Inspection Report
Follow-Up
Census: 154
Capacity: 200
Deficiencies: 0
Jul 31, 2025
Visit Reason
The visit was conducted as a case management follow-up on an incident reported on 2025-05-01 involving a resident who alleged being pushed by a staff member and having a bruise.
Findings
The internal investigation and review of the Fall Detection System footage showed the resident fell after approaching the staff member and was assisted back up by the staff. Police reviewed the footage and had no concerns. No deficiencies were cited during this visit.
Complaint Details
The visit was triggered by a complaint alleging that a staff member pushed a resident, resulting in a bruise. The complaint was investigated internally and by police, with no concerns found.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Eric Hostetter | Executive Director/Administrator | Met during the visit and involved in the internal investigation of the incident. |
| Sommer Hayes | Licensing Program Analyst | Conducted the case management visit. |
| Arvin Villanueva | Licensing Program Analyst | Conducted the case management visit. |
Inspection Report
Annual Inspection
Census: 150
Capacity: 200
Deficiencies: 0
May 22, 2025
Visit Reason
The visit was an unannounced required annual inspection conducted by Licensing Program Analysts to verify compliance with Title 22 regulations and assess the facility's operations and safety.
Findings
The facility was found to be in compliance with regulations, with clean and well-maintained resident units, secure medication storage, adequate food supply, and proper safety equipment. No deficiencies were cited during this inspection.
Report Facts
Hospice residents approved: 10
Bedridden residents approved: 10
Resident units observed: 10
Water temperature: 114
Water temperature: 115
Room temperature: 72
Room temperature: 73
Resident files reviewed: 10
Staff files reviewed: 10
Last disaster drill date: May 21, 2025
Last fire inspection date: Mar 7, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Eric Hostetter | Executive Director/Administrator | Met with Licensing Program Analysts during inspection and provided facility information |
| Arvin Villanueva | Licensing Program Analyst | Conducted the inspection visit |
| Sommer Hayes | Licensing Program Analyst | Conducted the inspection visit |
| Stephen Richardson | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 143
Capacity: 200
Deficiencies: 0
Feb 19, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations including missed medications, untimely medication administration, and residents being charged for services not rendered.
Findings
The investigation found no substantiated deficiencies. Interviews and record reviews showed that medications were administered as prescribed, charges for services were consistent with signed agreements, and the allegations were unfounded.
Complaint Details
The complaint investigation was conducted following allegations of missed medications, untimely medication administration, and improper charges to residents. The findings were determined to be unfounded, meaning the allegations were false or without reasonable basis.
Report Facts
Facility census: 143
Facility capacity: 200
Charge occurrences: 41
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Viarella | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Eric Hostetter | Administrator | Met with Licensing Program Analyst during the investigation |
| Stephen Richardson | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Census: 138
Capacity: 200
Deficiencies: 0
Apr 23, 2024
Visit Reason
The visit was an unannounced case management - incident inspection to review five incident reports submitted by the facility, including falls and an incident between two residents.
Findings
The Licensing Program Analyst reviewed the incident reports and supportive documentation and found no health, safety, or personal rights violations.
Report Facts
Incident reports reviewed: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Eric Hostetter | Administrator | Met with Licensing Program Analyst to discuss incident reports |
| Christina Valerio | Licensing Program Analyst | Conducted the case management - incident visit |
Inspection Report
Annual Inspection
Census: 138
Capacity: 200
Deficiencies: 0
Apr 23, 2024
Visit Reason
An unannounced annual required inspection was conducted to ensure compliance with Title 22 regulations at the facility.
Findings
The facility was found to be clean, well-maintained, and in compliance with all regulatory requirements. No deficiencies were observed during the visit, and staff interactions with residents were positive and supportive.
Report Facts
Fire drill dates: Last fire drills conducted on 03/18/2024 and 04/12/2024
Fire extinguisher maintenance date: Annual maintenance date of 11/29/2023
Hot water temperature: 114.4
Resident files reviewed: 13
Staff files reviewed: 4
Staff observed during tour: 3
Residents observed during tour: 13
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Eric Hostetter | Administrator | Met with Licensing Program Analyst during inspection and participated in facility tour |
| Christina Valerio | Licensing Program Analyst | Conducted the annual inspection and authored the report |
| Stephen Richardson | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 143
Capacity: 200
Deficiencies: 0
Dec 26, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2023-11-05 regarding a resident left unattended without staff supervision resulting in a hospital visit.
Findings
The investigation included interviews, video review, and record examination. The allegation that a resident was left unattended resulting in hospitalization was unsubstantiated due to insufficient evidence. No deficiencies were cited. Another allegation that the facility did not report the incident to the Department was found to be unfounded as the facility did submit the required report.
Complaint Details
The complaint alleged that a resident was left unattended without staff supervision resulting in a hospital visit. The investigation found conflicting resident statements about the fall date, reviewed video footage and facility records, and concluded there was no preponderance of evidence to substantiate the allegation. The complaint was unsubstantiated. A second allegation that the facility failed to report the incident was found to be unfounded.
Report Facts
Capacity: 200
Census: 143
Incident date: Sep 24, 2023
Date complaint received: Nov 5, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Christina Valerio | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Eric Hostetter | Administrator | Facility administrator involved in incident reporting and referenced in investigation |
| Misty Veloz | Designated staff person met during the investigation |
Inspection Report
Census: 143
Capacity: 200
Deficiencies: 0
Dec 26, 2023
Visit Reason
The visit was an unannounced case management follow-up on an incident report submitted regarding a resident who was found on the bathroom floor and subsequently hospitalized with a fractured hip.
Findings
No deficiencies were cited during the visit. The Licensing Program Analyst requested additional documentation related to the incident and confirmed the resident had prior health conditions and was on hospice before passing away.
Report Facts
Capacity: 200
Census: 143
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Misty Veloz | Resident Services Director | Submitted the unusual incident/injury report and met with the Licensing Program Analyst during the visit |
| Christina Valerio | Licensing Program Analyst | Conducted the unannounced case management visit |
| Stephen Richardson | Licensing Program Manager | Named in the report header |
Inspection Report
Complaint Investigation
Census: 133
Capacity: 200
Deficiencies: 0
Oct 31, 2023
Visit Reason
Unannounced complaint investigation visit conducted due to an allegation of staff stealing residents' personal belongings.
Findings
The investigation included interviews with staff, residents, and a family member, and review of Theft and Loss Records. There was no preponderance of evidence to prove the allegation, and it was determined to be unsubstantiated with no deficiencies cited.
Complaint Details
Allegation of staff stealing residents' personal belongings was investigated and found unsubstantiated based on interviews and records review.
Report Facts
Reports filed: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Christina Valerio | Licensing Program Analyst | Conducted the complaint investigation |
| Eric Hostetter | Administrator | Facility administrator met during investigation |
| Stephen Richardson | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Annual Inspection
Census: 127
Capacity: 200
Deficiencies: 0
Apr 20, 2023
Visit Reason
Unannounced Required 1 Year Annual Inspection Visit conducted to evaluate compliance with licensing regulations and facility conditions.
Findings
The inspection found no health or safety concerns, with all areas including physical plant, medication storage, food supplies, and emergency equipment in good repair. Staff records and training were verified and found compliant.
Report Facts
Hospice residents: 1
Memory Care residents: 10
Hot water temperature: 112.5
Facility temperature: 73
Emergency food kits: 200
Fire extinguisher expiration: Nov 9, 2023
Staff files reviewed: 4
Resident files reviewed: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Eric Hostetter | Administrator | Met during inspection and named in report |
| Ruth Wallace | Licensing Program Analyst | Conducted inspection and signed report |
| Stephen Richardson | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Annual Inspection
Census: 88
Capacity: 200
Deficiencies: 0
Apr 18, 2022
Visit Reason
The inspection was a required unannounced 1 Year Annual Inspection Visit conducted to evaluate compliance with licensing regulations and ensure health and safety standards were met.
Findings
The facility was found to be in compliance with no violations cited during the visit. The inspection included review of COVID-19 mitigation measures, physical plant conditions, medication storage, food supplies, staff and resident files, and safety equipment.
Report Facts
Hospice residents: 2
Memory Care residents: 10
Resident files reviewed: 14
Staff files reviewed: 10
Emergency food kits capacity: 200
Fire extinguisher expiration date: Nov 18, 2022
Hot water temperature: 111.9
Facility temperature: 73
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Eric Hostetter | Administrator | Met with Licensing Program Analyst during inspection and assisted with the visit |
| Ruth Wallace | Licensing Program Analyst | Conducted the inspection visit |
| Stephen Richardson | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Original Licensing
Capacity: 200
Deficiencies: 0
May 27, 2021
Visit Reason
The visit was a pre-licensing inspection conducted to evaluate the facility's readiness for licensing and to ensure compliance with health and safety regulations.
Findings
The facility was found to be in compliance with no violations cited during the pre-licensing inspection. All areas including physical plant, food storage, medication storage, and safety equipment were inspected and found to be in good repair.
Report Facts
Hot water temperature: 117.5
Facility temperature: 71
Capacity: 200
Census: 0
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Eric Hostetter | Administrator | Facility designated Administrator who assisted with the inspection and holds a current certificate |
Loading inspection reports...



