 2
Visitation days: 4
Visitation times per day: 3
Visitation duration: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kristin Kontilis | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Kelly Burley | Licensing Program Manager | Oversaw the complaint investigation process |
| Dalia Gutierrez | Business Office Manager | Interviewed during investigation and involved in visitation policy discussions |
Inspection Report
Follow-Up
Census: 20
Capacity: 36
Deficiencies: 0
Date: Feb 17, 2021
Visit Reason
The visit was a case management follow-up conducted telephonically due to a self-reported incident involving Resident #1 who alleged personal rights violations by Staff #1 on three separate occasions.
Complaint Details
The visit was triggered by a complaint from Resident #1 regarding personal rights violations by Staff #1, which is under investigation.
Findings
No immediate health and safety hazards were observed during the visit. Staff #1 is on leave pending investigation, and further investigation will be conducted by the Community Care Licensing Division's Investigations Branch.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mitchell Leichter | Administrator | Met with Licensing Program Analyst during the case management visit and involved in the telephonic exit interview. |
| JoAnn Rosales | Licensing Program Analyst | Conducted the case management visit telephonically. |
| Douglas Real | Investigator | Community Care Licensing Division's Investigations Branch Investigator assigned to further investigation. |
Inspection Report
Follow-Up
Census: 20
Capacity: 36
Deficiencies: 0
Date: Feb 17, 2021
Visit Reason
The visit was a case management follow-up conducted telephonically due to a self-reported incident involving Resident #1 who alleged personal rights violations by Staff #1 on three occasions.
Complaint Details
The visit was triggered by a complaint from Resident #1 reporting personal rights violations by Staff #1 on three separate occasions. Staff #1 is currently on leave pending investigation.
Findings
No immediate health and safety hazards were observed during the visit. Staff #1 is on leave pending investigation, and further investigation will be conducted by the Community Care Licensing Division's Investigations Branch.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mitchell Leichter | Administrator | Met with Licensing Program Analyst during the case management visit. |
| JoAnn Rosales | Licensing Program Analyst | Conducted the case management visit telephonically. |
| Douglas Real | Investigator | Community Care Licensing Division's Investigations Branch Investigator assigned for further investigation. |
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