Most inspections found no deficiencies, with clean and well-maintained conditions noted in reports from July 12, 2021, July 27, 2022, and July 23, 2024. A complaint investigation on September 17, 2021, identified a safety issue when a resident with dementia left the facility unassisted; this was substantiated and corrected immediately. The most recent report from September 17, 2025, cited deficiencies for not conducting quarterly emergency drills and bathrooms needing repair due to mold and damage, along with untimely medication documentation. These issues were isolated and less severe compared to the earlier safety concern, indicating some areas needing attention but no enforcement actions or fines were listed in the available reports. Several complaint investigations were unsubstantiated, and the facility showed improvement in safety measures after the 2021 incident.
The inspection was an unannounced Required 1-Year annual evaluation using the CARE Inspection Tool to assess compliance with licensing requirements.
Findings
The facility operates within license conditions but had deficiencies including failure to conduct quarterly emergency drills and bathrooms not being clean or in good repair, with mold and a hole above a shower. Medication administration was correct but documentation was not timely.
Severity Breakdown
Type B: 2
Deficiencies (2)
Description
Severity
Failure to conduct quarterly emergency drills; only one drill conducted on 08/06/2025.
Type B
Bathrooms not clean or in good repair; mold in grout and a hole above the shower in one bathroom.
Type B
Report Facts
Residents receiving hospice service: 3Caregivers on duty: 2Hot water temperature readings: 108.1Hot water temperature readings: 107.4Hot water temperature readings: 107.2Hot water temperature readings: 106.8Hot water temperature readings: 109.4Hot water temperature readings: 110.8Fire extinguisher service date: Apr 15, 2025Emergency drill date: Aug 6, 2025
Employees Mentioned
Name
Title
Context
Sherry Dizon
Administrator
Named in relation to inspection and exit interview
The inspection was an unannounced Required 1-Year annual inspection conducted using the CARE Tool to evaluate compliance with licensing regulations.
Findings
The facility was found to be clean, sanitary, and in compliance with regulations. No deficiencies were cited, but an advisory note was issued regarding the lack of a maintained emergency evacuation drill log.
Report Facts
Water temperature readings: 107.7Water temperature readings: 116.6Water temperature readings: 110.8Water temperature readings: 106.3Water temperature readings: 106.5Fire extinguisher service date: Apr 23, 2024Number of residents files audited: 5Number of personnel files audited: 2Number of residents medications audited: 5
Employees Mentioned
Name
Title
Context
Emmanuel Dizon
Licensee/Administrator
Met with Licensing Program Analyst during inspection and named in exit interview
Sherry Dizon
Administrator
Met with Licensing Program Analyst during inspection and named in exit interview
Licensing Program Analyst Albert Marin conducted an unannounced required annual inspection of the facility to evaluate compliance with licensing requirements.
Findings
The facility was found to be in good repair with no citations issued. Observations included two residents in care, proper infection control measures, operational safety alarms, adequate food stock, and compliance with Assembly Bill 665 regarding internet access devices.
Report Facts
Licensed capacity: 6Current census: 2Hot water temperature: 120
Employees Mentioned
Name
Title
Context
Albert Marin
Licensing Program Analyst
Conducted the inspection and exit interview
Sherry Dizon
Administrator
Spoke with LPA during inspection and exit interview
The visit was conducted as a case management incident following an incident report received on September 16, 2021, stating that a resident left the facility without assistance.
Findings
A deficiency was observed related to failure to provide adequate safety measures to address wandering behavior of residents with dementia. Resident 1 was able to leave the facility unassisted, posing an immediate safety threat. The deficiency was corrected at the time of the visit.
Complaint Details
The visit was triggered by a complaint incident report regarding Resident 1 leaving the facility unassisted. The deficiency was substantiated and corrected during the visit.
Deficiencies (1)
Description
Failure to provide safety measures to address wandering behavior of residents with dementia, allowing Resident 1 to leave the facility without assistance.
Report Facts
Capacity: 6Census: 2Deficiency Type: 1
Employees Mentioned
Name
Title
Context
Albert Marin
Licensing Program Analyst
Conducted the unannounced case management visit and discussed deficiency and citation
Emmanuel Dizon
Administrator
Facility administrator present during the visit and exit interview
An unannounced required annual inspection was conducted to evaluate the facility's compliance with regulatory standards.
Findings
The facility was observed to be in substantial compliance with Title 22 Division 6 of the California Code of Regulations. The environment was safe, clean, and well-maintained, with all safety equipment operational and adequate food and medication storage.
Report Facts
Residents under hospice care: 1Staff members observed: 2Private resident rooms: 6
Employees Mentioned
Name
Title
Context
Sherry Dizon
Administrator
Met with Licensing Program Analyst during inspection
Albert Marin
Licensing Program Analyst
Conducted the inspection
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