Inspection Report Summary
Most inspections found no deficiencies, and several complaint investigations were unsubstantiated, indicating that many allegations lacked reasonable basis. The facility’s most recent report from April 17, 2025, was a complaint investigation that found no deficiencies and confirmed proper eviction procedures were followed. One substantiated deficiency occurred in October 2024 when staff failed to provide resident records within the required timeframe, which was a minor violation related to resident rights and confidentiality. Other complaints involving resident care, supervision, and financial concerns were investigated and found unsubstantiated. The facility’s record shows mostly compliance with regulations and no fines or enforcement actions listed, with no clear pattern of worsening or improving deficiencies.
Deficiencies per Year
4
3
2
1
0
Moderate
Census Over Time
Census
Capacity
Inspection Report
Complaint Investigation
Census: 68
Capacity: 154
Deficiencies: 0
Apr 17, 2025
Visit Reason
The inspection was conducted as an unannounced complaint investigation visit following a complaint received on 07/07/2023 regarding a wrongful 30-day eviction allegation.
Findings
The investigation found that the allegation of wrongful eviction was unfounded. The facility followed proper eviction procedures according to Title 22 regulations, notified the resident and responsible party, and submitted the eviction notice to the licensing agency within the required timeframe.
Complaint Details
The complaint alleged a wrongful 30-day eviction of Resident #1. The investigation determined the complaint was unfounded, meaning the allegation was false or without reasonable basis.
Report Facts
Complaint Control Number: 18-AS-20230707075212
Capacity: 154
Census: 68
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Eldin Serrano | Licensing Program Analyst | Conducted the complaint investigation visit and authored the report |
| Cheree Escandel | Executive Director | Met with Licensing Program Analyst during the investigation and received the report |
Inspection Report
Complaint Investigation
Census: 68
Capacity: 154
Deficiencies: 0
Apr 17, 2025
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations received on 2021-03-18 regarding staff not seeking medical attention for a resident, unlawful increase of resident's care needs fee, and staff not assisting a resident with medication.
Findings
The investigation found no evidence to substantiate the allegations. Records showed medical attention was provided, fee increases were properly communicated, and the resident was able to self-administer medication. The complaint was determined to be unsubstantiated.
Complaint Details
The complaint was unsubstantiated based on record reviews, interviews, and observations. Allegations included failure to seek medical attention, unlawful fee increase, and failure to assist with medication. Evidence did not support these claims.
Report Facts
Capacity: 154
Census: 68
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Eldin Serrano | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Karen Clemons | Licensing Program Manager | Oversaw the complaint investigation |
| Cheree Escandel | Executive Director | Facility representative met during the investigation |
| Denise Flores | Administrator | Facility administrator named in the report header |
Inspection Report
Annual Inspection
Census: 67
Capacity: 154
Deficiencies: 0
Feb 24, 2025
Visit Reason
The visit was an unannounced annual inspection conducted by Licensing Program Analyst Debbie Palacios to evaluate compliance with licensing requirements.
Findings
The facility was observed to be clean, well-maintained, and in compliance with safety and health regulations. No immediate violations or concerns were noted during the inspection, and the infection control plan met department requirements.
Report Facts
Staff members: 38
Resident files reviewed: 6
Staff files reviewed: 6
Emergency Fire Drill frequency: 1
Last Emergency Fire Drill date: Feb 10, 2025
Annual Exit/Emergency Lighting Service Maintenance date: Jan 14, 2025
Food supply duration - nonperishable: 7
Food supply duration - perishable: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Cheree Escandel | Executive Director | Met with Licensing Program Analyst and conducted facility tour |
| Debbie Palacios | Licensing Program Analyst | Conducted the annual inspection |
| Tricia Danielson | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Capacity: 154
Deficiencies: 0
Dec 3, 2024
Visit Reason
An unannounced visit was conducted to investigate complaints alleging staff financial abuse of a resident and failure to safeguard resident's personal belongings.
Findings
The investigation found the complaint to be unfounded, meaning the allegations were false, could not have happened, or lacked a reasonable basis. The resident in question was confirmed not to reside at the facility.
Complaint Details
Complaint was investigated and found to be unfounded.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Debbie Palacios | Licensing Program Analyst | Conducted the unannounced complaint investigation visit. |
| Cheree Escandel | Executive Director | Provided information during the investigation and confirmed resident status. |
Inspection Report
Complaint Investigation
Census: 74
Capacity: 154
Deficiencies: 1
Oct 29, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that staff did not provide resident records to the resident and/or resident's legal representative.
Findings
The investigation substantiated the allegation that staff failed to provide resident records in a timely manner. Records requested on January 17, 2023, were not sent until February 3, 2023, violating Title 22 regulations regarding residents' personal rights and confidentiality.
Complaint Details
The complaint was substantiated. The allegation was that staff did not provide resident records to the resident and/or resident's legal representative in a timely manner. The resident had passed away prior to the investigation. Documentation showed records were requested on January 17, 2023, but were not sent until February 3, 2023.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to provide resident records to resident and/or resident's legal representative within the required timeframe, violating Title 22, Division 6, Chapter 8, Article 08, Section 87468.2 (a)(2). | Type B |
Report Facts
Census: 74
Total Capacity: 154
Deficiency Count: 1
Plan of Correction Due Date: Nov 12, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Yolanda Delgado | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Jazmond D Harris | Licensing Program Manager | Oversaw the complaint investigation report |
| Cheree Escandel | Administrator | Facility administrator met during the investigation |
| Denise Flores | Administrator | Named as facility administrator in report header |
Inspection Report
Complaint Investigation
Census: 74
Capacity: 154
Deficiencies: 0
Oct 29, 2024
Visit Reason
The visit was an unannounced complaint investigation conducted in response to an allegation received on 05/08/2023 that staff caused injuries to a resident while in care.
Findings
The investigation found that the resident fell off his motorized scooter away from the facility after safely exiting the facility bus. Staff followed proper protocol by contacting emergency personnel and remaining with the resident until medical services arrived. The allegation that staff caused injuries to the resident while in care was unsubstantiated due to lack of preponderance of evidence.
Complaint Details
The complaint alleged that staff caused injuries to a resident while in care. The investigation included interviews with staff and review of documentation. The resident had passed away prior to the investigation. The allegation was found unsubstantiated.
Report Facts
Complaint received date: May 8, 2023
Facility capacity: 154
Facility census: 74
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Yolanda Delgado | Licensing Program Analyst | Conducted the complaint investigation |
| Cheree Escandel | Administrator | Met with Licensing Program Analyst during investigation and provided information |
| Denise Flores | Administrator | Named as facility administrator in report header |
| Jazmond D Harris | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 74
Capacity: 154
Deficiencies: 0
Oct 29, 2024
Visit Reason
The inspection visit was conducted to investigate a complaint alleging staff neglect resulted in a resident sustaining multiple pressure injuries.
Findings
The investigation found that the complaint was unfounded. Staff interviews, emergency personnel reports, facility records, and medical documentation indicated that the resident did not sustain pressure injuries while at the facility.
Complaint Details
The complaint alleged staff neglect caused a resident to sustain multiple pressure injuries. The resident had a fall on September 2, 2022, but the facility did not transport the resident to the hospital. The resident passed away on September 21, 2022. The investigation concluded the allegation was unfounded.
Report Facts
Facility capacity: 154
Census: 74
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Yolanda Delgado | Licensing Program Analyst | Conducted the complaint investigation |
| Jazmond D Harris | Licensing Program Manager | Oversaw the complaint investigation |
| Cheree Escandel | Administrator | Met with Licensing Program Analyst during the investigation |
| Denise Flores | Administrator | Named as facility administrator in the report |
Inspection Report
Complaint Investigation
Census: 76
Capacity: 154
Deficiencies: 0
Jul 2, 2024
Visit Reason
An unannounced visit was conducted to investigate a complaint received on 2024-06-24 alleging multiple violations including denial of authorized representative access, overcharging residents, failure to prevent wandering, failure to keep the facility free from scabies, and unlawful eviction of residents.
Findings
The investigation found that the allegations were unfounded as the residents named in the complaint were confirmed not to reside at the facility. Interviews and records review supported that the complaint was without reasonable basis.
Complaint Details
The complaint was investigated and found to be unfounded. Allegations were false, could not have happened, and/or were without reasonable basis.
Report Facts
Capacity: 154
Census: 76
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Janira Arreola | Licensing Program Analyst | Conducted the complaint investigation visit |
| Cheree Escandel | Executive Director | Met with Licensing Program Analyst during investigation |
| Denise Flores | Administrator | Named as facility administrator |
Inspection Report
Complaint Investigation
Census: 77
Capacity: 154
Deficiencies: 0
Mar 29, 2024
Visit Reason
An unannounced complaint investigation was conducted following a complaint received on 2023-05-08 regarding allegations of inadequate supervision and untimely medical attention for a resident.
Findings
The investigation found that Resident #1 was independent and able to leave the facility unsupervised. The resident fell off a scooter and sustained injuries. Staff followed facility protocol by contacting 911 and providing care until medical personnel arrived. The allegations of neglect and lack of supervision were unsubstantiated due to insufficient evidence.
Complaint Details
The complaint involved allegations that staff did not provide adequate supervision and did not seek timely medical attention for a resident. The investigation concluded these allegations were unsubstantiated as there was no preponderance of evidence to prove the violations occurred.
Report Facts
Capacity: 154
Census: 77
Time on pavement: 20
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Yolanda Delgado | Licensing Program Analyst | Conducted the complaint investigation |
| Jazmond D Harris | Licensing Program Manager | Named in report as Licensing Program Manager |
| Cheree Escandel | Administrator | Facility representative met during investigation and exit interview |
Inspection Report
Annual Inspection
Census: 75
Capacity: 154
Deficiencies: 0
Feb 8, 2024
Visit Reason
An unannounced annual inspection was conducted by the Licensing Program Analyst to evaluate the facility's compliance with regulatory requirements.
Findings
The facility was found to be clean, well-maintained, and in compliance with all applicable regulations. No deficiencies were observed during the inspection.
Report Facts
Staff members: 35
Client records reviewed: 5
Employee records reviewed: 5
Food supply duration: 7
Food supply duration: 2
Water temperature: 105
Fire extinguishers: 13
Last ADT inspection date: Nov 16, 2023
Last sprinkler inspection date: May 4, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Cheree Escandel | Administrator | Conducted and completed the facility tour and received the inspection report |
| Kathleen Banrasavong | Licensing Program Analyst | Conducted the annual inspection |
| Jazmond D Harris | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 77
Capacity: 154
Deficiencies: 0
Jan 4, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit conducted due to multiple allegations received regarding resident visitation restrictions, resident freedom to leave the facility, proper feeding of residents, and staff threatening eviction.
Findings
The investigation found all allegations to be unsubstantiated based on observations, interviews, and records review. The facility followed COVID-19 visitation restrictions appropriately, residents were allowed to leave with screening protocols, food service met expectations, and there was insufficient evidence to support eviction threats.
Complaint Details
The complaint included allegations that residents were not allowed visitors, not allowed to leave the facility, were not properly fed, and were threatened with eviction. All allegations were investigated and found unsubstantiated.
Report Facts
Capacity: 154
Census: 77
Eviction notice date: Sep 19, 2019
Meals served: 3
Food supply duration: 2
Food supply duration: 7
Visiting hours: 12
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Javina George | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Cheree Escandel | Executive Director | Interviewed during the investigation and provided information on facility policies |
| Denise Flores | Administrator | Named as facility administrator in the report |
| Jazmond D Harris | Licensing Program Manager | Named as licensing program manager overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 69
Capacity: 154
Deficiencies: 0
Mar 13, 2023
Visit Reason
An unannounced complaint investigation was conducted in response to allegations that residents' funds were mismanaged, specifically that resident council members solicited funds from other residents to give to staff as gifts and that the funds were deposited in a bank account in the name of two resident council members without returning the money to residents.
Findings
The investigation included interviews with relevant parties and found that while residents did collect money to give to staff, facility staff were not involved in collecting or distributing the funds. The allegation was determined to be unsubstantiated due to insufficient evidence to prove the violation occurred.
Complaint Details
The complaint alleged mismanagement of residents' funds involving resident council members collecting over $1,000 from residents to give to staff, with funds deposited in a bank account under two resident council members' names. The investigation found no evidence of staff involvement and that the funds were managed by residents. The allegation was unsubstantiated.
Report Facts
Amount collected: 1000
Census: 69
Total Capacity: 154
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Rayshaun Nickolas | Licensing Program Analyst | Conducted the complaint investigation and unannounced visit |
| Karen Clemons | Licensing Program Manager | Oversaw the complaint investigation |
| Cheree Escande | Executive Director | Interviewed during investigation regarding allegations |
Inspection Report
Annual Inspection
Census: 73
Capacity: 154
Deficiencies: 0
Feb 15, 2022
Visit Reason
The inspection was an unannounced annual inspection limited to infection control conducted by the Licensing Program Analyst to evaluate COVID-19 best practices and the facility's mitigation plan.
Findings
The facility was found to have adequate infection control measures including sufficient PPE supplies, staff training on COVID-19 protocols, daily resident symptom screening, and visitor screening with temperature checks and sign-in logs. An error in COVID-19 test kit distribution was corrected by retrieving extra kits.
Report Facts
COVID-19 test kits provided in error: 39
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Cheree Escandel | Administrator | Met with Licensing Program Analyst during inspection and confirmed infection control practices. |
| Crystal Colvin | Licensing Program Analyst | Conducted the annual infection control inspection. |
| Joel Esquivel | Licensing Program Manager | Named in the report header. |
Inspection Report
Complaint Investigation
Census: 160
Capacity: 154
Deficiencies: 0
Nov 5, 2021
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations received on 08/10/2021 regarding staff mentally abusing a resident and mismanaging the resident's medication.
Findings
The investigation found that the allegation of staff mentally abusing the resident was unfounded as the abuse was by the resident's spouse, not staff. The allegation of medication mismanagement was also unsubstantiated, with the resident receiving medication as prescribed by their physician.
Complaint Details
The complaint was investigated and found to be unfounded, meaning the allegations were false, could not have happened, or were without reasonable basis.
Report Facts
Capacity: 154
Census: 160
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Shaunte Henry | Licensing Program Analyst | Conducted the complaint investigation visit |
| Robert Barton | Executive Director | Met with Licensing Program Analyst during the investigation |
| Denise Flores | Administrator | Facility administrator named in the report header |
| Nedra Brown | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 63
Capacity: 154
Deficiencies: 0
Jul 29, 2021
Visit Reason
An unannounced visit was conducted to investigate complaints alleging that staff were over medicating a resident and not properly feeding a resident while in care.
Findings
The investigation found that a resident was prescribed both Morphine and Tramadol, leading to lethargy, but the Morphine was discontinued after staff intervention and the resident recovered. The resident was also provided soft foods temporarily due to a sore throat. There was insufficient evidence to substantiate the allegations, and the complaints were deemed unsubstantiated.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included over medicating a resident and improper feeding. The resident was lethargic due to medication but recovered after Morphine was discontinued. Soft foods were provided temporarily due to sore throat. No violations were substantiated.
Report Facts
Capacity: 154
Census: 63
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Shaunte Henry | Licensing Program Analyst | Conducted the complaint investigation |
| Cheree Escandel | Executive Director | Met with Licensing Program Analyst during investigation |
| Denise Flores | Administrator | Facility administrator named in report header |
| Nedra Brown | Licensing Program Manager | Named in report as Licensing Program Manager |
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