Inspection Report Summary
Most inspections found no deficiencies, with the facility generally maintaining a clean and well-equipped environment. Two inspections in January 2024 cited a minor issue involving unavailable employee personnel records, which was addressed by a follow-up visit in January 18, 2024. Several complaint investigations were unsubstantiated, including one in October 2024 regarding a resident’s return after hospitalization. The most recent report from January 16, 2025, showed no deficiencies and found the facility in full compliance. There is a clear improvement trend, with the latest inspection confirming that previous record-keeping issues were resolved.
Deficiencies per Year
4
3
2
1
0
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 0
Jan 16, 2025
Visit Reason
An unannounced annual inspection was conducted to ensure compliance with Title 22 regulations at the care home.
Findings
The inspection found the facility to be in compliance with regulations, with properly furnished rooms, sanitary bathrooms, operational safety equipment, and secure medication storage. No deficiencies were cited during this visit.
Report Facts
Perishable food supply: 2
Non-perishable food supply: 7
Resident rooms observed: 6
Staff files reviewed: 2
Resident files reviewed: 5
Resident medications reviewed: 2
Water temperature: 105.1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Cassandra Mikkelson | Licensing Program Analyst | Conducted the annual inspection |
| Chynna Strong | House Manager | Met with Licensing Program Analyst during inspection |
Inspection Report
Complaint Investigation
Census: 5
Capacity: 6
Deficiencies: 0
Oct 15, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that staff were not allowing a resident to return to the facility after hospitalization.
Findings
The investigation found the allegation to be unfounded. Interviews and record reviews showed that the resident and administrator agreed the resident would not return due to changed care needs, and the resident was admitted to another assisted living facility. No eviction notice was necessary.
Complaint Details
The complaint alleged that staff were not allowing a resident to return to the facility after hospitalization. The allegation was found to be unfounded based on interviews with the resident, administrator, and review of records showing mutual agreement that the resident would not return.
Report Facts
Facility capacity: 6
Resident census: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sayeh Jackson | Administrator | Named in relation to the complaint investigation and findings |
| Cassandra Mikkelson | Licensing Program Analyst | Conducted the complaint investigation |
| Michael Hood | Licensing Program Analyst | Assisted in conducting the complaint investigation |
| Anthony Perez | Licensing Program Manager | Oversaw the complaint investigation |
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 1
Jan 18, 2024
Visit Reason
The inspection visit was an unannounced continuation of the annual case management inspection to evaluate compliance with licensing requirements.
Findings
The Licensing Program Analyst reviewed resident and staff files, medication records, and staff certifications. One deficiency was cited related to personnel records being unavailable during a prior visit, posing a potential health and safety risk.
Deficiencies (1)
| Description |
|---|
| Personnel records were unavailable for review during the initial visit on 01/04/24, posing a potential health, safety, or personal rights risk to persons in care. |
Report Facts
Capacity: 6
Census: 5
Plan of Correction Due Date: Jan 25, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sayeh Jackson | Administrator | Met with Licensing Program Analyst during inspection |
| Bethany Mirlohi | Licensing Program Analyst | Conducted the inspection and signed the report |
| Troy Ordonez | Licensing Program Manager | Supervisor named in the report |
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 1
Jan 4, 2024
Visit Reason
The inspection was an unannounced annual inspection conducted to ensure the health and safety of residents in care.
Findings
No immediate health, safety, or personal rights violations were observed during the tour of the facility. However, the administrator did not have employee files available for review, and a follow-up visit will be conducted to complete the inspection and cite this issue.
Deficiencies (1)
| Description |
|---|
| Employee files were not available for Licensing Program Analyst review. |
Report Facts
Resident rooms toured: 6
Bathrooms toured: 2
Inspection start time: 1240
Inspection end time: 1515
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sayeh Jackson | Administrator | Met with Licensing Program Analyst during inspection and noted for employee files issue |
| Bethany Mirlohi | Licensing Program Analyst | Conducted the annual inspection |
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 0
Jan 19, 2023
Visit Reason
Licensing Program Analyst Bethany Mirlohi arrived unannounced to conduct an annual inspection of Bridgeway Senior Care, LLC.
Findings
The inspection found no immediate health, safety, or personal rights violations. The facility had adequate PPE, food supply, linens, and a complete first aid kit. No deficiencies were cited.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sayeh Jackson | Administrator | Met with Licensing Program Analyst during the inspection. |
| Bethany Mirlohi | Licensing Program Analyst | Conducted the annual inspection. |
| Troy Ordonez | Licensing Program Manager | Named in the report header. |
Inspection Report
Original Licensing
Census: 6
Capacity: 6
Deficiencies: 0
Jan 28, 2022
Visit Reason
The visit was a pre-licensing inspection conducted to evaluate the facility prior to licensing approval.
Findings
The facility was found to be in compliance with regulations, appearing clean, well-furnished, and in good condition with adequate supplies and required safety detectors.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sayeh Jackson | Administrator | Met with the Licensing Program Analyst during the pre-licensing visit. |
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