Deficiencies (last 6 years)

Deficiencies (over 6 years) 0.2 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

95% better than California average
California average: 4 deficiencies/year

Deficiencies per year

4 3 2 1 0
2021
2022
2023
2024
2025
2026

Census

Latest occupancy rate 44% occupied

Based on a February 2026 inspection.

This facility has shown a decline in demand based on occupancy rates.

Occupancy over time

30 60 90 120 150 180 Jul 2021 Mar 2023 Mar 2024 Feb 2025 Feb 2026

Inspection Report

Annual Inspection
Census: 67 Capacity: 154 Deficiencies: 0 Date: Feb 5, 2026

Visit Reason
The inspection was an unannounced annual inspection conducted to evaluate compliance with licensing requirements at the facility.

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 visit.

Report Facts
Staff members: 38 Resident files reviewed: 6 Staff files reviewed: 6 Food supply duration: 7 Food supply duration: 2 Last emergency fire drill date: Jan 29, 2026 Last annual fire safety inspection date: Apr 8, 2025

Employees mentioned
NameTitleContext
Cheree EscandelExecutive DirectorMet with Licensing Program Analyst during inspection and conducted facility tour

Inspection Report

Complaint Investigation
Census: 73 Capacity: 154 Deficiencies: 0 Date: Sep 30, 2025

Visit Reason
An unannounced visit was conducted to investigate a complaint alleging that staff allowed a resident to drive unlawfully.

Complaint Details
The complaint alleged that staff allowed a resident to drive unlawfully. The investigation concluded the allegation was unsubstantiated, meaning there was not a preponderance of evidence to prove the violation occurred.
Findings
The investigation found that although staff were informed that the resident had a revoked driver's license and advised the resident not to drive, they were unable to prevent the resident from driving due to the resident's personal rights. The allegation was determined to be unsubstantiated based on interviews, documentation review, and observations.

Report Facts
Capacity: 154 Census: 73

Employees mentioned
NameTitleContext
Abdoulaye ZerboLicensing Program AnalystConducted the complaint investigation
Cheree EscandelExecutive DirectorMet with the Licensing Program Analyst during the investigation

Inspection Report

Complaint Investigation
Census: 68 Capacity: 154 Deficiencies: 0 Date: Apr 17, 2025

Visit Reason
The inspection was conducted as an unannounced complaint investigation visit following a complaint received on 2023-07-07 alleging wrongful 30-day eviction of a resident.

Complaint Details
The complaint alleged wrongful 30-day eviction of Resident #1. The investigation found the allegation unfounded, meaning it was false or without reasonable basis.
Findings
The investigation found that the facility followed proper eviction procedures according to Title 22 regulations, including notifying the resident, responsible party, and CCLD with the required eviction notice elements. The complaint was determined to be unfounded with no deficiencies cited.

Report Facts
Complaint Control Number: 18 Capacity: 154 Census: 68

Employees mentioned
NameTitleContext
Eldin SerranoLicensing Program AnalystConducted the complaint investigation visit
Cheree EscandelExecutive DirectorMet with Licensing Program Analyst during the visit and received the report

Inspection Report

Complaint Investigation
Census: 68 Capacity: 154 Deficiencies: 0 Date: Apr 17, 2025

Visit Reason
An unannounced visit was conducted to investigate a complaint received on 2021-03-18 regarding allegations of staff not seeking medical attention for a resident, unlawful increase of resident's care needs fee, and staff not assisting a resident with medication.

Complaint Details
Complaint received on 2021-03-18 with allegations including staff not seeking medical attention for a resident, unlawful fee increase, and failure to assist with medication. The complaint was found to be unsubstantiated based on record reviews and interviews.
Findings
The investigation found no evidence to support the allegations. Records showed medical needs were addressed, fee increases were properly communicated, and the resident was capable of self-administering medication. The allegations were determined to be unsubstantiated.

Report Facts
Capacity: 154 Census: 68

Employees mentioned
NameTitleContext
Eldin SerranoLicensing Program AnalystConducted the complaint investigation and unannounced visit
Cheree EscandelExecutive DirectorMet with during the investigation and exit interview
Karen ClemonsSupervisorSupervisor overseeing the investigation

Inspection Report

Complaint Investigation
Census: 68 Capacity: 154 Deficiencies: 0 Date: 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.

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.
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.

Report Facts
Complaint Control Number: 18-AS-20230707075212 Capacity: 154 Census: 68

Employees mentioned
NameTitleContext
Eldin SerranoLicensing Program AnalystConducted the complaint investigation visit and authored the report
Cheree EscandelExecutive DirectorMet with Licensing Program Analyst during the investigation and received the report

Inspection Report

Complaint Investigation
Census: 68 Capacity: 154 Deficiencies: 0 Date: 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.

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.
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.

Report Facts
Capacity: 154 Census: 68

Employees mentioned
NameTitleContext
Eldin SerranoLicensing Program AnalystConducted the complaint investigation and authored the report
Karen ClemonsLicensing Program ManagerOversaw the complaint investigation
Cheree EscandelExecutive DirectorFacility representative met during the investigation
Denise FloresAdministratorFacility administrator named in the report header

Inspection Report

Annual Inspection
Census: 67 Capacity: 154 Deficiencies: 0 Date: Feb 24, 2025

Visit Reason
The inspection 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 good repair with no immediate violations or concerns noted. Reviews of resident and staff files met regulatory requirements, and emergency preparedness and infection control plans were in place and up to date.

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 Lightning Service Maintenance date: Jan 14, 2025 Food supply duration - nonperishable: 7 Food supply duration - perishable: 2

Employees mentioned
NameTitleContext
Cheree EscandelExecutive DirectorMet with Licensing Program Analyst and conducted facility tour
Debbie PalaciosLicensing Program AnalystConducted the annual inspection
Tricia DanielsonSupervisorNamed as supervisor overseeing the inspection

Inspection Report

Annual Inspection
Census: 67 Capacity: 154 Deficiencies: 0 Date: 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
NameTitleContext
Cheree EscandelExecutive DirectorMet with Licensing Program Analyst and conducted facility tour
Debbie PalaciosLicensing Program AnalystConducted the annual inspection
Tricia DanielsonLicensing Program ManagerNamed in report as Licensing Program Manager

Inspection Report

Complaint Investigation
Capacity: 154 Deficiencies: 0 Date: Dec 3, 2024

Visit Reason
An unannounced visit was conducted to investigate complaints alleging financial abuse of a resident and failure to safeguard a resident's personal belongings.

Complaint Details
Complaint was investigated and found to be unfounded.
Findings
The investigation found the complaint to be unfounded, meaning the allegations were false, could not have happened, or lacked a reasonable basis. Interviews and resident roster review confirmed the allegations were not substantiated.

Report Facts
Capacity: 154

Employees mentioned
NameTitleContext
Debbie PalaciosLicensing Program AnalystConducted the complaint investigation visit
Cheree EscandelExecutive DirectorProvided information during the investigation

Inspection Report

Complaint Investigation
Capacity: 154 Deficiencies: 0 Date: 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.

Complaint Details
Complaint was investigated and found to be unfounded.
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.

Employees mentioned
NameTitleContext
Debbie PalaciosLicensing Program AnalystConducted the unannounced complaint investigation visit.
Cheree EscandelExecutive DirectorProvided information during the investigation and confirmed resident status.

Inspection Report

Complaint Investigation
Census: 74 Capacity: 154 Deficiencies: 1 Date: 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.

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.
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.

Deficiencies (1)
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).
Report Facts
Census: 74 Total Capacity: 154 Deficiency Count: 1 Plan of Correction Due Date: Nov 12, 2024

Employees mentioned
NameTitleContext
Yolanda DelgadoLicensing Program AnalystConducted the complaint investigation and authored the report
Jazmond D HarrisLicensing Program ManagerOversaw the complaint investigation report
Cheree EscandelAdministratorFacility administrator met during the investigation
Denise FloresAdministratorNamed as facility administrator in report header

Inspection Report

Complaint Investigation
Census: 74 Capacity: 154 Deficiencies: 0 Date: Oct 29, 2024

Visit Reason
An unannounced complaint investigation was conducted in response to an allegation received on 05/08/2023 that staff caused injuries to a resident while in care.

Complaint Details
The complaint alleged that staff caused injuries to a resident while in care. The allegation was unsubstantiated based on staff interviews, emergency personnel reports, and facility records.
Findings
The investigation found that the resident fell off their 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 help arrived. The allegation was determined to be unsubstantiated due to lack of evidence that staff caused the injury.

Report Facts
Capacity: 154 Census: 74

Employees mentioned
NameTitleContext
Yolanda DelgadoLicensing Program AnalystConducted the complaint investigation
Cheree EscandelAdministratorMet with Licensing Program Analyst during investigation
Denise FloresAdministratorNamed as facility administrator
Jazmond D HarrisSupervisorSupervisor overseeing the investigation

Inspection Report

Complaint Investigation
Census: 74 Capacity: 154 Deficiencies: 0 Date: Oct 29, 2024

Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that staff neglect resulted in a resident sustaining multiple pressure injuries.

Complaint Details
The complaint alleged staff neglect causing multiple pressure injuries to a resident. The complaint was found to be unfounded based on staff interviews, emergency personnel reports, and medical records.
Findings
The investigation found the complaint to be unfounded. Interviews, medical records, and facility documentation indicated that the resident did not sustain pressure injuries while at the facility, and the allegation was determined to be false.

Report Facts
Capacity: 154 Census: 74

Employees mentioned
NameTitleContext
Yolanda DelgadoLicensing Program AnalystConducted the complaint investigation
Cheree EscandelAdministratorMet with Licensing Program Analyst during investigation
Denise FloresAdministratorNamed as facility administrator in report header
Jazmond D HarrisSupervisorSupervisor overseeing the investigation

Inspection Report

Complaint Investigation
Census: 74 Capacity: 154 Deficiencies: 0 Date: 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.

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.
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.

Report Facts
Complaint received date: May 8, 2023 Facility capacity: 154 Facility census: 74

Employees mentioned
NameTitleContext
Yolanda DelgadoLicensing Program AnalystConducted the complaint investigation
Cheree EscandelAdministratorMet with Licensing Program Analyst during investigation and provided information
Denise FloresAdministratorNamed as facility administrator in report header
Jazmond D HarrisLicensing Program ManagerNamed as Licensing Program Manager overseeing the investigation

Inspection Report

Complaint Investigation
Census: 74 Capacity: 154 Deficiencies: 0 Date: 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.

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.
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.

Report Facts
Facility capacity: 154 Census: 74

Employees mentioned
NameTitleContext
Yolanda DelgadoLicensing Program AnalystConducted the complaint investigation
Jazmond D HarrisLicensing Program ManagerOversaw the complaint investigation
Cheree EscandelAdministratorMet with Licensing Program Analyst during the investigation
Denise FloresAdministratorNamed as facility administrator in the report

Inspection Report

Complaint Investigation
Census: 76 Capacity: 154 Deficiencies: 0 Date: 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.

Complaint Details
The complaint was investigated and found to be unfounded. Allegations were false, could not have happened, and/or were without reasonable basis.
Findings
The investigation found that the allegations were unfounded as the residents involved were confirmed not to reside at the facility. Interviews and records review supported that the complaint was without reasonable basis.

Report Facts
Capacity: 154 Census: 76

Employees mentioned
NameTitleContext
Janira ArreolaLicensing Program AnalystConducted the complaint investigation
Cheree EscandelExecutive DirectorMet with the Licensing Program Analyst during the investigation

Inspection Report

Complaint Investigation
Census: 76 Capacity: 154 Deficiencies: 0 Date: 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.

Complaint Details
The complaint was investigated and found to be unfounded. Allegations were false, could not have happened, and/or were without reasonable basis.
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.

Report Facts
Capacity: 154 Census: 76

Employees mentioned
NameTitleContext
Janira ArreolaLicensing Program AnalystConducted the complaint investigation visit
Cheree EscandelExecutive DirectorMet with Licensing Program Analyst during investigation
Denise FloresAdministratorNamed as facility administrator

Inspection Report

Complaint Investigation
Census: 77 Capacity: 154 Deficiencies: 0 Date: Mar 29, 2024

Visit Reason
An unannounced complaint investigation was conducted in response to allegations that staff did not provide adequate supervision to a resident and did not seek timely medical attention for a resident.

Complaint Details
The complaint involved allegations of inadequate supervision and failure to seek timely medical attention for a resident. The investigation concluded the allegations were unsubstantiated.
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, remaining with the resident, and providing care until medical personnel arrived. The allegations were determined to be unsubstantiated due to lack of preponderance of evidence.

Report Facts
Capacity: 154 Census: 77 Time on pavement: 20

Employees mentioned
NameTitleContext
Yolanda DelgadoLicensing Program AnalystConducted the complaint investigation
Cheree EscandelAdministratorMet with the Licensing Program Analyst during the investigation
Jazmond D HarrisSupervisorSupervisor overseeing the investigation

Inspection Report

Complaint Investigation
Census: 77 Capacity: 154 Deficiencies: 0 Date: 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.

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.
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.

Report Facts
Capacity: 154 Census: 77 Time on pavement: 20

Employees mentioned
NameTitleContext
Yolanda DelgadoLicensing Program AnalystConducted the complaint investigation
Jazmond D HarrisLicensing Program ManagerNamed in report as Licensing Program Manager
Cheree EscandelAdministratorFacility representative met during investigation and exit interview

Inspection Report

Annual Inspection
Census: 75 Capacity: 154 Deficiencies: 0 Date: Feb 8, 2024

Visit Reason
The inspection was an unannounced annual inspection conducted by the Licensing Program Analyst to evaluate compliance with state regulations.

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
NameTitleContext
Cheree EscandelAdministratorConducted and completed the facility tour and received a copy of the report
Kathleen BanrasavongLicensing Program AnalystConducted the annual inspection
Jazmond D HarrisSupervisorSupervisor overseeing the inspection

Inspection Report

Annual Inspection
Census: 75 Capacity: 154 Deficiencies: 0 Date: 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
NameTitleContext
Cheree EscandelAdministratorConducted and completed the facility tour and received the inspection report
Kathleen BanrasavongLicensing Program AnalystConducted the annual inspection
Jazmond D HarrisLicensing Program ManagerNamed in the report as Licensing Program Manager

Inspection Report

Complaint Investigation
Census: 77 Capacity: 154 Deficiencies: 0 Date: Jan 4, 2024

Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received regarding resident visitation restrictions, residents not being allowed to leave the facility, improper feeding of residents, and staff threatening a resident with eviction.

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. The investigation found all allegations unsubstantiated due to lack of evidence or compliance with COVID-19 protocols.
Findings
Based on observations, interviews, and records review, all allegations were found to be unsubstantiated. The facility followed COVID-19 visitation restrictions appropriately, residents were allowed to leave with screening protocols, residents were properly fed with adequate food supplies, and there was insufficient evidence to support claims of eviction threats.

Report Facts
Capacity: 154 Census: 77 Eviction notice date: Sep 19, 2019

Employees mentioned
NameTitleContext
Javina GeorgeLicensing Program AnalystConducted the complaint investigation and unannounced visit
Cheree EscandelExecutive DirectorInterviewed during the investigation and provided information on facility practices

Inspection Report

Complaint Investigation
Census: 77 Capacity: 154 Deficiencies: 0 Date: 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.

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.
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.

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
NameTitleContext
Javina GeorgeLicensing Program AnalystConducted the complaint investigation and authored the report
Cheree EscandelExecutive DirectorInterviewed during the investigation and provided information on facility policies
Denise FloresAdministratorNamed as facility administrator in the report
Jazmond D HarrisLicensing Program ManagerNamed as licensing program manager overseeing the investigation

Inspection Report

Complaint Investigation
Census: 69 Capacity: 154 Deficiencies: 0 Date: Mar 13, 2023

Visit Reason
An unannounced complaint investigation was conducted following allegations that residents' funds were mismanaged, specifically that resident council members solicited funds from other residents to give to staff and that funds were deposited in a bank account in the name of two resident council members without returning the money to residents.

Complaint Details
The complaint alleged mismanagement of residents' funds by resident council members who collected and distributed money to staff. The allegation was unsubstantiated after investigation.
Findings
The investigation found that the resident council members collected money to give to staff as a gift, but facility staff were not involved in collecting or distributing the funds. One resident moved out and another died, and no funds were returned to residents. The allegation was determined to be unsubstantiated due to lack of preponderance of evidence.

Report Facts
Amount collected: 1000

Employees mentioned
NameTitleContext
Rayshaun NickolasLicensing Program AnalystConducted the complaint investigation and made the unannounced visit
Denise FloresAdministratorFacility administrator mentioned in the report
Cheree EscandeExecutive DirectorMet with Licensing Program Analyst during the investigation and provided information
Karen ClemonsSupervisorSupervisor overseeing the investigation

Inspection Report

Complaint Investigation
Census: 69 Capacity: 154 Deficiencies: 0 Date: 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.

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.
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.

Report Facts
Amount collected: 1000 Census: 69 Total Capacity: 154

Employees mentioned
NameTitleContext
Rayshaun NickolasLicensing Program AnalystConducted the complaint investigation and unannounced visit
Karen ClemonsLicensing Program ManagerOversaw the complaint investigation
Cheree EscandeExecutive DirectorInterviewed during investigation regarding allegations

Inspection Report

Annual Inspection
Census: 73 Capacity: 154 Deficiencies: 0 Date: Feb 15, 2022

Visit Reason
Licensing Program Analyst Crystal Colvin arrived unannounced to complete the facility's Annual Inspection, limited to Infection Control only.

Findings
The inspection focused on COVID-19 infection control practices, including review of the facility's Mitigation Plan, availability of hand sanitizer and PPE supplies, staff training on infection control and PPE use, and screening procedures for residents, staff, and visitors. The facility was found to have sufficient PPE supplies and ongoing symptom monitoring.

Report Facts
Extra COVID-19 test kits: 39

Employees mentioned
NameTitleContext
Cheree EscandelAdministratorMet with Licensing Program Analyst during inspection and provided information on infection control practices.
Crystal ColvinLicensing Program AnalystConducted the annual infection control inspection.
Joel EsquivelSupervisorSupervisor overseeing the inspection.

Inspection Report

Annual Inspection
Census: 73 Capacity: 154 Deficiencies: 0 Date: 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
NameTitleContext
Cheree EscandelAdministratorMet with Licensing Program Analyst during inspection and confirmed infection control practices.
Crystal ColvinLicensing Program AnalystConducted the annual infection control inspection.
Joel EsquivelLicensing Program ManagerNamed in the report header.

Inspection Report

Complaint Investigation
Capacity: 154 Deficiencies: 0 Date: 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.

Complaint Details
The complaint was investigated and found to be unfounded, meaning the allegations were false, could not have happened, and/or were without a reasonable basis.
Findings
The investigation found the allegations to be unfounded. Interviews and file reviews revealed that the mental abuse was by the resident's spouse, not staff, and the resident was receiving medication as prescribed by their physician.

Report Facts
Facility capacity: 154

Employees mentioned
NameTitleContext
Shaunte HenryLicensing Program AnalystConducted the complaint investigation visit
Robert BartonExecutive DirectorMet with Licensing Program Analyst during the investigation

Inspection Report

Complaint Investigation
Census: 160 Capacity: 154 Deficiencies: 0 Date: 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.

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.
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.

Report Facts
Capacity: 154 Census: 160

Employees mentioned
NameTitleContext
Shaunte HenryLicensing Program AnalystConducted the complaint investigation visit
Robert BartonExecutive DirectorMet with Licensing Program Analyst during the investigation
Denise FloresAdministratorFacility administrator named in the report header
Nedra BrownLicensing Program ManagerNamed as Licensing Program Manager overseeing the investigation

Inspection Report

Complaint Investigation
Census: 63 Capacity: 154 Deficiencies: 0 Date: Jul 29, 2021

Visit Reason
An unannounced complaint investigation was conducted in response to allegations that staff were over medicating a resident and not properly feeding a resident while in care.

Complaint Details
The complaint investigation was unsubstantiated as there was not a preponderance of evidence to prove the alleged violations occurred.
Findings
The investigation found that a resident was prescribed both Morphine and Tramadol, which caused lethargy, but the Morphine was discontinued promptly after staff intervention. The resident was provided soft foods due to a sore throat and later returned to their original diet. There was insufficient evidence to substantiate the allegations, and they were deemed unsubstantiated.

Report Facts
Capacity: 154 Census: 63

Employees mentioned
NameTitleContext
Shaunte HenryLicensing Program AnalystConducted the complaint investigation
Cheree EscandelExecutive DirectorMet with Licensing Program Analyst during investigation
Denise FloresAdministratorFacility administrator named in report header
Nedra BrownSupervisorSupervisor overseeing the investigation

Inspection Report

Complaint Investigation
Census: 63 Capacity: 154 Deficiencies: 0 Date: 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.

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.
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.

Report Facts
Capacity: 154 Census: 63

Employees mentioned
NameTitleContext
Shaunte HenryLicensing Program AnalystConducted the complaint investigation
Cheree EscandelExecutive DirectorMet with Licensing Program Analyst during investigation
Denise FloresAdministratorFacility administrator named in report header
Nedra BrownLicensing Program ManagerNamed in report as Licensing Program Manager

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