Inspection Report Summary
Most inspections found no deficiencies, reflecting consistent compliance with licensing requirements. The most recent report from September 17, 2025, had no deficiencies and involved a follow-up on resident falls with appropriate care provided. Earlier reports showed isolated issues, including an expired administrator certificate in July 2024 and a substantiated complaint in March 2024 about inadequate monitoring in the memory care unit, but these were addressed without enforcement actions or fines. Several complaint investigations over the years were unsubstantiated, including allegations of neglect and improper care. The facility’s record shows improvement over time, with recent inspections free of deficiencies and appropriate responses to incidents.
Deficiencies per Year
4
3
2
1
0
High
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Follow-Up
Census: 110
Capacity: 180
Deficiencies: 0
Sep 17, 2025
Visit Reason
The visit was an unannounced Case Management - Incident visit to follow up on self-reported incidents submitted to Community Care Licensing.
Findings
Two incident reports were reviewed involving resident falls, with one resident requiring higher care and the other on hospice. No deficiencies were cited during the visit.
Report Facts
Incident report dates: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jocelyn Vahle | Resident Services Director | Met with Licensing Program Analyst during the visit and provided information on incidents. |
| Anthony Loera | Licensing Program Analyst | Conducted the unannounced Case Management - Incident visit. |
| Kimberley Mota | Licensing Program Manager | Named in the exit interview and report documentation. |
Inspection Report
Annual Inspection
Census: 108
Capacity: 180
Deficiencies: 0
May 15, 2025
Visit Reason
An unannounced Annual Required – 1 year inspection visit was conducted to evaluate compliance with licensing requirements and facility operations.
Findings
The facility was found to be in compliance with all licensing requirements with no deficiencies cited. The facility has appropriate emergency and infection control plans, proper medication storage, and all resident and staff records reviewed were complete and up to date.
Report Facts
Residents in care: 108
Licensed capacity: 180
Residents in Assisted Living: 91
Residents in Memory Care: 17
Hospice waiver approved: 20
Fire extinguisher last inspection: 202501
Fire alarm last inspection: May 5, 2025
Smoke detector last inspection: May 5, 2025
Fire/disaster drill date: May 8, 2025
Resident records reviewed: 10
Staff records reviewed: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Corrine Tanchoco | Executive Director | Met during inspection and involved in facility tour and exit interview |
| Jocelyn Vahle | Resident Services Director | Met during inspection |
| Anthony Loera | Licensing Program Analyst | Conducted the inspection |
Inspection Report
Complaint Investigation
Census: 95
Capacity: 180
Deficiencies: 0
Feb 26, 2025
Visit Reason
The visit was conducted as a Case Management - Incident Visit to follow up on a self-reported incident submitted to Community Care Licensing regarding a resident who left the memory care area unaccompanied.
Findings
The investigation found that the resident exited the memory care area during a staff shift change but was safely returned without harm or need for medical attention. The facility made all appropriate notifications and no deficiencies were cited during the visit.
Complaint Details
The complaint involved a resident who was observed walking outside the community and exiting the memory care area unaccompanied. The incident was substantiated as the resident did leave the area but was safely returned and no harm occurred.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Corrine Tanchoco | Administrator | Met with during the inspection and provided information about the incident. |
| Anthony Loera | Licensing Program Analyst | Conducted the inspection visit. |
Inspection Report
Complaint Investigation
Census: 95
Capacity: 180
Deficiencies: 0
Feb 26, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that staff were not properly supervising a resident, resulting in multiple hip dislocations at the facility.
Findings
The investigation found contradictory information and a lack of corroborating evidence to support the allegation. Medical records showed the resident had a history of hip dislocations unrelated to staff neglect, and the allegation was determined to be unsubstantiated.
Complaint Details
The complaint alleged staff were not properly supervising a resident, resulting in multiple hip dislocations. The allegation was unsubstantiated due to insufficient evidence and medical records indicating the dislocations were non-trauma related and not caused by staff neglect.
Report Facts
Facility capacity: 180
Census: 95
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Corrine Tanchoco | Administrator | Met with during the investigation and named in the report |
| Anthony Loera | Licensing Program Analyst | Conducted the complaint investigation |
| Kimberley Mota | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Census: 94
Capacity: 180
Deficiencies: 0
Aug 28, 2024
Visit Reason
The visit was an unannounced Case Management - Incident Visit to follow up on self-reported incidents submitted to Community Care Licensing.
Findings
Two incidents were reviewed: one involving a resident found on the ground who did not require hospitalization, and another involving a resident hospitalized for a urinary tract infection. The facility made all appropriate notifications per regulation. No deficiencies were cited during the visit.
Report Facts
Incident Report Date: Aug 15, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Corrine Tanchoco | Executive Director | Met during inspection and involved in incident discussions |
| Jocelyn Vahle | Resident Services Director | Met during inspection and involved in incident discussions |
| Anthony Loera | Licensing Program Analyst | Conducted the inspection visit |
| Kimberley Mota | Licensing Program Manager | Named in report header |
Inspection Report
Annual Inspection
Census: 92
Capacity: 180
Deficiencies: 0
Jul 12, 2024
Visit Reason
The inspection visit was an unannounced continuation of an annual inspection initiated on 2024-07-07, conducted to evaluate compliance with regulations at the facility.
Findings
Medications and medication records were reviewed and found to be documented as per regulation. Residents were observed engaged in various activities. No deficiencies were cited during the inspection.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Helena Rummonds | Licensing Program Analyst | Conducted the inspection and discussed the purpose of the visit with the Resident Service Director. |
| Jocelyn Vahle | Resident Service Director | Met with the Licensing Program Analyst during the inspection. |
| Corrine Tanchoco | Administrator/Director | Named as facility administrator/director. |
Inspection Report
Annual Inspection
Census: 92
Capacity: 180
Deficiencies: 1
Jul 3, 2024
Visit Reason
The inspection was an unannounced annual required inspection conducted to evaluate compliance with licensing regulations at the facility.
Findings
The facility was found to be generally compliant with regulations including environmental safety, food storage, medication security, and staff training. However, the Executive Director's Administrator Certificate had expired and was on the department's pending list. The inspection was not completed and will be resumed at a later date.
Deficiencies (1)
| Description |
|---|
| Administrator Certificate for Executive Director, Corrine Tanchoco expired on 02/26/2024 and is now on the department's pending list. |
Report Facts
Residents in Memory Care: 17
Residents in Assisted Living: 75
Fire extinguisher last serviced: Jan 25, 2024
Fire alarm last inspected: Apr 3, 2024
Smoke detectors last inspected: Apr 16, 2024
Most recent disaster drill: Feb 21, 2024
Staff files reviewed: 10
Memory Care files reviewed: 5
Assisted Living files reviewed: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Corrine Tanchoco | Executive Director | Named in relation to expired Administrator Certificate deficiency |
| Helena Rummonds | Licensing Program Analyst | Conducted the annual required inspection |
Inspection Report
Complaint Investigation
Census: 88
Capacity: 180
Deficiencies: 1
Mar 27, 2024
Visit Reason
The inspection was an unannounced case management visit to follow up on incident reports from 03/08/2024 and 03/14/2024, as well as a self-reported suspected dependent adult/elder abuse (SOC341) from 02/28/2024.
Findings
The facility had incidents involving resident agitation and physical aggression, a missing wallet with cash stolen by a caregiver who was subsequently terminated, and a resident exiting the memory care unit unassisted. The facility was found noncompliant with regulations requiring auditory or staff alert devices to monitor exits in the memory care unit.
Complaint Details
The visit was complaint-related, following up on incidents including a resident punching staff due to agitation and hallucinations, a missing wallet with $300 cash stolen by a caregiver who was terminated, and a resident found outside the memory care unit unassisted. The complaint was substantiated by the findings.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| The licensee did not comply with the requirement to have an auditory device or other staff alert feature to monitor exits, allowing a resident to exit the memory care unit unassisted. | Type A |
Report Facts
Cash missing: 300
Census: 88
Total Capacity: 180
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Helena Rummonds | Licensing Program Analyst | Conducted the case management inspection and authored the report |
| Corrine Tanchoco | Executive Director | Met with Licensing Program Analyst during inspection and involved in incident follow-up |
| Jocelyn Vahle | Resident Service Director | Met with Licensing Program Analyst during inspection and involved in incident follow-up |
| Victoria Bertozzi | Licensing Program Manager | Supervisor overseeing the inspection |
Inspection Report
Complaint Investigation
Census: 87
Capacity: 180
Deficiencies: 0
Jan 23, 2024
Visit Reason
The inspection was an unannounced case management visit to follow up on an Incident Report from 08/16/2023 and a self-reported SOC341 (Suspected Dependent Adult/Elder Abuse) from 12/24/2023.
Findings
The report detailed two incidents: Resident 1 was found injured and transported to the hospital, ultimately returning to family care; Resident 2 exhibited aggressive behavior towards Resident 3, which was linked to a urinary tract infection and improved after treatment and medication adjustments.
Complaint Details
The visit was complaint-related, following up on an incident involving Resident 1's injury and a suspected abuse incident involving Residents 2 and 3. The aggressive behavior complaint was substantiated by medical findings and subsequent treatment.
Report Facts
Incident Report Date: Aug 16, 2023
SOC341 Report Date: Dec 24, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jocelyn Vahle | Resident Service Director | Met with Licensing Program Analyst during inspection and discussed incidents |
| Helena Rummonds | Licensing Program Analyst | Conducted the unannounced case management inspection |
| Bethany Moellers | Licensing Program Manager | Named in report header |
Inspection Report
Annual Inspection
Census: 73
Capacity: 180
Deficiencies: 0
Jul 6, 2023
Visit Reason
The visit was an unannounced Annual Continuation Visit conducted by the Licensing Program Analyst to evaluate the facility's compliance and care standards.
Findings
The annual inspection was completed with no deficiencies cited. The Licensing Program Analyst conducted staff and resident interviews and a walk-through of the facility.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Corrine Tanchoco | Administrator | Met with Licensing Program Analyst during the inspection visit. |
Inspection Report
Census: 73
Capacity: 180
Deficiencies: 0
Jul 6, 2023
Visit Reason
The visit was an unannounced Case Management - Incident inspection to follow up on a self-reported incident involving a resident who fell and was hospitalized.
Findings
The facility appropriately responded to the incident, made all required notifications, and communicated with the resident's responsible party and physician. No deficiencies were cited during the visit.
Report Facts
Incident report date: May 11, 2023
Incident date: May 10, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Corrine Tanchoco | Administrator/Executive Director | Met with Licensing Program Analyst during the visit and discussed the incident |
| Caitlynn Felias | Licensing Program Analyst | Conducted the unannounced Case Management - Incident visit |
| Kimberley Mota | Licensing Program Manager | Named in report header |
Inspection Report
Annual Inspection
Census: 69
Capacity: 180
Deficiencies: 0
Jun 27, 2023
Visit Reason
The visit was an unannounced Annual Continuation Visit conducted to evaluate the facility's compliance with regulatory requirements.
Findings
The Licensing Program Analyst reviewed staff and resident files, medication records, and conducted a facility walkthrough and interviews. No deficiencies were cited during the visit, but the Annual Inspection was not completed and will be continued at a later date.
Report Facts
Staff files reviewed: 6
Resident files reviewed: 6
Sinks tested: 8
Resident medication records reviewed: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Corrine Tanchoco | Administrator | Met with Licensing Program Analyst during the inspection |
| Caitlynn Felias | Licensing Program Analyst | Conducted the inspection visit |
| Kimberley Mota | Licensing Program Manager | Named in report header |
Inspection Report
Annual Inspection
Census: 69
Capacity: 180
Deficiencies: 0
Jun 20, 2023
Visit Reason
The visit was an unannounced Required 1 Year Visit to evaluate the facility's compliance with regulations.
Findings
The facility was found clean, with appropriate temperature, unobstructed exits, sufficient food and supplies, and proper storage of toxins. No deficiencies were cited during the visit. The annual inspection was not completed and will continue at a later date.
Report Facts
Staff on-site: 46
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Corrine Tanchoco | Administrator | Met with Licensing Program Analyst during inspection |
| Caitlynn Felias | Licensing Program Analyst | Conducted the inspection visit |
| Kimberley Mota | Licensing Program Manager | Named in report header |
Inspection Report
Complaint Investigation
Census: 74
Capacity: 180
Deficiencies: 0
Apr 11, 2023
Visit Reason
Unannounced complaint investigation visit conducted due to an allegation of neglect/lack of supervision resulting in a resident sustaining severe injuries and hospitalization.
Findings
The investigation found conflicting statements regarding the resident's use of a walker at the time of the fall. The resident sustained multiple fractures and underwent surgery. The complaint allegation was determined to be unsubstantiated due to lack of preponderance of evidence. No deficiencies were cited during the visit.
Complaint Details
Complaint allegation of neglect/lack of supervision resulting in resident sustaining severe injuries and hospitalization was unsubstantiated.
Report Facts
Facility capacity: 180
Resident census: 74
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Corrine Tanchoco | Executive Director | Met with Licensing Program Analyst during investigation |
| Caitlynn Felias | Licensing Program Analyst | Conducted the complaint investigation |
| Kimberley Mota | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 74
Capacity: 180
Deficiencies: 0
Apr 11, 2023
Visit Reason
The visit was an unannounced Case Management - Incident inspection to follow up on self-reported incidents submitted to Community Care Licensing.
Findings
Two incidents were reviewed involving residents: one elopement where a resident left the facility unassisted and was reassessed for higher care needs, and another where a resident was found on the floor with a fractured vertebra from a prior injury. The facility took appropriate actions including notifications, reassessments, medication management, and increased monitoring. No deficiencies were cited during the visit.
Complaint Details
The visit was complaint-related, following up on two incident reports involving Resident 1's elopement and Resident 2's fall resulting in a fractured vertebra. The fractured vertebra was reported to have occurred prior to Resident 2's admission. Both incidents were substantiated by facility reports and physician documentation.
Report Facts
Capacity: 180
Census: 74
Incident Report Dates: 2
Timeframe of incidents: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Corrine Tanchoco | Executive Director | Met with Licensing Program Analyst during inspection and discussed incidents |
| Caitlynn Felias | Licensing Program Analyst | Conducted the unannounced Case Management - Incident visit |
| Kimberley Mota | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Annual Inspection
Census: 75
Capacity: 180
Deficiencies: 0
May 31, 2022
Visit Reason
Licensing Program Analysts conducted an unannounced Annual Required – 1 Year Infection Control inspection to the facility.
Findings
The facility was found clean, with proper temperature control, unobstructed exits, operational fire safety equipment, sufficient food supplies, and proper storage of toxins and medications. Staff followed infection control protocols including temperature checks and PPE use. No deficiencies were cited at this time.
Complaint Details
An investigation regarding a Suspected Dependent Adult/Elder Abuse incident on 2022-05-16 was conducted. Staff member S1 was suspended pending investigation. Police were contacted and have conducted an investigation. Staff S1 has no prior abuse episodes and has worked at the facility since 2016.
Report Facts
Residents under hospice: 12
Hot water temperature range: 115.7
Hot water temperature range: 119.6
Fire extinguisher last charged: 202201
Smoke detector and fire sprinkler last inspection dates: Feb 3, 2022
Smoke detector and fire sprinkler last inspection dates: Mar 25, 2022
Medication supply: 30
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Corrine Tanchoco | Administrator | Facility Administrator |
| Jocelyn Vahle | Residents Service Director | Met with Licensing Program Analyst during inspection |
| Carla Fernandes-Goes | Licensing Program Analyst | Conducted the inspection |
| Bethany Moellers | Licensing Program Manager | Named in report header |
Inspection Report
Complaint Investigation
Census: 78
Capacity: 180
Deficiencies: 0
Jul 21, 2021
Visit Reason
Unannounced investigation of a complaint alleging unlawful eviction and personal rights violations received on 04/06/2021.
Findings
The investigation found that the complaint was unfounded; the resident was not evicted, and no violations of personal rights were identified. No citations were issued.
Complaint Details
Complaint was found to be unfounded, meaning the allegation was false, could not have happened, and/or was without a reasonable basis.
Report Facts
Capacity: 180
Census: 78
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Christopher Arnhold | Licensing Program Analyst | Conducted the complaint investigation |
| Corrine Tanchoco | Executive Director | Met with Licensing Program Analyst during investigation |
| Jocelyn Vahle | Resident Service Director | Met with Licensing Program Analyst during investigation |
Inspection Report
Annual Inspection
Census: 80
Capacity: 180
Deficiencies: 0
Jun 23, 2021
Visit Reason
An unannounced Annual Required – 1 year Infection Control inspection was conducted to assess compliance with health and safety regulations.
Findings
The facility was found to be clean, with all exits unobstructed, operational smoke and carbon monoxide detectors, and proper food storage. Hot water temperatures were within acceptable ranges, and PPE supplies and infection control measures were in place. No deficiencies or citations were issued.
Report Facts
Fire Extinguisher Last Charged Date: 2021
Hot Water Temperature Range (degrees F): 118
Medication Supply Duration (days): 30
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Corrine Tanchoco | Executive Director | Welcomed LPAs and accompanied them during the inspection tour. |
| Jocelyn | Residence Service Director | Accompanied LPAs during the inspection tour. |
| Shannan Hansen | Licensing Program Analyst | Conducted the inspection. |
| Kimberley Mota | Licensing Program Manager | Named in the report as Licensing Program Manager. |
Inspection Report
Complaint Investigation
Capacity: 180
Deficiencies: 0
Mar 29, 2021
Visit Reason
The inspection was conducted as a complaint investigation regarding an allegation that staff handled a resident roughly, causing injury.
Findings
The investigation was unannounced and conducted primarily by telephone due to COVID-19. After reviewing documentation, interviews, and observations, the allegation was found to be unsubstantiated as there was insufficient evidence to prove or disprove the claim.
Complaint Details
The complaint allegation was that staff handled a resident roughly, causing injury. The investigation included interviews and review of a police report filed on 11/7/2020. The police report and facility investigation concluded there was no proof that staff inflicted unjustifiable physical pain. The resident had a diagnosis of Mild Cognitive Impairment and had moved out prior to the investigation closure. The allegation was deemed unsubstantiated.
Report Facts
Facility capacity: 180
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Carla Fernandes-Goes | Licensing Program Analyst | Conducted the complaint investigation and telephone visit |
| Bethany Moellers | Licensing Program Manager | Named as Licensing Program Manager on the report |
| Corrine Tanchoco | Executive Director | Facility representative met during the investigation |
Inspection Report
Complaint Investigation
Capacity: 180
Deficiencies: 0
Mar 29, 2021
Visit Reason
The inspection was an unannounced complaint investigation conducted due to allegations that facility staff fed resident foods that did not follow the resident's dietary restrictions and other care-related complaints.
Findings
The complaint investigation found the allegations regarding dietary restrictions to be unfounded and other allegations related to care plan adherence, interaction with residents, hygiene supplies, safeguarding personal belongings, denture care, and temperature taking to be unsubstantiated. No deficiencies were cited during the inspection.
Complaint Details
The complaint investigation was initiated based on allegations received on 10/30/2020. The investigation included interviews and documentation review. The dietary restriction allegation was found to be unfounded, meaning it was false or without reasonable basis. Other allegations were unsubstantiated due to insufficient evidence to prove or disprove them.
Report Facts
Facility capacity: 180
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Carla Fernandes-Goes | Licensing Program Analyst | Conducted the complaint investigation and telephone visits |
| Bethany Moellers | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
| Corrine Tanchoco | Executive Director | Facility representative met during the investigation |
Inspection Report
Census: 70
Capacity: 180
Deficiencies: 0
Sep 9, 2020
Visit Reason
The inspection was an unannounced tele-visit conducted in response to an exemption denial notice dated 09/08/2020.
Findings
The Licensing Program Analyst verified that the individual in question was not present, employed, or residing at the facility and advised the licensee to disassociate the individual from their roster and submit an updated LIC 500. No citations were issued during the visit.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Corrine Tanchoco | Executive Director | Met with during the inspection and provided information about the individual not working at the facility. |
| Carla Fernandes-Goes | Licensing Program Analyst | Conducted the unannounced tele-visit inspection. |
| Carla Martinez | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Loading inspection reports...
