Inspection Reports for
CalOaks Senior Living
3891 Polk St, Riverside, CA 92505, United States, CA, 92505
Back to Facility ProfileDeficiencies (last 7 years)
Deficiencies (over 7 years)
7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
75% worse than California average
California average: 4 deficiencies/yearDeficiencies per year
24
18
12
6
0
Census
Latest occupancy rate
70% occupied
Based on a February 2026 inspection.
Occupancy over time
Inspection Report
Annual Inspection
Census: 52
Capacity: 74
Deficiencies: 1
Date: Feb 17, 2026
Visit Reason
The visit was an unannounced required comprehensive annual inspection conducted by Licensing Program Analyst Beena Singh to evaluate compliance with licensing requirements at Caloaks Senior Living Facility.
Findings
The facility was generally found to be in compliance with licensing requirements including adequate staffing, proper record keeping, and safety measures. However, a deficiency was cited for the kitchen not being clean and sanitary, posing an immediate health and safety risk to residents.
Deficiencies (1)
Facility kitchen was not clean and sanitary, posing an immediate health, safety or personal rights risk to persons in care.
Report Facts
Residents present: 52
Licensed capacity: 74
Resident files reviewed: 5
Staff files reviewed: 5
Fire/Earthquake drill date: 11062025
Liability insurance valid through: Feb 28, 2026
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Beena Singh | Licensing Program Analyst | Conducted the inspection and signed the report |
| Amelia Aladin | Licensee/Administrator | Facility administrator present during inspection and named in findings |
| Melissa Bridges | LVN/Resident Care Director | Accompanied LPA during inspection and received exit interview |
| Efren Malagon | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 52
Capacity: 74
Deficiencies: 0
Date: Jan 20, 2026
Visit Reason
An unannounced complaint investigation was conducted due to an allegation that lack of staff resulted in an unwitnessed fall and resident sustaining injuries.
Complaint Details
The complaint alleged that due to lack of staff, a resident had an unwitnessed fall resulting in injuries. The allegation was deemed unsubstantiated after investigation.
Findings
The investigation found insufficient evidence to substantiate the allegation. Interviews with residents and staff indicated that staff ensured resident safety and responded promptly to emergencies. No deficiencies were cited during the visit.
Report Facts
Capacity: 74
Census: 52
Staff reports: 4
Resident interviews: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Beena Singh | Licensing Program Analyst | Conducted the complaint investigation |
| Amelia Aladin | Facility Administrator | Facility administrator present during investigation |
| Melissa Bridges | Manager/LVN | Facility representative who met with the investigator |
| Efren Malagon | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 52
Capacity: 74
Deficiencies: 0
Date: Sep 23, 2025
Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation that the licensee was not ensuring that staff follow proper infection control protocols.
Complaint Details
The complaint alleged that the licensee was not ensuring that staff follow proper infection control protocols. The allegation was investigated and found to be unsubstantiated based on staff and resident interviews and facility observations.
Findings
The investigation found that staff were following proper infection control protocols, including disinfecting the facility, isolating residents, enforcing mask and hand hygiene protocols, and quarantining residents when necessary. Eight out of eight residents and five out of five staff denied the allegation. The complaint was deemed unsubstantiated with no deficiencies cited.
Report Facts
Capacity: 74
Census: 52
Staff interviewed: 5
Residents interviewed: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Beena Singh | Licensing Program Analyst | Conducted the complaint investigation and made the unannounced visit |
| Amelia Aladin | Administrator | Facility administrator informed of the visit and present during the investigation |
| Melissa Bridges | LVN | Facility staff met with during the investigation |
Inspection Report
Complaint Investigation
Census: 52
Capacity: 74
Deficiencies: 0
Date: Sep 23, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to a complaint received on 2025-06-18 alleging that staff did not seek timely medical care for a resident, did not provide adequate housekeeping services in a resident's room, and did not disinfect residents' shared shower chair between use.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included failure to seek timely medical care, inadequate housekeeping services, and failure to disinfect shared shower chairs. Staff and residents denied these allegations, and no deficiencies were cited per Title 22, Division 6, California Code of Regulations.
Findings
The investigation included staff and resident interviews, facility tour, and document review. All allegations were found to be unsubstantiated as staff and residents consistently denied the allegations and no deficiencies were cited during the visit.
Report Facts
Capacity: 74
Census: 52
Staff interviewed: 5
Residents interviewed: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Beena Singh | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Amelia Aladin | Administrator | Facility administrator informed of the visit |
| Melissa Bridges | Licensed Vocational Nurse (LVN) | Facility staff member interviewed during investigation |
| Efren Malagon | Supervisor | Supervisor overseeing the licensing evaluation |
Inspection Report
Complaint Investigation
Census: 52
Capacity: 74
Deficiencies: 0
Date: Sep 23, 2025
Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation that the licensee was not ensuring that staff follow proper infection control protocols.
Complaint Details
The complaint alleged that the licensee was not ensuring staff followed proper infection control protocols. The allegation was found unsubstantiated based on interviews and observations during the investigation.
Findings
The investigation included staff and resident interviews and a facility tour. Observations showed that infection control protocols were being followed, including disinfection, resident isolation, mask wearing, and visitor restrictions. The allegation was deemed unsubstantiated with no deficiencies cited.
Report Facts
Residents interviewed: 8
Staff interviewed: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Beena Singh | Licensing Program Analyst | Conducted the complaint investigation and visit |
| Amelia Aladin | Administrator | Facility administrator informed of the visit and present during investigation |
| Melissa Bridges | Licensed Vocational Nurse (LVN) | Facility staff met with during the investigation |
Inspection Report
Complaint Investigation
Census: 51
Capacity: 74
Deficiencies: 0
Date: Jul 21, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations that staff were not properly addressing roaches in the facility and were not preventing residents from smoking inside the facility.
Complaint Details
The complaint investigation was unsubstantiated based on staff and resident interviews and document review. No violations were found related to the allegations of pest control and smoking inside the facility.
Findings
The investigation found that staff and residents reported no evidence of roaches in the facility and confirmed the presence of a monthly pest control maintenance program. Staff and residents also confirmed that residents were not smoking inside the facility and that a designated outdoor smoking area was provided and enforced. Both allegations were deemed unsubstantiated and no deficiencies were cited.
Report Facts
Staff interviewed: 5
Residents interviewed: 10
Capacity: 74
Census: 51
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Beena Singh | Licensing Program Analyst | Conducted the complaint investigation |
| Amelia Aladin | Licensee/Administrator | Facility administrator present during the investigation |
| Melissa Bridges | Facility Resident Care Director | Met with Licensing Program Analyst during investigation |
Inspection Report
Census: 51
Capacity: 74
Deficiencies: 0
Date: Jul 21, 2025
Visit Reason
The inspection visit was an unannounced health and safety check conducted due to a prior incident involving aggressive behavior between residents reported in an Unusual Incident Report.
Findings
No imminent health or safety concerns or hazards were observed during the visit. Staff were observed providing care and supervision, checking residents every 30 minutes, and adequate food supplies were present. The needs of residents appeared to be met.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amelia Aladin | Licensee/Administrator | Named as Licensee/Administrator involved in the visit and discussion of the incident and facility operations. |
| Beena Singh | Licensing Program Analyst | Conducted the unannounced visit and inspection. |
| Efren Malagon | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Follow-Up
Census: 51
Capacity: 74
Deficiencies: 0
Date: Jul 21, 2025
Visit Reason
The visit was an unannounced Case Management - Legal/Non-Compliance inspection conducted to follow-up on the facility’s compliance with Health & Safety Code Section 1569.38 regarding posting of accusation and written notices.
Findings
The Licensing Program Analyst observed that the accusation and written notices were posted as required by law in multiple conspicuous locations within the facility. No deficiencies were issued during this visit.
Report Facts
Accusation numbers posted: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amelia Aladin | Licensee/Administrator | Informed of the visit and verbally confirmed posting of notices |
| Melissa Bridges | Resident Care Director | Met with Licensing Program Analyst and verbally confirmed posting of notices |
| Beena Singh | Licensing Program Analyst | Conducted the inspection visit |
Inspection Report
Census: 51
Capacity: 74
Deficiencies: 0
Date: Jul 21, 2025
Visit Reason
The inspection visit was an unannounced health and safety check conducted due to a prior incident involving aggressive behavior between residents reported in an Unusual Incident Report.
Findings
No imminent health or safety concerns were observed during the visit. Staff were observed providing care and supervision, checking residents every 30 minutes, and adequate food supplies were noted. The needs of residents appeared to be met.
Report Facts
Staff interviews: 5
Eviction notice period: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Beena Singh | Licensing Program Analyst | Conducted the unannounced health and safety inspection |
| Amelia Aladin | Licensee/Administrator | Facility administrator who provided information during the inspection |
| Efren Malagon | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Follow-Up
Census: 51
Capacity: 74
Deficiencies: 0
Date: Jul 21, 2025
Visit Reason
The visit was conducted as a Case Management - Legal/Non-Compliance follow-up to verify the facility's compliance with Health & Safety Code Section 1569.38 regarding posting of accusation and written notices.
Findings
The Licensing Program Analyst observed that the accusation and written notices were properly posted in conspicuous locations throughout the facility as required by law. No deficiencies were issued during this visit.
Report Facts
Accusation numbers posted: 2
Facility capacity: 74
Resident census: 51
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amelia Aladin | Licensee/Administrator | Informed of the visit and verbally confirmed posting of notices. |
| Melissa Bridges | Resident Care Director | Met with Licensing Program Analyst and verbally confirmed posting of notices. |
| Beena Singh | Licensing Program Analyst | Conducted the inspection visit. |
Inspection Report
Complaint Investigation
Census: 51
Capacity: 74
Deficiencies: 0
Date: Jul 21, 2025
Visit Reason
An unannounced complaint investigation visit was conducted to investigate allegations that staff were not properly addressing roaches in the facility and were not preventing residents from smoking inside the facility.
Complaint Details
The complaint investigation was unsubstantiated based on staff and resident interviews and document review. No preponderance of evidence was found to prove the alleged violations occurred.
Findings
The investigation found that staff and residents reported no evidence of roaches in the facility and confirmed pest control maintenance occurs monthly. Staff and residents also confirmed that residents do not smoke inside the facility and use a designated outdoor smoking area. The allegations were deemed unsubstantiated and no deficiencies were cited.
Report Facts
Staff interviewed: 5
Residents interviewed: 10
Pest control maintenance frequency: 1
Capacity: 74
Census: 51
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Beena Singh | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Amelia Aladin | Licensee/Administrator | Facility administrator present during the investigation |
| Melissa Bridges | Facility Resident Care Director | Met with Licensing Program Analyst during the investigation |
| Efren Malagon | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 51
Capacity: 74
Deficiencies: 1
Date: Apr 8, 2025
Visit Reason
The inspection was conducted as an unannounced complaint investigation visit triggered by an allegation that the licensee failed to provide immediate written notice of a resident’s death to the public administrator.
Complaint Details
The complaint was substantiated based on record reviews and interviews. The licensee failed to provide immediate written notice of the resident’s death to the public administrator responsible for the resident due to no known kin at the time. The facility had notified other relevant agencies within the required timeframe.
Findings
The investigation substantiated the allegation that the licensee did not provide immediate written notice of the resident’s death to the public administrator, although the facility notified relevant agencies within the required timeframe. A citation will be issued in accordance with California regulations.
Deficiencies (1)
Licensee failed to provide immediate written notice of resident’s death to the public administrator.
Report Facts
Capacity: 74
Census: 51
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Beena Singh | Licensing Program Analyst | Conducted the complaint investigation and unannounced visit |
| Amelia Aladin | Facility Administrator | Facility representative met during investigation and named in findings |
| Efren Malagon | Supervisor | Supervisor overseeing the licensing evaluation |
Inspection Report
Complaint Investigation
Census: 51
Capacity: 74
Deficiencies: 1
Date: Apr 8, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that the licensee failed to provide immediate written notice of a resident's death to the public administrator.
Complaint Details
The complaint was substantiated based on record reviews and interviews. The facility notified the public administrator at the time of hospitalization but failed to provide immediate written notice of the resident's death to the public administrator responsible due to no known kin at the time.
Findings
The investigation substantiated the allegation that the licensee did not provide immediate written notice of the resident's death to the public administrator, although the facility notified relevant agencies within the required timeframe. A citation will be issued in accordance with California regulations.
Deficiencies (1)
Licensee failed to provide immediate written notice of resident’s death to the public administrator.
Report Facts
Capacity: 74
Census: 51
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Beena Singh | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Amelia Aladin | Facility Administrator | Facility representative met during investigation and named in findings |
| Efren Malagon | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 51
Capacity: 74
Deficiencies: 0
Date: Mar 3, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2025-02-28 regarding resident smoking in the hallway and pests in the rooms.
Complaint Details
The complaint investigation was unsubstantiated based on staff and resident interviews and facility observations. Allegations included resident smoking in the hallway and pests in the rooms, both found unsubstantiated.
Findings
The investigation found no evidence to substantiate the allegations. Staff and resident interviews, facility tour, and document review confirmed no resident smoking inside the facility and no pests observed. The facility has a designated outside smoking area and monthly pest control maintenance. No deficiencies were cited.
Report Facts
Staff interviewed: 5
Residents interviewed: 8
Facility capacity: 74
Facility census: 51
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mary Rico | Licensing Program Analyst | Conducted the complaint investigation |
| Melissa Bridges | Facility Nurse | Met with investigator and involved in interviews |
| Amelia Aladin | Administrator | Facility administrator involved in interviews |
Inspection Report
Complaint Investigation
Census: 51
Capacity: 74
Deficiencies: 0
Date: Mar 3, 2025
Visit Reason
An unannounced complaint investigation visit was conducted to investigate allegations of residents smoking in the hallway and pests in the rooms at Caloaks Senior Living Facility.
Complaint Details
The complaint investigation was unsubstantiated based on staff and resident interviews, facility tour, and document review. Allegations included resident smoking in the hallway and pests in the rooms, both found unsubstantiated.
Findings
The investigation found no evidence to substantiate the allegations. Staff and residents confirmed no smoking inside the facility and the presence of a designated outdoor smoking area. No pests were observed, and pest control maintenance occurs monthly. No deficiencies were cited during the visit.
Report Facts
Staff interviewed: 5
Residents interviewed: 8
Facility capacity: 74
Facility census: 51
Pest control maintenance frequency: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mary Rico | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Amelia Aladin | Administrator | Facility administrator present during the investigation |
| Melissa Bridges | Facility Nurse | Met with Licensing Program Analyst during the investigation and exit interview |
| Efren Malagon | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 57
Capacity: 74
Deficiencies: 3
Date: Feb 27, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 04/19/2021 regarding bedding changes, provision of furniture, and safeguarding of residents' personal belongings.
Complaint Details
The complaint investigation was unannounced and based on allegations that facility staff did not change bedding regularly, did not provide required furniture, and did not safeguard residents' personal belongings. The allegations were found unsubstantiated after interviews and observations.
Findings
The investigation found the allegations to be unsubstantiated based on interviews with residents and staff, observations, and record reviews. No deficiencies were cited during the visit, although the report includes dismissed deficiencies related to bedding changes, furniture provision, and safeguarding personal belongings with plans of correction.
Deficiencies (3)
Facility did not ensure residents' bedding was changed regularly as required, posing potential health, safety, and personal rights risks.
Facility did not ensure chairs were provided to residents as required, posing potential health, safety, and personal rights risks.
Facility did not follow safeguards for residents’ personal property, resulting in several residents having personal belongings stolen, posing potential health, safety, or personal rights risks.
Report Facts
Capacity: 74
Census: 57
Deficiencies cited: 3
Plan of Correction Due Date: Mar 3, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Beena Singh | Licensing Evaluator | Conducted the complaint investigation and authored the report |
| Melody Brown | Licensing Program Analyst | Assisted in conducting the complaint investigation |
| Amelia Aladin | Licensee/Administrator | Facility administrator met during the investigation and named in findings |
| Efren Malagon | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 57
Capacity: 74
Deficiencies: 0
Date: Feb 27, 2025
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received on 2021-05-17 regarding staff not allowing residents to leave the facility, presence of insects, and staff not safeguarding residents' personal property.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included staff restricting residents from leaving, presence of insects, and failure to safeguard personal property. Evidence did not support these claims.
Findings
The investigation found all allegations to be unsubstantiated. Residents and staff interviews, as well as observations, indicated residents were allowed to leave freely, no insects were observed or reported, and personal property was generally safeguarded with minor laundry mix-ups addressed by staff.
Report Facts
Capacity: 74
Census: 57
Number of allegations: 3
Residents interviewed: 6
Staff interviewed: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amelia Aladin | Administrator | Facility Licensee/Administrator met during investigation and exit interview |
| Beena Singh | Licensing Evaluator | Conducted the complaint investigation |
| Melody Brown | Licensing Program Analyst | Assisted in conducting the complaint investigation |
| Stephanie Torres | Licensing Program Analyst | Assisted in conducting the complaint investigation |
| Efren Malagon | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 57
Capacity: 74
Deficiencies: 0
Date: Feb 27, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that facility staff do not keep resident bedrooms clean.
Complaint Details
The complaint was unsubstantiated after investigation. Interviews with 10 residents and 8 staff members denied the allegation, and observations confirmed cleanliness of bedrooms and living areas.
Findings
The allegation was unsubstantiated based on interviews with residents and staff, and observations made during the visit showed bedrooms and living areas were clean with no odors.
Report Facts
Capacity: 74
Census: 57
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Beena Singh | Licensing Program Analyst | Conducted the complaint investigation |
| Amelia Aladin | Licensee/Administrator | Facility administrator met during the investigation |
Inspection Report
Census: 57
Capacity: 74
Deficiencies: 0
Date: Feb 27, 2025
Visit Reason
The inspection visit was an unannounced health and safety check conducted due to an incident reported on 10/22/2024 involving aggressive behavior between two residents.
Findings
No imminent health or safety concerns were observed during the visit. Staff were providing adequate care and supervision, residents' needs appeared to be met, and no health or safety hazards were found inside or outside the facility.
Report Facts
Eviction notice timeframe: 30
Staff interviews: 6
Resident check frequency: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amelia Aladin | Licensee/Administrator | Named in relation to the incident and facility management during the inspection. |
| Melody Brown | Licensing Program Analyst | Conducted the inspection visit. |
| Beena Singh | Licensing Program Analyst | Conducted the inspection visit and signed the report. |
| Efren Malagon | Licensing Program Manager | Named as Licensing Program Manager overseeing the inspection. |
Inspection Report
Complaint Investigation
Census: 57
Capacity: 74
Deficiencies: 3
Date: Feb 27, 2025
Visit Reason
Unannounced complaint investigation visit conducted in response to allegations that facility staff do not change resident bedding regularly, did not provide required furniture for residents, and do not safeguard residents' personal belongings.
Complaint Details
Complaint investigation was unannounced and conducted by Licensing Program Analysts Beena Singh and Melody Brown. The complaint was received on 2021-04-19. The allegations were found unsubstantiated after interviews and observations. No deficiencies were cited per Title 22, Division 6, of the California Code of Regulations during the visit.
Findings
The investigation found the allegations to be unsubstantiated based on interviews with residents and staff, observations, and record reviews. No deficiencies were cited during the visit, although some deficiencies were initially cited but later dismissed with plans of correction.
Deficiencies (3)
Facility did not ensure residents' bedding was changed regularly as required, posing potential health, safety, and personal rights risks.
Facility did not ensure chairs were provided to residents as required, posing potential health, safety, and personal rights risks.
Facility did not follow safeguards for residents’ personal property, resulting in several residents having personal belongings stolen, posing potential health, safety, or personal rights risks.
Report Facts
Capacity: 74
Census: 57
Deficiencies cited: 3
Plan of Correction Due Date: Mar 3, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Beena Singh | Licensing Program Analyst | Conducted the complaint investigation and cited deficiencies |
| Melody Brown | Licensing Program Analyst | Conducted the complaint investigation |
| Amelia Aladin | Licensee/Administrator | Facility administrator met during investigation and named in findings |
| Efren Malagon | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 57
Capacity: 74
Deficiencies: 0
Date: Feb 27, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2021-05-17 regarding allegations against the facility.
Complaint Details
The complaint included allegations that staff were not allowing residents to leave the facility, the facility had insects, and staff did not safeguard residents' personal property. The investigation found these allegations unsubstantiated.
Findings
The investigation found the allegations unsubstantiated after interviews with residents and staff, and observations during the visit. Residents were allowed to leave the facility freely, no insects were observed, and staff were found to safeguard residents' personal property adequately.
Report Facts
Capacity: 74
Census: 57
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amelia Aladin | Facility Licensee/Administrator | Met with during the investigation and exit interview |
| Beena Singh | Licensing Program Analyst | Conducted the complaint investigation |
| Melody Brown | Licensing Program Analyst | Conducted the complaint investigation |
| Stephanie Torres | Licensing Program Analyst | Conducted the complaint investigation |
| Efren Malagon | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 57
Capacity: 74
Deficiencies: 0
Date: Feb 27, 2025
Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation that facility staff do not keep resident bedrooms clean.
Complaint Details
The complaint was unsubstantiated after investigation. Interviews with residents and staff, as well as observations, did not support the allegation that staff failed to keep resident bedrooms clean.
Findings
The allegation was unsubstantiated based on interviews with 10 residents and 8 staff members, all of whom denied the claim. Observations on 02/26/2025 confirmed bedrooms and living areas were clean, with clean bedding and no odors.
Report Facts
Residents interviewed: 10
Staff interviewed: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Beena Singh | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Amelia Aladin | Licensee/Administrator | Facility administrator met during the investigation and exit interview |
| Efren Malagon | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Annual Inspection
Census: 57
Capacity: 74
Deficiencies: 7
Date: Feb 26, 2025
Visit Reason
The visit was an unannounced required comprehensive annual inspection conducted to evaluate compliance with licensing regulations.
Findings
The inspection found multiple deficiencies including improper hot water temperature, failure to assist residents with self-administration of medication, pre-pouring medications into different containers, broken blinds and window screens, lack of non-slip mats in a resident bathroom, and insufficient emergency supplies. Plans of correction were submitted for all deficiencies.
Deficiencies (7)
No non-slip mats in resident's bathroom in room 29.
Hot water temperature in residents' rooms 36 and 39 exceeded the allowed maximum and was adjusted during the visit.
Staff not assisting three of four residents with self-administration of medication.
Facility staff pre-pouring medications/transferring AM medicines into different containers as early as 9:30 AM.
Blinds in rooms 20 and 37 were in disrepair.
Broken window screens in rooms 4, 34, 38, and 40.
Facility does not have required emergency supplies maintained, only emergency food and water.
Report Facts
Residents present: 57
Licensed capacity: 74
Hospice waiver capacity: 10
Bedridden residents capacity: 8
Hot water temperature: 136
Hot water temperature: 130
Hot water temperature adjusted: 118
Hot water temperature adjusted: 114
Non-perishable food supply: 7
Perishable food supply: 2
Resident files reviewed: 6
Staff files reviewed: 6
Medication audits: 4
Residents not assisted with medication: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amelia Aladin | Licensee/Administrator | Contacted and informed of the visit; accompanied LPAs during inspection |
| Melissa Bridges | Resident Care Director | Met with Licensing Program Analysts during inspection |
| Beena Singh | Licensing Program Analyst | Conducted inspection and authored report |
| Melody Brown | Licensing Program Analyst | Conducted inspection |
| Efren Malagon | Supervisor | Supervisor overseeing inspection |
Inspection Report
Follow-Up
Census: 57
Capacity: 74
Deficiencies: 1
Date: Feb 26, 2025
Visit Reason
The visit was conducted as a Case Management follow-up to assess the facility's compliance with Health & Safety Code Section 1569.38 regarding the posting of written notices and accusation notices.
Findings
The facility was found not to have posted the required written notice and accusation notices in conspicuous locations as mandated by law since 02/12/2025. This noncompliance poses potential health, safety, and personal rights risks to residents. The licensee immediately posted the notices during the visit.
Deficiencies (1)
Failure to post the written notice and accusation notice in conspicuous locations as required by Health and Safety Code 1569.38(f).
Report Facts
Deficiency Type B: 1
Capacity: 74
Census: 57
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amelia Aladin | Licensee/Administrator | Named in relation to the deficiency for failure to post notices |
| Melissa Bridges | Resident Care Director | Named in relation to the deficiency for failure to post notices |
| Beena Singh | Licensing Evaluator | Conducted the inspection |
| Melody Brown | Licensing Program Analyst | Conducted the inspection |
Inspection Report
Annual Inspection
Census: 57
Capacity: 74
Deficiencies: 7
Date: Feb 26, 2025
Visit Reason
The visit was an unannounced required comprehensive annual inspection of the facility conducted by Licensing Program Analysts.
Findings
The inspection found several deficiencies including improper hot water temperature, lack of assistance with self-administered medications for some residents, pre-pouring medications, broken blinds and window screens, lack of required emergency supplies, and absence of non-slip mats in a resident bathroom. Some deficiencies were corrected during the visit, and plans of correction were established for others.
Deficiencies (7)
No non-slip mats in resident's bathroom in room 29.
Hot water temperature in residents' rooms 36 and 39 exceeded allowed limits before adjustment.
Staff not assisting three of four residents with self-administration of medication.
Facility staff pre-pouring medications/transferring AM medicines to different containers early in the day.
Blinds in rooms 20 and 37 were in disrepair.
Window screens in rooms 4, 34, 38, and 40 were broken.
Facility does not have required emergency supplies maintained (beyond food and water).
Report Facts
Residents present: 57
Total licensed capacity: 74
Hospice waiver capacity: 10
Bedridden residents capacity: 8
Hot water temperature before adjustment: 136
Hot water temperature before adjustment: 130
Hot water temperature after adjustment: 118
Hot water temperature after adjustment: 114
Non-perishable food supply: 7
Perishable food supply: 2
Resident files reviewed: 6
Staff files reviewed: 6
Residents audited for medication: 4
Residents not assisted with medication: 3
Plan of Correction due date: 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amelia Aladin | Licensee/Administrator | Contacted and informed of the visit; accompanied LPAs during inspection. |
| Melissa Bridges | Resident Care Director | Met with LPAs during entry to the facility. |
| Beena Singh | Licensing Program Analyst | Conducted inspection and signed report. |
| Melody Brown | Licensing Program Analyst | Conducted inspection. |
| Efren Malagon | Licensing Program Manager/Supervisor | Supervisor of the inspection. |
Inspection Report
Follow-Up
Census: 57
Capacity: 74
Deficiencies: 1
Date: Feb 26, 2025
Visit Reason
The visit was an unannounced Case Management follow-up to assess the facility's compliance with Health & Safety Code Section 1569.38 regarding posting of licensing and accusation notices.
Findings
The facility failed to post the required written notice and accusation notices in conspicuous locations as mandated by law since 02/12/2025, which poses potential health, safety, and personal rights risks to residents.
Deficiencies (1)
Failure to post the written notice and accusation notice in conspicuous locations in the facility as required by Health and Safety Code 1569.38.
Report Facts
Deficiency Type B: 1
Capacity: 74
Census: 57
Plan of Correction Due Date: Mar 5, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amelia Aladin | Licensee/Administrator | Named in relation to the deficiency for failure to post notices |
| Melissa Bridges | Resident Care Director | Met during inspection and verbally confirmed the deficiency |
| Beena Singh | Licensing Program Analyst | Conducted the inspection and signed the report |
| Melody Brown | Licensing Program Analyst | Conducted the inspection |
| Efren Malagon | Licensing Program Manager | Supervisor overseeing the inspection |
Inspection Report
Complaint Investigation
Census: 58
Capacity: 74
Deficiencies: 1
Date: Dec 10, 2024
Visit Reason
The visit was conducted as a follow-up on a substantiated complaint investigation regarding staff neglect that resulted in a resident's death.
Complaint Details
The complaint investigation was substantiated, involving staff neglect that led to a resident's death. An immediate civil penalty of $500 was issued on December 23, 2021, and an additional civil penalty of $14,500 is being issued on December 10, 2024.
Findings
The Department concluded that the facility staff failed to meet the resident's needs and properly supervise, resulting in the resident's death due to hyperthermia after an unwitnessed fall. A civil penalty is being issued related to this violation.
Deficiencies (1)
Staff neglect resulting in resident's death due to failure to meet needs and proper supervision.
Report Facts
Civil penalty amount: 14500
Immediate civil penalty amount: 500
Facility capacity: 74
Facility census: 58
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tim Dela Cruz | Acting Administrator | Met with Licensing Program Analyst during follow-up visit. |
| Magda Malcore | Licensing Program Analyst | Conducted follow-up visit and complaint investigation. |
| Karen Clemons | Supervisor | Supervisor overseeing the licensing evaluation. |
Inspection Report
Complaint Investigation
Census: 58
Capacity: 74
Deficiencies: 1
Date: Dec 10, 2024
Visit Reason
The visit was a follow-up on a substantiated complaint investigation regarding staff neglect that resulted in a resident's death.
Complaint Details
The complaint investigation was substantiated, confirming staff neglect that led to the death of resident R1 due to environmental heat exposure after an unwitnessed fall.
Findings
The Department concluded that a civil penalty is warranted due to the facility staff failing to meet the resident's needs and properly supervise, resulting in the resident's death from hyperthermia after an unwitnessed fall.
Deficiencies (1)
Violation of Health and Safety Code § 1569.269(a)(6) Enumerated rights; severability related to staff neglect resulting in resident death.
Report Facts
Civil penalty amount: 14500
Immediate civil penalty: 500
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tim Dela Cruz | Acting Administrator | Met with Licensing Program Analyst during follow-up visit. |
| Magda Malcore | Licensing Program Analyst | Conducted the follow-up visit and signed the report. |
| Karen Clemons | Licensing Program Manager | Named in the report as Licensing Program Manager. |
Inspection Report
Census: 58
Capacity: 74
Deficiencies: 0
Date: Jul 1, 2024
Visit Reason
The visit was an unannounced Case Management inspection conducted to verify compliance with Health & Safety Code Section 1569.38 regarding notification requirements following an accusation against the facility.
Findings
The facility was found to have complied with the legal requirements by posting the accusations in conspicuous locations and providing written notification to residents, their responsible parties, and the local long-term care ombudsman within the required 10-day timeframe.
Report Facts
Accusation numbers posted: 2
Notification timeframe days: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melody Brown | Licensing Program Analyst | Conducted the inspection and verified compliance. |
| Amelia Aladin | Licensee/Administrator | Facility administrator who confirmed compliance and received the report. |
Inspection Report
Census: 58
Capacity: 74
Deficiencies: 0
Date: Jul 1, 2024
Visit Reason
The visit was an unannounced Case Management visit conducted to verify compliance with Health & Safety Code Section 1569.38 regarding notification requirements related to an accusation against the facility.
Findings
The facility posted the required accusations in conspicuous locations and provided written notification to residents, their responsible parties, and the local long-term care ombudsman within the required 10-day timeframe as mandated by law.
Report Facts
Capacity: 74
Census: 58
Notification timeframe: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amelia Aladin | Licensee/Administrator | Met with Licensing Program Analyst during the inspection and verbally confirmed notification compliance |
| Melody Brown | Licensing Program Analyst | Conducted the unannounced Case Management visit |
| Efren Malagon | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Annual Inspection
Census: 57
Capacity: 74
Deficiencies: 3
Date: Jan 25, 2024
Visit Reason
The visit was an unannounced required comprehensive annual inspection of the facility conducted by Licensing Program Analyst Melody Brown.
Findings
The facility was generally compliant with regulations, but deficiencies were cited for not posting the Community Care Licensing Division complaint poster, having a resident with half bed rails without physician documentation, and initially having a hot water temperature below the required range which was corrected during the visit.
Deficiencies (3)
No Community Care Licensing Division (CCLD) complaint poster was posted in the common area.
Resident #1 had half bed rails without written documentation from the physician indicating the need for the bed rails.
Hot water temperature in Room #2 was initially 72 degrees Fahrenheit, below the required 105-120 degrees Fahrenheit range.
Report Facts
Residents present: 57
Licensed capacity: 74
Non-ambulatory residents capacity: 74
Hospice waiver capacity: 10
Bedridden residents capacity: 8
Non-perishable food supply: 7
Perishable food supply: 3
Resident files reviewed: 3
Staff files reviewed: 4
Medications audited: 3
Hot water temperature initial: 72
Hot water temperature corrected: 106
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melody Brown | Licensing Program Analyst | Conducted the inspection and cited deficiencies. |
| Amelia Aladin | Administrator | Facility administrator contacted and informed of the visit. |
| Melissa Bridges | Resident Care Director | Accompanied the Licensing Program Analyst during the inspection. |
| Socrates Gerwin Convento | Staff | Met with Licensing Program Analyst during the inspection and received the report. |
| Efren Malagon | Supervisor | Supervisor overseeing the licensing evaluation. |
Inspection Report
Annual Inspection
Census: 57
Capacity: 74
Deficiencies: 3
Date: Jan 25, 2024
Visit Reason
The visit was an unannounced required comprehensive annual inspection of the facility.
Findings
The facility was generally compliant with regulations but had deficiencies related to the absence of a required Community Care Licensing Division complaint poster, lack of physician documentation for a resident's half bed rail, and initially improper hot water temperature in Room #2 which was corrected during the visit.
Deficiencies (3)
No Community Care Licensing Division (CCLD) complaint poster was posted in the common area.
Resident #1 had half bed rails without written physician documentation indicating the need for them.
Hot water temperature in Room #2 was initially 72 degrees Fahrenheit, below the required 105-120 degrees Fahrenheit range.
Report Facts
Residents present: 57
Licensed capacity: 74
Non-ambulatory residents capacity: 74
Hospice waiver capacity: 10
Bedridden residents capacity: 8
Non-perishable food supply: 7
Perishable food supply: 3
Resident files reviewed: 3
Staff files reviewed: 4
Medications audited: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melody Brown | Licensing Program Analyst | Conducted the inspection and authored the report. |
| Efren Malagon | Licensing Program Manager | Supervisor overseeing the inspection. |
| Amelia Aladin | Administrator | Facility administrator contacted and informed of the visit. |
| Melissa Bridges | Resident Care Director | Met with the Licensing Program Analyst during the inspection. |
| Socrates Gerwin Convento | Staff | Met with the Licensing Program Analyst and received the exit interview. |
Inspection Report
Complaint Investigation
Census: 60
Capacity: 74
Deficiencies: 1
Date: Nov 28, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to allegations received on 2023-06-22 regarding facility staff selling a television to a resident and financial abuse of a resident.
Complaint Details
The complaint investigation was substantiated for the allegation that facility staff sold a television to a resident in care. The allegation of financial abuse by staff was unsubstantiated based on interviews and records review.
Findings
The investigation substantiated that a facility staff member sold a 55-inch television to a resident, violating facility policy and posing a potential personal rights risk. Another allegation of financial abuse by staff was found to be unsubstantiated after interviews and records review.
Deficiencies (1)
Facility personnel did not comply with policy by allowing Staff #3 to sell a television to Resident #1, posing potential personal rights risk.
Report Facts
Capacity: 74
Census: 60
Deficiencies cited: 1
Plan of Correction Due Date: Dec 8, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amelia Aladin | Licensee/Administrator | Met during investigation and named in findings regarding staff selling television |
| Melody Brown | Licensing Program Analyst | Investigator conducting complaint investigation |
| Efren Malagon | Supervisor | Supervisor overseeing investigation |
Inspection Report
Complaint Investigation
Census: 60
Capacity: 74
Deficiencies: 1
Date: Nov 28, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit conducted due to allegations that facility staff sold a television to a resident in care and that facility staff were financially abusing a resident.
Complaint Details
The complaint investigation was substantiated for the allegation that facility staff sold a television to a resident in care. The allegation of financial abuse by staff was unsubstantiated.
Findings
The allegation that facility staff sold a television to a resident was substantiated based on interviews and document review confirming the sale of a 55-inch television by Staff #3 to Resident #1. The allegation of financial abuse by staff was unsubstantiated after interviews with residents and staff found no evidence of financial abuse.
Deficiencies (1)
87411 Personnel Requirements – General (a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. The Licensee did not comply by allowing Staff #3 to violate facility policy by selling a television to Resident #1, posing potential personal rights risk.
Report Facts
Facility capacity: 74
Census: 60
Deficiency count: 1
Plan of Correction due date: Dec 8, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amelia Aladin | Licensee/Administrator | Met with Licensing Program Analyst and named in relation to findings and interviews |
| Melody Brown | Licensing Program Analyst | Conducted the complaint investigation |
Inspection Report
Complaint Investigation
Census: 51
Capacity: 74
Deficiencies: 0
Date: May 22, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that a resident sustained injury while in care due to lack of supervision.
Complaint Details
The complaint alleged that a resident sustained injury due to lack of supervision. The investigation was unsubstantiated, meaning there was not a preponderance of evidence to prove the alleged violation occurred.
Findings
The investigation found no evidence to corroborate the allegation. Staff interviews, resident interviews, and records review indicated appropriate supervision was provided, with staff checking on residents every two hours or more if needed. The allegation was determined to be unsubstantiated.
Report Facts
Staff observed during visit: 7
Staff check frequency: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amelia Aladin | Licensee/Administrator | Met with Licensing Program Analysts during investigation and exit interview |
| Melody Brown | Licensing Program Analyst | Conducted the complaint investigation |
| Mary Rico | Licensing Program Analyst | Participated in delivering findings of the investigation |
| Efren Malagon | Supervisor | Supervisor overseeing the investigation |
| Melissa Bridges | Health and Wellness Director | Reported staff check practices during facility visit |
Inspection Report
Complaint Investigation
Census: 51
Capacity: 74
Deficiencies: 0
Date: May 22, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that a resident sustained injury while in care due to lack of supervision.
Complaint Details
The complaint alleged that a resident sustained injury due to lack of supervision. The investigation included file reviews, staff and resident interviews, and observations. The allegation was found unsubstantiated as no evidence supported the claim.
Findings
The investigation found no evidence to corroborate the allegation. Staff interviews and observations confirmed appropriate supervision with residents being checked every two hours or more frequently as needed. The allegation was determined to be unsubstantiated.
Report Facts
Staff count: 7
Capacity: 74
Census: 51
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amelia Aladin | Licensee/Administrator | Met with Licensing Program Analysts during the investigation and named in the report. |
| Melody Brown | Licensing Program Analyst | Conducted the complaint investigation. |
| Mary Rico | Licensing Program Analyst | Assisted in the complaint investigation. |
| Melissa Bridges | Health and Wellness Director | Reported staff supervision practices during the facility visit. |
| Efren Malagon | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation. |
Inspection Report
Complaint Investigation
Census: 58
Capacity: 74
Deficiencies: 0
Date: Apr 19, 2023
Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that staff yelled at a resident.
Complaint Details
The allegation that staff yelled at a resident was investigated and found to be unsubstantiated due to lack of evidence.
Findings
The investigation found no evidence to corroborate the allegation. Interviews and observations indicated that staff communicated respectfully and did not yell at residents. The complaint was determined to be unsubstantiated.
Report Facts
Capacity: 74
Census: 58
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melody Brown | Licensing Program Analyst | Conducted the complaint investigation |
| Amelia Aladin | Licensee/Administrator | Met with the Licensing Program Analyst during the investigation |
| Efren Malagon | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 58
Capacity: 74
Deficiencies: 0
Date: Apr 19, 2023
Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that staff yelled at a resident.
Complaint Details
The allegation that staff yelled at a resident was unsubstantiated based on the investigation findings.
Findings
The investigation found no evidence to corroborate the allegation. Observations and interviews with residents and staff indicated that no staff yelled at residents during the visit.
Report Facts
Capacity: 74
Census: 58
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melody Brown | Licensing Program Analyst | Conducted the complaint investigation |
| Amelia Aladin | Licensee/Administrator | Met with Licensing Program Analyst during the investigation |
| Efren Malagon | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 56
Capacity: 74
Deficiencies: 1
Date: Apr 13, 2023
Visit Reason
The inspection was an unannounced complaint investigation initiated due to allegations that staff were not providing a diabetic diet for residents and that food was not of nutritious value to meet residents' needs.
Complaint Details
The complaint investigation was substantiated regarding failure to provide diabetic diets, posing potential health and safety risks. The allegation regarding food not being nutritious was unsubstantiated.
Findings
The complaint that staff were not providing a diabetic diet for residents was substantiated, with evidence showing diabetic residents were served the same food as others, including high sugar drinks and snacks, and no diabetic menu or sugar-free options were available. The allegation that food was not nutritious was unsubstantiated, with observations and interviews confirming residents were served nutritious meals.
Deficiencies (1)
Failure to provide diabetic diet for residents diagnosed with diabetes as required by CCR 87628(b)(4).
Report Facts
Capacity: 74
Census: 56
Plan of Correction Due Date: Apr 24, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melody Brown | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Amelia Aladin | Licensee/Administrator | Facility administrator met during inspection and involved in plan of correction |
| Efren Malagon | Supervisor | Supervisor overseeing the licensing evaluation |
Inspection Report
Complaint Investigation
Census: 56
Capacity: 74
Deficiencies: 1
Date: Apr 13, 2023
Visit Reason
The inspection was an unannounced complaint investigation initiated due to allegations that staff were not providing a diabetic diet for residents and that food was not of nutritious value to meet residents' needs.
Complaint Details
The complaint investigation was substantiated regarding the failure to provide diabetic diets, with evidence including staff and resident interviews, menu and kitchen observations. The allegation regarding food not being nutritious was unsubstantiated.
Findings
The complaint that staff were not providing a diabetic diet for residents was substantiated, with evidence showing no diabetic menu or sugar-free options were provided, posing potential health risks. The allegation that food was not nutritious was unsubstantiated, with observations confirming residents were served nutritious meals.
Deficiencies (1)
Failure to provide modified diabetic diets as prescribed by residents' physicians, including lack of diabetic menu and sugar-free options.
Report Facts
Facility capacity: 74
Census: 56
Deficiencies cited: 1
Plan of Correction due date: Apr 24, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melody Brown | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Amelia Aladin | Licensee/Administrator | Facility administrator met during investigation and named in findings |
| Efren Malagon | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 59
Capacity: 74
Deficiencies: 0
Date: Mar 3, 2023
Visit Reason
The inspection was conducted as an unannounced complaint investigation following a complaint alleging that staff does not ensure residents attend medical appointments.
Complaint Details
Complaint alleging staff does not ensure resident attends medical appointments was investigated and found to be unfounded.
Findings
The investigation found no evidence to support the allegation. Interviews with residents and staff confirmed that residents attend their medical appointments as scheduled and no appointments were cancelled by the facility. The complaint was determined to be unfounded and dismissed.
Report Facts
Capacity: 74
Census: 59
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melody Brown | Licensing Program Analyst | Conducted the complaint investigation |
| Aldrin Aladin | Registered Nurse | Met with Licensing Program Analyst during investigation and exit interview |
| Efren Malagon | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 59
Capacity: 74
Deficiencies: 0
Date: Mar 3, 2023
Visit Reason
The inspection was conducted as an unannounced complaint investigation visit following a complaint alleging that staff does not ensure residents attend medical appointments.
Complaint Details
The complaint alleged that staff does not ensure residents attend medical appointments. The complaint was investigated and found to be unfounded, meaning the allegations were false or without reasonable basis.
Findings
The investigation found no evidence to support the allegation. Interviews with residents and staff confirmed that residents attend their scheduled medical appointments and no cancellations by the facility were reported. The complaint was determined to be unfounded and dismissed.
Report Facts
Capacity: 74
Census: 59
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melody Brown | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Aldrin Aladin | Registered Nurse (RN) | Met with Licensing Program Analyst during investigation and exit interview |
| Efren Malagon | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 57
Capacity: 74
Deficiencies: 0
Date: Feb 24, 2023
Visit Reason
The visit was an unannounced collateral inspection on a complaint investigation to interview residents and staff regarding complaint control number 56-AS-20230214082530.
Complaint Details
Complaint control number 56-AS-20230214082530 was the basis for the investigation. No substantiation status or further complaint details are provided.
Findings
The Licensing Program Analyst conducted interviews and an exit interview was held with the facility administrator. A copy of the report was provided to the administrator. No specific deficiencies or findings are detailed in the report.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melody Brown | Licensing Program Analyst | Conducted the complaint investigation visit. |
| Amelia Aladin | Administrator | Facility administrator met during the visit and participated in the exit interview. |
Inspection Report
Complaint Investigation
Census: 57
Capacity: 74
Deficiencies: 0
Date: Feb 24, 2023
Visit Reason
The visit was an unannounced collateral visit on a complaint investigation to interview residents and staff regarding complaint control number 56-AS-20230214082530.
Complaint Details
Complaint control number 56-AS-20230214082530 was the basis for the collateral visit and investigation.
Findings
The Licensing Program Analyst conducted interviews and an exit interview was held with the facility administrator. A copy of the report was provided to the administrator.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amelia Aladin | Administrator | Met with Licensing Program Analyst during complaint investigation visit. |
| Melody Brown | Licensing Program Analyst | Conducted the complaint investigation visit. |
| Efren Malagon | Licensing Program Manager | Named in the report header. |
Inspection Report
Complaint Investigation
Census: 54
Capacity: 74
Deficiencies: 0
Date: Feb 10, 2023
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations that staff yelled at a resident and that the facility overcharged a resident.
Complaint Details
The complaint alleged that staff yelled at a resident and that the facility overcharged a resident. After review of documents and interviews, the complaint was found to be unfounded.
Findings
The investigation found no evidence to support the allegations. Staff and resident interviews indicated that staff did not yell at residents and that the facility charged only the allowed rate based on SSI increases. The complaint was determined to be unfounded and dismissed.
Report Facts
Capacity: 74
Census: 54
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melody Brown | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Aldrin Aladin | Registered Nurse | Met with Licensing Program Analyst during investigation and participated in exit interview |
| Efren Malagon | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 54
Capacity: 74
Deficiencies: 0
Date: Feb 10, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2023-01-25 regarding staff yelling at a resident and facility overcharging a resident.
Complaint Details
The complaint alleged that staff yelled at a resident and that the facility overcharged a resident. The investigation found these allegations to be unfounded, meaning they were false or without reasonable basis.
Findings
The investigation found the allegations to be unfounded after reviewing documents, conducting interviews with staff and residents, and observing staff interactions. Staff were reported to treat residents with respect and the facility charged only the allowed rate for basic services as per state regulations.
Report Facts
Capacity: 74
Census: 54
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melody Brown | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Efren Malagon | Licensing Program Manager | Named as Licensing Program Manager on the report |
| Aldrin Aladin | Registered Nurse | Met with Licensing Program Analyst during the investigation and participated in exit interview |
| Amelia Aladin | Administrator | Facility Administrator named in the report |
Inspection Report
Complaint Investigation
Census: 54
Capacity: 74
Deficiencies: 0
Date: Jan 31, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2022-07-29 regarding staff not preventing a resident from wandering away and not ensuring medication was taken as prescribed.
Complaint Details
The complaint was unsubstantiated. Allegations included staff failing to prevent a resident from wandering away and failing to ensure medication was taken as prescribed. Investigations included records review and interviews, with evidence showing proper supervision and medication administration.
Findings
The investigation found no evidence to substantiate the allegations. Staff were found to regularly monitor residents and ensure medication administration according to physician orders. The complaint was determined to be unsubstantiated.
Report Facts
Capacity: 74
Census: 54
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melody Brown | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Amelia Aladin | Administrator | Facility administrator met during investigation and named in findings |
| Efren Malagon | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 54
Capacity: 74
Deficiencies: 0
Date: Jan 31, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2022-07-29 regarding staff supervision and medication administration at Caloaks Senior Living Facility.
Complaint Details
The complaint involved two allegations: 1) Staff does not prevent resident from wandering away from the facility, and 2) Staff does not ensure that resident takes medication as prescribed. Both allegations were found to be unsubstantiated based on investigation evidence.
Findings
The investigation found no evidence to substantiate the allegations that staff failed to prevent a resident from wandering away or failed to ensure medication was taken as prescribed. Records review and interviews confirmed proper supervision and medication administration practices.
Report Facts
Capacity: 74
Census: 54
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melody Brown | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Amelia Aladin | Administrator | Facility administrator met during investigation and exit interview |
| Efren Malagon | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 56
Capacity: 74
Deficiencies: 0
Date: Jan 20, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2022-07-11 regarding allegations of resident neglect and inadequate care at Caloaks Senior Living Facility.
Complaint Details
The complaint included allegations that a resident appeared unkempt, was not adequately hydrated, and did not receive necessary medical attention. The investigation found these allegations to be false and without reasonable basis, resulting in the complaint being dismissed as unfounded.
Findings
The investigation found the complaint allegations to be unfounded after reviewing resident records, conducting staff and resident interviews, and observing the facility. Staff were found to assist residents with hygiene, hydration, and medical attention as needed, and the resident in question was observed to be well cared for.
Report Facts
Capacity: 74
Census: 56
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amelia Aladin | Administrator | Facility administrator met during the investigation and exit interview |
| Melody Brown | Licensing Evaluator | Conducted the complaint investigation |
| Magda Malcore | Licensing Program Analyst | Assisted in delivering findings of the complaint investigation |
| Efren Malagon | Supervisor | Supervisor overseeing the complaint investigation |
Inspection Report
Complaint Investigation
Census: 56
Capacity: 74
Deficiencies: 0
Date: Jan 20, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2022-07-11 regarding allegations that a resident appeared unkempt, was not adequately hydrated, and did not receive medical attention while in care.
Complaint Details
Complaint allegations included that a resident appeared unkempt, was not adequately hydrated, and did not receive medical attention. The complaint was found to be unfounded and dismissed.
Findings
The investigation found all allegations to be unfounded after reviewing resident documents, conducting staff and resident interviews, and observing the facility. Staff were found to assist residents with hygiene, hydration, and medical needs, and the resident had regular physician visits.
Report Facts
Capacity: 74
Census: 56
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melody Brown | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Amelia Aladin | Administrator | Facility administrator met during the investigation and discussed findings |
| Efren Malagon | Licensing Program Manager | Named as Licensing Program Manager on the report |
| Magda Malcore | Licensing Program Analyst | Assisted in the complaint investigation |
Inspection Report
Census: 56
Capacity: 74
Deficiencies: 2
Date: Jan 20, 2023
Visit Reason
The visit was a Case Management Office Visit initiated to investigate deficiencies related to staff criminal background clearance compliance at the facility.
Findings
The facility allowed staff members S7 and S8 to work without criminal background clearance, posing immediate health, safety, and personal rights risks to residents. Additionally, staff S6 and S9 had criminal background clearance but were not properly associated with the facility, posing potential risks. Civil penalties of $500 per individual were assessed for these violations.
Deficiencies (2)
Allowed Staff #7 and Staff #8 to work at the facility without criminal background clearance, posing immediate health, safety, and personal rights risks to residents.
Allowed Staff #6 and Staff #9 to work at the facility without transferring or failing to transfer their criminal background clearance, posing potential health, safety, and personal rights risks to residents.
Report Facts
Civil penalty amount: 500
Number of individuals fined: 4
Census: 56
Total capacity: 74
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amelia Aladin | Administrator | Facility administrator involved in confirming staff employment dates and compliance issues. |
| Melody Brown | Licensing Program Analyst | Licensing evaluator conducting the inspection and issuing deficiencies. |
| Magda Malcore | Licensing Program Analyst | Licensing evaluator involved in the inspection and deficiency issuance. |
| Efren Malagon | Supervisor | Supervisor overseeing the licensing evaluation. |
Inspection Report
Complaint Investigation
Census: 56
Capacity: 74
Deficiencies: 2
Date: Jan 20, 2023
Visit Reason
The visit was a Case Management Office Visit initiated to investigate deficiencies related to staff criminal background clearance and association with the facility.
Complaint Details
The visit was complaint-related as it involved investigation of staff working without proper criminal background clearance and failure to associate staff clearances with the facility. The report does not explicitly state substantiation status.
Findings
The facility allowed staff members S7 and S8 to work without criminal background clearance, posing immediate health, safety, and personal rights risks to residents. Additionally, staff S6 and S9 had criminal background clearance but were not properly associated with the facility, posing potential risks. Civil penalties of $500 per individual were assessed for these violations.
Deficiencies (2)
Allowed Staff #7 and Staff #8 to work without criminal background clearance, posing immediate health, safety, and personal rights risks to residents.
Allowed Staff #6 and Staff #9 to work without transferring or failing to transfer their criminal background clearance, posing potential health, safety, and personal rights risks to residents.
Report Facts
Civil penalty amount: 500
Number of individuals fined: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amelia Aladin | Administrator | Facility administrator who confirmed staff hire dates and was involved in the exit interview discussing the findings. |
| Melody Brown | Licensing Program Analyst | Conducted the investigation and authored the report. |
| Magda Malcore | Licensing Program Analyst | Participated in the investigation and office visit. |
| Efren Malagon | Licensing Program Manager | Supervisor overseeing the licensing evaluation. |
Inspection Report
Complaint Investigation
Census: 51
Capacity: 74
Deficiencies: 0
Date: Dec 7, 2022
Visit Reason
An unannounced visit was conducted to investigate a complaint received on 2022-11-30 regarding allegations of staff misconduct towards residents at Caloaks Senior Living Facility.
Complaint Details
The complaint involved allegations that staff threw socks at a resident, made inappropriate comments towards a resident, and refused to assist a resident. All allegations were investigated and found to be unsubstantiated.
Findings
The investigation included interviews with residents, staff, and witnesses, and a review of records. All three allegations—staff throwing socks at a resident, making inappropriate comments, and refusing to assist a resident—were found to be unsubstantiated due to lack of evidence.
Report Facts
Capacity: 74
Census: 51
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Anna Bueno | Licensing Program Analyst | Conducted the complaint investigation visit |
| Melissa Bridges | Care Manager | Met with the Licensing Program Analyst during the investigation |
| Amelia Aladin | Administrator | Facility administrator named in the report |
Inspection Report
Complaint Investigation
Census: 51
Capacity: 74
Deficiencies: 0
Date: Dec 7, 2022
Visit Reason
An unannounced visit was conducted to investigate a complaint received on 2022-11-30 regarding allegations of staff misconduct towards residents at Caloaks Senior Living Facility.
Complaint Details
The complaint involved allegations that staff threw socks at a resident, made inappropriate comments towards a resident, and refused to assist a resident. All allegations were investigated and found to be unsubstantiated.
Findings
The investigation included interviews with residents, staff, and witnesses, as well as records review. All allegations, including staff throwing socks at a resident, making inappropriate comments, and refusing to assist a resident, were found to be unsubstantiated due to lack of evidence.
Report Facts
Facility capacity: 74
Census: 51
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Anna Bueno | Licensing Program Analyst | Conducted the complaint investigation |
| Melissa Bridges | Care Manager | Met with Licensing Program Analyst during investigation |
| Amelia Aladin | Administrator | Facility administrator named in the report |
| Nedra Brown | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 61
Capacity: 74
Deficiencies: 0
Date: Nov 9, 2022
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received on 2022-11-04 regarding staff failing to seek timely medical attention, meet hygiene needs, maintain cleanliness, and assist with feedings at Caloaks Senior Living Facility.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included failure to seek timely medical attention, failure to meet hygiene needs, unclean facility, and lack of feeding assistance. The Licensing Program Analyst found no evidence to support these claims after interviews and document review.
Findings
The investigation found no preponderance of evidence to substantiate the four allegations. Interviews and document reviews indicated that medical needs were addressed timely, hygiene needs were met, the facility was clean, and staff assisted residents with feedings as required.
Report Facts
Capacity: 74
Census: 61
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ryan Gardner | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Melissa Bridges | Wellness Director/Manager | Met with Licensing Program Analyst during the investigation |
| Efren Malagon | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 61
Capacity: 74
Deficiencies: 0
Date: Nov 9, 2022
Visit Reason
The visit was an unannounced complaint investigation conducted in response to a complaint received on 2022-11-04 regarding allegations of staff failing to seek timely medical attention, failing to meet resident hygiene needs, facility cleanliness, and staff not assisting residents with feedings.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included failure to seek timely medical attention, failure to meet hygiene needs, unclean facility, and lack of feeding assistance. Interviews and document reviews showed the facility met medical, hygiene, cleanliness, and feeding requirements. No evidence was found to prove violations occurred.
Findings
The investigation found that the facility appropriately addressed the medical needs of Resident R1, maintained hygiene and cleanliness standards, and provided feeding assistance to Resident R2. There was insufficient evidence to substantiate the allegations, and all four allegations were deemed unsubstantiated.
Report Facts
Capacity: 74
Census: 61
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ryan Gardner | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Efren Malagon | Licensing Program Manager | Oversaw the complaint investigation |
| Melissa Bridges | Wellness Director/Manager | Facility representative met during the investigation and involved in exit interview |
Inspection Report
Census: 55
Capacity: 74
Deficiencies: 0
Date: Oct 25, 2022
Visit Reason
This unannounced case management visit was conducted to inquire into health and safety care concerns of residents at the facility.
Findings
Based on the review of records, tour of the facility, and interviews with residents and staff, no deficiencies were cited according to Title 22, Division 6 of the California code of regulations.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amy Goldenberg | Licensing Program Analyst | Conducted the unannounced case management visit and evaluation. |
| Amber Coleman | Licensing Program Analyst | Conducted the unannounced case management visit and evaluation. |
| Amelia Aladin | Facility Administrator | Met with LPAs during the visit. |
| Melissa Bridges | LVN | Met with LPAs during the visit. |
Inspection Report
Census: 55
Capacity: 74
Deficiencies: 0
Date: Oct 25, 2022
Visit Reason
The visit was an unannounced case management visit to conduct inquiry into health and safety care concerns of residents.
Findings
Based on the review of records, tour of the facility, and interviews with residents and staff, no deficiencies were cited under Title 22, Division 6 of the California code of regulations.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amelia Aladin | Administrator | Facility administrator met during the visit. |
| Melissa Bridges | LVN | Met during the visit and involved in the inspection. |
| Amy Goldenberg | Licensing Program Analyst | Conducted the unannounced case management visit. |
| Amber Coleman | Licensing Program Analyst | Conducted the unannounced case management visit. |
Inspection Report
Complaint Investigation
Census: 54
Capacity: 74
Deficiencies: 1
Date: Jul 20, 2022
Visit Reason
An unannounced complaint investigation was conducted due to allegations that the facility has roaches.
Complaint Details
The complaint alleging the presence of roaches was substantiated based on observations, interviews, and document review. The preponderance of evidence standard was met.
Findings
The investigation confirmed the presence of roaches in multiple resident rooms despite cleaning and spraying efforts. The facility's contracted exterminator was not aggressively treating all rooms, and the facility plans to increase extermination frequency and coverage.
Deficiencies (1)
The facility did not aggressively address the roaches issue, posing immediate health, safety, and personal rights risks to residents.
Report Facts
Capacity: 74
Census: 54
Rooms sprayed: 10
Plan of Correction Due Date: Jul 21, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melody Brown | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Melissa Bridges | Wellness Director | Facility staff member who accompanied the evaluator and was involved in the investigation |
| Amelia Aladin | Administrator | Facility administrator who reported on extermination efforts and plans |
Inspection Report
Complaint Investigation
Census: 54
Capacity: 74
Deficiencies: 1
Date: Jul 20, 2022
Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that the facility has roaches.
Complaint Details
The complaint was substantiated based on observations, interviews, and document review. The allegation that the facility has roaches was found valid by the preponderance of the evidence standard.
Findings
The investigation confirmed the presence of roaches in multiple resident rooms despite cleaning and spraying efforts. The facility's contracted exterminator was not servicing all rooms, and the treatment was insufficient to aggressively control the infestation. The complaint was substantiated.
Deficiencies (1)
The facility was not clean, safe, sanitary, and in good repair due to the presence of roaches, and the licensee did not aggressively address the roach issue, posing immediate health, safety, and personal rights risks to residents.
Report Facts
Capacity: 74
Census: 54
Rooms sprayed: 10
Plan of Correction Due Date: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melody Brown | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Amelia Aladin | Administrator | Reported on exterminator treatment and follow-up plans |
| Melissa Bridges | Wellness Director | Met with Licensing Program Analyst and reported on exterminator plans |
| Efren Malagon | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 58
Capacity: 74
Deficiencies: 0
Date: Jul 14, 2022
Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation that a resident sustained multiple injuries due to lack of staff supervision.
Complaint Details
The allegation that a resident sustained multiple injuries due to lack of supervision was unsubstantiated based on the evidence gathered during the investigation.
Findings
The investigation included interviews, observations, and records review, and found no evidence to substantiate the allegation. Staff and residents denied neglect or lack of supervision, and appropriate protocols were followed when the resident fell.
Report Facts
Capacity: 74
Census: 58
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melody Brown | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Amelia Aladin | Administrator | Facility administrator present during the investigation |
| Efren Malagon | Supervisor | Supervisor overseeing the licensing evaluation |
Inspection Report
Complaint Investigation
Census: 58
Capacity: 74
Deficiencies: 0
Date: Jul 14, 2022
Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation that a resident sustained multiple injuries due to lack of supervision from staff.
Complaint Details
The allegation that a resident sustained multiple injuries due to lack of supervision was determined to be unsubstantiated based on the evidence gathered during the investigation.
Findings
The investigation included interviews, observations, and records review, and found no evidence to substantiate the allegation. Staff and residents denied neglect or lack of supervision, and appropriate protocols were followed after the resident's fall.
Report Facts
Facility capacity: 74
Census: 58
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melody Brown | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Amelia Aladin | Administrator | Facility administrator present during the investigation |
| Efren Malagon | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 60
Capacity: 74
Deficiencies: 0
Date: Apr 14, 2022
Visit Reason
An unannounced complaint investigation visit was conducted in response to multiple allegations received on 2022-03-09 regarding neglect, overmedication, unsanitary conditions, lack of meals, unmet hygiene needs, and fraudulent signing of documents at Caloaks Senior Living Facility.
Complaint Details
The complaint investigation was unsubstantiated based on evidence obtained during the investigation. Allegations included neglect resulting in injury, overmedication, unsanitary conditions, failure to provide meals, unmet hygiene needs, and fraudulent signing of documents. Interviews with staff, residents, and witnesses denied these allegations.
Findings
The investigation included interviews, observations, and records review, and found all allegations to be unsubstantiated with no preponderance of evidence to prove violations occurred. Staff and residents denied neglect, overmedication, unsanitary conditions, lack of meals, unmet hygiene needs, and fraudulent document signing.
Report Facts
Capacity: 74
Census: 60
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Williams | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Melissa Bridges | Wellness Coordinator | Facility staff member who met with the evaluator during the visit |
| Amelia Aladin | Administrator | Facility administrator named in the report |
Inspection Report
Complaint Investigation
Census: 60
Capacity: 74
Deficiencies: 0
Date: Apr 14, 2022
Visit Reason
An unannounced complaint investigation visit was conducted in response to multiple allegations received on 2022-03-09 regarding neglect, overmedication, unsanitary conditions, lack of meals, unmet hygiene needs, and fraudulent signing of documents at Caloaks Senior Living Facility.
Complaint Details
The complaint investigation was unsubstantiated, meaning there was not a preponderance of evidence to prove the alleged violations occurred. Allegations included neglect resulting in injury, overmedication, unsanitary conditions, failure to provide meals, unmet hygiene needs, and fraudulent signing of documents. Interviews with staff, residents, and witnesses all denied these allegations.
Findings
The investigation, which included interviews, observations, and records review, found all allegations to be unsubstantiated. Staff, residents, and witnesses denied neglect, overmedication, unsanitary conditions, lack of meals, unmet hygiene needs, and fraudulent signing of documents. The facility was observed to be clean, residents were provided meals and hygiene assistance, and medication administration was appropriate.
Report Facts
Facility capacity: 74
Resident census: 60
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Williams | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Melissa Bridges | Wellness Coordinator | Met with Licensing Program Analyst during the investigation |
| Amelia Aladin | Administrator | Facility administrator named in the report |
Inspection Report
Annual Inspection
Census: 57
Capacity: 74
Deficiencies: 0
Date: Feb 22, 2022
Visit Reason
Licensing Program Analyst Stephanie Williams conducted an unannounced visit to the facility to conduct a required annual inspection, with an emphasis on infection control due to the COVID-19 pandemic.
Findings
The facility was found to be in compliance with regulatory requirements, including infection control measures, operational standards, and safety protocols. No deficiencies were cited during the inspection.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Williams | Licensing Program Analyst | Conducted the inspection and observed compliance with infection control and operational requirements. |
| Amelia Aladin | Administrator | Facility administrator interviewed during the inspection. |
| Melissa Bridges | Wellness Director | Wellness Director interviewed during the inspection. |
Inspection Report
Complaint Investigation
Census: 57
Capacity: 74
Deficiencies: 0
Date: Feb 22, 2022
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations received on 12/28/2021 regarding staff handling residents roughly and facility cleanliness.
Complaint Details
The complaint involved allegations of staff handling residents in a rough manner and the facility being unclean. The investigation found no corroborating evidence, and the allegations were determined to be unsubstantiated.
Findings
The investigation included observations, records review, and interviews with staff and residents. The allegations were found to be unsubstantiated due to lack of evidence, with staff denying mishandling residents and the facility demonstrating ongoing pest control measures.
Report Facts
Facility capacity: 74
Census: 57
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Williams | Licensing Program Analyst | Conducted the complaint investigation |
| Amelia Aladin | Administrator | Facility administrator present during investigation |
| Melissa Bridges | Wellness Director | Facility wellness director present during investigation |
Inspection Report
Complaint Investigation
Census: 57
Capacity: 74
Deficiencies: 0
Date: Feb 22, 2022
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations received on 12/28/2021 regarding rough handling of residents and unclean facility conditions.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included staff handling residents roughly and the facility being unclean. Interviews with residents and staff denied rough handling, and pest control records showed ongoing treatment. No evidence supported the allegations.
Findings
The investigation included observations, interviews, and records review. Allegations of rough handling of residents and unclean conditions were found to be unsubstantiated due to lack of evidence. The facility demonstrated ongoing pest control measures and cooperation with an extermination company.
Report Facts
Facility capacity: 74
Census: 57
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Williams | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Amelia Aladin | Administrator | Facility administrator present during investigation |
| Melissa Bridges | Wellness Director | Facility wellness director present during investigation |
Inspection Report
Annual Inspection
Census: 57
Capacity: 74
Deficiencies: 0
Date: Feb 22, 2022
Visit Reason
The inspection was an unannounced required annual inspection with an emphasis on infection control due to the COVID-19 pandemic.
Findings
The facility was found to be in compliance with regulatory requirements, with no deficiencies cited. Infection control measures were in place and staff were trained, PPE was available, and the facility was clean and in good repair with no apparent health and safety risks.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amelia Aladin | Administrator | Interviewed during inspection regarding infection control measures. |
| Melissa Bridges | Wellness Director | Interviewed during inspection regarding infection control measures. |
| Stephanie Williams | Licensing Program Analyst | Conducted the inspection and authored the report. |
| Efren Malagon | Licensing Program Manager | Named in the report as Licensing Program Manager. |
Inspection Report
Complaint Investigation
Census: 63
Capacity: 74
Deficiencies: 2
Date: Dec 23, 2021
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 07/13/2020 alleging staff neglect that resulted in a resident's death.
Complaint Details
The complaint investigation was substantiated. The allegation that staff neglect resulted in a resident's death was supported by evidence including staff interviews, medical records, law enforcement reports, and environmental data. An Immediate Civil Penalty of $500 was assessed.
Findings
The investigation substantiated the allegation that staff neglect resulted in the death of resident R1, who sustained an unwitnessed fall and lay outside for hours, dying of hyperthermia due to environmental heat exposure. The facility failed to properly supervise R1, and staff were not competent in meeting R1's needs.
Deficiencies (2)
Residents of residential care facilities for the elderly shall have rights to care, supervision, and services that meet their individual needs delivered by competent staff. This requirement was not met.
Facility staff were not competent in meeting R1 needs and failed to properly supervise R1, resulting in R1's death from hyperthermia after an unwitnessed fall.
Report Facts
Capacity: 74
Census: 63
Immediate Civil Penalty: 500
Body Temperature: 109.2
Estimated Body Surface Area Burned: 30
Plan of Correction Due Date: Jan 6, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Bridges | LVN | Met with during investigation and named in findings |
| David Cuevas | Licensing Program Analyst | Evaluator who conducted the investigation and delivered findings |
| Joel Esquivel | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 63
Capacity: 74
Deficiencies: 2
Date: Dec 23, 2021
Visit Reason
The inspection was an unannounced complaint investigation triggered by an allegation of staff neglect resulting in a resident's death.
Complaint Details
The complaint was substantiated. The allegation that staff neglect resulted in a resident's death was supported by evidence including staff interviews, medical records, law enforcement reports, and environmental data. An Immediate Civil Penalty of $500 was assessed.
Findings
The investigation substantiated that staff neglect led to the death of resident R1, who sustained an unwitnessed fall and lay outside for hours, resulting in hyperthermia due to environmental heat exposure. The facility failed to properly supervise the resident, posing an immediate health and safety risk.
Deficiencies (2)
Residents of residential care facilities for the elderly shall have rights to care, supervision, and services that meet their individual needs and are delivered by competent staff. This requirement was not met.
Facility staff were not competent in meeting R1 needs. Facility staff failed to properly supervise R1. Following an unwitnessed fall, R1 laid outside for hours and died of hyperthermia due to environmental heat exposure.
Report Facts
Capacity: 74
Census: 63
Body surface area affected: 30
Body surface area affected: 40
Body temperature: 109.2
Immediate Civil Penalty: 500
Employees mentioned
| Name | Title | Context |
|---|---|---|
| David Cuevas | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Joel Esquivel | Licensing Program Manager | Oversaw the complaint investigation report |
| Melissa Bridges | LVN | Staff member met with during investigation and named in findings |
Inspection Report
Complaint Investigation
Census: 62
Capacity: 74
Deficiencies: 0
Date: Nov 18, 2021
Visit Reason
An unannounced complaint investigation was conducted in response to allegations including failure to meet residents' special dietary needs, facility cleanliness, insect control, diapering needs, and staffing sufficiency.
Complaint Details
The complaint investigation was unsubstantiated based on interviews with staff and residents, observations, and review of records including pest control service documentation.
Findings
The investigation found all allegations to be unsubstantiated. Staff and residents confirmed that dietary needs were met, the facility was clean and free of insects, diapering protocols were followed, and staffing levels were adequate to meet resident needs.
Report Facts
Capacity: 74
Census: 62
Staffing: 10
Staffing: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Williams | Licensing Program Analyst | Conducted the complaint investigation |
| Amelia Aladin | Administrator | Facility administrator met during investigation |
| Efren Malagon | Supervisor | Supervisor named in report |
Inspection Report
Complaint Investigation
Census: 62
Capacity: 74
Deficiencies: 0
Date: Nov 18, 2021
Visit Reason
An unannounced complaint investigation was conducted in response to allegations received on 2021-11-08 regarding dietary needs, facility cleanliness, insect presence, diapering care, and staffing sufficiency at Caloaks Senior Living Facility.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included failure to meet residents' special dietary needs, failure to keep the facility free of insects, failure to keep the facility clean, failure to ensure residents' diapering needs were met, and insufficient staffing. Interviews, observations, and record reviews did not support these allegations.
Findings
The investigation found all allegations to be unsubstantiated. Staff and residents confirmed that special dietary needs were met, the facility was clean and free of insects, diapering needs were addressed appropriately, and staffing levels were sufficient to meet resident needs.
Report Facts
Capacity: 74
Census: 62
Staffing: 10
Staffing: 2
Extermination service date: Nov 11, 2021
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Williams | Licensing Program Analyst | Conducted the complaint investigation |
| Amelia Aladin | Administrator | Facility administrator met during investigation |
| Efren Malagon | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 60
Capacity: 74
Deficiencies: 0
Date: Sep 2, 2021
Visit Reason
An unannounced visit was conducted to investigate a complaint alleging staff mismanaged a resident's money.
Complaint Details
The complaint alleging staff mismanaged a resident's money was investigated and found to be unsubstantiated.
Findings
The investigation found that after Resident #1's death, the facility notified the Social Security Administration, which continued payments until May 2021. All funds were returned to SSA, and the allegation was determined to be unsubstantiated due to lack of evidence.
Report Facts
Capacity: 74
Census: 60
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Williams | Licensing Evaluator | Conducted the complaint investigation |
| Amelia Aladin | Administrator | Facility administrator met during investigation |
Inspection Report
Complaint Investigation
Census: 60
Capacity: 74
Deficiencies: 0
Date: Sep 2, 2021
Visit Reason
An unannounced visit was conducted to investigate a complaint alleging staff mismanaged a resident's money.
Complaint Details
The complaint alleged staff mismanaged a resident's money. The investigation was unsubstantiated, meaning there was insufficient evidence to prove the alleged violation occurred.
Findings
The investigation found that after Resident #1's death, the facility notified the Social Security Administration (SSA), which continued payments until May 2021. All funds received were returned to SSA, and the allegation was determined to be unsubstantiated due to lack of preponderance of evidence.
Report Facts
Facility capacity: 74
Census: 60
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Williams | Licensing Program Analyst | Conducted the complaint investigation |
| Amelia Aladin | Administrator | Facility administrator met during investigation |
Inspection Report
Complaint Investigation
Census: 62
Capacity: 74
Deficiencies: 1
Date: May 12, 2021
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that staff did not keep the facility free from pests.
Complaint Details
The complaint was substantiated based on observations, resident interviews, and records review. Resident One was observed with cockroaches on them and their food tray. The facility had not arranged for interior fumigation in five or more months.
Findings
The investigation found at least thirteen cockroaches at different growth stages throughout the facility and inside resident furniture, corroborated by resident interview. The allegation was substantiated, posing a health and personal rights risk to residents.
Deficiencies (1)
The facility was not clean, safe, and sanitary as evidenced by the presence of at least 13 cockroaches throughout the facility and inside resident furniture, posing a health and personal rights risk to residents.
Report Facts
Cockroach count: 13
Capacity: 74
Census: 62
Plan of Correction Due Date: May 17, 2021
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Torres | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Amelia Aladin | Administrator | Facility administrator involved in the investigation and exit interview |
Inspection Report
Complaint Investigation
Census: 62
Capacity: 74
Deficiencies: 1
Date: May 12, 2021
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation received on 2021-04-12 that staff did not keep the facility free from pests.
Complaint Details
The complaint was substantiated based on the preponderance of evidence including resident interviews, observations of cockroaches, and records review. The facility had not arranged for interior fumigation in five or more months.
Findings
The investigation found at least thirteen cockroaches at different growth stages throughout the facility and inside resident furniture, corroborated by resident interviews and observations. The allegation was substantiated and a citation will be issued for failure to maintain a clean, safe, and sanitary environment.
Deficiencies (1)
The facility was not kept clean, safe, and sanitary as evidenced by the presence of at least 13 cockroaches throughout the facility and inside resident furniture, posing a health and personal rights risk to residents.
Report Facts
Number of cockroaches observed: 13
Facility capacity: 74
Census: 62
Plan of Correction due date: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Torres | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Amelia Aladin | Administrator | Facility administrator interviewed and involved in exit interview |
| Nedra Brown | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 60
Capacity: 74
Deficiencies: 0
Date: Oct 30, 2020
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2020-06-17 regarding allegations of inadequate resident care and medication administration at Caloaks Senior Living Facility.
Complaint Details
The complaint involved four allegations: failure to notice a change in resident's condition, failure to seek medical attention, failure to safeguard resident's property, and failure to dispense medications as prescribed. All allegations were investigated through staff interviews and records review and were found unsubstantiated.
Findings
The investigation found no evidence to substantiate the allegations that facility staff failed to notice changes in resident condition, seek medical attention, safeguard resident property, or administer medications as prescribed. All allegations were determined to be unsubstantiated.
Report Facts
Facility capacity: 74
Census: 60
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Robbie Johnson | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Amelia Aladin | Administrator | Facility administrator involved in the investigation and communication |
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