Inspection Report
Complaint Investigation
Capacity: 153
Deficiencies: 0
Sep 4, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to an allegation that staff were not criminally record cleared.
Findings
The investigation found the complaint to be unfounded, meaning the allegation was false, could not have happened, and/or was without a reasonable basis. Staff fingerprint clearance was verified during the visit.
Complaint Details
The complaint alleged that staff were not criminally record cleared. The complaint was investigated and found to be unfounded.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Gregory Clark | Licensing Program Analyst | Conducted the complaint investigation and delivered findings. |
| Gloria Wohlfarth | Business Office Director | Met with the Licensing Program Analyst during the investigation. |
| Gerald Vadnais | Administrator | Named as the facility administrator. |
| Yvonne Flores-Larios | Licensing Program Manager | Named as the Licensing Program Manager overseeing the investigation. |
Inspection Report
Annual Inspection
Census: 94
Capacity: 153
Deficiencies: 0
Feb 25, 2025
Visit Reason
The visit was an unannounced 1-Year Annual Required inspection conducted to evaluate the facility's compliance with licensing regulations.
Findings
The Licensing Program Analyst toured the facility and reviewed resident and staff records, medications, and safety equipment. No deficiencies were cited during the visit.
Report Facts
Residents records reviewed: 5
Staff records reviewed: 5
Hot water temperature: 108.3
Fire extinguisher last serviced: 42425
Emergency Disaster Plan last reviewed: 20625
Fire drill last conducted: 112024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Gregory Clark | Licensing Program Analyst | Conducted the inspection and cited no deficiencies |
| Avon Nguyen | Executive Director | Met with Licensing Program Analyst during inspection |
Inspection Report
Annual Inspection
Census: 105
Capacity: 153
Deficiencies: 0
Feb 27, 2024
Visit Reason
The inspection was an unannounced 1-Year Annual Required inspection conducted to evaluate the facility's compliance with licensing requirements.
Findings
The facility was toured and inspected including resident apartments, common areas, and safety equipment. All reviewed resident and staff records were complete, and no deficiencies were cited during the visit.
Report Facts
Hot water temperature: 117.5
Hot water temperature: 116.2
Fire extinguisher last serviced: Apr 26, 2023
Emergency Disaster Plan last posted: Jun 23, 2023
Emergency disaster drill last conducted: Feb 21, 2024
Residents records reviewed: 5
Staff records reviewed: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Avon Nguyen | Executive Director | Met with Licensing Program Analyst during inspection |
| Gregory Clark | Licensing Program Analyst | Conducted the inspection |
| Yvonne Flores-Larios | Licensing Program Manager | Named in report header |
Inspection Report
Complaint Investigation
Census: 105
Capacity: 153
Deficiencies: 0
Nov 21, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that the facility did not provide adequate supervision which resulted in a resident being abused while in care.
Findings
The investigation reviewed facility, medical, and collateral agency records, staff and client interviews, and police reports. The allegation was found to be unsubstantiated due to insufficient evidence to prove the alleged violation occurred.
Complaint Details
The complaint alleged inadequate supervision resulting in resident abuse. The investigation included interviews with staff and clients, review of police reports, and follow-up interviews. The resident had injuries possibly caused by bumping against a bedrail. The allegation was determined unsubstantiated as there was no preponderance of evidence to confirm the abuse.
Report Facts
Facility capacity: 153
Census: 105
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Gregory Clark | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Yvonne Flores-Larios | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
| Avon Nguyen | Administrator | Facility administrator met during the investigation |
Inspection Report
Complaint Investigation
Census: 105
Capacity: 153
Deficiencies: 0
Nov 21, 2023
Visit Reason
The inspection visit was conducted as an unannounced complaint investigation following a complaint received on 06/26/2023 alleging that facility staff failed to follow reporting requirements.
Findings
The investigation found that the facility followed all reporting requirements regarding the injury that occurred on 6/17/23, including timely filing of required reports. The complaint was determined to be unfounded.
Complaint Details
The complaint alleged that facility staff failed to follow reporting requirements. The investigation concluded the complaint was unfounded, meaning the allegation was false or without reasonable basis.
Report Facts
Complaint Control Number: 15-AS-20230626092628
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Gregory Clark | Licensing Program Analyst | Conducted the complaint investigation and delivered findings. |
| Avon Nguyen | Administrator | Met with Licensing Program Analyst during the investigation. |
Inspection Report
Complaint Investigation
Census: 87
Capacity: 153
Deficiencies: 0
Jun 27, 2023
Visit Reason
The inspection was conducted as a result of a priority 2 complaint to perform a Health & Safety inspection.
Findings
The Licensing Program Analyst toured the facility and found no deficiencies. All safety measures including hot water temperature, food supplies, medication storage, smoke detectors, carbon monoxide detector, first-aid kit, fire extinguisher, and pool fencing were compliant with regulations.
Complaint Details
The visit was triggered by a priority 2 complaint. No deficiencies were cited during the visit.
Report Facts
Hot water temperature: 118
Non-perishable food supply duration: 7
Perishable food supply duration: 2
Refrigerator temperature: 39
Freezer temperature: 0
Fire extinguisher last serviced: Apr 26, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Gregory Clark | Licensing Program Analyst | Conducted the Health & Safety inspection |
| Avon Nguyen | Executive Director | Met with Licensing Program Analyst during inspection |
Inspection Report
Routine
Census: 102
Capacity: 153
Deficiencies: 0
Feb 16, 2023
Visit Reason
The visit was an unannounced Infection Control Inspection conducted as a required 1-year routine inspection.
Findings
The inspection found the facility compliant with infection control standards, including proper PPE use, adequate food supply, visitor screening, and posted hygiene policies. No deficiencies were cited during the visit.
Report Facts
PPE supply duration: 30
Perishable food supply duration: 2
Non-perishable food supply duration: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Gregory Clark | Licensing Program Analyst | Conducted the Infection Control Inspection |
| Christy Verduzco | Health Service Director | Met with Licensing Program Analyst during inspection |
Inspection Report
Annual Inspection
Census: 98
Capacity: 153
Deficiencies: 0
Sep 8, 2022
Visit Reason
The visit was an unannounced annual/random infection control inspection conducted to assess the facility's compliance with infection control standards.
Findings
The facility was found to have adequate infection control measures including proper PPE use, sufficient food supply, visitor screening, and posted hygiene policies. No deficiencies were cited during the visit.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Gregory Clark | Licensing Program Analyst | Conducted the infection control inspection and met with facility staff. |
| Christy Verduzco | Health Service Director | Met with Licensing Program Analyst during the inspection. |
Inspection Report
Routine
Census: 101
Capacity: 153
Deficiencies: 0
Mar 28, 2022
Visit Reason
The visit was an unannounced Infection Control Inspection conducted as a required 1-year routine inspection.
Findings
The inspection found that the facility maintained proper infection control measures including PPE usage, screening procedures, and signage. No deficiencies were cited during the visit.
Report Facts
PPE supply duration: 30
Food supply duration - perishable: 2
Food supply duration - non-perishable: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Gregory Clark | Licensing Program Analyst | Conducted the Infection Control Inspection |
| Teresa Tillson | Assistant Executive Director | Met with Licensing Program Analyst during inspection |
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