Inspection Report Summary
Most inspections found no deficiencies, including the most recent report from December 12, 2024, which was a complaint investigation that found allegations about staffing and food quality to be unfounded. Earlier reports included a few isolated deficiencies, such as a medication error in July 2021 where a resident received the wrong medication but suffered no harm, and substantiated issues with staffing and resident care in February 2023. Several complaint investigations were unsubstantiated, indicating concerns raised by complainants were often not supported by evidence. The facility showed improvement over time, with recent inspections consistently clean and no enforcement actions or fines listed in the available reports. Overall, the main issues previously involved medication assistance and staffing levels, but these have not recurred in recent inspections.
Deficiencies (last 4 years)
Deficiencies (over 4 years)
0.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
88% better than California average
California average: 4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
83% occupied
Based on a December 2024 inspection.
Census over time
Inspection Report
Complaint Investigation
Census: 87
Capacity: 105
Deficiencies: 0
Dec 12, 2024
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received on 2024-11-01 regarding staffing adequacy and food service quality at the facility.
Findings
The investigation found both allegations to be unfounded. Staff and residents reported sufficient staffing levels and timely response to call buttons. Residents and staff also reported satisfaction with the quality and quantity of food provided, with accommodations made for special dietary needs.
Complaint Details
The complaint alleged that the licensee was not ensuring adequate staffing to meet resident needs and was not providing food services of sufficient quality and quantity. Both allegations were investigated and found to be unfounded.
Report Facts
Capacity: 105
Census: 87
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dana Stansel | Executive Director | Met with Licensing Program Analyst during complaint investigation |
| Todd Tryon | Licensing Program Analyst | Conducted the complaint investigation |
| Troy Ordonez | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Annual Inspection
Census: 91
Capacity: 105
Deficiencies: 0
Aug 28, 2024
Visit Reason
The inspection was conducted as a required annual unannounced visit to evaluate compliance with regulations at the assisted living and memory care facility.
Findings
The facility was found to be clean, well-maintained, and in substantial compliance with regulations. No deficiencies were noted during the inspection.
Report Facts
Staff count: 96
Resident files reviewed: 9
Staff files reviewed: 9
Residents interviewed: 2
Staff interviewed: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dana Stansel | Executive Director | Met with during inspection and reviewed CARE Tool |
| Todd Tryon | Licensing Program Analyst | Conducted the inspection visit |
| Troy Ordonez | Licensing Program Manager | Named in report |
Inspection Report
Complaint Investigation
Census: 85
Capacity: 105
Deficiencies: 0
Jun 20, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to complaints received on 2024-05-02 regarding poor quality of food, lack of supervision resulting in resident falls, and staff not providing timely assistance to residents.
Findings
The investigation found the allegations of poor food quality and lack of supervision resulting in falls to be unfounded, with sufficient food variety and staff availability observed. The allegation that staff do not provide timely assistance was found to be unsubstantiated due to insufficient evidence despite some concerns about wait times.
Complaint Details
The complaint investigation addressed three allegations: poor quality of food, lack of supervision resulting in resident falls, and staff not providing timely assistance. The first two allegations were found to be unfounded, meaning they were false or without reasonable basis. The third allegation was unsubstantiated, indicating there was not enough evidence to prove the violation occurred.
Report Facts
Capacity: 105
Census: 85
Resident interviews: 5
Staff interviews: 7
Staff interviews: 5
Resident interviews: 5
Resident wait time: 30
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Bethany Mirlohi | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Dana Stansel | Administrator | Facility administrator met during the investigation |
| Troy Ordonez | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Annual Inspection
Census: 81
Capacity: 105
Deficiencies: 0
Aug 9, 2023
Visit Reason
The inspection visit was an unannounced continuation of the annual case management inspection to ensure the health and safety of residents in care.
Findings
The Licensing Program Analyst toured multiple areas of the facility and reviewed resident and staff files, finding no immediate health, safety, or personal rights violations. No deficiencies were cited as a result of the inspection.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dana Stansel | Administrator | Met with Licensing Program Analyst during inspection and involved in facility tour and review. |
| Bethany Mirlohi | Licensing Program Analyst | Conducted the inspection and facility evaluation. |
| Troy Ordonez | Licensing Program Manager | Named in the report as Licensing Program Manager. |
Inspection Report
Annual Inspection
Census: 84
Capacity: 105
Deficiencies: 0
Aug 3, 2023
Visit Reason
The inspection was an unannounced annual inspection conducted by the Licensing Program Analyst to review compliance with licensing requirements.
Findings
The Licensing Program Analyst reviewed 6 resident files and 6 staff files, confirming that all staff had criminal record clearances and resident records contained all required documents. A copy of current liability insurance was observed. The inspection was not completed due to time restraints and will be continued on a later date.
Report Facts
Resident files reviewed: 6
Staff files reviewed: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dana Stansel | Administrator | Met with Licensing Program Analyst during inspection |
| Bethany Mirlohi | Licensing Program Analyst | Conducted the annual inspection |
| Troy Ordonez | Licensing Program Manager | Named in report header |
Inspection Report
Complaint Investigation
Capacity: 105
Deficiencies: 1
Feb 16, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2022-08-31 regarding allegations of inadequate care and staffing at the facility.
Findings
The investigation found one allegation unsubstantiated regarding bedridden residents' meals not being within reach, but substantiated allegations that staff did not properly dispose of dirty diapers, the facility was short staffed affecting resident care, and that a resident was left unattended for an extended period with no food, diaper change, or bedding change.
Complaint Details
The complaint investigation was based on multiple allegations: 1) bedridden resident's meals not within reach (unsubstantiated), 2) improper disposal of dirty diapers (substantiated), 3) insufficient staffing to meet resident needs (substantiated), and 4) resident left unattended for extended period with no food, diaper, or bedding change (substantiated). The substantiated findings were supported by staff and resident interviews and evidence including a family-installed camera.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility staff was not sufficient in numbers to meet the needs of residents, posing a potential health and safety risk. | Type B |
Report Facts
Capacity: 105
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dana Stansel | Executive Director | Met with Licensing Program Analyst during investigation and named in findings |
| DeAnna Williams-Lyons | Licensing Program Analyst | Conducted the complaint investigation |
| Laura Munoz | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Complaint Investigation
Capacity: 105
Deficiencies: 0
Dec 20, 2022
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2022-06-20 regarding allegations of unsafe environment, rough handling of residents, lack of dignity, rushing residents during meals, serving old food causing sickness, and unexplained injuries.
Findings
After interviews with residents, staff, and review of records, the allegations were found to be unsubstantiated or unfounded. No evidence of unsafe environment, neglect, or unexplained injuries was observed. Residents and staff denied the allegations, and no citations were issued.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included unsafe environment, rough handling, lack of dignity, rushing meals, old food causing sickness, and unexplained injuries. Interviews and record reviews did not support these claims. The allegations were determined to be unsubstantiated or unfounded.
Report Facts
Facility capacity: 105
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| DeAnna Williams-Lyons | Licensing Program Analyst | Conducted the complaint investigation |
| Dana Stansel | Executive Director | Facility representative met during the investigation |
| Laura Munoz | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Annual Inspection
Census: 89
Capacity: 105
Deficiencies: 0
Sep 26, 2022
Visit Reason
The inspection was an unannounced Required 1-Year inspection conducted to ensure compliance with health, safety, and infection control standards at the assisted living facility.
Findings
The facility was found to be in compliance with no immediate health, safety, or personal rights violations observed. Infection control protocols were followed, and no deficiencies were cited during the inspection.
Report Facts
Perishable food supply duration: 2
Non-perishable food supply duration: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dana Stansel | Executive Director | Met with Licensing Program Analyst during inspection and named in report |
| Cassie Yang | Licensing Program Analyst | Conducted the inspection |
| Troy Ordonez | Licensing Program Manager | Named in report |
Inspection Report
Complaint Investigation
Census: 81
Capacity: 105
Deficiencies: 0
Feb 15, 2022
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations that the facility does not meet residents' incontinence care needs and that the facility is not maintained clean and sanitary.
Findings
The investigation found that residents with incontinence needs reported timely care and that the facility was clean and odor free with safe sanitary conditions. Interviews and observations did not substantiate the allegations, and no citations were issued.
Complaint Details
The complaint was unsubstantiated. Residents stated they never had to wait more than 10 minutes for incontinence care despite occasional short staffing. The facility was observed to be clean and well maintained. Staff and resident interviews indicated no issues with cleanliness or care. No citations were issued per California Code of Regulations, Title 22.
Report Facts
Capacity: 105
Census: 81
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| DeAnna Williams-Lyons | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Dana Stansel | Executive Director | Facility representative met during the investigation |
| Laura Munoz | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Annual Inspection
Census: 78
Capacity: 105
Deficiencies: 0
Sep 22, 2021
Visit Reason
The inspection was an unannounced Required 1-Year Inspection focusing on the infection control domain to ensure health and safety compliance at the facility.
Findings
The facility was found to be in substantial compliance with no immediate health, safety, or personal rights violations observed. No deficiencies were cited as a result of this inspection.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dana Stansel | Executive Director | Met with Licensing Program Analyst during inspection |
| Jacob Williams | Licensing Program Analyst | Conducted the inspection |
| Anthony Perez | Licensing Program Manager | Named in report header |
Inspection Report
Complaint Investigation
Census: 80
Capacity: 105
Deficiencies: 1
Jul 21, 2021
Visit Reason
The visit was an unannounced case management inspection conducted in response to an incident report received on 07/19/2021 regarding a medication error that occurred on 07/15/2021.
Findings
The investigation found that a resident (R1) was inadvertently given the wrong medications by a med-tech, who immediately noticed the error and notified proper parties. The resident was transported to the hospital with no adverse reactions. A deficiency was cited related to failure to assist residents properly with self-administered medications.
Complaint Details
The visit was triggered by a complaint incident report regarding a medication error. The med-tech was issued a final written warning, provided additional training, and shadowed on the next shift. No adverse reactions occurred to the resident.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to comply with regulation requiring assistance with self-administered medications, resulting in resident receiving wrong medications posing immediate health and safety risk. | Type A |
Report Facts
Census: 80
Total Capacity: 105
Deficiencies cited: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dana Stansel | Executive Director | Met with Licensing Program Analyst to discuss incident |
| Danyle Wolter | Licensing Program Analyst | Conducted the case management visit and inspection |
| Laura Munoz | Licensing Program Manager | Supervisor and Licensing Program Manager overseeing the inspection |
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