Deficiencies (last 6 years)

Deficiencies (over 6 years) 2 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

50% better than California average
California average: 4 deficiencies/year

Deficiencies per year

8 6 4 2 0
2021
2022
2023
2024
2025
2026

Census

Latest occupancy rate 51% occupied

Based on a January 2026 inspection.

Occupancy over time

30 60 90 120 150 Apr 2021 Nov 2022 Feb 2024 Oct 2024 Aug 2025 Jan 2026

Inspection Report

Complaint Investigation
Census: 72 Capacity: 140 Deficiencies: 0 Date: Jan 14, 2026

Visit Reason
The visit was an unannounced case management incident inspection conducted to inquire about a report sent to licensing on 12/16/2025 regarding Resident #1's health and safety concerns.

Complaint Details
The visit was triggered by a report sent to licensing on 12/16/2025 concerning Resident #1. The complaint was investigated, and no deficiencies or imminent risks were found.
Findings
No imminent health or safety concerns were observed during the visit, and no deficiencies were cited. Documentation related to the incident was collected and discussed with the administrator.

Employees mentioned
NameTitleContext
Logan HarrisonAdministratorMet with Licensing Program Analyst to discuss Resident #1's health and safety concerns.
Raquel HernandezLicensing Program AnalystConducted the unannounced visit and investigation.
Efren MalagonLicensing Program ManagerNamed as Licensing Program Manager on the report.

Inspection Report

Complaint Investigation
Capacity: 140 Deficiencies: 1 Date: Dec 10, 2025

Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation that staff do not abide by the admission agreement.

Complaint Details
The complaint was substantiated. The allegation that staff did not abide by the admission agreement was validated by the preponderance of evidence.
Findings
The allegation was substantiated based on evidence that Resident #1's admission agreement was not signed by the resident or representative, despite a rate increase of $407 due to behavior changes. A deficiency was cited for violating admission agreement requirements.

Deficiencies (1)
Admission agreements shall be signed and dated by the resident or representative and the licensee. The licensee charged an additional fee to Resident #1 without a signed agreement, posing a potential health, safety, or personal rights risk.
Report Facts
Capacity: 140 Rate increase: 407 Plan of Correction Due Date: Dec 17, 2025

Employees mentioned
NameTitleContext
Raquel HernandezLicensing Program AnalystConducted the complaint investigation and authored the report
Logan HarrisonAdministratorFacility administrator met during the investigation and discussed findings
Efren MalagonSupervisorSupervisor overseeing the licensing evaluation

Inspection Report

Complaint Investigation
Capacity: 140 Deficiencies: 1 Date: Dec 10, 2025

Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to a complaint received on 2025-12-04 regarding staff not keeping a resident's urinal clean.

Complaint Details
The complaint was substantiated regarding the unclean urinal, meaning the allegation was valid based on the preponderance of evidence. The allegation that staff did not change resident's clothing/briefs was unsubstantiated.
Findings
The investigation substantiated the allegation that staff did not keep Resident #1's urinal clean, which posed a potential health, safety, or personal rights risk. Another allegation regarding staff not changing resident's clothing/briefs was found to be unsubstantiated.

Deficiencies (1)
Failure to ensure Resident #1's urinal was kept clean, violating personal rights and posing a potential health and safety risk.
Report Facts
Capacity: 140

Employees mentioned
NameTitleContext
Raquel HernandezLicensing Program AnalystConducted the complaint investigation visit
Logan HarrisonAdministratorMet with Licensing Program Analyst during the investigation and exit interview
Efren MalagonSupervisorSupervisor overseeing the investigation

Inspection Report

Complaint Investigation
Census: 71 Capacity: 140 Deficiencies: 0 Date: Oct 29, 2025

Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations received on 2025-10-09 regarding staff not meeting residents' hygiene and toileting needs, residents being left in soiled diapers for extended periods, and rooms not being kept clean.

Complaint Details
The complaint investigation was unsubstantiated based on evidence gathered. Allegations included failure to meet hygiene and toileting needs, leaving residents in soiled diapers, and unclean rooms. Interviews with 8 residents and 6 staff supported that care standards were met.
Findings
After interviews with residents and staff, and observations, the allegations were found to be unsubstantiated. Residents and staff confirmed that hygiene and toileting needs were met, residents were not left in soiled diapers for extended periods, and rooms were kept clean on a weekly schedule. No deficiencies were cited during the visit.

Report Facts
Resident interviews conducted: 8 Staff interviews conducted: 6 Residents requiring diapers: 3 Residents stating staff assist with hygiene: 7 Staff stating residents are assisted with hygiene: 6 Staff stating some residents refuse hygiene services: 5 Residents stating staff meet toileting needs: 7 Staff stating timely diaper changes: 6 Residents stating rooms are kept clean: 8 Staff stating rooms are kept clean: 6

Employees mentioned
NameTitleContext
Raquel HernandezLicensing Program AnalystConducted the complaint investigation visit
Logan HarrisonAdministratorMet with Licensing Program Analyst during investigation and exit interview

Inspection Report

Annual Inspection
Census: 67 Capacity: 140 Deficiencies: 0 Date: Aug 20, 2025

Visit Reason
The inspection was an unannounced required comprehensive annual inspection conducted to evaluate compliance with licensing requirements for the Residential Care Facility for the Elderly.

Findings
The facility was found to be operating within approved capacity and maintained in good condition with no obstructions, adequate furniture, and proper safety equipment. Records and medication audits showed no issues. No deficiencies or advisories were issued during this inspection.

Report Facts
Non-ambulatory residents capacity: 140 Hospice waivers approved: 10 Bedridden approved: 5 Resident files reviewed: 10 Staff files reviewed: 8 Medication records audited: 10 Water temperature: 106 Non-perishable food supply: 7 Perishable food supply: 2

Employees mentioned
NameTitleContext
Logan HarrisonExecutive DirectorMet with Licensing Program Analyst during inspection and named in exit interview
Raquel HernandezLicensing Program AnalystConducted the inspection visit
Efren MalagonLicensing Program ManagerNamed as Licensing Program Manager on report

Inspection Report

Annual Inspection
Census: 67 Capacity: 140 Deficiencies: 0 Date: Aug 20, 2025

Visit Reason
The visit was an unannounced required comprehensive annual inspection of the Residential Care Facility for the Elderly (RCFE) to assess compliance with licensing requirements.

Findings
The facility was found to be operating within its licensed capacity with no deficiencies or advisories issued. The physical plant, food service, care and supervision, and record reviews were all satisfactory with no issues observed.

Report Facts
Resident files reviewed: 10 Staff files reviewed: 8 Medication records audited: 10 Non-perishable food supply: 7 Perishable food supply: 2 Facility capacity: 140 Current census: 67

Employees mentioned
NameTitleContext
Logan HarrisonExecutive DirectorMet with Licensing Program Analyst during inspection and participated in exit interview
Raquel HernandezLicensing Program AnalystConducted the inspection visit
Efren MalagonLicensing Program ManagerNamed in report header

Inspection Report

Census: 79 Capacity: 140 Deficiencies: 0 Date: Jan 10, 2025

Visit Reason
Unannounced case management visit regarding a self-reported incident on the relocation of nineteen residents from Brookdale Ocean House due to mandatory evacuation orders from Fire Advisory.

Findings
During the visit, a health and safety check was conducted with no concerns observed. The facility has sufficient beds, hygiene supplies, food, staffing, and residents' medications and files were properly managed. Fire inspection and drills were verified as completed, and families were notified about the relocation.

Report Facts
Residents relocated: 19 Residents accounted for: 17 Residents en route: 2 Facility capacity: 140 Facility census: 79

Employees mentioned
NameTitleContext
Lisa ToExecutive DirectorMet during visit and provided information on resident relocation and facility conditions
Bernadette AllenLicensing Program AnalystConducted the unannounced case management visit and health and safety check
Marcos RamosBusiness Office ManagerInformed of the purpose of the visit and provided information on resident relocation
Helen LeeProvided information on resident relocation
Karen ClemonsLicensing Program ManagerNamed as Licensing Program Manager on the report

Inspection Report

Census: 79 Capacity: 140 Deficiencies: 0 Date: Jan 10, 2025

Visit Reason
Unannounced case management visit regarding a self-reported incident involving the relocation of nineteen residents from Brookdale Ocean House due to mandatory evacuation orders from a Fire Advisory.

Findings
During the visit, a health and safety check was conducted with no concerns observed. The facility was found to have sufficient beds, hygiene supplies, food, staffing, and proper accommodations for relocated residents. Fire inspection and disaster drills were verified as completed, and families were notified about the relocation.

Report Facts
Residents relocated: 19 Residents accounted for during visit: 17 Residents en route: 2 Fire inspection date: Aug 1, 2024 Fire & disaster drill date: Dec 12, 2024

Employees mentioned
NameTitleContext
Lisa ToExecutive DirectorMet during visit and provided information about resident relocation and facility conditions
Bernadette AllenLicensing Program AnalystConducted the unannounced case management visit and health and safety check
Marcos RamosBusiness Office ManagerInformed of the purpose of the visit and interviewed regarding resident relocation
Helen LeeInterviewed regarding resident relocation

Inspection Report

Complaint Investigation
Census: 63 Capacity: 140 Deficiencies: 0 Date: Nov 5, 2024

Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to allegations including unlawful eviction, inaccurate medication dosage, restriction of visitors, and staff stealing money from residents.

Complaint Details
The complaint investigation addressed allegations of unlawful eviction, staff not providing accurate medication dosages, staff not allowing residents to have visitors, and staff stealing money from residents. After interviews and record reviews, all allegations were deemed unsubstantiated.
Findings
The investigation included staff and resident interviews and a facility tour. All allegations were found to be unsubstantiated based on evidence gathered, with no deficiencies cited during the visit.

Report Facts
Resident interviews: 5 Staff interviews: 4 Capacity: 140 Census: 63

Employees mentioned
NameTitleContext
Raquel HernandezLicensing Program AnalystConducted the complaint investigation
Mary RicoLicensing Program AnalystConducted the complaint investigation
Marcos RamosBusiness Office ManagerMet with LPAs during the investigation and received the report
Efren MalagonLicensing Program ManagerOversaw the complaint investigation

Inspection Report

Complaint Investigation
Census: 63 Capacity: 140 Deficiencies: 0 Date: Nov 5, 2024

Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations including unlawful eviction, inaccurate medication dosage, restriction of visitors, and staff stealing money from residents.

Complaint Details
The complaint investigation was unsubstantiated. Allegations included unlawful eviction, inaccurate medication dosage, restricting visitors, and staff stealing money. Evidence did not support these claims.
Findings
The investigation included staff and resident interviews and a facility tour. All allegations were found to be unsubstantiated with no deficiencies cited during the visit.

Report Facts
Resident interviews: 5 Staff interviews: 4 Facility capacity: 140 Census: 63

Employees mentioned
NameTitleContext
Raquel HernandezLicensing EvaluatorConducted the complaint investigation
Mary RicoLicensing Program AnalystAssisted in conducting the complaint investigation
Marcos RamosBusiness Office ManagerFacility representative met during the investigation and exit interview

Inspection Report

Complaint Investigation
Census: 63 Capacity: 140 Deficiencies: 0 Date: Oct 25, 2024

Visit Reason
The inspection was conducted as an unannounced complaint investigation following a complaint received on 2024-06-12 regarding staff assistance with resident transfers and medication destruction practices.

Complaint Details
The complaint involved allegations that staff were not assisting residents with transfers from wheelchairs into transportation vehicles and were not properly destroying discontinued medications. The investigation found no preponderance of evidence to substantiate these allegations.
Findings
Based on observations, interviews with staff and residents, and document review, the allegations were found to be unsubstantiated due to insufficient evidence to prove the alleged violations occurred.

Report Facts
Capacity: 140 Census: 63

Employees mentioned
NameTitleContext
Magda MalcoreLicensing Program AnalystConducted the complaint investigation and unannounced visit
Karen ClemonsLicensing Program ManagerNamed as Licensing Program Manager overseeing the investigation
Marco RamosBusiness Office ManagerMet with the Licensing Program Analyst during the investigation and received the report

Inspection Report

Complaint Investigation
Census: 63 Capacity: 140 Deficiencies: 0 Date: Oct 25, 2024

Visit Reason
The inspection was a case management visit based on observations during complaint #56-AS-20240612081444.

Complaint Details
Visit was triggered by complaint #56-AS-20240612081444. No substantiation status explicitly stated.
Findings
The Licensing Program Analyst reviewed Staff #1's file and found that the staff member was currently being shadowed and training had started on October 2, 2024. The Business Office Manager was advised to cover training regarding the facility's policy on discontinued medications and destruction. A technical advisory on incidental and medical care was issued during the visit.

Employees mentioned
NameTitleContext
Marcos RamosBusiness Office ManagerMet during the visit and discussed the purpose of the visit; advised on training regarding discontinued medications.
Magda MalcoreLicensing Program AnalystConducted the case management visit and authored the report.
Karen ClemonsLicensing Program ManagerNamed as Licensing Program Manager on the report.

Inspection Report

Complaint Investigation
Census: 63 Capacity: 140 Deficiencies: 0 Date: Oct 25, 2024

Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations that staff were not assisting residents with transfers from wheelchairs into transportation vehicles and were not properly destroying discontinued medications.

Complaint Details
The complaint investigation was unsubstantiated, meaning there was not a preponderance of evidence to prove the alleged violations did or did not occur.
Findings
Based on observations, interviews with staff and residents, and document review, the allegations were found to be unsubstantiated due to insufficient evidence to prove the alleged violations occurred.

Report Facts
Capacity: 140 Census: 63

Employees mentioned
NameTitleContext
Magda MalcoreLicensing Program AnalystConducted the complaint investigation visit
Marco RamosBusiness Office ManagerMet with the evaluator during the investigation and received the exit interview

Inspection Report

Complaint Investigation
Census: 63 Capacity: 140 Deficiencies: 0 Date: Oct 25, 2024

Visit Reason
The visit was a case management inspection based on observations during complaint #56-AS-20240612081444. The Licensing Program Analyst met with the Business Office Manager to discuss the purpose of the visit.

Complaint Details
The visit was triggered by complaint #56-AS-20240612081444. No substantiation status is stated.
Findings
The Licensing Program Analyst reviewed Staff #1's file and found that the staff member was currently being shadowed and training had started on October 2, 2024. The Business Office Manager was advised to cover training regarding the facility's policy on discontinued medications and destruction. A technical advisory on incidental and medical care was issued during the visit.

Employees mentioned
NameTitleContext
Marcos RamosBusiness Office ManagerMet with Licensing Program Analyst during the visit and discussed training on discontinued medications and destruction.
Magda MalcoreLicensing Program AnalystConducted the case management visit and issued a technical advisory.
Karen ClemonsSupervisorNamed as supervisor in the report.

Inspection Report

Complaint Investigation
Census: 66 Capacity: 140 Deficiencies: 0 Date: Oct 10, 2024

Visit Reason
An unannounced complaint investigation was conducted regarding an allegation that facility restroom lights on a timer were turned off, resulting in a fall to a resident.

Complaint Details
The complaint alleging that restroom lights on a timer were turned off causing a resident fall was investigated and found unsubstantiated based on interviews and observations.
Findings
The investigation included staff and resident interviews and a facility tour. All interviewed residents and staff reported no issues or falls related to the restroom lights or help pendants. The allegation was deemed unsubstantiated and no deficiencies were cited.

Report Facts
Resident interviews conducted: 5 Staff interviews conducted: 5

Employees mentioned
NameTitleContext
Lisa ToExecutive DirectorMet with Licensing Program Analysts during investigation
Raquel HernandezLicensing Program AnalystConducted complaint investigation
Mary RicoLicensing Program AnalystAssisted in complaint investigation
Efren MalagonLicensing Program ManagerNamed in report as Licensing Program Manager

Inspection Report

Complaint Investigation
Census: 66 Capacity: 140 Deficiencies: 0 Date: Oct 10, 2024

Visit Reason
An unannounced complaint investigation was conducted regarding an allegation that facility restroom lights on a timer turned off resulting in a fall to a resident.

Complaint Details
The complaint alleged that facility restroom lights on a timer turned off resulting in a fall to a resident. The allegation was investigated through interviews and facility tour and was found to be unsubstantiated.
Findings
The investigation included staff and resident interviews and a facility tour. All interviewed residents and staff reported no issues or falls related to the restroom lights or help pendants. The allegation was deemed unsubstantiated and no deficiencies were cited.

Report Facts
Resident interviews conducted: 5 Staff interviews conducted: 5

Employees mentioned
NameTitleContext
Lisa ToExecutive DirectorMet with during investigation and named in report
Raquel HernandezLicensing EvaluatorConducted the complaint investigation
Mary RicoLicensing Program AnalystAssisted in conducting the complaint investigation
Efren MalagonSupervisorNamed as supervisor in report

Inspection Report

Annual Inspection
Census: 66 Capacity: 140 Deficiencies: 0 Date: Feb 26, 2024

Visit Reason
The visit was an unannounced required comprehensive annual inspection conducted by Licensing Program Analyst Melody Brown.

Findings
The facility was found to be operating within the approved capacity with no deficiencies or advisories issued. Resident rooms, physical plant, food service, care and supervision, and record reviews were all satisfactory.

Report Facts
Rooms: 97 Bathrooms: 103 Direct care staff present: 5 Hospice waivers approved: 10 Bedridden approved: 5 Non-perishable food supply: 7 Perishable food supply: 2 Resident files reviewed: 4 Staff files reviewed: 4 Residents audited for medications: 4

Employees mentioned
NameTitleContext
Lisa ToExecutive DirectorMet with Licensing Program Analyst during inspection and named in report
Melody BrownLicensing Program AnalystConducted the inspection visit and authored the report
Marcos RamosBusiness Office ManagerAccompanied Licensing Program Analyst during the inspection
Efren MalagonLicensing Program ManagerNamed in report as Licensing Program Manager

Inspection Report

Annual Inspection
Census: 66 Capacity: 140 Deficiencies: 0 Date: Feb 26, 2024

Visit Reason
The visit was an unannounced required comprehensive annual inspection conducted by Licensing Program Analyst Melody Brown to evaluate compliance with regulations.

Findings
The facility was found to be operating within approved capacity with no obstructions, maintained at a comfortable temperature, and equipped with necessary safety devices. Resident rooms and bathrooms were clean and properly furnished. Food supplies and staff certifications were sufficient. Record reviews showed complete resident and staff files, and medication audits revealed no issues. No deficiencies or advisories were issued.

Report Facts
Rooms: 97 Bathrooms: 103 Direct care staff present: 5 Hospice waivers approved: 10 Bedridden approved: 5 Days supply of non-perishable food: 7 Days supply of perishable food: 2 Resident files reviewed: 4 Staff files reviewed: 4 Residents audited for medication: 4 Water temperature: 106 Facility temperature: 74

Employees mentioned
NameTitleContext
Melody BrownLicensing Program AnalystConducted the inspection and evaluation
Lisa ToExecutive DirectorFacility administrator met during inspection
Marcos RamosBusiness Office ManagerAccompanied Licensing Program Analyst during inspection
Efren MalagonSupervisorSupervisor named in report

Inspection Report

Complaint Investigation
Census: 67 Capacity: 140 Deficiencies: 2 Date: Feb 7, 2024

Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received on 07/06/2023 regarding staff mismanaging residents' medication and charging residents for services not rendered.

Complaint Details
The complaint investigation was substantiated for allegations that staff mismanaged residents' medication and charged residents for services not rendered. The allegations that staff forced residents to remove bed rails, residents' room floors were not level, and staff refused to take residents' blood pressure were unsubstantiated.
Findings
The investigation substantiated that staff mismanaged residents' medication by failing to administer prescribed medications to Resident #1 and Resident #5 for multiple days. It was also substantiated that the facility charged Resident #1 for Escort/Mobility services not provided in April, May, and June 2023. Other allegations regarding staff forcing residents to remove bed rails, residents' room floors not being level, and staff refusing to take residents' blood pressure were found to be unsubstantiated.

Deficiencies (2)
Failure to give Resident #1 and Resident #5 their medications as prescribed by their physician, posing immediate health, safety, and personal rights risks.
Charging Resident #1 for Escort and mobility services not rendered or provided in April, May, and June 2023, posing potential health, safety, and personal rights risks.
Report Facts
Days medication not given: 3 Days medication not given: 5 Days medication not given: 8 Months charged for services not rendered: 3 Facility capacity: 140 Census: 67

Employees mentioned
NameTitleContext
Melody BrownLicensing Program AnalystConducted the complaint investigation and authored the report.
Efren MalagonLicensing Program ManagerOversaw the complaint investigation.
Lisa ToExecutive DirectorFacility representative met during the investigation and exit interview.
Emelie R. FrancoAdministratorFacility administrator named in the report.

Inspection Report

Census: 67 Capacity: 140 Deficiencies: 1 Date: Feb 7, 2024

Visit Reason
The visit was an unannounced Case Management inspection conducted to evaluate compliance with licensing requirements and investigate potential deficiencies.

Findings
The inspection found that Residents #1 and #5 had half bed rails without a written physician's order indicating the need for postural support at the time they moved into the facility, posing a potential health and safety risk.

Deficiencies (1)
Residents #1 and #5 had half bed rails with no written physician order indicating the need for postural support upon admission.
Report Facts
Capacity: 140 Census: 67 Plan of Correction Due Date: Feb 16, 2024

Employees mentioned
NameTitleContext
Lisa ToExecutive DirectorMet during inspection and informed of visit
Melody BrownLicensing Program AnalystConducted the inspection and authored the report
Efren MalagonLicensing Program ManagerSupervisor overseeing the inspection

Inspection Report

Complaint Investigation
Census: 67 Capacity: 140 Deficiencies: 2 Date: Feb 7, 2024

Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to allegations received on 07/06/2023 regarding staff mismanaging residents' medication and charging residents for services not rendered, among other complaints.

Complaint Details
The complaint investigation was substantiated for allegations of medication mismanagement and charging for services not rendered. The allegations about forcing residents to remove bed rails, room floor level issues, and refusal to take blood pressure were unsubstantiated.
Findings
The investigation substantiated that staff mismanaged residents' medication by failing to administer prescribed medications to residents #1 and #5 for multiple days and charged resident #1 for Escort/Mobility services not rendered. Other allegations regarding forcing residents to remove bed rails, residents' room floors not being level, and staff refusing to take residents' blood pressure were unsubstantiated.

Deficiencies (2)
Failure to give residents #1 and #5 their prescribed medications as ordered by their physician, posing immediate health, safety, and personal rights risks.
Charging resident #1 for Escort and mobility services not rendered or provided in April, May, and June 2023.
Report Facts
Capacity: 140 Census: 67 Days medication not given to Resident #1: 3 Days medication not given to Resident #5: 5 Months charged for services not rendered: 3 Plan of Correction Due Dates: Type A deficiency due 02/08/2024; Type B deficiency due 02/16/2024

Employees mentioned
NameTitleContext
Melody BrownLicensing Program AnalystConducted the complaint investigation and authored the report
Lisa ToExecutive DirectorFacility representative met during the investigation and exit interview
Emelie R. FrancoAdministratorFacility administrator named in the report
Efren MalagonSupervisorSupervisor overseeing the licensing evaluation

Inspection Report

Census: 67 Capacity: 140 Deficiencies: 1 Date: Feb 7, 2024

Visit Reason
The visit was an unannounced Case Management inspection to investigate deficiencies related to postural supports for residents.

Findings
The inspection found that Residents #1 and #5 had half bed rails without a written physician's order indicating the need for postural support at the time they moved into the facility, posing a potential health and safety risk.

Deficiencies (1)
Residents #1 and #5 had half bed rails without a written physician's order indicating the need for postural support upon admission, violating CCR 87608(a)(3).
Report Facts
Deficiency count: 1

Employees mentioned
NameTitleContext
Melody BrownLicensing Program AnalystConducted the inspection and authored the report
Lisa ToExecutive DirectorFacility administrator involved in the inspection and exit interview
Efren MalagonSupervisorSupervisor overseeing the inspection

Inspection Report

Complaint Investigation
Census: 70 Capacity: 140 Deficiencies: 0 Date: Jun 27, 2023

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2023-06-05 regarding resident burn injury, failure to report unusual incidents to resident's POA, and lack of assistance with incontinence needs.

Complaint Details
The complaint involved three allegations: 1) Resident sustained burn injury while in care, 2) Staff did not report unusual incident to resident's POA, and 3) Staff do not assist resident with incontinence needs. All allegations were found unsubstantiated based on interviews and records review.
Findings
The investigation found no evidence to substantiate the allegations. Interviews with residents and staff indicated no resident sustained burn injuries, unusual incidents were properly reported to residents' POA, and staff assisted residents with incontinence needs as required.

Report Facts
Capacity: 140 Census: 70 Allegations: 3 Staff checks per day: 3.5 Staff checks frequency hours: 2

Employees mentioned
NameTitleContext
Melody BrownLicensing Program AnalystConducted the complaint investigation
Luis RodriguezDistrict Director of OperationsMet with Licensing Program Analyst during investigation and exit interview
Efren MalagonLicensing Program ManagerNamed as Licensing Program Manager on report

Inspection Report

Complaint Investigation
Census: 70 Capacity: 140 Deficiencies: 0 Date: Jun 27, 2023

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2023-06-05 regarding resident burn injury, failure to report unusual incidents to resident's POA, and lack of assistance with incontinence needs.

Complaint Details
The complaint included three allegations: 1) Resident sustained burn injury while in care, 2) Staff did not report unusual incident to resident's POA, and 3) Staff do not assist resident with incontinence needs. All allegations were found unsubstantiated based on interviews and records review.
Findings
The investigation found no evidence to substantiate the allegations. Interviews with residents and staff indicated no resident sustained burn injuries, unusual incidents were properly reported to residents' POA, and staff assisted residents with incontinence needs as required.

Report Facts
Capacity: 140 Census: 70 Resident checks per day: 3.5 Resident checks frequency hours: 2

Employees mentioned
NameTitleContext
Melody BrownLicensing Program AnalystConducted the complaint investigation
Luis RodriguezDistrict Director of OperationsMet with Licensing Program Analyst during investigation and exit interview

Inspection Report

Complaint Investigation
Census: 70 Capacity: 140 Deficiencies: 0 Date: Jun 20, 2023

Visit Reason
An unannounced complaint investigation visit was conducted in response to multiple allegations received on 2022-08-02 regarding staff performance, facility charges, resident needs evaluation, electrical wiring, visitor entry, medication assistance, incontinence care, bathing assistance, call button response, and room cleanliness.

Complaint Details
The complaint investigation was unsubstantiated for all ten allegations, meaning there was insufficient evidence to prove the alleged violations occurred.
Findings
The investigation found no evidence to substantiate any of the ten allegations. Interviews with residents and staff, observations, and records review indicated that services were provided as specified, no extra charges were made, resident needs were evaluated pre-admission, electrical wiring was in good repair, visitors were not denied entry, medication assistance was provided, residents received incontinence and bathing care, call buttons were responded to timely, and resident rooms were kept clean.

Report Facts
Capacity: 140 Census: 70 Number of allegations: 10 Call button response time (minutes): 10 Call button response time (minutes): 15 Shower schedule (per week): 2 Room cleaning frequency (per week): 1

Employees mentioned
NameTitleContext
Melody BrownLicensing Program AnalystConducted the complaint investigation
Efren MalagonLicensing Program ManagerOversaw the complaint investigation
Lisa ToExecutive DirectorFacility representative met during investigation and exit interview

Inspection Report

Complaint Investigation
Census: 70 Capacity: 140 Deficiencies: 0 Date: Jun 20, 2023

Visit Reason
An unannounced complaint investigation visit was conducted in response to multiple allegations received on 2022-08-02 regarding the facility's compliance with service provision, billing, resident needs evaluation, electrical wiring condition, visitor access, medication assistance, incontinence care, bathing assistance, call button response, and room cleanliness.

Complaint Details
The complaint investigation was unsubstantiated. All ten allegations were found unsubstantiated, meaning there was not a preponderance of evidence to prove the alleged violations did or did not occur.
Findings
The investigation found no evidence to substantiate any of the ten allegations. Interviews with residents and staff, observations, and records review confirmed that services were provided as specified, no extra charges were applied, resident needs were evaluated pre-admission, electrical wiring was in good condition, visitors were not denied entry, medication assistance was provided, residents received incontinence and bathing care, call button alerts were responded to timely, and resident rooms were kept clean.

Report Facts
Capacity: 140 Census: 70 Number of allegations: 10 Call button response time (minutes): 10 Call button response time (minutes): 15 Shower schedule (times per week): 2 Room cleaning frequency (times per week): 1

Employees mentioned
NameTitleContext
Melody BrownLicensing Program AnalystConducted the complaint investigation
Lisa ToExecutive DirectorFacility representative met during investigation and exit interview
Efren MalagonSupervisorSupervisor overseeing the investigation

Inspection Report

Annual Inspection
Census: 73 Capacity: 140 Deficiencies: 0 Date: Nov 7, 2022

Visit Reason
An unannounced required annual inspection was conducted with an emphasis on infection control due to the COVID-19 pandemic.

Findings
The facility was found to be in compliance with no deficiencies cited. Infection control measures were in place and effective, with no current COVID-19 cases. The facility was clean, well-maintained, and operational requirements were met.

Employees mentioned
NameTitleContext
Bernadette AllenLicensing Program AnalystConducted the inspection and identified herself to the Wellness Coordinator.
Emelie FrancoWellness CoordinatorInterviewed regarding infection control measures and received the inspection report.
Karen ClemonsLicensing Program ManagerNamed as Licensing Program Manager on the report.

Inspection Report

Annual Inspection
Census: 73 Capacity: 140 Deficiencies: 0 Date: Nov 7, 2022

Visit Reason
The inspection was an unannounced required annual inspection with an emphasis on infection control due to the COVID-19 pandemic.

Findings
The facility was found to be in compliance with no deficiencies cited. Infection control measures were in place and effective, the facility was clean, well-maintained, and operational requirements were met.

Employees mentioned
NameTitleContext
Bernadette AllenLicensing Program AnalystConducted the inspection and identified herself to the Wellness Coordinator.
Emelie FrancoWellness CoordinatorInterviewed during the inspection regarding infection control measures.
Karen ClemonsSupervisorNamed as supervisor overseeing the inspection.

Inspection Report

Complaint Investigation
Census: 88 Capacity: 140 Deficiencies: 0 Date: Sep 2, 2021

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations that staff were not emptying residents' urinals and not making residents' beds.

Complaint Details
The complaint was unsubstantiated based on interviews and evidence gathered during the investigation. Although the allegation may have happened or is valid, there was not a preponderance of evidence to prove the alleged violation did or did not occur.
Findings
The investigation found insufficient evidence to substantiate the allegations. Resident #1 stated that staff do empty the portable urinal and make the bed, and that these services are performed when requested. Therefore, the allegations were deemed unsubstantiated.

Report Facts
Capacity: 140 Census: 88

Employees mentioned
NameTitleContext
Javier PrietoLicensing Program AnalystConducted the complaint investigation
Lisa ToAdministratorFacility administrator involved in the investigation
Marco RamosBusiness ManagerMet with Licensing Program Analyst during investigation

Inspection Report

Complaint Investigation
Census: 88 Capacity: 140 Deficiencies: 0 Date: Sep 2, 2021

Visit Reason
The inspection was an unannounced complaint investigation regarding allegations that staff were not emptying residents' urinals and not making residents' beds.

Complaint Details
The complaint was unsubstantiated due to lack of preponderance of evidence to prove the alleged violations occurred.
Findings
The investigation found insufficient evidence to support the allegations. Resident #1 stated that staff do empty the portable urinal and make the bed, and that these services are performed when requested. Therefore, the allegations were deemed unsubstantiated.

Report Facts
Capacity: 140 Census: 88

Employees mentioned
NameTitleContext
Javier PrietoLicensing Program AnalystConducted the complaint investigation
Marco RamosBusiness ManagerMet with the Licensing Program Analyst during investigation
Lisa ToExecutive DirectorMet with the Licensing Program Analyst during investigation

Inspection Report

Annual Inspection
Census: 69 Capacity: 140 Deficiencies: 0 Date: Aug 23, 2021

Visit Reason
The visit was an unannounced required annual inspection with an emphasis on infection control due to the COVID-19 pandemic.

Findings
No health and safety concerns were observed during the inspection. The facility had sufficient infection control supplies, PPE, and a designated infection control lead. No deficiencies were cited.

Employees mentioned
NameTitleContext
Elecia WeathersbyLicensing Program AnalystConducted the inspection and made observations regarding infection control.
Mechelle AlonaSales ManagerGreeted the Licensing Program Analyst and was present during the inspection.
Efren MalagonLicensing Program ManagerNamed as Licensing Program Manager on the report.

Inspection Report

Annual Inspection
Census: 69 Capacity: 140 Deficiencies: 0 Date: Aug 23, 2021

Visit Reason
The visit was an unannounced required annual inspection with an emphasis on infection control due to the COVID-19 pandemic.

Findings
No health and safety concerns were observed during the inspection, and no deficiencies were cited. The facility had adequate infection control measures, sufficient PPE supplies, and a designated infection control lead.

Employees mentioned
NameTitleContext
Elecia WeathersbyLicensing Program AnalystConducted the inspection and made observations regarding infection control.
Mechelle AlonaSales ManagerGreeted the Licensing Program Analyst and was present during the inspection.
Efren MalagonSupervisorNamed as supervisor overseeing the inspection.

Inspection Report

Complaint Investigation
Census: 58 Capacity: 140 Deficiencies: 2 Date: Apr 26, 2021

Visit Reason
The visit was conducted to investigate complaints received on 2020-04-14 regarding staff vaping in the facility kitchen and ineffective pest control.

Complaint Details
The complaint investigation was substantiated for the allegation of staff vaping in the kitchen, with evidence including video footage and employee termination. The pest control complaint was unsubstantiated based on review of pest control contracts and service reports.
Findings
The complaint that staff were vaping in the kitchen was substantiated based on video evidence and resulted in termination of the employee involved. The complaint regarding ineffective pest control was found to be unfounded as the facility had addressed prior pest issues with a professional service.

Deficiencies (2)
Plan of Operation: Facility staff did not maintain a current, written definitive plan of operation as evidenced by S1 violating facility policy by vaping in the kitchen.
Smoke-Free environment violation when video evidence revealed vaping in the kitchen, posing a risk to health and safety of others.
Report Facts
Capacity: 140 Census: 58 Plan of Correction Due Date: Apr 26, 2021

Employees mentioned
NameTitleContext
Lisa ToExecutive DirectorMet with during investigation and named as facility administrator
Amy GoldenbergLicensing Program AnalystConducted the complaint investigation
S1EmployeeEmployee found vaping in the kitchen and terminated

Inspection Report

Complaint Investigation
Census: 58 Capacity: 140 Deficiencies: 2 Date: Apr 26, 2021

Visit Reason
The visit was conducted to investigate complaints alleging that staff were vaping in the facility kitchen and that the facility was not addressing pest control effectively.

Complaint Details
The complaint investigation was substantiated for the allegation that staff were vaping in the kitchen, supported by video evidence and resulting in employee termination. The pest control complaint was unfounded and dismissed.
Findings
The complaint that staff were vaping in the kitchen was substantiated based on video evidence and resulted in termination of the employee involved. The complaint regarding ineffective pest control was found to be unfounded, with evidence showing the facility had an active pest control contract and was addressing issues appropriately.

Deficiencies (2)
Plan of Operation: Each facility shall have and maintain a current, written definitive plan of operation. The facility staff did not maintain this regulatory requirement as evidenced by S1 violating facility policy.
Smoke-Free environment when video evidence revealed vaping in the kitchen. This poses a risk to the health and safety of others in the facility.
Report Facts
Capacity: 140 Census: 58 Plan of Correction Due Date: 2021

Employees mentioned
NameTitleContext
Lisa ToExecutive DirectorMet with during investigation and named in report
Amy GoldenbergLicensing Program AnalystEvaluator conducting the complaint investigation
S1Employee found vaping in the kitchen and terminated

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