Inspection Reports for Citrus Place
7898 California Ave, Riverside, CA 92504, United States, CA, 92504
Back to Facility ProfileInspection Report Summary
Most inspections found no deficiencies, and several complaint investigations were unsubstantiated, indicating generally good compliance with regulations. However, some complaint investigations substantiated issues related to medication mismanagement, resident dignity violations, and facility maintenance concerns, including medication errors that led to hospitalization and staff altercations posing safety risks. The facility also received citations for failing to maintain safe accommodations during repairs and for medication refill lapses resulting in missed doses. The most recent report from March 4, 2025, found a deficiency involving medication mismanagement that caused resident hospitalization. While there is no clear overall trend, recent reports show some serious issues alongside many unsubstantiated complaints and isolated deficiencies.
Deficiencies (last 4 years)
Deficiencies (over 4 years)
2.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
38% better than California average
California average: 4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
69% occupied
Based on a March 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Complaint Investigation
Census: 96
Capacity: 140
Deficiencies: 1
Date: Mar 4, 2025
Visit Reason
An unannounced visit was conducted to investigate a complaint alleging that staff did not give resident medication as prescribed.
Complaint Details
The complaint alleging staff did not give resident medication as prescribed was substantiated based on interviews and records reviewed. The preponderance of evidence standard was met.
Findings
The investigation found that facility staff mismanaged Resident 1's medication, resulting in hospitalization. Medication orders were incorrectly entered into the facility's system, and the facility failed to verify the pharmacy's entry, leading to medication errors.
Deficiencies (1)
The licensee failed to assist residents with self-administered medications as needed, resulting in medication mismanagement and hospitalization of a resident.
Report Facts
Facility capacity: 140
Census: 96
Deficiency count: 1
Plan of Correction due date: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Vicky Torres | Administrator | Interviewed regarding medication management and facility operations |
| Janette Romero | Licensing Program Analyst | Conducted the complaint investigation visit |
| Carolina Campos | Health Services Associate | Reported supervisors are required to approve new medication orders |
Inspection Report
Complaint Investigation
Census: 107
Capacity: 140
Deficiencies: 0
Date: Dec 12, 2024
Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that facility staff did not seek timely medical care for a resident.
Complaint Details
The complaint alleged that staff failed to transport a resident to the hospital in a timely manner after an injury was observed. The investigation determined that staff followed the POA's directive, causing a delay in emergency services. The allegation was unsubstantiated.
Findings
The investigation found that staff immediately contacted the resident's Power of Attorney (POA) after observing an injury, and followed the POA's instruction not to seek emergency medical services initially. Medical personnel were contacted later when the resident's condition worsened, and the resident was transported to the hospital. The allegation was unsubstantiated due to insufficient evidence to prove a violation.
Report Facts
Capacity: 140
Census: 107
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Armando Perez | Licensing Program Analyst | Conducted the complaint investigation |
| Megan Snell | Connections for Living Director | Met with Licensing Program Analyst during investigation and exit interview |
| Vicky Torres | Administrator | Provided information during investigation |
| Jazmond D Harris | Licensing Program Manager | Named in report header and signature |
Inspection Report
Complaint Investigation
Census: 111
Capacity: 140
Deficiencies: 1
Date: Dec 3, 2024
Visit Reason
Unannounced complaint investigation visit conducted due to allegations including inadequate supervision of residents, staff leaving a resident on the floor for an extended period, and failure to administer medications as prescribed.
Complaint Details
The complaint investigation was triggered by allegations received on 04/29/2024. The allegation that staff engage in physical and verbal altercations in the presence of residents was substantiated. Other allegations regarding supervision, medication administration, and leaving a resident on the floor were unsubstantiated.
Findings
The investigation found the allegations of inadequate supervision, medication administration issues, and leaving a resident on the floor unsubstantiated. However, the allegation of staff engaging in physical and verbal altercations in the presence of residents was substantiated, posing a potential health and safety risk.
Deficiencies (1)
Residents in all residential care facilities for the elderly shall have all of the following personal rights: To be accorded dignity in their personal relationships with staff, residents, and other persons. This requirement is not being met as evidenced by facility staff having two different altercations with themselves, posing a potential health and safety risk to residents in care.
Report Facts
Capacity: 140
Census: 111
Plan of Correction Due Date: Dec 17, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Lyman | Licensing Program Analyst | Conducted the complaint investigation |
| Joseph Alejandre | Licensing Program Analyst | Conducted the complaint investigation |
| Vicky Torres | Administrator | Facility administrator met during investigation |
Inspection Report
Complaint Investigation
Census: 111
Capacity: 140
Deficiencies: 3
Date: Dec 3, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2021-10-20 regarding multiple allegations about resident care and facility practices.
Complaint Details
The complaint investigation addressed allegations including residents left in soiled diapers, lack of dignity and respect, unmet toileting needs, unmet hygiene needs, failure to notify responsible party of change in condition, and failure to safeguard personal belongings. The investigation concluded three allegations unsubstantiated and three substantiated.
Findings
The investigation found three allegations unsubstantiated related to residents being left in soiled diapers, not treated with dignity, and toileting needs not met. However, three other allegations were substantiated: resident's hygiene needs were not met, staff did not notify the responsible party of a resident's change in condition, and staff did not safeguard resident's personal belongings. Deficiencies were cited accordingly.
Deficiencies (3)
Resident had facial hair and untrimmed nails, posing an immediate health and safety risk.
Staff failed to notify responsible party when resident lost a tooth, posing a potential health and safety risk.
Facility failed to complete a personal property inventory for resident, posing a potential health and safety risk.
Report Facts
Capacity: 140
Census: 111
Deficiencies cited: 3
Plan of Correction Due Date: Dec 4, 2024
Plan of Correction Due Date: Dec 17, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Joseph Alejandre | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Sheila Santos | Licensing Program Manager | Oversaw the complaint investigation |
| Vicky Torres | Executive Director | Met with investigators during the inspection |
| Lori Spencer | Administrator | Facility administrator named in the report |
Inspection Report
Complaint Investigation
Census: 111
Capacity: 140
Deficiencies: 1
Date: Dec 3, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by multiple allegations including failure to refill resident's medication, unqualified staff handling medication, serving cold meals, facility disrepair, staff neglect leading to a resident's fall, and unresponsiveness of the administrator to a resident's responsible party.
Complaint Details
The complaint investigation was substantiated for failure to refill resident's medication. The allegation that staff handling medication were not qualified was unfounded. Allegations regarding cold meals, facility disrepair, staff neglect leading to a resident's fall, and administrator unresponsiveness were unsubstantiated.
Findings
The investigation substantiated the allegation that staff failed to refill a resident's medication, resulting in missed doses and posing an immediate health and safety risk. The allegation that staff handling medication were unqualified was found to be unfounded. Other allegations regarding cold meals, facility disrepair, staff neglect, and administrator unresponsiveness were unsubstantiated based on interviews, documentation, and observations.
Deficiencies (1)
Licensee failed to ensure resident was assisted with medication administration; resident missed five doses of medications as they were not refilled.
Report Facts
Missed medication doses: 5
Facility capacity: 140
Census: 111
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Lyman | Licensing Program Analyst | Conducted the complaint investigation and authored the report. |
| Joseph Alejandre | Licensing Program Analyst | Assisted in conducting the complaint investigation. |
| Alisa Ortiz | Licensing Program Manager | Oversaw the complaint investigation. |
| Lori Spencer | Administrator | Facility administrator mentioned in relation to findings and interviews. |
Inspection Report
Complaint Investigation
Census: 111
Capacity: 140
Deficiencies: 1
Date: Dec 3, 2024
Visit Reason
An unannounced case management visit was conducted in conjunction with complaint investigation 18-AS-20240429160126 regarding alleged staff misconduct.
Complaint Details
Complaint investigation 18-AS-20240429160126 substantiated the allegation that Staff 1 humiliated and intimidated a resident by covering the resident's mouth and telling them to 'Shut up.'
Findings
The investigation revealed that Staff 1 placed their hand over a resident's mouth and told the resident to 'Shut up,' constituting humiliation and intimidation. Staff 1 was terminated from employment. The resident was observed to be clean and well cared for during the visit.
Deficiencies (1)
Licensee failed to ensure residents are free from humiliation and intimidation; Staff 1 covered the resident's mouth and told the resident to 'Shut up,' posing an immediate health and safety risk.
Report Facts
Census: 111
Total Capacity: 140
Deficiency Count: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Vicky Torres | Administrator | Facility administrator met during inspection |
| Kimberly Lyman | Licensing Program Analyst | Conducted the complaint investigation and inspection |
| Joseph Alejandre | Licensing Program Analyst | Conducted the complaint investigation and inspection |
| Alisa Ortiz | Licensing Program Manager | Named as Licensing Program Manager overseeing the inspection |
Inspection Report
Complaint Investigation
Capacity: 140
Deficiencies: 0
Date: Nov 23, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 05/10/2024 regarding staffing sufficiency, staff behavior towards residents, and discouragement of incident reporting.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included insufficient staff numbers and qualifications, staff yelling at residents, and discouragement of incident reporting. Interviews and documentation review did not corroborate these claims.
Findings
The investigation found that staffing levels and qualifications were appropriate, staff denied yelling at residents or discouraging incident reporting, and residents confirmed being treated well. The allegations were deemed unsubstantiated due to lack of evidence.
Report Facts
Capacity: 140
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Lyman | Evaluator / Licensing Program Analyst | Conducted the complaint investigation |
| Joseph Alejandre | Licensing Program Analyst | Assisted in conducting the complaint investigation |
| Vicky Torres | Administrator | Facility administrator named in the report |
| Alisa Ortiz | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
| Lanea Palmer | Facility staff member met during the investigation |
Inspection Report
Complaint Investigation
Census: 105
Capacity: 140
Deficiencies: 0
Date: Nov 21, 2024
Visit Reason
An unannounced visit was made to the facility to deliver amended complaint findings for two complaint control numbers: 18-AS-20231013143500 and 18-AS-20230918160404.
Complaint Details
The visit was related to amended complaint findings for complaint control numbers 18-AS-20231013143500 and 18-AS-20230918160404.
Findings
The Licensing Program Analyst met with the Executive Director to explain the purpose of the visit and conducted an exit interview. A copy of the report was provided to the Executive Director.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Vicky Torres | Executive Director | Met with Licensing Program Analyst during the visit and received the report. |
| Javina George | Licensing Program Analyst | Conducted the unannounced visit and delivered amended complaint findings. |
| Tricia Danielson | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Complaint Investigation
Census: 117
Capacity: 140
Deficiencies: 0
Date: Nov 21, 2024
Visit Reason
An unannounced complaint investigation visit was conducted in response to a complaint received on 2024-04-15 alleging that staff did not prevent a resident from pushing another resident.
Complaint Details
The complaint alleged that staff did not prevent a resident from pushing another resident. The allegation was investigated and found unsubstantiated, meaning there was not a preponderance of evidence to prove the violation occurred.
Findings
The investigation revealed that on 2024-04-13, a resident was pushed by another resident resulting in a fall and head injury. Both residents denied the altercation and staff confirmed presence during the incident. The allegation was deemed unsubstantiated due to insufficient evidence.
Report Facts
Complaint Control Number: 18
Complaint Control Number: 20240415154217
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Lyman | Evaluator / Licensing Program Analyst | Conducted the complaint investigation |
| Joseph Alejandre | Licensing Program Analyst | Conducted the complaint investigation |
| Lori Spencer | Administrator | Facility administrator during investigation |
Inspection Report
Complaint Investigation
Census: 117
Capacity: 140
Deficiencies: 0
Date: Nov 21, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2024-05-07 regarding food safety protocols, falsification of medical documentation, incident reporting, medication administration without physician permission, and resident reassessment.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included staff not following food safety protocols, falsifying medical documentation, not reporting incidents, administering crushed medications without physician permission, and not reassessing residents as necessary. None of these allegations were substantiated based on the evidence gathered.
Findings
The investigation found no preponderance of evidence to substantiate any of the allegations. The kitchen was clean and followed food safety protocols, medical documentation was accurate, incidents were properly reported, medications were only crushed with physician orders, and residents were reassessed as required.
Report Facts
Facility capacity: 140
Census: 117
Food safety inspection score: 96
Number of resident files reviewed: 6
Number of staff interviewed: 5
Number of kitchen staff interviewed: 4
Number of residents interviewed: 6
Number of residents with physician orders for crushed medication: 9
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Joseph Alejandre | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Kimberly Lyman | Licensing Program Analyst | Assisted in the complaint investigation visit |
| Vicky Torres | Executive Director | Facility administrator met during the investigation and provided information |
| Sheila Santos | Licensing Program Manager | Oversaw the complaint investigation |
Inspection Report
Annual Inspection
Census: 103
Capacity: 140
Deficiencies: 0
Date: Nov 20, 2024
Visit Reason
The inspection was an unannounced required annual inspection conducted by the Licensing Program Analyst to assess compliance with state regulations.
Findings
The facility was observed to be clean, well-maintained, and in good repair with no deficiencies cited. Records and files were reviewed with some noted issues in document organization, but no regulatory violations were found.
Report Facts
Client rooms inspected: 6
Client records reviewed: 8
Employee records reviewed: 9
Food supply duration: 7
Food supply duration: 2
Water temperature: 112.7
Emergency/fire drills frequency: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Vicky Torres | Administrator | Met with Licensing Program Analyst during inspection and discussed document organization |
| Armando Perez | Licensing Program Analyst | Conducted the inspection visit |
| Jazmond D Harris | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 117
Capacity: 140
Deficiencies: 1
Date: Nov 19, 2024
Visit Reason
An unannounced case management visit was conducted in conjunction with a complaint investigation related to facility conditions and resident safety.
Complaint Details
The visit was triggered by complaint visit 18-AS-20211215084528. The complaint was investigated through interviews, record reviews, and observations. The citation was issued based on these findings.
Findings
The facility failed to ensure that resident R1 was provided safe and healthful accommodations while a substantial repair was being done in the living room. The resident remained in their room despite the damage and repair work, and the responsible party refused to move the resident to another room.
Deficiencies (1)
Licensee failed to ensure R1 was provided safe and healthful accommodations. R1 remained in the resident's room while a substantial repair was being done.
Report Facts
Capacity: 140
Census: 117
Plan of Correction Due Date: Dec 3, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Lyman | Licensing Program Analyst | Conducted the complaint investigation and signed the report |
| Joseph Alejandre | Licensing Program Analyst | Conducted the complaint investigation |
| Vicky Torres | Administrator | Facility administrator met with inspectors during the visit |
| Alisa Ortiz | Licensing Program Manager | Supervisor overseeing the inspection |
Inspection Report
Complaint Investigation
Census: 117
Capacity: 140
Deficiencies: 2
Date: Nov 19, 2024
Visit Reason
Unannounced complaint investigation visit conducted due to allegations regarding disrepair of a resident's ceiling and electricity issues.
Complaint Details
Complaint was substantiated. The investigation was triggered by allegations of disrepair in a resident's ceiling and electricity. The facility had ongoing issues with leaks and electrical safety hazards. Citations were issued accordingly.
Findings
The investigation substantiated the allegations that a resident's ceiling had leaks and the electricity was in disrepair due to water in light switches causing breaker issues. The ceiling was observed repaired during the visit, but the facility failed to maintain a safe and healthful environment initially.
Deficiencies (2)
Facility failed to maintain a clean, safe, sanitary, and good repair environment; ongoing ceiling leaks in Resident 1's room posed health and safety risks.
Facility failed to maintain premises in a state of good repair and safe environment; water inside light sockets in Resident 1's room posed health and safety risks.
Report Facts
Capacity: 140
Census: 117
Deficiency count: 2
Plan of Correction Due Date: Dec 3, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Lyman | Licensing Program Analyst | Conducted the complaint investigation and cited deficiencies |
| Joseph Alejandre | Licensing Program Analyst | Assisted in conducting the complaint investigation |
| Alisa Ortiz | Licensing Program Manager | Oversaw the complaint investigation |
Inspection Report
Complaint Investigation
Census: 117
Capacity: 140
Deficiencies: 0
Date: Nov 19, 2024
Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation that facility staff were not ensuring that a resident was adequately fed while in care.
Complaint Details
The complaint was unsubstantiated as the investigation did not find sufficient evidence to prove the alleged violation occurred.
Findings
The investigation included a review of meal tracking forms and staff interviews, which revealed the resident was on a meal plan and was provided meals, preferring to eat in their room. The allegation was found to be unsubstantiated due to lack of evidence.
Report Facts
Capacity: 140
Census: 117
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Lyman | Evaluator / Licensing Program Analyst | Conducted the complaint investigation |
| Joseph Alejandre | Licensing Program Analyst | Assisted in conducting the complaint investigation |
| Lori Spencer | Administrator | Facility administrator present during the investigation |
Inspection Report
Complaint Investigation
Census: 117
Capacity: 140
Deficiencies: 0
Date: Nov 19, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2023-06-21 regarding meal service timeliness, food quality, and adequacy of food availability at the facility.
Complaint Details
The complaint investigation addressed allegations that the facility was not serving meals in a timely manner, was overcooking residents' food, was serving food that was not of quality, and did not ensure an adequate amount of food was available to residents. All allegations were deemed unsubstantiated due to lack of sufficient evidence.
Findings
The investigation found no preponderance of evidence to substantiate the allegations. Observations and interviews with residents, staff, and kitchen personnel indicated meals were served timely, food was not overcooked, and adequate food and snacks were available to residents.
Report Facts
Capacity: 140
Census: 117
Residents interviewed during breakfast: 6
Residents interviewed during lunch: 6
Residents observed having breakfast: 12
Residents observed having lunch: 31
Residents interviewed about food quality: 12
Kitchen staff interviewed: 3
Staff interviewed about meal service: 4
Days food deliveries arrive: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Joseph Alejandre | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Kimberly Lyman | Licensing Program Analyst | Assisted in the complaint investigation visit |
| Vicky Torres | Executive Director | Met with LPAs during investigation and provided information |
| Sheila Santos | Licensing Program Manager | Named as Licensing Program Manager on the report |
| Lori Spencer | Administrator | Facility administrator named in the report |
| Executive Chef | Provided information about food quality and kitchen operations |
Inspection Report
Complaint Investigation
Census: 108
Capacity: 140
Deficiencies: 0
Date: Aug 14, 2024
Visit Reason
An unannounced complaint investigation was conducted in response to a complaint received on 08/13/2024 regarding Personal Rights at Citrus Place facility.
Complaint Details
The complaint was related to Personal Rights. The allegation was found to be unfounded, meaning it was without merit or false and could not have happened.
Findings
The allegation was investigated through interviews, record reviews, and observations, and was determined to be unfounded as the resident in question does not reside at the facility and there were no health and safety concerns observed.
Report Facts
Capacity: 140
Census: 108
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Venus Mixson | Licensing Program Analyst | Conducted the complaint investigation |
| Vicky Torres | Executive Director | Met with the investigator during the visit |
| Jazmond D Harris | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Annual Inspection
Census: 103
Capacity: 140
Deficiencies: 0
Date: Dec 29, 2023
Visit Reason
The inspection was a required annual unannounced visit conducted to evaluate compliance with licensing requirements for the residential care facility for the elderly.
Findings
The facility was found to be in compliance with no deficiencies cited. Observations included infection control measures for COVID-19 positive residents, clean and well-maintained physical plant, adequate food service, proper medication management, and disaster preparedness with recent fire drill documentation.
Report Facts
COVID-19 positive residents: 8
Residents medication lists reviewed: 5
Last fire drill date: Dec 22, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lori Spencer | Administrator | Met with Licensing Program Analyst during the visit and received the report |
| Janira Arreola | Licensing Program Analyst | Conducted the annual inspection visit |
| Rikesha Stamps | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 107
Capacity: 140
Deficiencies: 0
Date: Jul 20, 2023
Visit Reason
The visit was an unannounced complaint investigation conducted to investigate allegations that staff did not maintain a comfortable temperature at all times for residents in care.
Complaint Details
The complaint alleged that on 7/11/2023 the facility lobby, kitchen, and dining area were 90 degrees and that management stated the air conditioning system was "too costly" to fix, with staff using fans to cool the dining room. The allegation was found unsubstantiated after investigation.
Findings
The investigation found that the facility had experienced air conditioning issues earlier in the month but had taken steps to ensure residents were kept comfortable using fans and portable air conditioning units. At the time of the visit, temperatures were comfortable, no residents complained or experienced heat-related symptoms, and there was a plan to repair the air conditioning system. Therefore, the allegation was unsubstantiated.
Report Facts
Facility capacity: 140
Census: 107
Temperature reading: 74
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Janira Arreola | Licensing Program Analyst | Conducted the complaint investigation visit |
| Joel Esquivel | Licensing Program Manager | Named as Licensing Program Manager on the report |
| Megan Snell | Memory Care Director | Met with the Licensing Program Analyst during the visit and involved in the investigation |
| Lori Spencer | Executive Director | Spoke with Licensing Program Analyst by phone during the investigation |
Inspection Report
Complaint Investigation
Census: 110
Capacity: 140
Deficiencies: 0
Date: Jun 23, 2023
Visit Reason
The inspection visit was conducted to investigate a complaint alleging that the facility was not conducting fire drills.
Complaint Details
The complaint alleged that the facility was not conducting fire drills. The allegation was found to be unsubstantiated after review and interviews.
Findings
The investigation found that the last fire drill was conducted on 2023-05-31, confirmed by the Maintenance Director, and therefore the allegation was unsubstantiated.
Report Facts
Capacity: 140
Census: 110
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Janira Arreola | Licensing Program Analyst | Conducted the complaint investigation visit |
| Dora Nazar | Health Services Director | Interviewed during the investigation |
| Joel Esquivel | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 110
Capacity: 140
Deficiencies: 0
Date: Nov 12, 2021
Visit Reason
An unannounced visit was conducted to amend the finding of one allegation from October 22, 2021, related to a complaint.
Complaint Details
The visit was related to complaint #18-AS-20210818134318 and involved amending the finding of one allegation from October 22, 2021.
Findings
The visit was focused on addressing a previous allegation from a complaint dated October 22, 2021. No additional findings or deficiencies are explicitly stated in the report.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Torres | Licensing Program Analyst | Conducted the unannounced visit to amend the finding of one allegation. |
| Deborah Mullen | Licensing Program Manager | Named as Licensing Program Manager in the report. |
| Lori Spencer | Executive Director | Facility representative met during the visit. |
Inspection Report
Annual Inspection
Census: 110
Capacity: 140
Deficiencies: 0
Date: Nov 12, 2021
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 sufficient infection control measures including adequate hand hygiene supplies, cleaning provisions, proper PPE use, and a designated infection control lead. The facility also has plans for COVID-19 testing, isolation, and monitoring.
Report Facts
Capacity: 140
Census: 110
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lori Spencer | Executive Director | Met with Licensing Program Analyst during inspection |
| Stephanie Torres | Licensing Program Analyst | Conducted the inspection visit |
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