Inspection Report Summary
Most inspections found no deficiencies, and several complaint investigations were unsubstantiated, indicating generally good compliance with regulations. The most recent report from October 1, 2025, cited a single Type A deficiency related to fire safety because the facility lacked bedridden clearance for one resident, which posed an immediate health and safety risk. Prior reports showed isolated issues with medication administration and a few other immediate risk findings, but no fines or license actions were noted in the available reports. The facility appears to have maintained adequate staffing, proper certifications, and timely incident reporting throughout the period. While there is no clear overall trend, the presence of some immediate risk deficiencies suggests occasional lapses in resident care and safety protocols.
Deficiencies (last 5 years)
Deficiencies (over 5 years)
0.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
80% better than California average
California average: 4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
83% occupied
Based on a October 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Annual Inspection
Census: 68
Capacity: 82
Deficiencies: 1
Date: Oct 1, 2025
Visit Reason
The visit was an unannounced Required 1 Year Annual Inspection to evaluate compliance with Title 22 regulations and facility licensing requirements.
Findings
The facility was found generally compliant with regulations including adequate food supply, proper staff certifications, and safety equipment. However, a Type A deficiency was cited for fire safety due to the facility not having bedridden clearance for one resident, posing an immediate health and safety risk.
Deficiencies (1)
Facility did not have bedridden clearance for one resident who is bedridden, posing an immediate health, safety, or personal rights risk.
Report Facts
Food supply: 7
Food supply: 2
Staff files reviewed: 15
Resident files reviewed: 15
Fire extinguisher inspection date: May 29, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kesha Lewis | Licensing Program Analyst | Conducted the inspection and cited deficiencies |
| Mary Margaret Chappell | Administrator | Facility administrator present during inspection |
| Liza King | Licensing Program Manager | Oversaw licensing program and signed report |
Inspection Report
Complaint Investigation
Census: 74
Capacity: 82
Deficiencies: 0
Date: May 13, 2025
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations received on 2025-02-13 regarding staff mismanaging residents' medication and not preventing residents from engaging in inappropriate behaviors.
Complaint Details
The complaint investigation was unsubstantiated as there was insufficient evidence to prove the alleged violations occurred.
Findings
Based on record reviews and interviews, there was not a preponderance of evidence to substantiate the allegations. Staff followed doctor's directives and client requests, and had appropriate training in deescalating behaviors. The allegations were determined to be unsubstantiated.
Report Facts
Capacity: 82
Census: 74
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kesha Lewis | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Mary Margaret Chappell | Administrator | Facility administrator met during the investigation |
Inspection Report
Complaint Investigation
Census: 74
Capacity: 82
Deficiencies: 0
Date: May 13, 2025
Visit Reason
The visit was an unannounced Case Management follow-up on an incident report received regarding a resident's death.
Complaint Details
The complaint involved a resident's death following an unwitnessed fall. The investigation found no evidence of staff neglect or lack of care contributing to the fall or injury.
Findings
The investigation concluded there was insufficient evidence to support that the resident's fall and injury were due to staff neglect or lack of care. The resident was previously identified as a fall risk but showed improvement and independence prior to the incident.
Report Facts
Facility capacity: 82
Resident census: 74
Incident report date: Jan 6, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kesha Lewis | Licensing Program Analyst | Conducted the unannounced Case Management visit |
| Mary Margaret Chappell | Administrator | Met with Licensing Program Analyst during the visit |
Inspection Report
Complaint Investigation
Census: 73
Capacity: 82
Deficiencies: 0
Date: Jan 17, 2025
Visit Reason
An unannounced Case Management visit was conducted to follow up on an incident report received on 2025-01-06 regarding a resident's death.
Complaint Details
The visit was triggered by a complaint related to a resident's death. The investigation is ongoing and not yet concluded.
Findings
The facility is gathering and providing care notes, medication administration records, incident reports, a physician's report, and a needs and services plan related to the resident. The matter is still under investigation.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kesha Lewis | Licensing Program Analyst | Conducted the unannounced Case Management visit. |
| Mary Margaret Chappell | Administrator | Met with Licensing Program Analyst during the visit. |
| Liza King | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Follow-Up
Census: 78
Capacity: 82
Deficiencies: 1
Date: Dec 17, 2024
Visit Reason
The visit was an unannounced case management follow-up to an incident report received by the Department on 10/26/2024 regarding an incorrect medication dose given to a resident.
Findings
The investigation revealed that the initial report of the medication dose was incorrect; the actual dose given was lower than first reported. However, deficiencies were cited for failure to administer medications as prescribed, posing an immediate health and safety risk.
Deficiencies (1)
The licensee did not assist residents with administered medications as prescribed by a doctor, posing an immediate health and safety risk.
Report Facts
Census: 78
Total Capacity: 82
Medication Dose: 225
Medication Dose: 75
Medication Dose: 450
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mary Margaret Chappell | Administrator/Director | Met with Licensing Program Analyst during the visit and involved in incident report discussion |
| Kesha Lewis | Licensing Program Analyst | Conducted the unannounced case management visit and authored the report |
| Liza King | Licensing Program Manager/Supervisor | Named as supervisor and licensing program manager in the report |
Inspection Report
Annual Inspection
Census: 79
Capacity: 82
Deficiencies: 0
Date: Oct 15, 2024
Visit Reason
The inspection was an unannounced Required 1 Year Annual Inspection Visit conducted to ensure compliance with Title 22 regulations.
Findings
The facility was found to be in compliance with regulations including adequate food supply, sanitary resident rooms, current fire safety equipment, and proper staff certifications. All necessary documents were in place and no deficiencies were noted.
Report Facts
Food supply: 7
Food supply: 2
Staff files reviewed: 15
Resident files reviewed: 15
Fire extinguisher inspection date: May 16, 2024
Elevator certificate expiration: Apr 16, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kesha Lewis | Licensing Program Analyst | Conducted the inspection and authored the report |
| Mary Margaret Chappell | Administrator | Facility administrator present during inspection |
Inspection Report
Follow-Up
Census: 74
Capacity: 82
Deficiencies: 0
Date: Mar 20, 2024
Visit Reason
The visit was an unannounced Case Management follow-up on an incident report received on 2024-02-07 regarding a resident receiving the same dose of medication twice in one day.
Complaint Details
The visit was triggered by a complaint/incident report concerning medication administration. The investigation is ongoing and not yet substantiated.
Findings
The resident involved in the incident is no longer at the facility. The facility is gathering hospice care notes, physician's report, and needs and services plan to provide to the Licensing Program Analyst by 2024-03-29. The matter remains under investigation.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kesha Lewis | Licensing Program Analyst | Conducted the unannounced Case Management visit and explained the purpose of the visit. |
| Mary Margaret Chappell | Administrator | Met with Licensing Program Analyst during the visit. |
| Liza King | Licensing Program Manager | Named in the report as Licensing Program Manager. |
Inspection Report
Complaint Investigation
Census: 76
Capacity: 82
Deficiencies: 0
Date: Feb 13, 2024
Visit Reason
The inspection visit was conducted as a case management incident inspection regarding an incident report received about an unwitnessed resident fall dated 2024-02-03.
Complaint Details
The visit was complaint-related due to an incident report of an unwitnessed fall. The complaint was investigated and found to have no deficiencies.
Findings
The facility provided and the Licensing Program Analyst reviewed the resident's physician's report, needs and services plan, and hospital discharge paperwork. All incidents were reported on time and to the correct departments. No deficiencies were observed or cited during the inspection.
Report Facts
Incident report date: Feb 3, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kesha Lewis | Licensing Program Analyst | Conducted the case management incident inspection |
| Mary Margaret Chappell | Administrator | Facility administrator met with Licensing Program Analyst during inspection |
Inspection Report
Complaint Investigation
Census: 75
Capacity: 82
Deficiencies: 0
Date: Dec 14, 2023
Visit Reason
The inspection visit was an unannounced complaint investigation triggered by a complaint received on 2023-09-20 alleging staff mismanagement of a resident's medication.
Complaint Details
The complaint alleged that staff mismanaged a resident's medication. After interviews and record reviews, the allegation was determined to be unsubstantiated due to lack of sufficient evidence.
Findings
The investigation found no preponderance of evidence to substantiate the allegation of medication mismanagement. The Medication Administration Record was completed correctly, and staff followed both doctor's orders and the resident's requests.
Report Facts
Facility capacity: 82
Resident census: 75
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Renee Campbell | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Mary Margaret Chappell | Administrator | Facility administrator named in the report |
| Nicole Bacon | Associate Executive Director | Met with Licensing Program Analyst during the investigation |
Inspection Report
Complaint Investigation
Census: 74
Capacity: 82
Deficiencies: 0
Date: Nov 27, 2023
Visit Reason
The inspection visit was an unannounced complaint investigation triggered by a complaint received on 2023-10-30 regarding the availability of the facility administrator.
Complaint Details
The complaint alleged that the Administrator was not available to attend to the management and administration of the facility. The allegation was found to be unsubstantiated after interviews and record reviews.
Findings
The investigation found no preponderance of evidence to support the allegation that the Administrator was not available to attend to the management and administration of the facility. The allegation was determined to be unsubstantiated.
Report Facts
Facility capacity: 82
Census: 74
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mary Margaret Chappell | Administrator | Named in the complaint allegation and participated in interviews during the investigation |
| Kesha Lewis | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Liza King | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Census: 73
Capacity: 82
Deficiencies: 0
Date: Nov 27, 2023
Visit Reason
The visit was an unannounced case management inspection regarding a staff member no longer being employed at the facility.
Findings
No deficiencies were observed or cited during the case management inspection conducted per California Code of Regulations, Title 22.
Inspection Report
Annual Inspection
Census: 73
Capacity: 82
Deficiencies: 0
Date: Oct 9, 2023
Visit Reason
An unannounced required annual inspection visit was conducted to ensure compliance with Title 22 regulations.
Findings
The inspection found no deficiencies or citations. The facility was compliant with regulations including physical plant conditions, staff background clearances, and safety equipment.
Report Facts
Staff files reviewed: 4
Resident files reviewed: 5
Water temperature: 109.7
Fire extinguisher last inspection date: May 17, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mary Margaret Chappell | Administrator | Met with Licensing Program Analyst during inspection |
| Ruth Wallace | Licensing Program Analyst | Conducted the inspection visit |
| Stephen Richardson | Licensing Program Manager | Named in report header |
Inspection Report
Census: 73
Capacity: 82
Deficiencies: 0
Date: Apr 28, 2023
Visit Reason
The visit was an unannounced Case Management inspection due to multiple hospital visits for residents.
Findings
The inspection found that one resident experienced a possible unwitnessed fall resulting in a laceration, and another resident was hospitalized for a UTI. The facility provided timely medical care and notified necessary parties according to reviewed documentation.
Report Facts
Capacity: 82
Census: 73
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mary Margaret Chappell | Executive Director | Met with during the inspection |
| Renee Campbell | Licensing Program Analyst | Conducted the inspection visit |
| Emerita Curiel | Licensing Program Manager | Named in the report |
Inspection Report
Complaint Investigation
Census: 74
Capacity: 82
Deficiencies: 0
Date: Mar 1, 2023
Visit Reason
The visit was an unannounced case management inspection regarding incidents involving resident falls that occurred on 12-8-22 and 12-28-22.
Complaint Details
The visit was triggered by incidents involving residents R1, R2, and R3 who experienced falls resulting in injuries. The investigation found that residents did not use call pendants prior to falls, appropriate notifications were made within regulatory time frames, and updated care plans and increased supervision were in place. R1 and R3 no longer reside at the facility; R2 was placed on hospice and also no longer resides at the facility.
Findings
The inspection reviewed incident reports, resident care plans, staffing schedules, and call pendant system functionality. No deficiencies were cited as the facility followed protocols for fall prevention, timely notifications, and staffing compliance.
Report Facts
Facility capacity: 82
Resident census: 74
Incident dates: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michael Bilger | Licensing Program Analyst | Conducted the case management visit and inspection |
| Nicole Bacon | Associate Executive Director | Met with Licensing Program Analyst during inspection |
| Mary Margaret Chappell | Administrator | Facility administrator named in report header |
Inspection Report
Complaint Investigation
Census: 60
Capacity: 82
Deficiencies: 0
Date: Dec 6, 2022
Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation that there was insufficient food service personnel employed, trained, and scheduled to meet the needs of residents.
Complaint Details
The complaint alleged insufficient food service personnel, training, and working hours to meet resident needs. The allegation was found to be unsubstantiated.
Findings
The investigation included review of staff schedules, training records, menus, food handler certificates, and observation of lunch service. Based on interviews and documentation, the allegation was deemed unsubstantiated due to lack of preponderance of evidence.
Report Facts
Facility capacity: 82
Census: 60
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mary Margaret Chappell | Administrator | Met with Licensing Program Analyst during investigation |
| Ruth Wallace | Licensing Program Analyst | Conducted the complaint investigation visit |
| Stephen Richardson | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 68
Capacity: 82
Deficiencies: 0
Date: Oct 21, 2022
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received on 2022-08-03 regarding resident falls and medication administration errors.
Complaint Details
The complaint included allegations that a resident sustained falls while in care and that staff did not administer the resident's medication as prescribed. Both allegations were investigated and found to be unsubstantiated.
Findings
The investigation found no preponderance of evidence to substantiate the allegations that a resident sustained falls or that staff failed to administer medication as prescribed. Both allegations were determined to be unsubstantiated based on interviews and record reviews.
Report Facts
Facility capacity: 82
Census: 68
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mary Margaret Chappell | Administrator | Met with Licensing Program Analyst during investigation and exit interview |
| Michael Bilger | Licensing Program Analyst | Conducted complaint investigation and authored report |
| Liza King | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 68
Capacity: 82
Deficiencies: 0
Date: Oct 21, 2022
Visit Reason
An unannounced complaint investigation was conducted regarding an allegation that a staff member worked at the facility on 10-11-22 while having symptoms of COVID-19.
Complaint Details
Allegation was that a staff member worked while symptomatic for COVID-19 on 10-11-22. Investigation found no evidence to support this; the allegation was unfounded.
Findings
Based on interviews, record reviews, and a facility tour, it was determined that the staff members who tested positive for COVID-19 did not work on the alleged date, and the facility was following COVID-19 precautions with adequate PPE available. The allegation was found to be unfounded.
Report Facts
Facility capacity: 82
Census: 68
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mary Margaret Chappell | Administrator | Met with during inspection and exit interview |
| Michael Bilger | Licensing Program Analyst | Conducted complaint investigation |
| Liza King | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Annual Inspection
Census: 68
Capacity: 82
Deficiencies: 0
Date: Oct 12, 2022
Visit Reason
The visit was an unannounced annual inspection conducted to ensure compliance with Title 22 regulations at the assisted living facility.
Findings
The inspection found no deficiencies. The facility was compliant with regulations including infection control, safety, and sanitation standards. All reviewed staff and resident charts were in order, and the facility had an approved COVID mitigation plan in place.
Report Facts
Staff charts reviewed: 5
Resident charts reviewed: 5
Medication log sheets reviewed: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mary Margaret Chappell | Administrator | Met with Licensing Program Analyst during inspection and received report |
| Michael Bilger | Licensing Program Analyst | Conducted the annual inspection visit |
| Liza King | Licensing Program Manager | Named in report header |
Inspection Report
Complaint Investigation
Capacity: 82
Deficiencies: 0
Date: Aug 17, 2022
Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that staff billed a resident in excess of the agreed upon rates provided in the Admission Agreement.
Complaint Details
The complaint was unsubstantiated based on interviews and record reviews. There was no evidence of an actual physical bill received and funds were returned.
Findings
The investigation found no intention to overbill; the issue was due to a misunderstanding of the facility's billing process and funds were returned as requested. The allegation was determined to be unsubstantiated.
Report Facts
Facility capacity: 82
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mary Margaret Chappell | Executive Director | Met with during investigation and exit interview |
| Renee Campbell | Licensing Program Analyst | Conducted the complaint investigation |
| Michael Bilger | Arrived unannounced with LPA Renee Campbell to conduct investigation | |
| Liza King | Licensing Program Manager | Named in report signature section |
Inspection Report
Complaint Investigation
Capacity: 82
Deficiencies: 0
Date: Aug 17, 2022
Visit Reason
The visit was an unannounced case management inspection related to incident reports concerning resident falls and injury occurring on 7-8-22, 7-9-22, and 7-11-22.
Complaint Details
The visit was triggered by incident reports of resident falls and injury. The complaint was investigated and no deficiencies were found.
Findings
The investigation determined that the resident sustained falls and a head injury on the reported dates. The facility had implemented fall prevention measures and increased monitoring. Staffing levels were adequate, the emergency pendant system was functioning properly, and no deficiencies were issued as a result of the visit.
Report Facts
Incident report dates: Falls occurred on 7-8-22, 7-9-22, and 7-11-22
Facility capacity: 82
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mary Margaret Chappell | Administrator | Met with Licensing Program Analysts during the visit and involved in interviews |
| Michael Bilger | Licensing Program Analyst | Conducted the case management visit and investigation |
| Renee Campbell | Licensing Program Analyst | Conducted the case management visit and investigation |
Inspection Report
Complaint Investigation
Census: 62
Capacity: 82
Deficiencies: 0
Date: Jun 22, 2022
Visit Reason
The inspection visit was an unannounced complaint investigation triggered by an allegation that staff assaulted a resident.
Complaint Details
The complaint alleged that staff assaulted a resident by slapping and punching on 2022-04-27. The investigation included interviews with staff and residents, review of facility documentation, and a police report. No evidence was found to substantiate the allegation, and it was deemed unsubstantiated.
Findings
The investigation found no witnesses or visible injuries to substantiate the allegation of staff assaulting a resident on 2022-04-27. Based on interviews and record reviews, the allegation was determined to be unsubstantiated.
Report Facts
Complaint Control Number: 27
Complaint Control Number Suffix: 20220428133810
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michael Bilger | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Mary Margaret Chappell | Administrator | Facility administrator met during investigation and exit interview |
Inspection Report
Complaint Investigation
Census: 55
Capacity: 82
Deficiencies: 0
Date: Jun 8, 2022
Visit Reason
The visit was an unannounced case management inspection conducted to investigate an incident occurring on 2022-03-13 involving a resident fall resulting in a femur fracture.
Complaint Details
The visit was triggered by a complaint/incident involving a resident fall on 2022-03-13. The complaint was investigated through record review, interviews, and emergency response testing. The complaint was not substantiated as staffing and response times were adequate.
Findings
The investigation found that the resident pushed the emergency pendant and staff responded within 5-10 minutes. The resident was found on the floor and sent to the emergency room. Staffing levels and emergency response times were deemed appropriate. No deficiencies were cited during the visit.
Report Facts
Response time to emergency pendant: 5
Response time to emergency pendant: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mary Margaret Chappell | Administrator | Made aware of Licensing Program Analyst's visit and purpose |
| Patricia Olvera | Business Office Manager | Met with Licensing Program Analyst and participated in emergency pendant response testing |
| Michael Bilger | Licensing Program Analyst | Conducted the case management visit and investigation |
| Liza King | Licensing Program Manager | Named in report header |
Inspection Report
Complaint Investigation
Census: 45
Capacity: 82
Deficiencies: 0
Date: Mar 17, 2022
Visit Reason
The visit was a case management inspection regarding an incident report submitted on 2022-02-23 alleging verbal and physical abuse of residents by staff.
Complaint Details
The complaint was an anonymous email alleging staff verbally and physically abused residents. Interviews with 3 staff and 8 residents found no substantiation of abuse.
Findings
Interviews with staff and residents found no evidence of verbal or physical abuse. No deficiencies were cited during the inspection.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Brittany Andrews | Assistant Executive Director | Met with Licensing Program Analyst during the visit and participated in interviews. |
| Treana White | Licensing Program Analyst | Conducted the case management visit and interviews. |
| Liza King | Licensing Program Manager | Named in the report as Licensing Program Manager. |
Inspection Report
Census: 42
Capacity: 82
Deficiencies: 0
Date: Feb 14, 2022
Visit Reason
An unannounced case management visit was conducted by Licensing Program Analyst T. White to amend a previous complaint report and review compliance.
Complaint Details
This visit amended complaint #27-AS-20211214154259 dated 12/14/2021; the amended report was signed by the Associate Executive Director.
Findings
No deficiencies were cited during this visit per Title 22. An exit interview was conducted with the Associate Executive Director and a copy of the report was left at the facility.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Brittany Andrews | Associate Executive Director | Met with Licensing Program Analyst during the visit and signed the amended complaint report. |
Inspection Report
Complaint Investigation
Census: 42
Capacity: 82
Deficiencies: 0
Date: Jan 10, 2022
Visit Reason
An unannounced complaint investigation was conducted in response to allegations received on 2021-12-14 regarding resident injury, staff response to calls for assistance, and timely feeding of a diabetic resident.
Complaint Details
The complaint involved allegations that a resident was injured while in care, staff did not respond to resident's calls for assistance, and facility staff did not ensure that a diabetic resident was fed timely. After investigation, the allegations were found to be unsubstantiated.
Findings
The investigation included interviews with staff and residents and review of relevant documents. The allegations could not be substantiated due to insufficient evidence, and no deficiencies were cited during the visit.
Report Facts
Residents interviewed: 4
Staff interviewed: 4
Room service slip review period: 11
Complaint received date: Dec 14, 2021
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mary Margaret Chappell | Executive Director | Met with Licensing Program Analyst during investigation and named in report |
| Treana White | Licensing Program Analyst | Conducted the complaint investigation |
| Liza King | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Annual Inspection
Census: 53
Capacity: 82
Deficiencies: 1
Date: Sep 30, 2021
Visit Reason
The inspection was an unannounced required 1-year annual inspection to assess compliance with licensing regulations and facility safety standards.
Findings
The facility was generally compliant with safety and environmental standards, but a deficiency was found where hot water temperatures in 6 apartment bathrooms exceeded the maximum allowed 120 degrees Fahrenheit, posing an immediate health and safety risk.
Deficiencies (1)
Hot water temperature in 6 apartment bathrooms measured above 120 degrees Fahrenheit, exceeding the regulatory maximum.
Report Facts
Deficiencies cited: 1
Capacity: 82
Census: 53
Plan of Correction Due Date: Oct 1, 2021
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mary Margaret Chappell | Executive Director | Met with Licensing Program Analyst during inspection and agreed to plan of correction |
| Treana White | Licensing Program Analyst | Conducted the inspection and authored the report |
| Liza King | Licensing Program Manager | Supervisor overseeing the inspection |
Inspection Report
Complaint Investigation
Census: 50
Capacity: 82
Deficiencies: 1
Date: Jun 16, 2021
Visit Reason
The visit was a case management incident investigation conducted regarding an incident report submitted on 2021-06-01 involving a staff member taking an unauthorized picture of a resident.
Complaint Details
The visit was triggered by a complaint incident report submitted on 2021-06-01. The complaint was substantiated as the staff member took an unauthorized picture of a resident, violating personal rights.
Findings
The facility was found to have violated California Code of Regulations, Title 22, Section 87468.1(a)(1) related to residents' personal rights when a staff member took a picture of a resident in his briefs without consent, posing immediate health and safety risks. The staff member was suspended and terminated, and in-service training was conducted.
Deficiencies (1)
Facility did not comply with 87468.1(a)(1) - Personal Rights of Residents; staff took a picture of a resident in his briefs without consent, posing immediate health and safety risks.
Report Facts
Deficiency Type: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mary Margaret Chappell | Executive Director | Met with Licensing Program Analyst during the visit and named in the report. |
| Treana White | Licensing Program Analyst | Conducted the case management visit and authored the report. |
| Liza King | Licensing Program Manager | Supervisor named in the report. |
Inspection Report
Complaint Investigation
Census: 54
Capacity: 82
Deficiencies: 0
Date: May 19, 2021
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations that the facility charged additional fees to a resident without reappraisal and without proper notification.
Complaint Details
The complaint was unsubstantiated after investigation. The resident confirmed no monthly payments or additional charges were made, and the monthly rate had not been increased.
Findings
The investigation found that the resident was charged for services included in the signed service contract and paid by an insurance company. There was insufficient evidence to prove that the resident was charged for services not required, and the allegation was determined to be unsubstantiated.
Report Facts
Facility capacity: 82
Resident census: 54
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Bruce Jacobs | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Nicole Bacon | Assistant Executive Director | Met with investigator during complaint investigation |
| Mary Margaret Chappell | Administrator | Facility administrator named in the report |
| Liza King | Licensing Program Manager | Named as Licensing Program Manager on report |
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