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
Occupancy
Latest occupancy rate
77% occupied
Based on a November 2025 inspection.
Occupancy rate over time
Inspection Report
Complaint Investigation
Census: 63
Capacity: 82
Deficiencies: 0
Date: Nov 4, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2023-06-29 regarding allegations of rough handling of residents, unmet toileting needs, and lack of medical attention at the facility.
Complaint Details
The complaint involved allegations that staff handled a resident roughly, failed to meet resident toileting needs, and did not provide medical attention to a resident. The investigation included interviews with residents and staff, document reviews, and facility tours. All allegations were found to be unsubstantiated due to lack of evidence.
Findings
The investigation found no preponderance of evidence to substantiate the allegations. Interviews with residents and staff, document reviews, and observations indicated that staff treated residents with respect, provided toileting assistance as needed, and delivered medical treatment when required. Therefore, all allegations were unsubstantiated.
Report Facts
Facility capacity: 82
Census: 63
Complaint receipt date: Jun 29, 2023
Incident report date: Jun 28, 2023
Physician report date: May 17, 2023
Medication order summary date: Jun 20, 2023
Physician fax report date: Jun 24, 2023
Staff training dates: Personal rights training conducted between 2023-04-17 and 2023-04-21 and most recently on 2025-09-25
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mary G Flores | Licensing Program Analyst | Conducted the complaint investigation visit and interviews |
| Celia Saldivar | Business Office Manager | Met with the Licensing Program Analyst during the investigation |
| Kelly Best | Health and Wellness Director | Participated in exit interview and received a copy of the report |
| Tony Vasallo | Supervisor | Supervisor overseeing the licensing evaluation |
| Queen Ayers | Administrator | Facility administrator referenced in the report |
Inspection Report
Complaint Investigation
Census: 63
Capacity: 82
Deficiencies: 0
Date: Nov 3, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to allegations that staff did not ensure residents were bathed, did not provide adequate housekeeping services, and did not provide resident transportation to medical appointments.
Complaint Details
The complaint investigation was unannounced and addressed three allegations: missed resident baths, inadequate housekeeping services, and lack of transportation to medical appointments. Interviews with residents and staff, document reviews, and facility observations were conducted. The findings concluded that although some issues may have occurred, there was insufficient evidence to prove violations, resulting in all allegations being unsubstantiated.
Findings
The investigation found no preponderance of evidence to substantiate the allegations. Residents and staff interviews, document reviews, and facility observations indicated that bathing, housekeeping, and transportation services were provided according to facility policies and resident agreements. Therefore, all allegations were unsubstantiated.
Report Facts
Capacity: 82
Census: 63
Number of allegations: 3
Number of residents interviewed: 6
Number of staff interviewed: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mary G Flores | Licensing Program Analyst | Conducted the complaint investigation visit |
| Cindy Garcia | Executive Director | Met with Licensing Program Analyst during the investigation and exit interview |
| Queen Ayers | Administrator | Facility administrator mentioned in the report |
| Tony Vasallo | Supervisor | Supervisor overseeing the licensing evaluation |
Inspection Report
Annual Inspection
Census: 58
Capacity: 82
Deficiencies: 0
Date: Jun 25, 2024
Visit Reason
An unannounced visit was conducted for a required annual inspection of the facility.
Findings
The inspection found the facility to be well maintained, clean, and compliant with regulatory standards. No citations were issued, and staff and resident interviews indicated sufficient competency and care.
Report Facts
Days supply of perishable foods: 2
Weeks supply of non-perishable foods: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cindy Garcia | Executive Director | Met with Licensing Program Analyst during inspection and exit interview |
| Stephanie Martinez | Licensing Evaluator | Conducted the inspection and signed the report |
| Tricia Danielson | Licensing Program Manager | Conducted the inspection |
Inspection Report
Annual Inspection
Census: 58
Capacity: 82
Deficiencies: 0
Date: Jun 25, 2024
Visit Reason
An unannounced required annual inspection was conducted by the Licensing Program Manager and Licensing Program Analyst to evaluate compliance with regulatory standards.
Findings
The facility was found to be well maintained with no citations issued. Physical plant, food service, record review, medication storage, and staff and resident interviews all met regulatory requirements with no concerns observed.
Report Facts
Food supply: 2
Food supply: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cindy Garcia | Executive Director | Met with Licensing Program Manager and Analyst during inspection |
| Tricia Danielson | Licensing Program Manager | Conducted the unannounced annual inspection |
| Stephanie Martinez | Licensing Program Analyst | Conducted the unannounced annual inspection and inspected medication room |
Inspection Report
Complaint Investigation
Census: 61
Capacity: 82
Deficiencies: 0
Date: Dec 1, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations that staff were overcharging a resident and not providing an itemized list of charges.
Complaint Details
The complaint alleged staff were overcharging a resident and not providing an itemized list of charges. The complaint was investigated and found to be unfounded, meaning the allegations were false or without reasonable basis.
Findings
The investigation included observations, interviews, and records review. It was found that the allegations were unfounded as the resident was provided explanations and documentation of charges, and no discrepancies or rate increases were found during the period in question.
Report Facts
Capacity: 82
Census: 61
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jacqueline Shaw Ross | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Jazmond D Harris | Licensing Program Manager | Named in the report as Licensing Program Manager |
| Celia Saldivar | Business Office Manager | Met with the Licensing Program Analyst during the investigation and involved in the findings |
Inspection Report
Complaint Investigation
Census: 62
Capacity: 82
Deficiencies: 0
Date: Jul 5, 2023
Visit Reason
The visit was an unannounced complaint investigation conducted in response to an allegation that facility staff failed to respond to a resident's call button in a timely manner.
Complaint Details
The complaint alleged that facility staff failed to respond to a resident's call button in a timely manner. After investigation, including interviews and record review, the allegation was found to be unfounded due to lack of evidence.
Findings
The investigation found no deficiencies or civil penalties. Based on staff and resident interviews, record reviews, and observations, there was insufficient evidence to substantiate the allegation, and it was deemed unfounded.
Report Facts
Staff present: 45
Residents present: 62
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Venus Mixson | Licensing Program Analyst | Conducted the complaint investigation and evaluation |
| Queen Ayers | Administrator | Facility administrator met during the investigation |
| Jazmond D Harris | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Annual Inspection
Census: 62
Capacity: 82
Deficiencies: 0
Date: Jun 22, 2023
Visit Reason
An unannounced annual required visit was conducted to evaluate the facility's compliance with licensing requirements.
Findings
No deficiencies were observed during the visit. A Technical Advisory was issued noting the need for refresher training on Personal Rights/Reporting Requirements for staff.
Report Facts
Hospice residents: 8
Hospice waiver capacity: 9
Bedridden residents capacity: 10
Apartments: 74
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cindy Garcia | Executive Director | Met with Licensing Program Analyst during the inspection |
| Janette Romero | Licensing Program Analyst | Conducted the inspection visit |
| Joel Esquivel | Licensing Program Manager | Named in the report |
Inspection Report
Complaint Investigation
Census: 58
Capacity: 82
Deficiencies: 0
Date: Jun 12, 2023
Visit Reason
An unannounced complaint investigation visit was conducted to investigate multiple allegations including staff neglect resulting in malnourishment and dehydration, failure to follow resident's plan of care, deprivation of oxygen, unsanitary conditions, insufficient staffing, pressure injury, and unqualified staff caring for a resident.
Complaint Details
The complaint investigation was unsubstantiated for allegations of neglect, failure to follow care plans, oxygen deprivation, unsanitary conditions, and staffing inadequacies. The complaint regarding pressure injury and unqualified staff was unfounded, meaning the allegations were false or without reasonable basis.
Findings
The investigation found no preponderance of evidence to substantiate the allegations related to malnourishment, dehydration, oxygen deprivation, unsanitary conditions, and staffing issues, resulting in an unsubstantiated finding. The complaint regarding staff neglect causing a pressure injury and unqualified staff caring for a resident was found to be unfounded.
Report Facts
Capacity: 82
Census: 58
Number of staff interviews: 11
Number of resident interviews: 10
Number of witness interviews: 1
Number of staff/witnesses interviewed about oxygen use: 12
Number of staff reporting resident removed oxygen: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tricia Danielson | Licensing Program Analyst | Conducted the complaint investigation |
| Hanofi Adogiawerie | Health and Wellness Director | Met with Licensing Program Analysts during investigation |
| Queen Ayers | Administrator | Facility administrator named in report |
| Jazmond D Harris | Licensing Program Manager | Oversaw complaint investigation |
| Staff #1 | Bus Driver | Alleged unqualified staff providing care; interviewed and found to have prior caregiver experience and training |
Inspection Report
Complaint Investigation
Census: 58
Capacity: 82
Deficiencies: 3
Date: Apr 10, 2023
Visit Reason
An unannounced complaint investigation visit was conducted to investigate allegations including failure to notify resident's family of falls, failure to report falls to the facility, and staff threatening a resident.
Complaint Details
The complaint investigation was substantiated for failure to notify family of falls, failure to report falls, and staff threatening a resident. The allegations that staff dropped the resident, failed to seek timely medical attention for a broken hip, and handled the resident roughly were unsubstantiated.
Findings
The investigation substantiated that the facility failed to notify the resident's family of falls and failed to report falls to the facility. Staff threatening the resident was also substantiated. Allegations that staff dropped the resident during transfer, failed to seek timely medical attention for a broken hip, and handled the resident roughly were unsubstantiated.
Deficiencies (3)
Failure to report resident's hospitalization to the licensing agency within 7 days as required.
Failure to report resident's hospitalization to the licensing agency within 7 days as required.
Failure to accord resident safe, healthful, and comfortable accommodations; resident felt retaliation if they spoke up.
Report Facts
Capacity: 82
Census: 58
Deficiencies cited: 3
POC Due Date: 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Queen Ayers | Administrator | Named in findings related to unreported falls |
| Cindy Garcia | Executive Director | Met during investigation and exit interview |
| Javina George | Licensing Program Analyst | Conducted the complaint investigation |
| Joel Esquivel | Licensing Program Manager | Oversaw the complaint investigation |
Inspection Report
Annual Inspection
Census: 54
Capacity: 82
Deficiencies: 0
Date: Jun 2, 2022
Visit Reason
The inspection was an unannounced required annual visit with emphasis on infection control.
Findings
The Licensing Program Analyst observed sufficient hand hygiene supplies, cleaning and disinfecting provisions, and proper use of face coverings. The facility has a designated infection control lead responsible for tracking COVID-19 cases and maintaining PPE and cleaning supplies.
Report Facts
Residents present: 54
Caregivers present: 35
Facility capacity: 82
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Celia Saldivar | Human Resources Director | Met with Licensing Program Analyst during inspection and discussed infection control practices |
| Venus Mixson | Licensing Program Analyst | Conducted the inspection visit |
| Jazmond D Harris | Licensing Program Manager | Named in report header |
Inspection Report
Annual Inspection
Census: 77
Capacity: 82
Deficiencies: 0
Date: Jun 8, 2021
Visit Reason
Licensing Program Analyst Deborah Mullen conducted an unannounced annual inspection of the facility as part of the required 1-year visit.
Findings
The facility was found to be following current infection control practices for the safety of residents and staff. No deficiencies were observed at the time of the visit.
Report Facts
Hospice waiver residents: 9
Non-ambulatory residents licensed: 82
Bedridden residents allowed: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Queen Ayers | Executive Director | Met with Licensing Program Analyst during inspection and discussed infection control practices |
| Jennifer Larson | Health and Wellness Director | Met with Licensing Program Analyst during inspection |
| Deborah Mullen | Licensing Program Analyst | Conducted the unannounced annual inspection |
| Karen Clemons | Licensing Program Manager | Named in report header |
Inspection Report
Complaint Investigation
Census: 69
Capacity: 82
Deficiencies: 1
Date: Feb 26, 2021
Visit Reason
The inspection was an unannounced complaint investigation triggered by allegations received on 07/27/2020 regarding staff response times to call buttons and restrictions on residents' personal belongings.
Complaint Details
The complaint investigation was substantiated for the allegation that staff did not respond to the call button in a timely manner, with response time well over 15 minutes. The allegation that staff would not let family bring residents' personal belongings was unfounded.
Findings
The investigation substantiated that staff did not respond to a call button in a timely manner, posing a potential health and safety risk. Another allegation regarding staff not allowing family to bring personal belongings was found to be unfounded. No deficiencies were cited during the visit.
Deficiencies (1)
Facility personnel were not sufficient in numbers and competent to provide necessary services, specifically failing to respond to the call button in a timely manner, posing a potential health risk to residents.
Report Facts
Capacity: 82
Census: 69
Plan of Correction Due Date: Mar 5, 2021
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kiana Clark | Licensing Program Analyst | Conducted the complaint investigation and contacted the facility |
| Queen Ayers | Administrator | Facility administrator involved in interviews and exit interview |
| Joel Esquivel | Licensing Program Manager | Oversaw licensing program and signed report |
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