Inspection Report Summary
Most inspections found no deficiencies, including the most recent annual inspection on September 26, 2025, which showed full compliance with all licensing requirements and no deficiencies. Several complaint investigations between 2022 and 2024 were unsubstantiated, with no evidence supporting allegations related to resident care, supervision, services, or notification practices. Earlier inspections also found the facility in compliance with regulations, with no issues in physical plant, medication management, or safety systems. There were no fines, enforcement actions, or severe deficiencies noted in any report. The facility’s record shows consistent adherence to standards with no clear pattern of problems over time.
Deficiencies per Year
4
3
2
1
0
Census Over Time
Census
Capacity
Inspection Report
Annual Inspection
Census: 118
Capacity: 136
Deficiencies: 0
Sep 26, 2025
Visit Reason
An Annual Required visit and inspection of the facility was conducted by Licensing Program Analyst Michael Cava to evaluate compliance with licensing requirements.
Findings
The facility was found to be in compliance with all applicable licensing requirements with no deficiencies observed. The physical plant, resident rooms, bathrooms, kitchen, common areas, medications, and safety equipment were all inspected and found to be properly maintained and functional.
Report Facts
Approved hospice waivers: 10
Fire extinguisher charge date: Sep 17, 2025
Hot water temperature range: 105-107
Resident rooms: 112
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Michael Cava | Licensing Program Analyst | Conducted the annual inspection and met with the administrator |
| Irma Arteaga | Administrator | Facility administrator who assisted during the inspection |
| Naira Margaryan | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Annual Inspection
Census: 108
Capacity: 136
Deficiencies: 0
Aug 21, 2024
Visit Reason
An unannounced annual inspection was conducted to evaluate compliance with Title 22 regulations and assess the overall condition and safety of the facility.
Findings
The facility was found to be in compliance with Title 22 regulations with no immediate health and safety risks observed. All areas including resident rooms, medication storage, kitchen, and emergency systems were inspected and found to be in good condition and functioning properly.
Report Facts
Fire clearance capacity: 136
Non-ambulatory resident capacity: 25
Hospice waivers: 10
Room temperature: 74
Fire extinguisher inspection date: Jul 30, 2024
Walk-in refrigerator temperature: 38
Walk-in freezer temperature: -2
Call system response time: 7
Hot water temperature in bathroom: 110.4
Hot water temperature in bathroom: 113.8
Fire safety inspection date: Sep 9, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Nicholas Reed | Licensing Program Analyst | Conducted the inspection and medication review |
| Irma Arteaga | Administrator | Met with Licensing Program Analyst during inspection |
Inspection Report
Complaint Investigation
Census: 117
Capacity: 136
Deficiencies: 0
May 29, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by multiple allegations received on 2022-01-07 regarding resident care, supervision, privacy, personal belongings, and notification of additional charges.
Findings
All allegations investigated, including failure to seek timely medical attention, inappropriate care and supervision, extended wheelchair use, denial of planned activities, lack of privacy, mishandling of personal belongings, and untimely notification of additional charges, were found to be unsubstantiated based on interviews, record reviews, observations, and resident feedback.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included staff not seeking timely medical attention, not providing appropriate care and supervision, leaving a resident in a wheelchair for extended periods, denying planned activities, not affording privacy, mishandling personal belongings, and failure to notify a resident of additional charges timely. All were found unsubstantiated after interviews with staff, residents, and review of records.
Report Facts
Capacity: 136
Census: 117
Additional charges: 4000
Residents interviewed: 8
Staff interviewed: 3
Residents engaged in activity: 21
Resident sample size: 12
Staff training hours: 40
Response time expectation: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Angela Panushkina | Licensing Program Analyst | Conducted the complaint investigation and interviews |
| Nichelle Gillyard | Licensing Program Manager | Oversaw the complaint investigation |
| Jordan Faeth | Maintenance Director | Met with Licensing Program Analyst during visit |
| Shakeb Rafat | Administrator | Interviewed regarding allegations and facility policies |
Inspection Report
Complaint Investigation
Census: 108
Capacity: 136
Deficiencies: 0
Jun 14, 2023
Visit Reason
An unannounced complaint investigation was conducted to investigate the allegation that the facility is not providing all agreed upon services to residents.
Findings
Interviews with the Executive Director, staff members, and residents, along with record reviews, revealed that the facility follows the Admission Agreement and provides all requested and paid services. The allegation was deemed unsubstantiated.
Complaint Details
The complaint alleged that the facility was not providing all agreed upon services to residents. The investigation included interviews with the Executive Director, Community Care Manager, staff, and residents, as well as review of monthly completed task records for April, May, and June 2023. The allegation was found to be unsubstantiated.
Report Facts
Capacity: 136
Census: 108
Residents interviewed: 9
Staff interviewed: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Irma Arteaga | Executive Director | Met with Licensing Program Analysts during the investigation |
| Mariana Agban | Licensing Program Analyst | Conducted the complaint investigation |
| Eva Miller | Licensing Program Manager | Oversaw the complaint investigation |
Inspection Report
Annual Inspection
Census: 104
Capacity: 136
Deficiencies: 0
Aug 30, 2022
Visit Reason
Licensing Program Analysts conducted an Annual Required visit and inspection of the facility to evaluate compliance with licensing regulations.
Findings
The facility was found to be in compliance with all applicable regulations with no deficiencies observed. The physical plant, resident rooms, common areas, kitchen, medications, and records were all inspected and found satisfactory.
Report Facts
Facility Capacity: 136
Census: 104
Fire Drill Date: Aug 23, 2022
Hot Water Temperature Range: 108.8-118.5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Terry Avakyan | Community Business Director | Met with Licensing Program Analysts during inspection |
| Lucia Garcia | Community Care Director | Met with Licensing Program Analysts during inspection |
| Gary Tan | Licensing Program Analyst | Conducted the annual inspection |
| Michael Cava | Licensing Program Analyst | Conducted the annual inspection |
| Eva Miller | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 110
Capacity: 136
Deficiencies: 0
Apr 21, 2022
Visit Reason
The inspection was an unannounced complaint investigation visit conducted to investigate allegations that the facility did not assess residents prior to admission and did not provide a 60-day notice prior to rent increase.
Findings
The investigation found insufficient evidence to corroborate the allegations. Assessments were documented for residents prior to admission, and the facility provided notice of the rent increase through admission agreements and letters to responsible parties. Therefore, both allegations were determined to be unfounded.
Complaint Details
The complaint investigation was triggered by allegations that the facility did not assess residents prior to admission and did not provide a 60-day notice prior to rent increase. Both allegations were found to be unfounded based on documentation and interviews.
Report Facts
Capacity: 136
Census: 110
Rent increase amounts: 8064
Rent increase amounts: 8564
Previous rent amounts: 7200
Date of Functional Needs Assessment: Aug 9, 2021
Date of rent increase notice letter: Oct 28, 2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Michael Cava | Licensing Program Analyst | Conducted the complaint investigation visit |
| Angela Bademyan | Staff member met during investigation and provided information regarding resident assessments and rent increase notices | |
| Shakeb Rafat | Administrator | Facility administrator named in the report |
| Eva Miller | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Original Licensing
Census: 109
Capacity: 136
Deficiencies: 0
Aug 10, 2021
Visit Reason
The inspection was a pre-licensing visit conducted to evaluate the facility's compliance with regulations prior to licensing.
Findings
The facility was found to be in compliance with Title 22 regulations, with adequate food and water supplies, proper medication storage, safety features such as alert pull cords and emergency generator, and COVID-19 precautions in place including vaccination and mask requirements.
Report Facts
Hospice waiver capacity: 10
Facility stories: 4
Bathrooms: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Shakeb Rafat | Executive Director/Administrator | Met with Licensing Program Analyst during pre-licensing visit |
| Tuesday Cabiness | Licensing Program Analyst | Conducted the pre-licensing visit and authored the report |
| Cassandra Harris | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Original Licensing
Census: 30
Capacity: 136
Deficiencies: 0
Apr 16, 2021
Visit Reason
The visit was conducted as a Component II pre-licensing inspection to verify the administrator's understanding of facility operation, staff qualifications, program policies, and application document requirements.
Findings
The administrator successfully completed Component II via telephone, demonstrating understanding of licensing requirements including facility operation, staff qualifications, program policies, and compliance history. The administrator was advised to submit required documentation to the Community Care Licensing Bureau.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Shakeb Rafat | Administrator | Participated in Component II telephone call confirming understanding of licensing requirements. |
| Julia Kim | Licensing Program Manager | Named as Licensing Program Manager on the report. |
| Nicole Rouse | Licensing Program Analyst | Named as Licensing Program Analyst on the report. |
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