Inspection Report Summary
Most inspections found no deficiencies, and several complaint investigations were unsubstantiated, indicating generally good compliance. The most recent report from September 5, 2025, was an annual inspection with no deficiencies cited. Some earlier investigations identified isolated issues, including a substantiated medication storage error in May 2025 and a missing safeguard form for a resident’s personal property. There were also a few substantiated complaints related to resident hygiene, communication, and staff behavior, but no fines, license suspensions, or immediate jeopardy findings were reported. The facility’s record shows improvement over time, with the latest annual inspection showing full compliance after earlier isolated deficiencies.
Deficiencies per Year
4
3
2
1
0
High
Moderate
Census Over Time
Census
Capacity
Inspection Report
Annual Inspection
Census: 87
Capacity: 134
Deficiencies: 0
Sep 5, 2025
Visit Reason
The inspection was an unannounced required 1-year annual inspection conducted by the Licensing Program Analyst to evaluate compliance with licensing requirements.
Findings
The facility was found to be in compliance with no deficiencies cited during the annual inspection. The facility was observed to be sanitary, organized, and equipped with necessary safety features. Resident and staff records were complete and up to date.
Report Facts
Resident records reviewed: 5
Staff records reviewed: 5
Fire and disaster drill date: Jul 17, 2025
Memory Care residents positive for Covid-19: 2
Emergency drinking water supply: 2
Emergency drinking water supply: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maria Partoza | Licensing Program Analyst | Conducted the unannounced required 1-year inspection |
| Beth Jennings | Life Guidance Director | Met with Licensing Program Analyst and participated in exit interview |
| Shay Arias | Community Business Director | Met with Licensing Program Analyst during inspection |
| Felicia R Barkley | Administrator | Facility Administrator named in report but not present during inspection |
Inspection Report
Complaint Investigation
Census: 75
Capacity: 134
Deficiencies: 1
May 30, 2025
Visit Reason
The visit was conducted as an unannounced Case Management visit to cite the facility for a deficiency found as part of a complaint investigation for a complaint received by the department on 04/13/2023.
Findings
The Licensing Program Analyst observed that resident R1's facility file did not contain a Safeguard for Property and Valuables form, which posed a potential personal rights risk to residents in care. A Type B deficiency was cited under California Code of Regulations Title 22.
Complaint Details
The visit was triggered by a complaint received by the department on 04/13/2023. The deficiency cited relates to the complaint investigation.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Licensee did not ensure that resident R1's resident record contained a Safeguard for Personal Property and Valuables form. | Type B |
Report Facts
Capacity: 134
Census: 75
Plan of Correction Due Date: Jun 6, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| David Marrufo | Licensing Program Analyst | Conducted the unannounced Case Management visit and cited the deficiency |
| Felicia Barkley | Administrator | Met with Licensing Program Analyst during the visit |
| Beth Jennings | Life Guidance Director | Reviewed the report with the Licensing Program Analyst |
Inspection Report
Complaint Investigation
Census: 75
Capacity: 134
Deficiencies: 1
May 30, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2023-04-13 alleging that the facility took medications away from a resident, lack of supervision resulted in a resident providing medication to another resident, and mishandling of a resident's personal belongings.
Findings
The investigation found the allegation regarding medication administration by a resident to another resident was substantiated, citing a deficiency related to improper medication storage. The allegation that the facility took medications away from a resident was found to be unfounded. The allegation of mishandling a resident's personal belongings was unsubstantiated due to insufficient evidence.
Complaint Details
The complaint investigation was initiated due to allegations received on 2023-04-13. The complaint control number is 26-AS-20230413113300. The investigation included interviews with residents and staff, review of physician reports and medication administration records, and review of incident reports. The medication-related allegation was substantiated, the medication removal allegation was unfounded, and the personal belongings allegation was unsubstantiated.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Licensee did not ensure that medications determined by the physician to be hazardous if kept in personal possession were centrally stored and not in the possession of resident R1 in R1’s living unit, posing an immediate safety risk. | Type A |
Report Facts
Capacity: 134
Census: 75
Deficiency count: 1
Plan of Correction Due Date: May 31, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| David Marrufo | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Maria Partoza | Licensing Program Manager | Reviewed the complaint investigation report |
| Felicia Barkley | Administrator | Met with the Licensing Program Analyst during the investigation |
| Beth Jennings | Life Guidance Director | Reviewed the report with the Licensing Program Analyst |
Inspection Report
Complaint Investigation
Census: 92
Capacity: 134
Deficiencies: 0
Nov 15, 2024
Visit Reason
The inspection was conducted as an unannounced complaint investigation following a complaint received on 2024-02-15 alleging that staff changed a resident's service plan without the consent of the resident's authorized person.
Findings
The investigation found that the resident had changes in physical and mental condition, including aggressive and wandering behavior, which led the facility to request a 24x7 1:1 private caregiver for the resident. The facility communicated with the resident's family members regarding this need. The allegation was determined to be unsubstantiated due to lack of preponderance of evidence.
Complaint Details
The complaint alleged that staff changed the resident's service plan without consent of the resident's authorized person. The investigation included interviews with staff, residents, and family members, review of incident reports and communications. The allegation was found unsubstantiated.
Report Facts
Complaint Control Number: 26
Census: 92
Total Capacity: 134
Visit Start Time: 1529
Visit End Time: 1559
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Steve Chang | Licensing Program Analyst | Conducted the unannounced investigation visit and delivered findings |
| Felicia Barkley | Executive Director | Met with Licensing Program Analyst during investigation |
| Flavio Silva | Administrator | Facility administrator named in report header |
| Romeo Manzano | Licensing Program Manager | Named as Licensing Program Manager on report |
| Chihhsien Chang | Licensing Program Analyst | Conducted investigation and signed report |
Inspection Report
Complaint Investigation
Capacity: 134
Deficiencies: 0
Oct 2, 2024
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations that facility staff did not provide a resident a bath for at least two months and that the facility hired a private caregiver for a resident without the resident's DPOA's consent.
Findings
The investigation found that although the allegations may have happened or are valid, there was not a preponderance of evidence to prove the alleged violations occurred, resulting in the allegations being unsubstantiated. No deficiencies were cited during the visit.
Complaint Details
The complaint involved two allegations: 1) Facility staff did not provide a resident a bath for at least two months, and 2) Facility hired a private caregiver for a resident without the resident's DPOA's consent. Interviews and document reviews indicated the resident refused bathing for 8 weeks and the facility refunded the responsible party $3,462 for private care charges. The allegations were unsubstantiated due to insufficient evidence.
Report Facts
Refund amount: 3462
Capacity: 134
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maria Partoza | Licensing Program Analyst | Conducted the complaint investigation and interviews |
| Felicia Barkley | Executive Director/Administrator | Met with Licensing Program Analyst during investigation and exit interview |
Inspection Report
Complaint Investigation
Census: 88
Capacity: 134
Deficiencies: 0
Oct 2, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by multiple allegations received on 2023-12-28 regarding verbal and physical abuse of residents and improper care practices at the facility.
Findings
The investigation found no preponderance of evidence to substantiate the allegations of verbal abuse, physical abuse, or improper care practices. The complaint was determined to be unsubstantiated and no deficiencies were cited during the visit.
Complaint Details
The complaint included allegations that facility staff verbally abused residents, pushed a resident to the toilet seat, wrapped a resident's undergarment too tightly causing blood circulation constriction, and physically abused a resident by splashing water on their face. Multiple staff interviews and resident inspections were conducted. Although some staff reported observing inappropriate behavior by a staff member (S3), the overall evidence was insufficient to substantiate the allegations. The staff member S3 was suspended and terminated by the facility following an internal investigation. The complaint was ultimately unsubstantiated.
Report Facts
Facility capacity: 134
Census: 88
Water temperature range: 113
Water temperature range: 117.5
Staff interviewed: 6
Residents interviewed: 5
Resident bedrooms inspected: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maria Partoza | Licensing Program Analyst | Conducted the complaint investigation and interviews |
| Felicia Barkley | Executive Director/Administrator | Met with Licensing Program Analyst during exit interview |
| Flavio Silva | Administrator | Facility administrator named in report header |
| S3 | Staff member alleged to have been verbally and physically abusive; suspended and terminated by facility | |
| S11 | Staff who reported witnessing alleged abuse by S3 |
Inspection Report
Complaint Investigation
Census: 88
Capacity: 134
Deficiencies: 0
Oct 2, 2024
Visit Reason
The inspection was conducted as an unannounced complaint investigation following a complaint received on 2024-04-16 alleging that staff did not respond to residents' requests for assistance in a timely manner and that complaint information was not posted as required.
Findings
The investigation found that the allegations were unsubstantiated and unfounded. Staff generally respond within 10 minutes to pendant calls, with occasional delays due to unavoidable circumstances. Complaint information was properly posted in the facility. No deficiencies were cited during the visit.
Complaint Details
The complaint alleged that staff did not respond timely to residents' requests for assistance and that complaint information was not posted as required. Interviews with residents, staff, and facility maintenance director were conducted. The investigation concluded the allegations were unsubstantiated and unfounded.
Report Facts
Capacity: 134
Census: 88
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maria Partoza | Licensing Program Analyst | Conducted the complaint investigation and interviews |
| Felicia Barkley | Executive Director/Administrator | Met with Licensing Program Analyst during investigation and exit interview |
| Flavio Silva | Administrator | Facility administrator named in report header |
Inspection Report
Complaint Investigation
Census: 88
Capacity: 134
Deficiencies: 0
Oct 2, 2024
Visit Reason
The inspection was conducted as an unannounced complaint investigation following a complaint received on 2024-08-27 alleging the facility did not identify a resident's need prior to admission that resulted in eviction.
Findings
The investigation found that although the resident's level of care changed after admission and the community could no longer meet the resident's needs, there was insufficient evidence to substantiate the allegation. No deficiencies were cited during the visit.
Complaint Details
The complaint alleged the facility did not identify the resident's need prior to admission that resulted in eviction. The allegation was unsubstantiated due to lack of preponderance of evidence.
Report Facts
Complaint Control Number: 26-AS-20240827103323
Number of staff interviewed: 3
Resident number interviewed: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maria Partoza | Licensing Program Analyst | Conducted the complaint investigation and interviews |
| Felicia Barkley | Executive Director/Administrator | Met with Licensing Program Analyst during investigation and exit interview |
| Romeo Manzano | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Annual Inspection
Census: 89
Capacity: 134
Deficiencies: 0
Sep 20, 2024
Visit Reason
An unannounced annual inspection was conducted to evaluate compliance with California Code of Regulations Title 22 at the facility.
Findings
The inspection found the facility to be in compliance with no deficiencies cited. The facility was observed to have proper safety measures, adequate food supplies, and updated medication records.
Report Facts
Memory care residents: 18
Assisted living residents: 71
Staff records reviewed: 6
Client records reviewed: 10
Client medications reviewed: 5
Fire extinguisher service date: Sep 5, 2024
Refrigerator temperature: 38
Freezer temperature: 0
Room temperature: 73
Hot water temperature: 105.8
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Felicia Barkley | Executive Director | Met with during inspection and provided facility census information |
Inspection Report
Complaint Investigation
Census: 89
Capacity: 134
Deficiencies: 0
Sep 4, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that the facility was overcharging a resident for services.
Findings
The investigation found that the facility charged for 1 on 1 care services provided by a third party, which continued beyond the resident's transfer to memory care. The charges were disputed but ultimately settled between the facility and the responsible party. The allegation was unsubstantiated due to lack of preponderance of evidence.
Complaint Details
The complaint alleged that the facility was overcharging a resident for services. The investigation included interviews with the responsible party, former and current Executive Directors, and review of documents. It was found that 1 on 1 care services were provided by a third party and billed under one account. The charges were adjusted and resolved with no violations substantiated.
Report Facts
Capacity: 134
Census: 89
Charge amount: 19000
Charge amount: 9000
Charge amount: 10000
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maria Partoza | Licensing Program Analyst | Conducted the complaint investigation visit and interviews |
| Felicia Barkley | Executive Director/Administrator | Met with investigator during the visit and participated in exit interview |
| Flavio Silva | Administrator | Facility administrator named in the report |
| Romeo Manzano | Licensing Program Manager | Oversaw the complaint investigation |
Inspection Report
Complaint Investigation
Census: 89
Capacity: 134
Deficiencies: 0
Sep 4, 2024
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations that staff cut a resident's hair without consent, provided a massage that caused neck pain, and retaliated against residents.
Findings
After interviews and document review, the investigation found the allegations to be unfounded. The resident was diagnosed with mental disorders contributing to behavior and confusion. No citations were issued.
Complaint Details
The complaint alleged that staff cut a resident's hair without consent, gave a rough massage causing neck pain, and retaliated against residents. Interviews with staff, residents, and former and current administrators were conducted. The resident was found to have confusion and hallucinations. The complaint was determined to be unfounded.
Report Facts
Capacity: 134
Census: 89
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maria Partoza | Licensing Program Analyst | Conducted the complaint investigation and interviews |
| Felicia Barkley | Executive Director/Administrator | Met with during investigation and exit interview |
| Flavio Silva | Administrator | Named as facility administrator |
| Romeo Manzano | Licensing Program Manager | Oversaw complaint investigation |
Inspection Report
Complaint Investigation
Census: 100
Capacity: 134
Deficiencies: 0
Jul 24, 2024
Visit Reason
An unannounced case management visit was conducted regarding an incident report of elder abuse involving staff and a resident.
Findings
The investigation found that staff member S1 was witnessed holding down and forcing resident R1 to sit down. S1 was suspended pending the outcome of the internal investigation. No deficiencies were cited during this visit.
Complaint Details
The visit was triggered by a complaint of elder abuse. The incident occurred on 7/20/2024 around 6:00 p.m. in the common area. The case management remains open for further investigation.
Report Facts
Facility capacity: 134
Current census: 100
Hospice waiver capacity: 13
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Felicia Barkley | Executive Director/Administrator | Met with Licensing Program Analysts and provided information regarding the incident and investigation |
| Maria Partoza | Licensing Program Analyst | Conducted the case management visit |
| Marcela Yanez | Licensing Program Analyst | Conducted the case management visit |
Inspection Report
Complaint Investigation
Census: 84
Capacity: 134
Deficiencies: 0
Apr 27, 2024
Visit Reason
The inspection was an unannounced case management visit for an incident reported on 2024-04-15 involving a medication error that occurred on 2024-04-14.
Findings
The facility Medication Technician gave a resident the wrong medication during breakfast on April 14, 2024. The resident's physician and family were notified, no adverse effects were observed, and the resident was monitored every two hours. The medication error was determined to be caused by human error, and the Medication Technician received a final warning.
Complaint Details
The visit was complaint-related due to a medication error incident. The case management will remain open pending further investigation.
Report Facts
Census: 84
Total Capacity: 134
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Felicia Barkley | Executive Director | Interviewed during the inspection and involved in the medication error investigation |
| Maria Partoza | Licensing Program Analyst | Conducted the unannounced case management visit |
Inspection Report
Complaint Investigation
Census: 79
Capacity: 134
Deficiencies: 0
Feb 12, 2024
Visit Reason
The inspection was conducted as an unannounced complaint investigation following an allegation received on 2023-11-29 that the facility did not resolve a resident's concern regarding noise disturbance from another resident.
Findings
The investigation found that the facility made multiple efforts to address the noise complaint, including sending a memo about quiet hours, installing acoustic panels, and suggesting relocation options. Interviews and observations concluded that the allegations were unfounded, with no other residents complaining and no deficiencies cited.
Complaint Details
The complaint alleged that staff did not resolve noise disturbance from another resident. The investigation was unannounced and included interviews with the Executive Director/Administrator, residents, and staff. The complaint was determined to be unfounded based on evidence and interviews.
Report Facts
Complaint Control Number: 26-AS-20231129142215
Capacity: 134
Census: 79
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Chihhsien Chang | Licensing Program Analyst | Conducted the complaint investigation |
| Steve Chang | Licensing Program Analyst | Conducted unannounced investigation visit to deliver findings |
| JR Garcia | Maintenance Director | Met with during investigation visit |
| Flavio Silva | Administrator | Named as facility administrator |
| Romeo Manzano | Licensing Program Manager | Oversaw complaint investigation |
Inspection Report
Census: 85
Capacity: 134
Deficiencies: 1
Oct 30, 2023
Visit Reason
An unannounced case management visit was conducted regarding an incident report where resident R1 consumed a cleaning solution and was hospitalized but returned the same day with no change of orders.
Findings
The facility implemented increased monitoring of resident R1 every two hours and removed hazardous materials from R1's apartment. However, the resident's appraisal and care plan were not updated following the incident, posing an immediate risk to the resident's health. A deficiency was cited for failure to update the pre-admission appraisal and care plan.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| The pre-admission appraisal was not updated to note significant changes after resident R1 consumed cleaning solution on 10/26/23, and the care plan was not developed to meet resident's needs, posing an immediate risk to health. | Type A |
Report Facts
Plan of Correction Due Date: Oct 31, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Flavio Silva | Administrator | Met with Licensing Program Analyst during visit and named in findings |
| Manuel Monter | Licensing Program Analyst | Conducted the unannounced case management visit and authored the report |
| Romeo Manzano | Licensing Program Manager | Supervisor named in the report |
Inspection Report
Complaint Investigation
Census: 86
Capacity: 134
Deficiencies: 0
Oct 19, 2023
Visit Reason
The visit was an unannounced case management visit regarding an incident on 2023-09-25 involving a medication error where a medication technician did not administer a prescribed medication dose to a resident.
Findings
The investigation confirmed the medication error based on the electronic Medication Administration Record and observation of the missed dose. The medication technician responsible was suspended and later terminated. The resident was reported to be okay after the incident.
Complaint Details
The visit was complaint-related due to a medication error incident. The medication error was substantiated based on investigation findings.
Report Facts
Incident date: Sep 25, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Flavio Silva | Administrator | Met during visit and involved in investigation of medication error |
| Simranjit Rai | Licensing Program Analyst | Conducted the unannounced case management visit |
Inspection Report
Complaint Investigation
Census: 75
Capacity: 134
Deficiencies: 0
Apr 4, 2023
Visit Reason
The visit was conducted to investigate an incident of suspected abuse that was reported to the Department.
Findings
No deficiencies were cited at this time as per California Code of Regulations Title 22. The report was reviewed with the Administrator and a copy was provided.
Complaint Details
The visit was complaint-related to investigate suspected abuse reported to the Department. No deficiencies were found.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Flavio Silva | Administrator | Met with Licensing Program Analyst during the visit and reviewed the report. |
| David Marrufo | Licensing Program Analyst | Conducted the unannounced Case Management visit and investigation. |
| Sarah Yip | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Complaint Investigation
Census: 71
Capacity: 134
Deficiencies: 3
Dec 14, 2022
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2022-03-09 regarding unmet resident hygiene needs, poor communication with family, inadequate room size, COVID-19 protocol noncompliance, room disrepair, failure to follow admission agreement, and staff knowledge of hospital bed operation.
Findings
The investigation substantiated that the facility failed to meet a resident's hygiene needs, did not properly communicate with the resident's family regarding COVID-19 vaccination status, and the resident's room was not large enough to allow easy passage with a wheelchair. Other allegations including COVID-19 protocol adherence, room repair, admission agreement compliance, and staff knowledge of hospital bed operation were unsubstantiated.
Complaint Details
The complaint investigation was substantiated for failure to meet resident hygiene needs, failure to communicate properly with family regarding COVID-19 vaccination, and inadequate room size for wheelchair passage. Other allegations were unsubstantiated.
Severity Breakdown
Type A: 1
Type B: 2
Deficiencies (3)
| Description | Severity |
|---|---|
| Facility did not ensure resident's hygiene needs were met, evidenced by build-up of yellow and black gunk under fingernails. | Type B |
| Facility did not ensure follow-up communication with resident's responsible person regarding COVID-19 vaccination status. | Type B |
| Resident's bedroom was not large enough to allow easy passageway with wheelchair to bedroom exit. | Type A |
Report Facts
Capacity: 134
Census: 71
Staff interviewed: 4
Plan of Correction Due Date: Dec 21, 2022
Plan of Correction Due Date: Dec 15, 2022
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Flavio Silva | Executive Director | Met with Licensing Program Analyst during investigation and involved in plan of correction discussions |
| Christine Dolores | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Sarah Yip | Licensing Program Manager | Oversaw the complaint investigation and signed the report |
Inspection Report
Annual Inspection
Census: 65
Capacity: 134
Deficiencies: 0
Sep 20, 2022
Visit Reason
The inspection visit was an unannounced required annual inspection to evaluate compliance with licensing regulations.
Findings
The facility was toured and inspected including common areas, resident rooms, and safety equipment. No citations were issued. Some trash cans were observed without covers, and the Executive Director stated they would be covered within 3 days. Infection control measures and PPE supplies were sufficient.
Report Facts
Fire extinguisher service date: Feb 23, 2022
Inspection start time: 1320
Inspection end time: 1435
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Flavio Silva | Executive Director | Met with Licensing Program Analyst during inspection and addressed purpose of visit |
| Steve Chang | Licensing Program Analyst | Conducted the annual inspection visit |
| Romeo Manzano | Licensing Program Manager | Named in report header |
Inspection Report
Complaint Investigation
Census: 73
Capacity: 134
Deficiencies: 0
Oct 15, 2021
Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation that a resident injured herself while in care.
Findings
The investigation found that facility staff were unaware of the resident's depression and suicidal ideations prior to the incident. Records and interviews did not substantiate the allegation, and no deficiencies were cited during the visit.
Complaint Details
The allegation was that a resident injured herself while in care. The investigation was unsubstantiated based on interviews and record reviews, indicating insufficient evidence to prove the allegation occurred.
Report Facts
Capacity: 134
Census: 73
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Anna Bui | Licensing Program Analyst | Conducted the complaint investigation visit |
| Sarah Yip | Licensing Program Manager | Named as Licensing Program Manager on the report |
| Kris Waluszko | Interim-Executive Director | Met with the Licensing Program Analyst during the investigation |
Inspection Report
Annual Inspection
Census: 80
Capacity: 134
Deficiencies: 0
Jul 28, 2021
Visit Reason
An unannounced Annual Required 1 Year visit was conducted to evaluate the facility's compliance with licensing requirements.
Findings
The facility was found to be in compliance with no deficiencies cited. COVID-19 protocols and universal precautions were observed to be properly implemented, and staff were wearing masks with adequate PPE supplies available.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Edith Luiz | Culinary Director | Met with Licensing Program Analyst during the inspection. |
| Diane Martinez | Resident Services Director | Joined Licensing Program Analyst at the end of the tour and reviewed the report. |
| Anna Bui | Licensing Program Analyst | Conducted the inspection visit. |
| Sarah Yip | Licensing Program Manager | Named in the report header. |
Inspection Report
Complaint Investigation
Census: 73
Capacity: 134
Deficiencies: 1
Jun 18, 2021
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations that staff spoke inappropriately to a resident and did not properly manage residents' medications.
Findings
The allegation regarding staff speaking inappropriately to a resident was substantiated, resulting in a cited deficiency related to residents' personal rights. The allegation regarding medication management was found to be unfounded with no deficiencies cited.
Complaint Details
The complaint investigation was substantiated for inappropriate staff behavior towards a resident. The medication management allegation was unfounded based on interviews and record reviews.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Staff spoke inappropriately to resident and did not treat resident with dignity, violating personal rights. | Type B |
Report Facts
Staff interviewed: 5
Residents interviewed: 8
Staff interviewed: 3
Residents interviewed: 8
Medication Administration Records reviewed: 8
Plan of Correction Due Date: Jun 25, 2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Anna Bui | Licensing Program Analyst | Conducted the complaint investigation visit |
| Alice Nghiem | Activities Director | Met with Licensing Program Analyst during investigation and exit interview |
| Andy Anaya | Executive Director | Participated via telephone during investigation and exit interview |
Inspection Report
Census: 79
Capacity: 134
Deficiencies: 0
Apr 7, 2021
Visit Reason
The visit was an unannounced Case Management - Incident tele-visit to follow up on an incident report received on 2021-03-15 regarding a resident's missing ring.
Findings
No deficiencies were cited during the visit. The facility staff confirmed that the resident did not disclose having the ring upon admission and that they will continue to remind residents to document personal property and valuables.
Complaint Details
The visit was triggered by a complaint regarding a resident's missing ring. The complaint was investigated through interviews and record reviews, with no deficiencies found.
Report Facts
Capacity: 134
Census: 79
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ernie Getuiza | Executive Director | Interviewed regarding the resident's missing ring incident |
| Diane Martinez | Resident Services Director | Interviewed regarding the resident's missing ring incident |
| Anna Bui | Licensing Program Analyst | Conducted the unannounced Case Management - Incident tele-visit |
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