Most inspections found no deficiencies, including the most recent report on October 2, 2025, which was clean with no issues noted. Several complaint investigations were unsubstantiated, showing that many concerns raised by residents or others were not supported by evidence. However, some deficiencies were cited over time, mainly related to resident care and supervision, such as a resident fall caused by staff losing balance in May 2025, and failure to follow a resident’s DNR order in November 2024. The facility also received a $500 civil penalty for the fall incident, but no license suspensions or revocations were reported. The pattern suggests improvement, as recent annual inspections have been free of deficiencies after earlier isolated issues.
Deficiencies (last 5 years)
Deficiencies (over 5 years)1 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
75% better than California average
California average: 4 deficiencies/year
Deficiencies per year
43210
2021
2022
2023
2024
2025
Census
Latest occupancy rate91% occupied
Based on a October 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
The visit was an unannounced case management inspection to amend findings from a previous report (56-AS-20240918154011).
Findings
No deficiencies were observed during this visit. The Licensing Program Analyst amended the report and discussed the updated findings with the Resident Care Director.
Employees Mentioned
Name
Title
Context
Jessica Padron
Resident Care Director
Met with during the inspection and discussed updated findings.
LaVette Farlow
Licensing Program Analyst
Conducted the unannounced visit and amended the report.
The visit was an unannounced required comprehensive annual inspection of the Residential Care Facility for Elderly (RCFE) to assess compliance with licensing requirements.
Findings
The facility was found to be operating within its approved capacity and in safe, clean, and good repair conditions. No deficiencies were cited during the inspection, and all reviewed resident and staff files met regulatory requirements.
Report Facts
Resident files reviewed: 9Staff files reviewed: 4Water temperature in bathrooms: 112.2Water temperature in kitchen: 107.5
Employees Mentioned
Name
Title
Context
Matt Ryan
Executive Director
Met with Licensing Program Analyst during inspection and participated in exit interview.
Jessica Padron
Resident Care Director
Accompanied Licensing Program Analyst during inspection and participated in exit interview.
Daniel Belk
Building Service Director
Accompanied Licensing Program Analyst during inspection.
Lavette Farlow
Licensing Program Analyst
Conducted the unannounced annual inspection visit.
The inspection was an unannounced complaint investigation visit triggered by allegations received on 09/27/2023 regarding rough handling of a resident by staff and failure to provide a 60-day notice prior to rent increase.
Findings
The allegation that staff handled a resident in a rough manner was unsubstantiated due to insufficient evidence. The allegation that staff did not provide a 60-day notice prior to rent increase was also unsubstantiated as the rent increase was due to a change in level of care per the admission agreement. However, the allegation that staff lost balance causing a resident to fall and sustain fractures was substantiated, with findings showing lack of timely medical care and documentation, resulting in an immediate civil penalty.
Complaint Details
The complaint investigation was unannounced and conducted by Licensing Program Analyst Sarina Ramirez. The complaint control number is 56-AS-20230927162154. The investigation found one allegation substantiated (staff lost balance causing resident fall and fractures) and two allegations unsubstantiated (rough handling and failure to provide 60-day rent increase notice). An immediate civil penalty of $500 was assessed for the substantiated violation.
Severity Breakdown
Type B: 1
Deficiencies (1)
Description
Severity
Based on interviews and record review, while facility staff assisted Resident 1, staff lost balance and caused Resident 1 to sustain injuries. This violation posed a potential health and safety risk to residents in care.
Type B
Report Facts
Capacity: 120Census: 89Immediate Civil Penalty: 500Plan of Correction Due Date: Jun 7, 2025
Employees Mentioned
Name
Title
Context
Sarina Ramirez
Licensing Program Analyst
Conducted the complaint investigation and delivered findings
Matt Ryan
Administrator
Met with Licensing Program Analyst during investigation and exit interview
Karen Clemons
Licensing Program Manager
Named as Licensing Program Manager overseeing the investigation
An unannounced complaint investigation was conducted regarding an allegation that staff did not assist residents with personal care.
Findings
The investigation found insufficient evidence to substantiate the allegation. Interviews with staff and residents indicated that staff were assisting residents with personal care, and observations confirmed that residents' personal needs were met.
Complaint Details
The complaint alleged that staff did not assist residents with personal care. The allegation was deemed unsubstantiated based on interviews and observations.
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2025-01-10 regarding allegations of staff not safeguarding residents' personal belongings, not maintaining clean and sanitary rooms, and not meeting residents' incontinence needs.
Findings
The investigation found all three allegations to be unsubstantiated based on interviews with residents and staff, observations of the facility, and evidence that residents' belongings were secured, rooms were clean, and incontinence needs were met.
Complaint Details
The complaint investigation addressed three allegations: 1) staff do not ensure residents' personal belongings are safeguarded, 2) staff do not ensure residents' rooms are clean and sanitary, and 3) staff do not ensure residents' incontinence needs are being met. All allegations were found to be unsubstantiated due to lack of preponderance of evidence.
Report Facts
Residents interviewed: 12Staff interviewed: 11Complaint control number: 56-AS-20250110144612
Employees Mentioned
Name
Title
Context
Lavette Farlow
Licensing Program Analyst
Conducted the complaint investigation
Matt Ryan
Executive Director
Met with Licensing Program Analyst during investigation
An unannounced complaint investigation was conducted following a complaint received on 2024-10-29 regarding alleged violations of personal rights and medication administration at the facility.
Findings
The investigation found no evidence to substantiate the allegations. Staff and residents denied violations of personal rights, and medication was administered according to physician's orders, with some residents self-administering medications.
Complaint Details
The complaint involved allegations that staff did not give medications according to physician's orders and that residents' personal rights were violated. The investigation determined these allegations to be unsubstantiated due to lack of evidence.
Report Facts
Capacity: 120Census: 106
Employees Mentioned
Name
Title
Context
Lavette Farlow
Licensing Program Analyst
Conducted the complaint investigation
Ted Burgess
Interim Administrator
Facility representative met during the investigation
An unannounced complaint investigation visit was conducted following a complaint received on 2024-09-18 regarding staff not following residents' DNR orders and other related allegations.
Findings
The investigation substantiated that staff did not follow the resident's DNR order, resulting in resuscitation attempts contrary to the resident's wishes. Two other allegations regarding contacting hospice prior to calling 911 and informing the resident's authorized person of death were found unsubstantiated.
Complaint Details
The complaint was substantiated regarding staff not following the resident's DNR order. Other allegations about contacting hospice prior to calling 911 and informing the resident's authorized person of death were unsubstantiated.
Severity Breakdown
Type B: 1
Deficiencies (1)
Description
Severity
Facility did not ensure staff were aware of residents' DNR orders, resulting in resuscitation measures taken against resident's advance directive.
Type B
Report Facts
Capacity: 120Census: 106Deficiencies cited: 1Plan of Correction Due Date: Nov 19, 2024
Employees Mentioned
Name
Title
Context
Lavette Farlow
Licensing Program Analyst
Conducted the complaint investigation and authored the report
Ted Burgess
Interim Administrator
Facility representative met during the investigation and exit interview
The visit was an unannounced required comprehensive annual inspection of the Allara Senior Living Facility to assess compliance with licensing regulations.
Findings
The facility was found to be operating within its approved capacity and in safe, clean, and good repair conditions. No deficiencies were cited during the inspection, and all reviewed resident and staff files met regulatory requirements.
The inspection was an unannounced complaint investigation visit triggered by an allegation that staff did not provide a resident's records to an authorized representative.
Findings
The investigation found the allegation substantiated based on records review and interviews, confirming that the facility did not provide Resident #1's records to the authorized representative as required by regulation.
Complaint Details
The complaint was substantiated. The allegation was that staff did not provide resident's records to the authorized representative. The facility provided the records late, posing a potential health, safety, and personal rights risk to residents.
Severity Breakdown
Type B: 1
Deficiencies (1)
Description
Severity
Failure to provide Resident #1's records to the authorized representative within the required timeframe as per CCR 87468.2(a)(19).
Type B
Report Facts
Capacity: 120Census: 90Deficiency Type B: 1Plan of Correction Due Date: Jul 8, 2024
Employees Mentioned
Name
Title
Context
Melody Brown
Licensing Program Analyst
Conducted the complaint investigation and authored the report
Efren Malagon
Licensing Program Manager
Oversaw the complaint investigation
Patricia Gustin
Executive Director
Facility representative met during the investigation and exit interview
Helen Jaquez
Business Office Director
Met with Licensing Program Analyst during the investigation
An unannounced complaint investigation was conducted regarding allegations that a resident sustained an unexplained injury while in care and that staff did not provide adequate care and supervision to a resident.
Findings
The investigation found insufficient evidence to substantiate the allegations. Staff interviews and observations indicated the resident had no injuries during the shifts, and care and supervision were provided appropriately. The allegations were deemed unsubstantiated.
Complaint Details
The complaint involved allegations that a resident sustained an unexplained injury and that staff failed to provide adequate care and supervision. The investigation included interviews with multiple staff members and review of care provided. The complaint was determined to be unsubstantiated.
Report Facts
Capacity: 120Census: 92
Employees Mentioned
Name
Title
Context
Javier Prieto
Licensing Program Analyst
Conducted the complaint investigation
Patricia Gustin
Executive Director
Met with Licensing Program Analyst during investigation
An unannounced complaint visit was made for complaint 56-AS-20231121172525, during which deficiencies unrelated to the complaint allegations were also observed.
Findings
Three resident records contained outdated Physician's Reports that were not completed within the regulated timeframe, posing a potential health, safety, and personal rights risk to persons in care.
Complaint Details
Complaint 56-AS-20231121172525 triggered the visit; deficiencies observed were not related to the complaint allegations.
Severity Breakdown
Type B: 1
Deficiencies (1)
Description
Severity
Three resident files did not contain current (annual) Physician's Reports within the regulated timeframe.
Type B
Report Facts
Residents with outdated Physician's Reports: 3Facility capacity: 120Census: 40
Employees Mentioned
Name
Title
Context
Amber Coleman
Licensing Program Analyst
Conducted the unannounced complaint visit and licensing evaluation.
Gabriel Salazar
Resident Care Director
Met with Licensing Program Analyst during the visit and agreed to coordinate completion of Physician's Reports.
Leeann Hefner
Administrator
Named in relation to the deficiency regarding outdated Physician's Reports.
The visit was an unannounced complaint investigation conducted in response to allegations received on 2023-11-21 regarding staff response times to resident pendants, resident care including soiled diapers, adequacy of food service, and dish sanitation.
Findings
Based on observations, interviews, and record reviews, all allegations were found to be unsubstantiated. The facility was found to have a functioning call light system, adequate staffing, proper food service, and properly sanitized dishes with no evidence supporting the complaints.
Complaint Details
The complaint investigation was unsubstantiated, meaning there was not a preponderance of evidence to prove the alleged violations occurred. Allegations included delayed response to call pendants, residents left in soiled diapers, inadequate food service, and improper dish sanitation.
Report Facts
Facility Capacity: 120Census: 42
Employees Mentioned
Name
Title
Context
Amber Coleman
Licensing Program Analyst
Conducted the complaint investigation
Patricia Gustin
Executive Director
Met with Licensing Program Analyst during investigation
Mark Cunningham
Building Services Director
Provided information on call light system and kitchen dishwasher
Leeann Hefner
Administrator
Facility administrator named in report header
Nedra Brown
Licensing Program Manager
Named as Licensing Program Manager overseeing the investigation
The visit was conducted as a Health and Safety Case Management Visit in response to a Special/Unusual Incident Report regarding a resident who departed the facility through an unlocked door.
Findings
The resident left the secure Memory Care Unit through a door with a failed alarm system, posing an immediate health and safety risk. Staff interviews and record reviews confirmed inadequate supervision and failure to maintain security measures. A deficiency was cited for failure to provide necessary care and supervision.
Complaint Details
The visit was complaint-related due to a Special/Unusual Incident Report about a resident who left the facility unassisted. The resident was returned without apparent injury. The report noted the resident's mental condition includes wandering and that the resident cannot leave unassisted. Deficiencies were cited based on these findings.
Severity Breakdown
Type A: 1
Deficiencies (1)
Description
Severity
Failure to provide care and supervision as necessary to meet the client's needs, evidenced by a resident leaving the facility unassisted through an unsecured door, posing immediate health, safety, and personal rights risks.
Type A
Report Facts
Census: 26Total Capacity: 120Staff on floor during incident: 4Staff left for break: 2Resident checks frequency: 30Plan of Correction due date: Oct 30, 2023
Employees Mentioned
Name
Title
Context
Amber Coleman
Licensing Program Analyst
Conducted the inspection and authored the report
Nedra Brown
Licensing Program Manager
Supervisor overseeing the inspection
Helen Jaquez
Business Office Manager
Met with Licensing Program Analyst during inspection
Leeann Hefner
Administrator
Named in deficiency for failure to ensure resident supervision and unit security
An unannounced case management visit was made to obtain signatures for an amended report.
Findings
The Licensing Program Analyst met with staff, introduced self, stated the purpose of the visit, obtained signatures, and completed the report. An exit interview was conducted where the report was discussed and provided to the facility representative.
Employees Mentioned
Name
Title
Context
Amber Coleman
Licensing Program Analyst
Made the unannounced case management visit and obtained signatures.
Gabriel Salazar
Resident Care Director
Met with the Licensing Program Analyst during the visit.
The visit was an unannounced required comprehensive annual inspection of the Residential Care Facility for Elderly (RCFE).
Findings
The facility was found to be operating within approved capacity and in good repair with no deficiencies cited. Physical plant, food service, care and supervision, and record reviews met regulatory standards.
An unannounced complaint investigation was conducted due to an allegation that staff did not provide adequate supervision resulting in a resident sustaining bruising.
Findings
The investigation found conflicting information regarding the alleged incident, with no evidence supporting that a fall or injury occurred. The allegation was determined to be unsubstantiated.
Complaint Details
The complaint alleged inadequate supervision by staff leading to resident injury. The investigation included interviews with staff, hospice agency, and caregivers, and review of facility documents. The allegation was unsubstantiated due to lack of evidence.
Report Facts
Capacity: 120Census: 20
Employees Mentioned
Name
Title
Context
Amber Coleman
Licensing Program Analyst
Conducted the complaint investigation
Helen Jaquez
Administrator
Met with Licensing Program Analyst during investigation
Gabriel Salazar
Resident Care Director
Participated in exit interview reviewing the report
The visit was an unannounced complaint investigation initiated due to allegations that staff did not provide adequate supervision resulting in a resident sustaining an unexplained injury and that staff did not properly report an incident involving a resident while in care.
Findings
The investigation found that the allegations were unsubstantiated. The facility had adequate staffing levels and conducted its own investigation. The bruise observed on the resident was reported within the regulated timeframe, and the hospice agency had no concerns about care provided.
Complaint Details
The complaint involved allegations of inadequate supervision leading to an unexplained injury and improper incident reporting. The investigation concluded the allegations were unsubstantiated due to lack of preponderance of evidence.
An unannounced complaint investigation visit was conducted in response to allegations received on 2022-03-11 concerning staff assistance frequency, lack of call system, resident abandonment during an emergency, and denial of resident visits.
Findings
The investigation found all allegations to be unsubstantiated based on interviews with residents and staff, observations, and review of documentation. Residents reported adequate assistance and availability of a pendent call system, no evidence of abandonment during emergencies was found, and residents were not denied visits though unvaccinated visitors required rapid testing.
Complaint Details
The complaint investigation was unsubstantiated, meaning there was insufficient evidence to prove the alleged violations occurred.
An unannounced complaint investigation was conducted in response to allegations received on 2022-04-06 regarding staff causing injury to residents, medication administration issues, staff response to calls for help, interruption of residents' sleep, and provision of rotten fruit.
Findings
The investigation found all allegations to be unsubstantiated based on interviews, documentation review, and observations. No evidence was found to prove the alleged violations occurred.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included staff causing injury, medication not administered, staff not responding to calls for help, interrupting residents' sleep, and rotten fruit being provided. Interviews with staff and residents, file reviews, and observations did not support these claims.
Report Facts
Facility capacity: 120Resident census: 62Number of staff interviewed: 6Number of residents interviewed: 5
Employees Mentioned
Name
Title
Context
Bernadette Allen
Licensing Program Analyst
Conducted the complaint investigation and authored the report
LeeAnn Hefner
Administrator
Facility administrator met during the investigation and exit interview
The visit was an unannounced required annual inspection with an emphasis on infection control due to the COVID-19 pandemic.
Findings
The facility was found to have no health or safety concerns, with proper infection control measures in place including staff monitoring residents for COVID-19 symptoms and cleaning protocols. No deficiencies were cited during the inspection.
Employees Mentioned
Name
Title
Context
Bernadette Allen
Licensing Program Analyst
Conducted the unannounced annual inspection visit.
Ruth Durham Villa
LVN
Met with the Licensing Program Analyst during the inspection.
Angelita H. Jaquez
Business manager who confirmed no COVID-19 cases/exposures.
The visit was a Case Management - Health Checks conducted by the Licensing Program Analyst to inspect the facility premises, food supply, and resident medication, and to speak with residents.
Findings
No deficiencies were issued during the visit. Residents reported feeling safe and cared for, and no immediate health or safety concerns were noted.
Employees Mentioned
Name
Title
Context
Lee Ann Hefner
Executive Director
Met with Licensing Program Analyst during the visit.
Rohit Lama
Licensing Program Analyst
Conducted the Case Management Visit and inspection.
Nedra Brown
Licensing Program Manager
Named in the report header.
Inspection Report Original LicensingCapacity: 120Deficiencies: 0Jul 8, 2021
Visit Reason
The inspection was conducted as a pre-licensing visit for a Residential Care Facility for the Elderly to evaluate the facility's readiness for licensing.
Findings
The facility was found to be safe, sanitary, and free from apparent health and safety risks with no deficiencies noted. All areas including resident bedrooms, bathrooms, kitchen, common areas, and outdoor spaces met regulatory requirements.
Report Facts
Fire clearance capacity: 120Assisted Living bedrooms: 79Memory Care bedrooms: 26
Employees Mentioned
Name
Title
Context
Lee Ann Hefner
Administrator/Executive Director
Conducted inspection with Licensing Program Analyst
Stephanie Williams
Licensing Program Analyst
Conducted the pre-licensing inspection
Efren Malagon
Licensing Program Manager
Named in report header and signature
Inspection Report Original LicensingCapacity: 120Deficiencies: 0May 26, 2021
Visit Reason
The visit was an initial licensing evaluation for the Residential Care Facility for the Elderly to assess the applicant's understanding of licensing requirements and readiness for operation.
Findings
The applicant and administrator participated in a telephone interview confirming their understanding of California Code Title 22 regulations, including facility operation, admission policies, staffing, health conditions, general provisions, emergency preparedness, complaints and reporting, and pre-licensing readiness.
Employees Mentioned
Name
Title
Context
Leeann Hefner
Executive Director
Applicant/administrator who participated in the licensing evaluation and interview.
Jude De La Concepcion
Licensing Program Manager
Named as Licensing Program Manager on the report.
Bethany Hunter
Licensing Program Analyst
Named as Licensing Program Analyst on the report.
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