Inspection Report Summary
Most inspections and complaint investigations found no deficiencies, and several complaint allegations were unsubstantiated. The facility’s most recent report from March 18, 2025, was clean with no deficiencies after investigating an eviction complaint that was found valid and properly handled. Earlier reports showed isolated minor issues, including a medication administration error in March 2024 and a personal rights deficiency in April 2023, both addressed with staff training and corrective actions. There were no fines, enforcement actions, or severe findings noted in the available reports. The facility’s record shows improvement over time, with the latest annual inspection on March 6, 2025, also having no deficiencies.
Deficiencies per Year
4
3
2
1
0
Moderate
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Complaint Investigation
Census: 100
Capacity: 186
Deficiencies: 0
Mar 18, 2025
Visit Reason
An unannounced complaint investigation was conducted regarding an allegation of unlawful eviction of a resident at the facility.
Findings
The investigation found that the eviction notice issued to the resident for nonpayment was valid and met all regulatory requirements. The allegation of unlawful eviction was deemed unfounded after review of records, interviews, and observation that the resident remained at the facility after the eviction notice effective date.
Complaint Details
The complaint alleged unlawful eviction of Resident 1 in July 2024. The investigation found the eviction notice was properly issued due to nonpayment from January to July 2024, with partial payments noted. The resident remained at the facility after the eviction effective date. The allegation was determined to be unfounded.
Report Facts
Capacity: 186
Census: 100
Eviction notice date: Jul 23, 2024
Eviction effective date: Aug 23, 2024
Complaint received date: Mar 12, 2025
Visit date: Mar 18, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Candi Laird | Executive Director | Met during investigation and named in eviction notice delivery |
| Rebecca A Borunda | Licensing Program Analyst | Conducted the complaint investigation visit |
| Jennifer Lott | Licensing Program Manager | Named in report header and signature |
Inspection Report
Annual Inspection
Census: 104
Capacity: 186
Deficiencies: 0
Mar 6, 2025
Visit Reason
The inspection was an unannounced Required 1-Year visit to evaluate the facility's compliance and licensing status.
Findings
No deficiencies were cited during this visit. Due to time constraints, the annual inspection could not be completed and a return visit is needed.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Candi Laird | Executive Director | Met with during the inspection and named in the exit interview. |
| Rebecca Borunda | Licensing Program Analyst | Conducted the unannounced Required 1-Year visit. |
Inspection Report
Complaint Investigation
Census: 97
Capacity: 186
Deficiencies: 0
Oct 14, 2024
Visit Reason
An unannounced complaint investigation was conducted regarding an allegation of false claims that a resident (R1) had passed away when they were actually alive.
Findings
The investigation included interviews, records review, and a facility tour. It was found that R1 was alive at the time of the alleged false claim, but later discharged and passed away at a higher level care facility. The allegation was determined to be unfounded with no evidence of false claims by the licensee or staff.
Complaint Details
The complaint alleged false claims regarding Resident 1's death status. The allegation was investigated and found to be unfounded based on interviews, records, and death certificate verification.
Report Facts
Census: 97
Total Capacity: 186
Complaint Control Number: 08-AS-20240910161144
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Candi Laird | Executive Director | Met with during the investigation and named in the report |
| Rebecca A Ruiz | Licensing Program Analyst | Conducted the complaint investigation |
| Jennifer Lott | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 90
Capacity: 186
Deficiencies: 0
Aug 20, 2024
Visit Reason
An unannounced complaint investigation was conducted regarding an allegation of neglect resulting in serious bodily injury to a resident.
Findings
The investigation included interviews, record reviews, and a facility tour. The evidence did not support the allegation of neglect causing the resident's fracture, which was deemed unsubstantiated.
Complaint Details
The allegation was neglect resulting in serious bodily injury. The investigation found that the resident's fracture was likely due to a prior injury and transfer method, with no evidence of neglect or mistreatment by staff. The allegation was unsubstantiated.
Report Facts
Complaint control number: 08-AS-20220125151917
Capacity: 186
Census: 90
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Rebecca A Ruiz | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Sam Elizondo | Business Office Manager | Met with Licensing Program Analyst during the investigation and participated in exit interview |
| Jennifer Lott | Licensing Program Manager | Named in report as Licensing Program Manager |
| Danielle Hauseman | Administrator | Facility administrator named in report |
Inspection Report
Complaint Investigation
Census: 87
Capacity: 186
Deficiencies: 0
Apr 15, 2024
Visit Reason
The visit was initiated due to an incident report self-reported by the facility regarding an altercation involving Resident 1 in April 2024.
Findings
During the unannounced case management visit, no immediate health or safety concerns were observed and no deficiencies were cited.
Complaint Details
The complaint involved an alleged altercation between Resident 1 and an unknown individual that did not result in injuries. The facility followed required reporting procedures to the Department and Long Term Care Ombudsman.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Rebecca A Ruiz | Licensing Program Analyst | Conducted the unannounced case management visit. |
| Candi Laird | Executive Director | Met with Licensing Program Analyst during the visit and participated in the exit interview. |
Inspection Report
Complaint Investigation
Census: 88
Capacity: 186
Deficiencies: 1
Mar 20, 2024
Visit Reason
The visit was conducted in response to an LIC624 Incident Report regarding a medication error where a resident received medications not prescribed to them.
Findings
The investigation found that a newer Medication Technician administered incorrect medications to a resident who mistakenly verified the wrong identity. The resident was monitored for 72 hours with no adverse reactions. One Technical Violation was issued related to the incident.
Complaint Details
The complaint was substantiated as the medication error was confirmed. Staff provided one-on-one remedial medication pass training following the incident.
Deficiencies (1)
| Description |
|---|
| One (1) Technical Violation (TV) issued related to medication administration error. |
Report Facts
Technical Violations issued: 1
Observation period: 72
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Amy Rodgers | Licensing Program Analyst | Conducted the unannounced Case Management – Incident visit |
| Candi Laird | Executive Director | Interviewed during the visit and participated in exit interview |
| Christopher Burk | Administrator | Facility administrator named in report header |
Inspection Report
Complaint Investigation
Census: 88
Capacity: 186
Deficiencies: 0
Mar 20, 2024
Visit Reason
The visit was conducted in response to an LIC624 Incident Report concerning Resident #1, related to a change in condition that required emergency room transfer and subsequent hospitalization.
Findings
During the unannounced Case Management - Incident visit, no safety concerns were found among the remaining residents, and no deficiencies were observed or cited.
Complaint Details
The visit was triggered by a complaint incident report involving Resident #1, who was transferred to a hospital and then to a Skilled Nursing Facility. The complaint was investigated and no deficiencies were found.
Report Facts
Capacity: 186
Census: 88
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Amy Rodgers | Licensing Program Analyst | Conducted the unannounced Case Management - Incident visit |
| Candi Laird | Executive Director | Met with Licensing Program Analyst during the visit |
Inspection Report
Annual Inspection
Census: 86
Capacity: 186
Deficiencies: 0
Feb 27, 2024
Visit Reason
The inspection was an unannounced required one-year inspection conducted to evaluate compliance with licensing regulations for the facility.
Findings
The inspection found the facility to be in compliance with licensing requirements, with no significant licensing concerns noted. Resident rooms, common areas, and safety features were all observed to be adequate and operational, and staff were sufficient to meet residents' needs.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Amy Rodgers | Licensing Program Analyst | Conducted the inspection and authored the report. |
| Candi Laird | Executive Director | Facility representative who participated in the inspection and exit interview. |
| Valorie Adams | Health and Wellness Director | Accompanied the Licensing Program Analyst during the facility tour. |
Inspection Report
Complaint Investigation
Census: 88
Capacity: 186
Deficiencies: 0
Oct 6, 2023
Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that the licensee did not take measures to keep the facility free from pests.
Findings
The investigation included interviews with residents and staff, records review, and a facility tour. It was found that the facility contracted monthly pest control services and staff reported insect issues appropriately. Some small flying insects were observed, but the allegation was deemed unsubstantiated based on the evidence.
Complaint Details
The complaint alleged that the licensee did not take measures to keep the facility free from pests. The allegation was investigated and found to be unsubstantiated.
Report Facts
Capacity: 186
Census: 88
Estimated Days of Completion: 0
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Rebecca A Ruiz | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Raquel Tarango | Business Office Manager | Met with the Licensing Program Analyst during the investigation |
| Lizzette Tellez | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 85
Capacity: 186
Deficiencies: 0
Jul 20, 2023
Visit Reason
An unannounced complaint investigation was conducted regarding an allegation that lack of supervision resulted in a resident being sexually abused.
Findings
The investigation included interviews, records review, and a facility tour. It was found that Resident 1 exhibited inappropriate sexual behaviors towards Resident 2, leading to staff intervention and law enforcement involvement. Despite mitigation efforts including 1-on-1 supervision and medication, behaviors continued until Resident 1 was evicted. The allegation was ultimately deemed unsubstantiated due to insufficient evidence.
Complaint Details
The complaint alleged lack of supervision resulting in sexual abuse of a resident. The investigation found that Resident 1, diagnosed with dementia, exhibited inappropriate sexual behaviors towards Resident 2. Staff intervened, arranged private caregiver supervision, and involved law enforcement. Resident 1 was evicted after continued behaviors. The allegation was unsubstantiated based on interviews and records.
Report Facts
Capacity: 186
Census: 85
Eviction notice period: 30
Eviction date: Feb 20, 2023
Private caregiver start date: Jan 19, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Rebecca A Ruiz | Licensing Program Analyst | Conducted the complaint investigation |
| Christopher Burke | Executive Director | Facility representative met during investigation |
| Valorie Adams | Administrator | Facility administrator named in report header |
| Lizzette Tellez | Licensing Program Manager | Named as Licensing Program Manager overseeing investigation |
Inspection Report
Complaint Investigation
Census: 79
Capacity: 186
Deficiencies: 1
Jun 16, 2023
Visit Reason
The visit was an unannounced Case Management - Incident inspection conducted in response to an LIC624 Incident Report involving Resident #1 who had an unwitnessed fall beside their bed on 05/15/2023.
Findings
The investigation found no preponderance of evidence that the facility staff failed to provide needed care or emergency medical care to Resident #1. No deficiencies were cited related to the incident, though one Technical Violation regarding Reporting Requirements was identified and education was provided.
Complaint Details
The complaint involved Resident #1's unwitnessed fall on 05/15/2023, subsequent pain and injury assessment, and the facility's response including medical transport and observation. The complaint was not substantiated as no deficiencies were cited.
Deficiencies (1)
| Description |
|---|
| Technical Violation regarding Reporting Requirements |
Report Facts
Pendant calls: 3
Inspection Report
Complaint Investigation
Census: 81
Capacity: 186
Deficiencies: 1
Apr 25, 2023
Visit Reason
The visit was conducted in response to an LIC624 Incident Report and an SOC341 Report of Suspected Dependent Adult/Elder Abuse self-submitted by the licensee regarding an incident involving Resident #1 and caregiver Staff #1 on 2023-04-14.
Findings
The investigation found no preponderance of evidence that physical abuse or injury occurred to Resident #1. However, it was determined that Staff #1 did not respect resident freedom of choice, contributing to the incident escalating. One deficiency was cited related to residents' personal rights.
Complaint Details
The visit was complaint-related, triggered by an incident report and suspected abuse report involving Resident #1 pinching Staff #1 and Staff #1 forcibly removing a TV remote from Resident #1. The complaint was investigated through interviews and record reviews, and no physical abuse was substantiated.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Based on records and interviews, licensee’s staff (S1) did not allow 3 of 81 residents (R1, R3, and R4) to make choices concerning their daily lives in the facility, posing a potential personal rights risk. | Type B |
Report Facts
Residents present: 81
Total licensed capacity: 186
Deficiencies cited: 1
Plan of Correction due date: May 25, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dang Nguyen | Licensing Program Analyst | Conducted the unannounced case management visit and investigation |
| Lizzette Tellez | Licensing Program Manager | Supervised the licensing evaluation and signed the report |
| Chris Burk | Executive Director | Facility representative met during the visit and exit interview |
Inspection Report
Annual Inspection
Census: 92
Capacity: 186
Deficiencies: 0
Jan 4, 2023
Visit Reason
An unannounced Required 1-Year Visit was conducted to evaluate the facility's compliance with licensing requirements and infection control protocols.
Findings
No deficiencies were cited or observed during the inspection. The Licensing Program Analyst provided technical assistance and evaluated the facility's infection control mitigation plan including disinfection, testing surveillance, screening protocols, and use of personal protective equipment.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Valorie Adams | Administrator | Met with Licensing Program Analyst during the inspection. |
| Christopher Burk | Executive Director | Participated in exit interview at conclusion of visit. |
| Kayla Hilario | Licensing Program Analyst | Conducted the unannounced Required 1-Year Visit. |
| John Rante | Licensing Program Manager | Named in report header. |
Inspection Report
Census: 92
Capacity: 186
Deficiencies: 0
Jan 4, 2023
Visit Reason
The visit was an unannounced Case Management Visit in response to a self-reported incident on 2022-11-02 involving a resident fall.
Findings
No health or safety issues were identified during the wellness check, and no deficiencies were cited or observed on this date.
Report Facts
Incident date: Nov 2, 2022
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Valorie Adams | Administrator | Met with Licensing Program Analyst during the visit |
| Christopher Burk | Executive Director | Present during the visit and participated in exit interview |
| Kayla Hilario | Licensing Program Analyst | Conducted the unannounced Case Management Visit |
| John Rante | Licensing Program Manager | Named in report header |
Inspection Report
Complaint Investigation
Census: 91
Capacity: 186
Deficiencies: 0
Dec 6, 2022
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations that the licensee did not observe resident's change in condition, staff served expired food to residents, and staff did not follow food sanitation practices.
Findings
The investigation included observations, interviews, and record reviews. It was found that wound care was provided by outside agencies and facility staff were trained to notify these agencies of any changes. Food safety practices were generally followed, with some issues noted regarding labeling expiration dates on food. No spoiled or expired food was observed. The allegations were deemed unsubstantiated based on the preponderance of evidence.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included failure to observe resident's change in condition related to wound care, serving expired food, and not following food sanitation practices. Interviews and observations did not support these allegations.
Report Facts
Capacity: 186
Census: 91
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Rebecca A Ruiz | Licensing Program Analyst | Conducted the complaint investigation visit |
| Mario Preston | Executive Director | Met with Licensing Program Analyst during investigation |
| Chris Burk | Executive Director | Met with Licensing Program Analyst during investigation |
| Lizzette Tellez | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Census: 96
Capacity: 186
Deficiencies: 0
Nov 3, 2022
Visit Reason
The Department conducted an on-site visit to provide technical assistance and to evaluate the facility's mitigation plan including disinfection, testing, vaccination, screening protocols, and use of personal protective equipment (PPE).
Findings
No deficiencies were cited or observed during the visit. The team interviewed the Health and Wellness Director and conducted a walk-through of the facility.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Valorie Adams | Health and Wellness Director | Interviewed during the visit and participated in exit interview. |
| Rebecca Ruiz | Licensing Program Analyst | Conducted the on-site HAI assessment visit. |
| Robert Montinallo | County of San Diego Nurse Contractor | Conducted the on-site HAI assessment visit. |
Inspection Report
Census: 96
Capacity: 186
Deficiencies: 0
Oct 18, 2022
Visit Reason
The visit was an unannounced Case Management visit conducted in response to the reported death of Resident #1 on 2022-10-13.
Findings
No deficiencies were cited or observed during the visit. All residents appeared appropriate for the facility, and all staff had current criminal record clearances. No immediate health or safety issues were identified.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Raquel Tarango | Business Services Director | Met with Licensing Program Analyst during the visit and participated in the exit interview. |
Inspection Report
Complaint Investigation
Census: 100
Capacity: 186
Deficiencies: 0
Aug 30, 2022
Visit Reason
An unannounced complaint investigation was conducted in response to an allegation of neglect and lack of supervision resulting in a resident fall and injury.
Findings
The investigation found that the resident was a fall risk and sustained two falls, with the second causing injury requiring hospital transport. However, evidence did not support the allegation of neglect or lack of supervision, and the complaint was unsubstantiated.
Complaint Details
The complaint alleged neglect and lack of supervision leading to a resident fall and injury. The investigation included record reviews and interviews. The allegation was found unsubstantiated due to insufficient evidence.
Report Facts
Complaint Control Number: 08-AS-20220120104809
Capacity: 186
Census: 100
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sabel Martinez | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Foudhil Manadi | Executive Director | Met with the Licensing Program Analyst during the investigation and exit interview |
Inspection Report
Census: 98
Capacity: 186
Deficiencies: 0
Aug 11, 2022
Visit Reason
An unannounced case management visit was conducted to follow up on an incident report regarding a resident who had eloped from the facility.
Findings
No deficiencies were cited or observed during the visit. The Licensing Program Analyst toured the facility, interviewed staff, and reviewed facility records.
Report Facts
Incident date: Aug 6, 2022
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Foundil Manadi | Executive Director | Met during visit and involved in incident report follow-up |
| Rebecca A Ruiz | Licensing Program Analyst | Conducted the unannounced case management visit |
| Candi Laird | Business Office Director | Met during visit |
Inspection Report
Complaint Investigation
Census: 98
Capacity: 186
Deficiencies: 0
Feb 23, 2022
Visit Reason
An unannounced case management visit was conducted to follow up on a report of Suspected Elder Abuse (SOC 341) received on February 22, 2022.
Findings
During the visit, the Licensing Program Analyst toured the facility, reviewed resident records, and interviewed staff. No deficiencies were cited.
Complaint Details
The complaint involved an incident between two residents as reported in the SOC 341 form. The licensee informed all relevant parties of the incident.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kristina Ryan | Licensing Program Analyst | Conducted the unannounced case management visit and investigation. |
| Foudhil Manadi | Executive Director | Met with the Licensing Program Analyst during the visit and participated in the exit interview. |
Inspection Report
Complaint Investigation
Census: 94
Capacity: 186
Deficiencies: 0
Dec 23, 2021
Visit Reason
An unannounced case management visit was conducted to follow up on a SOC 341 received on December 20, 2021, regarding an incident involving a resident and a staff member.
Findings
During the visit, resident and staff records were reviewed and interviews conducted. The investigation requires more time and future visits may be needed. No deficiencies were cited at this time.
Complaint Details
The complaint involved an incident between a resident and a staff member as reported in SOC 341. The licensee informed all relevant parties. The investigation is ongoing and no substantiation status is provided.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Foudhil Manadi | Executive Director | Met during the visit and informed of investigation status. |
| Kristina Ryan | Licensing Program Analyst | Conducted the unannounced case management visit. |
| Simon Jacob | Licensing Program Manager | Named in report header. |
Inspection Report
Complaint Investigation
Census: 98
Capacity: 186
Deficiencies: 0
Nov 5, 2021
Visit Reason
An unannounced case management visit was conducted to follow up on an incident report received on September 17, 2021, regarding an altercation between two residents.
Findings
During the visit, the Licensing Program Analyst toured the facility, reviewed resident records, and interviewed staff and residents. No deficiencies were cited.
Complaint Details
The visit was triggered by an incident report about an altercation between two residents. The licensee informed all relevant parties of the incident. No deficiencies were found during the investigation.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Foudhil Manadi | Executive Director | Met during the visit and involved in the exit interview. |
| Candi Laird | Business Office Manager | Met during the visit and involved in the exit interview. |
| Kristina Ryan | Licensing Program Analyst | Conducted the unannounced case management visit. |
| Simon Jacob | Licensing Program Manager | Named in the report header. |
Inspection Report
Complaint Investigation
Census: 89
Capacity: 186
Deficiencies: 0
May 22, 2019
Visit Reason
The visit was an unannounced case management visit conducted regarding an unusual incident report submitted on 2019-05-07 by the licensee.
Findings
The Licensing Program Analyst did not observe any culpability related to the incident where a resident was found on the floor with a hip fracture. No deficiencies were cited during the visit.
Complaint Details
The visit was complaint-related due to an incident report about a resident found lying on the floor with a hip fracture. The complaint was investigated and no culpability was found.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jonathan Pineda | Licensing Program Analyst | Conducted the unannounced case management visit and investigation. |
| Laura Eckert | Administrator | Facility administrator who granted entry and was present during the visit. |
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