Deficiencies (last 6 years)
Deficiencies (over 6 years)
6 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
50% worse than California average
California average: 4 deficiencies/yearDeficiencies per year
28
21
14
7
0
Occupancy
Latest occupancy rate
100% occupied
Based on a November 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Deficiencies: 0
Date: Mar 4, 2026
Visit Reason
The visit was an unannounced case management inspection conducted to evaluate the facility's compliance with licensing requirements.
Findings
The facility was found to be over capacity with 132 residents present while the licensed capacity is 128. No deficiencies were cited during this visit. An extension was granted to allow the facility to relocate residents to comply, with corrections due by 03/13/2026 and a return visit planned.
Report Facts
Facility census: 132
Facility capacity: 128
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Gianni Amari | Executive Director | Met with Licensing Program Analyst during inspection and discussed overcapacity issue |
Inspection Report
Capacity: 128
Deficiencies: 1
Date: Mar 4, 2026
Visit Reason
The inspection visit was an unannounced case management visit conducted to assess the facility's compliance and safety conditions.
Findings
A deficiency was observed involving a leak in the main lobby ceiling by the receptionist area, which poses a potential safety risk to persons in care. The Executive Director agreed to submit a plan for repair and reassurance of resident safety.
Deficiencies (1)
Leak in the main lobby ceiling by the receptionist area posing a potential safety risk.
Report Facts
Capacity: 128
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Gianni Amari | Executive Director | Met with Licensing Program Analyst during the inspection and agreed to plan of correction |
Inspection Report
Deficiencies: 0
Date: Mar 4, 2026
Visit Reason
The visit was an unannounced case management inspection conducted to evaluate the facility's compliance with licensing requirements.
Findings
The facility was found to be over capacity with 132 residents present while the licensed capacity is 128. No deficiencies were cited during this visit. An extension was granted for the facility to relocate residents and comply by 2026-03-13, with a follow-up visit planned.
Report Facts
Facility capacity: 128
Census: 132
Correction due date: Mar 13, 2026
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Gianni Amari | Executive Director | Met with Licensing Program Analyst during the inspection and discussed capacity issues |
| Patricia Manalo | Licensing Program Analyst | Conducted the unannounced case management visit |
| Yvonne Flores-Larios | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Capacity: 128
Deficiencies: 1
Date: Mar 4, 2026
Visit Reason
The visit was an unannounced case management inspection conducted to evaluate the facility's compliance with licensing requirements.
Findings
A Type B deficiency was observed due to a leak in the main lobby ceiling by the receptionist area, posing a potential safety risk to persons in care. The Executive Director agreed to submit a plan for repair and reassurance of resident safety.
Deficiencies (1)
Leak in the main lobby ceiling by the receptionist area posing a potential safety risk.
Report Facts
Facility capacity: 128
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Gianni Amari | Executive Director | Met with Licensing Program Analyst during inspection and agreed to plan of correction |
Inspection Report
Deficiencies: 1
Date: Feb 5, 2026
Visit Reason
The visit was an unannounced case management visit conducted by the Licensing Program Analyst to evaluate compliance with licensing requirements.
Findings
The facility was found to have 13 residents on hospice care while only approved for 6, constituting a Type B deficiency related to the hospice care waiver requirement.
Deficiencies (1)
Facility had 13 residents on hospice care while only approved for 6, violating hospice care waiver requirements.
Report Facts
Residents on hospice: 13
Approved hospice capacity: 6
Facility capacity: 128
Facility census: 130
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Gianni Amari | Executive Director | Met with Licensing Program Analyst during inspection |
| Patricia Manalo | Licensing Program Analyst | Conducted the inspection and authored the report |
| Yvonne Flores-Larios | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Deficiencies: 1
Date: Feb 5, 2026
Visit Reason
The visit was an unannounced case management visit conducted by the Licensing Program Analyst to evaluate compliance with licensing requirements.
Findings
The facility was found to have 13 residents on hospice care while only approved for 6, constituting a deficiency related to the hospice care waiver requirement.
Deficiencies (1)
Facility had 13 residents on hospice while only approved for 6, violating hospice care waiver requirements.
Report Facts
Residents on hospice: 13
Approved hospice capacity: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Gianni Amari | Executive Director | Met with Licensing Program Analyst during inspection |
| Patricia Manalo | Licensing Program Analyst | Conducted the inspection and authored the report |
| Yvonne Flores-Larios | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Capacity: 128
Deficiencies: 1
Date: Jan 30, 2026
Visit Reason
The inspection was an unannounced Case Management visit regarding a self-reported death report submitted by the facility related to a resident found unresponsive with unknown cause of death.
Complaint Details
The visit was triggered by a self-reported death incident involving a resident found unresponsive with slow breathing and an unknown cause of death. The complaint was investigated through review of records and interviews.
Findings
The facility retained a resident with a stage III pressure wound, which is not permitted under regulations and posed a potential health risk. A deficiency was cited for this violation.
Deficiencies (1)
Facility retained a resident with a stage III pressure wound, violating CCR 87615(a)(1) which prohibits admission or retention of persons with stage 3 and 4 pressure injuries.
Report Facts
Capacity: 128
Census: 130
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Gianni Amari | Executive Director | Met with Licensing Program Analyst during inspection and interviewed regarding resident care and incident |
| Patricia Manalo | Licensing Program Analyst | Conducted the unannounced Case Management visit and authored the report |
| Yvonne Flores-Larios | Licensing Program Manager | Named in report as Licensing Program Manager overseeing the inspection |
Inspection Report
Capacity: 128
Deficiencies: 2
Date: Jan 30, 2026
Visit Reason
An unannounced case management visit was conducted by Licensing Program Analyst Patricia Manalo to observe compliance with licensing requirements.
Findings
Several deficiencies were observed including unsecured scissors in a resident's room posing immediate safety risk (Type A deficiency), and items such as a vacuum, bed frame, mattress, portraits, and a hoyer lift left in hallways posing potential safety risks (Type B deficiency). Plans of correction were agreed upon by the Executive Director.
Deficiencies (2)
Two scissors were found unlocked in Resident 1's room with a dementia diagnosis, posing an immediate safety risk.
Items such as a vacuum, bed frame, bed mattress, portraits, and a hoyer lift were left in hallways, posing a potential safety risk.
Report Facts
Facility capacity: 128
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Gianni Amari | Executive Director | Met with Licensing Program Analyst during inspection and named in plan of correction |
| Patricia Manalo | Licensing Program Analyst | Conducted the inspection and authored the report |
| Yvonne Flores-Larios | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Capacity: 128
Deficiencies: 1
Date: Jan 30, 2026
Visit Reason
The inspection visit was an unannounced Case Management visit regarding a self-reported death report submitted by the facility related to a resident found unresponsive with unknown cause of death.
Findings
The facility retained a resident with a stage III pressure wound, which is a violation of licensing requirements and posed a potential health risk. A deficiency was cited for this violation.
Deficiencies (1)
Facility retained a resident with a stage III pressure wound, violating CCR 87615(a)(1) which prohibits admission or retention of persons with stage 3 and 4 pressure injuries.
Report Facts
Total licensed capacity: 128
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Gianni Amari | Executive Director | Met with Licensing Program Analyst during inspection and interviewed regarding resident care and incident |
| Patricia Manalo | Licensing Program Analyst | Conducted the unannounced Case Management visit |
| Yvonne Flores-Larios | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Capacity: 128
Deficiencies: 2
Date: Jan 30, 2026
Visit Reason
An unannounced case management visit was conducted by Licensing Program Analyst Patricia Manalo to observe compliance and facility conditions.
Findings
Several deficiencies were observed including unsecured scissors in a resident's room posing immediate safety risk, and items such as a vacuum, bed frame, mattress, portraits, and a hoyer lift left unattended in hallways posing potential safety risks.
Deficiencies (2)
Two scissors were found unlocked in a resident's room with a dementia diagnosis, posing an immediate safety risk.
Items including a vacuum, bed frame, bed mattress, portraits, and a hoyer lift were left unattended in hallways, posing a potential safety risk.
Report Facts
Capacity: 128
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Gianni Amari | Executive Director | Met with Licensing Program Analyst during inspection and named in plan of correction |
| Patricia Manalo | Licensing Program Analyst | Conducted the inspection and signed the report |
| Yvonne Flores-Larios | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Annual Inspection
Capacity: 128
Deficiencies: 7
Date: Jan 14, 2026
Visit Reason
The inspection was an unannounced 1-Year Annual Required inspection conducted to evaluate compliance with licensing requirements at Carlton Plaza of Fremont.
Findings
The inspection identified multiple deficiencies including missing PRN medications for a resident, unsafe storage of hazardous items and food supplies, outdated physician reports for several residents, incomplete staff association and personnel files, and expired or questionable food items. Plans of correction were agreed upon for all deficiencies.
Deficiencies (7)
Facility did not have 4 PRN medications for resident R1.
Unsafe storage of hammer, wrench, Antacids Tablets, Nystatin Powder, Cortizone in R3’s room and unlocked cleaning supplies in activities closet.
Emergency food supplies stored in the same area as paint, lighter fluid, and debris.
Residents R3, R5, R6, and R7 did not have updated physician reports (LIC602A).
Staff member S4 not associated with the facility on Guardian system.
Staff personnel files incomplete.
Multiple food items found with expired or questionable best buy dates.
Report Facts
Capacity: 128
Census: 130
Deficiencies cited: 7
POC Due Date: Jan 15, 2026
POC Due Date: Jan 23, 2026
POC Due Date: Jan 28, 2026
Inspection start time: 08:50
Inspection end time: 16:05
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Gianni Amari | 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 | Named as Licensing Program Manager on report |
Inspection Report
Deficiencies: 1
Date: Jan 14, 2026
Visit Reason
The visit was an unannounced case management inspection conducted to evaluate compliance with licensing requirements, during which an overcapacity condition was observed.
Findings
The facility was found to be over capacity with 130 residents present while the licensed capacity is 128, posing an immediate health and safety risk. A civil penalty of $500 was assessed for this deficiency.
Deficiencies (1)
Facility was over capacity with 130 residents exceeding the licensed capacity of 128, violating CCR 87202(a) related to fire clearance and safety.
Report Facts
Civil penalty amount: 500
Facility capacity: 128
Facility census: 130
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Gianni Amari | Executive Director | Met with Licensing Program Analysts during inspection and named in deficiency context |
Inspection Report
Annual Inspection
Capacity: 128
Deficiencies: 7
Date: Jan 14, 2026
Visit Reason
The inspection was an unannounced 1-Year Annual Required inspection conducted to evaluate compliance with licensing requirements.
Findings
The facility was found to have multiple deficiencies including missing PRN medications for a resident, unlocked hazardous items in resident rooms and activity closets, improper storage of emergency food supplies with hazardous materials, outdated physician reports for several residents, incomplete staff association and personnel files, and expired or questionable food items in the kitchen.
Deficiencies (7)
Facility did not have 4 PRN medications for resident R1.
Unlocked hammer, wrench, Antacids Tablets, Nystatin Powder, Cortizone in R3’s room and unlocked cleaning supplies in activities closet.
Emergency food supplies stored in the same area as paint, lighter fluid, and debris.
Residents R3, R5, R6, and R7 did not have updated physician reports (LIC602A).
Staff member S4 not associated with the facility on Guardian system.
Staff files incomplete.
Multiple food items with expired or questionable best buy dates present in the kitchen.
Report Facts
Capacity: 128
Deficiencies cited: 7
POC Due Dates: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Gianni Amari | Executive Director | Met with Licensing Program Analysts during inspection and named in plans of correction. |
| Patricia Manalo | Licensing Program Analyst | Conducted inspection and signed the report. |
| Yvonne Flores-Larios | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Census: 128
Capacity: 128
Deficiencies: 0
Date: Nov 19, 2025
Visit Reason
The inspection visit was an unannounced Case Management visit regarding a self-reported death report submitted by the facility.
Findings
The Licensing Program Analyst reviewed the incident report, communication log, physician's report, staff schedule, and service plan, and interviewed staff involved. No deficiencies were cited during the visit.
Report Facts
Facility capacity: 128
Census: 128
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Gianni Amari | Executive Director | Met with Licensing Program Analyst during the visit and interviewed regarding the incident |
| Patricia Manalo | Licensing Program Analyst | Conducted the unannounced Case Management visit |
Inspection Report
Census: 128
Capacity: 128
Deficiencies: 0
Date: Nov 19, 2025
Visit Reason
An unannounced Case Management visit was conducted regarding a self-reported death report submitted by the facility.
Findings
The Licensing Program Analyst reviewed the incident report, communication log, physician's report, staff schedule, and service plan, and interviewed staff involved. No deficiencies were cited during the visit.
Report Facts
Facility capacity: 128
Census: 128
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Gianni Amari | Executive Director | Met with Licensing Program Analyst during the visit and interviewed regarding the incident |
| Patricia Manalo | Licensing Program Analyst | Conducted the unannounced Case Management visit |
Inspection Report
Census: 125
Capacity: 128
Deficiencies: 1
Date: Nov 12, 2025
Visit Reason
An unannounced Case Management visit was conducted on 11/12/2025 to review compliance related to an incident report involving a resident who sustained a fracture and the facility's failure to report the incident as required.
Findings
The facility failed to submit a required incident report to the licensing agency within the seven-day timeframe following a resident's fracture, posing a safety risk to persons in care. A Type B deficiency was cited for this failure.
Deficiencies (1)
Failure to submit Resident 1's incident report to the licensing agency within seven days as required by CCR 87211(a)(1).
Report Facts
Deficiencies cited: 1
Plan of Correction Due Date: Nov 26, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Gianni Amari | Executive Director | Named in relation to the deficiency and exit interview |
| Patricia Manalo | Licensing Program Analyst | Conducted the inspection visit |
| Yvonne Flores-Larios | Licensing Program Manager | Named in the report |
Inspection Report
Census: 125
Capacity: 128
Deficiencies: 1
Date: Nov 12, 2025
Visit Reason
An unannounced Case Management visit was conducted on 11/12/2025 to review compliance with reporting requirements following an incident involving a resident fracture that was not reported as required.
Findings
The facility failed to report an incident involving Resident 1 who sustained a fracture on 10/12/2025 within the required seven-day timeframe, constituting a Type B deficiency under California Code of Regulations, Title 22.
Deficiencies (1)
Failure to submit a written incident report to the licensing agency within seven days of the occurrence, posing a safety risk to persons in care.
Report Facts
Deficiency count: 1
Capacity: 128
Census: 125
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Gianni Amari | Executive Director | Met during inspection and named in deficiency plan of correction |
| Patricia Manalo | Licensing Program Analyst | Conducted the inspection and signed the report |
| Yvonne Flores-Larios | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Census: 125
Capacity: 128
Deficiencies: 0
Date: Nov 12, 2025
Visit Reason
The inspection was an unannounced Case Management visit regarding a self-reported incident involving Resident 1's fracture reported by the facility.
Findings
The Licensing Program Analyst reviewed Resident 1's service plans, physician reports, and after-visit summary related to an unwitnessed fall resulting in a clavicle fracture. No deficiencies were cited during the visit.
Report Facts
Incident report date: Oct 21, 2025
Resident fall date: Oct 12, 2025
Physician report date: Oct 30, 2025
After-visit summary submission deadline: Nov 21, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Gianni Amari | Executive Director | Met with Licensing Program Analyst during visit |
| Patricia Manalo | Licensing Program Analyst | Conducted the unannounced Case Management visit |
| Yvonne Flores-Larios | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 121
Capacity: 128
Deficiencies: 0
Date: Aug 18, 2025
Visit Reason
An unannounced Case Management visit was conducted regarding a self-reported incident involving financial theft by a staff member.
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.
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.
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
Date: 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
Date: 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
Date: 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.
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.
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.
Deficiencies (1)
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.
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
Date: 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
Date: 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.
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.
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.
Deficiencies (1)
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
Date: 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.
Deficiencies (4)
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.
Prescribed medication solution found in R1's bathroom accessible to residents posing immediate health and safety risk.
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.
Incomplete first aid kits observed on second floor, third floor, and kitchen posing potential health and safety risk.
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
Date: 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.
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.
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.
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
Date: 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
Date: 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)
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
Date: 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.
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.
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.
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
Date: Oct 13, 2023
Visit Reason
The inspection was conducted as a result of a priority 1 complaint to perform a Health & Safety inspection.
Complaint Details
The visit was triggered by a priority 1 complaint. No deficiencies were cited during the visit.
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.
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
Date: 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
Date: 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.
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.
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.
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
Date: 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.
Complaint Details
The complaint investigation was unsubstantiated as there was no preponderance of evidence to prove the alleged violations occurred.
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.
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
Date: 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.
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.
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.
Deficiencies (1)
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.
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 |
Inspection Report
Complaint Investigation
Capacity: 128
Deficiencies: 1
Date: 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.
Complaint Details
The allegation that staff member S3 handled resident R1 roughly and abusively was substantiated. The facility notified law enforcement and the resident's responsible party. Interviews and document reviews supported the finding.
Findings
The investigation found the allegation to be substantiated based on interviews and record reviews. The facility was cited for noncompliance with California Code of Regulations section 87468.1(a)(3) related to residents' personal rights and abuse prevention.
Deficiencies (1)
Failure to ensure residents are free from punishment, abuse, or other actions violating personal rights as evidenced by rough and abusive handling of a resident by staff member S3.
Report Facts
Facility capacity: 128
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Brice | Executive Director | Met with Licensing Program Analyst during the visit and agreed to corrective actions |
| Laura Hall | Licensing Program Analyst | Conducted the unannounced Case Management visit and investigation |
| Harpreet Humpal | Supervisor | Supervisor overseeing the licensing evaluation |
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