Deficiencies (last 5 years)
Deficiencies (over 5 years)
0 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
Same as California average
California average: 4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Occupancy
Latest occupancy rate
67% occupied
Based on a September 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Annual Inspection
Census: 4
Capacity: 6
Deficiencies: 0
Date: Sep 23, 2025
Visit Reason
The inspection was an unannounced required annual inspection conducted by the Licensing Program Analyst to assess compliance with licensing requirements for the Residential Care Facility for the Elderly.
Findings
The facility was found to be in compliance with all applicable regulations with no deficiencies cited. The environment was safe and hazard-free, resident rooms and bathrooms were properly equipped, and all required documentation and staff clearances were current.
Report Facts
Administrator certificate expiration: Nov 21, 2025
Hot water temperature range: 108.1-108.8
Food supply duration: 2
Food supply duration: 7
Fire extinguisher service date: May 9, 2025
Emergency food and water supply duration: 3
Number of resident bedrooms: 4
Number of staff files reviewed: 3
Number of resident files reviewed: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Brandon Lopez | Licensing Program Analyst | Conducted the inspection and authored the report |
| Juana Gonzalez | Supervisor | Met with Licensing Program Analyst during inspection |
| Shimon Cagan | Administrator | Administrator with valid certificate noted during inspection |
Inspection Report
Annual Inspection
Census: 3
Capacity: 6
Deficiencies: 0
Date: Oct 16, 2024
Visit Reason
Licensing Program Analysts conducted an unannounced visit to complete a Required 1 Year inspection of the Residential Care Facility for the Elderly.
Findings
The facility was found to be in good condition with no deficiencies noted. Safety equipment and fire drills were up to date, resident rooms and common areas were well maintained, and all staff and client files contained required documentation.
Report Facts
Fire extinguisher last inspection date: Mar 12, 2024
Fire drill last conducted: Sep 9, 2024
Administrator certificate expiration: Nov 21, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Shimon Cagan | Administrator | Met with Licensing Program Analysts during inspection |
| Anna Vazquez | Caregiver | Greeted Licensing Program Analysts and granted entry |
| Samer Haddadin | Licensing Evaluator | Conducted the inspection and signed the report |
| Lydia Martinez | Licensing Program Analyst | Conducted the inspection |
| Alisa Ortiz | Supervisor | Supervisor overseeing the inspection |
Inspection Report
Complaint Investigation
Census: 6
Capacity: 6
Deficiencies: 0
Date: Mar 2, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2022-05-24 alleging that a resident received injuries due to lack of supervision.
Complaint Details
The complaint alleged that a resident received injuries while in care due to lack of supervision. The investigation included interviews with staff and review of documentation. The allegation was unsubstantiated.
Findings
The investigation found no evidence to substantiate the allegation of neglect or lack of supervision. The allegation was deemed unsubstantiated as there was insufficient evidence to prove the violation occurred.
Report Facts
Capacity: 6
Census: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michelle Reed | Licensing Program Analyst | Investigator who conducted the complaint investigation |
| Shimon Cagan | Facility representative interviewed during investigation | |
| Bonnie Curkin | Administrator | Facility administrator named in the report |
| Sheila Santos | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 0
Date: Oct 14, 2022
Visit Reason
Licensing Program Analyst Edward Tapia conducted an unannounced required annual inspection of the facility to evaluate compliance with licensing requirements.
Findings
The facility was found to be in good repair with no deficiencies noted. Safety equipment, resident rooms, kitchen, and exterior areas met regulatory standards. COVID-19 mitigation and emergency plans were reviewed and found adequate.
Report Facts
Capacity: 6
Census: 5
Hot water temperature: 114
Food supply: 2
Food supply: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Edward Tapia | Licensing Program Analyst | Conducted the inspection and evaluation |
| Seth Curkin | Administrator | Facility administrator met with the Licensing Program Analyst during inspection |
Inspection Report
Annual Inspection
Census: 4
Capacity: 6
Deficiencies: 0
Date: Oct 6, 2021
Visit Reason
Licensing Program Analyst Michelle Reed made an unannounced visit to conduct an Annual visit focused on Infection Control.
Findings
The facility was found to be in compliance with no deficiencies noted. Infection control measures including signage, PPE supply, social distancing, and emergency plans were observed and deemed adequate.
Report Facts
Administrator Certificate Expiration: Aug 21, 2022
Administrator Certificate Expiration: Oct 11, 2022
PPE supply duration: 30
Medication supply duration: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michelle Reed | Licensing Program Analyst | Conducted the inspection visit |
| Seth Curkin | Administrator | Facility Administrator present during inspection |
| Juanita Gonzalez | Staff | Met with Licensing Program Analyst during inspection |
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