Inspection Report Summary
Most inspections found no deficiencies, with many complaint investigations unsubstantiated, indicating generally good compliance with regulations. However, some substantiated issues occurred, primarily related to resident care and personal rights, including two instances in late 2022 and mid-2024 where the facility failed to allow visitors, which was considered an immediate health and safety risk, and a serious case in late 2023 and mid-2024 involving failure to properly care for a resident with severe pressure injuries that resulted in a $500 civil penalty. Other deficiencies were minor or isolated, such as a delayed refund of advance fees noted in the most recent report dated August 12, 2025. The facility has shown improvement in some areas, with the latest annual inspection in February 27, 2025, reporting no deficiencies. Overall, while there have been some serious findings in the past, recent reports suggest better compliance and resolution of prior issues.
Deficiencies per Year
4
3
2
1
0
High
Moderate
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Complaint Investigation
Census: 133
Capacity: 200
Deficiencies: 1
Aug 12, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that the licensee did not issue a timely refund of advance fees as required.
Findings
The investigation found no health or safety concerns. Staff interviews revealed a delay in refunding advance fees due to incomplete correspondence between admissions and accounting departments. The allegation was substantiated based on the preponderance of evidence, and deficiencies were cited according to California Code of Regulations, Title 22.
Complaint Details
The complaint alleged that the licensee did not issue a timely refund of advance fees. Five out of five staff interviewed denied the allegation, but three out of five staff acknowledged the refund was valid and delayed. Seven out of eight residents interviewed did not corroborate the allegation. The complaint was substantiated.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility failed to refund advanced deposit to resident within fifteen days as written in the admission agreement. | Type B |
Report Facts
Census: 133
Total Capacity: 200
Staff Interview Count: 5
Resident Interview Count: 8
Plan of Correction Due Date: Aug 19, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Pamela Parsons | Administrator | Met during inspection and named in findings related to refund delay |
| Sanjay Vaid | Licensing Program Analyst | Conducted the complaint investigation |
| Fernando Fierros | Licensing Program Manager | Oversaw the complaint investigation |
Inspection Report
Annual Inspection
Census: 160
Capacity: 200
Deficiencies: 0
Feb 27, 2025
Visit Reason
An unannounced annual inspection visit was conducted by the Licensing Program Analyst to evaluate compliance with regulations and facility operations.
Findings
The facility was toured and inspected, including resident rooms, food supply, medications, and safety equipment. No deficiencies were observed, and all areas were found to be in compliance with California Code of Regulations, Title 22.
Report Facts
Hospice residents: 22
Hospice waiver residents: 23
Resident bedrooms: 186
Hot water temperature range: 105.0-120.0
Fire/Emergency Drill dates: 2
Fire extinguisher service date: Feb 6, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Pamela Parsons | Administrator | Met with Licensing Program Analyst during inspection and named in report |
| Suzana Zadourian | Director of Nursing | Assisted Licensing Program Analyst with the inspection visit |
| Sanjay Vaid | Licensing Evaluator | Conducted the unannounced annual inspection visit |
| Fernando Fierros | Supervisor | Named as supervisor on the report |
Inspection Report
Census: 162
Capacity: 200
Deficiencies: 0
Jan 16, 2025
Visit Reason
An unannounced case management visit was conducted regarding an incident on the relocation of one resident due to mandatory evacuation orders from the Fire Advisory.
Findings
During the visit, a health and safety check was conducted with no concerns observed. The facility has sufficient staffing and supplies to accommodate 162 residents. One resident was placed by licensing due to the fire, but no residents were relocated from the referenced facility.
Report Facts
Resident relocated: 1
Resident census: 162
Facility capacity: 200
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Alberto Lopez | Licensing Program Analyst | Conducted the unannounced case management visit |
| Pamela Parsons | Administrator | Met with Licensing Program Analyst and provided information during the visit |
Inspection Report
Complaint Investigation
Census: 159
Capacity: 200
Deficiencies: 0
Oct 31, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit regarding an allegation that staff were prohibiting a resident from having visits.
Findings
The investigation found insufficient evidence to corroborate the allegation. Interviews with residents, staff, family, and review of visitation policies indicated that the visitor was still allowed to visit the resident, and visitation rights were not infringed upon. The allegation was determined to be unsubstantiated.
Complaint Details
The complaint alleged that staff prohibited a visitor from seeing resident R1 without any court order or restraining order. Staff expressed concerns about the visitor's conduct due to the resident's cognitive impairment. Resident R1 had signed visitor restriction forms but sometimes agreed to visits. Interviews and record reviews showed the visitor was still allowed to visit. The allegation was unsubstantiated due to insufficient evidence.
Report Facts
Staff interviewed: 3
Residents interviewed: 11
Facility capacity: 200
Facility census: 159
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Pamela Parsons | Executive Director | Met with during the investigation and named in relation to the allegation |
| Noemi Galarza | Licensing Program Analyst | Conducted the complaint investigation |
| Lisa Hicks | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 160
Capacity: 200
Deficiencies: 0
Oct 21, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit conducted to address the allegation that staff did not abide by the admission agreement at Arcadia Gardens Retirement Hotel.
Findings
The investigation found insufficient evidence to substantiate the allegation. Interviews with staff and residents, along with record reviews, indicated that the facility refunded the community fee for Resident #1 and that Resident #1 never signed an admission agreement. Staff and residents denied the allegation, and the complaint was determined to be unsubstantiated.
Complaint Details
The complaint alleged that staff did not abide by the admission agreement regarding Resident #1. The investigation revealed that Resident #1 was not admitted due to a prohibited health condition and lack of hospice care, and the community fee was refunded. Interviews and records did not support the allegation, resulting in an unsubstantiated finding.
Report Facts
Capacity: 200
Census: 160
Residents interviewed: 11
Staff interviewed: 4
Community fee refund date: Oct 9, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Erik Zaragoza | Licensing Program Analyst | Conducted the complaint investigation visit |
| Pamela Parsons | Executive Director | Facility administrator met during the investigation |
| David Sicairos | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 159
Capacity: 200
Deficiencies: 0
Jun 18, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2023-10-06 concerning lack of care, neglect, failure to provide documents, failure to provide services per agreement, illegal eviction, non-adherence to admission policy, and staff threatening residents.
Findings
The investigation found no substantiated evidence to support any of the allegations. Resident and staff interviews, record reviews, and observations indicated that care was provided timely, admission agreements were given, services were provided as agreed, no illegal eviction occurred, billing was adjusted appropriately, and staff did not threaten residents.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included lack of care resulting in medical treatment, neglect, failure to provide resident documents, failure to provide services per agreement, illegal eviction, non-adherence to admission policy, and staff threatening residents. Interviews with nine residents and four staff members, record reviews, and observations did not corroborate the allegations. The resident involved in some allegations was deceased. The final rent statement was adjusted to zero with no payment required.
Report Facts
Resident interviews: 9
Staff interviews: 4
Facility capacity: 200
Census: 159
Final rent statement adjustment: 3000
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Pamela Parsons | Administrator | Met with Licensing Program Analyst and involved in investigation |
| Bonnie Tao | Licensing Program Analyst | Conducted the complaint investigation visits |
| Fernando Fierros | Licensing Program Manager | Oversaw the complaint investigation report |
Inspection Report
Complaint Investigation
Census: 161
Capacity: 200
Deficiencies: 4
Jun 7, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit conducted due to allegations that a resident sustained multiple severe pressure injuries while in care, staff did not seek timely medical attention for the resident, and staff failed to notify the resident's authorized representative of changes in condition.
Findings
The investigation substantiated the allegations that the facility failed to properly address and document a resident's pressure injuries, did not obtain timely medical care, and failed to notify the resident's authorized representative of the change in condition. The resident developed multiple severe pressure injuries, was sent to the hospital, and admitted to hospice care. An immediate $500 civil penalty was issued due to lack of care and supervision.
Complaint Details
The complaint investigation was substantiated. Allegations included a resident sustaining multiple severe pressure injuries, failure of staff to seek timely medical attention, and failure to notify the resident's authorized representative of changes in condition. The resident was deceased as of 03/15/21. The investigation included interviews with staff, review of records, and virtual facility tour. Findings confirmed failures in care and communication.
Severity Breakdown
Type A: 2
Type B: 2
Deficiencies (4)
| Description | Severity |
|---|---|
| Failure to comply with reappraisal requirements, including failure to update resident's Plan of Care and provide medical care for unstageable pressure injuries. | Type A |
| Failure to arrange or assist in arranging appropriate medical and dental care, specifically failure to seek timely medical attention for resident with pressure injuries. | Type A |
| Failure to provide care, supervision, and services sufficient to meet resident's individual needs, including pressure injuries and change in condition. | Type B |
| Failure to regularly inform resident's authorized representatives of activities related to care or services, including ongoing evaluations and changes in condition. | Type B |
Report Facts
Civil penalty amount: 500
Facility capacity: 200
Resident census: 161
Plan of Correction due date: 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Pamela Parsons | Administrator | Met with during inspection and named in findings related to failure to communicate and supervise care. |
| Bonnie Tao | Licensing Program Analyst | Conducted the complaint investigation visit. |
| Fernando Fierros | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation. |
Inspection Report
Complaint Investigation
Census: 162
Capacity: 200
Deficiencies: 0
May 30, 2024
Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation that the facility failed to provide a resident's records to an attorney as requested.
Findings
The investigation found that although the facility did not provide the requested records by the initial due date due to administrator absence and document volume, the records were made available for review during the visit and arrangements were made to provide the records by the end of the day. The allegation was determined to be unsubstantiated due to lack of preponderance of evidence.
Complaint Details
The complaint alleged that on 05/21/2024, the law office requested resident #1's records which were not received by the facility by the due date. The facility received the request on 05/24/2024, but the administrator was out until 05/27/2024. Records were prepared after the administrator's return and were available for review on 05/30/2024. The law firm agreed to accept the records by the end of 05/30/2024. The allegation was unsubstantiated.
Report Facts
Capacity: 200
Census: 162
Complaint control number: 28-AS-20240524113755
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Mary G Flores | Licensing Program Analyst | Conducted the complaint investigation visit |
| Pamela Parsons | Administrator | Facility administrator involved in the investigation and exit interview |
| Araceli Dimaguila | RN Supervisor | Met with Licensing Program Analyst during the investigation |
| Tony Vasallo | Licensing Program Manager | Named in report header and signature section |
Inspection Report
Complaint Investigation
Census: 154
Capacity: 200
Deficiencies: 0
Apr 16, 2024
Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that staff were prohibiting a resident from having visits.
Findings
The investigation included interviews with staff, residents, and review of resident files. The allegation was found to be unsubstantiated due to lack of sufficient evidence, with staff and residents denying the claim and documentation supporting that visits were allowed.
Complaint Details
The complaint alleged that staff were prohibiting resident R1 from having visits with a friend. Interviews with staff, residents, and the friend, as well as review of a Visitor Restriction form, indicated that visits were allowed and privacy was provided. The allegation was determined to be unsubstantiated.
Report Facts
Capacity: 200
Census: 154
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Tena Herrera | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Pamela Parsons | Executive Director | Facility representative met during the investigation |
| David Sicairos | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Census: 152
Capacity: 200
Deficiencies: 0
Mar 22, 2024
Visit Reason
The inspection visit was an unannounced site inspection for the expansion of the dementia unit on the 2nd floor at the facility.
Findings
No issues were observed during the visit. The facility's new dementia unit expansion, fire clearance, structure, bedrooms, hygiene supplies, smoke detectors, staff and resident files, water temperature, and fire safety equipment were all found to be in compliance with regulations.
Report Facts
Hospice Waivers approved: 23
Residents non-ambulatory: 175
Residents bedridden: 25
Resident bedrooms: 186
Dementia unit rooms: 11
Water temperature range (°F): 110.6
Water temperature range (°F): 112.9
Fire clearance date: Mar 20, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Pamela Parsons | Administrator | Met during the inspection and involved in the visit regarding the dementia unit expansion. |
| David Chirikian | Chief Operations Officer | Met during the inspection and involved in the visit regarding the dementia unit expansion. |
| Bonnie Tao | Licensing Evaluator | Conducted the unannounced site inspection. |
| Fernando Fierros | Supervisor | Supervisor overseeing the inspection. |
Inspection Report
Complaint Investigation
Census: 153
Capacity: 200
Deficiencies: 0
Mar 19, 2024
Visit Reason
The visit was an unannounced complaint investigation conducted to investigate allegations received on 04/07/2023 regarding staff response times, privacy, safeguarding of personal belongings, and the comfort of the resident environment.
Findings
The investigation found no preponderance of evidence to substantiate the allegations. Interviews with residents and staff, facility tours, and record reviews indicated that staff responded timely to calls for help, provided privacy during visits, safeguarded residents' belongings, and maintained comfortable room temperatures.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included staff not responding timely to residents, not providing privacy, not safeguarding personal belongings, and not providing a comfortable environment. Resident and staff interviews, as well as observations, did not corroborate these allegations.
Report Facts
Residents interviewed: 11
Staff interviewed: 5
Response time to signal button: 2
Range of time staff attended to residents' rooms: 3
Range of time staff attended to residents' rooms: 10
Room temperature range: 70
Room temperature range: 75
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Pamela Parsons | Administrator | Met with Licensing Program Analyst during the investigation |
| Bonnie Tao | Licensing Program Analyst | Conducted the complaint investigation visit |
| Fernando Fierros | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 153
Capacity: 200
Deficiencies: 0
Mar 19, 2024
Visit Reason
The visit was an unannounced complaint investigation conducted to investigate allegations that facility staff were overcharging a resident and threatening to evict a resident.
Findings
The investigation found no evidence to substantiate the allegations. Interviews with residents and staff, as well as record reviews, showed that the facility did not overcharge residents or threaten eviction. The allegations were determined to be unsubstantiated.
Complaint Details
The complaint involved allegations that facility staff overcharged resident #1 an additional $2000 monthly rent for care and services in 2023, and that staff threatened to evict a resident. The investigation included interviews with eight residents and six staff members, a facility tour, and record review. No corroborating evidence was found, and the allegations were unsubstantiated.
Report Facts
Additional monthly rent increase: 150
Number of residents interviewed: 8
Number of staff interviewed: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Bonnie Tao | Licensing Program Analyst | Conducted the complaint investigation visit |
| Pamela Parsons | Administrator | Facility administrator met during the investigation |
| Fernando Fierros | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Annual Inspection
Census: 155
Capacity: 200
Deficiencies: 0
Mar 12, 2024
Visit Reason
An unannounced annual inspection visit was conducted to evaluate compliance with licensing requirements for the facility.
Findings
The facility was found to be in compliance with all applicable regulations. Resident rooms and bathrooms were clean and well maintained, safety systems were operable, food supplies were adequate, and medications and records were properly stored. No deficiencies were cited.
Report Facts
Facility capacity: 200
Current census: 155
Non-ambulatory residents capacity: 175
Bedridden residents capacity: 25
Hospice residents capacity: 23
Hot water temperature range: 106.2
Hot water temperature range: 110.5
Staff response time to call signals: 3
Staff response time to call signals: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Pamela Parsons | Administrator | Met during inspection and named in report |
| Bonnie Tao | Licensing Evaluator | Conducted the inspection and signed the report |
| Fernando Fierros | Supervisor | Named as supervisor in the report |
Inspection Report
Complaint Investigation
Census: 154
Capacity: 200
Deficiencies: 0
Mar 7, 2024
Visit Reason
The visit was an unannounced complaint investigation conducted in response to multiple allegations including resident injuries, failure to meet resident needs, leaving residents in soiled clothing, and failure to safeguard personal belongings.
Findings
The investigation found no preponderance of evidence to substantiate any of the allegations. Resident and staff interviews, observations, and record reviews indicated that care was timely and appropriate, residents were not left in soiled clothing, and personal belongings were generally safeguarded.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included resident injuries, failure to meet resident needs, leaving residents in soiled clothing, and failure to safeguard personal belongings. Interviews with 10 residents and 4 staff members did not corroborate the allegations. Observations and record reviews supported that care was provided appropriately and personal belongings were not stolen.
Report Facts
Resident interviews: 10
Staff interviews: 4
Facility capacity: 200
Facility census: 154
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Bonnie Tao | Licensing Program Analyst | Conducted the complaint investigation |
| Fernando Fierros | Licensing Program Manager | Oversaw the complaint investigation |
| Pamela Parsons | Administrator | Facility administrator met during investigation and exit interview |
Inspection Report
Complaint Investigation
Census: 162
Capacity: 200
Deficiencies: 4
Dec 15, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit conducted due to allegations that a resident sustained multiple severe pressure injuries while in care, staff did not seek timely medical attention for the resident, and staff failed to notify the resident's authorized representative of changes in condition.
Findings
The investigation substantiated the allegations that the facility failed to address and document the resident's pressure injuries in the care plan, did not obtain timely medical attention, and failed to notify the resident's authorized representative of the change in condition. The resident developed multiple severe pressure injuries, was sent to the hospital, and admitted to hospice care. A $500 civil penalty was issued for lack of care and supervision.
Complaint Details
The complaint investigation was substantiated. The resident sustained multiple severe pressure injuries that were not properly addressed or documented. Staff failed to seek timely medical attention and did not notify the resident's authorized representative of the change in condition. The resident was hospitalized and admitted to hospice care. The facility was issued a $500 civil penalty.
Severity Breakdown
Type A: 2
Type B: 2
Deficiencies (4)
| Description | Severity |
|---|---|
| Failure to comply with CCR 87631(a)(3)(B) requiring documentation of all aspects of care performed by medical professionals and facility staff in the resident's file, failure to update resident's Plan of Care, and failure to provide care by medical professional for unstageable pressure injuries. | Type A |
| Failure to arrange or assist in arranging medical care appropriate to the conditions and needs of residents as required by CCR 87465(a)(1), specifically failure to seek timely medical attention for resident with pressure injuries. | Type A |
| Failure to regularly inform resident's representatives of activities related to care or services including ongoing evaluations as required by CCR 87468.1(a)(8), specifically failure to notify resident's authorized representative of change in condition. | Type B |
| Failure of Administrator to have knowledge of requirements for providing care and supervision appropriate to residents as required by CCR 87405(d)(1), specifically failure to provide proper care to resident with pressure injuries and change in condition. | Type B |
Report Facts
Civil penalty amount: 500
Capacity: 200
Census: 162
Plan of Correction Due Dates: Due dates for POCs are 12/15/2023 and 12/21/2023 as stated for various deficiencies.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Pamela Parsons | Executive Director | Met with during inspection and mentioned in findings related to failure to communicate resident's condition. |
| Valeria Maldonado | Licensing Program Analyst | Conducted the complaint investigation visit. |
| Fernando Fierros | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation. |
Inspection Report
Complaint Investigation
Census: 164
Capacity: 200
Deficiencies: 0
Sep 7, 2023
Visit Reason
An unannounced complaint investigation was conducted in response to allegations received on 10/04/2021 regarding medication dispensing, food quality, and pest issues at the facility.
Findings
The investigation found all allegations to be unsubstantiated after interviews with residents and staff, review of medication administration records, facility tours, and documentation. Residents and staff denied the allegations, and no evidence of ants was observed. The facility was found to be in compliance with medication administration, food quality, and pest control measures.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included staff not dispensing medication as prescribed, poor food quality, and presence of ants. Interviews with 11 residents and 6 staff members, record reviews, and facility tours did not support the allegations.
Report Facts
Residents interviewed: 11
Staff interviewed: 6
Capacity: 200
Census: 164
Medication Administration Records reviewed: 2
In-service training date: Aug 15, 2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Bonnie Tao | Licensing Program Analyst | Conducted the complaint investigation |
| Pamela Parsons | Administrator | Facility administrator met during inspection and exit interview |
| Fernando Fierros | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 171
Capacity: 200
Deficiencies: 0
May 18, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit conducted to investigate allegations including insufficient staffing to meet resident care needs, lack of accessible ombudsman contact information, and unlawful changes to residents' insurance.
Findings
The investigation found no substantiation for the allegations. Residents and staff interviews, facility tours, and record reviews showed adequate staffing, proper posting of ombudsman contact information, and that insurance changes were communicated and voluntary due to termination of a health insurance agency's service with the facility.
Complaint Details
The complaint investigation was unannounced and conducted due to allegations of insufficient staffing, inaccessible ombudsman contact information, and unlawful insurance changes. All allegations were found unsubstantiated based on resident and staff interviews, observations, and document reviews.
Report Facts
Residents interviewed: 10
Staff interviewed: 4
Residents with insurance ending: 17
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Bonnie Tao | Licensing Program Analyst | Conducted the complaint investigation visit |
| Pamela Parsons | Administrator | Facility administrator who assisted with the investigation and exit interview |
| Fernando Fierros | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 174
Capacity: 200
Deficiencies: 0
Mar 14, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations that residents were not being provided activities and that staff were not providing adequate food service during the COVID-19 lockdown.
Findings
The investigation found that the allegations were unsubstantiated. Most residents and all staff denied the allegations. The facility followed COVID-19 protocols by modifying activities to in-room events and delivering meals in 'to-go' containers to ensure food was served hot. The facility was in compliance with dietary and activity protocols during the lockdown.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included residents not being provided activities and inadequate food service. Interviews with residents and staff, file reviews, and facility tours showed compliance with COVID-19 protocols and that activities and adequate food service were provided.
Report Facts
Capacity: 200
Census: 174
Residents interviewed: 13
Staff interviewed: 6
COVID-19 outbreak date: Dec 16, 2020
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Bonnie Tao | Licensing Program Analyst | Conducted the complaint investigation visit |
| Fernando Fierros | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
| Pamela Parsons | Administrator | Facility administrator met during the investigation and exit interview |
Inspection Report
Complaint Investigation
Census: 174
Capacity: 200
Deficiencies: 0
Mar 14, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 12/18/2020 regarding the facility not assisting residents with activities of daily living (ADLs), not providing lunch to residents, and serving cold food.
Findings
The investigation found no preponderance of evidence to substantiate the allegations. Staff and most residents denied the allegations, and the facility followed COVID-19 protocols restricting communal dining and ensuring meal delivery. The report concluded the allegations were unsubstantiated.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included failure to assist resident #2 with ADLs and social activities, failure to provide lunch in a communal dining setting, and serving cold food. Interviews with residents and staff, file reviews, and facility tours revealed compliance with care and COVID-19 protocols, and no evidence supported the allegations.
Report Facts
Capacity: 200
Census: 174
Number of residents interviewed: 13
Number of staff interviewed: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Bonnie Tao | Licensing Program Analyst | Conducted the complaint investigation visit and interviews |
| Fernando Fierros | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
| Pat Redner | Administrator | Facility administrator met during inspection and exit interview |
Inspection Report
Annual Inspection
Census: 170
Capacity: 200
Deficiencies: 0
Feb 25, 2023
Visit Reason
The inspection was an unannounced required annual inspection using the Infection Control tool to evaluate the facility's compliance with regulations.
Findings
No deficiencies were observed or cited during the visit. The facility was found to be in compliance with Title 22 regulations, including infection control, medication administration, staff records, and physical plant conditions.
Report Facts
Client files reviewed: 17
Staff files reviewed: 6
Clients' medications reviewed: 17
Licensed capacity: 200
Current census: 170
Bedridden residents capacity: 25
Memory care unit hospice waiver capacity: 23
Hot water temperature range: 105.6
Hot water temperature range: 110.4
PPE supply duration: 30
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Pamela Parsons | Executive Director | Met with Licensing Program Analyst during inspection and exit interview |
| Julie Chirikian | Licensee | Met with Licensing Program Analyst during inspection and exit interview |
| Valeria Maldonado | Licensing Evaluator | Conducted the inspection and signed the report |
| Fernando Fierros | Supervisor | Supervisor overseeing the inspection |
Inspection Report
Complaint Investigation
Census: 117
Capacity: 200
Deficiencies: 1
Nov 22, 2022
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 08/02/2022 regarding the facility not allowing a resident to have visitors.
Findings
The investigation substantiated the allegation that the facility failed to allow Individual #1 to visit a resident, which was found to be an immediate health and safety risk. Interviews with residents, staff, and review of documentation confirmed the restriction was not justified.
Complaint Details
The complaint was substantiated based on interviews with residents, staff, Power of Attorney, and document review. The allegation was that the facility was not allowing a resident to have visitors. The preponderance of evidence standard was met, confirming the violation.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility failed to permit Individual #1 and all visitors to visit residents during reasonable hours, violating residents' personal rights. | Type A |
Report Facts
Capacity: 200
Census: 117
Deficiencies cited: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Glenn Trueman | Licensing Program Analyst | Conducted the complaint investigation visit and authored the report |
| Wei Siew Ho | Licensing Program Manager | Oversaw the complaint investigation |
| Pamela Parsons | Administrator | Facility Administrator named in the report |
| Araceli Dimaguila | Assistant Administrator | Met with Licensing Program Analyst during the visit and refused to sign the report |
| Julie Chirikian | Owner | Interviewed during the investigation |
Inspection Report
Complaint Investigation
Census: 171
Capacity: 200
Deficiencies: 0
Nov 21, 2022
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to allegations received on 11/17/2022 regarding transportation to doctor appointments and safeguarding of residents' belongings.
Findings
The investigation found that the facility did provide transportation to residents for doctor appointments, and the allegation regarding failure to safeguard residents' belongings was not substantiated. Resident and staff interviews, as well as file reviews, supported these findings. The allegations were determined to be unsubstantiated due to lack of preponderance of evidence.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included failure to provide transportation to a resident for a doctor's appointment and failure to safeguard resident belongings. Interviews and file reviews showed transportation was arranged but the appointment was rescheduled, and residents' belongings were returned appropriately.
Report Facts
Resident interviews: 8
Staff interviews: 6
Resident interviews: 8
Staff interviews: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Pamela Parsons | Administrator | Met with Licensing Program Analyst during investigation and named in findings |
| Bonnie Tao | Licensing Program Analyst | Conducted the complaint investigation |
| Fernando Fierros | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 170
Capacity: 200
Deficiencies: 1
Nov 9, 2022
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint alleging that the facility was not allowing a resident to have visitors.
Findings
The investigation found the allegation substantiated based on interviews with residents, staff, Power of Attorney documentation, and file reviews. The facility failed to permit a visitor (Individual #1) to visit a resident, which was determined to be an immediate health and safety risk.
Complaint Details
The complaint was substantiated. The allegation was that the facility was not allowing a resident to have visitors. Interviews with residents, staff, and review of Power of Attorney documentation showed no restriction on visitation. The facility was found to have failed to allow the visitor, constituting an immediate health and safety risk.
Deficiencies (1)
| Description |
|---|
| Facility failed to permit Individual #1 to visit a resident, violating residents' personal rights to have visitors during reasonable hours. |
Report Facts
Capacity: 200
Census: 170
Plan of Correction Due Date: POC due date was 11/10/2022
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Glenn Trueman | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Wei Siew Ho | Licensing Program Manager | Oversaw the complaint investigation |
| Pamela Parsons | Administrator | Facility Administrator named in the report |
| Araceli Dimaguila | Assistant Administrator | Met with Licensing Program Analyst during the investigation and refused to sign the report |
| Julie Chirikian | Owner | Interviewed during the investigation |
Inspection Report
Complaint Investigation
Capacity: 200
Deficiencies: 0
Jun 23, 2022
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received on 2020-12-18 regarding the facility not assisting residents with ADLs, not providing lunch to residents, and serving cold food.
Findings
The investigation found that Resident #2, who is wheelchair bound, was assisted with ADLs as needed, residents did not recall missed meal services during communal dining shutdown, and food was served in a manner to ensure it was hot. All allegations were found to be unsubstantiated due to lack of preponderance of evidence.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included neglect/lack of care for not assisting residents with ADLs, personal rights violation for not providing lunch, and food service issues for serving cold food. Evidence and interviews did not prove the alleged violations occurred.
Report Facts
Facility capacity: 200
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Ceniceros | Licensing Program Analyst | Conducted the complaint investigation visit |
| Pamela Parsons | Administrator | Facility administrator met with the investigator and was involved in interviews |
| Araceli Ramirez | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Capacity: 200
Deficiencies: 0
Jun 23, 2022
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations that residents were not being provided activities and that staff were not providing adequate food service.
Findings
The investigation found that the facility was following COVID-19 protocols by modifying activities and meal delivery methods to ensure safety and compliance. Both allegations were found to be unsubstantiated due to lack of preponderance of evidence.
Complaint Details
The complaint investigation was triggered by allegations received on 12/23/2020 regarding lack of resident activities and inadequate food service. After review of interviews, records, and virtual and on-site tours, both allegations were found to be unsubstantiated.
Report Facts
Capacity: 200
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Ceniceros | Licensing Program Analyst (LPA)/Retired Annuitant (RA) | Conducted the unannounced complaint investigation visit |
| Pamela Parsons | Administrator | Facility administrator met with the investigator and was involved in the investigation |
| Araceli Ramirez | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 179
Capacity: 200
Deficiencies: 0
Jun 23, 2022
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received on 2021-10-04 regarding medication dispensing, food quality, and presence of ants at the facility.
Findings
The investigation found no preponderance of evidence to substantiate the allegations. Medication was administered as prescribed, food quality was satisfactory, and no ants were observed during the visit. All allegations were determined to be unsubstantiated.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included staff not dispensing medication as prescribed, poor food quality, and presence of ants. After interviews, record reviews, and facility tours, none of the allegations were substantiated.
Report Facts
Capacity: 200
Census: 179
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Ceniceros | Licensing Program Analyst | Conducted the complaint investigation visit and authored the report |
| Pamela Parsons | Administrator | Facility administrator met during the investigation and exit interview |
| Pat Redner | Named as Administrator in facility information |
Inspection Report
Complaint Investigation
Census: 174
Capacity: 200
Deficiencies: 0
May 20, 2022
Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that the facility was not allowing visitors for a resident.
Findings
The investigation found that six residents and five staff denied the allegation, and the resident in question did not want the visitor to visit. There was no court-ordered restraining order to deny visits. The allegation was unsubstantiated due to lack of preponderance of evidence.
Complaint Details
The allegation was that the facility was not allowing visitor #1 to visit resident #1. The investigation included interviews with staff and residents, review of resident records, and a facility tour. The allegation was unsubstantiated.
Report Facts
Capacity: 200
Census: 174
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Bonnie Tao | Evaluator / Licensing Program Analyst | Conducted the complaint investigation |
| Pamela Parsons | Administrator | Met with investigators during the visit |
| Fernando Fierros | Licensing Program Manager | Named in report signature |
Inspection Report
Complaint Investigation
Census: 171
Capacity: 200
Deficiencies: 0
Apr 22, 2022
Visit Reason
Unannounced complaint investigation visit conducted due to allegations that facility staff left a resident on the floor for an extended period and did not allow residents to have visitors.
Findings
The investigation found no evidence to substantiate the allegations. Interviews with residents and staff, review of records, and observations did not confirm that a resident was left on the floor for an extended time or that residents were denied visitors. The facility complied with a power of attorney's request to restrict a specific visitor, and no court-ordered restraining order was in place.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included a resident being left on the floor for an extended period and denial of visitors. Interviews with residents and staff, record reviews, and observations did not support the allegations. The facility followed a POA's letter restricting a visitor, and law enforcement was involved when the visitor acted aggressively.
Report Facts
Capacity: 200
Census: 171
Number of residents interviewed: 7
Number of staff interviewed: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Bonnie Tao | Licensing Program Analyst | Conducted the complaint investigation |
| Fernando Fierros | Licensing Program Manager | Oversaw the complaint investigation |
| Pamela Parsons | Administrator | Facility administrator interviewed during investigation |
| Pat Redner | Administrator | Named as facility administrator in report header |
Inspection Report
Annual Inspection
Census: 180
Capacity: 200
Deficiencies: 1
Mar 4, 2022
Visit Reason
An unannounced annual inspection visit was conducted to evaluate compliance with licensing requirements and regulations.
Findings
The facility was generally found to be in compliance with regulations including cleanliness, safety, and resident accommodations. However, deficiencies were cited related to maintenance, specifically holes above shower hosts in two resident bathrooms.
Deficiencies (1)
| Description |
|---|
| A hole located above the shower host in residents’ bathroom in resident room #110 and #104 was observed. The hole was taped with a piece of tape. |
Report Facts
Residents on Hospice: 14
Residents with approved Hospice Waiver: 23
Bedridden residents: 25
Resident bedrooms: 186
Fire/Emergency Drill date: Jan 11, 2022
Fire extinguisher last service date: Jan 12, 2022
Hot water temperature range (Fahrenheit): 105.2-114.8
Plan of Correction Due Date: Mar 10, 2022
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Pamela Parsons | Administrator | Met with Licensing Program Analyst during inspection and assisted with visit |
| Julie Chirikian | Licensee | Met with Licensing Program Analyst during inspection |
| Fernando Fierros | Supervisor | Supervisor overseeing the inspection |
| Bonnie Tao | Licensing Evaluator | Licensing Program Analyst conducting the inspection |
Inspection Report
Complaint Investigation
Census: 176
Capacity: 200
Deficiencies: 0
Feb 24, 2022
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received on 01/05/2021 regarding resident isolation and residents being served cold food.
Findings
The investigation found insufficient evidence to substantiate the allegations. Residents were quarantined in their rooms due to COVID-19 precautions, which some residents felt caused isolation, but the facility provided activities and support. Food was served in styrofoam containers with heat packs, and most residents had microwaves; only one resident reported food arriving cold without a microwave. The kitchen and food service were observed to be compliant with regulations.
Complaint Details
The complaint involved allegations that a resident was isolated and that residents were served cold food. The investigation was unannounced and included interviews, virtual and physical tours, and review of protocols. The allegations were found to be unsubstantiated due to insufficient evidence.
Report Facts
Residents interviewed: 10
Meals times: 3
Snack times: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Noemi Galarza | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Pamela Parsons | Executive Director | Met with during the investigation and exit interview |
| Lisa Hicks | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 178
Capacity: 200
Deficiencies: 0
Feb 15, 2022
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2022-01-11 regarding visitor restrictions, unmet resident needs, failure to safeguard personal belongings, and lack of activities for a resident.
Findings
The investigation found insufficient evidence to substantiate the allegations. Interviews with residents, staff, and the Executive Director, along with observations and document reviews, indicated that visitors were allowed following COVID-19 protocols, residents' needs were met, personal belongings were not missing, and daily activities were provided and attended.
Complaint Details
The complaint involved four allegations: 1) Facility not allowing visitors for a resident; 2) Facility staff failed to meet resident's needs; 3) Facility staff failed to safeguard resident's personal belongings; 4) Facility staff failed to provide activities for resident in care. All allegations were found unsubstantiated based on interviews, observations, and document reviews.
Report Facts
Facility capacity: 200
Resident census: 178
Visitor denial duration: 4
Value of alleged stolen ring: 1900
Alleged duration resident screamed for help: 20
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Alma Gonzalez | Licensing Program Analyst | Conducted the complaint investigation and interviews |
| Pamela Parsons | Executive Director | Facility administrator interviewed regarding allegations and findings |
| Stefanie Coronel | Licensing Program Manager | Oversaw complaint investigation report |
Inspection Report
Complaint Investigation
Census: 178
Capacity: 200
Deficiencies: 0
Feb 14, 2022
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received on 10/25/2021 regarding resident care and visitor restrictions at the facility.
Findings
The investigation found no preponderance of evidence to substantiate the allegations that a resident was left on the floor for an extended period or that staff did not allow residents to have visitors. Interviews with residents and staff, as well as record reviews, did not corroborate the complaints, resulting in an unsubstantiated determination.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included a resident being left on the floor for an hour and staff not allowing residents to have visitors. Resident and staff interviews, as well as record reviews, did not support these claims.
Report Facts
Capacity: 200
Census: 178
Resident interviews: 7
Staff interviews: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Bonnie Tao | Licensing Program Analyst | Conducted the complaint investigation |
| Fernando Fierros | Licensing Program Manager | Oversaw the complaint investigation |
| Pat Redner | Administrator | Facility administrator present during the investigation |
| Pamela Parson | Administrator | Met with Licensing Program Analyst during the visit |
Inspection Report
Complaint Investigation
Census: 180
Capacity: 200
Deficiencies: 0
Jan 10, 2022
Visit Reason
The inspection was an unannounced complaint investigation triggered by an allegation that the facility does not have adequate hot water available to residents.
Findings
The investigation included interviews with staff and residents, review of repair invoices, and water temperature measurements in resident bathrooms. The allegation was found to be unsubstantiated as water temperatures met Title 22 guidelines and residents confirmed hot water availability.
Complaint Details
The complaint alleged inadequate hot water availability. The investigation found no preponderance of evidence to substantiate the allegation, resulting in an unsubstantiated finding.
Report Facts
Residents interviewed: 10
Bathrooms tested: 11
Capacity: 200
Census: 180
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kruz Long | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Fernando Fierros | Licensing Program Manager | Oversaw the complaint investigation |
| Araceli Dimaguila | Registered Nurse | Facility staff member interviewed during the investigation |
Inspection Report
Complaint Investigation
Census: 184
Capacity: 200
Deficiencies: 0
Dec 11, 2021
Visit Reason
Unannounced complaint investigation visit conducted due to allegations that staff did not assist resident with walking and did not protect resident's personal items.
Findings
The investigation found both allegations unsubstantiated based on interviews with residents, staff, administrator, and document reviews. Staff assist residents with walking when requested, and residents usually misplace personal items rather than them being stolen by staff.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included staff not assisting a resident with walking and staff not protecting resident's personal items. Interviews and document reviews did not support these allegations.
Report Facts
Residents interviewed: 14
Staff interviewed: 5
Facility capacity: 200
Facility census: 184
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Mary G Flores | Evaluator / Licensing Program Analyst | Conducted the complaint investigation visit. |
| Bonnie Tao | Licensing Program Analyst | Conducted the initial unannounced complaint investigation visit on 7/28/21. |
| Pamela Parsons | Administrator | Facility administrator interviewed during the investigation. |
| Rebecca Orendain | Licensing Program Manager | Named in the report as Licensing Program Manager. |
| Pat Redner | Administrator | Named as facility administrator. |
Inspection Report
Complaint Investigation
Census: 184
Capacity: 200
Deficiencies: 0
Dec 7, 2021
Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation that staff opened residents' mail.
Findings
The investigation found no evidence to support the allegation. Interviews with residents and staff, as well as observations of mail handling practices, indicated that residents' mail was not opened by staff. The allegation was determined to be unsubstantiated.
Complaint Details
The complaint alleged that staff opened residents' mail. Interviews with eleven residents and ten staff members denied this allegation. Mail policy review and observations confirmed mail remained unopened and placed in residents' locked mailboxes. The allegation was unsubstantiated due to lack of evidence.
Report Facts
Complaint Control Number: 28-AS-20211201091411
Number of residents interviewed: 11
Number of staff interviewed: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Bonnie Tao | Licensing Program Analyst | Conducted the complaint investigation visit |
| Pamela Parsons | Administrator | Met with Licensing Program Analyst during investigation |
| Fernando Fierros | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Capacity: 200
Deficiencies: 0
Dec 1, 2021
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2019-05-15 regarding neglect resulting in multiple pressure injuries and residents being left in soiled diapers for extended periods.
Findings
The investigation found no evidence to support the allegations. Interviews with residents and staff, review of medical and facility records, and site observations indicated that care was provided appropriately, including timely changing of adult briefs and repositioning of residents. The allegations were determined to be unsubstantiated.
Complaint Details
The complaint alleged that a resident sustained multiple pressure injuries due to neglect and that staff left the resident in soiled diapers for an extended period. The investigation was unsubstantiated due to lack of evidence supporting the allegations.
Report Facts
Resident interviews: 12
Staff interviews: 11
Resident interviews: 12
Staff interviews: 11
Facility capacity: 200
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Pat Redner | Administrator | Named in relation to denial of allegations and interviews during investigation |
| Pamela Parsons | Administrator | Met with during visit and exit interview |
| Bonnie Tao | Licensing Program Analyst | Conducted the complaint investigation |
| Fernando Fierros | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 140
Capacity: 200
Deficiencies: 0
Nov 17, 2021
Visit Reason
An unannounced complaint investigation was conducted in response to allegations that staff did not respond to residents' calls in a timely manner and did not safeguard residents' personal items.
Findings
The investigation found that most residents reported timely staff response to calls, with a call system functioning properly, and that while some residents reported missing personal items, these were typically found elsewhere in their rooms. There was insufficient evidence to substantiate the allegations, resulting in an unsubstantiated finding.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included staff not responding timely to resident calls and not safeguarding personal items. Interviews with staff and residents, and testing of the call system, showed timely responses and no evidence of personal items being lost due to staff negligence.
Report Facts
Residents interviewed: 14
Staff interviewed: 6
Residents reporting timely response: 12
Residents reporting missing items: 3
Call response time: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Cynthia D Chan | Licensing Program Analyst | Conducted the complaint investigation |
| Pamela Parsons | Executive Director | Met with investigator and provided information about facility operations |
| Lisa Hicks | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 168
Capacity: 200
Deficiencies: 0
Jul 28, 2021
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations that staff did not assist residents with walking and did not protect residents' personal items.
Findings
The investigation included observations, interviews with residents and staff, and review of resident files. The allegations were found to be unsubstantiated due to lack of preponderance of evidence. Residents and staff reported that assistance with walking was provided and personal items were generally protected, with some items misplaced rather than missing.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included staff not assisting residents with walking and not protecting residents' personal items. Interviews and observations did not support these allegations.
Report Facts
Residents interviewed: 14
Staff interviewed: 5
Residents reporting staff assist with walking: 12
Residents unable to answer about walking assistance: 2
Residents reporting no missing personal items: 8
Residents reporting missing personal items: 4
Residents unable to answer about missing personal items: 1
Staff reporting protection of personal items: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Bonnie Tao | Licensing Program Analyst | Conducted the complaint investigation visit |
| Pamela Parsons | Administrator | Met with Licensing Program Analyst during the investigation |
| Julie Chirikian | Licensee | Met with Licensing Program Analyst during the investigation |
| Fernando Fierros | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 168
Capacity: 200
Deficiencies: 0
Jul 1, 2021
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations that the facility was not allowing residents to visit privately during reasonable hours without prior notice and was retaliating against a resident for complaints filed on their behalf.
Findings
The investigation included resident and staff interviews, resident file review, and visitor policy review. The allegations were found to be unsubstantiated due to lack of preponderance of evidence, with residents and staff stating visitors were allowed private visits and no retaliation was evident.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included denial of private visits during reasonable hours without prior notice and retaliation against a resident for filing complaints. Interviews and policy review did not support these claims.
Report Facts
Capacity: 200
Census: 168
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Bonnie Tao | Evaluator / Licensing Program Analyst | Conducted the complaint investigation |
| Pamela Parsons | Administrator | Met with investigators and participated in interviews |
| Fernando Fierros | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 169
Capacity: 200
Deficiencies: 1
May 19, 2021
Visit Reason
An unannounced complaint investigation visit was conducted due to allegations that the facility has pests.
Findings
The investigation found that pests were reported by residents in their bathrooms, with five out of thirteen residents interviewed confirming sightings. The facility receives monthly pest control services, and the allegations were substantiated.
Complaint Details
The complaint was substantiated based on resident and staff interviews, facility tours, and review of pest control documentation. The facility was found to have ants in resident bathrooms despite monthly pest control services.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Buildings and Grounds. The facility shall be clean, safe, sanitary and in good repair at all times for the safety and well-being of clients, employees and visitors. The licensee shall take measures to keep the facility free of flies and other insects. This requirement was not met by evidence of ants sighting in resident bathrooms. | Type B |
Report Facts
Deficiencies cited: 1
Capacity: 200
Census: 169
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Bonnie Tao | Evaluator / Licensing Program Analyst | Conducted the complaint investigation visit |
| Pat Redner | Administrator | Facility administrator involved in the investigation and exit interview |
| Fernando Fierros | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 168
Capacity: 200
Deficiencies: 0
Mar 9, 2021
Visit Reason
The inspection was conducted as an unannounced complaint investigation following a complaint received on 2021-02-17 regarding allegations including unlawful eviction and physical plant disrepair.
Findings
The investigation found no evidence to substantiate the allegations. The administrator confirmed no eviction notice was served and the resident could return when discharged from the Skilled Nursing Facility. The physical plant, including the resident's room, toilet, hot water, and A/C, were found to be in proper working order.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included unlawful eviction and physical plant disrepair. Interviews with staff, residents, and virtual room tour found no evidence supporting the allegations.
Report Facts
Capacity: 200
Census: 168
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Tony Vasallo | Licensing Program Analyst | Conducted the complaint investigation |
| Wei Siew Ho | Licensing Program Manager | Oversaw the complaint investigation |
| Pat Redner | Administrator | Facility administrator interviewed regarding allegations |
| Pamela Parsons | Administrator | Met with during investigation and exit interview |
Inspection Report
Complaint Investigation
Census: 181
Capacity: 200
Deficiencies: 1
Aug 14, 2019
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations that staff failed to keep residents' call buttons in operable condition and failed to follow physician's orders.
Findings
The investigation substantiated the allegation that staff failed to keep residents' call buttons operable, with multiple call buttons found inoperable during the visit. The allegation that staff failed to follow physician's orders was unsubstantiated after review of resident records and interviews.
Complaint Details
The complaint investigation was substantiated for the allegation that staff failed to keep residents' call buttons operable. The allegation that staff failed to follow physician's orders was unsubstantiated due to insufficient evidence.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to maintain call light system in operable condition in multiple resident rooms. | Type B |
Report Facts
Resident census: 181
Total capacity: 200
Number of inoperable call light buttons: 7
Plan of Correction due date: Aug 15, 2019
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Joe Katrdzhyan | Licensing Program Analyst | Conducted the complaint investigation visit |
| Pat Redner | Administrator | Facility administrator interviewed during investigation |
| Valantine Ashjian | Assistant Administrator | Assisted with call light button testing and interviewed |
| Julie Chirikian | Licensee Representative | Interviewed during investigation |
| David Chirikian | Licensee Representative | Interviewed during investigation and provided plan of correction information |
| Sean Thompson | Technician | From Safety Centric Security Installation, interviewed regarding call light system |
| Don Gates | Supervisor | Supervisor from Safety Centric Security Installation, interviewed regarding call light system |
| Ron Gates | Supervisor | Supervisor from Safety Centric Security Installation, explained new call light system installation |
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