Inspection Report Summary
Most inspections found no deficiencies, including the most recent complaint investigation on September 15, 2025, which found no evidence to support allegations about medication administration, care plan adherence, or diet compliance. Earlier complaint investigations in July 2025 also concluded that staff met incontinence care needs and followed PPE protocols, with those allegations unsubstantiated. The facility’s February 25, 2025 annual inspection was clean with no deficiencies cited, though it was incomplete due to time constraints. The initial licensing inspection in March 2024 found the facility clean, safe, and ready for licensure with all required safety equipment in place. Overall, the record shows consistent compliance with regulations and no serious issues or enforcement actions reported.
Deficiencies per Year
4
3
2
1
0
Census Over Time
Census
Capacity
Inspection Report
Complaint Investigation
Census: 106
Capacity: 125
Deficiencies: 0
Sep 15, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2025-05-30 regarding medication administration, care plan adherence, and modified diet compliance for a resident.
Findings
The investigation found no preponderance of evidence to substantiate the allegations that staff failed to administer medication as prescribed, follow the resident's care plan, or adhere to the modified diet. The allegations were determined to be unsubstantiated based on records review, interviews, and observations.
Complaint Details
The complaint alleged that staff did not administer medication as prescribed, did not follow the resident's care plan, and did not follow the resident's modified diet. The investigation concluded these allegations were unsubstantiated.
Report Facts
Capacity: 125
Census: 106
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Hannah Rodgers | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Jeremy Danenhauer | Executive Director | Facility representative met during the investigation and exit interview |
Inspection Report
Complaint Investigation
Census: 100
Capacity: 125
Deficiencies: 0
Jul 8, 2025
Visit Reason
An unannounced complaint investigation was conducted in response to allegations that staff did not meet a resident's incontinence care needs and did not follow PPE protocol when providing care.
Findings
The investigation, including interviews and records review, did not find sufficient evidence to substantiate the allegations. It was concluded that staff met the resident's incontinence care needs and followed PPE protocols.
Complaint Details
The complaint alleged that Resident #1 was left in soiled incontinence briefs for extended periods and that staff used the same gloves and cloth for incontinence care after cleaning the floor. The investigation found these allegations unsubstantiated.
Report Facts
Capacity: 125
Census: 100
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Hannah Rodgers | Licensing Program Analyst | Conducted the complaint investigation |
| Lizzie De La Fuente Mistica | Resident Services Director | Met with Licensing Program Analyst during investigation and exit interview |
Inspection Report
Annual Inspection
Census: 91
Capacity: 125
Deficiencies: 0
Feb 25, 2025
Visit Reason
An unannounced required annual inspection was conducted to evaluate compliance with licensing regulations and facility standards.
Findings
The facility was found to have sufficient space, equipment, and safety measures in place. No deficiencies were cited during the inspection, but the annual inspection could not be completed due to time constraints, requiring a return visit.
Report Facts
Hospice waiver capacity: 17
Bedridden resident capacity: 39
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jeremy Danenhauer | Executive Director | Met with Licensing Program Analyst during inspection |
| Lizzie De La Fuente Mistica | Resident Service Director | Met with Licensing Program Analyst during inspection and participated in facility tour |
| Hannah Rodgers | Licensing Program Analyst | Conducted the unannounced required annual inspection |
| Lizzette Tellez | Licensing Program Manager | Named in report signature section |
Inspection Report
Original Licensing
Census: 89
Capacity: 125
Deficiencies: 0
Mar 25, 2024
Visit Reason
The visit was a pre-licensing inspection with Component III to observe the facility’s physical plant for compliance with Title 22, Division 6 of the California Code of Regulations and California Health & Safety Code, as the facility is undergoing a change of ownership.
Findings
The facility was found to be clean, sanitary, and in good repair with all required furnishings and safety features in place. All safety equipment including fire extinguishers, smoke and carbon monoxide detectors were operational and compliant. Medications and hazardous materials were properly secured. The facility was deemed ready for licensure pending management final review and approval.
Report Facts
Fire extinguishers: 21
Non-perishable food supply: 7
Perishable food supply: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jermey Danenhauer | Executive Director | Met with during inspection and participated in exit interview |
| Veronica Merlos | Assistant Administrator | Met with during inspection |
Inspection Report
Capacity: 125
Deficiencies: 0
Mar 8, 2024
Visit Reason
The visit was an office evaluation involving a telephone interview with the applicant/administrator to verify identification and confirm understanding of California Code Title 22 regulations and licensing requirements.
Findings
The applicant/administrator demonstrated understanding of facility operation, admission policies, staffing and training requirements, restricted health conditions, general provisions, emergency preparedness, complaints and reporting, and pre-licensing readiness. Signed documentation and photo ID were obtained.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Scott Kirby | Administrator | Participated in the telephone interview and confirmed understanding of licensing regulations. |
| Jude De La Concepcion | Licensing Program Manager | Named as Licensing Program Manager on the report. |
| Bethany Hunter | Licensing Program Analyst | Conducted the licensing program analyst role and signed the report. |
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