Inspection Report
Annual Inspection
Census: 72
Capacity: 180
Deficiencies: 0
Mar 19, 2025
Visit Reason
The inspection was a required one-year unannounced visit to evaluate the facility's compliance with licensing regulations.
Findings
The facility was found to be in good condition with no health or safety hazards noted. The physical plant was toured, medication was inaccessible to residents, and the facility maintained proper food storage, cleanliness, and safety equipment.
Report Facts
Non-ambulatory resident capacity: 65
Hospice waiver capacity: 2
Hot water temperature: 114.5
Food stock duration: 2
Food stock duration: 7
Rooms inspected: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Abeye Duguma | Licensing Program Analyst | Conducted the inspection and met with facility administrator |
| Betsy Davis | Administrator | Facility administrator met with Licensing Program Analyst during inspection |
Inspection Report
Annual Inspection
Census: 69
Capacity: 180
Deficiencies: 0
Dec 19, 2023
Visit Reason
The inspection was an unannounced required one-year annual inspection conducted by the Licensing Program Analyst to evaluate the facility's compliance with regulatory standards.
Findings
The facility was found to be clean, well-maintained, and compliant with safety and health regulations. All inspected areas including resident bedrooms, bathrooms, kitchen, and common areas were in good condition with no expired foods or safety hazards observed.
Report Facts
Hot water temperature: 115
Fire extinguisher last serviced: 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Betsy K Davis | Administrator | Met with Licensing Program Analyst during inspection |
| Rosaura Valenzuela | Licensing Program Analyst | Conducted the inspection |
| Naira Margaryan | Licensing Program Manager | Named in report header |
Inspection Report
Complaint Investigation
Census: 68
Capacity: 180
Deficiencies: 0
Sep 14, 2023
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations received on 09/07/2023 concerning reappraisal meetings, resident restraint, rough handling of residents, and medication dispensing practices.
Findings
The investigation found insufficient evidence to substantiate any of the allegations. Records and interviews indicated that reappraisals were conducted timely, residents were not restrained improperly, staff handled residents respectfully, and medications were dispensed according to physician orders.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included failure to arrange a reappraisal meeting, improper restraint of a resident, rough handling of residents, and failure to dispense medications as ordered. Each allegation was investigated through interviews and record reviews and found to lack sufficient evidence.
Report Facts
Facility capacity: 180
Census: 68
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Betsy K Davis | Administrator | Met with Licensing Program Analyst during investigation |
| Rosaura Valenzuela | Licensing Program Analyst | Conducted the complaint investigation visit |
| Naira Margaryan | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 70
Capacity: 180
Deficiencies: 0
Aug 15, 2023
Visit Reason
An unannounced complaint investigation visit was conducted to investigate the allegation that staff were not allowing residents to participate in activities.
Findings
The investigation found that the allegation was unsubstantiated. The card game activity was changed to encourage more resident participation, and interviews with residents and staff confirmed that residents were allowed to participate in activities of their choosing without coercion.
Complaint Details
The complaint alleged that staff were not allowing residents to participate in activities. The allegation was deemed unsubstantiated based on interviews and observations during the visit.
Report Facts
Residents interviewed: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Betsy K Davis | Administrator | Met with Licensing Program Analyst during the investigation and involved in the allegation regarding activity participation. |
| Jose Gary Tan | Licensing Program Analyst | Conducted the unannounced complaint investigation visit. |
| Troy Agard | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation. |
Inspection Report
Complaint Investigation
Census: 63
Capacity: 180
Deficiencies: 0
Mar 21, 2023
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received on 2023-02-07 regarding a resident assault and failure to safeguard resident's personal belongings.
Findings
The investigation found no substantiation for the allegations. Interviews with staff, residents, and a witness, as well as record reviews, did not confirm the claims of assault or theft. The resident involved has cognitive impairments affecting their perception of events.
Complaint Details
The complaint alleged that a resident was assaulted while in care and that facility staff did not safeguard the resident's personal belongings. The allegations were unsubstantiated based on interviews and record reviews.
Report Facts
Staff interviewed: 2
Residents interviewed: 6
Residents interviewed: 5
Facility capacity: 180
Facility census: 63
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Troy Agard | Licensing Program Analyst | Conducted the complaint investigation and interviews |
| Angela J Kendrick | Licensing Program Manager | Oversaw the complaint investigation report |
| Betsy K Davis | Administrator | Facility administrator met during the investigation |
Inspection Report
Annual Inspection
Census: 56
Capacity: 180
Deficiencies: 1
Dec 27, 2022
Visit Reason
An unannounced Annual - 1 Year Required visit was conducted to evaluate the facility's compliance with regulations, including infection control.
Findings
The facility was generally found to be in compliance with regulations, including clean and operational resident rooms, proper kitchen conditions, and adequate safety equipment. One deficiency was cited for a disinfectant bottle accessible to residents in a common restroom.
Deficiencies (1)
| Description |
|---|
| Disinfectant bottle accessible to residents in the second floor common restroom, posing an immediate health, safety, or personal rights risk. |
Report Facts
Capacity: 180
Census: 56
Plan of Correction Due Date: Dec 28, 2022
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Betsy K Davis | Administrator | Assisted with the inspection visit |
| Ashley Calderon | Licensing Program Analyst | Conducted the inspection and authored the report |
| Fernando Fierros | Licensing Program Manager | Supervisor overseeing the inspection |
| Dennise Alonso | Assistant Administrator | Met with Licensing Program Analyst during the visit |
Inspection Report
Routine
Census: 54
Capacity: 180
Deficiencies: 0
Nov 9, 2022
Visit Reason
An announced informal Teams meeting visit was conducted regarding COVID-19 recommendations and guidelines, including a virtual visit and a facility tour.
Findings
The facility was found to be following COVID-19 infection control recommendations with no vaccination or booster issues, adequate PPE supplies, and appropriate zoning of residents. No deficiencies were cited during this visit.
Report Facts
Residents in green zone: 35
Residents in yellow zone: 1
Residents in red zone: 18
PPE supply duration: 60
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Betsy Davis | Administrator | Met with during the visit and mentioned in findings |
| Ashley Calderon | Licensing Program Analyst | Conducted the visit virtually and on-site tour |
| Alan Garcia | Department of Public Health Outbreak Management Branch Representative | Participated in the visit and facility tour |
| Brenna De Leon | Participated in the visit and facility tour | |
| Dr. Al-Ahmad | Participated in the visit |
Inspection Report
Complaint Investigation
Census: 59
Capacity: 180
Deficiencies: 0
Mar 29, 2022
Visit Reason
The visit was an unannounced complaint investigation conducted in response to an allegation that staff were inappropriately restraining residents while in care.
Findings
The investigation included interviews with residents, staff, and the administrator, as well as review of records. All six residents interviewed denied the allegation, and staff also denied it. The facility had a recent Norovirus outbreak which led to a temporary lockdown, but residents were able to leave their rooms and attend activities. There was insufficient evidence to substantiate the allegation, so it was determined to be unsubstantiated.
Complaint Details
The allegation was that staff were inappropriately restraining residents while in care. The allegation was found to be unsubstantiated based on interviews and record reviews.
Report Facts
Capacity: 180
Census: 59
Outbreak infected residents: 8
Outbreak infected staff: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Christine Wong | Licensing Program Analyst | Conducted the complaint investigation |
| Betsy K Davis | Administrator | Facility administrator interviewed during investigation |
Inspection Report
Annual Inspection
Census: 62
Capacity: 180
Deficiencies: 0
Jan 24, 2022
Visit Reason
An unannounced Annual - 1 Year Required visit was conducted to evaluate the facility's compliance with regulations.
Findings
The facility was inspected thoroughly including resident rooms, common areas, kitchen, and medication storage. No deficiencies were observed during the visit, and the facility was found to be in compliance with Title 22 Regulations.
Report Facts
Hospice waiver capacity: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Betsy K Davis | Administrator | Met with Licensing Program Analyst during the inspection. |
| Dennise Alonso | Assistant Administrator | Met with Licensing Program Analyst during the inspection. |
| Nune Margaryan | Licensing Program Analyst | Conducted the unannounced annual inspection. |
Inspection Report
Complaint Investigation
Census: 60
Capacity: 180
Deficiencies: 0
Sep 14, 2021
Visit Reason
Unannounced complaint investigation visit conducted in response to allegations including facility disrepair, inadequate hydration of a resident resulting in dehydration, and staff providing discontinued medication to a resident.
Findings
The investigation found insufficient evidence to substantiate the allegations. Residents and staff reported comfortable temperatures and adequate hydration practices. Medication administration followed doctor's orders, and discontinued medication was not given after official discontinuation.
Complaint Details
The complaint investigation was unannounced and addressed three main allegations: facility disrepair due to lack of air conditioning, inadequate hydration of Resident #1, and administration of discontinued medication to Resident #1. Interviews with residents, staff, and review of logs and records found insufficient evidence to corroborate these allegations. The complaint was determined to be unsubstantiated.
Report Facts
Facility capacity: 180
Resident census: 60
Residents interviewed: 9
Staff interviewed: 5
Room temperature range: 72
Room temperature range: 77
Fluid intake log period: 9
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| David Sicairos | Licensing Program Analyst | Conducted the complaint investigation and interviews |
| Betsy K Davis | Administrator | Facility administrator interviewed during investigation |
| Rebecca Orendain | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 59
Capacity: 180
Deficiencies: 0
Sep 3, 2021
Visit Reason
The visit was an unannounced complaint investigation conducted in response to an allegation that a resident sustained unexplained injuries while in care.
Findings
The investigation found that the resident in question did not reside at this facility but at a different skilled nursing home. The complaint was determined to be unfounded and was dismissed.
Complaint Details
The complaint alleged that a resident sustained unexplained injuries while in care. The complaint was found to be unfounded, meaning the allegation was false, could not have happened, and/or was without reasonable basis.
Report Facts
Facility capacity: 180
Census: 59
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Betsy Davis | Administrator | Met with Licensing Program Analyst during the investigation |
| Christine Wong | Licensing Program Analyst | Conducted the complaint investigation |
| Christine Yee | Licensing Program Manager | Named in report header |
Inspection Report
Complaint Investigation
Census: 63
Capacity: 180
Deficiencies: 0
Jun 29, 2021
Visit Reason
An unannounced complaint investigation was conducted in response to multiple allegations received on 06/22/2021 regarding resident care and facility conditions at Broadview Residential Care Center.
Findings
The investigation found that the complaint was unfounded, meaning the allegations were false, could not have happened, or were without reasonable basis. The complaint was therefore dismissed after interviews and document review.
Complaint Details
The complaint included allegations that facility staff did not meet residents' hygiene needs, did not clean residents' rooms, charged residents for services not received, did not follow doctors' orders, left residents in bed all day causing pressure injuries, the facility was in disrepair, did not provide a safe environment, and had pests. The complaint was found to be unfounded.
Report Facts
Capacity: 180
Census: 63
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Betsy K Davis | Administrator | Met with during investigation and exit interview |
| Cynthia D Chan | Evaluator / Licensing Program Analyst | Conducted complaint investigation |
| Nina Galarza | Licensing Program Analyst | Conducted complaint investigation |
Loading inspection reports...



