Inspection Report Summary
Most inspections found no deficiencies, and several complaint investigations were unsubstantiated, indicating that many concerns raised were not supported by evidence. However, some reports from 2023 and 2025 cited isolated deficiencies related primarily to medication management and staff competency, including incidents where residents received incorrect medications and one case of rough handling causing injury. The facility took corrective actions such as staff retraining and increased oversight following these findings. The most recent report from September 19, 2025, was a complaint investigation that found no deficiencies and determined the complaint unfounded. This suggests improvement in compliance and resident care since earlier substantiated issues.
Deficiencies (last 5 years)
Deficiencies (over 5 years)
1 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
75% better than California average
California average: 4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
92% occupied
Based on a September 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Complaint Investigation
Census: 115
Capacity: 125
Deficiencies: 0
Sep 19, 2025
Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation that the licensee did not ensure a resident received timely medical care.
Findings
The investigation found that the alleged resident was not actually a resident of the facility, and therefore the allegation was deemed unfounded.
Complaint Details
The complaint was investigated and found to be unfounded because Resident 1 was not a resident of the facility, meaning the allegation was false and without reasonable basis.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Thomas Daynes | Executive Director | Met with during the investigation and identified as facility administrator. |
| Pamela Talamantes | Resident Services Director | Interviewed during the investigation and participated in exit interview. |
| Rebecca A Borunda | Licensing Program Analyst | Conducted the complaint investigation. |
| Janet Ngallo | Licensing Program Analyst | Assisted in conducting the complaint investigation. |
Inspection Report
Complaint Investigation
Capacity: 125
Deficiencies: 0
Jul 17, 2025
Visit Reason
The inspection was an unannounced complaint investigation triggered by allegations received on 2022-04-27 regarding resident injuries, restrictions on residents going to their rooms during the day, and staff response to call lights.
Findings
The investigation found the allegations unsubstantiated based on interviews, records review, and outside source information. Evidence did not support claims of resident injuries due to staff neglect, restrictions on residents' room access, or untimely staff response to call lights.
Complaint Details
The complaint alleged that a resident sustained injuries while in care, residents were not allowed to go to their rooms during the day, and staff did not respond to call lights in a timely manner. The investigation concluded these allegations were unsubstantiated.
Report Facts
Facility capacity: 125
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Amy Rodgers | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Pamela Talamantes | Resident Service Director | Met with Licensing Program Analyst during investigation and exit interview |
| Simon Jacob | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Census: 101
Capacity: 125
Deficiencies: 0
May 28, 2025
Visit Reason
The visit was conducted to sign an amended report as part of case management. No other business was conducted during this unannounced visit.
Findings
No violations were observed during the visit. The only activity was signing the amended report, and an exit interview was conducted with a copy of the report and Licensee's Rights left at the facility.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Becky Kennedy | Licensing Program Analyst | Conducted the visit and explained the reason for the visit. |
| Ariana Ventura | Care Coordinator | Met with the Licensing Program Analyst during the visit. |
Inspection Report
Complaint Investigation
Census: 109
Capacity: 125
Deficiencies: 0
May 7, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2025-04-30 regarding staff handling a resident in a rough manner and not treating the resident with dignity.
Findings
The investigation, including interviews and record reviews, did not find sufficient evidence to substantiate the allegations that staff handled the resident roughly or treated the resident without dignity. The allegations were determined to be unsubstantiated.
Complaint Details
The complaint alleged that Staff #1 shoved Resident #1 with a transfer board and used inappropriate language. The investigation included interviews with staff, residents, and review of records. It was found that Resident #1 required two-person total assist for transfers and that Staff #1 did not handle the resident roughly nor speak inappropriately. The complaint was unsubstantiated.
Report Facts
Capacity: 125
Census: 109
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Hannah Rodgers | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Pamela Talamantes | Resident Services Director | Met with during the investigation and exit interview |
| Thomas Daynes | Administrator | Facility administrator named in the report |
Inspection Report
Census: 109
Capacity: 125
Deficiencies: 0
May 5, 2025
Visit Reason
The visit was conducted to sign an amended report as explained by the Licensing Program Analyst to the Executive Director.
Findings
No violations were observed during the visit. The only business conducted was signing the amended report.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Becky Kennedy | Licensing Program Analyst | Conducted the visit and explained the reason for the visit. |
| Ozz Daynes | Executive Director | Met with the Licensing Program Analyst during the visit. |
Inspection Report
Complaint Investigation
Census: 109
Capacity: 125
Deficiencies: 0
May 5, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2021-07-22 regarding staff treatment of residents and safeguarding of confidential information.
Findings
The investigation found both allegations unsubstantiated. Staff were found to have acted within their responsibilities regarding a resident receiving hospice care, and no evidence was found that confidential information was compromised due to an unlocked medication room door.
Complaint Details
The complaint included allegations that staff did not treat a resident with dignity and did not safeguard resident confidential information. Both allegations were found unsubstantiated after investigation.
Report Facts
Capacity: 125
Census: 109
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Becky Kennedy | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Ozz Daynes | Executive Director | Facility representative met during the investigation and exit interview |
Inspection Report
Complaint Investigation
Capacity: 125
Deficiencies: 0
Apr 28, 2025
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations of insufficient staff to meet residents' care needs and that the facility was not kept clean.
Findings
The investigation found no evidence to substantiate the allegations. Staffing strategies were in place to ensure care needs were met despite concerns, and the facility made appropriate efforts to address cleanliness issues including carpet cleaning and replacement of stained areas.
Complaint Details
The complaint was unsubstantiated. Allegations included insufficient staff leading to neglect of Resident 1 and facility cleanliness issues. Investigation revealed no time when only one direct care staff was responsible for the entire facility, and no evidence of unmet resident care needs. Cleanliness concerns were addressed by professional carpet cleaning and replacement of stained carpet and ceiling tile.
Report Facts
Facility capacity: 125
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Becky Kennedy | Licensing Program Analyst | Conducted the complaint investigation visit and authored the report |
| Pamela Talmantes | Resident Services Director | Met with the investigator during the visit and participated in the exit interview |
| Icela Estrada | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Census: 108
Capacity: 125
Deficiencies: 0
Apr 23, 2025
Visit Reason
An unannounced case management visit was conducted to deliver an amended report and obtain the Executive Director's signature on the amended report dated April 15, 2025.
Findings
The visit involved the Licensing Program Analyst meeting with the Executive Director, obtaining a signature on the amended report, and conducting an exit interview confirming receipt of the report and licensee appeal rights. No deficiencies or violations were detailed in this report.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ozz Daynes | Executive Director | Met during the visit and provided signature on the amended report. |
| Hannah Rodgers | Licensing Program Analyst | Conducted the unannounced case management visit. |
| Lizzette Tellez | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Complaint Investigation
Census: 108
Capacity: 125
Deficiencies: 1
Apr 15, 2025
Visit Reason
An unannounced complaint investigation was conducted due to an allegation received on 12/06/2024 that staff handled a resident in a rough manner resulting in injury.
Findings
The investigation found that a new staff member in training improperly transferred Resident #1 by grabbing the tops of their hands instead of under the palms, causing bruising. The allegation was substantiated based on interviews and record reviews, and one deficiency was cited.
Complaint Details
The complaint was substantiated. The allegation involved staff handling a resident roughly during transfer, causing bruising. Evidence included resident and staff interviews and medical record review.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to provide care and services delivered by competent staff, resulting in rough handling of one resident causing injury. | Type B |
Report Facts
Residents present during inspection: 108
Total licensed capacity: 125
Deficiencies cited: 1
Plan of Correction due date: Apr 29, 2025
Residents affected: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Hannah Rodgers | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Pamela Talamantes | Resident Services Director | Met with during investigation and exit interview |
| Chad Coleman | Administrator | Facility administrator named in the report |
Inspection Report
Complaint Investigation
Census: 108
Capacity: 125
Deficiencies: 1
Apr 15, 2025
Visit Reason
An unannounced complaint investigation was conducted following an allegation received on 2025-04-02 that staff mismanaged a resident's medication.
Findings
The investigation substantiated that Resident #1 was mistakenly administered another resident's medication during a routine medication pass on 2025-04-01, resulting in a slight decrease in blood pressure but no lasting adverse effects. One deficiency was cited related to failure to assist residents with self-administered medications as required by regulation.
Complaint Details
The complaint was substantiated based on interviews and records review. The allegation involved staff mismanaging a resident's medication resulting in administration of another resident's medication to Resident #1.
Deficiencies (1)
| Description |
|---|
| Licensee did not comply with CCR 877645(a)(4) requiring assistance to residents with self-administered medications, evidenced by one resident receiving incorrect medication posing potential health and safety risk. |
Report Facts
Residents receiving incorrect medication: 1
Census: 108
Total Capacity: 125
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Hannah Rodgers | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Pamela Talamantes | Resident Services Director | Met with Licensing Program Analyst during the investigation and exit interview |
Inspection Report
Annual Inspection
Census: 109
Capacity: 125
Deficiencies: 0
Apr 9, 2025
Visit Reason
An unannounced required annual inspection was conducted to evaluate compliance with licensing requirements for the facility.
Findings
The inspection found the facility to be in compliance with all licensing requirements. No deficiencies were cited. The facility was well maintained with proper furnishings, safety equipment, and adequate supplies.
Report Facts
Hospice waiver: 27
Bedridden residents allowed: 15
Perishable food supply: 2
Non-perishable food supply: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Hannah Rodgers | Licensing Program Analyst | Conducted the inspection |
| Ozz Daynes | Executive Director | Met with Licensing Program Analyst during inspection |
| Pamela Talamantes | Resident Services Director | Met with Licensing Program Analyst during inspection |
Inspection Report
Census: 116
Capacity: 125
Deficiencies: 0
Mar 26, 2025
Visit Reason
The purpose of the visit was to sign an amended prior report that was found to contain some erroneous information.
Findings
The only business conducted during the visit was the signing of the amended report.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Pamela Talmantes | Resident Services Director | Met with during the visit and exit interview. |
| Becky Kennedy | Licensing Program Analyst | Conducted the unannounced visit and signed the report. |
| Thomas Daynes | Administrator/Director | Named as facility administrator/director. |
Inspection Report
Complaint Investigation
Census: 115
Capacity: 125
Deficiencies: 1
Mar 24, 2025
Visit Reason
An unannounced complaint investigation was conducted due to an allegation that staff administered medications to a resident not prescribed by a physician.
Findings
The investigation substantiated the allegation that a recently hired and in-training staff member gave medication prescribed for one resident to another resident. The facility immediately notified the resident's family and physician, and the resident was sent to the hospital for observation with no adverse consequences.
Complaint Details
The complaint was substantiated based on evidence including record review and interviews. The incident involved medication administration error by staff member 1 (S1) on 7-30-2021. The facility took immediate action by notifying the resident's family and physician and sending the resident to the hospital for observation.
Deficiencies (1)
| Description |
|---|
| The facility did not operate in accordance with the Plan of Operation by medication staff giving a resident's medication to another resident, posing potential health risks. |
Report Facts
Capacity: 125
Census: 115
Deficiency Type: 1
Plan of Correction Due Date: Mar 26, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Becky Kennedy | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Pam Talamantes | Resident Services Director | Met with Licensing Program Analyst during investigation and exit interview |
| Icela Estrada | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 114
Capacity: 125
Deficiencies: 0
Mar 12, 2025
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations that the licensee did not dispense medications as prescribed and that facility staff falsified medication records.
Findings
The investigation found no discrepancies in medication documentation or administration for Resident 1, and the allegations were unsubstantiated as the preponderance of evidence standard was not met to prove a violation occurred.
Complaint Details
The complaint involved allegations that medications were not administered as prescribed and that medication records were falsified. The investigation included review of records, interviews, and observations, concluding the allegations were unsubstantiated.
Report Facts
Capacity: 125
Census: 114
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Becky Kennedy | Licensing Program Analyst | Conducted the complaint investigation visit and authored the report |
| Pamela Talmantes | Resident Services Director | Met with the Licensing Program Analyst during the investigation and exit interview |
Inspection Report
Complaint Investigation
Census: 117
Capacity: 125
Deficiencies: 0
Nov 6, 2024
Visit Reason
The visit was conducted in response to an LIC624 Incident Report submitted by the licensee regarding a resident fall and fracture incident on 09/26/2024.
Findings
During the unannounced case management incident visit, no health or safety concerns were observed and no deficiencies were cited.
Complaint Details
The complaint involved Resident #1 who fell and suffered a fracture on 09/26/2024, was sent to the Emergency Room on 09/27/2024, and then transferred back to the facility. The complaint was investigated and no deficiencies were found.
Report Facts
Capacity: 125
Census: 117
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Thomas Ozz Daynes | Executive Director | Met with during the inspection |
| Ariana Ventura | Care Coordinator | Met with during the inspection and involved in the incident discussion |
| Liliana Silveira | Licensing Program Analyst | Conducted the inspection visit |
Inspection Report
Annual Inspection
Census: 118
Capacity: 125
Deficiencies: 0
Jun 18, 2024
Visit Reason
An unannounced required annual inspection was conducted to evaluate the facility's compliance with licensing regulations.
Findings
The facility was found to be clean, sanitary, and in good repair with no deficiencies cited. All safety equipment and required postings were in place and functional.
Report Facts
Capacity: 125
Census: 118
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Pamela Talamantes | Resident Services Director | Met with during inspection and exit interview |
| Ryan Fulton | Licensing Program Analyst | Conducted the inspection |
| Jennifer Lott | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 119
Capacity: 125
Deficiencies: 0
Mar 28, 2024
Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that facility staff forced a resident to take a shower.
Findings
The investigation found that the resident refused to shower multiple times and staff used encouragement and protocol attempts without force. The allegation that staff forced the resident to shower was unsubstantiated.
Complaint Details
The complaint alleged that facility staff forced a resident to take a shower. The investigation included interviews with the resident, facility staff, and an outside agency, as well as records review. The allegation was found to be unsubstantiated as there was no evidence staff forced the resident to shower.
Report Facts
Capacity: 125
Census: 119
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ramon Serrano | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Pamela Talamantes | Resident Services Director | Interviewed during the investigation and participated in exit interview |
| Simon Jacob | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 113
Capacity: 125
Deficiencies: 0
Feb 8, 2024
Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that facility staff yell at residents in care.
Findings
The investigation found no supporting evidence or witness statements to substantiate the allegation. Interviews with residents and staff indicated that staff speak loudly due to residents' hearing impairments but do not yell. The complaint was determined to be unsubstantiated.
Complaint Details
The complaint alleged that facility staff yell at residents in care. The investigation was unsubstantiated based on interviews and lack of evidence.
Report Facts
Complaint Control Number: 8
Capacity: 125
Census: 113
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Tiffany Holmes | Licensing Program Analyst | Conducted the complaint investigation |
| Pam Talamantes | Head Nurse | Met with the investigator and participated in interviews |
Inspection Report
Complaint Investigation
Census: 114
Capacity: 125
Deficiencies: 0
Jan 29, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to an allegation that facility staff were stealing residents' clothes.
Findings
The investigation included facility visits, record reviews, and resident interviews. The allegation that staff were stealing residents' clothes was found to be unsubstantiated based on the preponderance of evidence.
Complaint Details
The complaint alleged that staff were stealing residents' clothes. Interviews with residents revealed some missing clothing and personal items, but explanations included lost laundry and unsecured doors. Records showed the resident waived rights to list personal items. The allegation was unsubstantiated.
Report Facts
Census: 114
Total Capacity: 125
Complaint Control Number: 08-AS-2023121111802
Missing money amount: 90
Gift card value: 50
Number of missing T-shirts: 10
Resident 4 length of stay: 7.5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Mark Mandel | Licensing Program Analyst | Conducted the complaint investigation visit |
| Simon Jacob | Licensing Program Manager | Assisted in the initial visit and investigation |
| Pamela Talamantes | Resident Services Director | Met with during the investigation and received the report |
Inspection Report
Annual Inspection
Census: 113
Capacity: 125
Deficiencies: 0
Oct 18, 2023
Visit Reason
An unannounced required One-Year Inspection was conducted to ensure substantial compliance with Title 22 regulations.
Findings
The facility was found to be in substantial compliance with regulations. All areas were clean and unobstructed, safety systems were operational, resident rooms and bathrooms were sanitary and properly equipped, food and medication storage were compliant, and staff records met required certifications. Residents were treated with dignity and staffing was sufficient.
Report Facts
Hospice Waiver residents: 27
Food supply duration: 2
Food supply duration: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Thomas Daynes | Executive Director | Accompanied LPAs during inspection and participated in exit interview |
| Amy Rodgers | Licensing Program Analyst | Conducted the inspection |
| Juliana Barfield | Licensing Program Analyst | Conducted the inspection and signed the report |
| Chad Coleman | Administrator | Facility Administrator listed in report |
Inspection Report
Complaint Investigation
Census: 107
Capacity: 125
Deficiencies: 0
Aug 29, 2023
Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation that staff inappropriately sexually touched a resident.
Findings
The investigation included interviews with staff, residents, and outside sources, as well as record reviews. The allegation was determined to be unsubstantiated as there was insufficient evidence to support the claim.
Complaint Details
The complaint alleged that staff inappropriately sexually touched Resident 1. The resident did not recall any such incident, and multiple staff and outside sources confirmed no observations or concerns of inappropriate behavior. The resident has severe dementia and memory deficits. The allegation was unsubstantiated.
Report Facts
Capacity: 125
Census: 107
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Amy Domingo | Licensing Program Analyst | Conducted the complaint investigation visit and delivered findings |
| Pamala Talamantes | Resident Service Director | Met with Licensing Program Analyst during the investigation and exit interview |
| Simon Jacob | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 107
Capacity: 125
Deficiencies: 0
Aug 29, 2023
Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation that facility staff threatened a resident.
Findings
The investigation included interviews and record reviews and found no evidence to substantiate the allegation. The resident did not recall any threatening behavior, and staff and outside sources confirmed no concerns regarding threatening behavior or care.
Complaint Details
The allegation that facility staff threatened Resident 1 was investigated and determined to be unsubstantiated based on evidence including interviews and records reviewed.
Report Facts
Complaint Control Number: 08-AS-20230113154243
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Amy Domingo | Licensing Program Analyst | Conducted the complaint investigation visit and delivered findings. |
| Pamela Talamantes | Resident Service Director | Met with Licensing Program Analyst during the investigation and exit interview. |
| Ariana Ventura | Care Coordinator | Met with Licensing Program Analyst during the investigation and exit interview. |
| Simon Jacob | Licensing Program Manager | Named in report as Licensing Program Manager. |
Inspection Report
Complaint Investigation
Census: 111
Capacity: 125
Deficiencies: 1
Jul 21, 2023
Visit Reason
The visit was conducted in response to an LIC624 Incident Report regarding a medication error where a resident was given two medications not prescribed to them.
Findings
The licensee did not assist one resident with self-administered medications as prescribed, posing a potential health risk. The resident did not experience adverse symptoms following the incident. The licensee counseled and retrained staff involved and increased observation of the resident.
Complaint Details
The visit was complaint-related, triggered by a medication error incident report. The deficiency was substantiated with one deficiency cited and one technical violation issued regarding reporting requirements.
Deficiencies (1)
| Description |
|---|
| Licensee did not assist 1 of 111 residents with self-administered medications as needed/prescribed, posing a potential health risk. |
Report Facts
Deficiencies cited: 1
Technical Violations issued: 1
Resident count during visit: 111
Facility capacity: 125
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Thomas Daynes | Executive Director | Met during visit and participated in exit interview |
| Dang Nguyen | Licensing Program Analyst | Conducted the inspection and authored the report |
| Lizzette Tellez | Licensing Program Manager | Supervisor of the Licensing Program Analyst |
Inspection Report
Complaint Investigation
Census: 110
Capacity: 125
Deficiencies: 1
Oct 11, 2022
Visit Reason
An unannounced case management visit was conducted to follow up on two self-reported incident reports involving medication errors received by the Regional Office on 7/07/22 and 7/20/22.
Findings
The facility self-reported two medication errors: one where a resident was given another resident's medication with no adverse effects, and another where medication was not administered to 26 residents. Staff responsible were suspended and terminated. The licensee provided on-site pharmacy training to medication technicians. A deficiency was cited related to medication administration not being given according to physician's orders in 27 of 96 persons in care.
Complaint Details
The visit was complaint-related, following up on two medication error incidents self-reported by the facility. The Department verified cross-reporting to Primary Care Physicians and responsible parties. Staff involved were suspended and terminated. The complaint was substantiated by the cited deficiency.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to give medications in accordance to the physician's orders in 27 of 96 persons in care, posing a potential Health or Personal Rights risk. | Type B |
Report Facts
Residents affected by medication error: 27
Residents census: 110
Facility capacity: 125
Residents missed medication: 26
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Pam Talamantes | Residence Services Director | Met with inspectors during visit and received report and appeals rights |
| Chad Coleman | Executive Director | Met with inspectors during visit |
| Daniela Huerta | Licensing Program Analyst | Conducted inspection and signed report |
| Simon Jacob | Licensing Program Manager / Supervisor | Named as supervisor and licensing program manager on report |
Inspection Report
Complaint Investigation
Census: 104
Capacity: 125
Deficiencies: 0
Aug 3, 2022
Visit Reason
An unannounced complaint investigation was conducted in response to allegations that staff interfered with a resident's sleep and did not respond to residents' call assistance button.
Findings
The investigation found that the alleged resident had never resided at the facility and the incidents actually occurred at a Skilled Nursing Facility on the same campus, which is outside the jurisdiction of the Community Care Licensing Division. Therefore, the allegations were determined to be unfounded.
Complaint Details
The complaint was investigated and determined to be unfounded because the alleged incidents did not occur at the licensed Residential Facility for the Elderly but at a Skilled Nursing Facility outside the licensing division's jurisdiction.
Report Facts
Capacity: 125
Census: 104
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Hamilton | Licensing Program Analyst | Conducted the complaint investigation |
| Chad Coleman | Executive Director | Interviewed during the investigation |
| Denise Powell | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Census: 73
Capacity: 125
Deficiencies: 0
Sep 23, 2021
Visit Reason
The Department conducted an on-site visit to provide technical assistance and to evaluate the facility's mitigation plan including disinfection, testing, vaccination, screening protocols, and use of personal protective equipment (PPE).
Findings
No deficiencies were cited during the visit. A walk-through of the facility was conducted and a debriefing was held with the Executive Director.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Susan Phan | Executive Director | Met with during the visit and participated in debriefing. |
| Lizzette Tellez | Licensing Program Analyst | Conducted the on-site HAI assessment visit. |
| Ramon Serrano | Licensing Program Analyst | Conducted the on-site HAI assessment visit. |
Inspection Report
Complaint Investigation
Census: 79
Capacity: 125
Deficiencies: 0
Jul 13, 2021
Visit Reason
An unannounced virtual visit was conducted to investigate a complaint received on 2021-07-08 regarding personal rights allegations at the facility.
Findings
The investigation found that the resident mentioned in the allegations did not reside at the newly licensed facility, which had a change of ownership on June 1, 2021. Therefore, the complaint was determined to be unfounded.
Complaint Details
The complaint investigation was regarding personal rights allegations. The complaint was determined to be unfounded because the resident involved did not reside at the newly licensed facility.
Report Facts
Complaint Control Number: 08-AS-20210708142631
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kristina Ryan | Licensing Program Analyst | Conducted the complaint investigation visit. |
| Sasha Hightower | Administrator | Met with the Licensing Program Analyst during the investigation. |
| Simon Jacob | Licensing Program Manager | Named in the report as Licensing Program Manager. |
Inspection Report
Original Licensing
Census: 76
Capacity: 125
Deficiencies: 0
Jun 2, 2021
Visit Reason
The visit was an announced pre-licensing inspection to evaluate Title 22 compliance for change of ownership and to assess the facility's readiness to serve elderly residents aged 60 and over.
Findings
The inspection found the facility to be in compliance with physical plant requirements, including sanitary bathrooms, operable lighting and windows, unobstructed passageways, and proper storage of hazardous items. Fire safety equipment was present and operational, and required postings were displayed. Technical assistance was provided, and no deficiencies were explicitly cited.
Report Facts
Capacity: 125
Census: 76
Hospice Waiver: 17
Bedridden residents capacity: 15
Water temperature range: 106-113
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sasha Hightower | Executive Director | Met during inspection and discussed operational requirements |
| Alexandre Vo | Licensing Program Analyst | Conducted the pre-licensing inspection |
| Simon Jacob | Licensing Program Manager | Oversaw the inspection process |
Inspection Report
Original Licensing
Census: 79
Capacity: 125
Deficiencies: 0
May 10, 2021
Visit Reason
The visit was conducted as a Change of Ownership application evaluation for the facility, including verification of applicant and administrator identification and confirmation of understanding of California Code Title 22 regulations.
Findings
The applicant and administrator participated in a telephone interview confirming their understanding of facility operation, admission policies, staffing requirements, restrictive health conditions, general provisions, emergency preparedness, complaints and reporting, and pre-licensing readiness. Signed documentation and photo ID copies were obtained.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Scott Kirby | President | Participant in the Change of Ownership application interview |
| Sasha Hightower | Administrator | Participant in the Change of Ownership application interview |
| Jeff Gonzalez | Administrator | Facility Administrator |
| Jude De La Concepcion | Licensing Program Manager | Named in report header |
| Bethany Hunter | Licensing Program Analyst | Named in report header and analyst conducting the interview |
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