Deficiencies (last 5 years)

Deficiencies (over 5 years) 3 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

25% better than California average
California average: 4 deficiencies/year

Deficiencies per year

8 6 4 2 0
2021
2022
2023
2024
2025

Census

Latest occupancy rate 82% occupied

Based on a November 2025 inspection.

This facility has shown a steady increase in demand based on occupancy rates.

Occupancy over time

60 80 100 120 140 Jul 2021 Sep 2022 Mar 2023 Oct 2023 Aug 2024 Jul 2025 Nov 2025

Inspection Report

Complaint Investigation
Census: 105 Capacity: 128 Deficiencies: 1 Date: Nov 5, 2025

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2024-08-01 regarding staff supervision and resident care resulting in injury.

Complaint Details
The complaint alleged staff did not ensure care and supervision resulting in resident injury. The allegation was substantiated based on interviews, record reviews, and observations. Other allegations about reporting and room obstruction were unsubstantiated.
Findings
The investigation substantiated that staff failed to provide adequate supervision to a known fall-risk resident, resulting in a serious injury (left hip fracture). The facility did not revise the resident's care plan or implement additional safety measures despite multiple prior falls. An immediate civil penalty of $500 was assessed. Other allegations regarding reporting requirements and room obstruction were found unsubstantiated.

Deficiencies (1)
Facility staff failed to provide adequate supervision to meet resident needs resulting in a serious injury which poses an immediate safety risk to residents in care.
Report Facts
Civil penalty amount: 500 Capacity: 128 Census: 105

Employees mentioned
NameTitleContext
Alona GomezLicensing Program AnalystConducted the complaint investigation and delivered findings
Rachel DavisExecutive DirectorMet with Licensing Program Analyst during investigation and exit interview
William GradyAdministratorFacility administrator named in the report

Inspection Report

Complaint Investigation
Census: 105 Capacity: 128 Deficiencies: 1 Date: Nov 5, 2025

Visit Reason
The inspection was an unannounced case management review related to complaint 15-AS-20240514173549, conducted to investigate issues regarding resident care.

Complaint Details
The visit was complaint-related, investigating complaint 15-AS-20240514173549. It was substantiated that the facility did not update the care plan for resident R1 after multiple falls on 6/10/2022, 1/9/2023, and 3/25/2024.
Findings
The investigation found that the facility failed to update a resident's care plan after multiple falls, which did not address the resident's change in condition and care needs, posing a potential safety risk.

Deficiencies (1)
Facility did not update residents care plan when there was a change in condition
Report Facts
Deficiency Plan of Correction Due Date: Nov 19, 2025 Capacity: 128 Census: 105

Employees mentioned
NameTitleContext
Rachel DavisExecutive DirectorMet with Licensing Program Analyst during inspection
Alona GomezLicensing Program AnalystConducted the inspection and investigation
Yvonne Flores-LariosLicensing Program ManagerNamed in report as Licensing Program Manager

Inspection Report

Annual Inspection
Census: 104 Capacity: 128 Deficiencies: 0 Date: Jul 9, 2025

Visit Reason
The inspection was an unannounced 1-Year Annual Required inspection conducted to evaluate compliance with licensing requirements.

Findings
The facility was found to be in compliance with no deficiencies cited. The inspection included a tour of resident apartments and common areas, review of staff and resident records, and verification of safety and environmental conditions.

Report Facts
Staff records reviewed: 6 Resident records reviewed: 6 Fire extinguisher last serviced: Feb 6, 2025 Disaster drill last conducted: May 12, 2025 Emergency disaster plan last reviewed: Apr 21, 2025

Employees mentioned
NameTitleContext
Rachael DavisExecutive DirectorMet with Licensing Program Analyst during inspection and involved in facility tour

Inspection Report

Annual Inspection
Census: 104 Capacity: 128 Deficiencies: 0 Date: Jul 9, 2025

Visit Reason
The inspection was an unannounced 1-Year Annual Required inspection conducted to evaluate compliance with licensing requirements.

Findings
The facility was found to be in compliance with no deficiencies cited. The inspection included a tour of resident apartments and common areas, review of staff and resident records, and verification of safety and environmental conditions.

Report Facts
Staff records reviewed: 6 Resident records reviewed: 6 Fire extinguisher last serviced: Feb 6, 2025 Disaster drill last conducted: May 12, 2025 Emergency disaster plan last reviewed: Apr 21, 2025

Employees mentioned
NameTitleContext
Rachael DavisExecutive DirectorMet with Licensing Program Analyst during inspection and facility tour
A. GomezLicensing Program AnalystConducted the inspection visit
William GradyAdministrator/DirectorFacility Administrator named in report header

Inspection Report

Complaint Investigation
Census: 105 Capacity: 128 Deficiencies: 0 Date: Jun 5, 2025

Visit Reason
The visit was an unannounced complaint investigation conducted in response to a complaint received on 2025-01-31 alleging issues such as unclean resident rooms, residents left in soiled clothing, and lack of feeding assistance.

Complaint Details
The complaint was unsubstantiated. No deficiencies were cited during the visit. The Licensing Program Analyst was unable to identify any concerns relating to the allegations due to anonymous complainant and lack of specific resident identification.
Findings
The investigation included interviews with a random sample of residents and review of their files. No concerns were identified, residents expressed satisfaction with care, and all rooms were observed sanitary. The allegations were determined to be unsubstantiated due to lack of preponderance of evidence.

Report Facts
Complaint Control Number: 15 Complaint Control Number Full: 20250131105419

Employees mentioned
NameTitleContext
Alona GomezLicensing Program AnalystConducted the complaint investigation and delivered findings
Rachael DavisExecutive DirectorMet with Licensing Program Analyst during investigation
Navjinder KaurHealth & Wellness DirectorMet with Licensing Program Analyst during investigation

Inspection Report

Complaint Investigation
Census: 105 Capacity: 128 Deficiencies: 0 Date: Jun 5, 2025

Visit Reason
Unannounced complaint investigation visit conducted in response to allegations received on 2025-01-31 regarding resident care concerns including cleanliness, soiled clothing, and feeding assistance.

Complaint Details
The complaint involved multiple allegations about staff not ensuring residents' rooms were kept clean, leaving residents in soiled clothing for extended periods, and not providing feeding assistance. The complaint was found to be unsubstantiated.
Findings
The investigation included interviews with residents and file reviews, with no specific resident identified. All residents expressed satisfaction with care, and no concerns were observed. The allegations were unsubstantiated due to lack of preponderance of evidence. No deficiencies were cited.

Report Facts
Capacity: 128 Census: 105

Employees mentioned
NameTitleContext
Alona GomezLicensing Program AnalystConducted the complaint investigation and delivered findings
Rachael DavisExecutive DirectorMet with Licensing Program Analyst during investigation
Navjinder KaurHealth & Wellness DirectorMet with Licensing Program Analyst during investigation

Inspection Report

Complaint Investigation
Census: 104 Capacity: 128 Deficiencies: 0 Date: Aug 7, 2024

Visit Reason
The inspection was conducted as a result of a priority 1 complaint to perform a Health & Safety inspection.

Complaint Details
The visit was triggered by a priority 1 complaint. No deficiencies were cited during the visit.
Findings
The Licensing Program Analyst toured the facility and found no deficiencies. Hot water temperatures, food supplies, freezer and refrigerator temperatures, medication storage, smoke detectors, carbon monoxide detector, first-aid kit, fire extinguisher, and passageways were all in compliance.

Report Facts
Hot water temperature: 110.8 Hot water temperature: 113.2 Hot water temperature: 109.4 Food supply duration: 7 Food supply duration: 2 Freezer temperature: 0 Refrigerator temperature: 36 Fire extinguisher last serviced: Feb 6, 2024

Employees mentioned
NameTitleContext
Rachael DavisExecutive DirectorMet with Licensing Program Analyst during inspection
Alona GomezLicensing Program AnalystConducted the Health & Safety inspection
Yvonne Flores-LariosSupervisorSupervisor overseeing the inspection

Inspection Report

Complaint Investigation
Census: 104 Capacity: 128 Deficiencies: 0 Date: Aug 7, 2024

Visit Reason
The inspection was conducted as a result of a priority 1 complaint to perform a Health & Safety inspection.

Complaint Details
The visit was triggered by a priority 1 complaint. No deficiencies were cited during the visit.
Findings
The Licensing Program Analyst toured the facility and found no deficiencies. All safety measures including hot water temperature, food supplies, medication storage, smoke detectors, carbon monoxide detectors, first-aid kit, and fire extinguisher were in compliance.

Report Facts
Hot water temperature readings: 110.8 Hot water temperature readings: 113.2 Hot water temperature readings: 109.4 Food supply duration: 7 Food supply duration: 2 Freezer temperature: 0 Refrigerator temperature: 36 Facility capacity: 128 Facility census: 104

Employees mentioned
NameTitleContext
Rachael DavisExecutive DirectorMet with Licensing Program Analyst during inspection
Alona GomezLicensing Program AnalystConducted the Health & Safety inspection
Yvonne Flores-LariosLicensing Program ManagerNamed in report header

Inspection Report

Annual Inspection
Census: 102 Capacity: 128 Deficiencies: 0 Date: Jul 19, 2024

Visit Reason
The inspection was an unannounced 1-Year Annual Required inspection conducted to evaluate compliance with licensing requirements.

Findings
The facility was found to be in compliance with no deficiencies cited. The inspection included a tour of the facility, review of staff and resident records, and verification of safety measures such as fire clearance, emergency plans, and environmental conditions.

Report Facts
Hot water temperature: 112.6 Hot water temperature: 109.2 Hot water temperature: 108.9 Fire extinguisher last serviced: Feb 6, 2024 Disaster drill last conducted: Jul 18, 2024 Emergency disaster plan last reviewed: Oct 19, 2023 Freezer temperature: 0 Refrigerator temperature: 36 Staff records reviewed: 6 Residents records reviewed: 5

Employees mentioned
NameTitleContext
Rachael DavisExecutive DirectorMet with Licensing Program Analyst during inspection
Alona GomezLicensing Program AnalystConducted the inspection
Yvonne Flores-LariosSupervisorSupervisor of Licensing Program Analyst
William GradyAdministrator/DirectorFacility Administrator/Director

Inspection Report

Annual Inspection
Census: 102 Capacity: 128 Deficiencies: 0 Date: Jul 19, 2024

Visit Reason
The inspection was an unannounced 1-Year Annual Required inspection conducted to evaluate the facility's compliance with regulatory standards.

Findings
The facility was toured and inspected, including resident apartments and common areas. All safety measures such as fire clearance, lighting, temperature, and emergency preparedness were found to be adequate. No deficiencies were cited during the visit.

Report Facts
Hot water temperature: 112.6 Hot water temperature: 109.2 Hot water temperature: 108.9 Freezer temperature: 0 Refrigerator temperature: 36 Fire extinguisher last serviced: Feb 6, 2024 Disaster drill last conducted: Jul 18, 2024 Emergency disaster plan last reviewed: Oct 19, 2023 Staff records reviewed: 6 Staff with current first-aid training: 6 Resident records reviewed: 5

Employees mentioned
NameTitleContext
Rachael DavisExecutive DirectorMet with Licensing Program Analyst during inspection and toured facility
Alona GomezLicensing Program AnalystConducted the inspection visit
Yvonne Flores-LariosLicensing Program ManagerNamed as Licensing Program Manager on report

Inspection Report

Complaint Investigation
Capacity: 128 Deficiencies: 0 Date: Nov 1, 2023

Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to multiple allegations regarding personal rights violations at Brookdale Diablo Lodge.

Complaint Details
The complaint investigation was triggered by allegations of personal rights violations including inadequate record keeping, failure to address medical condition changes, injuries from falls, failure to follow care plans, improper incident reporting, inadequate care and supervision, and questionable death. The complaint was ultimately found to be unsubstantiated or unfounded.
Findings
The investigation reviewed multiple allegations including inadequate record keeping, failure to address changes in medical condition, injuries from falls, failure to follow care plans, improper incident reporting, inadequate care and supervision, and questionable death. After interviews and document reviews, all allegations were found to be unsubstantiated or unfounded due to lack of preponderance of evidence or false claims.

Report Facts
Facility capacity: 128 Dates of resident falls: Multiple unwitnessed falls on 2022-01-28, 2022-03-17, 2022-08-12, and 2022-08-14 Date of hospice admission: Resident admitted to hospice on 2022-07-25

Employees mentioned
NameTitleContext
Lizette FranciscoEvaluator / Associate Governmental Program AnalystConducted the complaint investigation and delivered findings
Paula ArceLife Enrichment ManagerMet with evaluator during investigation and received report
William GradyAdministratorFacility administrator named in report header

Inspection Report

Complaint Investigation
Capacity: 128 Deficiencies: 0 Date: Nov 1, 2023

Visit Reason
An unannounced complaint investigation was conducted in response to multiple allegations regarding personal rights violations at Brookdale Diablo Lodge.

Complaint Details
The complaint investigation was unsubstantiated for all allegations including inadequate record keeping, failure to address medical condition changes, injuries from falls, failure to follow care plans, improper incident reporting, inadequate care and supervision. The allegation of questionable death was found to be unfounded based on the death certificate indicating death due to chronic congestive heart failure and coronary artery disease, unrelated to neglect by the facility.
Findings
The investigation reviewed multiple allegations including inadequate record keeping, failure to address medical condition changes, injuries from falls, failure to follow care plans, improper incident reporting, inadequate care and supervision, and questionable death. After interviews and document reviews, all allegations were found to be unsubstantiated or unfounded due to lack of preponderance of evidence.

Report Facts
Facility capacity: 128 Dates of resident falls: Multiple unwitnessed falls on 1/28/22, 3/17/22, 8/12/22, and 8/14/22 Investigation visit time: Visit began at 12:45 PM and completed at 1:30 PM on 11/01/2023

Employees mentioned
NameTitleContext
Lizette FranciscoAssociate Governmental Program AnalystConducted the complaint investigation
Paula ArceLife Enrichment ManagerMet with investigator during the visit
William GradyAdministratorFacility administrator named in report header
Harpreet HumpalLicensing Program ManagerNamed as Licensing Program Manager overseeing the investigation

Inspection Report

Annual Inspection
Census: 99 Capacity: 128 Deficiencies: 2 Date: Oct 19, 2023

Visit Reason
The inspection was an unannounced 1-Year Annual Required visit conducted by Licensing Program Analysts to evaluate compliance with regulatory standards.

Findings
The facility was generally compliant with safety and operational standards, including fire clearance, medication storage, and staff training. However, deficiencies were observed related to residents storing PRN medications in their apartments, which posed immediate health and safety risks.

Deficiencies (2)
Miralax was observed in Resident 4's apartment, which is not compliant with medication storage regulations.
TUMS was observed in Resident 5's apartment, which is not compliant with medication storage regulations.
Report Facts
Capacity: 128 Census: 99 POC Due Date: Plan of Correction due date is 2023-10-20

Employees mentioned
NameTitleContext
Rachael DavisExecutive DirectorMet with Licensing Program Analysts during inspection and exit interview
William GradyAdministratorNamed as facility administrator responsible for compliance

Inspection Report

Annual Inspection
Census: 99 Capacity: 128 Deficiencies: 2 Date: Oct 19, 2023

Visit Reason
The inspection was an unannounced 1-Year Annual Required visit conducted to evaluate compliance with regulatory requirements at the facility.

Findings
The facility was generally compliant with safety and operational standards, including fire clearance, medication storage, and staff training. However, deficiencies were noted regarding the improper storage of PRN medications in residents' apartments, posing immediate health and safety risks.

Deficiencies (2)
Miralax was found in Resident 4's apartment, which is not compliant with centrally stored medication requirements.
TUMS was found in Resident 5's apartment, which is not compliant with centrally stored medication requirements.
Report Facts
Capacity: 128 Census: 99 Plan of Correction Due Date: Oct 20, 2023 Plan of Correction Submission Date: Nov 2, 2023

Employees mentioned
NameTitleContext
William GradyAdministratorFacility administrator named in the report
Rachael DavisExecutive DirectorMet with Licensing Program Analysts during inspection
Alona GomezLicensing Program AnalystConducted the inspection and authored the report
Yvonne Flores-LariosLicensing Program ManagerSupervisor overseeing the inspection

Inspection Report

Complaint Investigation
Census: 104 Capacity: 128 Deficiencies: 0 Date: Jul 10, 2023

Visit Reason
An unannounced complaint investigation was conducted to investigate allegations regarding the facility elevator backup power, staff emergency procedures during a power outage, and staff training on those procedures.

Complaint Details
The complaint involved allegations that the facility elevator did not meet backup power requirements, staff did not follow emergency procedures during a power outage, and staff were not trained on emergency procedures during a power outage. The complaint was found to be unsubstantiated.
Findings
The investigation found that the facility elevator meets backup power requirements, staff followed emergency procedures during the power outage on 07/01/2023, and staff were extensively trained on emergency procedures. The allegations were determined to be unsubstantiated due to lack of preponderance of evidence.

Report Facts
Facility capacity: 128 Census: 104

Employees mentioned
NameTitleContext
James SampairLicensing Program AnalystConducted the complaint investigation
Rachel DavisExecutive DirectorMet with Licensing Program Analyst during investigation
Jinder KaurHealth & Wellness DirectorMet with Licensing Program Analyst during investigation
William GradyAdministratorFacility administrator named in report header

Inspection Report

Complaint Investigation
Census: 104 Capacity: 128 Deficiencies: 0 Date: Jul 10, 2023

Visit Reason
The inspection was an unannounced complaint investigation visit conducted to investigate allegations regarding the facility elevator backup power, staff emergency procedures during a power outage, and staff training on those procedures.

Complaint Details
The complaint included allegations that the facility elevator does not meet backup power requirements, staff did not follow emergency procedures during a power outage, and staff were not trained on emergency procedures during a power outage. The complaint was found to be unsubstantiated.
Findings
The investigation found that the facility elevator does meet backup power requirements, staff followed emergency procedures during the power outage on 07/01/2023, and staff were extensively trained on emergency procedures. The allegations were determined to be unsubstantiated due to lack of preponderance of evidence.

Report Facts
Capacity: 128 Census: 104

Employees mentioned
NameTitleContext
James SampairLicensing Program AnalystConducted the complaint investigation
Rachel DavisExecutive DirectorInterviewed during investigation
Jinder KaurHealth & Wellness DirectorInterviewed during investigation
William GradyAdministratorFacility administrator named in report

Inspection Report

Complaint Investigation
Census: 101 Capacity: 128 Deficiencies: 0 Date: Mar 30, 2023

Visit Reason
An unannounced complaint investigation was conducted in response to allegations that staff did not assist a resident with her incontinence and that the temperature was below the regulated limit.

Complaint Details
The complaint was unsubstantiated based on interviews, observations, and lack of evidence to prove the alleged violations occurred.
Findings
The investigation found no substantiated evidence to support the allegations. Staff interviews confirmed residents are checked every two hours and respond to call buttons. Temperature controls in resident apartments were observed to be within regulated limits, with smart thermostats set between 65 and 81 degrees Fahrenheit.

Report Facts
Capacity: 128 Census: 101

Employees mentioned
NameTitleContext
Lizette FranciscoLicensing Program AnalystConducted the complaint investigation
Rachael DavisExecutive DirectorMet with Licensing Program Analyst during investigation
William GradyAdministratorFacility administrator named in report header
Harpreet HumpalSupervisorSupervisor overseeing the investigation

Inspection Report

Complaint Investigation
Census: 101 Capacity: 128 Deficiencies: 0 Date: Mar 30, 2023

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that the facility did not have proper provisions for residents in the event of a power outage.

Complaint Details
The complaint was unsubstantiated due to lack of preponderance of evidence proving the alleged violation did or did not occur.
Findings
The investigation found that the facility implemented its Emergency Disaster Plan during the power outage and residents were provided back-up oxygen tanks. There was insufficient evidence to substantiate the allegation, resulting in an unsubstantiated finding.

Report Facts
Capacity: 128 Census: 101

Employees mentioned
NameTitleContext
Lizette FranciscoLicensing Program AnalystConducted the complaint investigation and delivered findings
Rachael DavisExecutive DirectorMet with Licensing Program Analyst during the investigation

Inspection Report

Complaint Investigation
Census: 101 Capacity: 128 Deficiencies: 0 Date: Mar 30, 2023

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint alleging the facility did not have proper provisions for residents in the event of a power outage.

Complaint Details
The complaint alleged that the facility did not have proper provisions for residents during a power outage. The allegation was unsubstantiated due to lack of preponderance of evidence.
Findings
The investigation found that the facility had implemented its Emergency Disaster Plan during the power outage and residents were provided with back-up oxygen tanks. There was insufficient evidence to substantiate the allegation, and the complaint was determined to be unsubstantiated.

Report Facts
Capacity: 128 Census: 101

Employees mentioned
NameTitleContext
Lizette FranciscoLicensing Program AnalystConducted the complaint investigation and delivered findings
Rachael DavisExecutive DirectorMet with Licensing Program Analyst during the investigation

Inspection Report

Complaint Investigation
Census: 101 Capacity: 128 Deficiencies: 0 Date: Mar 30, 2023

Visit Reason
The inspection visit was conducted as an unannounced complaint investigation following a complaint received on 2021-11-29 alleging staff did not assist a resident with her incontinence and that the temperature was below the regulated limit.

Complaint Details
The complaint was unsubstantiated based on investigation findings, including staff interviews and observations of temperature controls. No violation was proven.
Findings
The investigation found no preponderance of evidence to substantiate the allegations. Staff interviews indicated residents are checked every two hours and respond to call buttons, and temperature controls in apartments were within regulated limits with smart thermostats set between 65 and 81 degrees Fahrenheit.

Report Facts
Complaint received date: Nov 29, 2021 Facility capacity: 128 Facility census: 101 Inspection start time: 1415 Inspection end time: 1720

Employees mentioned
NameTitleContext
Lizette FranciscoLicensing Program AnalystConducted the complaint investigation
Rachael DavisExecutive DirectorMet with Licensing Program Analyst during investigation
William GradyAdministratorFacility administrator named in report header
Harpreet HumpalLicensing Program ManagerNamed as Licensing Program Manager on report

Inspection Report

Complaint Investigation
Census: 98 Capacity: 128 Deficiencies: 2 Date: Jan 19, 2023

Visit Reason
The inspection was conducted as a result of a Priority 1 complaint to perform a Health & Safety inspection at the facility.

Complaint Details
The visit was triggered by a Priority 1 complaint. The deficiency related to unlocked hazardous materials was substantiated and cited under CCR 87309(a).
Findings
The inspection found unlocked cleaning supplies, bug spray, bleach, gardening tools, oxyclean, and comet in residents' apartments, posing an immediate health and safety risk. Other areas such as hot water temperature, food supply, medication storage, smoke detectors, and fire safety equipment were found to be in compliance.

Deficiencies (2)
Unlocked cleaning supplies, bug spray, and bleach inside kitchen and bathroom cabinets in R1's apartment.
Unlocked gardening tools, oxyclean, and comet observed in R2's apartment.
Report Facts
Hot water temperature readings: 114 Hot water temperature readings: 115.1 Hot water temperature readings: 113.8 Food supply duration: 7 Food supply duration: 2 Facility capacity: 128 Facility census: 98

Employees mentioned
NameTitleContext
Rachael DavisExecutive DirectorMet with Licensing Program Analysts during inspection
Lizette FranciscoLicensing EvaluatorConducted the inspection and signed the report
Harpreet HumpalSupervisorSupervisor overseeing the inspection

Inspection Report

Complaint Investigation
Census: 98 Capacity: 128 Deficiencies: 1 Date: Jan 19, 2023

Visit Reason
The inspection was conducted as a result of a Priority 1 complaint to perform a Health & Safety inspection at the facility.

Complaint Details
The visit was triggered by a Priority 1 complaint. The deficiency related to unlocked hazardous items was cited and poses an immediate health and safety risk to persons in care.
Findings
The inspection found unlocked cleaning supplies, bug spray, bleach, gardening tools, oxyclean, and comet in residents' apartments, posing an immediate health and safety risk. Other areas such as hot water temperature, food supply, medication storage, smoke detectors, and fire extinguishers were compliant.

Deficiencies (1)
Unlocked cleaning supplies, bug spray, and bleach inside kitchen and bathroom cabinets in resident R1's apartment and unlocked gardening tools, oxyclean, and comet in resident R2's apartment.
Report Facts
Census: 98 Total Capacity: 128 Deficiency count: 1

Employees mentioned
NameTitleContext
Rachael DavisExecutive DirectorMet with Licensing Program Analysts during inspection
Lizette FranciscoLicensing Program AnalystConducted the inspection and cited deficiencies
Harpreet HumpalLicensing Program ManagerSupervisor and Licensing Program Manager overseeing the inspection

Inspection Report

Annual Inspection
Census: 96 Capacity: 128 Deficiencies: 1 Date: Sep 15, 2022

Visit Reason
The visit was an unannounced Infection Control Inspection conducted as a required one-year inspection to evaluate compliance with infection control and safety regulations.

Findings
The facility was found to have adequate infection control measures including screening, PPE supply, and sanitation practices. However, a deficiency was observed where two portable oxygen tanks in a resident's apartment were not secured with stands, posing a potential health and safety risk.

Deficiencies (1)
Two portable oxygen tanks in R1's apartment were observed without a stand, violating oxygen equipment safety requirements.
Report Facts
Staff records reviewed: 5 Staff records with health screening and TB test results: 5 Plan of Correction Due Date: Sep 19, 2022

Employees mentioned
NameTitleContext
Rachael DavisExecutive DirectorMet with Licensing Program Analysts during inspection
Najinder KaurHealth and Wellness DirectorMet with Licensing Program Analysts during inspection
William GradyAdministratorNamed in Plan of Correction agreement to obtain oxygen tank stands

Inspection Report

Annual Inspection
Census: 96 Capacity: 128 Deficiencies: 1 Date: Sep 15, 2022

Visit Reason
Unannounced infection control inspection conducted as part of the required 1-year visit to assess compliance with infection control and safety regulations.

Findings
The facility generally complied with infection control protocols including PPE use, screening, and sanitation. One deficiency was observed: two portable oxygen tanks in a resident's apartment were not secured with stands, posing a potential health and safety risk.

Deficiencies (1)
Two portable oxygen tanks in R1's apartment were without a stand, violating oxygen equipment safety requirements.
Report Facts
Staff records reviewed: 5 Staff records with health screening and TB test results: 5 Facility capacity: 128 Facility census: 96

Employees mentioned
NameTitleContext
Rachael DavisExecutive DirectorMet with Licensing Program Analysts during the inspection.
Najinder KaurHealth and Wellness DirectorMet with Licensing Program Analysts during the inspection.

Inspection Report

Complaint Investigation
Census: 90 Capacity: 128 Deficiencies: 1 Date: Nov 18, 2021

Visit Reason
An unannounced case management visit was conducted to deliver findings related to a complaint investigation.

Complaint Details
The visit was complaint-related, conducted to deliver findings. The deficiency was substantiated as the licensee failed to associate S4 to the facility, posing a potential health and safety risk.
Findings
A deficiency was observed where staff member S4 was not associated with the facility or sister facilities, violating California Code of Regulations Title 22. The licensee did not comply with criminal record clearance requirements, posing a potential health and safety risk.

Deficiencies (1)
Staff member S4 was not associated to the facility or other sister facilities, violating criminal record clearance requirements.
Report Facts
Deficiency Type: 1 Plan of Correction Due Date: Nov 24, 2021

Employees mentioned
NameTitleContext
Bill GradyExecutive DirectorMet with Licensing Program Analyst during the visit and agreed to submit required documentation for S4.
Grace LukLicensing Program AnalystConducted the unannounced case management visit and identified the deficiency.
Harpreet HumpalSupervisorSupervisor overseeing the licensing evaluation.

Inspection Report

Complaint Investigation
Census: 90 Capacity: 128 Deficiencies: 1 Date: Nov 18, 2021

Visit Reason
The inspection was an unannounced complaint investigation conducted in response to allegations received on 10/22/2020 regarding facility cleanliness and resident care.

Complaint Details
The complaint investigation was substantiated for the allegation that the facility was not kept clean. Other allegations regarding failure to assist resident with hygiene needs and facility malodor were unsubstantiated.
Findings
The investigation substantiated the allegation that the facility was not kept clean, specifically that a resident's room was uncleaned posing a potential health and safety risk. Other allegations related to resident hygiene assistance and malodor were found unsubstantiated due to lack of sufficient evidence.

Deficiencies (1)
Maintenance and Operation. The facility shall be clean, safe, sanitary and in good repair at all times. Licensee did not comply by having a resident's room uncleaned which poses a potential health and safety risk.
Report Facts
Capacity: 128 Census: 90 Plan of Correction Due Date: Nov 19, 2021

Employees mentioned
NameTitleContext
Bill GradyExecutive DirectorMet with Licensing Program Analyst during investigation
Grace LukLicensing Program AnalystConducted complaint investigation and delivered findings
Harpreet HumpalSupervisorSupervisor overseeing the investigation

Inspection Report

Complaint Investigation
Census: 90 Capacity: 128 Deficiencies: 1 Date: Nov 18, 2021

Visit Reason
An unannounced case management visit was conducted to deliver findings related to a complaint investigation.

Complaint Details
The visit was complaint-related and involved a complaint investigation to deliver findings. The deficiency was substantiated as the licensee did not comply with criminal record clearance requirements by not associating S4 to the facility.
Findings
A deficiency was observed where S4 was not associated with the facility or other sister facilities, violating California Code of Regulations, Title 22, posing a potential health and safety risk.

Deficiencies (1)
S4 was not associated to the facility or other sister facilities, violating criminal record clearance requirements.
Report Facts
Plan of Correction Due Date: Nov 24, 2021

Employees mentioned
NameTitleContext
Bill GradyExecutive DirectorMet with Licensing Program Analyst during the visit
Grace LukLicensing Program AnalystConducted the case management visit and complaint investigation
Harpreet HumpalLicensing Program ManagerSupervisor and Licensing Program Manager overseeing the visit

Inspection Report

Complaint Investigation
Census: 90 Capacity: 128 Deficiencies: 1 Date: Nov 18, 2021

Visit Reason
The inspection was an unannounced complaint investigation conducted due to allegations that the facility was not kept clean, staff did not assist a resident with hygiene needs, and the facility was malodorous.

Complaint Details
The complaint investigation was substantiated for the allegation that the facility was not kept clean. The allegations that staff did not assist the resident with hygiene needs and that the facility was malodorous were unsubstantiated.
Findings
The investigation substantiated the allegation that the facility was not kept clean, specifically that a resident's room was uncleaned posing a potential health and safety risk. However, allegations regarding lack of hygiene assistance and malodorous conditions were unsubstantiated due to insufficient evidence.

Deficiencies (1)
Maintenance and Operation. The facility shall be clean, safe, sanitary and in good repair at all times. Licensee did not comply by having a resident's room uncleaned which poses a potential health and safety risk.
Report Facts
Capacity: 128 Census: 90 Deficiency Type B: 1

Employees mentioned
NameTitleContext
William GradyExecutive DirectorMet with Licensing Program Analyst during investigation
Grace LukLicensing Program AnalystConducted complaint investigation
Harpreet HumpalLicensing Program ManagerOversaw complaint investigation

Inspection Report

Routine
Census: 81 Capacity: 128 Deficiencies: 0 Date: Jul 28, 2021

Visit Reason
The visit was an unannounced Infection Control Inspection conducted as a required 1-year routine inspection.

Findings
The facility was found to have proper infection control measures including sufficient food supply, a central screening point with sign-in policy, proper PPE usage, and a mitigation plan with routine screening records. No deficiencies were cited during the visit.

Report Facts
PPE supply duration: 30 Food supply duration - perishable: 2 Food supply duration - non-perishable: 7

Employees mentioned
NameTitleContext
William GradyAdministratorMet with Licensing Program Analyst during inspection
Rachel DavisBusiness Office ManagerMet with Licensing Program Analyst during inspection

Inspection Report

Routine
Census: 81 Capacity: 128 Deficiencies: 0 Date: Jul 28, 2021

Visit Reason
The visit was an unannounced Infection Control Inspection conducted as a required 1-year routine inspection.

Findings
The inspection found the facility to be compliant with infection control standards, including proper PPE use, adequate food supply, and universal screening procedures. No deficiencies were cited during the visit.

Report Facts
PPE supply duration: 30 Food supply duration - perishable: 2 Food supply duration - non-perishable: 7

Employees mentioned
NameTitleContext
William GradyAdministratorMet with Licensing Program Analyst during inspection
Rachel DavisBusiness Office ManagerMet with Licensing Program Analyst during inspection
Lizette FranciscoLicensing Program AnalystConducted the Infection Control Inspection
Harpreet HumpalLicensing Program ManagerNamed in report header

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