Inspection Report Summary
Most inspections found no deficiencies, and several complaint investigations were unsubstantiated, indicating that many concerns raised were not confirmed. However, some reports did identify deficiencies primarily related to resident rights, reporting requirements, and supervision. Notably, in February 2025, the facility was cited for falsifying a resident’s Physician Report and unlawfully retaining a resident in Memory Care, which posed an immediate risk to health and safety. The most recent report from October 14, 2025, was clean with no deficiencies found. While the facility has addressed some issues over time, such as correcting a prior deficiency by September 11, 2025, there is no clear pattern of consistent improvement or decline.
Deficiencies per Year
4
3
2
1
0
High
Moderate
Census Over Time
Census
Capacity
Inspection Report
Complaint Investigation
Census: 121
Capacity: 140
Deficiencies: 0
Oct 14, 2025
Visit Reason
An unannounced complaint investigation visit was conducted to investigate allegations that staff stole money from a resident and were going through residents' personal belongings without consent.
Findings
The investigation found that the allegation of staff stealing $70 from a resident was unfounded as the resident later found the money misplaced. The allegation of staff going through residents' personal belongings without consent was also unsubstantiated based on interviews and record review. Therefore, all allegations were deemed unfounded.
Complaint Details
The complaint involved allegations that staff stole money from a resident and went through residents' personal belongings without consent. The allegations were investigated through interviews with residents and staff and record review. The findings were that the allegations were unfounded and could not be corroborated.
Report Facts
Amount of money allegedly stolen: 70
Number of residents present: 121
Facility capacity: 140
Number of staff interviewed: 5
Number of residents interviewed: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Fred Arias | Licensing Program Analyst | Conducted the complaint investigation visit and interviews |
| Jeri Miles | Administrator | Facility administrator named in the report |
| Alisa Ortiz | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 124
Capacity: 140
Deficiencies: 1
Sep 30, 2025
Visit Reason
This unannounced Case Management – Deficiencies inspection was conducted to issue citations for deficiencies observed during the investigation into Complaint Control No. 22-AS-20250924155802.
Findings
The licensee failed to report Resident #1's hospitalization on September 5, 2025, to the licensing agency as required, posing a potential safety risk to persons in care. Civil penalties for repeat violations are being assessed.
Complaint Details
Investigation was triggered by Complaint Control No. 22-AS-20250924155802. The deficiency related to failure to report Resident #1's hospitalization was substantiated.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to submit a written report to the licensing agency within seven days of Resident #1's hospitalization on September 5, 2025. | Type B |
Report Facts
Capacity: 140
Census: 124
Plan of Correction Due Date: Oct 21, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sean Haddad | Licensing Program Analyst | Conducted the inspection and issued the report |
| Brisseth Arrellano | Administrator | Met with Licensing Program Analyst during inspection and admitted to the failure to report hospitalization |
Inspection Report
Complaint Investigation
Census: 124
Capacity: 140
Deficiencies: 0
Sep 30, 2025
Visit Reason
An unannounced complaint investigation was conducted to investigate the allegation that the facility did not maintain a clean and sanitary environment.
Findings
The investigation found no evidence to support the allegation. Inspections, interviews, and medical record reviews revealed no bad odors or gastrointestinal issues related to Resident #1, and no residents were bothered by odors or became ill. The allegation was found to be unfounded.
Complaint Details
The complaint alleged that Resident #1 had gastrointestinal issues causing odor that affected other residents. The investigation included facility inspection, interviews with administrator, residents, and staff, and review of Resident #1's medical records. No corroborating evidence was found and the complaint was determined to be unfounded.
Report Facts
Facility capacity: 140
Resident census: 124
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sean Haddad | Licensing Program Analyst | Conducted the complaint investigation |
| Armando J Lucero | Licensing Program Manager | Oversaw the complaint investigation |
| Brisseth Arrellano | Administrator | Interviewed during the investigation |
Inspection Report
Complaint Investigation
Census: 123
Capacity: 140
Deficiencies: 0
Sep 17, 2025
Visit Reason
An unannounced complaint investigation was conducted due to an allegation that staff did not adequately supervise a resident resulting in the resident's injury.
Findings
The investigation found that 12 out of 12 resident interviews and 2 out of 2 staff interviews did not corroborate the allegation. Documentation showed the resident had a history of falls and sustained a bruise but no injury from the fall. The allegation was deemed unsubstantiated due to lack of preponderance of evidence.
Complaint Details
The complaint alleged inadequate supervision of a resident resulting in injury. The allegation was unsubstantiated based on interviews, document review, and observations.
Report Facts
Capacity: 140
Census: 123
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Celine Rodriguez | Licensing Program Analyst | Conducted the complaint investigation and unannounced visit |
| Brisseth Arrellano | Executive Director | Met with Licensing Program Analyst during the investigation and exit interview |
| Pamela Bradley | Administrator | Named as facility administrator |
| Sheila Santos | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Follow-Up
Census: 123
Capacity: 140
Deficiencies: 1
Sep 11, 2025
Visit Reason
The visit was an unannounced follow-up inspection to verify correction of a Type B deficiency issued during the Annual Inspection on August 28, 2025.
Findings
The facility was found to be in compliance with the terms of the Plan of Correction for the cited Type B deficiency 87303(a) after inspection of the apartment unit of Resident #1 with the Maintenance Supervisor. A Letter of Deficiency Citations Cleared was provided at the end of the visit.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Type B deficiency 87303(a) previously cited during the Annual Inspection | Type B |
Report Facts
Capacity: 140
Census: 123
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jessica Cho | Licensing Program Analyst | Conducted the unannounced follow-up visit |
| Patty Jimenez | Business Office Manager | Met with the Licensing Program Analyst during the visit and exit interview |
| Francisco Sarabia | Maintenance Supervisor | Participated in the inspection of Resident #1's apartment unit |
Inspection Report
Annual Inspection
Census: 124
Capacity: 140
Deficiencies: 1
Aug 28, 2025
Visit Reason
The inspection was an unannounced Required 1-Year annual evaluation using the Care Inspection Tool to assess compliance with licensing requirements.
Findings
The facility was generally clean, sanitary, and in good repair except for one unit where mold was observed on a ceiling panel caused by a water pipe drip. The ceiling panel was removed and replaced during the visit. All other areas including bedrooms, bathrooms, common areas, and safety equipment were found to be in compliance.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| One out of twelve units inspected had mold on a ceiling panel caused by a water pipe drip, posing a potential health, safety, or personal rights risk to persons in care. | Type B |
Report Facts
Capacity: 140
Census: 124
Deficiencies cited: 1
Plan of Correction Due Date: Sep 5, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jessica Cho | Licensing Program Analyst | Conducted the inspection and signed the report |
| Brisseth Arrellano | Executive Director | Met with Licensing Program Analyst during inspection and involved in exit interview |
| Patricia Jimenez | Business Office Manager | Met with Licensing Program Analyst during inspection and involved in exit interview |
Inspection Report
Complaint Investigation
Census: 109
Capacity: 140
Deficiencies: 0
Apr 22, 2025
Visit Reason
This unannounced inspection was conducted to investigate a complaint alleging that the facility's air conditioning units were in disrepair, resulting in poor performance, outages, and uncomfortable temperatures.
Findings
The investigation found no health or safety issues related to the air conditioning system. Interviews with residents and staff, inspection of temperatures in resident rooms, and review of maintenance records showed that the facility has been diligently working to diagnose and fix the air conditioning issues, and residents were not impacted by uncomfortable temperatures. The allegation was deemed unsubstantiated due to lack of sufficient evidence.
Complaint Details
The complaint alleged that the facility’s AC system was not properly maintained causing poor performance and uncomfortable temperatures. The investigation was unsubstantiated as no evidence confirmed the allegation.
Report Facts
Residents interviewed: 11
Rooms temperature checked: 12
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sean Haddad | Licensing Program Analyst | Conducted the complaint investigation |
| Armando J Lucero | Licensing Program Manager | Oversaw the complaint investigation |
| Francisco Sarabia | Maintenance Supervisor | Interviewed regarding the air conditioning system maintenance and issues |
Inspection Report
Complaint Investigation
Census: 112
Capacity: 140
Deficiencies: 0
Mar 24, 2025
Visit Reason
This unannounced inspection was conducted to investigate complaints alleging that a resident sustained a head injury and multiple falls due to lack of supervision.
Findings
The investigation found that while the resident had multiple falls, none resulted in serious injury or hospitalization. The facility had updated the resident's care plan and conducted staff training to address fall risks. There was insufficient evidence to substantiate the allegations, and the complaint was deemed unsubstantiated.
Complaint Details
The complaint alleged that a resident sustained a head injury and multiple falls due to lack of supervision. The investigation included interviews with staff, residents, and review of medical and care records. The allegations were unsubstantiated due to lack of preponderance of evidence.
Report Facts
Facility capacity: 140
Resident census: 112
Number of residents interviewed: 12
Number of care staff interviewed: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sean Haddad | Licensing Program Analyst | Conducted the complaint investigation |
| Jeri Miles | Administrator | Interviewed during investigation regarding resident care and falls |
| Armando J Lucero | Licensing Program Manager | Oversaw the complaint investigation |
Inspection Report
Complaint Investigation
Census: 115
Capacity: 140
Deficiencies: 1
Mar 3, 2025
Visit Reason
This unannounced Case Management – Deficiencies inspection was conducted to issue citations for deficiencies observed during the investigation into Complaint Control No. 22-AS-20250205085503.
Findings
The inspection found that Resident #1 had multiple unwitnessed falls in early February 2025, including one on February 1 that was not reported to licensing as required, posing a potential safety risk. Deficiencies were cited per Title 22 Division 6 of the California Code of Regulations.
Complaint Details
Investigation was triggered by Complaint Control No. 22-AS-20250205085503. The deficiency related to failure to report Resident #1's fall on February 1, 2025, was substantiated based on documents and admission by the administrator.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to submit a written report to the licensing agency within seven days of a serious injury occurrence, specifically the failure to report Resident #1's fall on February 1, 2025. | Type B |
Report Facts
Capacity: 140
Census: 115
Deficiency count: 1
Plan of Correction Due Date: Mar 17, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jeri Miles | Administrator | Met with Licensing Program Analyst during inspection and admitted failure to report fall |
| Sean Haddad | Licensing Program Analyst | Conducted the inspection and issued citations |
| Armando J Lucero | Licensing Program Manager | Supervisor and Licensing Program Manager overseeing the inspection |
Inspection Report
Complaint Investigation
Census: 104
Capacity: 140
Deficiencies: 2
Feb 13, 2025
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations that facility staff falsified a resident's Physician Report and that a resident was unlawfully retained in Memory Care.
Findings
The investigation substantiated the allegations that the facility staff falsified the resident's Physician Report and unlawfully retained the resident in Memory Care. Documentation and interviews revealed conflicting Physician Reports and lack of communication with the resident's authorized representative prior to placement in Memory Care.
Complaint Details
The complaint investigation was substantiated. The allegations included falsification of the resident's Physician Report and unlawful retention of the resident in Memory Care. The preponderance of evidence standard was met based on interviews and document reviews.
Severity Breakdown
Type A: 1
Type B: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| False Claims. No licensee, officer or employee of a licensee shall make or disseminate any false or misleading statement regarding the facility or any of the services provided by the facility. The Physician report dated 02/11/24 was not filled out by Scan's Nurse Practitioner as Nurse Practitioner was not working on 02/11/24. This poses an immediate risk to resident’s health and safety. | Type A |
| Personal Rights. Residents in residential care facilities for the elderly shall have personal rights including communication with their authorized representative. The facility did not communicate with R1's Authorized Representative prior to placing R1 in Memory Care, despite Physician report dated 02/12/24 indicating R1 does not have a diagnosis of Dementia and is able to leave the facility unassisted. | Type B |
Report Facts
Capacity: 140
Census: 104
Plan of Correction Due Date: Feb 14, 2025
Plan of Correction Due Date: Feb 20, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Alvaro Ramirez Jr. | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Jeri Miles | Administrator | Facility Administrator met during the investigation and named in findings |
| Sheila Santos | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 103
Capacity: 140
Deficiencies: 0
Feb 5, 2025
Visit Reason
An unannounced complaint investigation visit was conducted to follow up on an allegation that staff do not ensure the facility is free from mold.
Findings
The investigation included tours of the facility, resident interviews, and review of physical plant areas. Evidence showed a past water damage incident with adequate containment and no current mold presence. The allegation was found to be unsubstantiated due to insufficient evidence.
Complaint Details
The complaint alleged that staff do not ensure the facility is free from mold. The allegation was found to be unsubstantiated after investigation including tours, interviews, and review of the facility.
Report Facts
Resident interviews conducted: 6
Units inspected: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kevin Saborit-Guasch | Licensing Program Analyst | Conducted the complaint investigation and inspection |
| Jeri Miles | Executive Director | Facility administrator who met with the Licensing Program Analyst |
| Francisco Sarabia | Facility Maintenance Director | Accompanied the Licensing Program Analyst during the facility tour |
| Sheila Santos | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 94
Capacity: 140
Deficiencies: 3
Nov 25, 2024
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations received on April 17, 2024, regarding the facility's failure to provide requested records to an authorized representative, failure to allow resident participation in care planning, and failure to allow the resident to choose a healthcare provider.
Findings
The investigation substantiated all allegations, finding that the facility did not provide requested records for March 2024 to the authorized representative, did not arrange a meeting with the resident and authorized representative for care planning, and did not allow the resident to choose their healthcare provider. These deficiencies pose potential risks to persons in care.
Complaint Details
The complaint investigation was substantiated. Allegations included failure to provide requested records to the authorized representative, failure to allow resident participation in care planning, and failure to allow resident to choose healthcare provider. Evidence included document reviews and interviews confirming these issues.
Severity Breakdown
Type B: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Facility did not provide Resident 1's records for March 2024 to the authorized representative, violating confidentiality requirements. | Type B |
| Facility failed to arrange a meeting with Resident 1 and their authorized representative prior to placing Resident 1 in Memory Care, violating resident participation in decision-making requirements. | Type B |
| Facility did not allow Resident 1 to fully participate in planning their care, including attending meetings or communications regarding care and services, as evidenced by a telemedicine visit with a provider not chosen by the resident. | Type B |
Report Facts
Capacity: 140
Census: 94
Deficiency count: 3
Plan of Correction Due Date: Nov 29, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Alvaro Ramirez Jr. | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Jeri Miles | Administrator | Facility administrator met during the investigation and exit interview |
| Sheila Santos | Licensing Program Manager | Oversaw the complaint investigation |
Inspection Report
Annual Inspection
Census: 92
Capacity: 140
Deficiencies: 1
Aug 9, 2024
Visit Reason
This unannounced inspection was conducted as a Required – 1 Year Inspection to evaluate compliance with licensing regulations.
Findings
The inspection included a facility tour, review of infection control, resident and staff file reviews, and medication inspections. One deficiency was cited related to water temperature taps exceeding safe limits in memory care rooms, posing an immediate safety risk. The licensee adjusted the temperature during the inspection and submitted a plan of correction.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Faucets in rooms 103, 104, 115, and 243 tested at temperatures above 125 degrees F, posing an immediate safety risk to residents in memory care. | Type A |
Report Facts
Water temperature readings: 126
Water temperature readings: 133
Water temperature readings: 124
Water temperature readings: 129
Resident rooms total: 115
Resident bedrooms inspected: 12
Resident files reviewed: 6
Staff files reviewed: 6
Residents interviewed: 6
Staff interviewed: 6
Medications inspected: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jeri Miles | Administrator | Met with Licensing Program Analysts during inspection and discussed inspection purpose |
| Sean Haddad | Licensing Program Analyst | Conducted inspection and signed report |
| Armando J Lucero | Licensing Program Manager | Supervised inspection and signed report |
Inspection Report
Census: 89
Capacity: 140
Deficiencies: 0
Jun 24, 2024
Visit Reason
The visit was a case management inspection conducted to discuss an amended report related to a complaint control #22-AS-20240226102932 dated 2024-06-21.
Findings
The Licensing Program Analyst called the facility administrator to discuss the amended complaint report and conducted an exit interview by telephone. The administrator agreed to print, sign, and email the amended report and case management report back to the analyst.
Complaint Details
The visit was related to complaint control #22-AS-20240226102932 dated 2024-06-21. The report discussed was an amended complaint report.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jeri Miles | Administrator | Facility administrator involved in discussion and exit interview regarding amended complaint report. |
| Rosie Quiroz | Licensing Program Analyst | Conducted telephone discussion and exit interview with facility administrator. |
| Alisa Ortiz | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Complaint Investigation
Census: 89
Capacity: 140
Deficiencies: 2
Jun 21, 2024
Visit Reason
The visit was an unannounced complaint investigation conducted in response to complaints received on 2024-02-26 regarding inadequate supervision resulting in a resident wandering away, failure to notify the resident's authorized representative of a placement change, inappropriate placement of a resident in a locked unit, and untimely reappraisal following a change in resident's condition.
Findings
The investigation substantiated that staff did not provide adequate supervision resulting in a resident wandering away, failed to notify the authorized representative of a change in placement, and inappropriately placed a resident in a locked unit without proper notice. The allegation regarding untimely reappraisal following a change in condition was unsubstantiated.
Complaint Details
The complaint investigation was substantiated for allegations of inadequate supervision leading to a resident wandering away, failure to notify the authorized representative of placement changes, and inappropriate placement in a locked unit. The allegation of untimely reappraisal was unsubstantiated.
Severity Breakdown
Type B: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Facility did not provide the resident and responsible party with a 30 day notice and did not communicate with the authorized representative prior to placing the resident in delayed egress memory care unit, substituting supervision needed to meet resident's needs. | Type B |
| Facility failed to provide safe, healthful, and comfortable accommodations and care and supervision as required, posing potential risk to residents in care. | Type B |
Report Facts
Capacity: 140
Census: 89
Staffing: 2
Staffing: 2
Plan of Correction Due Date: Jun 25, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jeri Miles | Executive Director | Met during investigation and named in findings related to deficiencies and plan of correction |
| Brisseth Rivera | Health and Wellness Director | Met during investigation and named in findings related to deficiencies and plan of correction |
| Rosie Quiroz | Licensing Program Analyst | Conducted the complaint investigation |
| Alisa Ortiz | Licensing Program Manager | Oversaw the complaint investigation |
Inspection Report
Complaint Investigation
Census: 89
Capacity: 140
Deficiencies: 1
Jun 21, 2024
Visit Reason
The visit was conducted as a subsequent investigation related to a complaint (Complaint Control #22-AS-20240226102932) regarding the facility's compliance with resident rights.
Findings
The facility failed to provide the required 30-day written notice to Resident 1 and their responsible party prior to moving the resident from Assisted Living to the Memory Care unit, posing a potential risk to residents in care.
Complaint Details
The visit was triggered by a complaint investigation (Complaint Control #22-AS-20240226102932). The deficiency was substantiated as the facility did not provide the required written notice to Resident 1's responsible party within 30 days of the room change.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to provide 30-day written notice to Resident 1 and their responsible party prior to moving from Assisted Living to Memory Care unit. | Type B |
Report Facts
Capacity: 140
Census: 89
Plan of Correction Due Date: Jun 25, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jeri Miles | Administrator | Met during inspection and named in findings |
| Brisseth Rivera | Health and Wellness Director | Met during inspection |
| Rosie Quiroz | Licensing Program Analyst | Conducted the inspection and signed the report |
| Alisa Ortiz | Licensing Program Manager | Named as Licensing Program Manager and Supervisor |
Inspection Report
Complaint Investigation
Census: 92
Capacity: 140
Deficiencies: 1
Apr 23, 2024
Visit Reason
The inspection was an unannounced complaint investigation initiated due to an allegation that the facility was not adhering to a resident's admission agreement.
Findings
The investigation found that the facility did not adhere to the resident's admission agreement by failing to issue a prorated refund upon the resident's move-out, which was substantiated based on interviews and document reviews.
Complaint Details
The complaint was substantiated. The allegation was that the facility was not adhering to the resident's admission agreement, specifically failing to issue a prorated refund after the resident moved out following hospitalization.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility did not comply with the admission agreement regarding refunds, posing a potential Personal Rights risk to persons in care. | Type B |
Report Facts
Capacity: 140
Census: 92
Deficiency Type B: 1
Plan of Correction Due Date: Apr 30, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jessica Cho | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Jeri Miles | Executive Director | Facility representative interviewed during investigation and named in findings |
Inspection Report
Complaint Investigation
Census: 89
Capacity: 140
Deficiencies: 0
Mar 20, 2024
Visit Reason
An unannounced visit was conducted to investigate a complaint alleging that the facility did not provide requested records to an authorized representative.
Findings
The investigation found that the facility did not provide records initially because the requestor was not an authorized representative until a change of POA was received. Records were subsequently provided, and the allegation was deemed unsubstantiated due to lack of preponderance of evidence.
Complaint Details
The complaint alleged the facility did not provide requested records to an authorized representative. The allegation was unsubstantiated after investigation.
Report Facts
Capacity: 140
Census: 89
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ruth Martinez | Licensing Program Analyst | Conducted the complaint investigation visit |
| Jeri Miles | Executive Director | Met with Licensing Program Analyst during investigation |
| Armando J Lucero | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 87
Capacity: 140
Deficiencies: 0
Dec 7, 2023
Visit Reason
The visit was an unannounced Case Management inspection conducted in connection to a complaint identified by Complaint Control Number 22-AS-20230919083629.
Findings
During the visit, the Licensing Program Analyst interviewed a resident and obtained records related to the complaint. An exit interview was conducted with the Executive Director, and a copy of the report was provided.
Complaint Details
The visit was triggered by a complaint with Control Number 22-AS-20230919083629. No substantiation status is provided in the report.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jeri Miles | Executive Director | Met with Licensing Program Analyst during the visit and exit interview. |
Inspection Report
Complaint Investigation
Census: 96
Capacity: 140
Deficiencies: 0
Nov 7, 2023
Visit Reason
An unannounced complaint investigation visit was conducted to follow up on allegations including inappropriate pushing of a resident, unexplained injuries, inappropriate staff speech, and multiple falls among residents.
Findings
The investigation included interviews with staff, residents, and witnesses, and a review of documentation. The allegations were found to be unsubstantiated due to lack of preponderance of evidence to prove the violations occurred.
Complaint Details
The complaint involved allegations that a resident was inappropriately pushed, residents sustained unexplained injuries, staff spoke inappropriately to a resident, and residents sustained multiple falls. The investigation concluded these allegations were unsubstantiated.
Report Facts
Capacity: 140
Census: 96
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Rosie Quiroz | Licensing Program Analyst | Conducted the complaint investigation |
| Patricia Jimenez | Business Office Manager | Met with investigator during inspection and exit interview |
| Robert Jakini | Administrator | Facility administrator named in report header |
| Alisa Ortiz | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 82
Capacity: 140
Deficiencies: 0
Dec 22, 2021
Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation that the facility failed to provide a refund.
Findings
The investigation revealed that the facility required payment of monthly rent despite the resident not admitting due to lack of a dementia diagnosis. The facility's admission agreement requires a thirty-day notice for a refund. The allegation was determined to be unfounded.
Complaint Details
The complaint alleged the facility failed to provide a refund. The allegation was found to be unfounded, meaning it was false, could not have happened, or was without a reasonable basis.
Report Facts
Refund amount requested: 5120
Capacity: 140
Census: 82
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Lyman | Licensing Program Analyst | Conducted the complaint investigation visit |
| Michael Sokolowski | Executive Director who greeted and granted entry to Licensing Program Analyst | |
| Pamela Bradley | Administrator | Facility administrator named in report header |
| Alisa Ortiz | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Annual Inspection
Census: 74
Capacity: 140
Deficiencies: 0
Oct 14, 2021
Visit Reason
This unannounced inspection was conducted for the purpose of an Annual Inspection to evaluate compliance with regulations.
Findings
The inspection found no health and safety issues; the facility was clean, organized, and compliant with COVID-19 protocols. No deficiencies were cited during this inspection.
Report Facts
Staff present: 30
Residents in memory care unit: 18
Perishable food supply: 2
Non-perishable food supply: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Michael Sokolowski | Administrator | Met with Licensing Program Analyst during inspection |
| Sean Haddad | Licensing Program Analyst | Conducted the inspection |
| Marina Stanic | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 74
Capacity: 140
Deficiencies: 1
Jun 30, 2021
Visit Reason
The inspection visit was conducted as part of the investigation of complaint number 22-AS-20210623125429.
Findings
The licensing program analyst observed deficiencies related to the unsafe storage of centrally stored medicines, specifically an unlocked medication cart at the entrance to the dementia care unit, posing an immediate risk to resident health and safety.
Complaint Details
The visit was complaint-related, investigating complaint number 22-AS-20210623125429. The report does not explicitly state substantiation status.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility did not ensure that centrally stored medicines were kept safe, locked, and only accessible to persons responsible for the supervision of medications. The LPA observed medication cart unlocked at the entrance to dementia care unit. | Type A |
Report Facts
Census: 74
Total Capacity: 140
Deficiencies cited: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Michael Sokolowski | Executive Director | Named in exit interview and report review |
| Norman Woodridge | Licensing Program Analyst | Observed deficiencies and signed report |
| Marina Stanic | Licensing Program Manager | Supervisor and named in report |
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