Most inspections found no deficiencies, with the facility generally clean, safe, and well-maintained, and several complaint investigations were unsubstantiated. However, some issues arose around water heating systems, including repeated failures to maintain proper hot water temperatures and a failure to report these problems to the department as required, resulting in citations and civil penalties. The most recent inspection on October 7, 2025, noted a resolved citation related to water pump disrepair and reporting violations but no new deficiencies. Earlier complaints about air conditioning and flooding were found to be unsubstantiated. The facility appears to have addressed the water heating problems over time, though documentation and reporting issues were a recurring concern.
Deficiencies (last 3 years)
Deficiencies (over 3 years)3.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
18% better than California average
California average: 4 deficiencies/year
Deficiencies per year
86420
2022
2024
2025
Census
Latest occupancy rate69% occupied
Based on a October 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
The visit was an annual inspection conducted on 9/27/2025, with a follow-up office meeting on 10/7/2025 to discuss the facility's water heating system issues and Title 22 reporting requirements.
Findings
The facility was found to have water temperatures at approximately 90 degrees Fahrenheit due to circulation pumps failing to operate properly, resulting in a citation and civil penalties. The facility failed to report this issue as required by Title 22 regulations, which is a repeat violation. Repairs were completed on 10/3/2025 and the citation was cleared on 10/7/2025 during the office meeting.
Severity Breakdown
Type B: 1
Deficiencies (1)
Description
Severity
Failure to report to the department that one of two water pumps that pump hot water to the building was in disrepair, posing a potential health and safety risk to all residents in care.
Type B
Report Facts
Capacity: 65Census: 45Plan of Correction Due Date: Oct 13, 2025
Employees Mentioned
Name
Title
Context
Don McDonald
Administrator
Named in relation to the water heating system issue and reporting violation
Eva M Alvarez
Licensing Program Manager
Conducted the office meeting and overview of Title 22 reporting requirements
Alfonso Iniguez
Licensing Program Analyst
Present at the office meeting and involved in the licensing process
Robert Esquer
Maintenance Director
Present at the office meeting discussing the water heating system
The inspection was an unannounced annual required visit conducted using the CARE Inspection Tool to evaluate compliance with licensing requirements for the facility.
Findings
The facility was generally clean, sanitary, and appropriately furnished with no discrepancies found in medication administration records. However, several deficiencies were cited including water temperature below 105F in multiple resident rooms, missing admission agreements, inventory lists, personal rights forms for residents, and missing health screenings, TB tests, and first aid card for some staff. Civil penalties were assessed for repeated violations.
Deficiencies (6)
Description
Water temperature measured below 105F during annual survey on residents’ rooms: 613, 602, 503, 404, 417 and 420.
Two residents missing admission agreements during annual survey.
Three residents missing inventory list during annual survey.
Two residents missing personal rights form on admission agreements during annual survey.
Three facility staff missing Health Screening and TB Test during annual survey.
One facility staff missing first aid card during the annual survey.
Report Facts
Civil Penalty: 250Residents missing admission agreements: 2Residents missing inventory list: 3Residents missing personal rights form: 2Facility staff missing Health Screening and TB Test: 3Facility staff missing first aid card: 1Residents reviewed: 4Staff reviewed: 4Medication Administration Records reviewed: 4Fire/Disaster Drills last conducted: Aug 26, 2025
Employees Mentioned
Name
Title
Context
MaryLou Escobedo
Resident Service Director
Met with Licensing Program Analyst during inspection and received the Facility Evaluation Report.
An unannounced case management visit was conducted in regards to a citation provided during a prior complaint visit on 06/18/2025.
Findings
Water temperature checks were conducted in multiple rooms of building B, the assisted living unit, and in the kitchen servicing buildings A and B. Temperatures ranged from 105.3F to 120F. An exit interview was conducted with the Executive Director.
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2025-06-16 regarding lack of hot water and malfunctioning air conditioning/heating at the facility.
Findings
The investigation substantiated the allegation that the facility did not have hot water due to one of two water boilers being out of repair, posing a potential health and safety risk. The boiler was repaired but initially set at the wrong temperature and later fixed by staff. The allegation regarding malfunctioning air conditioning/heating was unsubstantiated as residents, staff, and the Executive Director denied issues and operable units were observed.
Complaint Details
The complaint investigation was substantiated for the allegation that the facility did not have hot water due to a malfunctioning water boiler. The allegation regarding air conditioner/heating not working properly was unsubstantiated.
Severity Breakdown
Type B: 1
Deficiencies (1)
Description
Severity
Facility failed to ensure that 1 of the 2 water boilers were in good repair, resulting in inadequate hot water supply.
Type B
Report Facts
Facility capacity: 65Resident census: 43Plan of Correction due date: Jun 24, 2025Water temperature readings: 105
Employees Mentioned
Name
Title
Context
Don McDonald
Executive Director
Met with during investigation and confirmed water boiler issue
The inspection was an unannounced complaint investigation visit triggered by allegations that the facility did not have hot water and that the air conditioner/heating was not working properly.
Findings
The investigation substantiated the allegation that the facility did not have hot water due to one of two water boilers being out of repair, posing an immediate health and safety risk. The allegation regarding the air conditioner/heating not working properly was unsubstantiated as residents, staff, and the Executive Director denied issues and operable AC units were observed.
Complaint Details
The complaint investigation was substantiated for the allegation that the facility did not have hot water due to a malfunctioning water boiler. The allegation that the air conditioner/heating was not working properly was unsubstantiated.
Severity Breakdown
Type B: 1
Deficiencies (1)
Description
Severity
Failure to ensure that one of the two water boilers was in good repair, resulting in inadequate hot water supply.
Type B
Report Facts
Capacity: 65Census: 43Water temperature readings: Multiple water temperature readings ranged from 96.0 F to 109.2 F in various resident roomsPlan of Correction Due Date: Jun 23, 2025
Employees Mentioned
Name
Title
Context
Don McDonald
Executive Director
Met with during investigation and confirmed water boiler issues
The visit was a Case Management inspection with deficiencies identified, followed by a complaint investigation triggered by a complaint regarding failure to report a water heater in disrepair.
Findings
The facility failed to report to the department that one of the two water heaters was in disrepair, which poses a potential health and safety risk to all residents in care. A deficiency was cited under California Code of Regulations, Title 22, Division 6, Chapter 8.
Complaint Details
The complaint (11-AS-20250616142252) was substantiated by interviews with the Executive Director, confirming the department was not informed about the water heater disrepair.
Severity Breakdown
Type B: 1
Deficiencies (1)
Description
Severity
Licensee did not report to the department that one of the facility’s water heaters was in disrepair.
Type B
Report Facts
Capacity: 65Census: 43Fine amount: 100Plan of Correction Due Date: 7
Employees Mentioned
Name
Title
Context
Don McDonald
Executive Director
Met with Licensing Program Analysts during inspection and named in deficiency interview
Alfonso Iniguez
Licensing Program Analyst
Conducted the inspection and signed the report
Lizeth Villegas
Licensing Program Analyst
Conducted the inspection
Eva M Alvarez
Licensing Program Manager
Named as Licensing Program Manager overseeing the inspection
An unannounced Case Management visit was conducted to inspect the facility.
Findings
The report describes the facility layout and licensing details, including the number of resident rooms and floors designated for assisted living and post-acute care. No specific deficiencies or violations are noted in the report.
The inspection was an unannounced complaint investigation visit triggered by an allegation that the facility air conditioner was in disrepair and had been non-operational for over five weeks during a heatwave.
Findings
The investigation found that the complaint was unfounded. The Assisted Living licensed areas had operable air conditioning units maintained at comfortable temperatures, and residents verified no issues with their air conditioning systems. The air conditioning issues were limited to the Independent Living building, which is not licensed by Community Care Licensing.
Complaint Details
The complaint alleged the facility air conditioner was in disrepair and non-functional for over five weeks during a heatwave. The complaint was found to be unfounded and dismissed.
Report Facts
Resident rooms in Assisted Living: 57Residents interviewed: 9Floors inspected: 3
Employees Mentioned
Name
Title
Context
Marylou Escobedo
Resident Service Director
Interviewed during the investigation and participated in exit interview
An unannounced Required – 1 Year Inspection was conducted at Bay Towers at Bixby Knolls facility to evaluate compliance with licensing regulations.
Findings
The inspection found the facility to be in good condition with no deficiencies cited. Resident bedrooms, common areas, kitchen, safety measures, and staff/resident records were all in compliance with regulations.
Report Facts
Licensed capacity: 65Census: 36Hospice waiver capacity: 10Staff records reviewed: 5Resident records reviewed: 5Liability insurance expiration date: Oct 1, 2024
Employees Mentioned
Name
Title
Context
Don McDonald
Executive Director
Met during inspection and named in report
MaryLou Escobedo
Resident Services Director
Accompanied Licensing Program Analyst during facility tour
The inspection visit was conducted as an unannounced complaint investigation regarding an allegation that the facility failed to properly address flooding in the facility.
Findings
The investigation found that the flooding occurred at a different facility not licensed through Community Care Licensing, and the affected rooms were empty and being repaired. Residents were relocated, and the complaint was determined to be unfounded with no deficiencies cited.
Complaint Details
The complaint alleged that the facility experienced flooding on the 2nd floor throughout 5 units and did not take proper precautions to ensure resident safety. The complaint was found to be unfounded after investigation.
Report Facts
Capacity: 65Census: 65
Employees Mentioned
Name
Title
Context
Don McDonald
Director
Met with Licensing Program Analyst during investigation and participated in exit interview
An unannounced Required – 1 Year Inspection was conducted at Bay Towers at Bixby Knolls facility to evaluate compliance with regulations.
Findings
The inspection found no deficiencies. The facility was observed to be clean, safe, and well-maintained with proper medication storage, adequate food supplies, and compliance with safety regulations. Staff and resident records were complete and in order.
Report Facts
Staff records reviewed: 5Resident records reviewed: 5Hot water temperature range: 105Hot water temperature range: 120
Employees Mentioned
Name
Title
Context
Mary Lou Escobedo
Residents Services Director
Met with Licensing Program Analyst during inspection
Socorro Leandro
Licensing Program Analyst
Conducted the inspection
Ulysses Coronel
Licensing Program Manager
Named in report header and signature
Don McDonald
Administrator/Director
Facility Administrator named in report
Inspection Report Original LicensingCensus: 48Capacity: 65Deficiencies: 0Dec 7, 2022
Visit Reason
The visit was conducted as a pre-licensing evaluation for The Laurel at Long Beach facility to assess compliance and suitability for a requested capacity of 65 ambulatory and non-ambulatory adult residents aged 65 and older.
Findings
The facility was found to have adequate accommodations including resident bedrooms, bathrooms, emergency systems, food service, and safety equipment. No deficiencies or obstructions to safe egress were observed. Fire clearance was approved for the requested capacity. The facility was reviewed for substantial compliance with operational components.
Facility Administrator met during the pre-licensing evaluation and exit interview
Jose Calderon
Licensing Program Analyst
Conducted the pre-licensing evaluation visit and authored the report
Eva M Alvarez
Licensing Program Manager
Named as Licensing Program Manager overseeing the evaluation
Inspection Report Original LicensingCensus: 48Capacity: 65Deficiencies: 0Oct 6, 2022
Visit Reason
The visit was an office evaluation related to a Change of Ownership (CHOW) application for the facility, including a telephone call with the applicant and administrator to confirm understanding of licensing requirements and program policies.
Findings
The applicant and administrator successfully completed Component II of the licensing process, confirming understanding of facility operation, staff qualifications, program policies, and other regulatory requirements. The COVID-19 Mitigation Plan was discussed and a PIN was emailed.
Employees Mentioned
Name
Title
Context
Adam Bandel
Applicant/administrator
Participated in COMP II telephone call confirming understanding of licensing requirements
Don McDonald
Administrator
Participated in COMP II telephone call confirming understanding of licensing requirements
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