Inspection Report
Capacity: 110
Deficiencies: 0
Sep 11, 2025
Visit Reason
The case management inspection was conducted to review a resident incident and death report that the facility Administrator reported to the Department.
Findings
The Licensing Program Analyst reviewed records including care plans, assessments, progress notes, admission documents, medication lists, and medical documentation. No deficiencies were cited during this inspection.
Report Facts
Facility capacity: 110
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Karina Tapia | Administrator | Met with during inspection and reported the resident incident |
| Cheyenne Flores | LVN/Health Services Director | Met with during inspection |
| Dina Alviso | Licensing Program Analyst | Conducted the case management inspection |
| Bethany Moellers | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Original Licensing
Census: 94
Capacity: 110
Deficiencies: 1
Jan 10, 2025
Visit Reason
The inspection was a pre-licensing, unannounced visit conducted to evaluate the facility for licensing approval.
Findings
The facility was found to have sufficient furnishings, food supply, emergency supplies, and compliance with posting and fire extinguisher requirements. However, deficiencies were observed during the pre-licensing inspection that will be cited on the current license.
Deficiencies (1)
| Description |
|---|
| Deficiencies observed during the pre-licensing inspection to be cited on the current license. |
Report Facts
Capacity: 110
Census: 94
Hospice residents approved: 25
Non-ambulatory residents approved: 110
Bedridden residents approved: 30
Hot water temperature: 110.6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Karina Tapia | Administrator | Met with Licensing Program Analyst during pre-licensing inspection |
| Dina Alviso | Licensing Program Analyst | Conducted the pre-licensing inspection |
| Bethany Moellers | Licensing Program Manager | Named in report header |
Inspection Report
Census: 91
Capacity: 110
Deficiencies: 0
Dec 12, 2024
Visit Reason
The visit was conducted as a Change of Ownership evaluation for the Residential Care Facility for the Elderly.
Findings
The applicant and administrator participated in a COMP II telephone interview to verify identification and confirm 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.
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