Deficiencies (last 5 years)
Deficiencies (over 5 years)
1.2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
70% better than California average
California average: 4 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
89% occupied
Based on a November 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy over time
Inspection Report
Annual Inspection
Census: 134
Capacity: 150
Deficiencies: 0
Date: Nov 18, 2025
Visit Reason
An unannounced annual inspection visit was conducted to evaluate compliance with licensing requirements and ensure the safety and well-being of residents at the facility.
Findings
The facility was found to be generally compliant with no citations issued. The physical plant, kitchen, medication storage, fire safety equipment, and resident rooms were all observed to be in good condition. Staff files and resident files were current, and staff training was up to date. Some updated forms were requested to be submitted by 11/25/2025.
Report Facts
Residents under hospice care: 10
Fire extinguisher inspection date: Jun 4, 2025
Last emergency/disaster drill date: Jul 24, 2025
Water temperature range (Fahrenheit): 108-112
Last fire/disaster drill date: Oct 25, 2025
Number of staff files reviewed: 5
Number of resident files reviewed: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mehrad Moshiri | Administrator | Facility administrator met during inspection and report review |
| Jaime Vado | Licensing Program Analyst | Conducted the inspection visit |
| Cara Smith | Licensing Program Manager | Named as Licensing Program Manager on report |
| Anna Allas | Administrator met by LPA during inspection |
Inspection Report
Complaint Investigation
Census: 124
Capacity: 150
Deficiencies: 0
Date: Sep 25, 2025
Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation that staff were not properly addressing a rodent issue in the facility.
Complaint Details
The complaint was unsubstantiated due to lack of preponderance of evidence proving the alleged violations occurred.
Findings
The investigation found that the facility had pest control measures in place for several months prior to the allegation, including regular pest control visits and staff training to report sightings. Based on the evidence, the allegation was determined to be unsubstantiated.
Report Facts
Capacity: 150
Census: 124
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jaime Vado | Licensing Program Analyst | Conducted the complaint investigation visit |
| Ria Hernandez | Resident Services Director | Met with the evaluator during the investigation |
Inspection Report
Complaint Investigation
Census: 128
Capacity: 150
Deficiencies: 0
Date: Sep 17, 2025
Visit Reason
The visit was conducted to deliver the findings of an investigation regarding a self-inflicted injury incident that resulted in the death of a resident.
Complaint Details
The complaint involved a resident (R1) who suffered a self-inflicted injury resulting in death. R1 was an independent living resident without mental health diagnoses or depression medications. The investigation found the complaint unsubstantiated.
Findings
The investigation concluded that the incident was unsubstantiated, with no deficiencies cited under California Code of Regulations Title 22.
Report Facts
Census: 128
Total Capacity: 150
Employees mentioned
| Name | Title | Context |
|---|---|---|
| David Marrufo | Licensing Program Analyst | Conducted the unannounced Case Management visit and delivered investigation findings |
| Maria Quintero | Met with Licensing Program Analyst during the visit and reviewed the report |
Inspection Report
Census: 128
Capacity: 150
Deficiencies: 0
Date: Sep 17, 2025
Visit Reason
The visit was an unannounced Case Management visit to deliver the findings of an investigation conducted by the department regarding a resident's self-inflicted injury resulting in death.
Complaint Details
The investigation was related to an unusual incident report of resident R1's self-inflicted injury and death. The finding was unsubstantiated.
Findings
The investigation concluded with a finding of unsubstantiated based on staff interviews and record reviews. No deficiencies were cited under California Code of Regulations Title 22.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| David Marrufo | Licensing Program Analyst | Conducted the unannounced Case Management visit and investigation. |
| Maria Quintero | Met with the Licensing Program Analyst during the visit and reviewed the report. | |
| Mehrad Moshiri | Administrator/Director | Named as facility administrator/director. |
| Maria Partoza | Licensing Program Manager | Named as Licensing Program Manager. |
Inspection Report
Complaint Investigation
Census: 128
Capacity: 150
Deficiencies: 0
Date: Mar 19, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2023-01-04 alleging residents were not provided medications as prescribed, inadequate food service, lack of services to residents, and lack of activities.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included residents not receiving medications as prescribed, inadequate food service, lack of services, and lack of activities. Multiple visits and interviews were conducted, including review of Medication Administration Records, care plans, and interviews with residents and staff. Some medication administration records had empty boxes, but explanations were provided. Residents generally reported receiving services and activities. No violations were substantiated.
Findings
Based on interviews with staff and residents and review of records, although some allegations may have occurred, there was insufficient evidence to substantiate the complaints. No deficiencies were cited under California Code of Regulations Title 22.
Report Facts
Capacity: 150
Census: 128
Number of residents interviewed: 10
Number of food servers scheduled per day: 10
Number of cooks scheduled per day: 4
Number of care givers interviewed: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| David Marrufo | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Rod Moshiri | Administrator | Facility administrator interviewed during investigation |
| Maria Quintero | Administrator | Named as facility administrator in report header |
Inspection Report
Complaint Investigation
Census: 128
Capacity: 150
Deficiencies: 0
Date: Mar 19, 2025
Visit Reason
This was an unannounced complaint investigation visit triggered by a complaint received on 2023-01-04 alleging residents were not provided medications as prescribed, inadequate food service, lack of services to residents, and lack of activities.
Complaint Details
The complaint included allegations that residents were not provided medications as prescribed, staff did not provide adequate food service, services to residents were lacking, and residents were not provided activities. The investigation found these allegations unsubstantiated due to lack of preponderance of evidence.
Findings
Based on interviews with staff and residents and review of records, there was insufficient evidence to substantiate the allegations. No deficiencies were cited under California Code of Regulations Title 22.
Report Facts
Residents interviewed: 10
Food servers scheduled: 10
Cooks scheduled: 4
Care tracking log entries: 78
Care tracking log entries: 19
Care tracking log entries: 33
Care tracking log entries: 8
Care tracking log entries: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| David Marrufo | Licensing Program Analyst | Conducted the complaint investigation visit and authored the report |
| Rod Moshiri | Administrator | Facility administrator met during investigation and reviewed report |
Inspection Report
Complaint Investigation
Census: 121
Capacity: 150
Deficiencies: 0
Date: Dec 20, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2022-11-02 alleging multiple unexplained injuries to a resident, failure to seek timely medical attention, wrong medication dispensed, and failure to refill medication.
Complaint Details
The complaint was unsubstantiated after investigation. Allegations included unexplained injuries, delayed medical attention, wrong medication dispensed, and failure to refill medication. Interviews with staff and administrators, review of care plans and logs, and examination of incident reports did not provide a preponderance of evidence to prove violations.
Findings
The investigation included interviews, review of care plans, medication logs, and physician reports. Although the allegations may have happened or be valid, there was insufficient evidence to substantiate the claims. No deficiencies were cited under California Code of Regulations Title 22.
Report Facts
Complaint received date: Nov 2, 2022
Facility capacity: 150
Facility census: 121
Investigation visit date: Dec 20, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| David Marrufo | Licensing Program Analyst | Conducted the complaint investigation visit and interviews |
| Maria Quintero | Administrator | Interviewed during investigation regarding care plan and medication issues |
| Mehrad Moshiri | Executive Director | Met during investigation and reviewed report findings |
| Sarah Yip | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 121
Capacity: 150
Deficiencies: 0
Date: Dec 20, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2022-11-02 concerning multiple unexplained injuries, failure to seek timely medical attention, wrong medication dispensed, and failure to refill medication for a resident.
Complaint Details
The complaint was unsubstantiated after investigation. Allegations included unexplained injuries, delayed medical attention, wrong medication dispensed, and failure to refill medication. Interviews with staff and review of records did not support the allegations.
Findings
The investigation found no preponderance of evidence to substantiate the allegations. The resident had an unwitnessed fall with injuries, but staff responded by calling 911 promptly. Medication management issues were noted, including delayed pain patch refills due to insurance and authorization issues. No deficiencies were cited under California Code of Regulations Title 22.
Report Facts
Facility capacity: 150
Resident census: 121
Employees mentioned
| Name | Title | Context |
|---|---|---|
| David Marrufo | Licensing Program Analyst | Conducted the complaint investigation visit and interviews |
| Maria Quintero | Administrator | Facility administrator interviewed during investigation |
| Mehrad Moshiri | Executive Director | Facility representative met during investigation and report review |
Inspection Report
Annual Inspection
Census: 117
Capacity: 150
Deficiencies: 1
Date: Oct 10, 2024
Visit Reason
The visit was conducted as the Annual 1-year required inspection to evaluate compliance with licensing regulations.
Findings
The facility was found to be generally compliant with safety and operational standards, including clear exits, functional fire extinguishers, and proper food storage. However, a deficiency was cited due to 2 out of 5 reviewed staff records lacking current First Aid certificates, posing a potential safety risk.
Deficiencies (1)
2 out of 5 reviewed staff records did not contain a current First Aid certificate, posing a potential safety risk to persons in care.
Report Facts
Residents' rooms inspected: 12
Bathrooms inspected: 12
Resident records reviewed: 5
Personnel records reviewed: 5
Staff without current First Aid certificate: 2
Food storage days required: 7
Food storage days required: 2
Hot water temperature range (°F): Measured between 106.7°F and 118.9°F
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mehrad Moshiri | Executive Director | Met with Licensing Program Analysts during inspection |
| Maria Quintero | Assistant Executive Director | Met with Licensing Program Analysts during inspection |
| Kiran Jain | Licensing Program Analyst | Conducted the inspection and signed the report |
| David Marrufo | Licensing Program Analyst | Conducted the inspection |
| April Cowan | Licensing Program Manager | Supervisor and named in report |
| Rod Moshiri | Executive Director | Reviewed the report with Licensing Program Analysts |
Inspection Report
Annual Inspection
Census: 117
Capacity: 150
Deficiencies: 1
Date: Oct 10, 2024
Visit Reason
The visit was conducted as the Annual 1-year required inspection to evaluate compliance with licensing regulations at the facility.
Findings
The facility was found to be generally compliant with safety and operational standards, including clear exits, functional fire extinguishers, and proper food storage. However, a deficiency was cited due to 2 out of 5 reviewed staff records lacking current First Aid certificates, posing a potential safety risk.
Deficiencies (1)
2 out of 5 reviewed staff records did not contain a current First Aid certificate, posing a potential safety risk to persons in care.
Report Facts
Residents' rooms inspected: 12
Bathrooms inspected: 12
Resident records reviewed: 5
Personnel records reviewed: 5
Staff records lacking First Aid certificate: 2
POC due date: Oct 17, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mehrad Moshiri | Administrator/Executive Director | Met during inspection and reviewed report |
| Maria Quintero | Assistant Executive Director | Met during inspection |
| Rod Moshiri | Executive Director | Reviewed report and appeal rights |
| Kiran Jain | Licensing Program Analyst/Evaluator | Conducted inspection and signed report |
| David Marrufo | Licensing Program Analyst | Conducted inspection |
| April Cowan | Supervisor | Supervisor overseeing inspection |
Inspection Report
Monitoring
Capacity: 150
Deficiencies: 0
Date: Mar 28, 2024
Visit Reason
The visit was a case management visit regarding an incident report involving a resident.
Findings
The Licensing Program Analyst conducted a file review and requested copies of the resident's file including admission agreement, medication list, and physician's report. No deficiencies were cited during the visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Maria Partoza | Licensing Program Analyst | Conducted the case management visit and file review. |
| Mehrad Moshiri | Administrator | Met with Licensing Program Analyst during the visit. |
Inspection Report
Capacity: 150
Deficiencies: 0
Date: Mar 28, 2024
Visit Reason
The visit was a case management visit regarding an incident report involving a resident.
Findings
The Licensing Program Analyst conducted a file review and requested copies of the resident's file including admission agreement, medication list, and physician's report. No deficiencies were cited at this visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Maria Partoza | Licensing Program Analyst | Conducted the case management visit and file review. |
| Rod Moshiri | Executive | Met with Licensing Program Analyst during the visit. |
Inspection Report
Complaint Investigation
Census: 113
Capacity: 150
Deficiencies: 2
Date: Feb 13, 2024
Visit Reason
The visit was conducted to address an incident reported by the facility involving an unauthorized male who entered the facility through a propped open side exit door and sexually assaulted a resident on 01/07/2023.
Complaint Details
The visit was complaint-related, triggered by a self-reported incident of suspected adult/elder abuse involving sexual assault of a resident by an unauthorized male who entered through a propped open side exit door. The Department investigated starting 01/11/2023, including interviews and record reviews.
Findings
The investigation found that staff did not supervise the side exit door which was propped open, allowing unauthorized access that led to the sexual assault of a resident. Residents were reported to open the exit doors to prevent them from locking, and staff ignored warnings from another resident about the unauthorized male's presence.
Deficiencies (2)
Staff did not supervise the side door exit that had been left propped open, allowing an unauthorized male to enter the facility, posing an immediate safety risk to residents.
An unauthorized male entered the facility and sexually abused resident R1, posing an immediate safety risk to residents.
Report Facts
Deficiencies cited: 2
Plan of Correction Due Date: Feb 14, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rod Moshiri | Administrator | Met during the visit and reviewed the report |
| David Marrufo | Licensing Program Analyst | Conducted the unannounced case management visit and investigation |
| Sarah Yip | Licensing Program Manager | Supervisor overseeing the inspection |
Inspection Report
Complaint Investigation
Census: 113
Capacity: 150
Deficiencies: 0
Date: Feb 13, 2024
Visit Reason
The visit was conducted to address incident reports filed by the facility concerning medication errors, including an unusual incident involving a medication technician giving another resident's morning medications to resident R1.
Complaint Details
The visit was complaint-related, triggered by incident reports about medication errors. The incident involved a medication technician administering another resident's medications to resident R1. The facility was requested to submit a Plan of Action by 02/20/2024 to address staff training and prevention of medication errors.
Findings
No deficiencies were cited at this time as per California Code of Regulations Title 22. An Advisory Note was issued regarding the medication errors.
Report Facts
Facility capacity: 150
Census: 113
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rod Moshiri | Administrator | Met with Licensing Program Analyst during the visit and discussed the report |
| David Marrufo | Licensing Program Analyst | Conducted the unannounced Case Management visit and authored the report |
Inspection Report
Complaint Investigation
Census: 113
Capacity: 150
Deficiencies: 0
Date: Feb 13, 2024
Visit Reason
The visit was conducted to address incident reports filed by the facility concerning medication errors, including an unusual incident report for a medication error that occurred on 12/09/2022.
Complaint Details
The complaint involved a medication technician who gave another resident's morning medications to resident R1. The incident was reported to the Department on 12/15/2022 and was investigated during this visit.
Findings
No deficiencies were cited at this time as per California Code of Regulations Title 22. An Advisory Note was issued regarding the medication error incident.
Report Facts
Capacity: 150
Census: 113
Employees mentioned
| Name | Title | Context |
|---|---|---|
| David Marrufo | Licensing Program Analyst | Conducted the unannounced Case Management visit |
| Rod Moshiri | Administrator | Met with Licensing Program Analyst during the visit and was involved in the report review |
Inspection Report
Complaint Investigation
Census: 113
Capacity: 150
Deficiencies: 2
Date: Feb 13, 2024
Visit Reason
The visit was an unannounced Case Management investigation to address an incident reported by the facility involving an unauthorized male who entered the facility and sexually assaulted a resident on 01/07/2023.
Complaint Details
The complaint involved a sexual assault incident on 01/07/2023 where an unauthorized male entered the facility through a propped open side exit door and sexually assaulted resident R1. The incident was self-reported by the facility and investigated by the Department and local Police Department. Staff ignored resident reports of the unauthorized male's presence.
Findings
The investigation found that side exit doors were propped open and not properly supervised, allowing unauthorized access. Staff failed to secure the doors and ignored resident reports of the unauthorized male. Deficiencies were cited related to resident personal rights and safety.
Deficiencies (2)
Failure to properly supervise and secure side exit doors, allowing unauthorized entry and posing an immediate safety risk to residents.
Failure to protect residents from neglect, abuse, including sexual abuse by an unauthorized male entering the facility.
Report Facts
Capacity: 150
Census: 113
Plan of Correction Due Date: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rod Moshiri | Administrator | Met with Licensing Program Analyst during investigation and discussed findings |
| David Marrufo | Licensing Program Analyst | Conducted the unannounced Case Management visit and investigation |
| Sarah Yip | Supervisor | Supervisor overseeing the licensing evaluation |
Inspection Report
Census: 120
Capacity: 150
Deficiencies: 0
Date: Jan 12, 2023
Visit Reason
The visit was an unannounced Case Management visit to obtain documents regarding an incident that occurred on 2023-01-07 and was self-reported by the facility.
Findings
No deficiencies were cited at this time as per California Code of Regulations Title 22. Copies of relevant medical documents were obtained and the report was reviewed with the facility administrator.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rod Moshiri | Administrator | Met with Licensing Program Analyst during the visit and reviewed the report. |
| David Marrufo | Licensing Program Analyst | Conducted the unannounced Case Management visit and obtained documents. |
| Sarah Yip | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Census: 120
Capacity: 150
Deficiencies: 0
Date: Jan 12, 2023
Visit Reason
The visit was an unannounced Case Management visit to obtain documents regarding an incident that occurred on 2023-01-07 and was self-reported by the facility.
Findings
During the visit, copies of R1's Physician's Report, Assessment, and Progress Notes were obtained. No deficiencies were cited at this time as per California Code of Regulations Title 22.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| David Marrufo | Licensing Program Analyst | Conducted the unannounced Case Management visit |
| Rod Moshiri | Administrator | Met with Licensing Program Analyst during the visit |
Inspection Report
Annual Inspection
Census: 121
Capacity: 150
Deficiencies: 0
Date: Dec 1, 2022
Visit Reason
The inspection was an unannounced Required - 1 Year visit to evaluate the facility's compliance with regulations.
Findings
No deficiencies were cited during the inspection. Observations included visitor screening, adequate PPE and cleaning supplies, perishable food supply, and contracted meal preparation during kitchen construction.
Report Facts
PPE supply duration: 30
Perishable food supply duration: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| David Marrufo | Licensing Program Analyst | Conducted the inspection and made observations |
| Donna Daniel-Herr | Interim Executive Director | Met with Licensing Program Analyst during inspection and reviewed report |
Inspection Report
Complaint Investigation
Census: 121
Capacity: 150
Deficiencies: 0
Date: Dec 1, 2022
Visit Reason
The visit was conducted to investigate a medication error reported by the facility via an Unusual Incident Report related to a missing narcotic medication for resident R1.
Complaint Details
The visit was triggered by a complaint regarding a medication error involving a missing narcotic medication for resident R1. The complaint was investigated through interviews and record reviews. No deficiencies were cited, and the complaint was not substantiated with violations.
Findings
The investigation found that the missing medication was logged but never administered, and the facility staff did not know what happened to it. No deficiencies were cited, but an Advisory Note was issued regarding medication count procedures.
Report Facts
Capacity: 150
Census: 121
Date of incident: Nov 10, 2022
Date reported: Nov 16, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Donna Daniel-Herr | Interim Executive Director | Met with Licensing Program Analyst during visit and involved in medication error investigation |
| David Marrufo | Licensing Program Analyst | Conducted the unannounced Case Management visit and investigation |
Inspection Report
Annual Inspection
Census: 121
Capacity: 150
Deficiencies: 0
Date: Dec 1, 2022
Visit Reason
An unannounced Required - 1 Year visit was conducted to evaluate the facility's compliance with regulations.
Findings
No deficiencies were cited during the inspection. Observations included visitor screening, adequate PPE and cleaning supplies, perishable food supply, and contracted meal preparation service during kitchen construction.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| David Marrufo | Licensing Program Analyst | Conducted the inspection and observed facility conditions. |
| Donna Daniel-Herr | Interim Executive Director | Met with the Licensing Program Analyst during the inspection and reviewed the report. |
Inspection Report
Complaint Investigation
Census: 121
Capacity: 150
Deficiencies: 0
Date: Dec 1, 2022
Visit Reason
The visit was an unannounced Case Management investigation of a medication error reported by the facility involving a missing narcotic medication for resident R1 discovered during a medication audit.
Complaint Details
The complaint involved a medication error reported via an Unusual Incident Report on 11/16/2022 concerning a missing narcotic medication for resident R1 that was logged on 10/14/2022 but never administered. The investigation included interviews and record reviews but did not determine the cause of the missing medication.
Findings
No deficiencies were cited at this time per California Code of Regulations Title 22. An Advisory Note was issued regarding medication count procedures at shift changes. The facility staff did not know what happened to the missing medication.
Report Facts
Capacity: 150
Census: 121
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Donna Daniel-Herr | Interim Executive Director | Met with Licensing Program Analyst during visit and reviewed report |
| David Marrufo | Licensing Program Analyst | Conducted the unannounced Case Management visit and investigation |
Inspection Report
Annual Inspection
Census: 109
Capacity: 150
Deficiencies: 0
Date: Dec 3, 2021
Visit Reason
The inspection was an unannounced Required 1 Year visit to evaluate the facility's compliance with regulations.
Findings
The Licensing Program Analyst observed proper visitor screening, hand hygiene signage, adequate PPE and food supplies, and COVID-19 safety measures. No deficiencies were cited as per California Code of Regulations Title 22.
Report Facts
Capacity: 150
Census: 109
Employees mentioned
| Name | Title | Context |
|---|---|---|
| David Marrufo | Licensing Program Analyst | Conducted the inspection and observations |
| Maria Quintero | Administrator | Facility administrator named in the report |
Inspection Report
Annual Inspection
Census: 109
Capacity: 150
Deficiencies: 0
Date: Dec 3, 2021
Visit Reason
An unannounced Required 1 Year visit was conducted to evaluate the facility's compliance with regulations.
Findings
The Licensing Program Analyst observed proper visitor screening, hand hygiene signage, adequate PPE and food supplies, and COVID-19 safety measures. No deficiencies were cited as per California Code of Regulations Title 22.
Report Facts
Capacity: 150
Census: 109
Employees mentioned
| Name | Title | Context |
|---|---|---|
| David Marrufo | Licensing Program Analyst | Conducted the inspection and observed compliance |
Inspection Report
Complaint Investigation
Census: 103
Capacity: 150
Deficiencies: 0
Date: Aug 20, 2021
Visit Reason
The Department conducted an unannounced Case Management visit following a death report regarding resident R1's self-inflicted gunshot wound and investigated allegations of neglect and lack of supervision.
Complaint Details
Investigation was conducted due to a death report alleging neglect and lack of supervision resulting in resident R1's death by self-inflicted gunshot wound. The investigation was found to be unfounded.
Findings
The investigation found no deficiencies or substantiated neglect; staff interviews and record reviews indicated the resident did not show suicidal behavior and did not require safety checks. The allegation was determined to be unfounded.
Report Facts
Staff interviewed: 6
Resident interviewed: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| David Marrufo | Licensing Program Analyst | Conducted the unannounced Case Management visit and investigation |
| Jayden Bettencourt | Wellness Director | Met with Licensing Program Analyst during visit and reviewed report |
| Maria Quintero | Administrator | Facility Administrator named in report header |
Inspection Report
Census: 103
Capacity: 150
Deficiencies: 0
Date: Aug 20, 2021
Visit Reason
The Department conducted an unannounced Case Management visit following a death report regarding resident R1's self-inflicted gunshot wound and investigated allegations of neglect and lack of supervision.
Complaint Details
Investigation was conducted due to a complaint of neglect and lack of supervision resulting in resident R1's death. The allegation was found to be unfounded.
Findings
The investigation found no deficiencies and determined the allegation of neglect and lack of supervision was unfounded based on interviews and record reviews.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| David Marrufo | Licensing Program Analyst | Conducted the unannounced Case Management visit and investigation. |
| Jayden Bettencourt | Wellness Director | Met with Licensing Program Analyst during the visit and reviewed the report. |
Inspection Report
Census: 98
Capacity: 150
Deficiencies: 0
Date: Jun 1, 2021
Visit Reason
The visit was an unannounced Case Management visit to inquire about a death that occurred at the facility, following submission of a death report on 05/28/2021.
Findings
During the visit, Licensing Program Analysts interviewed the Administrator and reviewed relevant documents related to the deceased resident. No deficiencies were cited as per California Code of Regulations Title 22.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Maria Quintero | Administrator | Interviewed during the visit regarding the death incident. |
| David Marrufo | Licensing Program Analyst | Conducted the unannounced Case Management visit. |
| Ryker Heberle | Licensing Program Analyst | Conducted the unannounced Case Management visit. |
Inspection Report
Census: 98
Capacity: 150
Deficiencies: 0
Date: Jun 1, 2021
Visit Reason
The visit was an unannounced Case Management visit to inquire about a death that occurred at the facility, following a death report submitted on 05/28/2021.
Findings
No deficiencies were cited during the visit as per California Code of Regulations Title 22. The Licensing Program Analysts interviewed the Administrator and reviewed relevant documents related to the resident who died.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Maria Quintero | Administrator | Met with Licensing Program Analysts during the visit and was interviewed regarding the death incident. |
| David Marrufo | Licensing Program Analyst | Conducted the unannounced Case Management visit and interview. |
| Ryker Heberle | Licensing Program Analyst | Conducted the unannounced Case Management visit and interview. |
Inspection Report
Census: 99
Capacity: 150
Deficiencies: 0
Date: Jan 6, 2021
Visit Reason
The visit was a tele-visit conducted to provide technical assistance to prevent and mitigate the spread of COVID-19 at the facility.
Findings
No deficiencies were cited during the visit. Recommendations were made regarding proper use of masks and gowns to prevent COVID-19 spread.
Report Facts
COVID-19 positive residents: 3
COVID-19 positive staff: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Maria Quintero | Administrator | Met with Licensing Program Analyst and HFEN Nurse during the tele-visit. |
| David Marrufo | Licensing Program Analyst | Conducted the tele-visit and provided technical assistance. |
| Emma Erickson | HFEN Nurse | Conducted the tele-visit and provided technical assistance. |
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