Inspection Report Summary
Most inspections found no deficiencies, with routine annual visits consistently showing full compliance in areas such as safety, infection control, medication management, and staff training. Several complaint investigations were unsubstantiated, including allegations of lack of care and failure to report incidents. One complaint investigation in April 2024 was substantiated for a minor issue involving a delayed refund of prepaid rent fees to a resident’s estate, but no fines or enforcement actions were listed. The most recent report from August 28, 2025, was clean with no deficiencies cited, indicating improvement and consistent adherence to regulations over time. Overall, the facility’s record shows mostly compliance with only isolated minor issues.
Deficiencies per Year
4
3
2
1
0
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Annual Inspection
Census: 190
Capacity: 224
Deficiencies: 0
Aug 28, 2025
Visit Reason
An unannounced required annual inspection was conducted to evaluate compliance with licensing requirements and facility standards.
Findings
The facility was found to be in full compliance with no deficiencies cited. The inspection included a tour of the facility, review of records, and verification of safety and operational standards.
Report Facts
Hospice waiver: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Paula Digerness | Executive Director | Met with Licensing Program Analyst during inspection and named in report |
| Hannah Rodgers | Licensing Program Analyst | Conducted the inspection |
| Lizzette Tellez | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 189
Capacity: 224
Deficiencies: 0
Oct 17, 2024
Visit Reason
The visit was conducted in response to an LIC624 Incident Report regarding a resident's fall and subsequent diagnosis of a closed compression fracture of L5.
Findings
The facility followed proper protocols for the resident's fall, including hospital evaluation, physician notification, family notification, fall assessment, and increased level of care. No immediate health or safety risks were observed and no deficiencies were cited during this visit.
Complaint Details
The visit was triggered by a complaint incident report concerning Resident 1's fall and injury. The complaint was investigated and found to be managed appropriately with no deficiencies cited.
Report Facts
Capacity: 224
Census: 189
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Paula Digerness | Executive Director | Met with Licensing Program Analyst and discussed the purpose of the visit |
| Amy Domingo | Licensing Program Analyst | Conducted the unannounced Case Management - Incident visit |
| Tamara Movsisyan | RN | Filed the initial incident report regarding Resident 1's fall |
Inspection Report
Annual Inspection
Census: 199
Capacity: 224
Deficiencies: 0
May 29, 2024
Visit Reason
The inspection was an unannounced annual visit conducted to assess compliance with safety, maintenance, and operational requirements at the facility.
Findings
The inspection found the facility to be in compliance with all licensing requirements, with no violations observed. Safety features, medication management, emergency preparedness, and staff training were all satisfactory.
Report Facts
Hospice residents allowed: 5
Hospice residents present: 1
Fire extinguisher service date: 2024
Emergency drills frequency: 4
Fire drills frequency: 12
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Paula Digerness | Executive Director | Met with Licensing Program Analyst and participated in exit interview. |
| Marisela Garcia-Centeno | Licensing Program Analyst | Conducted the unannounced annual inspection. |
| Jennifer Lott | Licensing Program Manager | Named as Licensing Program Manager on the report. |
| Page Kerr | Executive Assistant | Assisted in touring the facility pool area during inspection. |
Inspection Report
Complaint Investigation
Census: 201
Capacity: 224
Deficiencies: 1
Apr 29, 2024
Visit Reason
An unannounced complaint investigation was conducted due to an allegation that the licensee did not timely refund advance fees after a resident's death.
Findings
The investigation found that the licensee failed to refund prepaid rent fees to the deceased resident's estate within 15 days of the room being vacated, as required by regulation. One deficiency was cited related to this violation.
Complaint Details
The complaint was substantiated. The allegation was that the licensee did not timely refund advance fees after Resident #1 passed away. Investigation confirmed the refund was not issued within the required timeframe.
Deficiencies (1)
| Description |
|---|
| Licensee did not refund fees paid in advance covering the time after the resident's personal property was removed from the facility to the resident's estate within 15 days, violating California Health and Safety Code 1569.652. |
Report Facts
Deficiencies cited: 1
Refund amount: 7626.25
Capacity: 224
Census: 201
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dang Nguyen | Licensing Program Analyst | Conducted the complaint investigation |
| Paula Digerness | Executive Director | Facility representative involved in investigation and exit interview |
| Paige Kerr | Executive Assistant | Facility representative involved in investigation and exit interview |
| Lizzette Tellez | Licensing Program Manager | Oversaw the complaint investigation |
Inspection Report
Complaint Investigation
Census: 190
Capacity: 224
Deficiencies: 0
Jan 30, 2023
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations of lack of care and supervision resulting in injuries to a resident and failure to report an incident as required.
Findings
The investigation found that although the allegation of lack of care and supervision resulting in injuries may have happened or is valid, there was not a preponderance of evidence to prove the violation occurred. The allegation that the facility failed to report incidents as required was also unsubstantiated.
Complaint Details
The complaint involved allegations that lack of care and supervision resulted in injuries to Resident 1 between March and May 2020, and that the licensee did not report an incident as required. The investigation included interviews with staff, the resident, and review of facility records. The incident on March 22, 2020, involving a skin tear to Resident 1 was documented and reported to the resident's PCP and responsible party. Despite some concerns about timeliness of notification, the evidence did not substantiate the allegations.
Report Facts
Complaint control number: 8
Capacity: 224
Census: 190
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| John Rante | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Icela Estrada | Licensing Program Manager | Oversaw the complaint investigation |
| Paula Digerness | Executive Director | Facility representative met during the investigation |
| Joan E. Johnson | Administrator | Facility administrator named in the report |
Inspection Report
Annual Inspection
Census: 168
Capacity: 224
Deficiencies: 0
Aug 1, 2022
Visit Reason
Licensing Program Analyst Daniela Huerta visited the facility to conduct an annual required licensing inspection.
Findings
The inspection verified compliance with infection control practices including universal entry screening, symptom screening, visitor sign-in policy, face coverings, hand hygiene stations, and cleaning supplies. No deficiencies were cited during the visit.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Susan Rendler | Registered Nurse, Director of Health Services | Met with Licensing Program Analyst during inspection and participated in exit interview. |
Inspection Report
Annual Inspection
Census: 180
Capacity: 224
Deficiencies: 0
Oct 25, 2021
Visit Reason
An unannounced required 1-year visit was conducted to evaluate the facility's compliance with licensing requirements and infection control protocols.
Findings
No deficiencies were cited or observed during the inspection. The facility was found to have current criminal record clearances for all staff and was implementing infection control measures including disinfection, testing surveillance, screening protocols, and use of personal protective equipment.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Joan E. Johnson | Executive Director | Met with during the inspection and discussed the purpose of the visit. |
| John Rante | Licensing Program Manager | Conducted the inspection and provided technical assistance. |
| Iby Strong | Licensing Program Analyst | Conducted the inspection and provided technical assistance. |
| Icela Estrada | Licensing Program Manager | Named in the report as Licensing Program Manager. |
Inspection Report
Census: 174
Capacity: 224
Deficiencies: 0
Jan 29, 2021
Visit Reason
The visit was a Tele-Virtual Case Management visit conducted to deliver amended reports to the facility due to COVID-19.
Findings
No deficiencies were cited or observed during this virtual visit. The amended reports were sent via email to the Executive Director.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Joan Johnson | Executive Director | Met with during the visit and recipient of amended reports. |
| John Rante | Licensing Program Manager | Conducted the Tele-Virtual Visit. |
| Icela Estrada | Licensing Program Manager | Named in the report as Licensing Program Manager. |
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