Inspection Report Summary
Most inspections found no deficiencies, and several complaint investigations were unsubstantiated or unfounded. The most recent report from March 13, 2025, was a complaint investigation that found the allegations about pests and malodor to be unfounded due to jurisdictional issues and resident status. The only deficiency cited in recent years was in January 2025, when the facility lacked carbon monoxide detectors, posing an immediate health and safety risk; this was addressed in a follow-up visit with no further deficiencies noted. An earlier substantiated deficiency involved an improper eviction notice in January 2023, but no fines or enforcement actions were listed in the available reports. Overall, the facility’s record shows mostly compliance with isolated issues that have been resolved or dismissed over time.
Deficiencies per Year
4
3
2
1
0
High
Moderate
Census Over Time
Census
Capacity
Inspection Report
Complaint Investigation
Census: 62
Capacity: 130
Deficiencies: 0
Mar 13, 2025
Visit Reason
The inspection was conducted as an unannounced complaint investigation following a complaint received on 2024-11-25 regarding pest presence and malodor at the facility.
Findings
The investigation found the allegations to be unfounded because the alleged issues occurred in an area not licensed by the agency, and the resident involved no longer resides at the facility. The department dismissed the complaint due to lack of jurisdiction and insufficient evidence.
Complaint Details
The complaint was investigated and determined to be unfounded. The allegations were that staff did not prevent the facility from having pests and that the facility was malodorous. The resident involved no longer resides at the facility, and the alleged issues occurred in an area outside the agency's jurisdiction.
Report Facts
Complaint Control Number: 14
Facility Capacity: 130
Census: 62
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| John Calandra | Licensing Program Analyst | Conducted the complaint investigation and met with the Executive Director |
| Monica Ceron-Tapia | Executive Director | Facility representative met during the investigation |
| Andrea Medlin | Licensing Program Manager | Reviewed and discussed the report |
Inspection Report
Annual Inspection
Census: 66
Capacity: 130
Deficiencies: 0
Jan 9, 2025
Visit Reason
The visit was conducted to continue the 1-year required Annual Inspection as part of the facility's annual compliance review.
Findings
No deficiencies were cited during the visit. The Licensing Program Analyst reviewed resident records and medication storage, finding all to be complete and properly labeled.
Report Facts
Resident records reviewed: 6
Hot water temperature range: 105
Hot water temperature range: 120
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| John Calandra | Licensing Program Analyst | Conducted the inspection and reviewed resident records and medication storage |
| Monica Ceron-Tapia | Executive Director | Met with the Licensing Program Analyst during the inspection |
Inspection Report
Plan of Correction
Census: 66
Capacity: 130
Deficiencies: 0
Jan 9, 2025
Visit Reason
The visit was conducted as a Plan of Correction (POC) follow-up to address a deficiency cited on 2025-01-08.
Findings
No deficiencies were cited during this Plan of Correction visit. The report and POC clearance letter were reviewed with the Executive Director and left at the facility.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| John Calandra | Licensing Program Analyst | Conducted the Plan of Correction visit. |
| Monica Ceron Tapia | Executive Director | Facility representative who met with the Licensing Program Analyst and reviewed the report. |
Inspection Report
Annual Inspection
Census: 73
Capacity: 130
Deficiencies: 1
Jan 8, 2025
Visit Reason
The inspection was conducted as the Annual 1-year required inspection to evaluate compliance with regulatory standards.
Findings
The facility was generally well maintained with functioning fire alarm systems, adequate furnishings, and proper food storage. However, a deficiency was cited for the absence of carbon monoxide detectors, posing an immediate health and safety risk.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility does not have carbon monoxide detectors, which poses an immediate health, safety or personal rights risk to persons in care. | Type A |
Report Facts
Capacity: 130
Census: 73
Deficiencies cited: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| John Calandra | Licensing Program Analyst | Conducted the inspection and cited deficiencies |
| Patricia Melara | Assistant Executive Director | Met with Licensing Program Analyst during inspection |
| Andrea Medlin | Licensing Program Manager | Supervisor of the licensing evaluation |
Inspection Report
Annual Inspection
Census: 66
Capacity: 130
Deficiencies: 0
Jan 31, 2024
Visit Reason
An unannounced 1 year annual inspection visit was conducted to evaluate the facility's compliance with regulations and licensing requirements.
Findings
The facility was toured inside and outside, with checks on water temperature, fire extinguishers, smoke and carbon monoxide detectors, food supplies, medication storage, and laundry services. All observed areas and procedures met regulatory standards. No citations were issued.
Report Facts
Water temperature: 108
Fire extinguisher inspection date: Jul 3, 2023
Resident medications reviewed: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jaime Vado | Licensing Program Analyst | Conducted the inspection visit |
| Monica Ceron Tapia | Administrator | Facility administrator present during inspection |
| James Murch | Residential Social Worker | Met with Licensing Program Analyst during inspection |
| Crystal Hutchinson | Large Program Administrator | Discussed facility plans via telephone during inspection |
Inspection Report
Census: 66
Capacity: 130
Deficiencies: 0
Jan 31, 2024
Visit Reason
An unannounced case management - incident visit was conducted to discuss an incident involving a family member yelling at a resident, which was reported during an annual inspection.
Findings
The incident involved a family member yelling at a resident, witnessed by a caregiver who attempted to de-escalate the situation. The resident was monitored for any changes in condition, and no citations were issued.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jaime Vado | Licensing Program Analyst | Conducted the unannounced case management - incident visit and discussed the incident with the administrator. |
| Monica Ceron Tapia | Administrator | Met with Licensing Program Analyst during the visit and discussed the incident. |
Inspection Report
Complaint Investigation
Census: 68
Capacity: 130
Deficiencies: 0
Nov 15, 2023
Visit Reason
An unannounced complaint investigation visit was conducted in response to a complaint alleging that a resident was left unattended without assistance for an extended period.
Findings
The investigation found that the resident in question resides in independent living and receives home health services twice a week. There is no care plan due to the resident's independent living status. The allegation was determined to be unfounded and the complaint was dismissed.
Complaint Details
The complaint alleged that a resident was left unattended without assistance for an extended period. The complaint was found to be unfounded, meaning the allegation was false or without reasonable basis.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jaime Vado | Licensing Program Analyst | Conducted the complaint investigation visit. |
| Monica Ceron Tapia | Administrator | Met with Licensing Program Analysts during the investigation. |
Inspection Report
Complaint Investigation
Census: 72
Capacity: 130
Deficiencies: 0
Aug 29, 2023
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations received regarding resident care and staffing issues at the facility.
Findings
The investigation included interviews, observations, and document review. Staffing was observed as adequate, and interviews did not substantiate the allegations of residents being left in soiled clothing or untimely assistance. The allegations were determined to be unsubstantiated due to lack of preponderance of evidence.
Complaint Details
Allegations included residents being left in soiled clothing for extended periods, insufficient staffing to meet residents' needs, and staff not assisting residents in a timely manner. The allegations were found to be unsubstantiated.
Report Facts
Capacity: 130
Census: 72
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jaime Vado | Licensing Program Analyst | Conducted the complaint investigation |
| Monica Ceron Tapia | Administrator | Facility administrator met during the investigation |
| Cara Smith | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 72
Capacity: 130
Deficiencies: 0
Aug 29, 2023
Visit Reason
An unannounced complaint investigation visit was conducted in response to a complaint alleging that staff did not give a resident a 60 day written notice of a new charge.
Findings
The investigation found that the fee was automatically billed by the corporate billing office without the facility's knowledge, and the facility credited the fee to the responsible party upon notification. The allegation was determined to be unfounded.
Complaint Details
The complaint alleging that staff did not give a resident a 60 day written notice of a new charge was investigated and found to be unfounded.
Report Facts
Complaint Control Number: 14-AS-20230627103559
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jaime Vado | Licensing Program Analyst | Conducted the complaint investigation visit and delivered findings. |
| Monica Ceron Tapia | Administrator | Met with the Licensing Program Analyst during the investigation. |
Inspection Report
Complaint Investigation
Census: 70
Capacity: 130
Deficiencies: 0
Jul 3, 2023
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations received on 2023-03-10 regarding resident injury and safeguarding of personal belongings.
Findings
The investigation found conflicting information regarding the resident's fracture and determined that the facility safeguarded the resident's cigarettes appropriately as a safety precaution. The allegations were unsubstantiated due to lack of preponderance of evidence.
Complaint Details
The complaint involved allegations that a resident sustained a fracture due to staff neglect and that staff did not safeguard the resident's personal belongings. Both allegations were found to be unsubstantiated.
Report Facts
Capacity: 130
Census: 70
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jaime Vado | Licensing Program Analyst | Conducted the complaint investigation visit |
| Monica Ceron Tapia | Administrator | Facility administrator mentioned as not present during initial visit |
| Xuan Tran | Dining Services Director | Met with Licensing Program Analyst during investigation |
Inspection Report
Complaint Investigation
Census: 72
Capacity: 130
Deficiencies: 0
May 31, 2023
Visit Reason
An unannounced complaint investigation visit was conducted to investigate allegations received on 01/06/2021 regarding resident care and financial abuse at the facility.
Findings
The investigation found the allegations unsubstantiated or unfounded. Staffing issues were attributed to the COVID pandemic, and no evidence supported neglect or financial abuse claims. No citations were issued.
Complaint Details
The complaint involved allegations that a resident was left sitting on the toilet for long periods without assistance, dietary needs were not followed, staff ignored calls for help requiring fire department intervention, and financial abuse by raising fees without additional services. All allegations were found unsubstantiated or unfounded.
Report Facts
Capacity: 130
Census: 72
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jaime Vado | Licensing Program Analyst | Conducted the complaint investigation visit |
| Grace Ndomo | Administrator | Facility administrator met during investigation |
| Cara Smith | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Capacity: 130
Deficiencies: 0
May 31, 2023
Visit Reason
Unannounced complaint investigation visit conducted to investigate allegations including failure to supervise residents resulting in falls and injuries, staff not responding to call buttons, resident care needs not being met, and failure to notify resident of rate increase.
Findings
The investigation found the allegations of failure to supervise residents, staff not responding to call buttons, and unmet resident care needs to be unsubstantiated due to lack of preponderance of evidence. The allegation regarding failure to notify resident of rate increase was found to be unfounded as the increase was outlined in the admission agreement and notification was provided to the responsible party.
Complaint Details
The complaint investigation was unannounced and conducted by Licensing Program Analyst Jaime Vado. The allegations were unsubstantiated or unfounded after interviews and document review. No citations were issued.
Report Facts
Facility capacity: 130
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jaime Vado | Licensing Program Analyst | Conducted the complaint investigation |
| Grace Ndomo | Administrator | Facility administrator met during investigation |
| Monica Ceron Tapia | Met with Licensing Program Analyst during investigation | |
| Cara Smith | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 72
Capacity: 130
Deficiencies: 0
May 3, 2023
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations that staff do not assist residents with toileting, do not respond to residents' calls for assistance, and that the licensee does not adequately staff the facility to meet resident needs.
Findings
The investigation included interviews with residents and staff and review of documentation. It was found that residents are assisted with toileting as defined by the facility, staff respond to calls for assistance though response times vary, and staffing levels are adequate. The allegations were determined to be unsubstantiated due to lack of preponderance of evidence.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included failure to assist with toileting, failure to respond to calls for assistance, and inadequate staffing. Based on interviews and documentation, staff do assist residents and respond to calls, and staffing is adequate. Response times vary but are considered satisfactory by residents.
Report Facts
Capacity: 130
Census: 72
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jaime Vado | Licensing Program Analyst | Conducted the complaint investigation visit |
| Monica Ceron Tapia | Administrator | Facility administrator met during the investigation |
| Cara Smith | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 72
Capacity: 130
Deficiencies: 0
May 3, 2023
Visit Reason
An unannounced case management visit was conducted in conjunction with a complaint visit to evaluate medication administration policies and changes in resident R1's care plan.
Findings
The facility assumed responsibility for medication management for resident R1 due to a medical issue preventing self-management, consistent with facility policy. Physician reports and facility policies were reviewed to confirm this change.
Complaint Details
The visit was complaint-related, focusing on medication administration changes for resident R1. No substantiation status was explicitly stated.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jaime Vado | Licensing Program Analyst | Conducted the unannounced case management and complaint visit. |
| Monica Ceron Tapia | Administrator | Met with Licensing Program Analyst and discussed medication administration policy. |
| Cara Smith | Licensing Program Manager | Named in the report header. |
Inspection Report
Complaint Investigation
Census: 72
Capacity: 130
Deficiencies: 0
May 3, 2023
Visit Reason
An unannounced case management visit was conducted in conjunction with a complaint visit to assess the facility and discuss resident care.
Findings
The Licensing Program Analyst met with the administrator to review assessments and appraisals for a resident who had been out of the facility. The facility manages the resident's medications, and a private caregiver is stationed with the resident due to health decline and falls. The resident's wife refuses assessment but is reported able to self-manage her medication.
Complaint Details
The visit was complaint-related, conducted alongside a case management visit. Specific substantiation status is not stated.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Monica Ceron Tapia | Administrator | Met with Licensing Program Analyst to discuss resident care and assessments. |
| Jaime Vado | Licensing Program Analyst | Conducted the unannounced case management and complaint visit. |
| Cara Smith | Licensing Program Manager | Named in the report header. |
Inspection Report
Capacity: 130
Deficiencies: 0
Mar 13, 2023
Visit Reason
An unannounced case management visit was conducted regarding a break-in that occurred over the weekend involving burglary of a resident's room in the independent living building.
Findings
The break-in occurred on 2023-03-12 at around 1:30 am; the suspect entered the independent living building but did not enter the assisted living main building. No residents were injured and no other missing items were reported. The police were alerted and a formal report was taken. No citations were issued.
Report Facts
Facility capacity: 130
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Monica Ceron Tapia | Administrator | Met with Licensing Program Analyst regarding the break-in incident |
| Jaime Vado | Licensing Program Analyst | Conducted the unannounced case management visit |
| Cara Smith | Licensing Program Manager | Named in the report header |
Inspection Report
Complaint Investigation
Census: 72
Capacity: 130
Deficiencies: 0
Jan 25, 2023
Visit Reason
An unannounced complaint investigation visit was conducted in response to a complaint received on 2023-01-03 regarding allegations of pest issues and forced resident move-out notices.
Findings
The investigation found that the complainant resides in the independent living section, which is not regulated by the Department. The allegations were determined to be unsubstantiated due to lack of preponderance of evidence.
Complaint Details
The complaint involved allegations that staff did not prevent roaches and rodents in residents' rooms and were forcing a resident to give a 60-day notice to move out. These allegations were unsubstantiated.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jaime Vado | Licensing Program Analyst | Conducted the complaint investigation visit and delivered findings. |
| Monica Ceron Tapia | Administrator / Executive Director | Met with Licensing Program Analyst during the investigation. |
| Cara Smith | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Complaint Investigation
Census: 72
Capacity: 130
Deficiencies: 1
Jan 25, 2023
Visit Reason
An unannounced complaint investigation visit was conducted in response to a complaint alleging that a resident was illegally evicted.
Findings
The investigation found that the eviction notice was based solely on the resident having dementia, which was not supported by the resident's physician's report or facility assessments. The allegation of illegal eviction was substantiated.
Complaint Details
The complaint alleged that a resident was illegally evicted. The allegation was substantiated based on review of the eviction notice, physician's report, and facility assessments.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Eviction Procedures - The eviction notice did not meet all criteria to support the basis of eviction; the reappraisal did not state or support basis for eviction and did not identify new behaviors or conditions for eviction. | Type B |
Report Facts
Capacity: 130
Census: 72
Deficiencies cited: 1
Plan of Correction Due Date: Jan 31, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jaime Vado | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Monica Ceron Tapia | Executive Director | Met with Licensing Program Analyst during the investigation and was involved in review of findings |
| Cara Smith | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Annual Inspection
Census: 72
Capacity: 130
Deficiencies: 0
Jan 25, 2023
Visit Reason
An unannounced annual required 1-year inspection visit focused on COVID infection control was conducted.
Findings
The inspection found that infection control practices were reviewed including entry procedures, staff training, resident monitoring, and environmental cleaning. No fire safety hazards were observed, PPE and medications were properly stored, and all staff and residents were fully vaccinated and boosted. No citations were issued.
Report Facts
Water temperature: 110
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Monica Ceron Tapia | Administrator | Met with Licensing Program Analyst during inspection and report reviewed with her |
| Jaime Vado | Licensing Program Analyst | Conducted the inspection visit |
| Patty Malera | Assistant Executive Director | Accompanied the Licensing Program Analyst during facility tour |
| Cara Smith | Licensing Program Manager | Named in report header and signature |
Inspection Report
Complaint Investigation
Census: 72
Capacity: 130
Deficiencies: 0
Jan 25, 2023
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations that the facility was not allowing residents to reject 24-hour care services, was not providing reasonable personal privacy, and was not treating residents with dignity.
Findings
The investigation found that a resident with dementia who wandered was supervised by a hired private caregiver only when leaving his room, and the resident declined supervision inside the room. Observations and interviews led to the conclusion that the allegations were unsubstantiated due to lack of preponderance of evidence. No citations were issued.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included denial of resident choice for 24-hour care, lack of personal privacy, and lack of dignity. The facility provided additional supervision through a hired caregiver when the resident left his room, but the resident declined supervision inside the room. No violations were proven.
Report Facts
Capacity: 130
Census: 72
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jaime Vado | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Monica Ceron Tapia | Administrator / Executive Director | Facility administrator met during the investigation and reviewed the report |
| Cara Smith | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 77
Capacity: 130
Deficiencies: 0
Dec 29, 2022
Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation that staff were serving expired food to residents.
Findings
The investigation found that the milk served was not expired but was left out long enough to become warm. The facility implemented a plan to ensure residents' food and milk are not left out and are stored if not picked up promptly. The allegation was unsubstantiated.
Complaint Details
The complaint alleging expired food being served was investigated and found to be unsubstantiated.
Report Facts
Capacity: 130
Census: 77
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jaime Vado | Licensing Program Analyst | Conducted the complaint investigation |
| Baneen Amiri | Wellness Director | Met with the investigator and discussed findings |
| Xuan Tran | Dining Director | Interviewed regarding food storage and milk expiration |
Inspection Report
Complaint Investigation
Census: 79
Capacity: 130
Deficiencies: 0
Aug 16, 2022
Visit Reason
An unannounced complaint investigation visit was conducted in response to a complaint alleging the facility did not submit an incident report to licensing.
Findings
The investigation found that the incident was reported within the required timeframe and the complaint was unfounded. No citations were issued.
Complaint Details
The complaint alleging the facility did not submit an incident report to licensing was found to be unfounded and dismissed.
Report Facts
Capacity: 130
Census: 79
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jaime Vado | Licensing Program Analyst | Conducted the complaint investigation visit |
| Monica Ceron Tapia | Administrator | Met with Licensing Program Analyst during the investigation |
Inspection Report
Census: 79
Capacity: 130
Deficiencies: 0
Aug 12, 2022
Visit Reason
An unannounced case management visit was conducted regarding an incident that took place on 2022-08-02 involving unauthorized entry into the facility and a report of missing personal belongings.
Findings
The investigation confirmed that a suspect entered the facility through a side exit door without signing in, was seen on video footage, and was reported by residents and a contractor. No items were taken according to residents, and no citations were issued. Preventative measures were discussed with the administrator.
Report Facts
Incident date: Aug 2, 2022
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Monica Ceron Tapia | Administrator | Met with Licensing Program Analyst to discuss the incident and provided information to police |
| Jaime Vado | Licensing Program Analyst | Conducted the unannounced case management visit and reviewed video footage |
Inspection Report
Complaint Investigation
Census: 79
Capacity: 130
Deficiencies: 0
Aug 12, 2022
Visit Reason
An unannounced complaint investigation visit was conducted in response to a complaint received on 2020-09-17 regarding multiple allegations of staff failing to provide appropriate care and safeguards for a resident.
Findings
The investigation found that the resident involved in the allegations does not reside at this facility but at a sister facility, and therefore the allegations are unsubstantiated due to lack of evidence.
Complaint Details
The complaint involved allegations including failure to provide appropriate sleeping arrangements, timely medical attention, safeguarding personal belongings, providing hygiene products, responding to alerts, and notifying authorized representatives. All allegations were found unsubstantiated.
Report Facts
Facility capacity: 130
Census: 79
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jaime Vado | Licensing Program Analyst | Conducted the complaint investigation visit |
| Monica Ceron Tapia | Facility administrator met during the investigation |
Inspection Report
Census: 70
Capacity: 130
Deficiencies: 0
Apr 21, 2021
Visit Reason
An unannounced Case Management - COVID-19 inspection was conducted remotely due to the pandemic to review the facility's reporting of an incident to the Regional Office.
Findings
The facility did not report an incident to the Regional Office in a timely manner due to miscommunication while the Executive Director was on vacation. The Executive Director will educate managers on reporting requirements.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Grace Ndomo | Executive Director | Spoke with Licensing Program Analyst regarding the incident and reporting requirements. |
| Murial Han | Licensed Program Analyst | Conducted the unannounced Case Management - COVID-19 inspection. |
| Brenda Chan | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Complaint Investigation
Census: 74
Capacity: 130
Deficiencies: 1
Apr 14, 2021
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2020-02-26 regarding staff leaving a resident on the toilet for an extended period and delayed response to residents' calls for assistance.
Findings
The allegation that staff left a resident on the commode for an extended period was substantiated, with evidence showing the staff forgot to assist the resident for an hour and a half. The allegations regarding delayed response to calls for assistance and inadequate staffing were unsubstantiated due to insufficient evidence.
Complaint Details
The complaint alleged that staff left a resident on the toilet for an extended period and did not respond timely to residents' calls for assistance. The toileting allegation was substantiated, while the allegations about response times and staffing levels were unsubstantiated due to lack of sufficient evidence.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to assist client with toileting needs on 2/2/20, posing a potential health and safety risk. | Type B |
Report Facts
Deficiencies cited: 1
Census: 74
Total capacity: 130
Average caregivers per day: 7.85
Residents requiring assistance: 91
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Audrey Jeung | Licensing Program Analyst | Conducted the complaint investigation |
| Julio Montes | Licensing Program Manager | Oversaw licensing program and signed report |
| Grace Ndomo | Administrator | Facility administrator named in report |
| Rebekah Dilag | Met with during inspection |
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