Inspection Report Summary
Most inspections found no deficiencies, with the facility generally maintaining compliance and addressing complaints appropriately. Several complaint investigations were unsubstantiated, including allegations of staff neglect, improper supervision, and facility disrepair. The most recent report from September 26, 2025, was clean with no deficiencies cited. Earlier inspections noted minor issues related to eviction notice procedures in 2023, but these were isolated and did not involve harm or fines. Overall, the facility’s record shows consistent compliance with regulations and no recent serious enforcement actions.
Deficiencies per Year
4
3
2
1
0
Moderate
Low
Census Over Time
Census
Capacity
Inspection Report
Complaint Investigation
Census: 83
Capacity: 99
Deficiencies: 0
Sep 26, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 04/03/2024 regarding staff neglect leading to a resident fall and failure to perform a reappraisal for a higher level of care.
Findings
The investigation found insufficient evidence to substantiate the allegations of staff neglect causing the resident's fall and injury, and also found that the facility appropriately identified and coordinated the resident's transfer to a higher level of care. No deficiencies were cited.
Complaint Details
The complaint involved allegations that staff neglect or lack of supervision led to a resident falling and sustaining a fractured right shoulder, and that the facility did not perform a reappraisal to confirm the resident needed a higher level of care. Both allegations were found unsubstantiated based on interviews and record reviews.
Report Facts
Facility capacity: 99
Census: 83
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Rebecca Rayo | Administrator | Facility Administrator involved in the investigation and exit interview |
| Sarah Hurt | Licensing Program Analyst | Evaluator who conducted the complaint investigation |
Inspection Report
Complaint Investigation
Census: 85
Capacity: 99
Deficiencies: 0
Aug 19, 2025
Visit Reason
The visit was conducted in response to an LIC624 Incident Report regarding Resident #1 who signed out of the facility on 08/16/2025 and did not return. The facility conducted a welfare check and reviewed relevant records and staff interviews.
Findings
The facility staff provided needed supervision to Resident #1 leading up to the incident and followed the written Absentee Notification Plan. No deficiencies were cited or observed during the visit.
Complaint Details
The complaint involved Resident #1 leaving the facility without returning. The resident has schizophrenia and hypertension and was deemed able to leave unassisted by their physician. The facility notified law enforcement and the resident's responsible person and case manager after unsuccessful searches. The complaint was not substantiated as staff followed the absentee notification plan.
Report Facts
Time resident signed out: 1340
Facility capacity: 99
Resident census: 85
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Angelica Boyles | Licensing Program Analyst | Conducted the unannounced Case Management - Incident visit |
| Rebecca Rayo | Administrator | Facility Administrator met with Licensing Program Analyst and was involved in the exit interview |
| Simon Jacob | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 85
Capacity: 99
Deficiencies: 0
Aug 19, 2025
Visit Reason
The inspection visit was conducted as an unannounced complaint investigation following a complaint received on 2025-06-05 alleging that staff had an inappropriate conversation with another adult in the presence of a resident in care.
Findings
The investigation included interviews with residents, staff, and outside sources. The allegation that staff threatened to evict a resident was found to be unsubstantiated as no witnesses or corroborating evidence were identified.
Complaint Details
The complaint alleged that staff had an inappropriate conversation with another adult while in the presence of Resident #1, specifically threatening to evict the resident. The investigation found no evidence to support these allegations and deemed them unsubstantiated.
Report Facts
Complaint Control Number: 08-AS-20250605094913
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Angelica Boyles | Licensing Program Analyst | Conducted the complaint investigation and unannounced visit |
| Simon Jacob | Licensing Program Manager | Named as Licensing Program Manager on the report |
| Rebecca Rayo | Administrator | Facility Administrator interviewed during the investigation |
Inspection Report
Complaint Investigation
Census: 85
Capacity: 99
Deficiencies: 0
Aug 19, 2025
Visit Reason
The inspection was conducted as an unannounced complaint investigation following a complaint received on 2025-05-27 alleging lack of supervision resulting in drug use at the facility.
Findings
The investigation included facility tours and interviews with residents, staff, and outside sources. No evidence was found to support the allegation of drug use or lack of supervision. The complaint was determined to be unsubstantiated.
Complaint Details
The complaint alleged that a resident was given drugs while in his room. Interviews with the reporting party, staff, residents, and outside sources did not corroborate the allegation. No prohibited drug use was observed during unannounced visits. The complaint was deemed unsubstantiated.
Report Facts
Capacity: 99
Census: 85
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Angelica Boyles | Licensing Program Analyst | Conducted the complaint investigation and unannounced visit |
| Rebecca Rayo | Administrator | Facility administrator interviewed during investigation |
| Simon Jacob | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 89
Capacity: 99
Deficiencies: 0
Jun 16, 2025
Visit Reason
An unannounced complaint investigation was conducted in response to allegations that the facility was in disrepair and that an illegal eviction occurred.
Findings
The investigation included interviews with staff, residents, and outside sources, as well as a facility tour and record reviews. No evidence was found to substantiate the allegations of facility disrepair or illegal eviction, and the complaint was determined to be unsubstantiated.
Complaint Details
The complaint alleged the facility was in disrepair due to water soaking through the foundation and tile flooring creating puddles in a resident's room, and that an unlawful eviction occurred. Interviews and inspections found no corroborating evidence for these allegations, and the complaint was unsubstantiated.
Report Facts
Complaint Control Number: 08-AS-20250127120814
Capacity: 99
Census: 89
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Debbie Correia | Licensing Program Analyst | Conducted the complaint investigation and unannounced visit |
| Rebecca Rayo | Administrator | Facility administrator interviewed during investigation |
| Eveline Denton | Medical Receptionist | Met with Licensing Program Analyst during inspection |
| Jennifer Lott | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 95
Capacity: 99
Deficiencies: 0
May 22, 2025
Visit Reason
The inspection was conducted as an unannounced complaint investigation visit following a complaint received on 2025-03-03 alleging that staff threatened to evict a resident.
Findings
The investigation included interviews with the resident, other residents, staff, and outside sources. No evidence was found to support the allegation that staff threatened to evict the resident. The complaint was determined to be unsubstantiated.
Complaint Details
The complaint alleged that staff threatened to evict Resident #1. The investigation found no witnesses or corroborating evidence, and the resident denied the allegation. The complaint was deemed unsubstantiated.
Report Facts
Capacity: 99
Census: 95
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Angelica Boyles | Licensing Program Analyst | Conducted the complaint investigation and unannounced visit |
| Simon Jacob | Licensing Program Manager | Named in the report as Licensing Program Manager |
| Lilian Franklin | Licensee | Met with during the investigation and exit interview |
| Rebecca Rayo | Administrator | Facility administrator named in the report |
Inspection Report
Complaint Investigation
Census: 95
Capacity: 99
Deficiencies: 0
May 22, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to complaints received on 2025-02-10 alleging that facility staff were not allowing a resident to attend Adult Day Program, not assisting with medical appointments, and not answering communications from the resident’s representative appropriately.
Findings
The investigation included interviews, facility tour, and record reviews. The evidence did not support the allegations; residents were encouraged to attend the Adult Day Program, staff assisted with medical appointments, and communications with resident representatives were generally appropriate. The complaints were deemed unsubstantiated.
Complaint Details
The complaint was unsubstantiated based on the investigation findings. Allegations included staff not allowing resident to attend Adult Day Program, not assisting with medical appointments, and not answering communications from resident’s representative appropriately. The investigation found no evidence to support these claims.
Report Facts
Facility capacity: 99
Census: 95
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Angelica Boyles | Licensing Program Analyst | Conducted the complaint investigation visit and authored the report |
| Rebecca Rayo | Administrator | Facility administrator named in the report |
| Lilian Franklin | Licensee | Facility licensee met during the investigation and exit interview |
| Simon Jacob | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Complaint Investigation
Capacity: 99
Deficiencies: 0
Dec 20, 2024
Visit Reason
The visit was conducted in response to an LIC624 Incident Report regarding Client #1 eloping from the facility without staff supervision on 2024-12-18.
Findings
The Licensing Program Analyst conducted a facility tour, welfare check, record collection, and interviews. The physician's report indicated the client was able to safely leave unassisted, and staff followed the written Absentee Notification Plan. No deficiencies were cited or observed during the visit.
Complaint Details
The visit was triggered by a complaint incident report of a client eloping from the facility. The incident was substantiated by the physician's report, and staff compliance with the Absentee Notification Plan was confirmed. No deficiencies were found.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ryan Fulton | Licensing Program Analyst | Conducted the unannounced Case Management - Incident visit and investigation. |
| Rebecca Rayo | Administrator | Facility administrator who was interviewed and participated in the exit interview. |
Inspection Report
Annual Inspection
Census: 95
Capacity: 99
Deficiencies: 0
Dec 12, 2024
Visit Reason
An unannounced required annual inspection was conducted to evaluate the facility's compliance with licensing regulations.
Findings
The facility was found to be clean, sanitary, and in good repair with no deficiencies cited. All safety equipment and required postings were in place and functional.
Report Facts
Hot water temperature readings: 114.5
Hot water temperature readings: 116.3
Hot water temperature readings: 120
Hot water temperature readings: 120
Hot water temperature readings: 120
Food supply duration: 2
Food supply duration: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Beccy Reyes Rayo | Administrator | Met with Licensing Program Analyst during inspection and exit interview |
| Ryan Fulton | Licensing Program Analyst | Conducted the unannounced required annual inspection |
| Jennifer Lott | Licensing Program Manager | Named in report header |
Inspection Report
Complaint Investigation
Census: 94
Capacity: 99
Deficiencies: 0
Nov 25, 2024
Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation that the licensee did not safeguard a resident's money.
Findings
The investigation included interviews and record reviews and found no evidence of theft or mishandling of resident funds. The facility does not safeguard resident cash resources per contractual agreement. The complaint was deemed unfounded and dismissed.
Complaint Details
The complaint alleged that the licensee did not safeguard a resident's money. After investigation, including interviews with staff, residents, the administrator, and outside sources, no evidence supported the allegation. The complaint was found to be unfounded.
Report Facts
Complaint Control Number: 80820210806114056
Capacity: 99
Census: 94
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Debbie Correia | Licensing Program Analyst | Conducted the complaint investigation and unannounced visit |
| Rebecca Rayo | Administrator | Facility administrator interviewed during the investigation |
| Jennifer Lott | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Census: 88
Capacity: 99
Deficiencies: 0
Jul 15, 2024
Visit Reason
The visit was conducted in response to a LIC 624A Death Report submitted by the licensee regarding the death of Resident #1 following a behavioral episode and hospitalization.
Findings
During the unannounced Case Management - Incident visit, no deficiencies were observed or cited. The Licensing Program Analyst performed a facility tour, welfare check, record collection, and interviewed the Administrator.
Report Facts
Date of resident hospitalization: Jul 1, 2024
Date of resident death: Jul 5, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Rebecca Rayo | Administrator | Interviewed during the visit and involved in the incident report |
| Liliana Silveira | Licensing Program Analyst | Conducted the unannounced Case Management - Incident visit |
Inspection Report
Census: 90
Capacity: 99
Deficiencies: 0
Jun 19, 2024
Visit Reason
The visit was an unannounced Case Management - Incident inspection conducted in response to an LIC624 Incident Report regarding a resident who eloped from the facility on 06/18/2024.
Findings
No deficiencies were observed or cited during the visit. The resident returned unharmed and agreed to go to the hospital for re-assessment as per the physician's report.
Report Facts
Facility capacity: 99
Resident census: 90
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Rebecca Rayo | Administrator | Met with Licensing Program Analyst during the inspection and discussed the incident |
| Liliana Silveira | Licensing Program Analyst | Conducted the unannounced Case Management - Incident visit |
Inspection Report
Complaint Investigation
Census: 95
Capacity: 99
Deficiencies: 0
Mar 5, 2024
Visit Reason
The visit was conducted in response to an LIC624 Incident Report regarding a resident who left the facility and did not return. The purpose was to investigate the incident and ensure the safety of remaining residents.
Findings
The Administrator followed appropriate regulatory protocols by reporting the incident to authorities. No deficiencies were cited or observed during the visit, and no immediate safety concerns were found for other residents.
Complaint Details
The complaint involved Resident #1 leaving the facility on 02/29/2024 and not returning. The resident's physician had determined the resident was able to leave unassisted. The facility filed a missing person's report with local police. The complaint was not substantiated with any deficiencies.
Report Facts
Facility Capacity: 99
Resident Census: 95
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Eveline Denton | Med Receptionist | Met with Licensing Program Analyst during the visit and participated in the exit interview |
| Rebecca Rayo | Administrator | Facility Administrator who filed the missing person's report and followed regulatory protocols |
| Liliana Silveira | Licensing Program Analyst | Conducted the unannounced Case Management - Incident visit |
| Jennifer Lott | Licensing Program Manager | Named in the report header |
Inspection Report
Annual Inspection
Census: 96
Capacity: 99
Deficiencies: 0
Jan 25, 2024
Visit Reason
An unannounced required one-year inspection was conducted to ensure substantial compliance with Title 22 regulations.
Findings
The facility was found to be in substantial compliance with regulations, with no deficiencies issued. The environment was clean and safe, food and medication storage were compliant, staff and resident records were complete, and residents were treated with dignity.
Report Facts
Residents 60 and above: 99
Non-ambulatory residents allowed: 22
Food supply duration: 2
Food supply duration: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Amy Rodgers | Licensing Program Analyst | Conducted the inspection and authored the report |
| Rebecca Rayo | Administrator | Facility administrator met with the Licensing Program Analyst and participated in the inspection |
Inspection Report
Complaint Investigation
Census: 98
Capacity: 99
Deficiencies: 1
Nov 13, 2023
Visit Reason
The visit was conducted in response to an LIC624 Incident Report regarding Resident #1 leaving the facility without informing staff or signing out, which was self-submitted by the licensee.
Findings
The investigation found that Resident #1 left the facility without notifying staff as required, but returned unharmed. The facility followed its Absentee Notification Plan and notified law enforcement and the resident's psychiatrist. A deficiency was cited due to incomplete pre-admission appraisal documentation and failure to conduct an independent pre-admission interview with the resident.
Complaint Details
The visit was complaint-related, triggered by an incident report of a resident leaving the facility without informing staff. The complaint was substantiated by findings of procedural lapses in pre-admission evaluation.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to conduct an interview with the applicant to evaluate suitability prior to accepting them for care, posing a potential health, safety, and personal rights risk. | Type B |
Report Facts
Residents present during inspection: 98
Total licensed capacity: 99
Deficiencies cited: 1
Plan of Correction due date: Dec 13, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Rebecca Rayo | Administrator | Met with Licensing Program Analyst during the visit and involved in exit interview |
| Dang Nguyen | Licensing Program Analyst | Conducted the unannounced Case Management - Incident visit and authored the report |
| Lizzette Tellez | Licensing Program Manager | Supervisor overseeing the licensing evaluation |
Inspection Report
Complaint Investigation
Census: 97
Capacity: 99
Deficiencies: 0
Sep 19, 2023
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations received on 08/31/2023 regarding inadequate food services, uncomfortable temperature and environment, and staff not treating residents with dignity or respect.
Findings
The investigation found no corroborating evidence to support the allegations. The facility was found to have adequate food services, proper temperature controls, a comfortable environment, and staff were reported to treat residents with respect and dignity. The complaint was determined to be unsubstantiated.
Complaint Details
The complaint included allegations that staff did not provide adequate food services, did not maintain a comfortable temperature, did not ensure a comfortable environment, and did not treat residents with dignity or respect. After investigation including interviews, facility tour, and record reviews, these allegations were found unsubstantiated due to lack of evidence.
Report Facts
Capacity: 99
Census: 97
Number of thermometers: 16
Inspection start time: 15
Inspection end time: 17.5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Debbie Correia | Licensing Program Analyst | Conducted the complaint investigation |
| Rebecca Rayo | Administrator | Facility administrator met during investigation |
| Simon Jacob | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Census: 90
Capacity: 99
Deficiencies: 4
Jun 23, 2023
Visit Reason
The visit was an unannounced Case Management - Other inspection conducted in response to a 30-day written eviction notice served to Resident #1 on 04/24/2023.
Findings
The licensee had basis to issue the eviction notice to Resident #1; however, the notice did not fully satisfy regulatory requirements. Three Type B deficiencies and one Technical Violation were cited related to the eviction notice's content and compliance with California Code of Regulations.
Severity Breakdown
Type B: 3
Technical Violation: 1
Deficiencies (4)
| Description | Severity |
|---|---|
| Eviction Procedures: The licensee did not set forth in the notice to quit the reasons relied upon for the eviction with specific facts to permit determination of the date, place, witnesses, and circumstances. | Type B |
| Eviction Procedures: The notice to quit did not include the effective date of the eviction. | Type B |
| Eviction Procedures: The notice to quit did not include a statement informing the resident of their right to file a complaint with the licensing agency, including contact information for the licensing office and the State Long Term Care Ombudsman office. | Type B |
| Technical Violation related to the eviction notice. | Technical Violation |
Report Facts
Residents present: 90
Total licensed capacity: 99
Deficiencies cited: 3
Technical Violations cited: 1
Plan of Correction due date: Jul 23, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dang Nguyen | Licensing Program Analyst | Conducted the inspection and signed the report |
| Rebecca Rayo | Administrator | Facility administrator involved in the inspection and exit interview |
| Lizzette Tellez | Licensing Program Manager | Supervisor overseeing the inspection |
Inspection Report
Complaint Investigation
Census: 90
Capacity: 99
Deficiencies: 0
Apr 28, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2023-03-22 regarding resident treatment, visitor vaccination status restrictions, and reporting of unusual incidents.
Findings
The investigation found the allegations unsubstantiated after interviews, observations, and records review. Residents voluntarily requested haircut services, visitor restrictions followed COVID-19 protocols in May 2021, and unusual incident reports were properly submitted during the relevant period.
Complaint Details
The complaint included allegations that a resident was not treated with dignity and respect, staff denied a resident visit due to visitor vaccination status, and the facility failed to report unusual incidents. The findings were unsubstantiated due to lack of corroborating evidence.
Report Facts
Capacity: 99
Census: 90
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Liliana Silveira | Licensing Program Analyst | Conducted the complaint investigation visit and delivered findings |
| Rebecca Rayo | Administrator | Facility administrator met with investigator and was involved in exit interview |
| Denise Powell | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 94
Capacity: 99
Deficiencies: 1
Jan 31, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations of unlawful eviction and facility disrepair received on 01/05/2023.
Findings
The investigation substantiated the unlawful eviction allegation due to an eviction notice missing required information about alternative housing resources and complaint rights. The allegation of facility disrepair related to mold was unsubstantiated after inspection and interviews found no evidence of mold or water damage.
Complaint Details
The complaint investigation was substantiated for unlawful eviction due to missing information in the eviction notice as required by Title 22 Regulations. The allegation of facility disrepair (mold presence) was unsubstantiated due to lack of corroborating evidence.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| The 30 day eviction notice did not include alternative housing and care options nor a statement informing residents of their right to file a complaint with the licensing agency. | Type B |
Report Facts
Capacity: 99
Census: 94
Plan of Correction Due Date: Feb 10, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Liliana Silveira | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Denise Powell | Licensing Program Manager | Oversaw the complaint investigation |
| Rebecca Rayo | Administrator | Facility administrator met during investigation and exit interview |
Inspection Report
Complaint Investigation
Census: 96
Capacity: 99
Deficiencies: 0
Jan 28, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations that the facility did not allow unvaccinated visitors and that a resident missed a medical appointment while in care.
Findings
The investigation found that the facility was following COVID-19 protocols requiring visitors to show proof of vaccination or a negative test, and unvaccinated visitors were allowed limited access without concerns reported. There was no evidence to support the allegation that a resident missed a medical appointment. Both allegations were determined to be unsubstantiated due to lack of corroborating evidence.
Complaint Details
The complaint investigation was unsubstantiated. The allegation that the facility did not allow unvaccinated visitors was not supported by evidence, as protocols were followed and visitors had access. The allegation that a resident missed a medical appointment lacked sufficient evidence and was also unsubstantiated.
Report Facts
Capacity: 99
Census: 96
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Liliana Silveira | Licensing Program Analyst | Conducted the complaint investigation visit and exit interview |
| Ma. Resalyn Ocenar | Caregiver | Met with Licensing Program Analyst during the investigation and exit interview |
| Denise Powell | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Capacity: 99
Deficiencies: 0
Jan 28, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation received on 2022-12-02 that the facility elevator was in disrepair.
Findings
The investigation found that the elevator had broken down around 2022-11-12 and was being repaired, with a hazardous waste company contacted to clean water and oil underneath. Interviews and records review found no current concerns for residents using stairs, and the allegation was determined to be unsubstantiated due to lack of corroborating evidence.
Complaint Details
The complaint was regarding the facility elevator being in disrepair. The allegation was unsubstantiated after investigation, meaning there was insufficient evidence to prove the violation occurred.
Report Facts
Facility capacity: 99
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Liliana Silveira | Licensing Program Analyst | Conducted the complaint investigation visit and exit interview |
| Denise Powell | Licensing Program Manager | Named in report header and signature section |
| Rebecca Rayo | Administrator | Facility administrator interviewed during investigation |
| Ma. Resulyn Ocenar | Caregiver | Met with Licensing Program Analyst during investigation and exit interview |
Inspection Report
Annual Inspection
Census: 96
Capacity: 99
Deficiencies: 0
Jan 3, 2022
Visit Reason
An unannounced annual required licensing inspection was conducted to verify compliance with statutes, regulations, and infection control practices, including COVID-19 mitigation measures.
Findings
The facility was found to be in compliance with all relevant regulations and infection control practices, including COVID-19 mitigation. No deficiencies were observed during the visit.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Rebecca Rayo | Administrator | Met with Licensing Program Analyst during inspection and participated in exit interview. |
| Liliana Silveira | Licensing Program Analyst | Conducted the unannounced annual inspection and reviewed infection control plans. |
| Denise Powell | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Complaint Investigation
Census: 98
Capacity: 99
Deficiencies: 0
Nov 23, 2021
Visit Reason
The visit was initiated due to a self-reported incident involving client #1 that occurred on November 17, 2021, reported to Community Care Licensing via an Unusual Incident/Injury Report received on November 19, 2021.
Findings
An unannounced Case Management visit was conducted including a brief tour of the facility, review of resident records, and staff interviews. Further investigation is needed before determining findings.
Complaint Details
The visit was complaint-related due to a self-reported incident involving client #1. Further investigation is needed before determining findings.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Rebecca Rayo | Licensee | Met with Licensing Program Analyst during the visit and involved in the exit interview. |
| Lynn Ocenar | Medical Technician | Met Licensing Program Analyst at the front door and notified Licensee of the visit. |
| Debbie Correia | Licensing Program Analyst | Conducted the unannounced Case Management visit. |
| Simon Jacob | Licensing Program Manager | Named in the report header. |
Inspection Report
Complaint Investigation
Census: 96
Capacity: 99
Deficiencies: 0
Oct 26, 2021
Visit Reason
The inspection was conducted as an unannounced complaint investigation following a complaint received on 02/24/2021 alleging that the facility was not providing a walker for a resident.
Findings
The investigation found insufficient evidence to prove that the facility failed to provide a walker for the resident. Based on physician reports and interviews, the resident did not require or use assistive devices, and the complaint was unsubstantiated.
Complaint Details
The complaint alleged that the facility was not providing a walker for a resident who was observed walking alone with a cane and almost falling. The investigation included interviews and record reviews, concluding the complaint was unsubstantiated.
Report Facts
Capacity: 99
Census: 96
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Tiffany Holmes | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Rebecca Rayo | Administrator | Facility administrator named in the report |
| Eveline Denton | Medical Receptionist | Met with the Licensing Program Analyst during the investigation |
Inspection Report
Complaint Investigation
Census: 95
Capacity: 99
Deficiencies: 0
Sep 10, 2021
Visit Reason
The visit was a case management incident investigation regarding a resident's death reported to the San Diego Regional Office on September 9, 2021.
Findings
No deficiencies were cited during this visit. The Licensing Program Analyst conducted interviews and collected records but additional information is required to complete the investigation.
Complaint Details
The investigation was triggered by a reported death of resident #1 who had a medical accident on September 1, 2021, was hospitalized, and expired on September 8, 2021. The facility was notified by the resident's case manager.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Alexandre Vo | Licensing Program Analyst | Conducted the case management visit and investigation. |
| Rebecca Rayo | Administrator | Facility administrator met with the Licensing Program Analyst during the visit. |
| Simon Jacob | Licensing Program Manager | Named in the report header. |
Inspection Report
Complaint Investigation
Census: 90
Capacity: 99
Deficiencies: 0
Feb 8, 2021
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2020-06-17 alleging that the licensee failed to meet Resident #1's needs.
Findings
The investigation included interviews and a review of records, and found insufficient evidence to prove or disprove the allegation. The complaint investigation findings were unsubstantiated.
Complaint Details
The complaint alleged that the facility was not meeting Resident #1's needs. The investigation found inconsistencies in Resident #1's interview due to cognitive impairment, and staff denied the allegation, citing efforts to communicate changes in Resident #1's condition to the treating agency. The treating agency assessments did not support the need for additional support until a later evaluation confirmed a higher level of care was required. Overall, the complaint was unsubstantiated.
Report Facts
Complaint Control Number: 08-AS-20200617105030
Capacity: 99
Census: 90
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Evangelica Torres | Licensing Program Analyst | Conducted the complaint investigation and virtual visit |
| Denise Powell | Licensing Program Manager | Named as Licensing Program Manager on the report |
| Eveline Denpon | Caregiver | Met with during the investigation and exit interview |
| Rebecca Rayo | Administrator | Facility administrator mentioned in the report |
Inspection Report
Complaint Investigation
Census: 91
Capacity: 99
Deficiencies: 0
Nov 19, 2020
Visit Reason
The inspection was conducted as an unannounced complaint investigation regarding allegations that facility staff yelled at residents.
Findings
The investigation found insufficient evidence to substantiate the allegation that staff yelled at residents. Interviews and observations indicated no malice or ill-intent, and the allegation was deemed unsubstantiated.
Complaint Details
The complaint alleged that facility staff yelled at residents. The investigation included interviews with staff, residents, and outside sources, and concluded the allegation was unsubstantiated due to lack of evidence.
Report Facts
Capacity: 99
Census: 91
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Alexandre Vo | Licensing Program Analyst | Conducted the complaint investigation and virtual visit |
| Rebecca Rayo | Administrator | Facility administrator met during the investigation |
| Simon Jacob | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Census: 92
Capacity: 99
Deficiencies: 0
Nov 10, 2020
Visit Reason
The Department conducted an on-site visit to provide technical assistance and to evaluate the facility's disinfection, testing surveillance, and screening protocols as well as the use of personal protective equipment.
Findings
During the visit, no deficiencies were issued. The team interviewed the Administrator and conducted a walk-through of the facility, concluding with a debriefing and exit interview.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Rebecca Rayo | Administrator | Interviewed and met with the inspection team during the visit. |
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