Inspection Reports for Ansel Park Independent Living

1250 Orchid Dr, Rocklin, CA 95765, CA, 95765

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Inspection Report Complaint Investigation Census: 78 Capacity: 100 Deficiencies: 1 Jul 10, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations including staff lacking criminal background clearance and unsafe maintenance of facility transportation vehicles.
Findings
One allegation regarding staff lacking criminal background clearance was substantiated, citing a deficiency for failure to obtain required fingerprint clearance for a staff member who transports residents. Another allegation about unsafe maintenance of facility transportation vehicles was found to be unfounded based on documentation of a passed bus safety inspection.
Complaint Details
The complaint investigation was substantiated for the allegation that staff did not have criminal background clearance. The allegation regarding unsafe maintenance of transportation vehicles was found to be unfounded.
Severity Breakdown
Type A: 1
Deficiencies (1)
DescriptionSeverity
Facility did not ensure that a criminal record clearance was obtained for one staff member, posing an immediate health, safety, or personal rights risk to persons in care.Type A
Report Facts
Capacity: 100 Census: 78 Deficiencies cited: 1 Plan of Correction Due Date: Jul 11, 2025
Employees Mentioned
NameTitleContext
Keith PayneExecutive DirectorMet with Licensing Program Analyst during investigation and named in findings
Angela HoodLicensing Program AnalystConducted complaint investigation and authored report
Amanda FarleyAssistant Executive DirectorMet with Licensing Program Analyst during investigation
Document Deficiencies: 0 Jul 10, 2025
Visit Reason
Not applicable due to absence of report content
Findings
No findings available as the document contains only an error message
Inspection Report Follow-Up Census: 77 Capacity: 100 Deficiencies: 1 Nov 14, 2024
Visit Reason
The visit was conducted as a follow-up to additional findings discovered during a complaint investigation regarding staff conduct and resident personal rights.
Findings
The facility was found deficient for not ensuring residents were accorded dignity when a former staff member was told to leave the facility in a manner that confused and upset residents. The conversation occurred in front of residents, violating their personal rights.
Complaint Details
This follow-up visit was related to complaint investigation #59-AS-20241104155417. The complaint involved staff not requesting prior approval to visit residents and the manner in which the visitor was asked to leave, which was not respectful and caused confusion to residents. The complaint findings were substantiated by interviews with residents and staff.
Severity Breakdown
Type B: 1
Deficiencies (1)
DescriptionSeverity
Failure to accord residents dignity in their personal relationships when a former staff member was told to leave the facility in front of residents.Type B
Report Facts
Capacity: 100 Census: 77 Plan of Correction Due Date: Nov 28, 2024
Employees Mentioned
NameTitleContext
Keith PayneExecutive DirectorMet with during inspection and mentioned in relation to staff visit approval
Angela HoodLicensing Program AnalystConducted the inspection and authored the report
Maribeth SentyLicensing Program ManagerNamed as Licensing Program Manager overseeing the inspection
Inspection Report Complaint Investigation Census: 77 Capacity: 100 Deficiencies: 0 Nov 14, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that staff interfered with residents' visitation.
Findings
The investigation found that a former staff member visited residents without prior written approval from the Executive Director as required by facility policy. However, there was insufficient evidence to substantiate the allegation, and no deficiencies were cited.
Complaint Details
The complaint alleged that staff interfered with residents' visitation. The investigation was unsubstantiated due to lack of preponderance of evidence.
Report Facts
Complaint Control Number: 59-AS-20241104155417 Capacity: 100 Census: 77
Employees Mentioned
NameTitleContext
Angela HoodLicensing Program AnalystConducted the complaint investigation and authored the report
Keith PayneExecutive DirectorFacility administrator involved in the investigation
Maribeth SentyLicensing Program ManagerOversaw the licensing program and signed the report
Inspection Report Annual Inspection Census: 77 Capacity: 100 Deficiencies: 0 Nov 8, 2024
Visit Reason
The inspection was conducted as a Required-1 Year Inspection to ensure compliance with Title 22 regulations at the Ansel Park Senior Living Community Facility.
Findings
The inspection found the facility to be in compliance with regulations, with properly furnished apartments, sanitary bathrooms, adequate food supplies, secured toxins, and no safety hazards observed. No deficiencies were cited during this visit.
Report Facts
Food supply: 2 Food supply: 7 Bedrooms observed: 3 Bedrooms observed: 2 Bathrooms observed: 5
Employees Mentioned
NameTitleContext
Keith PayneExecutive DirectorMet with Licensing Program Analyst during inspection
Angela HoodLicensing Program AnalystConducted the inspection
Maribeth SentyLicensing Program ManagerNamed in report header
Inspection Report Annual Inspection Census: 77 Capacity: 100 Deficiencies: 0 Nov 7, 2024
Visit Reason
The inspection was an unannounced Required-1 Year Inspection conducted to evaluate compliance with regulations at the Ansel Park Senior Living Community Facility.
Findings
During the visit, resident and staff files were reviewed, water temperatures in several apartments were checked and found within regulatory range, and no deficiencies were cited according to California Code of Regulations, Title 22.
Report Facts
Water temperature readings: 105.2 Water temperature readings: 112.5 Water temperature readings: 112.3 Water temperature readings: 111.4 Resident files reviewed: 6 Staff files reviewed: 6
Employees Mentioned
NameTitleContext
Keith PayneExecutive DirectorMet with Licensing Program Analyst during inspection
Angela HoodLicensing Program AnalystConducted the Required-1 Year Inspection
Inspection Report Plan of Correction Census: 77 Capacity: 100 Deficiencies: 0 Nov 7, 2024
Visit Reason
The visit was conducted as a follow-up on a plan of correction (POC) related to water temperature issues in the facility.
Findings
The inspection found that water temperatures in multiple apartments were within the regulatory range. The facility provided documentation of repairs and current water temperature logs. The plan of correction was cleared during this visit.
Report Facts
Water temperature readings: 105.2 Water temperature readings: 112.5 Water temperature readings: 112.3 Water temperature readings: 111.4
Employees Mentioned
NameTitleContext
Keith PayneExecutive DirectorMet with Licensing Program Analyst during the inspection and named in relation to the plan of correction follow-up
Angela HoodLicensing Program AnalystConducted the inspection visit and follow-up on the plan of correction
Inspection Report Complaint Investigation Census: 72 Capacity: 100 Deficiencies: 1 Oct 30, 2024
Visit Reason
The inspection was an unannounced complaint investigation triggered by an allegation that staff do not ensure that facility faucets deliver hot water.
Findings
The investigation found that water temperature was within regulatory range in most apartments checked, but two of seven residents' apartments did not receive hot water, posing a potential health and safety risk. The allegation was substantiated and a deficiency was cited related to maintenance and operation of water supplies and plumbing fixtures.
Complaint Details
The complaint was substantiated. The allegation was that staff do not ensure that facility faucets deliver hot water. The investigation included interviews, water temperature checks, and review of repair efforts. The facility is working with a plumbing company and vendor to resolve the issue.
Severity Breakdown
Type B: 1
Deficiencies (1)
DescriptionSeverity
Facility did not ensure that two of seven residents' apartments are receiving hot water, violating water temperature regulations requiring faucets to deliver hot water between 105 and 120 degrees F.Type B
Report Facts
Census: 72 Total Capacity: 100 Water temperature checks: 11 Water temperature checks: 5 Water temperature checks: 3 Deficiency Plan of Correction Due Date: Nov 13, 2024
Employees Mentioned
NameTitleContext
Angela HoodLicensing Program AnalystConducted the complaint investigation and delivered findings
Keith PayneExecutive DirectorFacility administrator met with LPA and provided information during investigation
Maribeth SentyLicensing Program ManagerNamed in report as Licensing Program Manager overseeing the investigation
Inspection Report Complaint Investigation Capacity: 100 Deficiencies: 0 May 9, 2024
Visit Reason
The visit was an unannounced complaint investigation conducted in response to an allegation that residents' rooms were not being kept clean and sanitary.
Findings
The Licensing Program Analyst toured five residents' apartments and found all rooms to be clean, safe, sanitary, and in good repair. Interviews with the Maintenance Director confirmed cleaning staff clean residents' rooms daily and perform monthly deep cleaning. The allegation was unsubstantiated and no deficiencies were cited.
Complaint Details
The complaint alleged that residents' rooms were not being kept clean and sanitary. The investigation found no preponderance of evidence to substantiate the allegation, resulting in an unsubstantiated finding.
Report Facts
Capacity: 100 Cleaning staff: 2 Rooms cleaned per staff per day: 8 Residents' apartments toured: 5
Employees Mentioned
NameTitleContext
Deborah TaylorExecutive DirectorMet with Licensing Program Analyst during the investigation
Angela HoodLicensing Program AnalystConducted the complaint investigation
Maribeth SentyLicensing Program ManagerNamed as Licensing Program Manager on the report
Inspection Report Complaint Investigation Capacity: 100 Deficiencies: 1 May 9, 2024
Visit Reason
The visit was an unannounced case management inspection conducted on 05/09/2024 regarding information obtained during a complaint investigation completed on 04/17/2024.
Findings
The facility was cited for not requesting or obtaining an exception for a resident's stage 3 pressure wound, which posed an immediate health, safety, and personal rights risk to residents in care.
Complaint Details
The visit was related to complaint investigation #59-AS-20240306093035 completed on 04/17/2024. The deficiency was substantiated based on records and interviews.
Severity Breakdown
Type A: 1
Deficiencies (1)
DescriptionSeverity
Facility did not request or obtain an exception for resident R1's stage 3 pressure wound, posing an immediate health, safety, and personal rights risk.Type A
Report Facts
Capacity: 100
Employees Mentioned
NameTitleContext
Angela HoodLicensing Program AnalystConducted the case management visit and cited the deficiency
Deborah TaylorExecutive DirectorMet with during the inspection
Maribeth SentyLicensing Program ManagerSupervisor overseeing the inspection
Inspection Report Complaint Investigation Census: 82 Capacity: 100 Deficiencies: 0 Apr 17, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by multiple allegations including residents not receiving ADLs, inadequate food services, staff negligence causing resident injuries, and failure to provide a 60-day notice of rate increases.
Findings
The investigation found no substantiated violations regarding residents receiving ADLs or food services, with evidence showing adequate care and nutrition. Allegations related to staff negligence, resident falls, and failure to provide notice of rate increases were found to be unfounded based on interviews, documentation, and incident reports. No deficiencies were cited.
Complaint Details
The complaint investigation was unannounced and addressed allegations including failure to provide ADLs, inadequate food services, staff negligence resulting in pressure injuries and falls, staff leaving a resident on the floor, and failure to provide a 60-day notice of rate increases. The findings were unsubstantiated or unfounded with no deficiencies cited.
Report Facts
Capacity: 100 Census: 82 Rent increase amount: 343 Dates of home health services: 3/28/23 to 12/30/23 (period resident R1 received home health services) Dates of pressure wound onset and resolution: Pressure wound onset 5/9/23, resolved 12/30/23; stage three wound onset 7/25/23, resolved 8/11/23 Date of fall incident: 9/13/21 fall incident with unsubstantiated findings Date of fall incident: 11/28/23 fall incident with no injuries 911 call time: 911 call made at 5:15pm on 11/28/23
Employees Mentioned
NameTitleContext
Angela HoodLicensing Program AnalystConducted the complaint investigation and delivered findings
Deborah TaylorExecutive DirectorFacility administrator met during investigation and interviewed
Maribeth SentyLicensing Program ManagerNamed as Licensing Program Manager on report
Inspection Report Complaint Investigation Census: 78 Capacity: 100 Deficiencies: 0 Oct 25, 2023
Visit Reason
The inspection was conducted as an unannounced complaint investigation following allegations that staff do not provide adequate food service and that facility staff are not ensuring the facility is maintained.
Findings
The investigation found that food supplies were plentiful, fresh, and properly handled, with no evidence of substandard food service. The facility maintenance was found to be within acceptable cleanliness standards despite some marks on the kitchen floor. Both allegations were determined to be unfounded.
Complaint Details
The complaint investigation was triggered by allegations regarding inadequate food service and poor facility maintenance. The allegations were found to be unfounded after review of food handling practices, resident interviews, and facility cleanliness assessments.
Report Facts
Residents interviewed: 12 Dishwasher washing frequency: 3 Frequency of lettuce orders: 3 Inspection start time: 11 Inspection end time: 14
Employees Mentioned
NameTitleContext
Deborah TaylorExecutive DirectorMet with Licensing Program Analyst during complaint investigation
Todd TryonLicensing Program AnalystConducted the complaint investigation
Troy OrdonezLicensing Program ManagerNamed as Licensing Program Manager on report
Inspection Report Annual Inspection Census: 78 Capacity: 100 Deficiencies: 0 Sep 21, 2023
Visit Reason
The inspection was an annual unannounced visit conducted using the CARE Tool to evaluate the facility's compliance with regulatory standards.
Findings
The facility was found to be clean, well-maintained, and in substantial compliance with Title 22 and Health and Safety Code. No deficiencies were cited during this visit.
Report Facts
Resident files reviewed: 8 Staff files reviewed: 5
Employees Mentioned
NameTitleContext
Deborah TaylorExecutive DirectorMet with Licensing Program Analyst during the inspection
Inspection Report Complaint Investigation Capacity: 100 Deficiencies: 0 Sep 12, 2023
Visit Reason
The visit was conducted to investigate an incident involving a resident fall and hospitalization at the facility.
Findings
Staff responded immediately to the fall, assessed the resident and situation, notified responsible parties, and followed up appropriately respecting the resident's and family's wishes. Further review of documents and consultation with managers will determine if additional action is needed.
Complaint Details
The visit was complaint-related, investigating a resident fall/hospitalization incident. No substantiation status is stated.
Employees Mentioned
NameTitleContext
Rebecca ReavesResident Services DirectorInterviewed regarding the incident and resident history.
Inspection Report Complaint Investigation Census: 82 Capacity: 100 Deficiencies: 0 Jul 28, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to a complaint received on 2023-01-04 regarding multiple allegations of neglect and improper care at the facility.
Findings
The investigation found all allegations unsubstantiated after interviews, facility tour, and document review. The Licensing Program Analyst was unable to confirm neglect or violations related to family communication, thermostat operability, missing jewelry, hearing aid use, room cleanliness, hygiene, eating assistance, laundering, and bedding conditions.
Complaint Details
The complaint included nine allegations concerning family notification, thermostat operability, missing resident jewelry, hearing aid placement, room cleanliness, hygiene, eating assistance, laundering, and sleeping in urine-stained bedding. All allegations were found unsubstantiated due to insufficient evidence or plausible alternative explanations.
Report Facts
Capacity: 100 Census: 82 Number of allegations: 9
Employees Mentioned
NameTitleContext
Deborah TaylorExecutive DirectorMet with Licensing Program Analyst during investigation
Todd TryonLicensing Program AnalystConducted the complaint investigation
Troy OrdonezLicensing Program ManagerOversaw the complaint investigation
Inspection Report Complaint Investigation Census: 85 Capacity: 100 Deficiencies: 0 Feb 2, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that the facility failed to provide hot water.
Findings
The Licensing Program Analyst investigated the complaint by reviewing receipts, interviewing the administrator, and testing water temperature. The plumbing issue was fixed on January 16th, and hot water was observed in all tested bathrooms. The allegation was found to be unfounded.
Complaint Details
The complaint alleged that the facility failed to provide hot water. The allegation was investigated and found to be unfounded.
Report Facts
Capacity: 100 Census: 85
Employees Mentioned
NameTitleContext
Bethany MirlohiLicensing Program AnalystConducted the complaint investigation and delivered findings
Deborah TaylorAdministratorInterviewed during the investigation
Inspection Report Complaint Investigation Census: 79 Capacity: 100 Deficiencies: 0 Dec 20, 2022
Visit Reason
The inspection visit was conducted as an unannounced complaint investigation following allegations that the facility has insufficient staffing to meet resident needs and is retaining residents that require a higher level of care.
Findings
The investigation found the allegations to be unsubstantiated. Interviews with residents and staff, as well as documentation review, indicated staffing levels were generally adequate with some use of caregiver agencies to supplement staff. No prohibited health conditions were observed among residents, and the facility's daily activities did not appear to require additional staff.
Complaint Details
The complaint alleged insufficient staffing to meet resident needs and retention of residents requiring a higher level of care. After investigation, including interviews with residents and staff and review of facility documentation, the allegations were found to be unsubstantiated due to lack of preponderance of evidence.
Report Facts
Capacity: 100 Census: 79 Staffing levels: 3 Staffing levels: 1 Staffing levels: 2 Staffing levels: 3 Staffing levels: 2 Staffing levels: 2 Staffing levels: 1
Employees Mentioned
NameTitleContext
DeAnna Williams-LyonsLicensing Program AnalystConducted the complaint investigation and delivered findings
Deborah TaylorExecutive DirectorFacility representative met with during the investigation and exit interview
Laura MunozLicensing Program ManagerNamed as Licensing Program Manager overseeing the investigation
Inspection Report Annual Inspection Census: 68 Capacity: 100 Deficiencies: 0 Oct 11, 2022
Visit Reason
The inspection was a required unannounced 1-year inspection conducted to evaluate the health and safety compliance of the facility.
Findings
The facility was found to be in substantial compliance with no immediate health, safety, or personal rights violations observed. No deficiencies were cited as a result of this inspection.
Report Facts
Capacity: 100 Census: 68
Employees Mentioned
NameTitleContext
Kevin MknellyLicensing Program AnalystConducted the inspection and authored the report
Deborah TaylorExecutive DirectorMet with Licensing Program Analyst during inspection
James StacyAdministratorFacility Administrator mentioned in report header
Inspection Report Complaint Investigation Capacity: 100 Deficiencies: 0 Feb 23, 2022
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations received on 09/16/2021 that multiple residents sustained injuries due to lack of care and supervision and that staff did not attend to resident pendant calls in a timely manner.
Findings
The investigation found that although multiple residents fell and sustained injuries, the allegations of lack of supervision and untimely response to pendant calls were unsubstantiated due to insufficient evidence. No citations were issued.
Complaint Details
The complaint alleged that multiple residents sustained injuries while in care and that staff did not attend to resident pendant calls in a timely manner. The investigation concluded the allegations were unsubstantiated.
Report Facts
Capacity: 100 Response time to pendant calls: 11 Response time to pendant calls: 12 Number of residents with falls described: 3
Employees Mentioned
NameTitleContext
DeAnna Williams-LyonsLicensing Program AnalystConducted the complaint investigation and delivered findings
Deborah TaylorExecutive DirectorFacility representative met during the investigation and exit interview
Laura MunozLicensing Program ManagerNamed as Licensing Program Manager on the report
Inspection Report Complaint Investigation Census: 56 Capacity: 100 Deficiencies: 0 Feb 23, 2022
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations received on 10/25/2021 regarding staff not reporting incidents as required and delayed timely medical care for a change of condition.
Findings
The investigation found that the allegations were unsubstantiated due to insufficient evidence to prove violations occurred. The delay in medical testing did not risk resident health, and no medication errors or incidents were confirmed. A prior related allegation was substantiated with citation issued.
Complaint Details
The complaint investigation was unsubstantiated, meaning there was not a preponderance of evidence to prove the alleged violations occurred. A prior allegation regarding failure to report incidents was substantiated with citation issued on 09/10/2021.
Report Facts
Facility capacity: 100 Census: 56
Employees Mentioned
NameTitleContext
DeAnna Williams-LyonsLicensing Program AnalystConducted the complaint investigation and delivered findings
Deborah TaylorExecutive DirectorMet with Licensing Program Analyst during the investigation
Laura MunozLicensing Program ManagerNamed as Licensing Program Manager on the report
Inspection Report Complaint Investigation Capacity: 100 Deficiencies: 0 Feb 17, 2022
Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that a resident did not get blood sugar checks in a timely manner.
Findings
The investigation found that the facility was following the resident's physician's orders for blood sugar checks, which were conducted four times a day relatively close to the indicated times. The allegation was determined to be unfounded.
Complaint Details
The complaint alleged that a resident did not receive timely blood sugar checks. After review of medical records, blood sugar logs, and staff interviews, it was found that the resident was receiving blood sugar checks as ordered. The allegation was unfounded.
Report Facts
Capacity: 100 Blood sugar checks per day: 4
Employees Mentioned
NameTitleContext
DeAnna Williams-LyonsLicensing Program AnalystConducted the complaint investigation and delivered findings
Deborah TaylorExecutive DirectorMet with Licensing Program Analyst during the investigation and exit interview
Laura MunozLicensing Program ManagerNamed as Licensing Program Manager on the report
Inspection Report Census: 59 Capacity: 100 Deficiencies: 0 Dec 20, 2021
Visit Reason
A case management visit was conducted to address the newly appointed interim Administrator, Melinda Clevenger-Klick, and to inform the licensee about Ms. Klick's exclusion order and revoked Administrator certificate.
Findings
The facility was not cited during this visit as it was unaware of Ms. Klick's exclusion due to a system error. No deficiencies were cited during the visit.
Employees Mentioned
NameTitleContext
Amanda FarleyH.R CoordinatorMet with Licensing Program Analyst during the case management visit.
Melinda Clevenger-KlickNewly appointed interim Administrator who was issued an exclusion order and had her Administrator certificate revoked.
Inspection Report Capacity: 100 Deficiencies: 0 Dec 1, 2021
Visit Reason
The visit was an informal conference to discuss the number of complaints received for the facility since licensure, including current open complaints and topics such as medication management, staff training, and COVID vaccination mandates.
Findings
No citations were issued during this informal conference. Discussions included resident medication management, staff training, regulation clarifications, re-assessments, resident record documentation, and COVID mitigation procedures.
Complaint Details
The facility has received 9 complaints since licensure on 11/14/2019, with 3 complaints currently open and under investigation.
Report Facts
Complaints received since licensure: 9 Open complaints: 3
Employees Mentioned
NameTitleContext
Lori BerkeleyExecutive DirectorMet with during the informal conference and recipient of the report
Laura MunozLicensing Program ManagerPresent at the informal conference
De Anna Williams-LyonsLicensing Program AnalystPresent at the informal conference
Jim StacyRegional Director of OperationsPresent at the informal conference
Inspection Report Complaint Investigation Capacity: 100 Deficiencies: 0 Oct 21, 2021
Visit Reason
The visit was an unannounced complaint investigation conducted in response to a complaint received on 08/11/2021 regarding a resident sustaining a fracture while in care and requiring a higher level of care.
Findings
The investigation found that a resident (R1) had an unwitnessed fall resulting in a fractured left femur and required a higher level of care, leading to relocation from the facility. The allegations were substantiated but no citations were issued as the facility had implemented hourly checks and there was no evidence of negligence.
Complaint Details
The complaint was substantiated. The resident sustained a fracture after an unwitnessed fall and required a higher level of care. The facility implemented hourly checks and relocated the resident. No citations were issued.
Report Facts
Facility capacity: 100
Employees Mentioned
NameTitleContext
Lori BerkeleyExecutive DirectorMet with during investigation and named in report
Laura MunozLicensing Program ManagerConducted the complaint investigation
DeAnna Williams-LyonsLicensing Program AnalystConducted the complaint investigation
Inspection Report Complaint Investigation Census: 47 Capacity: 100 Deficiencies: 0 Oct 21, 2021
Visit Reason
Unannounced visit/investigation of a complaint received on 10/06/2021 regarding allegations that staff were not following physician's orders and that a resident did not get blood sugar checks in a timely manner.
Findings
The investigation found that although the facility was not checking blood sugar at the exact ordered times due to the resident's varying meal times, blood sugar was checked four times a day relatively close to the ordered times. The facility was following the physician's orders and the allegations were determined to be unfounded.
Complaint Details
Complaint investigation was conducted for allegations that staff were not following physician's orders and that a resident did not receive timely blood sugar checks. The allegations were found to be unfounded.
Report Facts
Blood sugar checks per day: 4 Facility capacity: 100 Census: 47
Employees Mentioned
NameTitleContext
Lori BerkeleyExecutive DirectorMet with during investigation and exit interview
DeAnna Williams-LyonsLicensing Program AnalystConducted the complaint investigation
Laura MunozLicensing Program ManagerConducted the complaint investigation
Inspection Report Complaint Investigation Census: 44 Capacity: 100 Deficiencies: 0 Aug 27, 2021
Visit Reason
The inspection was conducted as an unannounced complaint investigation following allegations that staff do not attend to residents' hygiene care needs in a timely manner, residents do not receive meals in a timely manner, and residents are not assisted with their medication in a timely manner.
Findings
The investigation included interviews with staff and residents, and review of facility records. Staff confirmed some incidents of residents receiving meals late since Covid-19. The complaint was ultimately unsubstantiated.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included untimely hygiene care, meal delivery, and medication assistance. Interviews and record reviews were conducted, but no substantiated violations were found.
Report Facts
Capacity: 100 Census: 44
Employees Mentioned
NameTitleContext
DeAnna Williams-LyonsLicensing Program AnalystConducted the complaint investigation
Benjinim MartinSales DirectorMet with investigator to discuss findings
Laura MunozLicensing Program ManagerNamed in report as Licensing Program Manager
Inspection Report Annual Inspection Census: 45 Capacity: 100 Deficiencies: 0 Aug 16, 2021
Visit Reason
The inspection was an unannounced required 1 year inspection conducted to evaluate compliance with licensing regulations.
Findings
The facility was found to be in compliance with no deficiencies cited. Observations included valid administrator certificate, stocked first aid kit, charged fire extinguishers, proper hot water temperature, clean common areas, required bedroom furnishings, adequate food supplies, and proper medication storage.
Report Facts
Hot water temperature: 105 Perishable food supply: 2 Non-perishable food supply: 7
Employees Mentioned
NameTitleContext
Lori BerkleyExecutive DirectorMet with Licensing Program Analyst during inspection and received report copy
DeAnna Williams-LyonsLicensing Program AnalystConducted the inspection

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