Most inspections found no deficiencies, with clean reports in 2021, 2022, and the most recent visit on August 26, 2025, when the facility was empty and under construction. Earlier inspections in 2024 identified several issues including medication documentation discrepancies, pest infestations, and problems with emergency exits. These deficiencies were mostly related to medication management, environment and safety, and documentation. Complaint investigations in 2021 and 2024 were unsubstantiated, showing no evidence of harm or neglect. The facility appears to have improved since mid-2024, with the latest report showing no deficiencies as it prepares for reopening.
An unannounced annual inspection visit was conducted to evaluate the facility's compliance with licensing requirements.
Findings
The facility was observed to be empty and under construction with no residents or staff present. No deficiencies were cited during the visit. The licensee was informed that the annual inspection still needed to be conducted and requested to submit updated documents by 9/5/25.
The visit was an unannounced annual inspection to continue the annual evaluation of the assisted living facility.
Findings
The inspection found multiple deficiencies including discrepancies in medication logs, pest infestation issues, emergency exits not opening properly, and missing PRN prescription documentation. Citations were issued for these deficiencies with plans of correction due by 09/11/2024.
Severity Breakdown
Type A: 4
Deficiencies (5)
Description
Severity
Centrally stored medication log and PRN log did not match for Benzonatate oral pill and other medications; medication administration records were incomplete.
—
Facility had cockroach infestation observed in the kitchen area.
Type A
Emergency exit doors from master bedroom and garage side door did not open properly.
Type A
Missing PRN prescription blank for resident R1.
Type A
Centrally stored medication log did not match medication count.
Type A
Report Facts
Census: 4Total Capacity: 6PRN log total: 21Medication quantity: 31Plan of Correction Due Date: Sep 11, 2024
Employees Mentioned
Name
Title
Context
Rajvinder Samra
Licensee / Administrator
Contacted and present during inspection; provided explanations regarding findings
The inspection was an unannounced annual inspection conducted by the Licensing Program Analyst to evaluate compliance with licensing requirements at the assisted living facility.
Findings
The facility was generally clean, odor-free, and at a comfortable temperature, but exit doors were found to be stuck and difficult to open, creating an obstruction. The kitchen lacked the required 7-day supply of non-perishable food and 2-day supply of fresh perishables, and insects were observed in the kitchen. Some required documents were not available at the time of inspection, prompting a follow-up visit.
Deficiencies (5)
Description
Exit from the master bedroom and garage exit door were stuck and difficult to open, creating an obstruction of the exits.
Exits did not have an audio alarm despite residents with dementia.
Required 7-day supply of non-perishable food and 2-day supply of fresh perishables were not properly stored in the kitchen.
Insects were observed throughout the kitchen.
Required documents including Administrator Certificate, Designation of Facility Responsibility, Personnel Report, and Register of Facility Clients/Residents were not available at the time of inspection.
Report Facts
Facility capacity: 6Census: 5Fire extinguisher last serviced date: Jun 7, 2024Water temperature: 105.6Water temperature: 105.4Document submission deadline: Aug 30, 2024
Employees Mentioned
Name
Title
Context
Rogelio Negrete
Direct Care Staff
Met with Licensing Program Analyst during inspection and received exit interview
Rajvinder Samra
Licensee/Administrator
Contacted and informed of unannounced visit; stated unable to attend inspection
An unannounced complaint investigation visit was conducted in response to an allegation of neglect or lack of care and/or supervision resulting in a resident's injury.
Findings
The investigation found no preponderance of evidence to substantiate the allegation of neglect or injury. Medical records and interviews did not confirm any falls, injuries, or physical abuse related to the resident's fractures, resulting in an unsubstantiated finding.
Complaint Details
The complaint alleged neglect or lack of care and/or supervision resulting in a resident's injury. The investigation was unsubstantiated due to insufficient evidence to prove the alleged violations.
Report Facts
Facility capacity: 6
Employees Mentioned
Name
Title
Context
Rajvinder Samra
Administrator
Met during the investigation and involved in interviews regarding the complaint
The visit was an unannounced annual inspection focused on infection control conducted by Licensing Program Analyst K. Kaur to assess compliance with health and safety regulations.
Findings
The facility was observed to be clean and compliant with infection control measures, including secured medications and supplies, use of masks by staff and residents, and availability of hand sanitizer. No deficiencies were observed during the inspection.
Report Facts
Food supply: 7Food supply: 2Fire extinguisher service date: May 5, 2022
Employees Mentioned
Name
Title
Context
Rajvinder Samra
Licensee
Met with Licensing Program Analyst during inspection
Licensing Program Analyst Lady Cabrera conducted an annual inspection as a required unannounced 1-year visit to evaluate compliance with regulations and COVID-19 guidelines.
Findings
The facility was found to be clean and compliant with no deficiencies observed. COVID-19 protocols were in place and followed, including visitor screening, social distancing, and mask usage. Adequate supplies of medications, food, cleaning, and PPE were confirmed.
Employees Mentioned
Name
Title
Context
Rajvinder Samra
Administrator
Available via phone during the inspection.
Baljinder Singh
Designated Representative
Met with Licensing Program Analyst and participated in the inspection.
An unannounced complaint investigation was conducted due to an allegation that a resident was being assaulted by a staff member while in care.
Findings
The investigation found no evidence of abuse; the resident had no bruises or injuries, and no witnesses supported the allegation. The complaint was determined to be unfounded with no deficiencies observed.
Complaint Details
The complaint was investigated and found to be unfounded. Interviews revealed a disgruntled former staff member with a personal vendetta against a current staff member referenced in the complaint.
Report Facts
Capacity: 6Census: 6
Employees Mentioned
Name
Title
Context
Rajvinder Samra
Administrator
Met with during the investigation and discussed the allegation
See Moua
Licensing Program Analyst
Conducted the complaint investigation
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