Most inspections found some deficiencies, though several complaint investigations were unsubstantiated. The most recent report from August 12, 2025, cited two serious deficiencies related to missing staff first aid/CPR training and incomplete health screening documentation, posing immediate and potential safety risks. Earlier reports noted issues with locked bedroom doors, missing resident medical assessments, and staff training gaps, as well as a substantiated complaint about failure to provide proper written notice of a rate increase. There were no fines, license suspensions, or enforcement actions listed in the available reports. While some deficiencies have been serious, the facility has shown mixed compliance over time without a clear pattern of improvement or decline.
The visit was an unannounced Required 1 Year Annual Inspection to ensure compliance with Title 22 regulations and assess the facility's physical plant, staff qualifications, and documentation.
Findings
The facility was generally compliant with regulations including adequate food supply, sanitary resident rooms, current fire safety equipment, and proper documentation. However, two Type A deficiencies were cited related to staff training and personnel health screening.
Severity Breakdown
Type A: 2
Deficiencies (2)
Description
Severity
None of the 2/2 staff files reviewed contained documentation regarding first aid or CPR training from a qualified vendor like the American Red Cross, posing an immediate threat to residents' health and safety.
Type A
The licensee did not ensure that staff member S1 had TB test results in their files, posing a potential health, safety, or personal rights risk to persons in care.
Type A
Report Facts
Food supply duration: 7Food supply duration: 2Staff files reviewed: 2Resident files reviewed: 2Fire extinguishers purchase date: Aug 12, 2025POC due date: Aug 13, 2025POC due date: Aug 20, 2025
Employees Mentioned
Name
Title
Context
Randy S Morelos
Administrator
Met during inspection and responsible for facility administration
The inspection was an unannounced complaint investigation visit triggered by allegations including staff not abiding by the admission agreement, insufficient staffing to meet resident needs, unsafe accommodations, and inappropriate staff comments about a resident.
Findings
The investigation substantiated the allegation that staff did not provide proper written notice of a rate increase for level of care, violating regulatory requirements. Other allegations regarding insufficient staffing, unsafe accommodations, and inappropriate staff comments were found unsubstantiated based on interviews, observations, and record reviews.
Complaint Details
The complaint investigation was substantiated for the allegation that staff did not abide by the admission agreement related to failure to provide formal written notice of a rate increase. Other allegations including insufficient staffing, unsafe accommodations, and inappropriate comments were unsubstantiated.
Severity Breakdown
Type B: 1
Deficiencies (1)
Description
Severity
Licensee did not ensure a proper notice for a level of care rate increase to residents R1 and R2 per regulatory requirements, posing a potential health, safety, and resident rights risk.
Type B
Report Facts
Capacity: 6Census: 5Rate increase amounts: 6000Rate increase amounts: 8000Rate increase amounts: 9000Plan of Correction Due Date: Jul 14, 2025
Employees Mentioned
Name
Title
Context
Michael Bilger
Licensing Program Analyst
Conducted the complaint investigation and delivered findings
Randy Morelos
Administrator
Facility administrator met during investigation and exit interview
An unannounced annual required inspection was conducted to ensure compliance with Title 22 regulations.
Findings
The facility was found to be in compliance with California Code of Regulations, Title 22 and Health and Safety Code, with no deficiencies cited. The physical plant, resident and staff files, medication administration records, and safety equipment were all maintained and in good condition.
An unannounced Annual 1-Year Required visit was conducted to evaluate the facility's compliance with licensing requirements.
Findings
The inspection found deficiencies including locked exterior doors in resident bedrooms that cannot be unlocked from the inside, missing current medical assessments and Needs and Services Plans in resident files, and staff missing required continuing education on dementia care.
Deficiencies (3)
Description
Locked exterior doors or perimeter fences with locked gates shall not substitute for trained staff in sufficient numbers to meet the care and supervision needs of all residents; 2 out of 4 bedrooms had doors that did not comply.
Resident records missing current medical assessments and Needs and Services Plans; 2 out of 2 files lacked Needs and Services Plans and 1 out of 2 lacked current medical assessment.
Direct care staff did not complete required in-service training on serving residents with dementia within 12 months; 2 out of 2 files reviewed.
The inspection was an unannounced required 1-year annual inspection to evaluate compliance with licensing regulations.
Findings
The inspection found two deficiencies: cracked ceilings in the kitchen and hallway, and hot water temperature measured below the required minimum. The hot water temperature deficiency was corrected during the inspection.
Deficiencies (2)
Description
Cracked ceiling in the kitchen and facility hallway.
Hot water temperature measured at 100.5 degrees Fahrenheit, below the required minimum of 105 degrees Fahrenheit.
Report Facts
Capacity: 6Census: 4Hot water temperature: 100.5Plan of Correction Due Date: Aug 12, 2022
Employees Mentioned
Name
Title
Context
Randy Morelos
Administrator/Licensee
Met with Licensing Program Analyst during inspection and agreed to plan of correction.
The visit was an unannounced annual inspection conducted to ensure compliance with Title 22 regulations at the facility.
Findings
The inspection found the facility to be in compliance with all regulations, with no deficiencies observed. The physical plant, infection control measures, and emergency preparedness were all satisfactory.
The visit was a Case Management - Other type of unannounced health and safety check conducted by Licensing Program Analysts to evaluate compliance with licensing regulations.
Findings
Deficiencies were observed including expired food storage and cloth towels hanging in the restroom. The facility was providing care to residents with restricted health conditions, such as diabetes and dementia, outside the scope of their license, including administering sliding scale injections and checking sugar levels.
Severity Breakdown
Type A: 1
Deficiencies (2)
Description
Severity
Expired food stored and cloth towels hanging in restroom.
—
Providing care to residents with restricted health conditions (diabetes and injections) outside the scope of the license, posing immediate risk.
Type A
Report Facts
Capacity: 6Census: 4Plan of Correction Due Date: Nov 10, 2020
Employees Mentioned
Name
Title
Context
Randy Morelos
Administrator
Met with during inspection and involved in findings discussion.
Ashley Boothe
Licensing Program Analyst
Conducted inspection and authored report.
Albert Johnson
Licensing Program Analyst
Conducted health and safety check.
Liza King
Licensing Program Manager
Supervisor and named in report.
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