Inspection Report Summary
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 are regulatory violations found during state inspections.
Deficiencies per year
Census
Based on a October 2025 inspection.
Occupancy over time
Inspection Report
Annual Inspection| 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 |
Inspection Report
Annual Inspection| Name | Title | Context |
|---|---|---|
| MaryLou Escobedo | Resident Service Director | Met with Licensing Program Analyst during inspection and received the Facility Evaluation Report. |
| Don McDonald | Administrator | Facility Administrator named in report. |
Inspection Report
| Name | Title | Context |
|---|---|---|
| Don McDonald | Executive Director | Met with Licensing Program Analyst during visit |
| Lizeth Villegas | Licensing Program Analyst | Conducted the unannounced case management visit |
| Janae Hammond | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Don McDonald | Executive Director | Met with during investigation and confirmed water boiler issue |
| Lizeth Villegas | Licensing Program Analyst | Conducted the complaint investigation |
| Janae Hammond | Licensing Program Manager | Oversaw the complaint investigation report |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Don McDonald | Executive Director | Met with during investigation and confirmed water boiler issues |
| Lizeth Villegas | Licensing Program Analyst | Conducted the complaint investigation |
| Janae Hammond | Licensing Program Manager | Oversaw licensing program and signed report |
Inspection Report
Complaint Investigation| 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 |
Inspection Report
| Name | Title | Context |
|---|---|---|
| Marylou Escobedo | Resident Service Director | Met with Licensing Program Analyst during the inspection |
| Donald McDonald | Administrator/Director | Met with Licensing Program Analyst during the inspection |
| Ernand Dabuet | Licensing Program Analyst | Conducted the unannounced Case Management visit |
| Janae Hammond | Licensing Program Manager | Named in the report header |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Marylou Escobedo | Resident Service Director | Interviewed during the investigation and participated in exit interview |
| Don McDonald | Administrator | Interviewed during the investigation |
| Ernand Dabuet | Licensing Program Analyst | Conducted the complaint investigation visit |
| Janae Hammond | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Annual Inspection| 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 |
| Deborah Lee | Licensing Program Analyst | Conducted the inspection |
| Eva M Alvarez | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Don McDonald | Director | Met with Licensing Program Analyst during investigation and participated in exit interview |
| Perry Scott | Licensing Program Analyst | Conducted complaint investigation and interviews |
| Janae Hammond | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Annual Inspection| 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 Licensing| Name | Title | Context |
|---|---|---|
| Don McDonald | Administrator | 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 Licensing| 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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