Most inspections found no deficiencies, with the facility generally clean, well-maintained, and compliant with safety and infection control standards. Several complaint investigations were unsubstantiated, including allegations about staff training, medication management, and resident care. However, a few deficiencies were noted in past reports, including a substantiated unlawful eviction without proper diagnosis in June 2023 and a failure to assist a resident with communication needs related to hearing impairment in April 2022. The most recent report from October 27, 2025, involved an investigation of an unusual incident with code enforcement concerns but did not list specific deficiencies or enforcement actions. Overall, the facility’s record shows mostly isolated issues with no fines or license actions reported, and no clear pattern of worsening or improving conditions.
Deficiencies (last 6 years)
Deficiencies (over 6 years)0.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
93% better than California average
California average: 4 deficiencies/year
Deficiencies per year
43210
2020
2021
2022
2023
2024
2025
Census
Latest occupancy rate65% occupied
Based on a October 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
The visit was an unannounced case management - incident inspection conducted to follow up on an unusual incident report submitted by the facility regarding an allegation that an unknown male entered Resident #1's bedroom at night and did inappropriate acts.
Findings
During the visit, the Licensing Program Analyst interviewed the Executive Director and Resident #1, conducted observations and took pictures of the resident's unit, and noted various hazards in the resident's bedroom that did not follow code enforcement. The analyst will be cross-reporting concerns to appropriate agencies.
Complaint Details
The complaint involved an allegation by Resident #1 that an unknown male entered their bedroom at night and committed inappropriate acts. The visit was conducted to investigate this incident.
Report Facts
Capacity: 245Census: 160
Employees Mentioned
Name
Title
Context
Amber Rodgers
Executive Director
Met with Licensing Program Analyst during the inspection and involved in the investigation
Valerie Flores
Licensing Program Analyst
Conducted the unannounced case management - incident visit
The inspection was an unannounced annual inspection conducted by the Licensing Program Analyst to evaluate compliance with regulatory requirements.
Findings
The facility was found to be clean, well-maintained, and in good repair with no deficiencies observed. All reviewed client and employee records met requirements, and safety, infection control, medication storage, and fire safety measures were compliant.
Report Facts
Client records reviewed: 5Employee records reviewed: 5Food supply duration: 7Food supply duration: 2Water temperature: 108Fire extinguisher charge date: Dec 27, 2023Last fire inspection date: Oct 8, 2024
The visit was an unannounced required annual inspection conducted to evaluate compliance with licensing regulations.
Findings
The facility was inspected inside and outside with no obstructions found. All required safety equipment and postings were present. The facility was clean, well-maintained, and operating within regulations. No Title 22, Division 6 Regulation violations were observed or cited during the visit.
Report Facts
Licensed capacity: 245Current census: 1
Employees Mentioned
Name
Title
Context
Mario Preston
Administrator
Met with Licensing Program Analyst during inspection and named in report
An unannounced complaint investigation was conducted in response to allegations that staff did not have the required training to care for residents, resident rooms were not kept sanitary, and the licensee did not ensure personnel requirements were met.
Findings
The investigation included interviews, record reviews, and facility tours, which found that staff received appropriate training, resident rooms were generally clean, and staffing levels were adequate. The allegations were determined to be unsubstantiated based on the evidence.
Complaint Details
The complaint was unsubstantiated after investigation. Allegations included inadequate staff training, unsanitary resident rooms, and unmet personnel requirements. Evidence did not support these claims.
Report Facts
Capacity: 245Census: 151Estimated Days of Completion: 0
An unannounced complaint investigation visit was conducted to investigate allegations that staff did not ensure that a resident had their medications and that staff mismanaged the resident's medications.
Findings
The investigation found insufficient evidence to substantiate the allegations. Staff and resident interviews, along with a review of the resident's file and Medication Administration Records, indicated the resident self-administered medications with brief assistance from staff for three days before medications were returned to the resident for unsupervised self-administration.
Complaint Details
The complaint was unsubstantiated due to lack of preponderance of evidence to prove the alleged violations did or did not occur.
Report Facts
Estimated Days of Completion: 90Medication administration days: 3
Employees Mentioned
Name
Title
Context
Chinwe Nwogene
Licensing Program Analyst
Conducted the complaint investigation visit
Joel Esquivel
Licensing Program Manager
Named as Licensing Program Manager overseeing the investigation
Amber Rodgers
Associate Executive Director
Facility representative met during the investigation and exit interview
An unannounced visit was conducted to investigate a complaint alleging that staff were not abiding by the addendum to the admissions agreement, specifically regarding rental amounts.
Findings
The investigation found that the facility had documented a rent increase and retention discount appropriately, and there was insufficient evidence to substantiate the allegation that staff were not abiding by the admissions agreement addendum. The allegation was therefore unsubstantiated.
Complaint Details
The complaint alleged that staff were not abiding by the addendum to the admissions agreement related to rental amounts. The allegation was unsubstantiated due to lack of sufficient evidence.
An unannounced visit was conducted to investigate a complaint alleging unlawful eviction of a resident from the facility.
Findings
The investigation found that the facility issued a 30-day eviction notice to a resident without proper diagnosis, as the resident refused a psychiatric evaluation and no documentation supported the alleged delusional behavior and hallucination. The allegation was substantiated.
Complaint Details
The complaint alleged unlawful eviction. The allegation was substantiated based on observation, interview, and file review.
Severity Breakdown
Type B: 1
Deficiencies (1)
Description
Severity
Eviction Procedures; The licensee did not comply by evicting resident without proper diagnosis which poses a potential health, safety or personal rights risk to persons in care.
Type B
Report Facts
Capacity: 245Census: 150Plan of Correction Due Date: Jul 3, 2023
Employees Mentioned
Name
Title
Context
Mario Preston
Executive Director
Met with Licensing Program Analyst and acknowledged the eviction notice issued
An unannounced complaint investigation visit was conducted in response to an allegation that a resident sustained pressure injuries while in care.
Findings
The investigation found that the resident had multiple pressure injuries prior to admission and was receiving treatment. There was insufficient evidence to substantiate the allegation that the injuries were sustained while in care, resulting in an unsubstantiated finding.
Complaint Details
The complaint alleged that a resident sustained pressure injuries while in care. The investigation concluded the allegation was unsubstantiated due to lack of sufficient evidence.
Report Facts
Capacity: 245Census: 168
Employees Mentioned
Name
Title
Context
Chinwe Nwogene
Licensing Program Analyst
Conducted the complaint investigation
Tania Dupre
Associate Executive Director
Met with Licensing Program Analyst during investigation
The inspection was an unannounced complaint investigation visit triggered by allegations that staff failed to meet a resident's needs and refused to provide transportation for a resident.
Findings
The allegation that staff failed to meet a resident's needs was substantiated due to staff failing to assist a resident with severe hearing impairment in communicating with callers and failing to assist with obtaining a new hearing aid or notifying the resident's Power of Attorney. The allegation that staff refused to provide transportation was found to be unfounded as the facility did provide transportation to the resident's appointment.
Complaint Details
The complaint was substantiated regarding staff failing to meet the resident's needs due to lack of assistance with communication and hearing aid issues. The complaint regarding refusal of transportation was unfounded.
Severity Breakdown
Type A: 1
Deficiencies (1)
Description
Severity
Staff failed to assist resident and their callers with communication needs related to hearing impairment, violating personal rights.
Type A
Report Facts
Capacity: 245Census: 163Deficiencies cited: 1Plan of Correction Due Date: Apr 26, 2022
Employees Mentioned
Name
Title
Context
Mario Preston
Administrator
Named in findings related to denial of knowledge about resident's hearing aid issues and involved in exit interview
Crystal Colvin
Licensing Program Analyst
Conducted the complaint investigation and authored the report
The inspection was an unannounced required 1-year visit 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
Mario Preston
Executive Director
Met with Licensing Program Analyst during inspection and discussed the purpose of the visit.
Ramon Serrano
Licensing Program Analyst
Conducted the unannounced required 1-year visit and evaluation.
The inspection was an unannounced complaint investigation visit triggered by multiple allegations against facility staff regarding resident privacy, use of universal precautions, safeguarding of personal belongings, cleanliness, dignity and respect, and accuracy of resident mental condition information.
Findings
The investigation found insufficient evidence to substantiate any of the allegations. The facility staff policies and practices were reviewed, and interviews conducted, but none of the claims met the standard for substantiation. All allegations were determined to be unsubstantiated.
Complaint Details
The complaint involved multiple allegations including failure to afford resident privacy, failure to use universal precautions, failure to safeguard resident's personal belongings, failure to clean resident's room properly, failure to treat resident with dignity and respect, and failure to keep accurate information regarding a resident's mental condition. All allegations were found unsubstantiated due to lack of evidence or insufficient data.
Report Facts
Facility capacity: 245
Employees Mentioned
Name
Title
Context
Anna Kennedy
Licensing Evaluator
Conducted the complaint investigation visit
Mary Ellen Heilgeist
Executive Director
Facility representative met during investigation and exit interview
Rebecca Hedgecock
Supervisor
Supervisor overseeing the complaint investigation
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