The California Department of Social Services Community Care Licensing Division has conducted a series of unannounced and scheduled inspections at the Cannterbury Woods facility (Facility #270708224) between September 2021 and September 2023. Early visits in 2021 focused on COVID‑19 infection‑control measures; the licensing program analysts provided technical assistance, reviewed policies, and offered recommendations such as posting hand‑washing signs, maintaining an isolation‑room PPE cart, and continuing staff training. These visits resulted in no citations, and the facility was commended for maintaining clear exits, proper medication storage, and a functional vaccination program.

In 2023, a pattern emerged of targeted case‑management reviews tied to specific resident complaints. On January 4, the analyst interviewed a resident (R1) and the administrator, noting the absence of formal citations but gathering incident documentation. A month later, on January 20, a more serious situation was uncovered: the facility’s elevator had been out of service for weeks, preventing assisted‑living residents from accessing lower floors—a safety deficiency cited under Title 22. Concurrently, the LPA documented that a staff member had repeatedly applied restraints that caused the resident pain, violating residents’ personal‑rights protections. Two deficiencies were cited, requiring corrective action by early February. Another incident report in June was logged but left open pending additional documentation, while a routine annual inspection in September confirmed continued compliance with facility certification and exit safety.

Across these visits, the primary concerns revolve around infection‑control preparedness, physical accessibility, and the quality of personal care. The facility has maintained an overall record of compliance, with no formal citations in the first two inspections and only two corrective‑action citations in January 2023. These findings underscore the importance of maintaining functional infrastructure (e.g., elevators) and reinforcing staff‑resident interaction standards to safeguard residents’ safety, dignity, and rights.