Inspection Reports for
Channing House

850 WEBSTER STREET, PALO ALTO, CA, 94301

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Deficiencies (last 5 years)

Deficiencies (over 5 years) 1.6 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

60% better than California average
California average: 4 deficiencies/year

Deficiencies per year

4 3 2 1 0
2021
2022
2024
2025
2026

Occupancy

Latest occupancy rate 81% occupied

Based on a March 2026 inspection.

Occupancy rate over time

72% 78% 84% 90% 96% 102% Apr 2021 Mar 2024 Mar 2025 Jul 2025 Mar 2026

Inspection Report

Annual Inspection
Census: 214 Capacity: 264 Deficiencies: 4 Date: Mar 26, 2026

Visit Reason
The inspection was a required unannounced annual visit to evaluate compliance with licensing requirements for the Continuing Care Retirement Community facility.

Findings
The inspection found several deficiencies related to medication storage and labeling, evacuation chair availability, and medication recordkeeping. No fire safety hazards were observed, and overall facility operations were reviewed including emergency drills and staff certifications.

Deficiencies (4)
CCR 87465(h)(2): Acetaminophen 500 mg was stored in room #339 where the resident cannot self-administer medications, posing an immediate health and safety risk.
CCR 87465(h)(4): Staff wrote on prescription labels, which is not allowed and poses a potential health and safety risk.
HSC 1569.695(f)(1): One of three stairwells in the main tower building lacks an evacuation chair, posing a potential health and safety risk.
CCR 87465(h)(6): Centrally Stored Medications Records were incomplete, missing several medications for residents, posing a potential health and safety risk.
Report Facts
Deficiencies cited: 4

Employees mentioned
NameTitleContext
Rhonda BekkedahlAdministrator/DirectorNamed as the facility administrator overseeing operations.
Yadira AldanaMet with during inspection; certified RCFE administrator overseeing facility operations.
Izveth LeonMet with during inspection.
Audrey JeungLicensing Program AnalystConducted the inspection and signed the report.
Cowan AprilLicensing Program ManagerOversaw the licensing program related to this inspection.

Inspection Report

Census: 230 Capacity: 264 Deficiencies: 0 Date: Oct 20, 2025

Visit Reason
The inspection was conducted as a change in capacity inspection to evaluate an additional capacity of 26 residents located at a nearby address.

Findings
The facility consists of 3 floors and 2 townhouses with several apartments. Observations included lack of furniture and furnishings in the new apartments, water temperatures between 128-133 degrees F, absence of grab bars and non-skid mats in showers, broken patio furniture, dust, unpleasant smell in one apartment, and dead flies in a townhouse. The increase in capacity was not approved at this time.

Report Facts
Additional capacity: 26 Water temperature: 128 Water temperature: 133

Employees mentioned
NameTitleContext
Murial HanLicensing Program AnalystConducted the change in capacity inspection
Rhoda BekkedahlChief Executive OfficerMet with Licensing Program Analyst during inspection
Elvyra AbareChief Operating OfficerMet with Licensing Program Analyst during inspection and discussed findings

Inspection Report

Census: 231 Capacity: 264 Deficiencies: 0 Date: Jul 21, 2025

Visit Reason
The visit was an unannounced Case Management – Incident inspection regarding a resident elopement incident that occurred on 2025-07-03.

Findings
The resident (R1) eloped from the facility but was safely returned by staff. The facility has since enforced check-out and check-in procedures, uses a wander guard bracelet, and plans to use an AirTag for monitoring. No deficiencies were cited during this visit.

Report Facts
Incident date: Jul 3, 2025 Incident count: 2 Monitoring duration: 72

Employees mentioned
NameTitleContext
Kiran JainLicensing Program AnalystConducted the inspection visit
Elvyra AbareChief Operating OfficerInterviewed during inspection and received report
Beth ShirleyAssistant AdministratorInterviewed during inspection

Inspection Report

Complaint Investigation
Census: 226 Capacity: 264 Deficiencies: 1 Date: Jul 2, 2025

Visit Reason
The visit was an unannounced Case Management – Incident inspection regarding a medication error incident that occurred on 2025-06-26 involving a resident receiving incorrect medication.

Complaint Details
The visit was triggered by a complaint related to a medication error where a resident was administered the wrong medication. The error was substantiated based on interviews, records, and observations.
Findings
The facility staff failed to ensure the correct medication was administered to the resident due to transferring multiple residents' medications simultaneously from original containers to small cups. Both staff involved completed re-training on medication administration after the incident.

Deficiencies (1)
CCR 87465(h)(5) requires each resident's medication to be stored without transferring between containers. The facility staff did not ensure the resident was given the correct medication as medications were transferred to small cups, leading to a medication error.
Report Facts
Census: 226 Total Capacity: 264 Plan of Correction Due Date: Jul 3, 2025

Employees mentioned
NameTitleContext
Kiran JainLicensing Program AnalystConducted the inspection and authored the report
Elvyra AbareChief Operating OfficerMet with Licensing Program Analyst during inspection
Beth ShirleyAssistant AdministratorInterviewed during inspection and involved in plan of correction

Inspection Report

Complaint Investigation
Census: 230 Capacity: 264 Deficiencies: 0 Date: May 9, 2025

Visit Reason
The visit was conducted as a complaint investigation following allegations that a resident was left on the floor for an extended period due to lack of supervision and that staff did not ensure adequate hydration of the resident.

Complaint Details
The complaint alleged that a resident was left on the floor for an extended period due to lack of supervision and that staff did not ensure the resident was adequately hydrated. The investigation found these allegations to be unsubstantiated and unfounded.
Findings
Based on observations, interviews, and record reviews, the department determined the allegations were unfounded and without reasonable basis. No deficiencies were cited under the California Code of Regulations, Title 22.

Report Facts
Capacity: 264 Census: 230

Inspection Report

Complaint Investigation
Census: 231 Capacity: 264 Deficiencies: 0 Date: Apr 23, 2025

Visit Reason
The visit was an unannounced Case Management – Incident inspection regarding a medication error that occurred on 2025-04-17, where a resident was administered the incorrect medication by a staff member.

Complaint Details
The complaint involved a medication error where an Assisted Living resident was given the wrong medication intended for an Independent Living resident. The error was reported, the resident and their primary care physician were informed, and monitoring was conducted. The resident declined further discussion with the licensing analyst.
Findings
The investigation found that the medication error occurred due to staff distraction during medication pass. The resident did not experience adverse effects and was monitored for 72 hours. The nurse responsible will receive additional training. No deficiencies were cited during the visit.

Report Facts
Census: 231 Total Capacity: 264 Staff interviewed: 3 Monitoring duration: 72

Employees mentioned
NameTitleContext
Elvyra AbareChief Operating OfficerMet with during inspection and provided information about the medication error
Beth ShirleyAssistant AdministratorMet with during inspection and received the exit interview and report
Kiran JainLicensing Program AnalystConducted the inspection and authored the report
Rhonda BekkedahlAdministrator/DirectorFacility administrator named in the report header

Inspection Report

Complaint Investigation
Census: 229 Capacity: 264 Deficiencies: 0 Date: Mar 21, 2025

Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that staff were yelling at residents and not according residents with dignity.

Complaint Details
The complaint alleged staff were yelling at residents and not treating them with dignity. The investigation included interviews with residents, staff, and review of incident reports and training logs. The allegation was found unsubstantiated due to lack of sufficient evidence.
Findings
The investigation found no preponderance of evidence to prove the alleged violation occurred. Staff interviews and records indicated that while a staff member may have used a firm tone, there was no disrespectful or yelling behavior. The allegation was unsubstantiated and no deficiencies were cited.

Report Facts
Facility Capacity: 264 Resident Census: 229

Employees mentioned
NameTitleContext
David MarrufoLicensing Program AnalystConducted the complaint investigation visit and interviews
Beth ShirleyAssistant AdministratorMet with the Licensing Program Analyst during the investigation and reviewed the report

Inspection Report

Annual Inspection
Census: 229 Capacity: 264 Deficiencies: 0 Date: Mar 20, 2025

Visit Reason
The inspection was an unannounced Required 1-Year Annual inspection conducted to evaluate compliance with licensing regulations.

Findings
The facility was found to be clean, well-maintained, and compliant with regulations. No deficiencies were cited during the visit.

Report Facts
Residents in Assisted Living: 27 Residents in Independent Living: 202 Staff personnel records reviewed: 6 Resident records reviewed: 5 Emergency Disaster Drills frequency: 1

Inspection Report

Census: 231 Capacity: 264 Deficiencies: 1 Date: Feb 12, 2025

Visit Reason
The visit was a Case Management - Incident inspection conducted to investigate two elopement incidents involving resident R1 that occurred on 02/03/2025.

Findings
The facility failed to prevent resident R1, who has dementia and is deemed unable to leave unaccompanied, from eloping the facility twice on the same day. A deficiency was cited for insufficient supervision of residents, posing an immediate health and safety risk.

Deficiencies (1)
CCR 87411(a) Personnel Requirements – Facility personnel were not sufficient to prevent resident R1 from eloping the facility on two occasions on 02/03/2025. R1 has dementia and was able to leave unaccompanied, posing an immediate health, safety, or personal rights risk.
Report Facts
Census: 231 Total Capacity: 264

Employees mentioned
NameTitleContext
Beth ShirleyAssistant AdministratorMet with Licensing Program Analyst and involved in incident response and plan of correction
Kiran JainLicensing Program AnalystConducted the inspection and authored the report
April CowanSupervisorSupervisor overseeing the licensing evaluation

Inspection Report

Annual Inspection
Census: 232 Capacity: 264 Deficiencies: 0 Date: Mar 7, 2024

Visit Reason
An unannounced Required 1 Year annual inspection visit was conducted to evaluate the facility's compliance with regulations.

Findings
The Licensing Program Analyst toured the facility, reviewed medication logs and resident records, and found no deficiencies at this time. The inspection was not completed due to time constraints and will be continued later.

Employees mentioned
NameTitleContext
Yadira Gonzalez-MendozAdministratorMet with Licensing Program Analyst during inspection.
David MarrufoLicensing Program AnalystConducted the inspection visit.

Inspection Report

Annual Inspection
Census: 222 Capacity: 264 Deficiencies: 0 Date: Sep 19, 2022

Visit Reason
An unannounced required 1 Year visit was conducted to evaluate the facility's compliance with regulations.

Findings
No deficiencies were cited during the inspection. The facility had adequate visitor screening, hand washing supplies, food and PPE supplies, and cleaning supplies.

Inspection Report

Complaint Investigation
Census: 217 Capacity: 264 Deficiencies: 1 Date: Mar 22, 2022

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that a resident sustained fractures while in care.

Complaint Details
The complaint was substantiated. The allegation was that a resident sustained fractures while in care. The investigation included interviews, medical record review, and observations, confirming the violation.
Findings
The investigation found that resident R1 sustained a right arm fracture while in care, likely caused unintentionally during transfer or repositioning. The allegation was substantiated based on medical records, staff interviews, and observations.

Deficiencies (1)
CCR 87468.1(a)(2) Personal Rights of Residents in All Facilities was violated because the licensee did not ensure safe transferring or repositioning of resident R1, resulting in a right arm fracture. This posed an immediate safety risk to residents in care.
Report Facts
Census: 217 Total Capacity: 264

Employees mentioned
NameTitleContext
Yadira Gonzalez-MendozaAdministratorFacility representative who reviewed the report and received appeal rights
David MarrufoLicensing EvaluatorConducted the complaint investigation visit
Jackie JinSupervisorSupervisor overseeing the complaint investigation

Inspection Report

Complaint Investigation
Census: 220 Capacity: 264 Deficiencies: 1 Date: Apr 30, 2021

Visit Reason
The visit was an unannounced complaint investigation triggered by a complaint received on 2020-01-24 regarding a questionable death of a resident.

Complaint Details
The complaint investigation was conducted over telephone due to COVID-19 restrictions. The complaint involved a questionable death of resident R1 following an unwitnessed fall and delayed medical response. The allegation was substantiated based on interviews and record reviews. An immediate civil penalty of $500 was assessed.
Findings
The investigation found that facility staff failed to seek timely medical care for a resident who suffered a head injury and subsequent vomiting episodes, resulting in the resident becoming non-responsive and later dying at the hospital. The allegation was substantiated and a civil penalty was assessed.

Deficiencies (1)
CCR 87465(a)(1) Incidental Medical and Dental Care: The licensee did not seek timely medical care for resident R1 after a head injury and subsequent vomiting episodes, resulting in a delay of emergency response and posing an immediate health risk.
Report Facts
Civil penalty amount: 500 Capacity: 264 Census: 220

Employees mentioned
NameTitleContext
David MarrufoLicensing Program AnalystConducted the complaint investigation.
Rhonda BekkedahlExecutive DirectorFacility representative who discussed the report.
Jackie JinSupervisorSupervisor overseeing the investigation.

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