Inspection Report Summary
Most inspections found no deficiencies, including the most recent follow-up on September 16, 2025, which had no deficiencies cited. Earlier complaint investigations were largely unsubstantiated, with no evidence found for allegations about facility disrepair, transportation issues, or resident mistreatment. Two substantiated deficiencies involved the memory care unit’s lack of a dedicated activity director and failure to maintain activity documentation, first cited in February 2022 and again in April 2024, after which the facility hired an Activity Program Coordinator. Another isolated deficiency was noted in February 2025 related to medication assistance and failure to develop a plan for incidental medical and dental care. The facility’s record shows improvement in recent inspections, with the latest reports free of deficiencies.
Deficiencies per Year
4
3
2
1
0
High
Moderate
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Follow-Up
Capacity: 100
Deficiencies: 0
Sep 16, 2025
Visit Reason
The inspection was a case management follow-up visit to review a resident incident and a suspected abuse report recently submitted by the facility.
Findings
No deficiencies were cited during the inspection. The Licensing Program Analyst obtained requested records and additional information regarding the incident and suspected abuse report.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jeffrey Brenner | Administrator | Met with Licensing Program Analyst during the inspection. |
| Dina Alviso | Licensing Program Analyst | Conducted the case management inspection. |
| Bethany Moellers | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Complaint Investigation
Capacity: 100
Deficiencies: 0
Jun 17, 2025
Visit Reason
An unannounced complaint investigation was conducted in response to allegations that the facility elevator in independent living did not work and that the large dining room had leaks.
Findings
The investigation found that the licensed assisted living area had no leaks in hallways or dining rooms, and the elevator in independent living had been repaired with a second elevator available. The independent living areas are not under the Department's jurisdiction. The allegations were determined to be unfounded.
Complaint Details
The complaint allegations were found to be unfounded, meaning the allegations were false, could not have happened, and/or lacked a reasonable basis.
Report Facts
Facility capacity: 100
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dina Alviso | Licensing Program Analyst | Conducted the complaint investigation |
| Viola Kaake | Executive Director Associate | Met with the Licensing Program Analyst during the investigation |
| Robert Alvarado | Administrator | Facility Administrator mentioned in the report |
| Bethany Moellers | Licensing Program Manager | Named in the report |
Inspection Report
Complaint Investigation
Capacity: 100
Deficiencies: 0
Feb 13, 2025
Visit Reason
The inspection was conducted in response to a complaint alleging that the facility ceilings in the dining room were in disrepair.
Findings
The investigation found that the licensed assisted living dining rooms had no leaks or openings in the ceilings. The large independent living dining room did have ceiling openings and leaks, but this area is not under the Department's jurisdiction. The complaint was determined to be unfounded.
Complaint Details
The complaint allegation that the facility ceilings in the dining room were in disrepair was investigated and found to be unfounded, meaning the allegation was false or without reasonable basis.
Report Facts
Facility capacity: 100
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dina Alviso | Licensing Program Analyst | Conducted the complaint investigation |
| Robert Alvarado | Administrator | Met with the Licensing Program Analyst during the investigation |
| Bethany Moellers | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Follow-Up
Capacity: 100
Deficiencies: 1
Feb 13, 2025
Visit Reason
The visit was a case management follow-up to a facility self-reported resident incidents regarding medication errors involving residents R1 and R2.
Findings
The inspection found that medication errors had occurred with two residents, and although medication staff had received in-service training on medication policies, a violation was confirmed regarding the medication assistance provided. A deficiency was cited under California Code of Regulations 87465(a)(4) for failure to develop and implement a plan for incidental medical and dental care.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to develop a plan for incidental medical and dental care and assist residents with self-administered medications as needed, evidenced by medication error incidents involving residents R1 and R2. | Type A |
Report Facts
Facility capacity: 100
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Robert Alvarado | Administrator | Met with during inspection and named in findings |
| Dina Alviso | Licensing Program Analyst | Conducted the inspection |
| Bethany Moellers | Licensing Program Manager | Supervisor and named in report |
Inspection Report
Annual Inspection
Census: 70
Capacity: 100
Deficiencies: 0
Jan 29, 2025
Visit Reason
The inspection was an unannounced Required 1 Year visit to evaluate compliance with regulations for an assisted living and memory care facility.
Findings
The facility was found to be clean, orderly, and compliant with safety and care regulations. No deficiencies were cited during the visit. Fire safety systems were up to date, staff and resident documentation were in order, and residents were observed engaging in activities and interacting with staff.
Report Facts
Residents in Assisted Living: 45
Residents in Memory Care: 25
Hospice waiver residents: 18
Fire Department inspection date: Jan 7, 2025
Smoke and CO detectors inspection date: Dec 31, 2024
Fire extinguisher service date: Oct 8, 2024
Last fire drill date: Dec 15, 2024
Sample sinks hot water temperature range: 105-120
Call system test: 2
Caregiver response time: 1
Staff file sample size: 10
Resident file sample size: 10
Memory care residents medication spot check: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Robert Alvarado | Executive Director | Met with Licensing Program Analyst during inspection and named in report |
| Robert Frank | Licensing Program Analyst | Conducted the inspection and signed the report |
| Victoria Bertozzi | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Capacity: 100
Deficiencies: 1
Apr 24, 2024
Visit Reason
The inspection was conducted as a complaint investigation based on an allegation that staff do not provide adequate activities for residents in the memory care unit.
Findings
The investigation found that the facility did not have an activity director and lacked supportive documentation showing which activities were held in the memory care unit. The allegation was substantiated, and a citation for Planned Activities was issued. The facility subsequently hired an Activity Program Coordinator who is documenting activities daily and maintaining the activity calendar.
Complaint Details
The complaint was substantiated. The allegation that staff do not provide adequate activities for residents in the memory care unit was supported by lack of documentation and absence of a dedicated activity director. The facility was cited accordingly.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to have one staff member with full-time responsibility to organize, conduct, and evaluate planned activities, and failure to maintain up-to-date activity records in the memory care unit. | Type B |
Report Facts
Facility capacity: 100
Plan of Correction due date: May 3, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Robert Alvarado | Administrator/Executive Director | Met with Licensing Program Analyst during complaint investigation and named in findings |
| Dina Alviso | Licensing Program Analyst | Conducted the complaint investigation |
| Hope DeBenedetti | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Capacity: 100
Deficiencies: 0
Apr 24, 2024
Visit Reason
The inspection was an unannounced Case Management visit conducted to obtain more information on a resident incident recently reported to the Department by the facility.
Findings
The Licensing Program Analyst reviewed the resident incident records and received additional information from the Administrator. No deficiencies were cited during this inspection.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Robert Alvarado | Administrator | Met with Licensing Program Analyst during the inspection and provided additional information on the resident incident. |
Inspection Report
Annual Inspection
Census: 68
Capacity: 100
Deficiencies: 0
Jan 9, 2024
Visit Reason
The inspection was a continued annual case management visit to evaluate compliance with licensing requirements and facility operations.
Findings
The facility was found to have complete resident and staff records, approved plans for dementia care, hospice waiver, fire clearance, and emergency disaster preparedness. The environment was clean, orderly, and safe with no deficiencies cited during this visit.
Report Facts
Residents with hospice waiver: 18
Fire clearance capacity: 100
Bedridden capacity: 20
Resident files reviewed: 10
Staff records reviewed: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Robert Alvarado | Administrator | Met with Licensing Program Analyst during inspection and exit interview |
| Dina Alviso | Licensing Program Analyst | Conducted the annual inspection and signed the report |
| Hope DeBenedetti | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 68
Capacity: 100
Deficiencies: 0
Dec 11, 2023
Visit Reason
The inspection was conducted as a complaint investigation following a complaint received on 2023-11-15 alleging that staff did not provide resident transportation to medical appointments, the facility was in disrepair, and staff charged residents for services not rendered.
Findings
The investigation found that the facility had a scheduled bus service for transportation and that transportation was provided as per the admission agreement and resident handbook. The allegations regarding transportation were unfounded. The investigation also found that the facility had repaired a leaking air-conditioner and provided a portable unit during repairs. Financial records showed fees were credited or refunded appropriately, with no evidence of improper charges. The allegations of facility disrepair and charging for services not rendered were unsubstantiated. No deficiencies were cited.
Complaint Details
The complaint investigation was unannounced and conducted by Licensing Program Analyst Dina Alviso. The allegation that staff did not provide resident transportation to medical appointments was found to be unfounded. The allegations that the facility was in disrepair and that staff charged residents for services not rendered were unsubstantiated, meaning there was insufficient evidence to prove the violations occurred.
Report Facts
Refund amount: 122.15
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Robert Alvarado | Administrator | Named in relation to complaint investigation and exit interviews |
| Viola Kaake | Associate Executive Director | Met with Licensing Program Analyst during investigation |
| Dina Alviso | Licensing Program Analyst | Conducted the complaint investigation |
| Hope DeBenedetti | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Annual Inspection
Census: 68
Capacity: 100
Deficiencies: 0
Dec 11, 2023
Visit Reason
The inspection was a Required - 1 Year unannounced visit conducted to evaluate the facility's compliance with licensing regulations.
Findings
The facility has approved plans for dementia care, hospice waiver for 18 residents, fire clearance for 100 non-ambulatory residents including 20 bedridden, and required emergency and infection control plans. All observed exits were unobstructed and fire extinguishers were serviced and tagged as required. The inspection was not completed and will continue at a later date.
Report Facts
Hospice waiver residents: 18
Fire clearance capacity: 100
Bedridden capacity: 20
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Robert Alvarado | Administrator | Met during inspection and named in report |
| Dina Alviso | Licensing Program Analyst | Conducted the inspection |
| Hope DeBenedetti | Licensing Program Manager | Named in report |
Inspection Report
Complaint Investigation
Census: 57
Capacity: 100
Deficiencies: 0
Aug 15, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to a complaint received on 2023-08-11 regarding allegations including staff stealing resident’s belongings, disrepair of a resident’s shower, failure to provide an admissions agreement, and failure to post an Ombudsman poster.
Findings
The investigation revealed that the resident involved in the allegations was not a resident of the licensed assisted living facility but resided in an independent living unit not under the Department's jurisdiction. All allegations were found to be unfounded.
Complaint Details
The complaint was investigated and found to be unfounded. The Department has no jurisdiction over the independent living portion of the facility where the resident lived.
Report Facts
Capacity: 100
Census: 57
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Robert Alvarado | Administrator | Met with Licensing Program Analyst during complaint investigation |
| Dina Alviso | Licensing Program Analyst | Conducted the complaint investigation |
| Hope DeBenedetti | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Census: 63
Capacity: 100
Deficiencies: 0
Feb 7, 2023
Visit Reason
The inspection was a Case Management visit conducted to obtain information on a resident incident recently reported to the Department by the facility.
Findings
The Licensing Program Analyst reviewed facility and resident records and obtained additional staff information from the Administrator. No deficiencies were cited during this visit.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Robert Alvarado | Administrator | Met with Licensing Program Analyst during the inspection and provided additional staff information regarding the incident. |
Inspection Report
Annual Inspection
Census: 61
Capacity: 100
Deficiencies: 0
Dec 21, 2022
Visit Reason
The inspection was a required 1 Year unannounced inspection focused on infection control procedures and practices at the facility.
Findings
The facility was found to be clean, with all exits free from obstruction, sufficient PPE supplies, and proper medication and toxin storage. No deficiencies or citations were found during the inspection.
Report Facts
Hospice waiver residents: 10
Fire clearance capacity: 120
Bedridden residents allowed: 20
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Robert Alvarado | Administrator | Met with Licensing Program Analyst during inspection |
| Shelby Beem | Health & Wellness Director | Met with Licensing Program Analyst during inspection |
Inspection Report
Complaint Investigation
Census: 58
Capacity: 100
Deficiencies: 0
Nov 3, 2022
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2022-10-04 regarding allegations about staff not addressing a resident's death in a timely manner and lack of dignity accorded to a resident while in care.
Findings
The investigation found no evidence to support the allegations. The allegations were determined to be unsubstantiated based on record reviews, interviews, and information obtained. No deficiencies were cited during the visit.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included staff not addressing a resident's death in a timely manner and resident not being accorded dignity while in care. There was no preponderance of evidence to prove the alleged violations occurred.
Report Facts
Capacity: 100
Census: 58
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Robert Alvarado | Administrator | Met during inspection and mentioned in findings |
| Dina Alviso | Licensing Program Analyst | Conducted the complaint investigation |
| Shelby Beem | Health & Wellness Director | Interviewed during the investigation |
Inspection Report
Complaint Investigation
Capacity: 100
Deficiencies: 0
Jun 16, 2022
Visit Reason
An unannounced complaint investigation was conducted based on a complaint received on 2022-04-08 alleging that residents were not allowed to have visitors and did not have telephone access.
Findings
The investigation found that residents were allowed visitors and had telephone access via a phone line and cell phones in their apartments. The allegations were determined to be unfounded with no violations or deficiencies cited.
Complaint Details
The complaint allegations that residents were not allowed visitors and did not have telephone access were investigated and found to be unfounded.
Report Facts
Facility capacity: 100
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dina Alviso | Licensing Program Analyst | Conducted the complaint inspection and investigation |
| Robert Alvarado | Administrator | Met with the Licensing Program Analyst during the investigation |
| Hope DeBenedetti | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Annual Inspection
Capacity: 100
Deficiencies: 0
Feb 16, 2022
Visit Reason
A required 1 Year unannounced inspection was conducted focusing on infection control procedures and practices at the facility.
Findings
The facility was found to be clean, orderly, and compliant with infection control practices. No deficiencies or citations were issued during the inspection.
Report Facts
Fire extinguishers inspected: 18
Hospice waiver residents: 10
Fire clearance capacity: 120
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Robert Alvarado | Administrator | Met with Licensing Program Analyst during inspection and observed wearing mask |
| Dina Alviso | Licensing Program Analyst | Conducted the inspection |
| Hope DeBenedetti | Licensing Program Manager | Named in report header |
Inspection Report
Complaint Investigation
Capacity: 100
Deficiencies: 1
Feb 16, 2022
Visit Reason
The inspection was conducted as an unannounced complaint investigation in response to an allegation that no activities were being provided to memory care residents.
Findings
The investigation found that the facility could not provide documentation proving that scheduled activities for memory care residents occurred on specified dates. The allegation that no activities were provided was substantiated, and a citation was issued for failure to maintain proper activity documentation and provide planned activities as required by regulation.
Complaint Details
The complaint was substantiated based on interviews, record reviews, and a declaration from an agency staff person who observed no activities on specified dates. The allegation was that no activities were provided to memory care residents on 12/3/21, 12/10/21, 12/14/21, and 1/14/22.
Deficiencies (1)
| Description |
|---|
| Failure to provide planned activities and maintain documentation for memory care residents as required by CCR 87219(a)(f). |
Report Facts
Facility capacity: 100
Plan of Correction due date: Feb 25, 2022
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dina Alviso | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Robert Alvarado | Administrator | Facility administrator interviewed during the investigation |
| Hope DeBenedetti | Licensing Program Manager | Named as Licensing Program Manager on the report |
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