Inspection Report Summary
Most inspections found no deficiencies, with the facility consistently clean, sanitary, and in good repair. Several complaint investigations were unsubstantiated, including allegations of financial abuse, medication mishandling, and inadequate resident care. The most recent report from September 25, 2025, was perfect with no deficiencies cited. There were no fines, enforcement actions, or severe findings reported in the available records. This indicates a stable compliance history with no clear pattern of issues over time.
Deficiencies per Year
4
3
2
1
0
Census Over Time
Census
Capacity
Inspection Report
Annual Inspection
Census: 222
Capacity: 249
Deficiencies: 0
Sep 25, 2025
Visit Reason
An unannounced, required annual inspection was conducted to evaluate compliance with licensing requirements and facility conditions.
Findings
The facility was found to be clean, sanitary, and in good repair with no deficiencies cited. Safety measures, medication storage, fire safety equipment, and emergency preparedness were all compliant. Interviews with clients and record reviews revealed no regulatory concerns.
Report Facts
Days of perishable food: 2
Days of non-perishable food: 7
Hospice waivers approved: 12
Fire extinguisher service date: 2025
Staff emergency drills date: Sep 10, 2025
Number of clients interviewed: 3
Number of staff interviewed: 0
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Marivel Johnson | Executive Director | Met with during inspection and exit interview |
| Arturo Vega | Director of Environmental Services | Participated in facility tour during inspection |
| Arian Golbakhsh | Licensing Program Analyst | Conducted the inspection |
Inspection Report
Census: 219
Capacity: 249
Deficiencies: 0
Jul 28, 2025
Visit Reason
An unannounced Case Management visit was conducted to follow up on a series of incidents reported to Community Care Licensing involving multiple resident falls within a two-week period.
Findings
The visit included file reviews, health and safety checks with residents, and consultation with the Director of Resident Services. No deficiencies were cited during the visit, and actions to reduce fall risks were implemented for identified residents.
Report Facts
Incident reports: 4
Residents involved in falls: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Arian Golbakhsh | Licensing Program Analyst | Conducted the unannounced Case Management visit |
| Coco Feng | Director of Resident Services | Met with Licensing Program Analyst and discussed the purpose of the visit |
| Marivel Johnson | Administrator/Director | Facility Administrator/Director named in the report header |
Inspection Report
Complaint Investigation
Census: 213
Capacity: 249
Deficiencies: 0
Jul 2, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that staff was financially abusing a resident while in care.
Findings
The investigation found that the resident had no cognitive impairment and was capable of making financial decisions. The loan was made to a long-time family friend who was a former employee, and the resident was repaid in full. The complaint was determined to be unsubstantiated based on interviews, observations, and records review.
Complaint Details
The complaint alleged financial abuse of a resident by staff. The allegation was unsubstantiated after investigation, which included interviews with the resident, staff, outside sources, and review of records. The resident loaned money voluntarily and was repaid in full. The police were involved and took a report.
Report Facts
Capacity: 249
Census: 213
Loan repayment amount: 7000
Partial repayment date: Apr 5, 2025
Full repayment deadline: May 31, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Marivel Johnson | Executive Director | Facility representative involved in the investigation and exit interview |
| Tiffany Holmes | Licensing Program Analyst | Investigator who conducted the complaint investigation |
| Denise Powell | Licensing Program Manager | Manager overseeing the licensing program |
Inspection Report
Annual Inspection
Census: 211
Capacity: 249
Deficiencies: 0
Sep 11, 2024
Visit Reason
An unannounced required annual inspection was conducted to evaluate the facility's compliance with licensing regulations and standards.
Findings
The facility was found to be clean, sanitary, and in good repair with no deficiencies observed or cited. Safety equipment and emergency systems were functional, and required documents and records were properly maintained and secured.
Report Facts
Hot water temperature range: 105
Hot water temperature range: 119.5
Days of perishable food present: 2
Days of non-perishable food present: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Tiffany Holmes | Licensing Program Analyst | Conducted the unannounced required annual inspection |
| Rita Moreno | Director of Health Care Services | Met with Licensing Program Analyst and participated in inspection and exit interview |
| Brian Care | Care Supervisor | Met with Licensing Program Analyst and participated in inspection and exit interview |
| Robert Johnston | Administrator/Director | Facility Administrator/Director named in report header |
Inspection Report
Complaint Investigation
Census: 209
Capacity: 249
Deficiencies: 0
Jul 2, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by multiple allegations including mishandling of residents' medications, failure to take universal precautions, improper facility maintenance, failure to prevent resident wandering, unexplained resident injury, inadequate fluid consumption, and unmet incontinence needs.
Findings
The investigation found that staff properly handled medications, used universal precautions, maintained the facility, supervised residents to prevent wandering, and assisted with hydration and incontinence needs. No incidents of unexplained injury or other violations were substantiated due to lack of corroborating evidence.
Complaint Details
The complaint investigation was unsubstantiated. Although allegations were made regarding medication mishandling, universal precautions, facility maintenance, resident wandering, unexplained injury, hydration, and incontinence care, the investigation found no preponderance of evidence to prove violations occurred.
Report Facts
Capacity: 249
Census: 209
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Tiffany Holmes | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Denise Powell | Licensing Program Manager | Named as Licensing Program Manager on the report |
| Catherine Sullivan | Executive Assistant | Met with Licensing Program Analyst during investigation and exit interview |
| Rita Moreno | Director of Health Services | Met with Licensing Program Analyst during investigation and exit interview |
Inspection Report
Complaint Investigation
Census: 210
Capacity: 249
Deficiencies: 0
Mar 26, 2024
Visit Reason
An unannounced complaint investigation was conducted in response to allegations that the facility did not provide reasonable accommodation for a resident to receive phone calls and failed to provide food of good quality.
Findings
The investigation found the allegations to be unfounded. Resident rooms had personal landline phones, and staff had no control over residents' phone calls. The facility provided nutritionally adequate meals with options, and the resident's health decline was related to hospice care and anorexia, not food quality.
Complaint Details
The complaint was received on 2020-12-15 and involved allegations about phone call accommodations and food quality. The allegations were determined to be unfounded after review of records and interviews.
Report Facts
Complaint Control Number: 08-AS-20201215143254
Capacity: 249
Census: 210
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Debbie Correia | Licensing Program Analyst | Conducted the complaint investigation |
| Kurt Norden | Executive Director | Interviewed during investigation and exit interview |
Inspection Report
Complaint Investigation
Census: 205
Capacity: 249
Deficiencies: 0
Sep 13, 2023
Visit Reason
An unannounced complaint investigation was conducted in response to allegations that the licensee did not meet residents' mobility needs and did not ensure residents have access to activities.
Findings
The investigation included interviews, records review, and facility tour. It was determined that the allegations were unfounded as residents received appropriate assistance with mobility and access to activities, including escorting services and communication regarding electric wheelchair use.
Complaint Details
The complaint was investigated and found to be unfounded, meaning the allegations were false, could not have happened, or were without reasonable basis.
Report Facts
Capacity: 249
Census: 205
Estimated Days of Completion: 0
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Rebecca A Ruiz | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Kurt Norden | Executive Director | Facility representative met during the investigation |
| Coco Feng | Resident Services Director | Facility representative present at exit interview |
Inspection Report
Complaint Investigation
Census: 210
Capacity: 249
Deficiencies: 0
Dec 14, 2022
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations that the licensee did not ensure medical care for a resident and did not arrange transportation to a medical appointment for the resident.
Findings
The investigation found that the resident was independent and resided in the Independent Living sector, where residents coordinate their own medical care and transportation. There was insufficient evidence to support the allegations, and the findings were unsubstantiated.
Complaint Details
The complaint was unsubstantiated due to lack of corroborating evidence. Interviews and records review showed the resident did not request assistance and coordinated their own transportation via Uber without informing the facility.
Report Facts
Capacity: 249
Census: 210
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Liliana Silveira | Licensing Program Analyst | Conducted the complaint investigation visit and delivered findings |
| Kurt Norden | Executive Director | Met with the Licensing Program Analyst during the investigation and exit interview |
Inspection Report
Annual Inspection
Census: 206
Capacity: 249
Deficiencies: 0
Sep 16, 2022
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 Licensing Program Analyst provided technical assistance and evaluated the facility's infection control mitigation plan including disinfection, testing surveillance, screening protocols, and use of personal protective equipment.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kurt Norden | Administrator | Met with Licensing Program Analyst during the inspection. |
| Tiffany Holmes | Licensing Program Analyst | Conducted the unannounced Required 1-Year Visit. |
| Simon Jacob | Licensing Program Manager | Named in the report as Licensing Program Manager. |
Inspection Report
Complaint Investigation
Census: 202
Capacity: 249
Deficiencies: 0
Nov 8, 2021
Visit Reason
An unannounced complaint investigation was conducted based on a complaint received on 2021-06-10 alleging that the facility had no Administrator.
Findings
The investigation included a tour, record review, and staff interviews. It was found that although the previous Administrator left around April 2021, an Interim Administrator was overseeing the facility and met requirements. A new Administrator was hired on June 28, 2021. The allegation was deemed unsubstantiated due to lack of preponderance of evidence.
Complaint Details
The complaint alleged the facility had no Administrator. The investigation found an Interim Administrator was in place and a new Administrator was hired. The allegation was unsubstantiated.
Report Facts
Complaint Control Number: 08-AS-20210610115951
Facility Capacity: 249
Census: 202
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Laarni Santiago | Licensing Program Analyst | Conducted the complaint investigation |
| Gracie Quihuis | Director of Health Services | Met with Licensing Program Analyst during investigation |
| Robert Johnston | Administrator | Named as Administrator of the facility |
| Simon Jacob | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Annual Inspection
Census: 207
Capacity: 249
Deficiencies: 0
Sep 17, 2021
Visit Reason
An unannounced annual required inspection was conducted to verify compliance with statutes, regulations, and other requirements relevant to protecting the health of residents and staff, including infection control practices.
Findings
The facility was found to be in compliance with infection control practices, including COVID-19 mitigation measures. No deficiencies were observed during the visit.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kurt Norden | Administrator | Met with Licensing Program Analyst during inspection and discussed facility's COVID-19 mitigation plan. |
| Adam Hamer | Licensing Program Analyst | Conducted the unannounced annual inspection. |
| Denise Powell | Licensing Program Manager | Named in report header. |
Inspection Report
Follow-Up
Census: 197
Capacity: 249
Deficiencies: 0
Mar 16, 2021
Visit Reason
The visit was an unannounced Case Management virtual follow-up regarding a death report received on February 12, 2021, and a prior Case Management visit that commenced on February 19, 2021.
Findings
No deficiencies were noted during the visit. The Licensing Program Analyst conducted interviews and provided relevant documents to the facility administrator.
Report Facts
Capacity: 249
Census: 197
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Laarni Santiago | Licensing Program Analyst | Conducted the unannounced Case Management virtual visit |
| Robert Johnston | Administrator | Facility administrator who received documents and was involved in the visit |
| Syril Nelson | Resident Services Director | Met with the Licensing Program Analyst during the visit |
Inspection Report
Census: 197
Capacity: 249
Deficiencies: 0
Feb 19, 2021
Visit Reason
The visit was an unannounced Case Management virtual visit conducted to follow-up on a death report received on February 12, 2021, regarding Resident 1's death.
Findings
No deficiencies were noted during the visit. An exit interview was conducted and relevant documents were provided to the facility administrator.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Syril Nelson | Resident Services Director | Interviewed during the Case Management virtual visit. |
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