Inspection Report Summary
Most inspections found no deficiencies, and several complaint investigations were unsubstantiated or unfounded, indicating generally consistent compliance with regulations. The facility’s most recent report from October 23, 2025, had no deficiencies and amended a prior complaint finding from unsubstantiated to unfounded. Earlier in 2024 and 2025, isolated deficiencies were cited related mainly to record keeping and medication documentation, as well as one instance of a resident being left soiled, which posed a health and safety risk. The facility received a $500 fine in August 2024 for a staff member working without a required criminal record clearance. Recent reports show improvement with no deficiencies cited, suggesting corrective actions have been effective.
Deficiencies (last 5 years)
Deficiencies (over 5 years)
1.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
55% better than California average
California average: 4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
76% occupied
Based on a October 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Census: 168
Capacity: 220
Deficiencies: 0
Oct 23, 2025
Visit Reason
The visit was an unannounced Case Management - Other inspection to amend the findings of a previous complaint (26-AS-20250724093244).
Findings
During the visit, the Licensing Program Analyst amended the complaint findings from unsubstantiated to unfounded. No deficiencies were cited during this visit.
Complaint Details
The visit was related to Complaint 26-AS-20250724093244. The findings were amended from unsubstantiated to unfounded.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Marcella Tarin | Licensing Program Analyst | Conducted the Case Management - Other visit and amended complaint findings. |
| Alex Baiasu | Executive Director | Met with Licensing Program Analyst during the visit. |
| Beena Kumar | Administrator/Director | Named as facility administrator/director. |
Inspection Report
Annual Inspection
Census: 170
Capacity: 220
Deficiencies: 0
Aug 11, 2025
Visit Reason
An unannounced annual inspection was conducted to evaluate compliance with licensing requirements and facility conditions.
Findings
The inspection found no deficiencies cited during the visit. A technical violation related to Centrally Stored Medication and Destruction Records was issued. The facility was found to be in compliance with safety, food storage, medication storage, and emergency preparedness standards.
Report Facts
Residents observed during activity: 20
Resident bathrooms toured: 10
Resident records reviewed: 10
Staff records reviewed: 10
Resident medication records reviewed: 5
Water temperature range: 116.2
Water temperature range: 105.2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Alex Baiasu | Executive Director | Met with Licensing Program Analysts during inspection and exit interview |
| Marcella Tarin | Licensing Program Analyst | Conducted the inspection and signed the report |
| Marcela Yanez | Licensing Program Analyst | Conducted the inspection |
Inspection Report
Complaint Investigation
Census: 171
Capacity: 220
Deficiencies: 0
Jun 4, 2025
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations received on 2025-01-24 regarding feeding assistance, soiled clothing, and repositioning of a resident.
Findings
Based on interviews, document reviews, and observations, there was insufficient evidence to substantiate the allegations. Staff and residents generally reported appropriate care practices, and no deficiencies were cited during the visit.
Complaint Details
The complaint alleged that staff did not ensure feeding assistance was provided, allowed a resident to be left in soiled clothing for extended periods, and did not reposition the resident. The investigation found these allegations unsubstantiated due to lack of preponderance of evidence.
Report Facts
Staff interviewed: 11
Residents interviewed: 10
Residents under hospice care: 1
Residents diagnosed with terminal illness and major neurocognitive disorder: 1
Residents not requiring feeding assistance: 3
Residents requiring repositioning every 2 hours: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Marcella Tarin | Licensing Program Analyst | Conducted the complaint investigation and interviews |
| Jin Jackie | Licensing Program Manager | Oversaw the complaint investigation |
| Beena Kumar | Administrator | Facility administrator named in the report |
| Christine Monelaro | Staff | Staff member met with during the investigation |
| Alex Baiasu | Executive Director | Participated in exit interview via phone |
Inspection Report
Complaint Investigation
Census: 164
Capacity: 220
Deficiencies: 0
May 23, 2025
Visit Reason
The inspection was an unannounced complaint investigation triggered by allegations received on 2024-12-05 regarding staff response times to call buttons, staff behavior towards residents, medication administration, and meal delivery.
Findings
The investigation found that most call buttons were responded to within 15 minutes, with one instance of a 41-minute delay. Allegations of staff yelling at residents and not following doctor's orders for medication were mostly unsubstantiated based on staff and resident interviews. There was some indication that meal delivery did not always occur as agreed, but evidence was insufficient to substantiate violations. No deficiencies were cited.
Complaint Details
The complaint was unsubstantiated. Allegations included delayed response to call buttons, staff yelling at residents, lack of dignity in staff-resident relationships, failure to follow doctor's orders for medication, and failure to deliver meals as per admission agreement. Investigations included interviews with staff and residents, random call button testing, and medication record review. Evidence did not support the allegations sufficiently to substantiate violations.
Report Facts
Capacity: 220
Census: 164
Call button response times: 4
Call button response times: 1
Staff interviewed: 7
Residents interviewed: 11
Medication Administration Records reviewed: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Alex Baiasu | Executive Director | Met with during inspection and exit interview |
| Marcella Tarin | Evaluator / Licensing Program Analyst | Conducted the complaint investigation |
| Jin Jackie | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 163
Capacity: 220
Deficiencies: 0
May 14, 2025
Visit Reason
The inspection was an unannounced complaint investigation conducted in response to multiple allegations received on 09/19/2024 regarding visitor restrictions, inappropriate isolation and punishment of residents, medication mismanagement, unqualified staff administering medication, and failure to ensure residents are given showers.
Findings
The investigation found all allegations to be either unfounded or unsubstantiated based on interviews with residents, staff, and review of records. No evidence supported visitor restrictions, inappropriate isolation or punishment, medication mismanagement, or unqualified medication administration. The allegation regarding residents not being given showers was unsubstantiated due to inconsistent shower schedules caused by staffing shortages but no neglect was found.
Complaint Details
The complaint investigation addressed nine allegations including visitor restrictions, inappropriate isolation and punishment, medication mismanagement, unqualified staff administering medication, and failure to ensure residents are given showers. All allegations were found to be unfounded except the shower allegation which was unsubstantiated.
Report Facts
Capacity: 220
Census: 163
Dates of complaint receipt and investigation: Complaint received on 2024-09-19; investigation visit on 2025-05-14
Staff permit validity: Staff S1 interim permit valid from 2023-11-06 to 2024-08-06; Vocational Nurse license issued 2024-10-22
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Manuel Monter | Licensing Program Analyst | Conducted the complaint investigation and interviews |
| Steve Chang | Licensing Program Analyst | Conducted initial investigation visit and interviews |
| Marcella Tarin | Licensing Program Analyst | Conducted initial investigation visit and interviews |
| Alex Baiasu | Executive Director | Met with Licensing Program Analyst during investigation |
| Beena Kumar | Administrator | Facility administrator named in report header |
| S1 | Staff member | Alleged unqualified staff administering medication; interview revealed permit expired and license issued after alleged period |
| Romeo Manzano | Licensing Program Manager | Named as Licensing Program Manager overseeing investigation |
Inspection Report
Complaint Investigation
Census: 159
Capacity: 220
Deficiencies: 0
Apr 24, 2025
Visit Reason
An unannounced complaint investigation was conducted based on complaints alleging that staff did not notify the authorized representative when a resident went to the hospital and that a resident was left on the floor for an extended period of time.
Findings
The investigation found the allegations to be unsubstantiated due to insufficient evidence to prove or disprove the claims. Interviews and record reviews indicated that the resident's responsible party was notified promptly and staff responded to call pendants in a timely manner.
Complaint Details
The complaint investigation was triggered by allegations received on October 25, 2023, regarding failure to notify the authorized representative of a hospital visit on August 18, 2023, and a resident being left on the floor for over two hours after a fall in July 2023. The findings were unsubstantiated.
Report Facts
Capacity: 220
Census: 159
Response time: 10.5
Response time: 4
Time resident left on floor: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Manuel Monter | Licensing Program Analyst | Conducted the complaint investigation and interviews |
| Alex Baiasu | Administrator | Facility administrator met during the investigation and exit interview |
Inspection Report
Complaint Investigation
Census: 162
Capacity: 220
Deficiencies: 0
Apr 4, 2025
Visit Reason
The inspection was conducted as an unannounced complaint investigation following a complaint received on 2025-01-17 alleging that staff were not meeting residents' laundry needs and that laundry machines were in disrepair.
Findings
Based on interviews with staff and residents, record reviews, and observations, there was insufficient evidence to substantiate the allegations. Laundry machines were observed to be functioning properly, and laundry service once a week is part of the facility's basic service plan. The allegations were determined to be unsubstantiated and no deficiencies were cited.
Complaint Details
The complaint alleged that staff were not meeting residents' laundry needs and that laundry machines were in disrepair. Interviews with staff and residents yielded mixed responses, but overall no preponderance of evidence was found to prove the allegations. The complaint was unsubstantiated.
Report Facts
Number of washers: 15
Number of dryers: 15
Number of staff interviewed: 6
Number of residents interviewed: 9
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Beena Kumar | Administrator | Interviewed regarding laundry service allegations |
| Alex Baiasu | Executive Director | Met with during inspection and report review |
| Marcella Tarin | Licensing Program Analyst | Conducted investigation and signed report |
| Jin Jackie | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Census: 146
Capacity: 220
Deficiencies: 0
Jan 15, 2025
Visit Reason
The visit was an unannounced Case Management Quarterly Visit to ensure the facility is adhering to its Action Plan submitted after an informal meeting on 8/13/2024.
Findings
The Licensing Program Analyst reviewed staff training documentation and observed an all staff meeting. The facility is adhering to its Action Plan for staff training, and no deficiencies were cited.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Alex Baiasu | Executive Director | Met with during the inspection and reviewed the report. |
| Marcella Tarin | Licensing Program Analyst | Conducted the unannounced Case Management visit. |
Inspection Report
Complaint Investigation
Census: 139
Capacity: 220
Deficiencies: 1
Dec 21, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2023-07-06 alleging multiple issues including inaccurate resident records, improper wound care, diabetic care deficiencies, failure to respond to calls for help, elopement, hygiene care, laundry service, food service, and pest control.
Findings
The investigation substantiated that staff did not maintain accurate medication records for two residents, posing potential health risks. Other allegations such as improper wound care, diabetic care, response to calls for help, elopement prevention, hygiene care, laundry, and food service were found unsubstantiated based on records review and interviews. Pest control services were documented and allegations related to rodents and norovirus outbreak were unsubstantiated.
Complaint Details
The complaint investigation was substantiated regarding inaccurate resident medication records for Residents 4 and 5. Other allegations including wound care, diabetic care, response to calls, elopement, hygiene, laundry, food service, and pest control were unsubstantiated.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Licensee did not ensure staff maintained a complete medication record for Resident 4 and Resident 5 medication dosages, posing a potential health, safety, and personal rights risk to residents in care. | Type B |
Report Facts
Capacity: 220
Census: 139
Deficiency count: 1
Plan of Correction Due Date: Jan 20, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Christina Valerio | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Stephen Richardson | Licensing Program Manager | Oversaw the complaint investigation |
| Alex Baiasu | Executive Director | Interviewed during investigation and provided facility information |
| Dimple Kamdar | Administrator | Facility administrator named in the report |
Inspection Report
Complaint Investigation
Census: 139
Capacity: 220
Deficiencies: 1
Dec 21, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations that the facility did not have adequate record keeping for a resident, unlawfully evicted a resident, and overcharged a resident for services not received.
Findings
The investigation substantiated that the facility failed to maintain proper records for Resident 1, including documentation of service charges, rate increases, and resident discussions, posing potential health, safety, and personal rights risks. The allegation of unlawful eviction was unsubstantiated due to insufficient evidence, and the facility was found to have credited the resident for charges during rehab. The facility did not document resident signatures on updated service plans and inconsistencies were found in invoices and service charges.
Complaint Details
The complaint investigation was substantiated regarding inadequate record keeping for Resident 1. The allegation that the facility unlawfully evicted a resident was unsubstantiated due to lack of evidence. The allegation of overcharging a resident for services not received was part of the investigation but not explicitly substantiated or unsubstantiated in the report.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to ensure staff properly documented Resident 1's monthly service charges, increase in Basic Service Rate, increase in Personal Service Rate, additional service charges, and discussions with Resident 1 regarding said charges. | Type B |
Report Facts
Census: 139
Total Capacity: 220
Deficiency Type B count: 1
Plan of Correction Due Date: Jan 20, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Christina Valerio | Licensing Program Analyst | Conducted complaint investigation and delivered findings |
| Stephen Richardson | Licensing Program Manager | Oversaw complaint investigation |
| Alex Baiasu | Executive Director | Met with Licensing Program Analyst during investigation |
| Beena Kumar | Administrator | Named as facility administrator |
Inspection Report
Complaint Investigation
Census: 139
Capacity: 220
Deficiencies: 0
Dec 21, 2024
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations that facility staff were not responding to residents' call system in a timely manner, the facility did not have sufficient staff to meet residents' needs, and staff were not ensuring proper colostomy care.
Findings
The investigation included resident and staff interviews and records review. The allegations were found to be unsubstantiated due to insufficient evidence. No deficiencies were cited. Staff schedules showed adequate staffing levels despite some call-outs. Residents reported generally attentive care.
Complaint Details
The complaint involved allegations of delayed response to call lights, insufficient staffing, and inadequate colostomy care. The investigation found no preponderance of evidence to substantiate the allegations. Specific incidents included a colostomy bag explosion and a resident fall related to attempting to catch a mouse, but these were not found to be due to facility negligence.
Report Facts
Capacity: 220
Census: 139
Staffing levels: 2
Staffing levels: 3
Staffing levels: 1
Staffing levels: 2
Call outs: 1
Call outs: 2
Call outs: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Christina Valerio | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Alex Baiasu | Executive Director | Met with Licensing Program Analyst during investigation |
| Stephen Richardson | Licensing Program Manager | Named in report header and signature section |
Inspection Report
Follow-Up
Census: 141
Capacity: 220
Deficiencies: 0
Dec 11, 2024
Visit Reason
The visit was an unannounced follow-up to investigate two SOC341 Suspected Adult/Elderly Abuse forms submitted by the facility regarding thefts of residents' belongings.
Findings
The investigation revealed that staff member S1 was under local law enforcement investigation for thefts outside the facility, but no proof of theft within the facility was established. Residents R1 and R2 reported missing items, some of which were later found. No deficiencies were cited, but advisory notes were issued.
Complaint Details
The visit was complaint-related, following two SOC341 forms alleging theft of residents' valuables. The allegations were investigated, with some items recovered and no confirmed theft within the facility. Staff S1 was suspended pending investigation.
Report Facts
Cash reported stolen: 300
Value of necklace reported stolen: 2000
Value of earrings reported stolen: 500
Facility capacity: 220
Resident census: 141
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Alex Baiasu | Administrator | Met during inspection and interviewed regarding theft allegations |
| David Marrufo | Licensing Program Analyst | Conducted the inspection and interviews |
| Marcella Tarin | Licensing Program Analyst | Conducted the inspection and interviews |
Inspection Report
Complaint Investigation
Census: 140
Capacity: 220
Deficiencies: 0
Dec 6, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations that a non-medical skilled professional was administering insulin injections to diabetic residents and that staff were not administering residents' insulin as prescribed.
Findings
Based on interviews, document reviews, and medication administration records, the allegations were found to be unsubstantiated. Staff nurses were confirmed to be administering insulin as prescribed, and missing medication entries were attributed to computer errors.
Complaint Details
The complaint alleged improper insulin administration by non-nurses and missed insulin doses for residents R1 and R2. The investigation included interviews with staff, residents, and review of physician reports and medication records. The findings were unsubstantiated due to lack of preponderance of evidence.
Report Facts
Capacity: 220
Census: 140
Medication Administration Records missing entries: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Steve Chang | Licensing Program Analyst | Conducted the unannounced investigation visit and delivered findings |
| Alex Baiasu | Executive Director | Met with Licensing Program Analyst during investigation and exit interview |
| Beena Kumar | Administrator | Named as facility administrator |
| Chihhsien Chang | Licensing Program Analyst | Conducted complaint investigation and signed report |
| Romeo Manzano | Licensing Program Manager | Oversaw complaint investigation |
| S1 | Staff Nurse (LVN permit holder) | Interviewed regarding insulin administration; stated only administered insulin with nurses |
| S2 | Staff Nurse (LVN license holder) | Interviewed regarding insulin administration; confirmed adherence to doctor orders |
Inspection Report
Complaint Investigation
Census: 134
Capacity: 220
Deficiencies: 0
Nov 9, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 07/05/2022 regarding rough handling of a resident, inappropriate speech to a resident, and delayed medical attention.
Findings
The investigation found insufficient evidence to substantiate the allegations. Although the complaint described an incident involving rough handling causing a skin tear and inappropriate comments by a staff member, and delayed wound care, the facility no longer used the staffing agency involved and records were limited due to the time elapsed. No deficiencies were cited.
Complaint Details
The complaint involved allegations that a resident was handled roughly causing a skin tear, spoken to inappropriately, and did not receive timely medical attention. The allegations were unsubstantiated due to lack of preponderance of evidence after attempts to interview the reporting party and review records. The facility no longer used the staffing agency involved and no deficiencies were cited.
Report Facts
Capacity: 220
Census: 134
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Christina Valerio | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Stephen Richardson | Licensing Program Manager | Named as Licensing Program Manager on the report |
| Alex Baiasu | Executive Director | Facility representative met during the investigation and exit interview |
| Dimple Kamdar | Administrator | Facility administrator named in the report |
Inspection Report
Complaint Investigation
Census: 137
Capacity: 220
Deficiencies: 0
Oct 13, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 07/05/2022 regarding pest issues in a resident's room and threats to a resident by other residents and staff.
Findings
The investigation found no substantiated evidence to support the allegations. Pest control records showed no ant or cockroach activity, and interviews with residents and staff did not confirm threats by other residents or staff. The allegations were deemed unsubstantiated with no deficiencies cited.
Complaint Details
The complaint involved allegations that a resident's room had pests, that the resident was threatened by other residents, and that the resident was threatened by staff. Multiple interviews and documentation reviews were conducted, but no preponderance of evidence was found to substantiate the allegations. The complaint was unsubstantiated.
Report Facts
Complaint control number: 26-AS-20220705084955
Number of allegations: 3
Pest control service dates: 05/11/2022, 06/08/2022, 07/25/2022
Work order date range: 2020 to 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Christina Valerio | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Stephen Richardson | Licensing Program Manager | Oversaw the complaint investigation report |
| Alex Baiasu | Executive Director | Facility representative met during investigation and exit interview |
| Dimple Kamdar | Executive Director | Named in allegation of threatening resident but no interview conducted as no longer ED |
Inspection Report
Complaint Investigation
Census: 125
Capacity: 220
Deficiencies: 3
Aug 16, 2024
Visit Reason
An unannounced complaint investigation visit was conducted following a complaint received on 2023-07-11 regarding allegations that staff did not provide resident's records to the responsible party, did not follow the resident's care plan, and did not give sufficient notice of rate and service increases.
Findings
The investigation substantiated the allegations: the facility failed to provide resident records timely to the responsible party, did not follow the resident's care plan resulting in the resident not being ready for a doctor's appointment, and failed to provide written notice prior to increasing rates. Deficiencies were cited under California Code of Regulations Title 22.
Complaint Details
The complaint was substantiated. Allegations included failure to provide resident's records to the responsible party, failure to follow the resident's care plan, and failure to provide sufficient notice of rate and service increases. The investigation included interviews, document reviews, and evidence collection confirming these issues.
Severity Breakdown
Type A: 1
Type B: 2
Deficiencies (3)
| Description | Severity |
|---|---|
| Failure to arrange or assist in arranging incidental medical and dental care appropriate to the conditions and needs of residents, evidenced by resident not being ready in time for a doctor's appointment. | Type A |
| Failure to ensure resident's records were provided within two business days to the resident's Power of Attorney. | Type B |
| Failure to provide at least 60 days prior written notice of rate increases to responsible parties as required by admission agreements. | Type B |
Report Facts
Capacity: 220
Census: 125
Rate increase amount: 3300
Plan of Correction Due Date: Aug 17, 2024
Plan of Correction Due Date: Aug 23, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Grace Donato | Licensing Program Analyst | Conducted the complaint investigation visit |
| Alex Baisu | Executive Director | Met with Licensing Program Analyst during the investigation |
| Dimple Kamdar | Administrator | Facility administrator at the time of the complaint |
Inspection Report
Annual Inspection
Census: 125
Capacity: 220
Deficiencies: 1
Aug 15, 2024
Visit Reason
An unannounced required 1-year annual inspection visit was conducted to evaluate compliance with licensing regulations.
Findings
The facility was toured including resident bedrooms, kitchen, and safety equipment. One deficiency was cited for a staff member (S1) lacking a California Criminal Record Clearance after turning 18 years old, posing an immediate health and safety risk. A civil penalty of $500 was assessed for S1 working without clearance for more than 5 days.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Staff S1 did not have a California Criminal Record Clearance after turning 18 years of age, posing an immediate Health, Safety, or Personal Rights risk to persons in care. | Type A |
Report Facts
Civil penalty amount: 500
Census: 125
Total capacity: 220
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Alex Baiasu | Administrator | Met during inspection and reviewed report findings |
| Simranjit Rai | Licensing Program Analyst | Conducted inspection and authored report |
| Beena Kumar | Administrator/Director | Named as facility administrator/director |
Inspection Report
Complaint Investigation
Capacity: 220
Deficiencies: 0
Aug 13, 2024
Visit Reason
The visit was conducted to discuss an incident regarding physiological abuse reported on April 30, 2024, and to follow up on a subsequent case management visit conducted on May 3, 2024.
Findings
An informal meeting was held with the facility administrator and district director to discuss the abuse incident and to request an action plan addressing staff training on personal rights, handling residents with Mild Cognitive Impairment (MCI), respecting residents' personal rights, and reassessing residents with MCI. The facility was informed of increased monitoring and use of surveillance cameras.
Complaint Details
The visit was complaint-related regarding physiological abuse reported on April 30, 2024. A subsequent case management visit occurred on May 3, 2024. The complaint is under further review with requested corrective actions.
Report Facts
Capacity: 220
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Alex Baiasu | Administrator | Met during the informal meeting and discussed the incident and action plan |
| Grace Ndomo | District Director of Operations | Participated in the informal meeting regarding the abuse incident |
Inspection Report
Complaint Investigation
Census: 130
Capacity: 220
Deficiencies: 1
Aug 2, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2024-07-01 regarding staff leaving residents soiled for extended periods, rough handling of residents, yelling at residents, and failure to ensure medication administration.
Findings
One allegation regarding staff leaving a resident soiled was substantiated with a deficiency cited for failure to keep incontinent residents clean and dry. Other allegations including rough handling of residents, yelling at residents, and failure to ensure medication administration were unsubstantiated with no deficiencies cited.
Complaint Details
The complaint investigation was substantiated for the allegation that staff left resident R3 soiled for an extended period. The other allegations regarding rough handling, yelling, and medication administration were unsubstantiated. Interviews included 7 residents, 6 staff members, and 1 witness. Documentation and observations supported the substantiated finding.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to ensure resident (R3) was kept clean and dry; resident was found in dirty double diapers posing immediate health, safety, and personal rights risk. | Type A |
Report Facts
Residents interviewed: 7
Staff interviewed: 6
Witnesses interviewed: 1
Deficiencies cited: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Alex Baisu | Executive Director | Met with Licensing Program Analysts during complaint investigation and report review |
| Christine Dolores | Licensing Program Analyst | Conducted complaint investigation and authored report |
| Marcella Tarin | Licensing Program Analyst | Assisted in complaint investigation and report delivery |
| Sarah Yip | Licensing Program Manager | Oversaw complaint investigation and signed report |
| Beena Kumar | Administrator | Facility administrator mentioned in report header |
| Valentine Mathangani | Health & Wellness Director III | Received report copy during review |
Inspection Report
Complaint Investigation
Census: 130
Capacity: 220
Deficiencies: 0
Aug 2, 2024
Visit Reason
The inspection was an unannounced complaint investigation conducted in response to multiple complaints received on July 5, 2024, alleging that staff did not ensure residents' needs were met, did not safeguard residents' personal items, were not following COVID-19 precautions, handled residents roughly, and did not treat residents with dignity or respect.
Findings
The investigation included interviews with staff, residents, and witnesses, as well as facility observations. The department found all allegations to be either unsubstantiated or unfounded, indicating insufficient evidence to prove the complaints. The facility was found to be following infection control protocols during a COVID outbreak, and residents were generally treated with dignity and respect.
Complaint Details
The complaint investigation addressed allegations including failure to meet residents' needs (such as missed showers), loss of residents' personal items (laundry), failure to follow COVID-19 precautions, rough handling of residents, and lack of dignity and respect. Interviews with staff and residents revealed mixed reports on shower schedules and laundry, but no conclusive evidence of violations. The COVID outbreak was confirmed, but infection control measures were in place. Allegations of rough handling and disrespect were denied by staff and residents. The findings were unsubstantiated or unfounded.
Report Facts
Capacity: 220
Census: 130
Staff interviewed: 6
Residents interviewed: 9
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Alex Baisu | Executive Director | Met with Licensing Program Analysts during the investigation |
| Beena Kumar | Administrator | Facility administrator named in the report |
| Valentine Mathangani | Health & Wellness Director III | Received a copy of the report |
| Christine Dolores | Licensing Program Analyst | Conducted the complaint investigation |
| Sarah Yip | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 119
Capacity: 220
Deficiencies: 0
May 16, 2024
Visit Reason
The inspection was conducted as an unannounced complaint investigation following a complaint received on 2024-03-13 alleging that the licensee was charging a resident for services not provided.
Findings
The investigation found that the resident was admitted to a skilled nursing facility and did not return to the facility. The facility reimbursed the resident for care services after 14 days of absence as per the Admission Agreement. The allegation was found to be unfounded with no deficiencies cited.
Complaint Details
The complaint alleged that the licensee was charging a resident for services not provided while the resident was hospitalized and admitted to a skilled nursing facility. The investigation included interviews with facility staff and the resident's spouse, and review of billing and admission agreements. The allegation was determined to be unfounded.
Report Facts
Capacity: 220
Census: 119
Dates of charges: 4
Dates of credits: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Simranjit Rai | Licensing Program Analyst | Conducted the complaint investigation and interviews |
| Valentine Mathangani | Health and Wellness Director | Met with during the investigation and exit interview |
| Alex Baisu | AED | Interviewed during the investigation regarding resident billing |
Inspection Report
Complaint Investigation
Census: 119
Capacity: 220
Deficiencies: 0
May 16, 2024
Visit Reason
The inspection was conducted as an unannounced complaint investigation following an allegation that facility staff coerced a resident to pay for additional services related to medication management.
Findings
The investigation found the allegation to be unfounded after interviews and record reviews showed the resident was not capable of managing their own medication and the charges for medication management were appropriate and not coerced.
Complaint Details
The complaint alleged that facility staff coerced resident R1 to pay for medication administration when R1 was able to manage medication. The investigation included interviews with staff and the resident, and review of physician reports and medication assessments. The allegation was found to be unfounded.
Report Facts
Capacity: 220
Census: 119
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Simranjit Rai | Licensing Program Analyst | Conducted the complaint investigation |
| Valentine Mathangani | Health and Wellness Director | Interviewed during the investigation and exit interview |
| Beena Kumar | Administrator | Facility administrator named in report header |
| Romeo Manzano | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 126
Capacity: 220
Deficiencies: 0
May 3, 2024
Visit Reason
An unannounced case management-incident visit was conducted regarding a SOC341 report received by the Department alleging psychological abuse by staff.
Findings
The Licensing Program Analyst conducted interviews and requested documentation related to the allegations. The incident requires further investigation and the report was reviewed with the facility administrator.
Complaint Details
The complaint involved allegations of psychological abuse from staff S1-S4 reported on April 30, 2024. The investigation included interviews with resident R1 and the administrator, and requests for staff licensing and training documents, videos, and resident medical and service records.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Manuel Monter | Licensing Program Analyst | Conducted the unannounced case management-incident visit and investigation. |
| Momo Duoa | Administrator | Met with Licensing Program Analyst during the visit and reviewed the report. |
| Beena Kumar | Administrator/Director | Named as facility administrator/director in the report header. |
Inspection Report
Complaint Investigation
Census: 129
Capacity: 220
Deficiencies: 0
Apr 24, 2024
Visit Reason
An unannounced complaint investigation was conducted in response to a complaint received on 2021-01-05 alleging that staff were not meeting residents' care needs and that a resident was not administered medication as prescribed.
Findings
The investigation included interviews and record reviews, but there was insufficient evidence to substantiate the allegations. No deficiencies were cited during the visit.
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
Complaint Control Number: 26-AS-20210105093442
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Grace Donato | Licensing Program Analyst | Conducted the complaint investigation and inspection. |
| Momo Duoa | Executive Director | Met with Licensing Program Analyst during the inspection. |
| Paul Harrison | Administrator | Named as facility administrator. |
| Jackie Jin | Licensing Program Manager | Named in report header. |
Inspection Report
Complaint Investigation
Census: 121
Capacity: 220
Deficiencies: 0
Apr 2, 2024
Visit Reason
An unannounced complaint investigation was conducted based on a complaint received on 2021-03-08 alleging improper staff training, understaffing, and failure to follow doctor's orders.
Findings
The investigation found no preponderance of evidence to substantiate the allegations. No deficiencies were cited during the visit, and the allegations were deemed unsubstantiated at this time.
Complaint Details
The complaint alleged that facility staff had not been trained properly, the facility was understaffed, and staff was not following doctor's orders. The investigation was unable to prove these allegations, resulting in an unsubstantiated finding.
Report Facts
Complaint received date: Mar 8, 2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Grace Donato | Licensing Program Analyst | Conducted the complaint investigation |
| Alex Baiasu | Associate Executive Director | Met with Licensing Program Analyst during the visit |
| Paul Harrison | Administrator | Facility administrator named in report header |
| Jackie Jin | Licensing Program Manager | Named in report |
Inspection Report
Complaint Investigation
Census: 121
Capacity: 220
Deficiencies: 0
Mar 20, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit conducted to investigate allegations received on 2023-12-11 regarding COVID mitigation protocol noncompliance, unsanitary kitchen conditions, pest presence, and retention of a resident with a prohibited health condition.
Findings
The investigation found that the allegations regarding COVID mitigation, kitchen sanitation, and pest presence were unsubstantiated or unfounded based on staff interviews, observations, and record reviews. No deficiencies were cited. The allegation about retaining a resident with a prohibited health condition (active MRSA) was also unfounded.
Complaint Details
The complaint included allegations that the facility did not follow COVID mitigation prevention protocols, staff did not maintain the kitchen in a clean and sanitary condition, staff did not ensure the facility was free of pests, and staff retained a resident with a prohibited health condition (active MRSA). The investigation concluded these allegations were unsubstantiated or unfounded.
Report Facts
Staff interviewed: 7
Extermination services dates: Extermination services were conducted on 2023-11-07 and 2023-12-05 with no pest activity found
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Simranjit Rai | Licensing Program Analyst | Conducted the complaint investigation visit |
| Alex Baiasu | Associate Executive Director | Met with Licensing Program Analyst during the investigation |
| Beena Kumar | Administrator | Facility administrator mentioned in the report |
| Romeo Manzano | Licensing Program Manager | Named as Licensing Program Manager on the report |
| Health and Wellness Director | Interviewed regarding COVID-19 procedures and resident health conditions | |
| Executive Head Chef | Interviewed regarding kitchen cleaning schedules |
Inspection Report
Complaint Investigation
Census: 121
Capacity: 220
Deficiencies: 0
Mar 20, 2024
Visit Reason
The inspection visit was conducted to investigate a complaint received on 2023-12-15 alleging that the facility did not monitor a resident's declining health condition.
Findings
The investigation found that the allegations were unfounded. The resident was monitored daily for changes in condition, medication administration, and concerns. Staff interviews and record reviews supported that the facility appropriately monitored the resident until hospital transport.
Complaint Details
The complaint alleged failure to monitor a resident's declining health condition. The investigation included interviews with staff and review of resident records. The complaint was determined to be unfounded, meaning the allegations were false or without reasonable basis.
Report Facts
Capacity: 220
Census: 121
Staff interviewed: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Simranjit Rai | Licensing Program Analyst | Conducted the complaint investigation visit |
| Alex Baiasu | Associate Executive Director | Met with Licensing Program Analyst during the investigation |
| Beena Kumar | Administrator | Facility administrator involved in exit interview |
| Romeo Manzano | Licensing Program Manager | Oversaw the complaint investigation |
Inspection Report
Complaint Investigation
Census: 125
Capacity: 220
Deficiencies: 0
Nov 3, 2023
Visit Reason
The visit was an unannounced complaint investigation conducted in response to a complaint received on 2023-10-25 alleging that staff did not ensure the facility was free of pests.
Findings
The investigation included interviews, record reviews, and observations. The facility had a pest control contract with frequent service visits. Although mice droppings were found in three resident apartments on 2023-08-15, the pest control company applied measures to terminate the pests and the droppings were cleaned. The allegation was determined to be unsubstantiated due to insufficient evidence.
Complaint Details
The complaint alleged that staff did not ensure the facility was free of pests. The investigation found no preponderance of evidence to prove the alleged violation occurred, resulting in an unsubstantiated finding.
Report Facts
Pest control service dates: 8
Resident apartments with mice droppings: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Christine Dolores | Licensing Program Analyst | Conducted the complaint investigation |
| Alex Baiasu | Associate Executive Director | Met with Licensing Program Analyst during investigation and reviewed report |
| Beena Kumar | Administrator | Facility administrator named in report header |
| Sarah Yip | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 120
Capacity: 220
Deficiencies: 0
Oct 19, 2023
Visit Reason
The inspection was conducted as an unannounced complaint investigation following an allegation that staff admitted a resident with prohibited health conditions.
Findings
The investigation found the allegation to be unfounded based on interviews, observations, and document reviews. The resident was assessed and cleared to return to the facility, and their condition improved before moving to a higher level of care.
Complaint Details
The complaint alleged that staff admitted a resident with prohibited health conditions. The allegation was found to be unfounded with no preponderance of evidence to support it.
Report Facts
Facility capacity: 220
Resident census: 120
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Chihhsien Chang | Evaluator / Licensing Program Analyst | Conducted the complaint investigation |
| Dimple Kamdar | Operation Specialist/Interim Executive Director | Met with investigators during the visit |
| Beena Kumar | Administrator | Facility administrator named in report header |
| Steve Chang | Licensing Program Analyst | Conducted investigation visit |
| Maria Partoza | Licensing Program Analyst | Conducted investigation visit |
Inspection Report
Complaint Investigation
Capacity: 220
Deficiencies: 0
Jun 20, 2023
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations that unqualified staff administered medications to residents and that the facility did not provide food of adequate quality and quantity to meet residents' needs.
Findings
The investigation found no preponderance of evidence to substantiate the allegations. Interviews with staff and residents did not confirm unqualified medication administration, and residents generally reported adequate food quantity and quality. No deficiencies were cited during this visit.
Complaint Details
The complaint was unsubstantiated based on interviews with 10 staff members and 8 residents, medication audits, and record reviews. Residents and staff did not confirm the allegations, and no violations were found.
Report Facts
Staff interviewed: 10
Residents interviewed: 8
Facility capacity: 220
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ryker Heberle | Licensing Program Analyst | Conducted the complaint investigation visit and delivered findings |
| Beena Kumar | Administrator | Facility administrator met during investigation and reviewed report |
| Sarah Yip | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 127
Capacity: 220
Deficiencies: 1
Jun 20, 2023
Visit Reason
An unannounced complaint investigation was conducted regarding an allegation that staff did not inform residents when food was delivered.
Findings
The investigation found that the facility did not ensure a resident was aware of breakfast delivery, which posed a potential risk to resident health and safety. The allegation was substantiated based on observations and interviews.
Complaint Details
The complaint was substantiated based on observations and interviews. The allegation was that staff did not inform residents when food was delivered.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility did not ensure resident was aware of breakfast delivery, violating General Food Service Requirements. | Type B |
Report Facts
Deficiency Type B: 1
Capacity: 220
Census: 127
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ryker Heberle | Licensing Program Analyst | Conducted the complaint investigation and authored the report. |
| Beena Kumar | Administrator | Facility administrator met with the Licensing Program Analyst during the investigation. |
| Sarah Yip | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation. |
| Elizabeth Reynaga | Business Office Manager | Confirmed food delivery process during resident interviews. |
Inspection Report
Complaint Investigation
Census: 118
Capacity: 220
Deficiencies: 0
May 3, 2023
Visit Reason
An unannounced complaint investigation was conducted in response to allegations including failure to prevent the spread of a stomach virus, rodent infestation, dishwasher disrepair, and inadequate food service for residents.
Findings
The investigation found no evidence to substantiate the allegations. The dishwasher was repaired promptly, no rodent infestation was observed, and infection control practices were largely followed with minor suggestions implemented. Resident and staff interviews supported these findings.
Complaint Details
The complaint investigation was unsubstantiated based on observations, interviews, and records review. Although some concerns were noted, there was insufficient evidence to prove violations occurred.
Report Facts
Residents interviewed: 10
Staff interviewed: 7
Days dishwasher non-operational: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ryker Heberle | Licensing Program Analyst | Conducted the complaint investigation |
| Jayden Bettencourt | Assistant Executive Director | Facility representative met during investigation |
| Dimple Kamdar | Administrator | Facility administrator named in report header |
| Sarah Yip | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 118
Capacity: 220
Deficiencies: 0
May 3, 2023
Visit Reason
An unannounced complaint investigation was conducted in response to allegations regarding medication mismanagement, inappropriate staff communication, and unmet resident toileting and showering needs.
Findings
The investigation found no evidence of medication mismanagement or inappropriate staff behavior towards residents. Residents reported satisfaction with assistance for daily living needs, including showering. One resident reported a delayed response for bathroom assistance, but this could not be verified.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included medication mismanagement, inappropriate staff communication, and unmet toileting and showering needs. Interviews, record reviews, and observations did not substantiate these claims.
Report Facts
Residents interviewed: 10
Staff interviewed: 9
Resident records reviewed: 6
Medication drawers inspected: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ryker Heberle | Licensing Program Analyst | Conducted the complaint investigation |
| Jayden Bettencourt | Assistant Executive Director | Facility representative met during investigation |
| Paul Harrison | Administrator | Facility administrator named in report header |
| Sarah Yip | Licensing Program Manager | Named as Licensing Program Manager overseeing investigation |
Inspection Report
Annual Inspection
Census: 135
Capacity: 220
Deficiencies: 0
Aug 9, 2022
Visit Reason
An unannounced annual inspection was conducted as a required one-year visit to evaluate the facility's compliance with regulations.
Findings
The facility was found to be clean, well maintained, and compliant with infection control measures including COVID-19 protocols. No deficiencies were cited during the inspection.
Report Facts
COVID-19 vaccination rate for residents: 90
COVID-19 vaccination rate for staff: 100
Facility capacity: 220
Facility census: 135
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dimple Kamdar | Interim Administrator | Met with Licensing Program Analyst during inspection |
| Ryker Heberle | Licensing Program Analyst | Conducted the unannounced annual inspection |
| Sarah Yip | Licensing Program Manager | Named in report header |
Inspection Report
Complaint Investigation
Census: 141
Capacity: 220
Deficiencies: 0
Apr 15, 2022
Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that facility staff failed to give resident medication as prescribed.
Findings
Based on interviews with staff and residents, and review of medication records, the allegation was found to be unsubstantiated. Most residents received medications on time, with one noted 24-hour delay in administering antibiotics, which was not required to be immediate per doctor's order or facility policy.
Complaint Details
The complaint alleged failure to give resident medication as prescribed. The investigation included interviews with staff and residents, and review of Medication Administration Records and Medication Delivery Logs. The allegation was determined to be unsubstantiated due to insufficient evidence of violation.
Report Facts
Staff interviewed: 9
Residents interviewed: 6
Medication Administration Records reviewed: 9
Residents receiving medications on time: 8
Residents receiving medications late: 1
Facility capacity: 220
Census: 141
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ryker Heberle | Licensing Program Analyst | Conducted the complaint investigation and delivered findings. |
| Robert Alverado | Interim Executive Director | Spoke with Licensing Program Analyst during investigation and reviewed report. |
| Christine Montelaro | Business Operation Manager | Signed the report and approved on behalf of Interim Executive Director. |
| Sarah Yip | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation. |
Inspection Report
Monitoring
Census: 141
Capacity: 220
Deficiencies: 1
Apr 15, 2022
Visit Reason
An unannounced site inspection was conducted to ensure the facility had implemented all recommended COVID-19 precautions from previous Department visits and a recent HAI inspection.
Findings
The inspection found that the facility had generally implemented COVID-19 precautions including N95 respirator ordering and fit testing, mask wearing by residents, social distancing, and PPE signage, although some issues were noted such as missing N95 masks in one isolation room, incomplete reporting of COVID-19 outbreaks to licensing within 24 hours, and outdated booster vaccination statistics.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to report COVID positive residents and staff to licensing within 24 hours, posing an immediate health, safety, or personal rights risk to persons in care. | Type A |
Report Facts
Census: 141
Total Capacity: 220
Deficiencies cited: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ryker Heberle | Licensing Program Analyst | Conducted the inspection and authored the report |
| Christine Montelaro | Business Operations Manager | Met with Licensing Program Analyst during inspection |
| Patricia Olvera | Business Operations Manager | Met with Licensing Program Analyst during inspection |
| Robert Alverado | Interim Executive Director | Attended inspection telephonically and confirmed N95 ordering |
| Kim La Force | Medication and Wellness Director | Provided information on isolation room cleaning and PPE donning/doffing |
Inspection Report
Monitoring
Census: 130
Capacity: 220
Deficiencies: 0
Apr 9, 2022
Visit Reason
The visit was conducted in response to a recent COVID-19 outbreak among residents to assess the facility's compliance with COVID-19 mitigation plans.
Findings
The facility was found not to be following the COVID-19 mitigation plan effectively, with issues such as lack of social distancing in the dining hall, insufficient PPE supplies, absence of precautionary signage, and inadequate staff break area separation. Multiple recommendations were made to improve infection control practices.
Report Facts
Capacity: 220
Census: 130
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Christine Montelaro | Business Office Manager | Met with Licensing Program Analyst and Manager during the inspection and reviewed the report |
| Ryker Heberle | Licensing Program Analyst | Conducted the facility tour and inspection |
| Sarah Yip | Licensing Program Manager | Conducted the facility tour and inspection |
Inspection Report
Annual Inspection
Census: 134
Capacity: 220
Deficiencies: 0
Aug 25, 2021
Visit Reason
An unannounced annual inspection was conducted as a required one-year visit to evaluate the facility's compliance with regulations.
Findings
The inspection found no deficiencies. The facility was observed to be following COVID-19 safety protocols, including vaccination rates, PPE availability, and visitor policies.
Report Facts
COVID-19 vaccination rate for residents: 76.9
COVID-19 vaccination rate for staff: 54.6
Facility water temperature range: 113.7
Facility water temperature range: 119.6
Facility temperature range: 71
Facility temperature range: 85
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Nicole Bacon | Executive Director | Met with Licensing Program Analyst during inspection |
| Junior Zavala | Maintenance Director | Accompanied Licensing Program Analyst during facility tour |
| Ryker Heberle | Licensing Program Analyst | Conducted the inspection |
| Sarah Yip | Licensing Program Manager | Named in report header |
Inspection Report
Complaint Investigation
Census: 132
Capacity: 220
Deficiencies: 0
Jul 8, 2021
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 09/17/2020 regarding neglect to assess a resident's injury, failure to ensure residents were fed, and staff not answering the facility telephone.
Findings
The investigation included interviews with 11 residents and 7 staff, review of records, and telephone calls to the facility. The allegations were found to be unsubstantiated or unfounded due to lack of preponderance of evidence. No deficiencies were cited.
Complaint Details
The complaint involved multiple allegations: neglect to assess a resident's injury, failure to feed residents during care, and staff not answering the facility telephone. The investigation found that residents were fed during evacuation, staff responded to the resident's injury with first aid and arranged home health care, and staff answered telephone calls. The allegations were determined to be unsubstantiated or unfounded.
Report Facts
Residents interviewed: 11
Staff interviewed: 7
Complaint received date: Sep 17, 2020
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| David Marrufo | Licensing Program Analyst | Conducted the unannounced complaint investigation visit |
| Nicole Bacon | Facility representative met during the investigation | |
| Paul Harrison | Administrator | Facility administrator named in the report |
| Jackie Jin | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
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