Inspection Reports for Brookdale Loma Linda
25585 Van Leuven St, Loma Linda, CA 92354, CA, 92354
Back to Facility ProfileInspection Report Summary
Most inspections found no deficiencies, and several complaint investigations were unsubstantiated, indicating that many concerns raised were not supported by evidence. However, some reports did cite deficiencies, primarily related to resident care and safety issues such as medication administration errors, delayed staff response to call pendants, and improper food storage. The most serious events included substantiated rough handling and disrespectful treatment of residents in November 2024 and immediate health and safety risks from unsecured sharps and insufficient food supply noted in February 2025. The most recent report from April 28, 2025, was clean with no deficiencies found. This suggests some improvement in compliance following earlier issues, though isolated problems have occurred over time.
Deficiencies per Year
4
3
2
1
0
High
Moderate
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Complaint Investigation
Census: 111
Capacity: 220
Deficiencies: 0
Apr 28, 2025
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received on 09/20/2022 regarding resident care concerns at the facility.
Findings
Based on observations, interviews with residents and staff, and review of pertinent documents, the allegations were found to be unsubstantiated due to lack of preponderance of evidence to prove the alleged violations occurred.
Complaint Details
The complaint included allegations that a resident sustained a bruise from staff, staff did not respond timely to call pendants, staff did not treat residents with dignity and respect, and staff did not change residents' diapers in a timely manner. Interviews with residents and staff, as well as observations, did not substantiate these allegations.
Report Facts
Residents interviewed: 11
Staff interviewed: 5
Facility capacity: 220
Facility census: 111
Call pendant response time: 330
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sarina Ramirez | Licensing Program Analyst | Conducted the complaint investigation visit |
| Maritza Lujan | Executive Director | Met with Licensing Program Analyst during investigation |
| Karen Clemons | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Annual Inspection
Census: 106
Capacity: 220
Deficiencies: 2
Feb 25, 2025
Visit Reason
Licensing Program Analysts conducted an unannounced required annual inspection of the Residential Care Facility for Elderly to assess compliance with licensing regulations.
Findings
The facility was generally well maintained with no obstructions in passageways, proper emergency equipment, and adequate resident activity space. However, deficiencies were cited for insufficient nonperishable food supply for seven days and unsecured sharps in the kitchen, both posing immediate health and safety risks.
Severity Breakdown
Type A: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Sharps were accessible and not locked in the kitchen, posing an immediate health, safety, or personal rights risk to persons in care. | Type A |
| Nonperishable food supply was not sufficient for a seven (7) day supply, posing an immediate health, safety, or personal rights risk to persons in care. | Type A |
Report Facts
Resident medications reviewed: 6
Resident files reviewed: 10
Staff files reviewed: 8
Deficiencies cited: 2
Hot water temperature: 110.1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maritza Lujan | Executive Director | Met during inspection and discussed report findings |
| Sarina Ramirez | Licensing Program Analyst | Conducted inspection and cited deficiencies |
| Eldin Serrano | Licensing Program Analyst | Conducted inspection and observed corrective actions |
| Karen Clemons | Licensing Program Manager | Supervisor and Licensing Program Manager overseeing inspection |
Inspection Report
Complaint Investigation
Census: 112
Capacity: 220
Deficiencies: 1
Nov 26, 2024
Visit Reason
An unannounced complaint investigation was conducted based on allegations received on 2024-11-21 regarding staff handling residents roughly, disrespectful treatment, and leaving residents unattended for multiple hours.
Findings
The investigation substantiated the allegations that staff member S#1 handled residents roughly, treated a resident disrespectfully, and left residents unattended for long periods. The Executive Director followed proper reporting procedures and suspended the staff member pending internal investigation.
Complaint Details
The complaint investigation was substantiated based on staff and resident interviews confirming rough handling, disrespect, and leaving residents unattended. The preponderance of evidence standard was met and Title 22 regulations, Personal Rights 87468.1(a) were cited.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Residents in all residential care facilities for the elderly shall have personal rights including dignity, safety, and freedom from punishment. The Administrator did not ensure these rights were met, posing an immediate health, safety, or personal rights risk. | Type A |
Report Facts
Capacity: 220
Census: 112
Staff interviews: 3
Resident interviews: 5
Plan of Correction Due Date: Dec 14, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maritza Lujan | Executive Director | Met with Licensing Program Analyst and involved in reporting and investigation |
| Sarina Ramirez | Licensing Program Analyst | Conducted the complaint investigation |
| Karen Clemons | Licensing Program Manager | Named in report as Licensing Program Manager overseeing investigation |
Inspection Report
Complaint Investigation
Census: 112
Capacity: 220
Deficiencies: 0
Nov 26, 2024
Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation that facility staff inappropriately touched a resident in care.
Findings
The investigation included file reviews and interviews with staff and residents. Four staff members and five residents were interviewed, with no evidence found to substantiate the allegation. The allegation was determined to be unsubstantiated due to lack of preponderance of evidence.
Complaint Details
The complaint alleged that facility staff inappropriately touched a resident in care. The investigation found no substantiating evidence after interviews and record review.
Report Facts
Complaint Control Number: 56
Staff Interviews Conducted: 4
Resident Interviews Conducted: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maritza Lujan | Executive Director | Met with Licensing Program Analyst during investigation and named in report |
| Sarina Ramirez | Licensing Program Analyst | Conducted the complaint investigation visit |
| Karen Clemons | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 110
Capacity: 220
Deficiencies: 0
May 21, 2024
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations received on 2024-01-26 regarding staff threatening a resident with eviction and lack of dignity in resident relationships.
Findings
The investigation found insufficient evidence to substantiate the allegations that facility staff threatened a resident with eviction or that a resident was not accorded dignity in relationships with other residents. The allegations were determined to be unsubstantiated based on observations, document reviews, and interviews.
Complaint Details
The complaint investigation was unsubstantiated, meaning there was not a preponderance of evidence to prove the alleged violations occurred.
Report Facts
Capacity: 220
Census: 110
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Magda Malcore | Licensing Program Analyst | Conducted the complaint investigation visit |
| Maritza Lujan | Executive Director | Facility representative met during the investigation |
Inspection Report
Complaint Investigation
Census: 107
Capacity: 220
Deficiencies: 0
Feb 15, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 07/30/2021 regarding medication refill timeliness, failure to report changes to resident's Power of Attorney, and charging residents for additional services.
Findings
The investigation found that medications were refilled in a timely manner by staff or family as per care plans, changes to residents' Power of Attorney were properly reported, and the facility charged fees for medication management services as agreed in admission documents. The allegations were unsubstantiated due to insufficient evidence to prove violations.
Complaint Details
The complaint was unsubstantiated. Allegations included untimely medication refills, failure to report changes to Power of Attorney, and improper charging for additional services. Interviews with staff and residents, and document reviews did not support the allegations.
Report Facts
Capacity: 220
Census: 107
Complaint received date: Jul 30, 2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Yolanda Delgado | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Jazmond D Harris | Licensing Program Manager | Oversaw the complaint investigation |
| Lucinda Adams | Administrator | Facility administrator met during the investigation |
Inspection Report
Complaint Investigation
Census: 107
Capacity: 220
Deficiencies: 1
Feb 15, 2024
Visit Reason
Unannounced complaint investigation visit conducted due to allegations that facility staff did not dispense resident's medication as prescribed.
Findings
The investigation substantiated the complaint that the facility did not dispense resident medications as prescribed, with specific residents missing medication doses on multiple dates. The facility was cited for violation of California Code of Regulations, Title 22, Division 6, Chapter 8, Section 87465(c)(2), posing a health and safety risk.
Complaint Details
The complaint was substantiated. Facility staff failed to dispense prescribed medications to Resident #1 on 7/23/2021, 7/25/2021, and 7/26/2021, and Resident #2 on 5/21/2022. Medication was reported missing and not administered as prescribed, confirmed by interviews, document review, and witness statements.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| 87465 Incidental Medical and Dental Care: Failure to give medication according to physician's directions as required by CCR 87465(c)(2). | Type B |
Report Facts
Census: 107
Total Capacity: 220
Deficiency Count: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Yolanda Delgado | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Jazmond D Harris | Licensing Program Manager | Oversaw the complaint investigation |
| Lucinda Adams | Administrator | Facility administrator mentioned in the report |
| Maritza Lujan | Facility representative met during exit interview |
Inspection Report
Annual Inspection
Census: 110
Capacity: 220
Deficiencies: 0
Dec 19, 2023
Visit Reason
Licensing Program Analyst Magda Malcore made an unannounced visit to the facility to conduct a required annual inspection.
Findings
The facility was inspected overall including physical plant, food service, care and supervision, record review, and medical related services. No deficiencies were cited during the visit.
Report Facts
Hospice waiver residents: 20
Staff files reviewed: 5
Resident files reviewed: 5
Emergency drill date: Nov 18, 2023
Executive Director certification expiration: Apr 12, 2024
Resident bathrooms inspected: 6
Resident bedrooms inspected: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maritza Lujan | Executive Director | Met with Licensing Program Analyst during inspection |
| Magda Malcore | Licensing Program Analyst | Conducted the annual inspection visit |
| Karen Clemons | Licensing Program Manager | Named in report header and signature |
Inspection Report
Census: 108
Capacity: 220
Deficiencies: 0
Oct 16, 2023
Visit Reason
The visit occurred to obtain signatures on amended reports and to conduct an exit interview regarding the amended LIC 9099 forms.
Findings
The Licensing Program Analyst arrived unannounced to obtain signatures on amended reports and provided copies of the amended LIC 9099 forms during an exit interview.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maritza Lujan | Executive Director | Met with Licensing Program Analyst during the visit. |
| Rayshaun Nickolas | Licensing Program Analyst | Conducted the unannounced visit and obtained signatures on amended reports. |
| Karen Clemons | Licensing Program Manager | Named in the report header. |
Inspection Report
Complaint Investigation
Census: 102
Capacity: 220
Deficiencies: 0
Sep 28, 2023
Visit Reason
The visit was an unannounced complaint investigation initiated due to allegations received on 09/22/2023 regarding facility cleanliness, staff behavior, and confidentiality breaches.
Findings
The investigation found all allegations unsubstantiated due to lack of corroborating evidence or witnesses, despite some resident confirmations and observations of carpet stains consistent with assisted devices.
Complaint Details
The complaint included allegations that the facility carpet was not clean, staff yelled at a resident, and staff disclosed a resident's medical diagnosis to other residents. All allegations were found unsubstantiated after interviews and file reviews.
Report Facts
Capacity: 220
Census: 102
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maritza Lujan | Executive Director | Met with Licensing Program Analyst during investigation and involved in interviews regarding allegations |
| Rayshaun Nickolas | Licensing Program Analyst | Conducted the complaint investigation visit and interviews |
| Karen Clemons | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 105
Capacity: 220
Deficiencies: 1
Apr 28, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to allegations received on 2023-04-13 regarding kitchen cleanliness, presence of mold, and proper food storage at the facility.
Findings
The investigation found the allegations that staff did not keep the kitchen clean and that the kitchen had mold to be unsubstantiated. However, the allegation that staff did not properly store food was substantiated, with uncovered food items observed in the kitchen refrigerator/freezer posing potential health risks.
Complaint Details
The complaint investigation was unannounced and based on allegations received on 2023-04-13. The allegations regarding kitchen cleanliness and mold were unsubstantiated, while the allegation regarding improper food storage was substantiated. A Plan of Correction was developed and reviewed with the Licensee/Administrator Marlin Fish.
Deficiencies (1)
| Description |
|---|
| Food items including plates with cake and salad, single serving sauce containers, and a container of strawberries in the freezer/refrigerator were not covered, posing a potential health, safety, and personal rights risk to residents. |
Report Facts
Capacity: 220
Census: 105
Plan of Correction Due Date: May 5, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Magda Malcore | Licensing Program Analyst | Conducted the complaint investigation visit and authored the report |
| Ashley Fife | Business Office Manager | Met with Licensing Program Analyst during the investigation and received report and appeal rights |
| Marlin Fish | Licensee/Administrator | Developed and reviewed Plan of Correction for substantiated food storage deficiency |
Inspection Report
Complaint Investigation
Census: 109
Capacity: 220
Deficiencies: 0
Apr 10, 2023
Visit Reason
An unannounced complaint investigation was conducted regarding allegations including inadequate staffing, staff yelling at residents, unclean facility conditions, and failure to bathe/shower residents.
Findings
The investigation found all allegations to be unsubstantiated based on staff and resident interviews, facility tour, and document review. No deficiencies were cited at this time.
Complaint Details
The complaint investigation was unsubstantiated; while allegations may have been valid, there was not a preponderance of evidence to prove violations occurred.
Report Facts
Capacity: 220
Census: 109
Residents interviewed: 5
Residents denying yelling: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maritza Lujan | Administrator | Met with Licensing Program Analyst during investigation |
| Magda Malcore | Licensing Program Analyst | Conducted the complaint investigation |
| Karen Clemons | Licensing Program Manager | Named in report as Licensing Program Manager |
| Ashley Fife | Office Manager | Met with Licensing Program Analyst during investigation |
Inspection Report
Complaint Investigation
Census: 104
Capacity: 220
Deficiencies: 0
Feb 28, 2023
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations received on 2023-02-23 regarding the facility freezer being in disrepair and staff not washing hands.
Findings
The investigation found that the freezer and refrigerators were in working condition and staff were observed continuously washing their hands. The allegations were determined to be unsubstantiated due to lack of preponderance of evidence.
Complaint Details
The complaint investigation was unsubstantiated. Although the allegations may have happened or be valid, there was not sufficient evidence to prove the alleged violations occurred.
Report Facts
Facility capacity: 220
Census: 104
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Bernadette Allen | Licensing Program Analyst | Conducted the complaint investigation |
| Maritza Lujan | Administrator | Facility administrator met during investigation |
| Karen Clemons | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Census: 109
Capacity: 220
Deficiencies: 0
Jan 9, 2023
Visit Reason
Licensing Program Analyst Bernadette Allen conducted an unannounced case management visit to the facility to follow up on an adult client death.
Findings
The visit involved collecting documentation and conducting staff interviews regarding the death of Client #1. There was no official death certificate or cause of death available at the time of the visit.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maritza Lujan | Administrator | Met with Licensing Program Analyst during the visit and informed of the purpose. |
| Bernadette Allen | Licensing Program Analyst | Conducted the unannounced case management visit and interviews. |
| Karen Clemons | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Complaint Investigation
Census: 114
Capacity: 220
Deficiencies: 0
Sep 22, 2022
Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that the facility utilizes bed rails without medical order.
Findings
The investigation included staff and resident interviews, inspection of resident rooms, and records review. The complaint allegation was found to be unsubstantiated as there was insufficient evidence to prove the allegation.
Complaint Details
The complaint allegation was that the facility utilizes bed rails without medical order. The allegation was found to be unsubstantiated after investigation.
Report Facts
Capacity: 220
Census: 114
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Anna Bueno | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Maritza Lujan | Administrator | Facility administrator met during the investigation |
| Nedra Brown | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 111
Capacity: 220
Deficiencies: 0
Sep 15, 2022
Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that staff do not communicate with the resident's responsible party.
Findings
The investigation found that the facility calls residents' emergency contacts for unusual incidents such as changes in medications or condition, and that the resident in question is self-responsible. The complaint allegation was determined to be unfounded.
Complaint Details
The complaint allegation that staff do not communicate with the resident's responsible party was investigated and found to be unfounded.
Report Facts
Facility capacity: 220
Census: 111
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Anna Bueno | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Maritza Lujan | Administrator | Facility administrator notified of the visit and findings |
Inspection Report
Complaint Investigation
Census: 112
Capacity: 220
Deficiencies: 0
Jun 16, 2022
Visit Reason
Licensing Program Analyst Ryan Gardner made an unannounced visit to the facility regarding complaint number 56-AS-20220513164917 to obtain signatures on amended reports.
Findings
The report documents the unannounced visit and the exit interview where the report was discussed and provided to the Administrator Maritza Lujan. No specific deficiencies or findings are detailed in the report.
Complaint Details
Visit was related to complaint number 56-AS-20220513164917. No substantiation status or further complaint details are provided.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ryan Gardner | Licensing Program Analyst | Conducted the unannounced visit and met with the Administrator. |
| Maritza Lujan | Administrator | Met with Licensing Program Analyst during the visit and received the report. |
| Karen Clemons | Licensing Program Manager | Named as Licensing Program Manager in the report. |
Inspection Report
Complaint Investigation
Census: 112
Capacity: 220
Deficiencies: 1
Jun 3, 2022
Visit Reason
The visit was an unannounced complaint investigation conducted in response to multiple allegations including resident falls, rough handling by staff, failure to assess injuries, lack of staff checks on residents, refusal to provide a new call pendant, and staff not responding to call buttons.
Findings
Most allegations were found to be unfounded due to lack of evidence or corrective actions taken by the facility. However, the allegation that staff were not responding to residents' call buttons was substantiated, with 153 occurrences of delayed responses over an 18-day period. One deficiency was cited related to insufficient staffing to respond to pendant calls.
Complaint Details
The complaint investigation was initiated based on allegations received on 05/13/2022. Most allegations were deemed unfounded except for the allegation that staff were not responding to residents' call buttons, which was substantiated. The substantiated allegation involved 153 occurrences of delayed staff response to pendant calls between May 1 and May 18, 2022.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Personnel Requirements-General. Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. The licensee did not comply by taking over an hour to respond to pendant calls 153 times over an 18-day span. | Type B |
Report Facts
Deficiencies cited: 1
Delayed response occurrences: 153
Census: 112
Total capacity: 220
Staff present: 53
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ryan Gardner | Licensing Program Analyst | Conducted the complaint investigation and authored the report. |
| Karen Clemons | Licensing Program Manager | Oversaw the complaint investigation. |
| Maritza Lujan | Administrator | Facility administrator met with the Licensing Program Analyst during the investigation. |
Inspection Report
Complaint Investigation
Census: 119
Capacity: 220
Deficiencies: 0
Apr 28, 2022
Visit Reason
An unannounced complaint investigation was conducted regarding allegations of insufficient staffing to meet residents' needs.
Findings
The investigation found insufficient evidence to substantiate the allegation of inadequate staffing. Facility staff and documentation indicated sufficient staffing and additional support from Home Health and Hospice agencies.
Complaint Details
The allegation of insufficient staffing to meet residents' needs was investigated and deemed unsubstantiated due to lack of preponderance of evidence.
Report Facts
Capacity: 220
Census: 119
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Javier Prieto | Licensing Program Analyst | Conducted the complaint investigation |
| Jennifer Larson | Facility representative met during investigation | |
| Lucinda Adams | Administrator | Facility administrator |
| Karen Clemons | Licensing Program Manager | Named in report header |
Inspection Report
Annual Inspection
Census: 120
Capacity: 220
Deficiencies: 0
Jan 27, 2022
Visit Reason
The Licensing Program Analyst conducted an unannounced annual inspection with an emphasis on infection control as a continuation from a previous visit on 01/25/2022.
Findings
The inspection found no deficiencies. Observations included proper infection control measures such as adequate hand hygiene supplies, cleaning provisions, proper use of face coverings, and a designated infection control lead. The facility follows Community Care Licensing guidelines for COVID-19 testing, isolation, and monitoring.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Javier Prieto | Licensing Program Analyst | Conducted the annual inspection and made observations regarding infection control. |
| Ashley Fife | Met with the Licensing Program Analyst during the inspection. | |
| Lucinda Adams | Administrator | Named as facility administrator. |
| Karen Clemons | Licensing Program Manager | Named as Licensing Program Manager. |
Inspection Report
Annual Inspection
Census: 120
Capacity: 220
Deficiencies: 0
Jan 25, 2022
Visit Reason
Licensing Program Analyst Javier Prieto made an unannounced visit to conduct an annual inspection with an emphasis on infection control.
Findings
The facility was observed to be clean and free of clutter, with COVID-19 prevention protocols being followed. No cases of COVID-19 were present at the time of inspection. The inspection was not concluded due to computer malfunctions, and a continuation inspection was scheduled.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Javier Prieto | Licensing Program Analyst | Conducted the annual inspection visit. |
| Ashley Fife | Business Manager | Met with Licensing Program Analyst during the inspection. |
| Lucinda Adams | Administrator | Named as facility administrator. |
| Karen Clemons | Licensing Program Manager | Named as Licensing Program Manager. |
Inspection Report
Original Licensing
Census: 122
Capacity: 220
Deficiencies: 0
Jan 15, 2021
Visit Reason
The inspection was a pre-licensing visit conducted as an announced tele-visit due to COVID-19 to evaluate the pending facility for licensing as a Residential Care Facility for the Elderly.
Findings
The facility was found to be in good repair with no hazards observed. Safety equipment such as fire extinguishers, smoke alarms, and carbon monoxide detectors were functional. Resident rooms and common areas met requirements, including bedding, furniture, lighting, and safety features. Food storage and hygiene supplies were adequate. No corrections were needed.
Report Facts
Water temperature: 109
Freezer temperature: 0
Refrigerator temperature: 45
Non-ambulatory residents capacity: 220
Bedridden residents capacity: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lucinda Adams | Administrator | Applicant met with Licensing Program Analyst during pre-licensing inspection |
| Christine Le | Licensing Program Analyst | Conducted the announced tele-visit inspection |
| Karen Clemons | Licensing Program Manager | Named in report header |
Inspection Report
Original Licensing
Census: 125
Capacity: 220
Deficiencies: 0
Dec 17, 2020
Visit Reason
The visit was conducted as part of a change of ownership application and pre-licensing inspection for a Residential Care Facility for the Elderly.
Findings
The applicant and administrator successfully completed the required COMP II component, demonstrating understanding of Title 22 regulations, facility operation, staff qualifications, program policies, and application document requirements.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lucinda Adams | Administrator | Met with during the visit and participated in the licensing process. |
| Jude De La Concepcion | Licensing Program Manager | Named as Licensing Program Manager on the report. |
| Bethany Hunter | Licensing Program Analyst | Named as Licensing Program Analyst on the report and participated in the COMP II call. |
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