Inspection Report Summary
Most inspections found no deficiencies, and several complaint investigations were unsubstantiated, indicating generally good compliance with regulations. However, some reports did cite deficiencies, primarily related to resident supervision, incident reporting, and medication and cleaning supply storage, with one substantiated case of abusive handling by staff in 2021. The most recent inspection on August 18, 2025, had no deficiencies but noted ceiling leaks requiring repair. Older reports showed some issues with staff failing to report falls and providing adequate supervision, but these concerns have not appeared in the latest visits, suggesting some improvement. No fines, license suspensions, or enforcement actions were listed in the available reports.
Deficiencies per Year
4
3
2
1
0
High
Moderate
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Complaint Investigation
Census: 121
Capacity: 128
Deficiencies: 0
Aug 18, 2025
Visit Reason
An unannounced Case Management visit was conducted regarding a self-reported incident involving financial theft by a staff member.
Findings
The Executive Director reported the incident, notified the Police Department and Ombudsman, conducted an internal investigation, and placed the staff member on administrative leave. No deficiencies were cited during the visit.
Complaint Details
The visit was triggered by a self-reported incident of financial theft by a staff member. The incident was reported to the Police Department and Ombudsman, and the staff member was placed on administrative leave.
Report Facts
Census: 121
Total Capacity: 128
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Gianni Amari | Executive Director | Named in relation to the self-reported incident and visit |
| Patricia Manalo | Licensing Program Analyst | Conducted the inspection visit |
| K. Nguyen | Licensing Program Analyst | Conducted the inspection visit |
Inspection Report
Census: 121
Capacity: 128
Deficiencies: 0
Aug 18, 2025
Visit Reason
An unannounced Case Management visit was conducted regarding a self-reported incident involving financial theft by a third party home care agency.
Findings
No deficiencies were cited during the visit. The Executive Director confirmed that the police department and local ombudsman were notified about the incident.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Gianni Amari | Executive Director | Met with Licensing Program Analysts during the visit and provided information about the incident. |
Inspection Report
Census: 121
Capacity: 128
Deficiencies: 0
Aug 18, 2025
Visit Reason
The visit was an unannounced case management inspection conducted by Licensing Program Analysts to assess facility conditions and ensure resident safety.
Findings
During the visit, Licensing Program Analysts observed ceiling leaks in four different areas of the main lobby and two resident rooms affected by the leaks. The Executive Director was requested to submit a plan for repair and resident safety reassurance.
Report Facts
Capacity: 128
Census: 121
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Gianni Amari | Executive Director | Met with Licensing Program Analysts during the inspection and requested to submit repair plan |
| Patricia Manalo | Licensing Program Analyst | Conducted the case management visit |
| K. Nguyen | Licensing Program Analyst | Conducted the case management visit |
Inspection Report
Complaint Investigation
Census: 123
Capacity: 128
Deficiencies: 1
Aug 5, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to allegations received on 2025-04-29 regarding staff not reporting incidents to appropriate parties and other care concerns.
Findings
The investigation substantiated that staff failed to report resident falls to the licensing department as required, constituting a violation of reporting requirements. Other allegations regarding incontinence care, ambulation assistance, monitoring for condition changes, communication with responsible parties, and rough handling were found to be unsubstantiated based on interviews and record reviews.
Complaint Details
The complaint investigation was substantiated regarding staff not reporting incidents to appropriate parties, specifically failure to report falls to the licensing department. Other allegations about resident care were unsubstantiated.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to submit written reports to the licensing agency within seven days of incidents, specifically not reporting falls of Resident 1 that posed potential health and safety risks. | Type B |
Report Facts
Capacity: 128
Census: 123
Deficiencies cited: 1
Plan of Correction Due Date: 14
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Gianni Amari | Executive Director | Interviewed during investigation and named in findings |
| Patricia Manalo | Licensing Program Analyst | Conducted investigation and signed report |
| Yvonne Flores-Larios | Licensing Program Manager | Oversaw investigation and signed report |
Inspection Report
Census: 126
Capacity: 128
Deficiencies: 0
Apr 2, 2025
Visit Reason
The visit was an unannounced case management inspection conducted in response to a death report received on 2025-03-29 involving a resident found unresponsive and pronounced dead.
Findings
No deficiencies were cited during this visit. The Licensing Program Analyst obtained relevant reports and requested additional documentation to be submitted by specified dates. The Executive Director will obtain and notify the analyst of the death certificate.
Report Facts
Capacity: 128
Census: 126
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Gianni Amari | Executive Director | Met with Licensing Program Analyst during the visit and responsible for obtaining death certificate |
| Patricia Manalo | Licensing Program Analyst | Conducted the case management visit |
| Yvonne Flores-Larios | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 126
Capacity: 128
Deficiencies: 1
Jan 31, 2025
Visit Reason
An unannounced complaint investigation was conducted following a complaint received on 2025-01-27 regarding lack of supervision at the facility.
Findings
The investigation found that staff escorted a resident (R1) to the incorrect room and were unaware of the resident's whereabouts, posing a potential health and safety risk. The allegation was substantiated based on interviews and document reviews.
Complaint Details
The complaint was substantiated based on the preponderance of evidence standard after interviews with residents, staff, witnesses, and review of documents including physician's report and care plan.
Deficiencies (1)
| Description |
|---|
| Failure to provide adequate supervision as staff escorted resident R1 to the incorrect room and were unaware of R1's whereabouts, posing a potential health and safety risk. |
Report Facts
Deficiency Type: 1
Capacity: 128
Census: 126
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Meghian Geul | Executive Director | Met with Licensing Program Analysts during the investigation and named in findings. |
| Grace Luk | Licensing Program Analyst | Conducted the complaint investigation. |
| Harpreet Humpal | Licensing Program Manager | Named in report as Licensing Program Manager. |
Inspection Report
Annual Inspection
Census: 123
Capacity: 128
Deficiencies: 4
Jan 8, 2025
Visit Reason
The inspection was an unannounced 1-Year Annual Required inspection conducted to evaluate compliance with licensing regulations and facility safety standards.
Findings
The inspection found several deficiencies including unsafe storage of cleaning supplies and medications accessible to residents, incomplete first aid kits on multiple floors, and medication record discrepancies. Plans of correction were agreed upon with due dates for compliance.
Severity Breakdown
Type A: 2
Type B: 2
Deficiencies (4)
| Description | Severity |
|---|---|
| Knife found in resident R2's room, Lysol spray and dish soap in R3's room, and cleaning supplies such as Lysol spray and The Pink Stuff in R1's room posing immediate health and safety risks. | Type A |
| Prescribed medication solution found in R1's bathroom accessible to residents posing immediate health and safety risk. | Type A |
| PRN medication for resident R2 missing in Med Tech room and medication found in R2's medication bin not listed in doctor's orders posing potential health and safety risk. | Type B |
| Incomplete first aid kits observed on second floor, third floor, and kitchen posing potential health and safety risk. | Type B |
Report Facts
Facility capacity: 128
Resident census: 123
Hospice waivers approved: 6
Fire extinguisher last serviced: Feb 8, 2024
Emergency disaster drill last conducted: Dec 30, 2024
Staff records reviewed: 6
Resident records reviewed: 6
Medication samples reviewed: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Meghian Geul | Executive Director | Met with Licensing Program Analysts during inspection and named in plans of correction |
| Patricia Manalo | Licensing Program Analyst | Conducted inspection and signed report |
| Yvonne Flores-Larios | Licensing Program Manager | Supervisor named in report |
Inspection Report
Complaint Investigation
Census: 123
Capacity: 128
Deficiencies: 0
Jan 8, 2025
Visit Reason
An unannounced Case Management visit was conducted regarding a self-reported incident report of abuse that occurred on 2024-12-30.
Findings
No deficiencies were cited during the visit. The Executive Director confirmed reporting to Ombudsmen, APS, and CCLD, and the resident involved no longer resides at the facility as of 2024-12-31.
Complaint Details
The visit was triggered by a self-reported incident of abuse. The facility reported the incident to Ombudsmen, APS, and CCLD. The resident involved left the facility on 2024-12-31. No deficiencies were cited.
Report Facts
Capacity: 128
Census: 123
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Meghian Geul | Executive Director | Met with Licensing Program Analysts during the visit and provided information regarding the incident. |
Inspection Report
Annual Inspection
Census: 126
Capacity: 128
Deficiencies: 0
Apr 24, 2024
Visit Reason
The inspection was an unannounced Case Management - Annual Continuation visit conducted to review compliance with licensing requirements.
Findings
The Licensing Program Analyst reviewed resident and staff files, observed staff training and medication management, interviewed residents and staff, and found no deficiencies during this inspection.
Report Facts
Resident files reviewed: 7
Staff files reviewed: 7
Residents interviewed: 5
Staff interviewed: 5
Facility capacity: 128
Facility census: 126
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Meghian Geul | Executive Director | Met with Licensing Program Analyst during inspection |
| Grace Luk | Licensing Program Analyst | Conducted the inspection visit |
| Harpreet Humpal | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Annual Inspection
Census: 125
Capacity: 128
Deficiencies: 1
Jan 30, 2024
Visit Reason
The inspection was an unannounced Required - 1 Year inspection conducted to evaluate compliance with licensing regulations for the facility.
Findings
The facility was generally compliant with regulations, including fire safety and food storage, except for one deficiency where lysol sprays were stored with food supplies, which was corrected during the inspection.
Deficiencies (1)
| Description |
|---|
| Lysol sprays were stored in the same area as food supplies, posing a potential health and safety risk. |
Report Facts
Capacity: 128
Census: 125
Plan of Correction Due Date: Jan 31, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Meghian Geul | Executive Director | Met with Licensing Program Analyst during inspection |
| Grace Luk | Licensing Program Analyst | Conducted the inspection and authored the report |
| Harpreet Humpal | Licensing Program Manager | Named as Licensing Program Manager overseeing the inspection |
Inspection Report
Complaint Investigation
Census: 94
Capacity: 128
Deficiencies: 0
Dec 11, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to allegations received on 2023-10-10 regarding resident molestation, injury, and failure to seek medical attention.
Findings
The investigation found no preponderance of evidence to substantiate the allegations of resident molestation, injury sustained while in care, or failure of staff to seek medical attention. The allegations were determined to be unsubstantiated.
Complaint Details
The complaint alleged that residents were molested while in care, a resident sustained injury while in care, and staff did not seek medical attention for the resident. Interviews and record reviews did not substantiate these allegations.
Report Facts
Capacity: 128
Census: 94
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Paris Watson | Licensing Program Analyst | Conducted the complaint investigation |
| Yvonne Flores-Larios | Licensing Program Manager | Oversaw the complaint investigation |
| Meghian E Geul | Administrator | Facility administrator named in the report |
Inspection Report
Complaint Investigation
Census: 122
Capacity: 128
Deficiencies: 0
Oct 13, 2023
Visit Reason
The inspection was conducted as a result of a priority 1 complaint to perform a Health & Safety inspection.
Findings
The Licensing Program Analyst toured the facility with the administrator and found no deficiencies. All safety measures including hot water temperature, food supplies, kitchen temperatures, medication security, smoke detectors, carbon monoxide detector, first-aid kit, fire extinguisher, and passageways were in compliance.
Complaint Details
The visit was triggered by a priority 1 complaint. No deficiencies were cited during the visit.
Report Facts
Hot water temperature: 116.4
Non-perishable food supply duration: 7
Perishable food supply duration: 2
Kitchen refrigerator temperature: 40
Kitchen freezer temperature: 0
Fire extinguisher last serviced date: Mar 2, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Meghian E Geul | Administrator | Met with Licensing Program Analyst during inspection |
| Liridon Fici | Licensing Program Analyst | Conducted the Health & Safety inspection |
Inspection Report
Annual Inspection
Census: 111
Capacity: 128
Deficiencies: 0
Dec 8, 2022
Visit Reason
The visit was an unannounced Annual Infection Control Visit conducted to evaluate the facility's infection control practices and compliance.
Findings
The inspection found the facility to be in compliance with infection control standards, with sufficient supplies, proper signage, functional safety equipment, and no deficiencies cited during the visit.
Report Facts
Water temperature: 119.9
Facility room temperature: 68
Fire extinguisher last serviced: Feb 25, 2022
Perishable food supply: 2
Non-perishable food supply: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Meghian Geul | Administrator | Met with Licensing Program Analyst during inspection |
| Liridon Fici | Licensing Program Analyst | Conducted the Annual Infection Control Visit |
| Yvonne Flores-Larios | Licensing Program Manager | Named in report header |
Inspection Report
Complaint Investigation
Census: 111
Capacity: 128
Deficiencies: 0
Sep 9, 2022
Visit Reason
The visit was an unannounced case management incident investigation triggered by an incident report regarding staff member S1 allegedly using profanity towards resident R1 on 2022-08-22.
Findings
The facility reported the incident timely and completed all mandatory cross reporting. After an internal investigation including review of video evidence, staff member S1 was terminated. No deficiencies were cited during this visit.
Complaint Details
The complaint involved an allegation of staff S1 using profanity towards resident R1. The allegation was substantiated based on video evidence. S1 was placed on administrative leave pending investigation and subsequently terminated.
Report Facts
Incident date: Aug 22, 2022
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Meghian Geul | Administrator | Met with Licensing Program Analyst and Manager during the visit |
| Yvonne Flores-Larios | Licensing Program Manager | Conducted the case management visit |
| Liridon Fici | Licensing Program Analyst | Conducted the case management visit |
Inspection Report
Complaint Investigation
Census: 112
Capacity: 128
Deficiencies: 0
Nov 23, 2021
Visit Reason
An unannounced complaint investigation was conducted in response to allegations including staff not answering call buttons timely, leaving residents in soiled diapers, insufficient staffing, and delayed meal provision.
Findings
The investigation found that staff generally responded to call buttons within 20 minutes, residents were assisted with incontinence care every 2-4 hours, staffing levels were adequate across shifts, and meals were provided at reasonable times. There was insufficient evidence to substantiate the allegations, resulting in an unsubstantiated finding.
Complaint Details
The complaint investigation was unsubstantiated as there was no preponderance of evidence to prove the alleged violations occurred.
Report Facts
Staff on morning shift: 6
Staff on afternoon shift: 5
Staff on night shift: 2
Resident incontinence check frequency (hours): 2
Resident incontinence check frequency (hours): 4
Call response time (minutes): 20
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Brice | Executive Director | Met with Licensing Program Analyst during investigation |
| Grace Luk | Licensing Program Analyst | Conducted complaint investigation |
| Harpreet Humpal | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Capacity: 128
Deficiencies: 1
Jul 15, 2021
Visit Reason
An unannounced Case Management visit was conducted regarding an incident reported on 07/08/2021 involving alleged rough and abusive handling of a resident by staff member S3.
Findings
Based on interviews with staff and residents, and review of relevant documents, the allegation of rough and abusive handling was substantiated. The licensee did not comply with regulations protecting residents' personal rights, posing a potential health and safety risk.
Complaint Details
The complaint was substantiated based on the preponderance of evidence standard after interviews and record reviews. The incident involved staff member S3 handling resident R1 roughly and abusively. Law enforcement and the resident's responsible party were notified.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to comply with 87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities...(3) To be free from punishment...abuse, or other actions. | Type B |
Report Facts
Capacity: 128
Deficiency Type B count: 1
Plan of Correction Due Date: Jul 22, 2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Brice | Executive Director | Met with Licensing Program Analyst during visit and involved in incident report |
| Laura Hall | Licensing Program Analyst | Conducted the unannounced Case Management visit and authored the report |
| Harpreet Humpal | Licensing Program Manager | Supervisor overseeing the licensing evaluation |
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