Inspection Report Summary
Most inspections found no deficiencies, including the initial licensing evaluations in March and April 2024, which showed full compliance with regulations and readiness for operation. The most recent inspection on April 7, 2025, identified two minor deficiencies related to missing documentation for quarterly fire and earthquake drills and three fire extinguishers lacking service tags. There were no complaints or enforcement actions noted in any report. These issues appear isolated and did not involve resident care or safety violations. The facility’s record shows consistent compliance with only minor documentation lapses in the latest report.
Deficiencies per Year
4
3
2
1
0
High
Moderate
Census Over Time
Census
Capacity
Inspection Report
Annual Inspection
Census: 3
Capacity: 6
Deficiencies: 2
Apr 7, 2025
Visit Reason
Licensing Program Analyst Debbie Palacios made an unannounced visit to the facility to conduct a required annual inspection.
Findings
The facility was generally compliant with required standards including resident and staff records, food storage, and medication administration. However, deficiencies were cited for missing documentation of quarterly fire and earthquake drills and for three fire extinguishers lacking service tags or proof of service.
Severity Breakdown
Type A: 1
Type B: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| No proof of quarterly Fire and Earthquake drills documentation on file. | Type B |
| Three fire extinguishers mounted throughout the facility without serviced tags or receipts as proof of service. | Type A |
Report Facts
Fire extinguishers without service tags: 3
Facility capacity: 6
Current census: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Debbie Palacios | Licensing Program Analyst | Conducted the inspection and authored the report. |
| Malcolm E White | Administrator/Director | Facility administrator named in the report. |
| Sunny Rosete | Caregiver | Met with Licensing Program Analyst during inspection. |
| Tricia Danielson | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Original Licensing
Capacity: 6
Deficiencies: 0
Apr 18, 2024
Visit Reason
The visit was conducted for a Pre-Licensing inspection of the facility to evaluate compliance with regulatory requirements prior to licensing.
Findings
The facility was found to be in compliance with all applicable regulations with no Title 22, Division 6 violations observed or cited. The physical plant, medication storage, safety equipment, bedrooms, kitchen, bathrooms, records, administration, activities, and dementia care provisions met regulatory standards.
Report Facts
Capacity: 6
Census: 0
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Malcolm E White | Administrator | Met with Licensing Program Analyst during the Pre-Licensing inspection |
| Venus Mixson | Licensing Program Analyst | Conducted the Pre-Licensing inspection |
| Jazmond D Harris | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Original Licensing
Capacity: 6
Deficiencies: 0
Mar 4, 2024
Visit Reason
The visit was an initial licensing evaluation conducted virtually to assess the applicant/administrator's understanding of community care facility licensing laws and readiness for operation.
Findings
The applicant/administrator demonstrated understanding of licensing laws, facility operation, admission policies, staffing requirements, emergency preparedness, complaints reporting, and pre-licensing readiness during the virtual interview.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Malcolm E White | Licensee/Administrator | Participated in the initial licensing evaluation and interview. |
| Darla Neeley | Licensing Program Manager | Named as Licensing Program Manager on the report. |
| Diamond Law | Licensing Program Analyst | Named as Licensing Program Analyst on the report. |
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