Routine inspections were consistently clean, with no deficiencies cited in any of the reports. Several complaint investigations were unsubstantiated, including a February 5, 2025 complaint that was found to be filed under the wrong facility address and dismissed. The facility has maintained good infection control practices, safety measures, and regulatory compliance since its licensing in early 2021. The most recent inspection on April 14, 2025, found the facility operating within approved capacity and in good repair with no deficiencies. This record shows a stable and well-maintained environment with no serious issues or enforcement actions.
The visit was an unannounced required comprehensive annual inspection of the assisted living and memory care facility.
Findings
The facility was found to be operating within approved capacity and in good repair with no obstructions or safety hazards. All resident rooms and common areas met regulatory standards, and no deficiencies were cited during the inspection.
An unannounced visit was conducted to investigate a complaint received on 2025-02-04 regarding questionable death, failure of facility staff to respond to a resident's call light, and failure to provide resident's records to a responsible person.
Findings
The investigation found that the complaint was filed under the wrong facility address and the allegations did not occur at the stated facility. Therefore, the complaint was deemed unfounded and dismissed.
Complaint Details
Complaint allegations included questionable death, failure to respond to resident's call light, and failure to provide resident's records to responsible person. The complaint was found to be unfounded based on evidence gathered.
Report Facts
Capacity: 6Census: 5
Employees Mentioned
Name
Title
Context
Raquel Hernandez
Licensing Program Analyst
Conducted the complaint investigation and unannounced visit
The visit was an unannounced required comprehensive annual inspection of the assisted living and memory care facility.
Findings
The facility was found to be operating within its approved capacity, clean, safe, and well-maintained with no deficiencies cited. All required furniture, safety equipment, and documentation were in place and compliant with regulations.
The visit was conducted as a required annual inspection with an emphasis on infection control due to the COVID-19 pandemic.
Findings
The facility was found to have sufficient infection control measures, including hand hygiene supplies, cleaning provisions, and PPE. No health and safety concerns or deficiencies were noted during the inspection.
Employees Mentioned
Name
Title
Context
Julie Birkinbine
Administrator
Met with Licensing Program Analysts during the inspection.
Amy Goldenberg
Licensing Program Analyst
Conducted the inspection and signed the report.
Inspection Report Original LicensingCensus: 2Capacity: 6Deficiencies: 0Oct 19, 2021
Visit Reason
The visit was an unannounced post licensing inspection with an emphasis on infection control due to the COVID-19 pandemic.
Findings
No deficiencies were cited during the inspection. The facility had adequate infection control measures, including visitor screening, hand hygiene supplies, cleaning provisions, and PPE availability.
Report Facts
Capacity: 6Census: 2
Employees Mentioned
Name
Title
Context
Julie Birkinbine
Administrator
Facility representative met during inspection
Amy Goldenberg
Licensing Program Analyst
Conducted the inspection
Nedra Brown
Licensing Program Manager
Named in report
Inspection Report Original LicensingCapacity: 6Deficiencies: 0Mar 25, 2021
Visit Reason
The inspection was an announced pre-licensing video conference inspection conducted due to COVID-19 to evaluate the facility prior to licensing.
Findings
The facility was found to be in compliance with requirements including appropriate environment, safety measures, medication storage, emergency plans, and COVID-19 precautions. The facility is approved to provide Dementia/Memory Care services for six residents.
Met with Licensing Program Analyst during pre-licensing inspection
Crystal Colvin
Licensing Program Analyst
Conducted the pre-licensing inspection and authored the report
Joel Esquivel
Licensing Program Manager
Named as Licensing Program Manager overseeing the inspection
Inspection Report Original LicensingCapacity: 6Deficiencies: 0Feb 17, 2021
Visit Reason
Initial licensing evaluation conducted via telephone call with the applicant and administrator to verify identification and confirm understanding of Title 22 regulations.
Findings
The applicant and administrator successfully completed Component II of the licensing process via telephone call, with verification of photo ID and confirmation of regulatory understanding. No clients were in care at the time of the evaluation.
Employees Mentioned
Name
Title
Context
Julie Birkinbine
Administrator
Participated in licensing evaluation and verification of identification.
Thomas Birkinbine
Participated in licensing evaluation.
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