Deficiencies (last 4 years)

Deficiencies (over 4 years) 0.5 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

88% better than California average
California average: 4 deficiencies/year

Deficiencies per year

4 3 2 1 0
2021
2023
2024
2025

Census

Latest occupancy rate 50% occupied

Based on a November 2025 inspection.

This facility has shown a decline in demand based on occupancy rates.

Occupancy over time

0 4 8 12 16 May 2021 Jan 2023 Dec 2023 Nov 2024 Nov 2025

Inspection Report

Annual Inspection
Census: 5 Capacity: 10 Deficiencies: 2 Date: Nov 10, 2025

Visit Reason
Licensing Program Analyst Magda Malcore made an unannounced visit to conduct a required comprehensive annual inspection of the Residential Care Facility for Elderly (RCFE).

Findings
The facility was generally operating within approved capacity and maintained in good condition with sufficient food, safety equipment, and staff coverage. However, two Type A deficiencies were cited: chemicals/cleaning solutions were found unlocked and accessible in two bathrooms, and the ceiling fan in the living room was covered with dust, posing immediate health and safety risks.

Deficiencies (2)
Ceiling fan in the facility living room was covered with dust, posing an immediate health, safety or personal rights risk to persons in care.
Chemicals/cleaning solutions were kept unlocked and accessible to residents in care in two bathrooms, posing an immediate health, safety or personal rights risk to persons in care.
Report Facts
Capacity: 10 Census: 5 POC Due Date: Nov 12, 2025

Employees mentioned
NameTitleContext
Caroline DensenAdministratorMet with Licensing Program Analyst during inspection and received report
Magda MalcoreLicensing Program AnalystConducted the inspection and authored the report
Karen ClemonsLicensing Program ManagerNamed as Licensing Program Manager on report

Inspection Report

Annual Inspection
Census: 4 Capacity: 10 Deficiencies: 0 Date: Nov 19, 2024

Visit Reason
The visit was an unannounced required comprehensive annual inspection conducted by the Licensing Program Analyst to evaluate the facility's compliance with licensing requirements.

Findings
The facility was found to be clean, in good repair, and operating safely with no deficiencies cited. The inspection included a walkthrough, record review, medication audit, and verification of safety equipment and food service.

Report Facts
Bedrooms: 7 Bathrooms: 3 Water temperature: 109.2 Perishables food supply: 2 Non-perishables food supply: 7

Employees mentioned
NameTitleContext
Michelle EcheverriaLicensing Program AnalystConducted the inspection and audit
Caroline DensenAssistant AdministratorMet with Licensing Program Analyst during inspection

Inspection Report

Annual Inspection
Census: 4 Capacity: 10 Deficiencies: 0 Date: Dec 1, 2023

Visit Reason
The visit was an unannounced required comprehensive annual inspection conducted by the Licensing Program Analyst to evaluate compliance with regulations.

Findings
The facility was found to be operating within approved capacity and in safe, clean, and good repair conditions. No deficiencies were cited during the inspection.

Report Facts
Resident files reviewed: 4 Staff files reviewed: 3 Water temperature: 112

Employees mentioned
NameTitleContext
Rommel DensenFacility AdministratorMet with Licensing Program Analyst during inspection and participated in exit interview
Paola GuerreroLicensing Program AnalystConducted the unannounced annual inspection
Efren MalagonLicensing Program ManagerNamed in report as Licensing Program Manager

Inspection Report

Annual Inspection
Census: 6 Capacity: 10 Deficiencies: 0 Date: Jan 31, 2023

Visit Reason
An unannounced annual inspection was conducted with a focus on infection control to evaluate compliance with regulations.

Findings
No deficiencies were issued during the inspection. One technical assistance was provided regarding the untidy state of the backyard and dining area where items and supplies were observed throughout.

Report Facts
Personal Protective Equipment supply duration: 30

Employees mentioned
NameTitleContext
Victoria ChitgianLicensing Program AnalystConducted the unannounced annual inspection visit
Romell DensenLicenseeFacility representative met during the inspection

Inspection Report

Census: 4 Capacity: 6 Deficiencies: 0 Date: May 19, 2021

Visit Reason
The inspection visit was conducted for the purpose of an Increase of Capacity at the facility.

Findings
The facility was toured and found to have operable smoke and carbon monoxide detectors, locked medication storage, adequate safety measures including locked cleaning supplies and sharp objects, and sufficient clean linens and hygiene items. The facility was approved by the City of Hesperia Fire Protection Bureau for increased capacity and hospice residents. The facility was stocked with food, emergency supplies, and activities for residents.

Report Facts
Approved non-ambulatory resident capacity: 10 Bedridden residents allowed: 2 Hospice waiver capacity: 10 Hot water temperature range: 105.1 Hot water temperature range: 109.5 Perishable food supply: 2 Non-perishable food supply: 7 First aid kits: 1

Employees mentioned
NameTitleContext
Rommel DensenLicensee/AdministratorAssisted with the inspection and discussed the report
Caroline DensenLicensee/AdministratorAssisted with the inspection and discussed the report
Javina GeorgeLicensing Program AnalystConducted the inspection visit
Joel EsquivelLicensing Program ManagerNamed in the report header and narrative

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