Deficiencies (last 5 years)
Deficiencies (over 5 years)
0.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
80% better than California average
California average: 4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
74% occupied
Based on a February 2026 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy over time
Inspection Report
Complaint Investigation
Census: 114
Capacity: 155
Deficiencies: 0
Date: Feb 6, 2026
Visit Reason
An unannounced complaint investigation was conducted in response to multiple allegations including staff mismanaging residents' medications and medical records, failure to administer medications according to physician's orders, unsafe medication storage, failure to report incidents and changes in condition, presence of scabies among residents and staff, and failure to protect residents from harm.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included staff mismanaging medications and medical records, failure to administer medications properly, unsafe medication storage, failure to report incidents, presence of scabies, and failure to protect residents from harm. Interviews with 13 staff and 5 residents, observations, and record reviews did not corroborate the allegations.
Findings
The investigation included interviews with staff and residents, facility tours, and record reviews. No conclusive evidence was found to substantiate the allegations. Medication storage was observed to be secure, and residents and staff denied or were unable to confirm the allegations. The department was unable to determine if violations occurred, resulting in all allegations being unsubstantiated.
Report Facts
Capacity: 155
Census: 114
Staff interviewed: 13
Residents interviewed: 5
Allegations: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Claudia Gutierrez | Licensing Program Analyst | Conducted the complaint investigation |
| Jeremy Gilmore | Executive Director | Met with Licensing Program Analyst during investigation |
| Armando J Lucero | Supervisor | Supervisor overseeing the investigation |
| Nicole Wentworth | Administrator | Facility administrator named in report header |
Inspection Report
Complaint Investigation
Census: 120
Capacity: 155
Deficiencies: 0
Date: Oct 23, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2025-08-27 alleging that the facility lacks staffing and resident needs are not being met.
Complaint Details
The complaint alleged insufficient staffing resulting in unmet resident needs. The investigation included interviews with 6 residents and 5 caregiving staff, all stating needs were met and timely responses were provided. The allegation was found unsubstantiated due to lack of preponderance of evidence.
Findings
Based on interviews with residents and staff, including the Executive Director, the allegation that the facility lacks sufficient staffing to meet resident needs was determined to be unsubstantiated. Staff reported adequate response times and training, and no deficiencies were cited.
Report Facts
Residents interviewed: 6
Caregiving staff interviewed: 5
Caregivers scheduled AM and PM shifts: 3
Med-techs scheduled AM and PM shifts: 1
Caregivers scheduled overnight: 2
Med-techs scheduled overnight: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Andrea Mendivil | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Jeremy Gilmore | Executive Director | Interviewed regarding staffing levels and care plans |
| Alisa Ortiz | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 120
Capacity: 155
Deficiencies: 0
Date: Oct 23, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to a complaint received on 2025-08-27 alleging that the facility lacks sufficient staffing to meet resident needs.
Complaint Details
The complaint alleged insufficient staffing resulting in unmet resident needs. The investigation included interviews with 6 residents and 5 caregiving staff, review of schedules, and interviews with the Executive Director. The allegation was found to be unsubstantiated due to lack of preponderance of evidence.
Findings
Based on interviews with residents and staff, including the Executive Director, the allegation that the facility lacks staffing and resident needs are not being met was determined to be unsubstantiated. Staff and residents reported that needs are being met, pendant calls are answered promptly, and staff are trained annually.
Report Facts
Census: 120
Total Capacity: 155
Caregivers scheduled: 3
Med-techs scheduled: 1
Caregivers scheduled overnight: 2
Med-techs scheduled overnight: 1
Residents with care plans: 35
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jeremy Gilmore | Executive Director | Interviewed regarding staffing levels and resident care |
| Andrea Mendivil | Licensing Program Analyst | Conducted the complaint investigation visit |
| Alisa Ortiz | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Annual Inspection
Census: 122
Capacity: 155
Deficiencies: 0
Date: Apr 24, 2025
Visit Reason
An unannounced required annual inspection was conducted by Licensing Program Analysts to evaluate compliance with licensing requirements.
Findings
The facility was toured and inspected including physical plant, food supply, medication storage, and resident activities. No deficiencies were cited during this visit.
Report Facts
Licensed capacity: 155
Current census: 122
Staff records reviewed: 6
Resident records reviewed: 8
Hot water temperature range: 110-118
Last fire drill date: Mar 12, 2025
Administrator certificate expiration: Jul 28, 2026
Employees mentioned
| Name | Title | Context |
|---|---|---|
| James D. Craddock | Executive Director | Met with Licensing Program Analysts during inspection and involved in facility tour |
| Andrea Mendivil | Licensing Program Analyst | Conducted facility tour, medication review, and other inspection activities |
| Fred Arias | Licensing Program Analyst | Reviewed staff and resident records during inspection |
Inspection Report
Annual Inspection
Census: 122
Capacity: 155
Deficiencies: 0
Date: Apr 24, 2025
Visit Reason
An unannounced required annual inspection was conducted by Licensing Program Analysts to evaluate compliance with licensing requirements.
Findings
The inspection included a tour of the facility, review of physical plant conditions, medication storage, staff and resident records, and activities. No deficiencies were cited during this visit.
Report Facts
Hot water temperature: 110
Hot water temperature: 118
Food supply retention: 2
Food supply retention: 7
Staff records reviewed: 6
Resident records reviewed: 8
Licensed capacity: 155
Current census: 122
Employees mentioned
| Name | Title | Context |
|---|---|---|
| James D. Craddock | Executive Director | Met with Licensing Program Analysts during inspection and involved in facility tour |
| Andrea Mendivil | Licensing Program Analyst | Conducted inspection, medication review, and facility observations |
| Fred Arias | Licensing Program Analyst | Reviewed staff and resident records |
Inspection Report
Annual Inspection
Census: 106
Capacity: 155
Deficiencies: 0
Date: Jul 16, 2024
Visit Reason
The visit was an unannounced required comprehensive annual inspection conducted by the Licensing Program Analyst Mary Rico to evaluate the facility's compliance with regulatory standards.
Findings
The facility was found to be operating within its approved capacity and maintained in safe, clean, and good repair conditions. No deficiencies were cited during the inspection.
Report Facts
Client files reviewed: 8
Medications audited: 8
Staff files reviewed: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mary Rico | Licensing Program Analyst | Conducted the inspection and audit |
| Dorice Redman | Executive Director | Facility representative met during inspection |
| James D. Craddock | Administrator/Director | Named as facility administrator/director |
| Efren Malagon | Licensing Program Manager | Named in report signature section |
Inspection Report
Annual Inspection
Census: 106
Capacity: 155
Deficiencies: 0
Date: Jul 16, 2024
Visit Reason
The visit was an unannounced required comprehensive annual inspection conducted by the Licensing Program Analyst to assess compliance with regulations.
Findings
The facility was found to be operating within its licensed capacity, clean, well-maintained, and safe for clients. No deficiencies were cited during the inspection.
Report Facts
Client files reviewed: 8
Medications audited: 8
Staff files reviewed: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dorice Redman | Executive Director | Met with during inspection and named in the exit interview |
| Mary Rico | Licensing Program Analyst | Conducted the inspection visit |
| James D. Craddock | Administrator/Director | Named in facility information |
Inspection Report
Follow-Up
Census: 102
Capacity: 155
Deficiencies: 0
Date: Jun 10, 2024
Visit Reason
The visit was a case management follow-up on an incident where a resident eloped from the facility on May 24, 2024, and was found on facility property by staff.
Findings
Staff responded promptly and appropriately to the incident, resident was safe and monitored closely, and no deficiencies were cited as a result of this visit.
Report Facts
Capacity: 155
Census: 102
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michael Tea | Licensing Program Analyst | Conducted the case management visit |
| Dori Redman | Executive Director | Facility representative met during inspection and exit interview |
| Elaheh Mobadifar | Resident Service Director | Submitted the incident report |
Inspection Report
Census: 102
Capacity: 155
Deficiencies: 0
Date: Jun 10, 2024
Visit Reason
The visit was a case management incident follow-up related to a resident elopement incident reported on May 24, 2024, to ensure resident safety and staff response.
Findings
The resident was found on facility property shortly after eloping and was safely returned to her room. Staff responded promptly and appropriately to the alarm, followed protocol, and reported the incident immediately. No deficiencies were cited as a result of this visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michael Tea | Licensing Program Analyst | Conducted the case management visit and evaluation. |
| Dori Redman | Executive Director | Facility representative who greeted the evaluator and participated in the exit interview. |
| Elaheh Mobadifar | Resident Service Director | Submitted the incident report that triggered the visit. |
Inspection Report
Complaint Investigation
Census: 100
Capacity: 155
Deficiencies: 0
Date: Apr 26, 2024
Visit Reason
The inspection was conducted as an unannounced complaint investigation following a complaint received on 12/15/2020 alleging that a resident sustained an injury from a fall while in care.
Complaint Details
The complaint alleged that a resident sustained an injury from a fall while in care, resulting in hospitalization for major blunt trauma. The alleged victim had passed away in December 2020. The investigation found insufficient evidence to substantiate the allegation.
Findings
The investigation included interviews with the Executive Director, staff, and residents, as well as a review of relevant records. The facility was found to have conducted appropriate nightly checks, and there was insufficient evidence to prove that the alleged injury resulted from facility negligence. The allegation was determined to be unsubstantiated.
Report Facts
Complaint Control Number: 22-AS-20201215112452
Capacity: 155
Census: 100
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dwayne L Mason | Licensing Program Analyst | Conducted the complaint investigation |
| Dorice Redman | Executive Director | Interviewed during investigation and participated in exit interview |
| Armando J Lucero | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 100
Capacity: 155
Deficiencies: 0
Date: Apr 26, 2024
Visit Reason
This unannounced investigation inspection was conducted to conclude the agency's investigation of a complaint alleging that a resident sustained an injury from a fall while in care.
Complaint Details
The complaint alleged that a resident sustained an injury from a fall resulting in hospitalization for major blunt trauma due to an unwitnessed fall. The alleged victim could not be interviewed as they passed away in December 2020. Interviews with staff, residents, and review of records showed the facility conducted required nightly checks and discovered the resident on the floor. There was insufficient evidence to substantiate the allegation.
Findings
The investigation found insufficient evidence to prove that the alleged injury from a fall was due to facility negligence. The allegation was determined to be unsubstantiated after interviews and record reviews.
Report Facts
Capacity: 155
Census: 100
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dwayne L Mason | Licensing Program Analyst | Conducted the complaint investigation inspection |
| Dorice Redman | Executive Director | Interviewed during the investigation and participated in exit interview |
Inspection Report
Complaint Investigation
Census: 101
Capacity: 155
Deficiencies: 0
Date: Mar 15, 2024
Visit Reason
An unannounced complaint investigation visit was conducted to investigate an allegation of illegal eviction at the facility.
Complaint Details
The complaint alleged illegal eviction. The investigation revealed the eviction was legal due to documented violations of house rules related to alcohol abuse. The allegation was deemed unfounded.
Findings
The investigation found that the facility served a thirty-day notice to a resident for violation of house rules regarding alcohol abuse, supported by multiple incident reports and documented public intoxication episodes. The department determined the eviction was legal and the allegation was unfounded.
Report Facts
Incident reports reviewed: 6
Public intoxication instances documented: 10
Facility capacity: 155
Census: 101
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Lyman | Licensing Program Analyst | Conducted the complaint investigation |
| Dori Redman | Executive Director | Met with investigator and provided information during investigation |
Inspection Report
Complaint Investigation
Census: 101
Capacity: 155
Deficiencies: 0
Date: Mar 15, 2024
Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation of illegal eviction at the facility.
Complaint Details
The complaint alleged illegal eviction. The investigation found the eviction was legal and the allegation was deemed unfounded.
Findings
The investigation found that the facility served a thirty-day notice to a resident for violation of house rules regarding alcohol abuse, supported by documentation of multiple incidents of public intoxication. The department determined the eviction was legal and the allegation was unfounded.
Report Facts
Incident reports reviewed: 6
Instances of public intoxication documented: 10
Complaint control number: 22-AS-20240308100024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Lyman | Licensing Program Analyst | Conducted the complaint investigation visit |
| Dori Redman | Executive Director | Met with the Licensing Program Analyst during the investigation |
| James D. Craddock | Administrator | Facility administrator named in the report |
Inspection Report
Complaint Investigation
Census: 103
Capacity: 155
Deficiencies: 1
Date: Aug 30, 2023
Visit Reason
An unannounced complaint investigation visit was conducted due to allegations that a resident sustained multiple pressure injuries due to neglect.
Complaint Details
The complaint was substantiated regarding neglect and lack of care and supervision of Resident 1 who developed multiple pressure injuries. The allegations that staff did not ensure the resident consumed appropriate fluids and was properly fed were deemed unfounded.
Findings
The investigation substantiated that the facility failed to observe, document, and treat multiple pressure injuries of Resident 1 prior to hospital transfer, posing an immediate risk to the resident's health and safety. Additional allegations regarding inadequate feeding and fluid intake were found to be unfounded.
Deficiencies (1)
Basic services shall at a minimum include arrangements to meet health needs, including arranging transportation, as specified in Section 87465, Incidental Medical and Dental Care Services. This requirement was not met as evidenced by failure to observe, document and treat Resident 1's pressure injuries in a timely manner.
Report Facts
Capacity: 155
Census: 103
Plan of Correction Due Date: Aug 31, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lydia Martinez | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Armando J Lucero | Licensing Program Manager | Oversaw the complaint investigation |
| James D. Craddock | Administrator | Facility Administrator interviewed during investigation and exit interview |
| Nicole Wentworth | Executive Director | Interviewed regarding pressure injury findings and acknowledged staff missed documentation |
| April Princesa | Resident Services Director | Interviewed regarding pressure injury findings and acknowledged staff missed documentation |
| Michelle Burns | Physician Assistant | Interviewed and confirmed resident's declining health and feeding status |
Inspection Report
Complaint Investigation
Census: 102
Capacity: 155
Deficiencies: 1
Date: Feb 16, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations including a resident pushing another resident causing injury due to neglect and staff not seeking timely medical attention for a resident who fell.
Complaint Details
The complaint investigation was triggered by allegations that a resident pushed another causing injury due to neglect and that staff failed to seek timely medical attention for a resident who fell. The first allegation was unsubstantiated, but the second was substantiated with evidence of a three and a half hour delay in medical care. A civil penalty of $500 was assessed.
Findings
The allegation that a resident pushed another causing injury due to neglect was unsubstantiated. However, the allegation that staff did not seek timely medical attention for the resident who fell was substantiated, resulting in a delay of over three hours before medical care was obtained and a civil penalty was assessed.
Deficiencies (1)
Licensee failed to seek immediate medical attention following R1's fall, violating CCR 87465(g) requiring immediate 911 call for imminent threats to resident health.
Report Facts
Civil penalty amount: 500
Delay in medical services (hours): 3.5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| James D. Craddock | Executive Director | Met with Licensing Program Analyst during complaint investigation |
| Andrea Mendivil | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Alisa Ortiz | Licensing Program Manager | Oversaw the complaint investigation |
Inspection Report
Complaint Investigation
Census: 102
Capacity: 155
Deficiencies: 2
Date: Feb 16, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations that a resident pushed another resident causing injury due to neglect, and that staff did not seek timely medical attention for a resident who fell.
Complaint Details
The complaint investigation was unannounced and conducted by Licensing Program Analyst Andrea Mendivil. The complaint control number is 22-AS-20220524143129. The allegation of resident pushing another resident causing injury due to neglect was unsubstantiated. The allegation that staff did not seek timely medical attention for a resident who fell was substantiated, with a delay of approximately three and a half hours before medical care was sought.
Findings
The allegation that a resident pushed another resident causing injury due to neglect was unsubstantiated. However, the allegation that staff did not seek timely medical attention for the resident who fell was substantiated, with evidence showing a three and a half hour delay in medical services. A civil penalty of $500 was assessed.
Deficiencies (2)
87465(g) Incidental Medical and Dental Care. The licensee shall immediately telephone 9-1-1 if an injury or other circumstance has resulted in an imminent threat to a resident’s health. This requirement is not met as evidence by: Licensee failed to seek immediate medical attention following R1’s fall.
Facility staff instead contacted R1’s responsible party who then sought medical attention. This poses an immediate risk to residents in care. Civil Penalty Assessed in the amount of $500.
Report Facts
Civil Penalty Amount: 500
Deficiency Count: 2
Delay in Medical Services (hours): 3.5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Andrea Mendivil | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| James D. Craddock | Executive Director | Facility administrator met with Licensing Program Analyst to discuss allegations |
Inspection Report
Census: 104
Capacity: 155
Deficiencies: 0
Date: Dec 13, 2022
Visit Reason
An unannounced case management visit was conducted to follow up on an incident report dated 12/08/2022 involving a resident who took an incorrect medication dosage.
Findings
No deficiencies were noted during the visit. The Licensing Program Analyst reviewed relevant documents and conducted an exit interview, leaving a copy of the report at the facility.
Report Facts
Incident date: Dec 8, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| James D. Craddock | Executive Director | Met with Licensing Program Analyst during the visit |
| Andrea Mendivil | Licensing Program Analyst | Conducted the unannounced case management visit |
| Alisa Ortiz | Licensing Program Manager | Named in the report |
Inspection Report
Census: 104
Capacity: 155
Deficiencies: 0
Date: Dec 13, 2022
Visit Reason
The visit was an unannounced case management follow-up on an incident report dated 12/08/2022 involving a resident who took an incorrect medication dosage.
Findings
The Licensing Program Analyst found no deficiencies during the visit after reviewing the incident report, resident medication orders, and interviewing staff. The resident was assessed by paramedics and hospitalized overnight but returned without new orders.
Report Facts
Incident report date: Dec 8, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| James D. Craddock | Executive Director | Met with Licensing Program Analyst during the visit |
| Andrea Mendivil | Licensing Program Analyst | Conducted the unannounced case management visit |
| Alisa Ortiz | Supervisor | Supervisor overseeing the licensing evaluation |
Inspection Report
Annual Inspection
Census: 108
Capacity: 155
Deficiencies: 0
Date: Apr 12, 2022
Visit Reason
Licensing Program Analyst Lydia Martinez made an unannounced visit to conduct a Required - 1 Year Annual inspection, with an emphasis on Infection Control due to the COVID-19 pandemic.
Findings
The facility appeared clean, sanitary, and well maintained with residents happy and well cared for. No deficiencies were noted during the visit, and all required documentation and COVID-19 mitigation plans were in place and up to date.
Report Facts
Residents receiving Hospice care: 12
Employees mentioned
| Name | Title | Context |
|---|---|---|
| James D. Craddock | Executive Director | Met with Licensing Program Analyst during the inspection and confirmed COVID-19 status and administrator certificate expiration |
| Lydia Martinez | Licensing Program Analyst | Conducted the unannounced annual inspection visit |
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