Inspection Report Summary
Most inspections found no deficiencies, with the facility generally operating in safe, clean, and well-maintained conditions. Several complaint investigations were unsubstantiated, including concerns about pest control, food quality, medication administration, and resident care. However, some deficiencies were cited in the past related to staff criminal background clearance, failure to report a resident’s death, and a late medication administration incident that was not properly reported. The most serious issues involved substantiated findings in 2022 and 2023 about unsanitary kitchen conditions, pest presence, and food service personnel training, which were addressed through plans of correction. The most recent report from October 6, 2025, was clean with no deficiencies, indicating improvement over time.
Deficiencies per Year
4
3
2
1
0
Severe
High
Moderate
Low
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Annual Inspection
Census: 70
Capacity: 94
Deficiencies: 0
Oct 6, 2025
Visit Reason
The visit was an unannounced required comprehensive annual inspection of the Residential Care Facility for Elderly (RCFE) to assess compliance with licensing requirements.
Findings
The facility was found to be operating within approved capacity and in safe, clean, and good repair conditions. Resident rooms and common areas met regulatory standards, medications were properly stored and dispensed, and staff had required clearances and certifications. No deficiencies were cited during this inspection.
Report Facts
Resident files reviewed: 4
Staff files reviewed: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Julie Dion | Facility Administrator | Met with Licensing Program Analyst during inspection and participated in exit interview |
| Paola Guerrero | Licensing Program Analyst | Conducted the unannounced annual inspection visit |
| Efren Malagon | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 68
Capacity: 94
Deficiencies: 0
Apr 3, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2025-03-27 regarding resident care concerns at Chino Hills Senior Living Facility.
Findings
The investigation found all allegations unsubstantiated after interviews, observations, and record reviews. The resident's injuries were determined to be old and not abuse-related, care refusals explained some concerns, and the facility's cleaning and safeguarding practices were adequate.
Complaint Details
The complaint included allegations of unexplained injuries, prolonged soiled diaper use, unclean bedroom floor, unsecured personal items, and lack of clean clothing provision. The investigation concluded these allegations were unsubstantiated due to lack of evidence.
Report Facts
Outstanding balance: 17140
Capacity: 94
Census: 68
Dates of care refusal: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Paola Guerrero | Licensing Program Analyst | Conducted the complaint investigation and unannounced visit. |
| Efren Malagon | Licensing Program Manager | Oversaw the complaint investigation report. |
| Lizeth Gomez | Business Office Manager | Met with Licensing Program Analyst during investigation. |
Inspection Report
Complaint Investigation
Census: 68
Capacity: 94
Deficiencies: 0
Feb 6, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 11/18/2024 regarding staff not properly maintaining the facility, not properly reporting incidents involving a resident, and not meeting the needs of a resident.
Findings
The investigation found the facility to be clean, well-maintained, and operating safely. Incident reports for Resident #1 were reviewed, confirming proper reporting and follow-up care including falls interventions. Resident #1 reported feeling safe and satisfied with care. Based on the evidence, all allegations were determined to be unsubstantiated.
Complaint Details
The complaint involved three allegations: 1) Staff did not properly maintain the facility, 2) Staff did not properly report incidents involving a resident, and 3) Staff did not meet the needs of a resident. The investigation included interviews, observations, and record reviews. The allegations were found unsubstantiated.
Report Facts
Facility capacity: 94
Census: 68
Complaint receipt date: Nov 18, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Paola Guerrero | Licensing Program Analyst | Conducted the complaint investigation and unannounced visit |
| Julie Olmedo | Administrator | Facility administrator met with Licensing Program Analyst during investigation |
| Efren Malagon | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 68
Capacity: 94
Deficiencies: 0
Feb 6, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2022-06-29 regarding the facility not being kept free of insects and rodents and serving poor quality food.
Findings
The investigation found the facility to be clean, organized, and free of insects and rodents, with pest control services in place. Food quality was observed to be adequate, fresh, and balanced, consistent with the menu. Both allegations were determined to be unsubstantiated due to lack of evidence.
Complaint Details
The complaint investigation was unsubstantiated, meaning there was not a preponderance of evidence to prove the alleged violations occurred. Allegations included the facility not being free of insects and rodents and serving poor quality food.
Report Facts
Capacity: 94
Census: 68
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Paola Guerrero | Licensing Program Analyst | Conducted the complaint investigation and unannounced visit |
| Efren Malagon | Licensing Program Manager | Named as Licensing Program Manager on the report |
| Julie Dion | Facility Administrator | Met with Licensing Program Analyst during the investigation and received the report |
Inspection Report
Complaint Investigation
Census: 68
Capacity: 94
Deficiencies: 2
Aug 23, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to multiple allegations received on 2024-04-29 regarding resident care needs, staff treatment of residents, food service adequacy, pressure injury neglect, and medication return at discharge.
Findings
The investigation substantiated allegations that the facility failed to meet residents' care needs and that staff did not treat residents with dignity or respect, based on video evidence and interviews. Allegations regarding inadequate food service were unsubstantiated, as food quality and resident satisfaction were adequate. The allegation of a pressure injury due to neglect was unsubstantiated, with staff and the primary care provider confirming only skin irritation that healed. The allegation that staff did not return all medication at discharge was also unsubstantiated.
Complaint Details
The complaint investigation was substantiated for allegations that the facility failed to meet residents' care needs and that staff did not treat residents with dignity or respect. Other allegations regarding food service, pressure injury neglect, and medication return were unsubstantiated.
Severity Breakdown
Type B: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Personnel Requirements – General 87411 (a): Facility personnel shall at all times be sufficient in numbers and competent to provide the services necessary to meet resident needs. | Type B |
| Personal Rights 80072 (3): To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other punitive actions including interference with daily living functions. | Type B |
Report Facts
Capacity: 94
Census: 68
Deficiency count: 2
Plan of Correction Due Date: Sep 20, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Paola Guerrero | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Efren Malagon | Licensing Program Manager | Oversaw the complaint investigation |
| Julie Dion | Facility Administrator | Met with Licensing Program Analyst during investigation and exit interview; named in findings |
Inspection Report
Complaint Investigation
Census: 63
Capacity: 94
Deficiencies: 0
May 15, 2024
Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that the facility roof was in disrepair.
Findings
The investigation found that the dining room roof had a leak and was under repair, with meal accommodations provided to residents in their rooms. A follow-up walkthrough showed the roof was repaired and the dining area was accessible. The allegation was determined to be unsubstantiated due to lack of preponderance of evidence.
Complaint Details
The complaint was unsubstantiated. Although the allegation of roof disrepair was valid, there was insufficient evidence to prove a violation occurred.
Report Facts
Capacity: 94
Census: 63
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Paola Guerrero | Licensing Program Analyst | Conducted the complaint investigation and unannounced visit |
| Julie Dion | Facility Administrator | Met with Licensing Program Analyst during investigation and exit interview |
| Efren Malagon | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Annual Inspection
Census: 63
Capacity: 94
Deficiencies: 0
May 15, 2024
Visit Reason
The visit was an unannounced required comprehensive annual inspection of the Residential Care Facility for Elderly (RCFE).
Findings
The facility was found to be operating within approved capacity and in safe, clean conditions with no obstructions, sufficient furniture, and proper safety equipment. Medications were dispensed appropriately, and staff had required clearances and certifications. No deficiencies were cited during the inspection.
Report Facts
Resident files reviewed: 6
Staff files reviewed: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Paola Guerrero | Licensing Program Analyst | Conducted the inspection and signed the report |
| Julie Dion | Facility Administrator | Met with Licensing Program Analyst during inspection and received the report |
| Efren Malagon | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 91
Capacity: 94
Deficiencies: 0
Feb 9, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2023-11-09 regarding medication administration and staff training.
Findings
The investigation found that medications were administered to all residents but some were given late due to staffing conflicts. Staff training records showed all Med-Techs had required qualifications. The allegations were determined to be unsubstantiated.
Complaint Details
The complaint alleged that staff did not ensure residents received medications as prescribed and that a staff member lacked required training. The investigation found no preponderance of evidence to substantiate these allegations.
Report Facts
Capacity: 94
Census: 91
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Paola Guerrero | Licensing Program Analyst | Conducted the complaint investigation |
| Lizeth Gomez | Office Manager | Met with Licensing Program Analyst during investigation |
| Julie Olmedo | Administrator | Facility administrator named in report header |
Inspection Report
Complaint Investigation
Census: 91
Capacity: 94
Deficiencies: 0
Feb 9, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 12/28/2021 regarding inadequate cleaning and inadequate food services at the facility.
Findings
The investigation found that the facility was clean and housekeeping was completed daily. The kitchen and food supplies were clean and properly maintained, with food safety practices followed. Based on the evidence, the allegations were determined to be unsubstantiated.
Complaint Details
The complaint investigation was unsubstantiated, meaning there was not a preponderance of evidence to prove the alleged violations occurred.
Report Facts
Capacity: 94
Census: 91
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Paola Guerrero | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Lizeth Gomez | Office Manager | Met with the Licensing Program Analyst during the investigation |
| Efren Malagon | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 91
Capacity: 94
Deficiencies: 1
Feb 9, 2024
Visit Reason
An unannounced case management visit was conducted during complaint control number 56-AS-20231109090240 to investigate the facility's failure to provide a special incident report regarding late administration of medication due to staffing conflicts.
Findings
The facility failed to submit the required special incident report (SIR) to the licensing agency about medication being administered late to residents due to staffing conflicts, resulting in one deficiency cited under Title 22, Division 6, of the California Code of Regulation.
Complaint Details
The visit was complaint-related under control number 56-AS-20231109090240. The deficiency was substantiated based on the facility's failure to report the late medication administration incident.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to follow proper procedures to report to the licensing agency that medication was administered late to all residents due to staffing conflicts. | Type B |
Report Facts
Deficiencies cited: 1
Plan of Correction Due Date: Mar 1, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lizeth Gomez | Office Manager | Met with Licensing Program Analyst during the visit and received the report |
| Paola Guerrero | Licensing Program Analyst | Conducted the unannounced case management visit and authored the report |
| Efren Malagon | Licensing Program Manager | Supervisor and Licensing Program Manager named in the report |
Inspection Report
Complaint Investigation
Census: 72
Capacity: 94
Deficiencies: 0
Jun 27, 2023
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received on 2022-07-25 regarding residents' call pendants being in disrepair, staff mismanaging residents' medication, lack of proper emergency procedures during blackout, and staff not meeting residents' needs.
Findings
Based on observations, interviews, and records review, all allegations were found to be unsubstantiated. Residents' call pendants were in working order, medications were properly managed by staff, emergency procedures during blackout were adequate, and staff were meeting residents' needs.
Complaint Details
The complaint investigation was unsubstantiated, meaning there was not a preponderance of evidence to prove the alleged violations did or did not occur.
Report Facts
Emergency lights: 8
Staff response time: 5
Staff response time: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Melody Brown | Licensing Program Analyst | Conducted the complaint investigation |
| Efren Malagon | Licensing Program Manager | Named in report as Licensing Program Manager |
| Julie Dion | Executive Director | Met with Licensing Program Analyst during investigation and exit interview |
Inspection Report
Census: 72
Capacity: 94
Deficiencies: 2
Jun 27, 2023
Visit Reason
The visit was a Case Management Deficiency investigation conducted to address issues related to staff criminal background clearance and failure to report a resident's death to the licensing authority.
Findings
The facility allowed Staff #7 to work without a valid criminal background clearance exemption since 03/14/2021, posing immediate health, safety, and personal rights risks to residents. Additionally, the facility failed to report the death of Resident #9 to the Community Care Licensing Division.
Severity Breakdown
Type A: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Staff #7 worked at the facility without criminal background clearance exemption since 03/14/2021, posing immediate health, safety, and personal rights risks to residents. | Type A |
| Failure to report Resident #9's death to the Community Care Licensing Division. | — |
Report Facts
Civil penalty: 500
Daily penalty: 100
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Melody Brown | Licensing Program Analyst | Conducted the investigation and authored the report |
| Julie Dion | Executive Director | Facility representative during investigation |
| Efren Malagon | Licensing Program Manager | Supervisor overseeing the investigation |
Inspection Report
Census: 71
Capacity: 94
Deficiencies: 1
Jun 2, 2023
Visit Reason
An unannounced Case Management Deficiency visit was conducted to evaluate compliance related to staff criminal background clearance transfer.
Findings
The facility failed to transfer the criminal background clearance of Staff #4 who had been working at the facility for four years, posing potential health, safety, and personal rights risks to residents. A civil penalty was assessed and will continue until corrected.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to transfer the criminal background clearance of Staff #4 to the facility as required by Health and Safety Code Section 1569.17(b). | Type B |
Report Facts
Civil penalty assessed: 500
Daily penalty amount: 100
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Liseth Gomez | Business Office Manager | Discussed visit purpose and findings during inspection |
| Melody Brown | Licensing Program Analyst | Conducted the inspection and authored the report |
| Efren Malagon | Licensing Program Manager | Supervisor overseeing the inspection |
Inspection Report
Annual Inspection
Census: 68
Capacity: 94
Deficiencies: 0
May 22, 2023
Visit Reason
Licensing Program Analyst Magda Malcore made an unannounced visit to the facility to conduct a required annual inspection.
Findings
The facility was inspected inside and out, including client bedrooms, bathrooms, kitchen, medication storage, and staff files. No deficiencies were cited; the facility was found clean, in good repair, and operating in safe conditions for clients in care.
Report Facts
Licensed capacity: 94
Current census: 68
Emergency drill date: Apr 7, 2023
Hot water temperature: 108
Number of client bedrooms inspected: 6
Number of client bathrooms inspected: 6
Number of client medications reviewed: 6
Number of centrally stored medication rooms: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Magda Malcore | Licensing Program Analyst | Conducted the inspection and authored the report |
| Karen Clemons | Licensing Program Manager | Named in the report as Licensing Program Manager |
| Julie Dion | Executive Director | Met with Licensing Program Analyst during inspection |
Inspection Report
Complaint Investigation
Census: 68
Capacity: 94
Deficiencies: 0
Mar 3, 2023
Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that facility staff was preparing food for residents while infected with a Staph infection.
Findings
The investigation included interviews with seven staff members and direct observations. No evidence was found to substantiate the allegation, as staff consistently reported that the accused employee always wore gloves and did not handle food with open wounds or cuts.
Complaint Details
The complaint was unsubstantiated based on interviews and observations. Although the allegation may have been valid, there was insufficient evidence to prove the violation occurred.
Report Facts
Capacity: 94
Census: 68
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Paola Guerrero | Licensing Program Analyst | Conducted the complaint investigation and interviews |
| Liseth Gomez | Business Office Manager | Met with Licensing Program Analyst during the investigation |
| Efren Malagon | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 74
Capacity: 94
Deficiencies: 0
Jan 25, 2023
Visit Reason
The visit was an unannounced complaint investigation conducted in response to multiple allegations including questionable death, staff not answering resident calls, inappropriate staff speech, vermin in resident rooms, improper laundry services, facility disrepair, and inadequate food service.
Findings
The investigation found that resident rooms were clean and free of vermin, staff were attentive and treated residents well, laundry and food services were timely and adequate, and a water leak was being addressed. Documentation of a recent resident's passing followed proper procedures. Overall, there was insufficient evidence to substantiate any of the allegations, and the complaint was deemed unsubstantiated.
Complaint Details
The complaint investigation was unsubstantiated due to lack of preponderance of evidence to prove the alleged violations.
Report Facts
Capacity: 94
Census: 74
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Javier Prieto | Licensing Program Analyst | Conducted the complaint investigation |
| Julie Dion | Executive Director | Met with Licensing Program Analyst during investigation |
| Karen Clemons | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Annual Inspection
Census: 70
Capacity: 94
Deficiencies: 0
Sep 13, 2022
Visit Reason
An unannounced annual inspection was conducted with an emphasis on infection control to evaluate the facility's compliance with Community Care Licensing guidelines.
Findings
The inspection found no deficiencies; the facility demonstrated proper infection control measures including signage, hand hygiene supplies, PPE use, and staff training. The facility has plans for COVID-19 testing, isolation, cleaning, and resident monitoring.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Julie Olmedo | Administrator | Met during inspection and received the report |
| Bernadette Allen | Licensing Program Analyst | Conducted the inspection |
| Karen Clemons | Licensing Program Manager | Named in report header |
Inspection Report
Plan of Correction
Census: 66
Capacity: 94
Deficiencies: 2
Jul 25, 2022
Visit Reason
The visit was an unannounced Plan of Correction (POC) inspection conducted to verify compliance with deficiencies cited on form LIC9099D issued on 07/01/2022.
Findings
The Licensing Program Analyst toured the kitchen and food storage areas and verified that the previously cited deficiency 87555(b)(29) per Title 22 Division 6 of the California Code of Regulations had been cleared. The licensee complied with the terms of the Plan of Correction.
Deficiencies (2)
| Description |
|---|
| Deficiency 87555(b)(29) cited per Title 22 Division 6 of the California Code of Regulations has been cleared. |
| Deficiency 87555(b)(29) cited per Title 22 Division 6 of the California Code of Regulations has been cleared. |
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Amy Goldenberg | Licensing Program Analyst | Conducted the unannounced Plan of Correction visit and verified deficiency clearance. |
| Julie Dion | Executive Director | Met with Licensing Program Analyst during the visit. |
| Julie Olmedo | Administrator | Named as facility administrator. |
| Nedra Brown | Licensing Program Manager | Named as Licensing Program Manager. |
Inspection Report
Plan of Correction
Census: 68
Capacity: 94
Deficiencies: 1
Jul 6, 2022
Visit Reason
The visit was conducted as a plan of correction (POC) follow-up after a complaint investigation visit on 2022-07-01, to verify correction of cited deficiencies.
Findings
The plan of correction for section 87555(b)(29) was verified as cleared. The broken salamander oven, steam cabinet, and refrigerator noted during the citing visit were removed. A request for extension for section 87555(b)(27) was granted until 2022-07-13.
Complaint Details
The visit followed a complaint investigation conducted on 2022-07-01. The facility was cited for violations under sections 87555(b)(29) and 87555(b)(27).
Deficiencies (1)
| Description |
|---|
| Citations per Title 22, Division 6 of the California Code of Regulations sections 87555(b)(29) and 87555(b)(27) |
Report Facts
Plan of Correction extension date: Jul 13, 2022
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Amy Goldenberg | Licensing Program Analyst | Conducted the plan of correction visit and verified corrections |
| Julie Dion | Executive Director | Met with Licensing Program Analyst during the visit and discussed POC extension |
Inspection Report
Complaint Investigation
Census: 66
Capacity: 94
Deficiencies: 2
Jul 1, 2022
Visit Reason
This was an unannounced complaint investigation visit triggered by complaints alleging that the facility kitchen was not clean and sanitary and that facility appliances were in disrepair.
Findings
The investigation confirmed that the kitchen floors, walls, refrigerators, freezer, and food storage areas were dirty and had rodent droppings. Appliances including a Salamander oven, steam cabinet, and refrigerator were in disrepair, rusty, and contaminated. These conditions posed a potential health and safety risk. The complaint allegations were substantiated.
Complaint Details
The complaint investigation was substantiated based on evidence of unsanitary kitchen conditions and appliances in disrepair posing health and safety risks.
Severity Breakdown
Type A: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| General Food Service Requirements: All equipment, fixed or mobile, and dishes, shall be kept clean and maintained in good repair. The facility failed to meet this requirement as evidenced by broken/dirty Salamander oven, steam cabinet and refrigerator posing health and safety risks. | Type A |
| All kitchen areas shall be kept clean and free of litter, rodents, vermin and insects. The facility failed to meet this requirement as evidenced by dirty floors, walls, fixtures, presence of rodent droppings, black substance on ceiling, foods frozen to freezer floor and wall, and dirty refrigerator floors. | Type A |
Report Facts
Capacity: 94
Census: 66
Plan of Correction Due Date: Jul 5, 2022
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Amy Goldenberg | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Julie Olmedo | Executive Director | Facility representative met during investigation |
| Nedra Brown | Licensing Program Manager | Oversaw the complaint investigation |
Inspection Report
Complaint Investigation
Census: 68
Capacity: 94
Deficiencies: 0
May 12, 2022
Visit Reason
Licensing Program Analyst Ryan Gardner made an unannounced visit to the facility regarding complaint number 56-AS-20220422090731 to obtain a signature for amended reports.
Findings
The report documents the unannounced visit and the exit interview where the report was discussed and provided to the Executive Director Julie Olmedo. No specific deficiencies or findings are detailed in the report.
Complaint Details
Visit was related to complaint number 56-AS-20220422090731. No substantiation status or further complaint details are provided.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Julie Olmedo | Administrator / Executive Director | Met with Licensing Program Analyst during the visit and exit interview. |
| Ryan Gardner | Licensing Program Analyst | Conducted the unannounced visit regarding the complaint. |
| Karen Clemons | Licensing Program Manager | Named as Licensing Program Manager in the report. |
Inspection Report
Capacity: 94
Deficiencies: 0
May 4, 2022
Visit Reason
An unannounced case management visit was conducted to verify that staff members S1 and S2 were associated with the facility.
Findings
Based on observations made during the visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Julie Olmedo | Administrator | Met with Licensing Program Analyst during the visit and provided LIC 9182 forms and driver licenses for staff S1 and S2. |
| Ryan Gardner | Licensing Program Analyst | Conducted the unannounced case management visit. |
| Karen Clemons | Licensing Program Manager | Named in the report as Licensing Program Manager. |
Inspection Report
Complaint Investigation
Census: 86
Capacity: 94
Deficiencies: 4
Apr 28, 2022
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations received on 04/22/2022 regarding pests, cleanliness, food safety, and food service personnel training at the facility.
Findings
The investigation substantiated the allegations that the facility had pest issues, was not maintaining cleanliness and sanitation in the kitchen, stored unsafe food, and did not provide food service personnel with proper training. Mouse droppings were found in multiple kitchen areas, and pre-prepped ice cream was stored uncovered. The facility lacked a dietitian or nutritionist on site and could not provide documentation of visits by such professionals.
Complaint Details
The complaint investigation was substantiated based on evidence including observations of pest presence, unsanitary kitchen conditions, unsafe food storage, and lack of food service personnel training documentation.
Severity Breakdown
Type A: 3
Type B: 1
Deficiencies (4)
| Description | Severity |
|---|---|
| Kitchen areas not kept clean and free of litter and rodents, including mouse droppings on floors and cutting boards. | Type A |
| Mouse droppings found where food is stored and served to residents. | Type A |
| Uncovered pre-prepped ice cream stored in the freezer. | Type A |
| Facility did not have a qualified full-time employee such as a dietitian on site and lacked proof of visits from a dietitian. | Type B |
Report Facts
Deficiencies cited: 4
Facility capacity: 94
Census: 86
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ryan Gardner | Licensing Program Analyst | Conducted the complaint investigation and authored the report. |
| Julie Olmedo | Executive Director | Met with Licensing Program Analyst during the investigation and was involved in the exit interview. |
| Karen Clemons | Licensing Program Manager | Named in the report as Licensing Program Manager overseeing the investigation. |
Inspection Report
Complaint Investigation
Census: 84
Capacity: 94
Deficiencies: 0
Mar 21, 2022
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2022-01-12 regarding staff not keeping the facility free from pests and multiple residents sustaining food poisoning.
Findings
The investigation found no substantiated evidence of pest problems or food poisoning incidents. Pest control services were confirmed effective, and interviews with staff and residents found no complaints of food poisoning. Both allegations were determined to be unsubstantiated or unfounded, and no deficiencies were cited.
Complaint Details
The complaint investigation was unannounced and conducted by Evaluator Bernadette Allen. The allegation of pest issues was unsubstantiated due to lack of evidence, and the allegation of food poisoning was unfounded based on interviews with six staff and five residents.
Report Facts
Number of staff interviewed: 6
Number of residents interviewed: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Julie Olmedo | Administrator | Met with during complaint investigation; provided information on pest control |
| Bernadette Allen | Licensing Program Analyst | Conducted the complaint investigation visit |
| Karen Clemons | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 81
Capacity: 94
Deficiencies: 0
Mar 15, 2022
Visit Reason
An unannounced visit was conducted to perform additional staff and resident interviews related to complaint report number 18-AS-20211029105810.
Findings
The report documents the completion of interviews and an exit interview with the facility administrator. No specific deficiencies or findings are detailed in the report.
Complaint Details
The visit was related to complaint report number 18-AS-20211029105810. No substantiation status is provided.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Julie Olmedo | Administrator | Met with Licensing Program Analyst during the visit and provided signature. |
| Anna Bueno | Licensing Program Analyst | Conducted the unannounced visit and interviews. |
| Nedra Brown | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Complaint Investigation
Census: 74
Capacity: 94
Deficiencies: 0
Feb 15, 2022
Visit Reason
The inspection was conducted as a complaint investigation regarding an allegation that the facility failed to issue a refund.
Findings
The investigation found insufficient evidence to substantiate the allegation that the facility failed to issue a refund. The facility representative stated the refund was in process and would be delivered promptly.
Complaint Details
The complaint alleged the facility failed to issue a refund. The allegation was deemed unsubstantiated due to lack of sufficient evidence.
Report Facts
Capacity: 94
Census: 74
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Javier Prieto | Licensing Program Analyst | Conducted the complaint investigation |
| Julie Olmedo | Administrator | Facility representative met during investigation |
Inspection Report
Complaint Investigation
Census: 79
Capacity: 94
Deficiencies: 0
Nov 3, 2021
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to a complaint alleging that the facility does not meet general food service requirements.
Findings
The investigation included interviews and observations and found that although expired food was noted, the facility provided proof of recent vendor delivery and discarded the expired item. There was no preponderance of evidence to substantiate the allegations, and no deficiencies were cited during the visit.
Complaint Details
The complaint was unsubstantiated due to lack of sufficient evidence to prove the alleged violations occurred.
Report Facts
Capacity: 94
Census: 79
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Julie Olmedo | Executive Director | Met with Licensing Program Analysts during the investigation |
| Tyler Barragan | Food Services Director | Met with Licensing Program Analysts and provided information about food service practices |
| Anna Bueno | Licensing Program Analyst | Conducted the complaint investigation |
| Bernadette Allen | Licensing Program Analyst | Assisted in conducting the complaint investigation |
Inspection Report
Annual Inspection
Census: 76
Capacity: 94
Deficiencies: 0
Jul 30, 2021
Visit Reason
An unannounced annual inspection was conducted with an emphasis on infection control to assess the facility's compliance with Community Care Licensing guidelines.
Findings
The inspection found no deficiencies; the facility demonstrated proper infection control measures including signage, hand hygiene supplies, PPE usage, and COVID-19 monitoring and isolation protocols.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Torres | Licensing Program Analyst | Conducted the inspection visit and made observations regarding infection control. |
| Julie Olmedo | Executive Director | Met with the Licensing Program Analyst during the inspection. |
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