Most inspections found no deficiencies, including the most recent report dated September 4, 2025, which was a complaint investigation that found the allegation about staff criminal record clearance to be unfounded. Several complaint investigations were unsubstantiated, including claims of inadequate supervision and failure to follow reporting requirements. Routine and annual inspections consistently showed compliance with infection control, safety measures, and documentation standards. There were no fines, enforcement actions, or severe issues noted in the available reports. The facility’s record appears stable and compliant over time with no significant concerns.
Deficiencies (last 4 years)
Deficiencies (over 4 years)0 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
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.
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: 5Staff records reviewed: 5Hot water temperature: 108.3Fire extinguisher last serviced: 42425Emergency Disaster Plan last reviewed: 20625Fire 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
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: 117.5Hot water temperature: 116.2Fire extinguisher last serviced: Apr 26, 2023Emergency Disaster Plan last posted: Jun 23, 2023Emergency disaster drill last conducted: Feb 21, 2024Residents records reviewed: 5Staff records reviewed: 5
Employees Mentioned
Name
Title
Context
Avon Nguyen
Executive Director
Met with Licensing Program Analyst during inspection
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: 153Census: 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
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.
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: 118Non-perishable food supply duration: 7Perishable food supply duration: 2Refrigerator temperature: 39Freezer temperature: 0Fire 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
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.
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.
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.