Inspection Report
Annual Inspection
Census: 142
Capacity: 190
Deficiencies: 0
Sep 4, 2025
Visit Reason
The inspection was an unannounced Required Annual Inspection conducted by the Licensing Program Analyst to evaluate compliance with licensing requirements.
Findings
The facility was found to be clean, in good repair, and compliant with safety and health regulations. No deficiencies were issued during this inspection. Residents and staff files were reviewed and found to be up to date.
Report Facts
Facility Capacity: 190
Census: 142
Inspection Duration: 220
Fire Extinguisher Service Date: May 20, 2025
Last Disaster Drill Date: Jun 12, 2025
Refrigerator Temperature: 39
Freezer Temperature: 2
Forms Submission Deadline: Sep 8, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Vadim Gorban | Licensing Program Analyst | Conducted the annual inspection and signed the report |
| Geoven Snaer | Senior Executive Assistant | Met with Licensing Program Analyst during inspection and received report |
| Ryan Banner | Administrator/Director | Facility Administrator named in report header |
| Brenda Chan | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Annual Inspection
Census: 140
Capacity: 190
Deficiencies: 0
Aug 19, 2024
Visit Reason
The inspection was an unannounced required annual inspection conducted to evaluate compliance with licensing regulations at the facility.
Findings
The facility was found to be clean, in good repair, and compliant with safety and health standards. No deficiencies were issued during this inspection.
Report Facts
Fire extinguisher service date: May 29, 2024
Refrigerator temperature: 42
Freezer temperature: -5
Hot water temperature: 110
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Elvyra Abare | Administrator | Met with Licensing Program Analyst during inspection and participated in facility tour |
| Vadim Gorban | Licensing Program Analyst | Conducted the inspection and signed the report |
| Brenda Chan | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Plan of Correction
Census: 125
Capacity: 190
Deficiencies: 0
Dec 15, 2023
Visit Reason
The inspection was conducted as an unannounced Plan of Correction (POC) visit to verify compliance with previously identified issues.
Findings
During the inspection, the Licensing Program Analyst toured the facility and found no deficiencies. A copy of the report was provided and an exit interview was conducted.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Elvyra Abare | Executive Director | Met with Licensing Program Analyst during the inspection |
| David Ayers | Licensing Program Analyst | Conducted the Plan of Correction inspection |
| Brenda Chan | Licensing Program Manager | Named in the report header |
Inspection Report
Complaint Investigation
Census: 144
Capacity: 190
Deficiencies: 0
Sep 13, 2023
Visit Reason
An unannounced complaint investigation was conducted following a complaint received on 07/25/2023 regarding allegations of inadequate resident care and facility conditions.
Findings
The investigation included a facility tour, interviews, and record reviews. Although some concerns such as ants in a resident's apartment and hygiene issues were noted, there was insufficient evidence to substantiate the allegations. The complaint was determined to be unsubstantiated.
Complaint Details
The complaint included allegations that staff did not ensure residents had clean clothing, residents' hygiene needs were not properly met, the facility was not free of pests, and residents were not provided proper food service. The investigation found no preponderance of evidence to prove these violations occurred, resulting in an unsubstantiated finding.
Report Facts
Capacity: 190
Census: 144
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Elvyra Abare | Executive Director | Met with Licensing Program Analyst during the investigation |
| David Ayers | Licensing Program Analyst | Conducted the complaint investigation |
| Brenda Chan | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 144
Capacity: 190
Deficiencies: 1
Sep 13, 2023
Visit Reason
An unannounced complaint investigation was conducted following a complaint received on 07/25/2023 regarding a resident who became severely dehydrated.
Findings
The investigation found that one resident did not receive adequate personal assistance, resulting in dehydration and acute kidney injury. The allegations were substantiated based on interviews, record reviews, and observations.
Complaint Details
The complaint was substantiated. Resident 1 was admitted on 2/20/2023 and assessed as independent in nutrition and meals on 3/1/2023. On 7/17/2023, the resident collapsed due to hypotension and was treated for dehydration and acute kidney injury.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to ensure that 1 out of 25 assisted living residents received adequate personal assistance, resulting in dehydration and acute kidney injury. | Type B |
Report Facts
Capacity: 190
Census: 144
Residents affected: 1
Assisted living residents: 25
Plan of Correction Due Date: 9
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Elvyra Abare | Executive Director | Met with during the investigation and named in findings |
| David Ayers | Licensing Program Analyst | Conducted the complaint investigation |
| Brenda Chan | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Annual Inspection
Census: 144
Capacity: 190
Deficiencies: 0
Sep 13, 2023
Visit Reason
The inspection was an unannounced Required Annual Inspection conducted by Licensing Program Analyst D. Ayers to assess compliance with licensing requirements.
Findings
The facility was found to be in compliance with no deficiencies cited. The inspection included tours of the facility, review of emergency preparedness, medication storage and administration, and resident and staff files.
Report Facts
Capacity: 190
Census: 144
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Elvyra Abare | Executive Director | Met with Licensing Program Analyst during inspection and participated in exit interview |
| David Ayers | Licensing Program Analyst | Conducted the inspection |
| Brenda Chan | Licensing Program Manager | Named in report header |
Inspection Report
Complaint Investigation
Census: 140
Capacity: 190
Deficiencies: 0
Jun 20, 2023
Visit Reason
The visit was an unannounced case management inspection regarding an incident reported on 2023-06-15 by the facility Administrator Elvyra Abare.
Findings
The Licensing Program Analyst interviewed the Administrator, reviewed staff and resident files, and planned to request additional police and medical records related to the incident. A follow-up visit may occur if necessary.
Complaint Details
The visit was triggered by a complaint or incident report dated 2023-06-15. No substantiation status is provided.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Elvyra Abare | Administrator | Named in relation to the incident report and interview during the case management visit. |
| Shawna Doucette | Licensing Program Analyst | Conducted the case management visit and interview. |
| Sergiy Pidgirny | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Complaint Investigation
Census: 23
Capacity: 190
Deficiencies: 2
Jan 20, 2023
Visit Reason
The visit was a Case Management - Incident investigation triggered by a reported incident of rough care provided by a staff member to a resident.
Findings
The inspection found that the facility elevator was out of service for several weeks, limiting resident mobility, and that a staff member was rough when providing care to a resident, causing pain and discomfort. Deficiencies were cited related to maintenance and operation as well as personal rights of residents.
Complaint Details
The complaint involved allegations that Staff 1 was rough when providing care to Resident 1, causing pain in his legs when assisting with dressing. Resident 1 reported the issue had been ongoing for about a month and a half.
Severity Breakdown
Type A: 1
Type B: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| The facility elevator has been out of service for several weeks leaving assisted living residents unable to get downstairs which poses a potential health, safety, or personal rights risk to residents in care. | Type B |
| Based on interviews, Resident 1 was provided care that made him uncomfortable which poses an immediate health, safety, or personal rights risk to residents in care. | Type A |
Report Facts
Capacity: 190
Census: 23
Plan of Correction Due Date: Feb 2, 2023
Plan of Correction Due Date: Jan 23, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Vicki Zufelt | Facility Nurse | Met with Licensing Program Analyst during the visit and involved in exit interview |
| Sarah Hurt | Licensing Program Analyst | Conducted the Case Management (Incident) visit and authored the report |
| Brenda Chan | Licensing Program Manager / Supervisor | Supervisor and Licensing Program Manager named in the report |
Inspection Report
Census: 140
Capacity: 190
Deficiencies: 0
Jan 4, 2023
Visit Reason
An unannounced Case Management - Incident visit was conducted by Licensing Program Analyst B. Miranda to evaluate the facility and interview a resident and the administrator.
Findings
No citations were issued during the visit per the California Code of Regulations Title 22. The Licensing Program Analyst conducted a tour, interviewed a resident and the administrator, and reviewed relevant documentation.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Elvyra Abare | Administrator | Met with Licensing Program Analyst during the visit and provided documentation. |
| Brianna Miranda | Licensing Program Analyst | Conducted the unannounced Case Management visit. |
| Brenda Chan | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Annual Inspection
Census: 144
Capacity: 190
Deficiencies: 0
Sep 29, 2021
Visit Reason
An unannounced Required - 1 Year Annual Inspection was conducted to include an Infection Control site visit.
Findings
The facility was toured inside and out, including assisted living areas, with no citations issued. Infection control measures were reviewed, including COVID-19 symptom screening, PPE usage, and vaccination clinics.
Report Facts
Residents in Assisted Living: 22
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Marybeth Donovan | Licensing Program Analyst | Conducted the inspection and reviewed the report with the Executive Director. |
| Elvyra Abare | Executive Director | Met with the Licensing Program Analyst during the inspection. |
Inspection Report
Census: 147
Capacity: 190
Deficiencies: 0
Sep 14, 2021
Visit Reason
The visit was conducted to provide technical assistance for Infection Prevention and Control guidelines for Adult and Senior Care facilities during the COVID-19 pandemic.
Findings
The Licensing Program Analyst and Program Clinical Consultant reviewed facility policies and procedures related to screening, isolation, disinfecting, staffing, training, PPE usage, and visitation. Recommendations included posting hand washing signs, maintaining an isolation room PPE cart, and continuing staff training on infection prevention and control.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Elvyra Abare | Administrator | Met with during the visit and involved in review of report |
| Marybeth Donovan | Licensing Program Analyst | Conducted the Technical Assist visit |
| Jackie Jin | Licensing Program Manager | Present during the visit |
| Helen Shi | Program Clinical Consultant | Participated in the visit and policy review |
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