Inspection Report Summary
Most inspections found no deficiencies, with the facility consistently clean, well-maintained, and compliant with licensing standards. Several complaint investigations were unsubstantiated, including allegations related to medication administration, resident care, diet, and facility conditions. The most recent report from October 1, 2025, was also free of deficiencies, showing continued compliance. There were no fines, enforcement actions, or severe issues noted in any reports. The facility’s record shows a stable and positive compliance history with no clear pattern of problems.
Deficiencies per Year
4
3
2
1
0
Census Over Time
Census
Capacity
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 0
Oct 1, 2025
Visit Reason
The visit was conducted as the required annual inspection of the facility to ensure compliance with licensing requirements.
Findings
The facility was found to be in compliance with licensing standards, with clean and well-maintained bedrooms, common areas, bathrooms, and proper storage of medications and supplies. No citations or deficiencies were issued during the visit.
Report Facts
Number of bedrooms: 7
Number of bathrooms: 3
Fire extinguisher last service date: Sep 19, 2024
Room temperature: 78
Hot water temperature: 119.4
Staff files reviewed: 5
Resident files reviewed: 6
Staff per shift: 2
Staff per shift: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kesha Richardson | Administrator | Facility Administrator present during inspection and interviewed. |
| Perchui Milena Khurshudyan | Licensing Program Analyst | Conducted the annual inspection. |
| Shela Ferencz | Caregiver | Greeted Licensing Program Analyst and assisted during inspection. |
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 0
Oct 22, 2024
Visit Reason
The inspection was an annual required visit conducted by the Licensing Program Analyst to evaluate compliance with licensing regulations for the facility.
Findings
The facility was found to be in compliance with all applicable regulations. The physical plant, resident and staff files, medications, and safety equipment were all observed to be in proper order with no deficiencies noted during the visit.
Report Facts
Fire extinguisher service date: Sep 4, 2024
Hot water temperature range: 117.4
Hot water temperature range: 119.4
Resident records reviewed: 6
Staff records reviewed: 3
Facility capacity: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kesha Richardson | Administrator | Administrator met with Licensing Program Analyst and designated caregiver lead to sign report |
| Lakesha Mackey | Caregiver Lead | Designated to sign the report and assisted during inspection |
| Evelin Rios | Licensing Program Analyst | Conducted the annual inspection visit |
| Eva Miller | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 5
Capacity: 6
Deficiencies: 0
Mar 28, 2024
Visit Reason
The inspection was conducted as a complaint investigation following allegations received on 08/03/2022 regarding medication administration, food service, resident activities, and care practices.
Findings
The investigation found all four allegations unsubstantiated based on interviews with residents and staff, review of medication logs, observation of food service and activities, and facility tour.
Complaint Details
The complaint alleged staff did not provide medications as prescribed, residents were left in soiled diapers causing pressure sores, inadequate food service was provided, and residents were not given activities. The investigation found no evidence to support these allegations.
Report Facts
Residents present: 5
Facility capacity: 6
Staff interviewed: 3
Residents interviewed: 1
Food supply duration: 2
Food supply duration: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Spaeth | Licensing Program Analyst | Conducted the complaint investigation and interviews |
| Troy Agard | Licensing Program Manager | Named as Licensing Program Manager on the report |
| Kesha Richardson | Administrator | Facility administrator named in the report |
Inspection Report
Complaint Investigation
Census: 5
Capacity: 6
Deficiencies: 0
Mar 27, 2024
Visit Reason
The visit was an unannounced complaint investigation conducted to address allegations that a resident sustained pressure injuries while in care and that staff mismanaged a resident's medication.
Findings
The investigation found that the resident came to the facility with a stage 2 bed sore that was being treated and had completely healed, and that the medication administration was compliant with the resident's approved Medication Administration Records. Both allegations were unsubstantiated based on interviews and record reviews.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included a resident sustaining pressure injuries and staff mismanaging medication. Interviews and record reviews did not support these allegations.
Report Facts
Residents present: 5
Total capacity: 6
Allegations investigated: 8
Allegations unsubstantiated: 6
Residents interviewed: 5
Staff interviewed: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Troy Agard | Licensing Program Manager | Conducted the complaint investigation and reviewed records |
| Melissa Spaeth | Licensing Program Analyst | Conducted the complaint investigation, interviews, and gathered findings |
| Kesha Richardson | Administrator and Licensee | Met with investigators during the complaint investigation |
Inspection Report
Complaint Investigation
Census: 2
Capacity: 6
Deficiencies: 0
Apr 26, 2023
Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation that staff did not follow a special diet for a resident.
Findings
The investigation found that all residents are provided low sodium meals and special diets are followed as per doctor orders. Records showed the resident in question had no special diet order on sugar intake. The allegation was unsubstantiated and no deficiencies were issued.
Complaint Details
Allegation: Staff did not follow special diet for resident. The allegation was unsubstantiated based on interviews and file reviews.
Report Facts
Capacity: 6
Census: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Evelin Rios | Licensing Program Analyst | Conducted the complaint investigation |
| Eva Miller | Licensing Program Manager | Named in report as Licensing Program Manager |
| Kesha Richardson | Administrator | Facility Administrator involved in the investigation |
| Sandy Iraheta | Caregiver | Caregiver who met with the Licensing Program Analyst and designated to sign the report |
Inspection Report
Annual Inspection
Census: 3
Capacity: 6
Deficiencies: 0
Sep 27, 2022
Visit Reason
An unannounced one-year required visit was conducted to evaluate the facility's compliance with licensing regulations.
Findings
The facility was found to be clean and well-maintained with operational safety equipment and appropriate infection control measures. No deficiencies or violations were explicitly noted in the report.
Report Facts
Fire extinguishers: 2
Bedrooms: 7
Bathrooms: 3
Temperature: 78
Hot water temperature: 107
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kesha Richardson | Administrator / Licensee | Met with Licensing Program Analyst during inspection |
| Shira Stamps | Licensing Program Analyst | Conducted the inspection and authored the report |
| Nichelle Gillyard | Licensing Program Manager | Named in report header |
Inspection Report
Complaint Investigation
Census: 2
Capacity: 6
Deficiencies: 0
May 24, 2022
Visit Reason
An unannounced complaint investigation visit was conducted in response to multiple allegations received on 05/16/2022 regarding facility disrepair, failure to provide clean linens, lack of activities, unmet resident needs, neglect, and unattended residents in wet diapers.
Findings
After touring the facility, interviewing staff, residents, and reviewing documents, all allegations were found to be unsubstantiated. The facility was not in disrepair, linens were clean and changed weekly, residents participated in activities, staff responded timely to call buttons, and residents were well cared for with no neglect observed.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included facility disrepair, failure to provide clean linens, lack of activities, unmet resident needs, neglect, and unattended residents in wet diapers. All were found unsubstantiated based on observations and interviews.
Report Facts
Capacity: 6
Census: 2
Number of residents interviewed: 2
Number of staff interviewed: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Ruiz | Licensing Program Analyst | Conducted the complaint investigation |
| Kesha Richardson | Administrator | Facility administrator interviewed during investigation |
| Angela Panushkina | Licensing Program Analyst | Assisted in conducting the complaint investigation |
| Nichelle Gillyard | Licensing Program Manager | Oversaw the complaint investigation |
Inspection Report
Original Licensing
Capacity: 6
Deficiencies: 0
Sep 16, 2021
Visit Reason
The visit was an announced pre-licensing inspection to ensure the facility's compliance with California Code of Regulations, Title 22, Division 6, prior to admitting residents.
Findings
The facility was found to be clean, in good repair, and compliant with Title 22 regulations. The physical plant, safety features, and supplies were inspected and found adequate, with minor advice given to adjust the hot water temperature.
Report Facts
Fire Clearance Date: Jun 16, 2021
Hot Water Temperature: 121
Facility Temperature: 77
Perishable Food Supply: 2
Non-perishable Food Supply: 7
Bedrooms: 7
Bathrooms: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kesha Richardson | Administrator | Met with Licensing Program Analysts during the pre-licensing visit and exit interview. |
| Nichelle Gillyard | Licensing Program Manager | Conducted the pre-licensing visit and signed the report. |
| Angela Panushkina | Licensing Program Analyst | Conducted the pre-licensing visit and signed the report. |
Inspection Report
Original Licensing
Capacity: 6
Deficiencies: 0
Jul 28, 2021
Visit Reason
Initial licensing evaluation of the facility Beyond A Home, LLC to assess readiness for licensing and compliance with California Code Title 22 Regulations.
Findings
The applicant/administrator participated in a COMP II telephone interview confirming understanding of licensing requirements including facility operation, admission policies, staffing, health conditions, emergency preparedness, complaints, and pre-licensing readiness. No deficiencies or violations were noted in the report.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kesha Richardson | Managing Member/Administrator | Applicant/administrator participating in COMP II interview and confirmed understanding of licensing requirements. |
| Mirella Quaranta | Licensing Program Manager | Named as Licensing Program Manager on the report. |
| Anna Barrios | Licensing Program Analyst | Named as Licensing Program Analyst on the report and conducted the COMP II interview. |
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