Inspection Report Summary
Most inspections found no deficiencies, with the facility generally clean, well-maintained, and compliant with regulations. Several complaint investigations were unsubstantiated, including allegations about mold, resident elopement, and administrator presence. However, some deficiencies were identified related to eviction procedures, including failure to provide written eviction notices, which led to substantiated complaints and a $250 civil penalty issued in the most recent report dated July 15, 2025. Earlier reports also noted issues with documentation in resident files, such as missing physician reports and reappraisals, but the most recent annual inspection on March 19, 2025, found no deficiencies. Overall, the facility shows some improvement in regulatory compliance, though eviction-related issues have recurred and resulted in enforcement actions.
Deficiencies per Year
4
3
2
1
0
Moderate
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Complaint Investigation
Capacity: 15
Deficiencies: 1
Jul 15, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit conducted due to allegations including illegal eviction and failure to assist a resident with obtaining medical care.
Findings
The allegation of illegal eviction was substantiated due to failure to provide written eviction notice and improper handling of resident relocation after property damage. The allegation that staff did not assist a resident with obtaining medical care was unsubstantiated based on interviews and record reviews showing appropriate medical treatment during residency.
Complaint Details
The complaint investigation was substantiated for illegal eviction due to lack of written notice and failure to follow emergency disaster protocol. A civil penalty of $250 was issued for repeat violation of Section 87224(a). The allegation that staff did not assist resident with medical care was unsubstantiated.
Deficiencies (1)
| Description |
|---|
| Failure to provide a written notice of eviction to resident after property damage, violating eviction procedures. |
Report Facts
Civil penalty amount: 250
Facility capacity: 15
Facility census: 0
Plan of Correction due date: Jul 25, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Michael Bilger | Licensing Program Analyst | Conducted the complaint investigation and interviews. |
| Jagtar Singh | Licensee/Administrator | Facility administrator involved in interviews and findings. |
| Liza King | Licensing Program Manager | Oversaw the complaint investigation. |
Inspection Report
Complaint Investigation
Capacity: 15
Deficiencies: 1
Jun 20, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint alleging that facility staff were not following regulatory procedures for increasing rates based on level of care changes and that staff made inappropriate comments to a resident.
Findings
The investigation substantiated that the facility failed to provide proper written notice with itemized charges for a rate increase due to a change in level of care, violating regulatory requirements. However, the allegation that facility staff made inappropriate comments to a resident was unsubstantiated.
Complaint Details
The complaint alleged that facility staff were not following regulatory procedures for increasing rates based on level of care changes and that staff made inappropriate comments to a resident. The rate increase allegation was substantiated, while the inappropriate comments allegation was unsubstantiated.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to provide a proper notice for a level of care rate increase including a detailed explanation and itemization of charges as required by regulation CCR 1569.657(a). | Type B |
Report Facts
Facility capacity: 15
Census: 0
Rate increase amount: 4000
Basic service rate: 1344
Plan of Correction due date: Jun 30, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Michael Bilger | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Jagtar Singh | Licensee / Administrator | Facility licensee met during investigation and named in findings |
| Liza King | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 3
Capacity: 15
Deficiencies: 1
Apr 2, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation of illegal eviction received on 2025-03-12.
Findings
The investigation found that the licensee verbally expressed to residents the need to vacate due to planned renovations, which is not a valid reason for eviction under regulation. The licensee failed to provide a formal written eviction notice, resulting in the substantiation of the illegal eviction allegation and issuance of a citation.
Complaint Details
The complaint alleging illegal eviction was substantiated based on interviews with staff, residents, and review of admission agreements. The licensee did not provide written eviction notices as required.
Deficiencies (1)
| Description |
|---|
| Failure to provide a thirty (30) days written eviction notice to residents as required by regulation; verbal eviction notice given due to renovation project which is not a valid reason. |
Report Facts
Capacity: 15
Census: 3
Plan of Correction Due Date: Apr 11, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Michael Bilger | Licensing Program Analyst | Conducted investigation and delivered findings |
| Jagtar Singh | Administrator | Licensee involved in eviction allegation and exit interview |
| Liza King | Licensing Program Manager | Oversaw complaint investigation |
Inspection Report
Census: 3
Capacity: 15
Deficiencies: 2
Apr 2, 2025
Visit Reason
The visit was a case management inspection conducted to review eviction procedures and resident information management at the facility.
Findings
The Licensee/Administrator verbally notified residents and responsible parties of eviction due to planned renovations but failed to provide formal written eviction notices. Additionally, the Administrator did not timely provide requested resident whereabouts information upon discharge.
Severity Breakdown
Type B: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Licensee/Administrator did not adhere to eviction regulations as specified in section 87224 Eviction Procedures, posing a potential health and safety risk to residents. | Type B |
| Administrator did not ensure requested information regarding resident whereabouts was provided in a timely manner, posing a potential health and safety risk to residents. | Type B |
Report Facts
Capacity: 15
Census: 3
Plan of Correction Due Date: Apr 11, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jagtar Singh | Licensee/Administrator | Named in findings related to eviction procedures and resident information management |
| Michael Bilger | Licensing Program Analyst | Conducted the inspection and signed the report |
Inspection Report
Annual Inspection
Census: 8
Capacity: 15
Deficiencies: 0
Mar 19, 2025
Visit Reason
The inspection was an unannounced annual inspection visit conducted to ensure compliance with Title 22 regulations for a residential care facility for the elderly.
Findings
No deficiencies were observed during the inspection. The facility was found to be clean, well-maintained, and compliant with regulatory requirements including infection control, medication storage, staff training, and safety measures.
Report Facts
Bedrooms: 6
Bathrooms: 3
Fire extinguisher check date: Jun 7, 2024
Resident files reviewed: 5
Staffing files reviewed: 3
Resident interviews: 3
Staff interviews: 2
Fire drills frequency: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jagtar Singh | Administrator | Met with Licensing Program Analyst during inspection |
| Michael Bilger | Licensing Program Analyst | Conducted the inspection |
| Liza King | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 12
Capacity: 15
Deficiencies: 0
Dec 11, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to allegations received on 2024-11-06 regarding facility disrepair and administrator presence.
Findings
The investigation found that the facility is not in disrepair as all necessary items were functioning properly and ongoing repairs are managed. The administrator was found to be present and available as required. Both allegations were unsubstantiated due to lack of preponderance of evidence.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included facility disrepair and administrator not being present. Both were found unsubstantiated after interviews, observations, and record reviews.
Report Facts
Capacity: 15
Census: 12
Administrator presence hours: 20
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jagtar Singh | Administrator | Met with Licensing Program Analyst during investigation and named in findings |
| Michael Bilger | Licensing Program Analyst | Conducted the complaint investigation |
| Liza King | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 10
Capacity: 15
Deficiencies: 0
Nov 7, 2024
Visit Reason
The visit was an unannounced case management inspection conducted due to a resident-to-resident altercation incident reported on 2024-10-27.
Findings
The inspection found that a resident altercation occurred involving pinching and clawing, followed by self-injurious behavior by one resident. Both residents were taken to the hospital and returned with no injuries. The incident was reported timely to the licensing department and Ombudsman, and no citations were issued.
Complaint Details
The visit was triggered by a complaint regarding a resident-to-resident altercation. The incident was substantiated by interviews and record reviews, with no injuries resulting and appropriate follow-up actions taken.
Report Facts
Incident date: Oct 27, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jagtar Singh | Administrator | Met during inspection and involved in incident review |
| Michael Bilger | Licensing Program Analyst | Conducted the inspection visit |
Inspection Report
Complaint Investigation
Census: 10
Capacity: 15
Deficiencies: 0
Sep 10, 2024
Visit Reason
The inspection visit was an unannounced complaint investigation regarding an allegation that staff did not keep the facility free from mold.
Findings
The investigation found no evidence of mold in the facility. Observations and interviews revealed no musky or mold-associated odors or visible mold substances. The allegation was determined to be unsubstantiated.
Complaint Details
The complaint alleged that staff did not keep the facility free from mold. The allegation was unsubstantiated due to lack of evidence.
Report Facts
Capacity: 15
Census: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Michael Bilger | Licensing Program Analyst | Conducted the complaint investigation |
| Jagtar Singh | Administrator | Facility administrator notified of the visit |
| Cecilia Nunez | Lead Caregiver | Met with Licensing Program Analyst during investigation |
| Liza King | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Capacity: 15
Deficiencies: 0
Aug 16, 2024
Visit Reason
An unannounced complaint investigation was conducted in response to allegations that staff did not prevent a resident from eloping and that the licensee did not provide a responsible party with a refund.
Findings
The investigation found that the resident did not elope from the facility as the resident remained on the grounds and was supervised by staff. Additionally, there was no evidence to support that the licensee owed a refund to the responsible party. Both allegations were determined to be unfounded.
Complaint Details
The complaint investigation was triggered by allegations of staff failing to prevent resident elopement and failure to provide a refund to the responsible party. Both allegations were investigated through interviews and record reviews and were found to be unfounded.
Report Facts
Facility capacity: 15
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Michael Bilger | Licensing Program Analyst | Conducted the complaint investigation |
| Jagtar Singh | Administrator | Facility administrator involved in interviews |
Inspection Report
Original Licensing
Census: 10
Capacity: 15
Deficiencies: 2
Jun 7, 2024
Visit Reason
The inspection was an unannounced post licensing visit conducted to evaluate compliance with Title 22 regulations and verify the facility's readiness and adherence to regulatory requirements following initial licensing.
Findings
The facility was generally found to be clean, safe, and adequately furnished with proper emergency equipment and infection control plans in place. However, deficiencies were noted in resident files, including one file missing a physician's report since admission and five files lacking updated reappraisals, posing potential health and safety risks.
Deficiencies (2)
| Description |
|---|
| One resident file did not contain a physician's report or other evidence of a medical assessment since admission in April 2024. |
| Five resident files did not contain updated yearly reappraisals or evidence of compliance with reappraisal requirements. |
Report Facts
Resident files reviewed: 6
Staffing files reviewed: 4
Resident ambulatory status: 5
Resident non-ambulatory status: 5
Plan of Correction due date: Jun 17, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Michael Bilger | Licensing Program Analyst | Conducted the inspection and authored the report |
| Liza King | Licensing Program Manager | Supervised the inspection and signed the report |
| Jagtar Singh | Administrator | Facility administrator notified of the inspection |
| Cecilia Nunez | Lead Caregiver | Met with Licensing Program Analyst during inspection and received exit interview |
Inspection Report
Original Licensing
Census: 11
Capacity: 15
Deficiencies: 0
Mar 20, 2024
Visit Reason
The inspection was a pre-licensing visit conducted for a currently licensed facility seeking a change of ownership as a Residential Care Facility for the Elderly (RCFE).
Findings
The facility was toured and observed to be clean, sanitary, and in compliance with regulatory requirements. No deficiencies were observed during the visit. The Fire Marshall updated fire clearance and facility sketch to allow 8 ambulatory and 7 non-ambulatory residents.
Report Facts
Residents in separate cottage: 4
Perishable food days observed: 2
Non-perishable food days observed: 7
Staff with criminal record clearance: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jagtar Singh | Administrator | Facility Administrator and applicant present during pre-licensing visit |
| Michael Bilger | Licensing Program Analyst | Conducted the pre-licensing visit |
| Liza King | Licensing Program Manager | Named in report header |
Inspection Report
Original Licensing
Census: 11
Capacity: 15
Deficiencies: 0
Jan 25, 2024
Visit Reason
The visit was conducted as part of a change of ownership application and pre-licensing readiness evaluation for the Residential Care Facility for the Elderly.
Findings
The applicant/administrator participated in a COMP II telephone interview to verify identification and confirm understanding of California Code Title 22 regulations, including facility operation, admission policies, staffing, health conditions, emergency preparedness, complaints, and reporting.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jagtar Singh | Administrator | Applicant/administrator who participated in COMP II and was met during the visit. |
| Jude De La Concepcion | Licensing Program Manager | Named as Licensing Program Manager on the report. |
| Bethany Hunter | Licensing Program Analyst | Named as Licensing Program Analyst who confirmed applicant's understanding. |
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