Inspection Report Summary
Most inspections found no deficiencies, with the facility consistently maintaining clean, safe, and well-maintained conditions. The most recent report from August 6, 2025, was a complaint investigation that found the allegation of inadequate staffing unsubstantiated, confirming sufficient staff were available to meet residents’ needs. One complaint investigation in July 2021 was substantiated when a staff member was found to have caused bruising to a resident, resulting in staff termination and an immediate risk to resident safety. Aside from that isolated incident, other complaint investigations, including one in January 2023 alleging physical abuse, were unsubstantiated. The facility’s record shows improvement and stability, with no deficiencies cited in recent annual inspections.
Deficiencies per Year
4
3
2
1
0
High
Census Over Time
Census
Capacity
Inspection Report
Complaint Investigation
Census: 40
Capacity: 60
Deficiencies: 0
Aug 6, 2025
Visit Reason
The visit was an unannounced complaint investigation conducted in response to a complaint received on 2024-10-15 alleging that the facility does not have adequate staff to meet residents' needs.
Findings
Based on interviews, record review, and observations, the allegation that the facility does not have adequate staff to meet residents' needs was deemed unsubstantiated. Evidence showed sufficient staff were scheduled and available to provide adequate care and supervision.
Complaint Details
The complaint alleged inadequate staffing causing residents to wait more than 30 minutes for staff assistance. The allegation was investigated through interviews with the administrator, executive director, staff, and residents, as well as review of staffing records and schedules. The allegation was found unsubstantiated due to insufficient evidence to support it.
Report Facts
Capacity: 60
Census: 40
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Theresa M. Ward | Administrator | Interviewed regarding staffing allegation |
| Juanita Jackson | Executive Director | Interviewed disputing the staffing allegation |
| Venus Mixson | Licensing Program Analyst | Conducted the complaint investigation |
| Jazmond D Harris | Licensing Program Manager | Oversaw the complaint investigation |
Inspection Report
Annual Inspection
Census: 44
Capacity: 60
Deficiencies: 0
Nov 26, 2024
Visit Reason
An unannounced annual required visit was conducted to evaluate the facility's compliance with licensing requirements.
Findings
The facility was found to be clean, well-maintained, and compliant with all regulatory requirements. No deficiencies were cited during the inspection.
Report Facts
Food supply duration: 2
Food supply duration: 7
Fire extinguisher inspection date: Nov 7, 2024
Last fire drill date: 202410
Last sprinkler system inspection date: Mar 29, 2024
Staff files reviewed: 4
Resident files reviewed: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Juanita Jackson | Associate Executive Director | Met during inspection and received exit interview |
| Sara Martinez | Licensing Program Analyst | Conducted the inspection |
| Tricia Danielson | Licensing Program Manager | Named in report header |
Inspection Report
Annual Inspection
Census: 45
Capacity: 60
Deficiencies: 0
Nov 9, 2023
Visit Reason
The inspection was an unannounced annual inspection conducted by the Licensing Program Analyst to evaluate the facility's compliance with regulatory standards.
Findings
The facility was found to be in good repair, operating within approved capacity, and maintaining safe and sanitary conditions. No deficiencies were cited during the visit.
Report Facts
Capacity: 60
Census: 45
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Theresa Ward | Executive Director | Met with Licensing Program Analyst during inspection |
| Juanita Jackson | Associate Executive Director | Met with Licensing Program Analyst and toured Assisted Living and Memory Care Unit |
| Parminder Singh | Health & Wellness Director | Met with Licensing Program Analyst during inspection |
Inspection Report
Complaint Investigation
Census: 45
Capacity: 60
Deficiencies: 0
Jan 20, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2023-01-06 alleging that a resident was physically abused while in care.
Findings
The investigation found that Resident One was yelling to leave the facility and was being hit by Resident Two. Caregivers intervened and redirected both residents. No injuries were reported and no hospital treatment was needed. The allegation was found to be unsubstantiated due to lack of preponderance of evidence.
Complaint Details
The complaint alleged physical abuse of a resident. The allegation was investigated and found to be unsubstantiated as caregivers diffused the situation and no injury occurred.
Report Facts
Capacity: 60
Census: 45
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jesse Gardner | Licensing Program Analyst | Conducted the complaint investigation and unannounced visit |
| Logan Harrison | Associate Executive Director | Met with the Licensing Program Analyst during the investigation |
| Deborah Mullen | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Annual Inspection
Census: 20
Capacity: 60
Deficiencies: 0
Nov 8, 2021
Visit Reason
Licensing Program Analysts conducted an unannounced annual inspection focused on infection control at the facility.
Findings
The facility was found to have adequate infection control measures in place, including Covid-19 postings, hand hygiene supplies, daily resident monitoring, and cleaning protocols. No deficiencies were cited during the inspection.
Report Facts
Staff present: 7
Residents present: 20
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Juanita Jackson | Director | Facility Director who greeted Licensing Program Analysts and received the report |
| David Cuevas | Licensing Program Analyst | Conducted the inspection |
| Venus Mixon | Licensing Program Analyst | Conducted the inspection |
| Joel Esquivel | Licensing Program Manager | Named in the report |
Inspection Report
Complaint Investigation
Census: 28
Capacity: 60
Deficiencies: 1
Jul 20, 2021
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that a staff member mishandled a resident resulting in injury.
Findings
The investigation substantiated the allegation that Staff #2 grabbed Resident #1's arm while attempting to retrieve Resident #2's purse, causing bruising to Resident #1's arm. Staff #2 was terminated for violating facility guidelines. The incident posed an immediate health and safety risk to residents.
Complaint Details
The complaint was substantiated based on evidence gathered during the investigation. The allegation that a staff member mishandled a resident resulting in injury was found valid.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| 87468.1 Personal Rights of Residents in All Facilities (a)(3) - Residents were not free from abuse; Staff #2 grabbed Resident #1's arm causing bruises, violating personal rights. | Type A |
Report Facts
Capacity: 60
Census: 28
Deficiency count: 1
Plan of Correction due date: Jul 21, 2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Williams | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Efren Malagon | Licensing Program Manager | Oversaw the complaint investigation |
| Theresa Ward | Facility representative met during the investigation and exit interview | |
| Marian M Soriano | Administrator | Facility administrator named in the report |
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