Inspection Report Summary
Most inspections found no deficiencies, including the most recent annual inspection on October 20, 2025, which was clean with no issues cited. One complaint investigation in April 2025 substantiated a medication administration error where a resident received only half the prescribed dose due to an electronic record system change; the facility self-reported and took corrective action. Other complaint investigations, including those in June and December 2024, found no evidence to support allegations related to medication management, infection control, or staff training. No fines, enforcement actions, or license issues were noted in the available reports. The facility’s record shows improvement over time, with the latest inspection confirming compliance after the isolated medication error.
Deficiencies per Year
4
3
2
1
0
High
Census Over Time
Census
Capacity
Inspection Report
Annual Inspection
Census: 64
Capacity: 100
Deficiencies: 0
Oct 20, 2025
Visit Reason
An unannounced required annual inspection was conducted to evaluate compliance with licensing requirements for the facility.
Findings
The facility was found to be clean, sanitary, and appropriately furnished with no deficiencies cited per Title 22 Regulations. Resident and staff files were current, food supplies were adequate, and safety features were in place.
Report Facts
Residents files reviewed: 6
Staff files reviewed: 7
Food supply: 5
Food supply: 7
Bedrooms inspected: 6
Bathrooms inspected: 6
Residential units: 82
Bedridden residents allowed: 20
Hospice residents allowed: 20
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Rony Shram | Administrator | Met during inspection and informed of visit purpose |
| Bernadette Allen | Licensing Program Analyst | Conducted the inspection |
| Stephanie Cifuentes | Licensing Program Manager | Named in report header and signature section |
Inspection Report
Complaint Investigation
Capacity: 100
Deficiencies: 2
Apr 16, 2025
Visit Reason
The inspection was an unannounced complaint investigation triggered by an allegation that staff were not distributing a resident's medication as prescribed.
Findings
The investigation substantiated that a medication administration error occurred where a resident received only one tablet of Namenda 10 mg per day instead of the prescribed two tablets due to an E-MAR system change. The facility self-reported the error and corrective actions were taken.
Complaint Details
The complaint alleged that staff were not distributing a resident's medication as prescribed. The allegation was substantiated based on interviews, record reviews, and observations. The facility self-reported the medication error after an internal investigation. The resident received only one tablet of Namenda 10 mg per day instead of two as ordered, due to an E-MAR system change.
Severity Breakdown
Type A: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| A plan for incidental medical and dental care shall be developed by each facility. The licensee shall assist residents with self-administered medications as needed. | Type A |
| Staff did not ensure medications were being administered as prescribed per the Physicians Orders, posing an immediate health and safety risk to clients in care. | Type A |
Report Facts
Facility capacity: 100
Medication dosage: 1
Medication dosage prescribed: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Rony Shram | Administrator | Conducted internal investigation and self-reported medication error |
| Yolanda Rosser | Licensing Program Analyst | Conducted complaint investigation and interviews |
| Eva Alvarez | Licensing Program Manager | Oversaw complaint investigation |
| Wendy Caudle | Licensed Vocational Nurse (LVN) | Confirmed medication administration details during investigation |
Inspection Report
Complaint Investigation
Census: 58
Capacity: 100
Deficiencies: 0
Dec 4, 2024
Visit Reason
The inspection was conducted as an unannounced complaint investigation visit regarding allegations that staff mismanage residents' medications.
Findings
After a comprehensive review including interviews with staff and residents, inspection of medication carts, and record analysis, no evidence was found to support the allegation of medication mismanagement. The complaint was determined to be unsubstantiated.
Complaint Details
The complaint alleged staff mismanagement of residents' medications. The investigation included interviews with 6 residents and 6 staff members, review of medication management practices, and training schedules. The allegation was found unsubstantiated due to lack of evidence.
Report Facts
Residents interviewed: 6
Staff interviewed: 6
Facility capacity: 100
Census: 58
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Rony Shram | Executive Director | Met with during investigation and exit interview |
| Sparkle Day | Licensing Program Analyst | Conducted the complaint investigation |
| Janae Hammond | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Annual Inspection
Census: 56
Capacity: 100
Deficiencies: 0
Nov 15, 2024
Visit Reason
The California Department of Social Services conducted an unannounced Required – 1 Year Inspection to evaluate the facility's compliance with licensing regulations.
Findings
The inspection found the facility to be in compliance with all applicable regulations, with medications properly stored, adequate safety measures in place, and all reviewed staff and resident records complete. No deficiencies were cited.
Report Facts
Residential units checked: 8
Staff records reviewed: 5
Resident records reviewed: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Rony Shram | Administrator | Met with during inspection |
| Ulysses Coronel | Licensing Program Manager | Named in report |
| Socorro Leandro | Licensing Program Analyst | Named in report |
Inspection Report
Complaint Investigation
Census: 39
Capacity: 100
Deficiencies: 0
Jun 21, 2024
Visit Reason
An unannounced complaint investigation visit was conducted in response to multiple allegations received on 2024-06-13 regarding medical attention delays, medication administration issues, infection control noncompliance, expired medication storage, and staff training concerns.
Findings
The investigation included interviews with staff and residents, observations, and record reviews. No evidence was found to substantiate any of the allegations. Staff and administration denied all claims, and residents expressed satisfaction with care and medication management. The facility demonstrated adherence to protocols, training, and regulatory compliance.
Complaint Details
The complaint included allegations that staff did not seek medical attention timely, improper medication administration by unskilled staff, failure to administer medication, infection control noncompliance, storage of expired medication, and inadequate staff training. All allegations were found to be unsubstantiated after thorough investigation.
Report Facts
Capacity: 100
Census: 39
Number of residents interviewed: 5
Number of staff interviewed: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Rony Shram | Administrator | Named in multiple findings and interviews related to complaint investigation |
| Wendy Caudle | Director of Wellness | Met with Licensing Program Analyst during inspection |
| David Espana | Licensing Program Analyst | Conducted the complaint investigation visit and interviews |
| Sparkle Day | Licensing Program Analyst | Involved in report amendment and licensing process |
| Janae Hammond | Licensing Program Manager | Oversaw licensing program and signed report |
| Stephanie Cifuentes | Licensing Program Manager | Oversaw licensing program and signed report |
| Allie David | VP of Finance | Present at exit interview |
Inspection Report
Original Licensing
Capacity: 100
Deficiencies: 0
Nov 20, 2023
Visit Reason
A pre-licensing evaluation was conducted for a Residential Care Facility for the Elderly (RCFE) to assess compliance and readiness for licensing.
Findings
The facility was found to be clean, sanitary, and in good repair with compliant bedrooms and adequate supplies. Medication storage, physical plant, bathrooms, food service, records, administration, activities, and miscellaneous safety measures were all observed to meet regulatory requirements.
Report Facts
Licensed capacity: 100
Fire clearance capacity: 80
Fire clearance capacity: 20
Bedrooms: 82
Bathrooms: 99
Hot water temperature range: 105
Hot water temperature range: 120
Food storage capacity: 2
Food storage capacity: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Roney Shram | Licensee | Conducted pre-licensing evaluation with Licensing Program Analysts. |
| Elvira Gonzalez | Licensing Program Analyst | Conducted pre-licensing evaluation and signed report. |
| Socorro Leandro | Licensing Program Analyst | Conducted pre-licensing evaluation. |
| Regina Cloyd | Licensing Program Analyst | Conducted pre-licensing evaluation and Component III Orientation with licensee. |
| Stephanie Cifuentes | Licensing Program Manager | Named as Licensing Program Manager on report. |
Inspection Report
Original Licensing
Capacity: 100
Deficiencies: 0
Sep 28, 2023
Visit Reason
The visit was an office evaluation for the original licensing of the facility, including verification of applicant and administrator qualifications and understanding of Title 22 regulations.
Findings
The applicant and administrator successfully completed Component II of the licensing process, demonstrating understanding of facility operation, staff qualifications, program policies, and application document requirements. No deficiencies or violations were noted.
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