Inspection Report Summary
Most inspections found no deficiencies, with the facility consistently meeting health, safety, and licensing standards. Several complaint investigations were unsubstantiated, including allegations of staff making inappropriate comments, neglect, and inadequate care. One complaint investigation on June 5, 2025, was substantiated for staff not responding timely to residents’ call buttons, posing a safety risk, but no fines or enforcement actions were listed in the available reports. The most recent inspection on September 5, 2025, found no deficiencies and confirmed no inappropriate staff behavior. This suggests improvement in response times and overall compliance over time.
Deficiencies (last 5 years)
Deficiencies (over 5 years)
0.2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
95% better than California average
California average: 4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
70% occupied
Based on a September 2025 inspection.
Census over time
Inspection Report
Complaint Investigation
Census: 91
Capacity: 130
Deficiencies: 0
Sep 5, 2025
Visit Reason
The visit was an unannounced complaint investigation conducted to investigate allegations that staff made inappropriate comments to a resident in care.
Findings
Based on interviews with six staff and four residents, the allegation was found to be unsubstantiated. No deficiencies were observed during the visit, and residents and staff reported no inappropriate behavior.
Complaint Details
The allegation that staff made inappropriate comments to a resident was investigated and found to be unsubstantiated due to lack of preponderance of evidence.
Report Facts
Staff interviewed: 6
Residents interviewed: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| David Doidge | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Susana Chavez | Memory Care Director | Met with Licensing Program Analyst during investigation |
| Bennett Fong | Licensing Program Manager | Named in report as Licensing Program Manager |
| Kawana Anthony | Administrator | Facility Administrator |
Inspection Report
Complaint Investigation
Capacity: 130
Deficiencies: 1
Jun 5, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations that staff did not respond timely to resident requests for assistance and that staff neglect led to the death of a resident.
Findings
The investigation substantiated that staff did not respond to residents' call buttons in a timely manner, posing immediate safety risks. However, the allegation that staff neglect led to the death of the resident and that staff did not seek medical attention timely was unsubstantiated due to insufficient evidence.
Complaint Details
The complaint investigation was substantiated for the allegation that staff did not respond timely to resident call buttons, based on interviews, call records, and documentation. The allegation that staff neglect led to the death of a resident and failure to seek timely medical attention was unsubstantiated due to lack of preponderance of evidence. The resident fell twice, with injuries contributing to death, but no violations were proven regarding staff neglect or delayed medical care.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Staff did not respond to residents' call buttons timely, violating Title 22 California Code of Regulations §1569.269(a)(6) regarding residents' rights to care and supervision. | Type A |
Report Facts
Facility capacity: 130
Call button presses: 4
Plan of Correction due date: Jun 6, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kawana Anthony | National Operations Specialist - Interim Executive Director | Met with Licensing Program Analyst during investigation and discussed findings |
| Bennett Fong | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
| Alicia Delmundo | Licensing Program Analyst | Conducted the complaint investigation and signed the report |
Inspection Report
Complaint Investigation
Census: 92
Capacity: 130
Deficiencies: 0
Apr 2, 2025
Visit Reason
Unannounced complaint investigation visit conducted due to an allegation of lack of care and supervision resulting in a resident sustaining serious injury while in care.
Findings
The investigation included interviews with residents and staff, review of records and video footage, and found that although the resident did sustain a fall resulting in serious injury, the complaint was unsubstantiated due to insufficient evidence to prove the alleged violations occurred.
Complaint Details
The complaint alleged neglect and lack of supervision resulting in a resident sustaining a serious injury after exiting the facility unsupervised. The resident fell from a wheelchair and was diagnosed with traumatic subarachnoid hemorrhage. Interviews and video footage were reviewed. The complaint was determined to be unsubstantiated.
Report Facts
Residents interviewed: 4
Staff interviewed: 8
Minutes of video footage gap: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jill Clancy-Czuleger | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Harpreet Humpal | Licensing Program Manager | Named as Licensing Program Manager on the report |
| Kawana Anthony | Operations Specialist | Met with Licensing Program Analyst during investigation |
Inspection Report
Complaint Investigation
Census: 88
Capacity: 130
Deficiencies: 0
Mar 24, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations of neglect/lack of supervision resulting in unexplained bruises, failure to provide pain medication, and failure to safeguard a resident's personal belongings.
Findings
All allegations were found to be unsubstantiated after investigation including resident and staff interviews, review of medical and hospice records, and observations. The resident's bruises were attributed to a fall, pain medication was provided as needed, and no missing personal belongings were reported.
Complaint Details
The complaint involved three allegations: 1) neglect/lack of supervision causing unexplained bruises, 2) failure to provide pain medication, and 3) failure to safeguard resident's personal belongings. All allegations were investigated and found unsubstantiated based on interviews, medical records, and staff statements.
Report Facts
Complaint Control Number: 15
Facility Capacity: 130
Census: 88
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kelly Nguyen | Licensing Program Analyst | Conducted the complaint investigation visit and authored the report |
| Bennett Fong | Licensing Program Manager | Named as Licensing Program Manager on the report |
| Corrine Tanchoco | Executive Director | Met with Licensing Program Analyst during the investigation |
Inspection Report
Annual Inspection
Census: 81
Capacity: 130
Deficiencies: 0
Feb 11, 2025
Visit Reason
The inspection was an unannounced annual required inspection conducted to evaluate compliance with licensing regulations.
Findings
The Licensing Program Analyst toured the facility and reviewed resident and staff records, finding all records complete and no deficiencies observed or cited during the visit.
Report Facts
Fire extinguisher last serviced date: Jun 21, 2024
Emergency disaster drill last conducted date: Dec 1, 2024
Number of resident records reviewed: 5
Number of staff records reviewed: 5
Food supply duration: 7
Food supply duration: 2
Hot water temperature: 112.3
Hallway temperature: 72
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Beverly Mercurio | Resident Services Director | Met with Licensing Program Analyst during inspection |
| David Doidge | Licensing Program Analyst | Conducted the inspection |
| Bennett Fong | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 83
Capacity: 130
Deficiencies: 0
Jan 27, 2025
Visit Reason
The inspection was conducted unannounced on January 27, 2025, as a result of the Department receiving a priority 1 complaint (#15-AS-20250123123225).
Findings
The Licensing Program Analyst toured the facility and inspected common areas and randomly selected apartments. No deficiencies were observed during the inspection.
Complaint Details
The visit was triggered by a priority 1 complaint. No deficiencies were found, indicating no substantiated issues.
Report Facts
Number of apartments inspected: 8
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Beverly Mercurio | Resident Services Director | Met with Licensing Program Analyst during inspection and was informed of the reason for visit |
| Alicia Delmundo | Licensing Program Analyst | Conducted the unannounced health and safety inspection |
| Bennett Fong | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 78
Capacity: 130
Deficiencies: 0
Dec 20, 2024
Visit Reason
Unannounced complaint investigation visit conducted in response to multiple allegations including resident injury due to staff neglect, delayed call button response, bed bug prevention failure, and inadequate food service.
Findings
All allegations were investigated through record reviews and staff and resident interviews. The investigation found no substantiated evidence to support the allegations, concluding all claims as unsubstantiated.
Complaint Details
Allegations included resident sustaining severe injury due to staff neglect resulting in death, staff not responding timely to call buttons, failure to prevent bed bugs, and inadequate food service. All allegations were found unsubstantiated after review of medical records, call logs, staff interviews, and resident feedback.
Report Facts
Call button average response time: 369
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jill Clancy-Czuleger | Licensing Program Analyst | Conducted the complaint investigation and delivered findings. |
| Robert Gomez | Executive Director | Met with Licensing Program Analyst during investigation. |
| Harpreet Humpal | Licensing Program Manager | Named as Licensing Program Manager on report. |
Inspection Report
Census: 91
Capacity: 130
Deficiencies: 0
Jun 19, 2024
Visit Reason
An unannounced Health & Safety inspection was conducted as part of Case Management - Health Checks.
Findings
The facility was toured including common areas and memory care unit. No deficiencies were cited. Facility conditions such as food supplies, medication storage, and safety equipment were found to be satisfactory.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jill Clancy-Czuleger | Licensing Program Analyst | Conducted the unannounced Health & Safety inspection. |
| Kawana Anthony | Operations Specialist | Met with the Licensing Program Analyst during the inspection. |
Inspection Report
Annual Inspection
Census: 87
Capacity: 130
Deficiencies: 0
Mar 20, 2024
Visit Reason
An unannounced required annual inspection was conducted by Licensing Program Analysts to evaluate compliance with regulatory standards.
Findings
The facility was toured including common areas and resident apartments. All safety equipment and emergency plans were in place and up to date. Resident and staff records were reviewed with no deficiencies cited on this date.
Report Facts
Food supply duration: 2
Food supply duration: 7
Staff first aid training: 5
Staff records reviewed: 5
Resident records reviewed: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Barbara Tudda | Executive Director | Met with Licensing Program Analysts during inspection |
| Kelly Nguyen | Licensing Program Analyst | Conducted the inspection |
| Bennett Fong | Licensing Program Manager | Named in report header |
Inspection Report
Complaint Investigation
Census: 86
Capacity: 130
Deficiencies: 0
Oct 25, 2023
Visit Reason
An unannounced Health & Safety inspection was conducted as a result of a priority 2 complaint.
Findings
The Licensing Program Analyst toured the facility and found no deficiencies. The facility was compliant with health and safety standards including food supplies, medication storage, fire safety equipment, and COVID-19 precautionary guidelines.
Complaint Details
The visit was triggered by a priority 2 complaint. No deficiencies were cited on this date.
Report Facts
Food supplies: 2
Food supplies: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Barbara Tudda | Executive Director | Met with Licensing Program Analyst during inspection |
| Kelly Nguyen | Licensing Program Analyst | Conducted the inspection |
| Bennett Fong | Licensing Program Manager | Named in report header |
Inspection Report
Complaint Investigation
Census: 86
Capacity: 130
Deficiencies: 0
Jul 3, 2023
Visit Reason
The inspection was conducted as a result of a priority 2 complaint to perform an unannounced Health & Safety inspection.
Findings
The facility was toured including common areas and memory care unit; no deficiencies were cited. Safety equipment and emergency plans were in place and compliant, and COVID-19 precautionary guidelines were followed.
Complaint Details
The visit was triggered by a priority 2 complaint; no deficiencies were found and no substantiation status was stated.
Report Facts
Food supplies: 2
Food supplies: 7
Fire extinguisher last inspection date: May 28, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Barbara Tudda | Executive Director | Met with Licensing Program Analyst during inspection |
| Lisha Holmes | Licensing Program Analyst | Conducted the inspection |
| Yvonne Flores-Larios | Licensing Program Manager | Named in report header |
Inspection Report
Annual Inspection
Census: 86
Capacity: 130
Deficiencies: 0
Jul 3, 2023
Visit Reason
An unannounced required annual inspection was conducted to evaluate compliance with licensing regulations and facility standards.
Findings
The inspection found the facility to be in compliance with no deficiencies cited. The facility was clean, well-maintained, and followed COVID-19 precautionary guidelines. Emergency and safety equipment were up to date and functional.
Report Facts
Food supply duration: 2
Food supply duration: 7
Fire extinguisher last inspection date: May 28, 2023
Certificate of Liability Insurance expiration: Jun 1, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Barbara Tudda | Executive Director | Met with Licensing Program Analyst during inspection |
| Lisha Holmes | Licensing Program Analyst | Conducted the inspection |
| Yvonne Flores-Larios | Licensing Program Manager | Named in report header |
Inspection Report
Census: 93
Capacity: 130
Deficiencies: 0
Aug 3, 2022
Visit Reason
The visit was an unannounced case management visit conducted as a result of receiving a self-reported Death Report dated 7/14/22 submitted to the Community Care Licensing Division.
Findings
The Licensing Program Analyst reviewed the resident's care notes and confirmed the coroner stated the cause of death as natural causes. The coroner released the body and no autopsy was performed.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Barbara Tudda | Executive Director | Met with during the visit and named in the report narrative. |
Inspection Report
Complaint Investigation
Census: 93
Capacity: 130
Deficiencies: 0
Aug 3, 2022
Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that the facility was violating a resident's personal rights.
Findings
The investigation found that although the allegation may have happened or is valid, there was not a preponderance of evidence to prove the violation occurred. The allegation was therefore unsubstantiated and no deficiencies were cited.
Complaint Details
The complaint was unsubstantiated based on record review and interviews. The resident was found outside the facility unassisted, considered elopement, but the facility had the right to implement higher supervision per the resident's signed admission agreement.
Report Facts
Capacity: 130
Census: 93
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Barbara Tudda | Executive Director | Met with Licensing Program Analyst during investigation |
| Catherine Lin | Licensing Program Analyst | Conducted the complaint investigation |
| Bennett Fong | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Census: 88
Capacity: 130
Deficiencies: 0
Jul 11, 2022
Visit Reason
The visit was an unannounced case management inspection conducted due to a self-report SOC341 dated 06/03/22 and an incident dated 06/27/22 submitted to the Community Care Licensing Division (CCLD).
Findings
The inspection found that two residents involved in a physical interaction were separated and monitored with no injuries observed, and a resident with a wound was being monitored by a wound care nurse and transferred to a Skilled Nursing Facility for treatment. No repeated incidents were reported.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Barbara Tudda | Executive Director | Met with during the inspection and involved in the exit interview. |
| Catherine Lin | Licensing Program Analyst | Conducted the unannounced case management visit. |
| Bennett Fong | Licensing Program Manager | Named in the report as Licensing Program Manager. |
Inspection Report
Routine
Census: 87
Capacity: 130
Deficiencies: 0
Mar 7, 2022
Visit Reason
The inspection was an unannounced Infection Control Inspection conducted as a required one-year visit.
Findings
The facility was found to have proper infection control measures in place, including screening procedures, PPE usage, and sufficient food and PPE supplies. No deficiencies were cited during the visit.
Report Facts
Food supply duration: 2
Food supply duration: 7
PPE supply duration: 30
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Robert Authur | Resident Services Director | Met during inspection and involved in exit interview |
| Simmon Bolivar | Community Business Director | Met during inspection |
| Catherine Lin | Licensing Program Analyst | Conducted the inspection |
| Bennett Fong | Licensing Program Manager | Named in report header |
Inspection Report
Follow-Up
Capacity: 130
Deficiencies: 0
Apr 16, 2021
Visit Reason
The visit was a Case Management Health inspection conducted in relation to incident reports involving two residents: one diagnosed with C-Diff and another sent to the Emergency Room for an unstageable wound.
Findings
The report details that Resident 1 was sent to skilled nursing for C-Diff treatment and returned to the facility. Resident 2 receives regular home health and wound care nurse visits; a wound was determined unstageable and required surgical debridement and transfer to skilled nursing. A follow-up visit was planned to review requested documents.
Report Facts
Facility capacity: 130
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kaitlyn Clarey | Administrator | Met during the inspection and involved in incident discussion |
| Margaret Hsu | Nurse | Met during the inspection and involved in incident discussion |
| Leslie Ibo | Licensing Program Analyst | Conducted the Case Management Health inspection |
| Harpreet Humpal | Licensing Program Manager | Named in the report as Licensing Program Manager |
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