Inspection Reports for
Cogir of Turlock
3791 Crowell Rd, Turlock, CA 95382, United States, CA, 95382
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
25% better than California average
California average: 4 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
77% occupied
Based on a February 2026 inspection.
Occupancy over time
Inspection Report
Complaint Investigation
Census: 77
Capacity: 100
Deficiencies: 1
Date: Feb 27, 2026
Visit Reason
An unannounced complaint investigation was conducted following a complaint received on 2025-08-18 regarding allegations that staff did not inform the resident's responsible party of incidents, did not provide adequate supervision resulting in a fall, did not assist with bathroom needs, and did not properly discharge a resident.
Complaint Details
The complaint investigation was substantiated for failure to notify the resident’s responsible party of an incident (a fall) on 05/26/2026. Other allegations including inadequate supervision resulting in a fall, failure to assist with bathroom needs, and improper discharge were unsubstantiated.
Findings
The investigation substantiated that staff failed to notify the resident's responsible party of a fall incident, citing a violation of reporting requirements. Allegations regarding inadequate supervision, lack of assistance with bathroom needs, and improper discharge were found to be unsubstantiated based on interviews and record reviews.
Deficiencies (1)
Licensee did not ensure that a resident’s responsible party was notified after a fall incident.
Report Facts
Capacity: 100
Census: 77
Deficiencies cited: 1
Plan of Correction Due Date: Mar 6, 2026
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jackie Hernandez | Facility Designated Administrator | Met with Licensing Program Analyst during investigation and named in findings |
| Arielle Pascua | Licensing Program Analyst | Conducted the complaint investigation |
| Lisa Rios | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Census: 74
Capacity: 100
Deficiencies: 1
Date: Oct 21, 2025
Visit Reason
The visit was an unannounced case management inspection to evaluate deficiencies related to the facility's pendant call alert system and staff response times.
Findings
The facility's pendant call alert system has not been functioning properly since at least 2025-09-01, resulting in unreliable staff response to resident calls and posing an immediate risk to residents' health, safety, and personal rights. The facility is cited for violating regulation 87303(i)(1) due to these issues.
Deficiencies (1)
The pendant/call alert system has not been functioning properly since at least 09/01/2025, posing an immediate risk to the health, safety, and personal rights of residents.
Report Facts
Percentage of pendant calls with response time longer than 15 minutes: 20
Percentage of pendant calls with response time longer than 30 minutes: 6
Census: 74
Total Capacity: 100
Plan of Correction Due Date: Nov 4, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Renee Campbell | Licensing Program Analyst | Conducted the inspection and authored the report |
| Lisa Rios | Licensing Program Manager | Named in relation to the inspection and deficiency |
| Andrea Eldridge | Memory Care Director | Met with Licensing Program Analyst during inspection |
Inspection Report
Census: 74
Capacity: 100
Deficiencies: 1
Date: Oct 21, 2025
Visit Reason
The visit was a case management inspection focused on deficiencies related to the pendant call alert system and staff response times.
Findings
The facility's pendant call alert system was found to be unreliable, with documented response times exceeding acceptable limits and ongoing issues with alert clearing and staff notification. This posed an immediate risk to residents' health, safety, and personal rights, resulting in a Type A deficiency citation.
Deficiencies (1)
The pendant/call alert system has not been functioning properly since at least 09/01/2025, posing an immediate risk to the health, safety, and personal rights of residents.
Report Facts
Percentage of pendant calls with response time longer than 15 minutes: 20
Percentage of pendant calls with response time longer than 30 minutes: 6
Census: 74
Total Capacity: 100
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Renee Campbell | Licensing Program Analyst | Conducted the inspection and authored the report |
| Lisa Rios | Licensing Program Manager | Named in relation to the licensing program and report |
| Andrea Eldridge | Memory Care Director | Met with Licensing Program Analyst during inspection and discussed pendant system issues |
Inspection Report
Complaint Investigation
Census: 70
Capacity: 100
Deficiencies: 0
Date: Oct 15, 2025
Visit Reason
The visit was an unannounced complaint investigation conducted to address an allegation that the licensee did not ensure the facility was maintained in good repair.
Complaint Details
The complaint alleged that the licensee did not ensure the facility was maintained in good repair. The allegation was unsubstantiated after investigation.
Findings
The investigation found that the freezer, ice machine, and air conditioning were functioning properly with repairs and workarounds in place to prevent impact on staff and residents. The allegation was determined to be unsubstantiated due to lack of evidence.
Report Facts
Capacity: 100
Census: 70
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Renee Campbell | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Pa Vang | Health and Wellness Director | Met with the evaluator during the investigation |
Inspection Report
Complaint Investigation
Census: 74
Capacity: 100
Deficiencies: 0
Date: Sep 3, 2025
Visit Reason
An unannounced complaint investigation was conducted due to an allegation that staff handled a resident in a rough manner causing bruising.
Complaint Details
The complaint alleged that staff handled a resident roughly causing bruising. The allegation was unsubstantiated after investigation due to lack of evidence.
Findings
The investigation found no preponderance of evidence to substantiate the allegation. Staff interviews, incident reports, and injury images were reviewed, revealing no observed rough handling, and the resident had a history of falls and self-inflicted bruising. Therefore, the allegation was unsubstantiated and no deficiencies were cited.
Report Facts
Complaint Control Number: 27
Capacity: 100
Census: 74
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jackie Hernandez | Administrator | Met with Licensing Program Analyst and involved in investigation |
| Renee Campbell | Licensing Program Analyst | Conducted the complaint investigation |
Inspection Report
Complaint Investigation
Census: 78
Capacity: 100
Deficiencies: 1
Date: Jul 15, 2025
Visit Reason
An unannounced complaint investigation visit was conducted following a complaint received on 2025-07-09 regarding staff not ensuring resident’s signaling equipment was maintained in operable condition.
Complaint Details
The complaint was substantiated. Staff failed to maintain resident signaling equipment in operable condition, resulting in notifications not being heard or responded to.
Findings
The investigation found that notifications from resident signaling equipment were not heard or responded to by staff, specifically the Memory Care phone was not audible. The allegation was substantiated based on observations and interviews.
Deficiencies (1)
The facility did not ensure the signal system was able to summon staff, as the call system phone volume was reduced, posing an immediate health, safety, or personal rights risk.
Report Facts
Capacity: 100
Census: 78
Plan of Correction Due Date: Jul 25, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Renee Campbell | Licensing Program Analyst | Conducted the complaint investigation and made observations |
| Jackie Hernandez | Administrator | Facility administrator met during investigation and named in findings |
Inspection Report
Complaint Investigation
Census: 78
Capacity: 100
Deficiencies: 0
Date: Jul 15, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to allegations received on 2025-02-25 regarding staff misuse of facility keys, mishandling of medications, verbal abuse of residents, and inadequate record keeping.
Complaint Details
The complaint included allegations of staff misusing facility keys, mishandling medications, verbally abusing residents, and inadequate record keeping. The investigation concluded these allegations were unsubstantiated due to lack of evidence.
Findings
The investigation found no substantiated evidence supporting the allegations. Staff and family interviews, as well as document reviews, indicated no issues with key misuse, medication handling, verbal abuse, or record keeping. No deficiencies were cited.
Report Facts
Capacity: 100
Census: 78
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Janet Johns | Administrator | Facility administrator present during the investigation |
| Renee Campbell | Licensing Evaluator | Evaluator who conducted the complaint investigation |
| Jackie Hernandez | Administrator | Met with the evaluator during the visit and received the exit interview |
Inspection Report
Complaint Investigation
Census: 78
Capacity: 100
Deficiencies: 1
Date: Jul 15, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that staff did not ensure resident’s signaling equipment was maintained in operable condition.
Complaint Details
The complaint was substantiated based on observations and interviews conducted by Licensing Program Analyst Renee Campbell. The specific allegation was that staff did not ensure resident’s signaling equipment was maintained in operable condition, which was confirmed during the investigation.
Findings
The investigation found that notifications from resident signaling equipment were not heard or responded to by staff, specifically the Memory Care phone was not audible. The allegation was substantiated and a deficiency was cited for failure to maintain a signal system able to summon staff, posing an immediate health and safety risk.
Deficiencies (1)
Failure to maintain a signal system that transmits a visual and/or auditory signal to summon staff as required by CCR 87303(i)(1)(B).
Report Facts
Capacity: 100
Census: 78
Deficiency Type: 1
Plan of Correction Due Date: Jul 25, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Renee Campbell | Licensing Program Analyst | Conducted the complaint investigation and made observations regarding signaling equipment |
| Jackie Hernandez | Administrator | Facility administrator met with the Licensing Program Analyst during the investigation |
Inspection Report
Complaint Investigation
Census: 76
Capacity: 100
Deficiencies: 1
Date: Jun 26, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2025-01-23 regarding allegations of staff inappropriately soliciting money from residents, staff not meeting residents' needs, and staff not ensuring enough supplies for residents.
Complaint Details
The complaint investigation was substantiated for the allegation that staff inappropriately solicited money from residents. The other allegations regarding staff not meeting residents' needs and not ensuring enough supplies were unsubstantiated.
Findings
The allegation that staff inappropriately solicited money from residents was substantiated due to solicitation conflicting with the facility's No Tipping policy. The allegations that staff were not meeting residents' needs and not ensuring enough supplies were unsubstantiated based on interviews with staff and residents.
Deficiencies (1)
The licensee failed to maintain a current definitive plan of operation for the facility, specifically regarding solicitation of donations conflicting with the No Tipping policy.
Report Facts
Deficiencies cited: 1
Capacity: 100
Census: 76
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jackie Hernandez | Executive Director | Met with Licensing Program Analyst during inspection and involved in findings regarding solicitation of money |
| Janet Johns | Administrator | Named as facility administrator |
| Renee Campbell | Licensing Program Analyst | Evaluator conducting the complaint investigation |
Inspection Report
Complaint Investigation
Census: 76
Capacity: 100
Deficiencies: 1
Date: Jun 26, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2025-01-23 alleging staff inappropriately solicited money from residents, staff not meeting residents' needs, and staff not ensuring enough supplies for residents.
Complaint Details
The complaint investigation was substantiated for the allegation that staff inappropriately solicited money from residents. The allegations that staff were not meeting residents' needs and not ensuring enough supplies were unsubstantiated.
Findings
The allegation that staff inappropriately solicited money from residents was substantiated, citing a deficiency related to solicitation conflicting with the facility's No Tipping policy. The allegations that staff were not meeting residents' needs and not ensuring enough supplies were unsubstantiated based on interviews with staff and residents.
Deficiencies (1)
The licensee failed to maintain a current definitive plan of operation for the facility, specifically regarding solicitation of donations conflicting with the No Tipping policy.
Report Facts
Capacity: 100
Census: 76
Deficiencies cited: 1
Plan of Correction Due Date: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Renee Campbell | Licensing Program Analyst | Conducted the complaint investigation and presented findings |
| Jackie Hernandez | Executive Director | Met with Licensing Program Analyst during investigation and provided statements regarding solicitation and facility policies |
| Janet Johns | Administrator | Named as facility administrator |
| Lisa Rios | Licensing Program Manager | Oversaw licensing program related to the complaint investigation |
Inspection Report
Annual Inspection
Census: 76
Capacity: 100
Deficiencies: 1
Date: May 7, 2025
Visit Reason
The inspection was an unannounced annual inspection conducted by Licensing Program Analyst Renee Campbell to evaluate compliance with licensing requirements at the facility.
Findings
The facility was observed to be clean, odor-free, and in good repair with proper furnishings and safe conditions. However, a deficiency was cited due to four of seven resident files missing tuberculosis (TB) tests or chest x-rays, requiring an audit and additional TB testing.
Deficiencies (1)
Four of seven resident files reviewed did not have record of Tuberculosis tests or chest x-rays with their results.
Report Facts
Residents files reviewed: 7
Residents files missing TB tests: 4
Facility capacity: 100
Facility census: 76
Plan of Correction due date: May 23, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Renee Campbell | Licensing Program Analyst | Conducted the annual inspection and cited deficiencies |
| Tony Montellano | Executive Director | Met with Licensing Program Analyst during inspection |
| Janet Johns | Administrator/Director | Facility Administrator/Director named in report header |
| Lisa Rios | Licensing Program Manager | Named as Licensing Program Manager overseeing the inspection |
Inspection Report
Annual Inspection
Census: 76
Capacity: 100
Deficiencies: 1
Date: May 7, 2025
Visit Reason
The inspection was an unannounced annual inspection conducted by Licensing Program Analyst Renee Campbell to evaluate compliance with licensing requirements.
Findings
The facility was observed to be clean, odor-free, and in good repair with appropriate furnishings and safe environmental conditions. However, four of seven resident files reviewed were missing tuberculosis (TB) tests or chest x-rays, resulting in a cited deficiency.
Deficiencies (1)
Four of seven resident files reviewed did not have record of Tuberculosis tests or chest x-rays with their results.
Report Facts
Residents files reviewed: 7
Resident files missing TB tests or chest x-rays: 4
Facility capacity: 100
Census: 76
Facility temperature: 74
Hot water temperature room 201: 115
Hot water temperature room 206: 116
Plan of Correction due date: May 23, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Renee Campbell | Licensing Program Analyst | Conducted the annual inspection and cited deficiencies |
| Tony Montellano | Executive Director | Met with Licensing Program Analyst during inspection |
| Janet Johns | Administrator/Director | Named as facility administrator/director |
| Lisa Rios | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 84
Capacity: 100
Deficiencies: 0
Date: Mar 12, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that staff were inappropriately charging residents for food delivery.
Complaint Details
The complaint alleged inappropriate charging of residents for food delivery. The allegation was unsubstantiated due to lack of preponderance of evidence.
Findings
The investigation found that clients are not charged for tray service if they are ill, and residents stated they had not been charged improperly. There was insufficient evidence to prove the alleged violation, and the complaint was unsubstantiated with no deficiencies cited.
Report Facts
Capacity: 100
Census: 84
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Anthony Montellano | Executive Director | Met with Licensing Program Analyst during investigation and named in report findings |
| Renee Campbell | Licensing Program Analyst | Conducted the complaint investigation |
| Lisa Rios | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 84
Capacity: 100
Deficiencies: 0
Date: Mar 12, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that staff were inappropriately charging residents for food delivery.
Complaint Details
The complaint alleged inappropriate charging of residents for food delivery. The allegation was unsubstantiated due to lack of preponderance of evidence.
Findings
The investigation found that clients were not charged for tray service when ill, consistent with the admission agreement, and residents confirmed they had not been charged improperly. The allegation was unsubstantiated and no deficiencies were cited.
Report Facts
Capacity: 100
Census: 84
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Anthony Montellano | Executive Director | Met with Licensing Program Analyst during complaint investigation |
| Renee Campbell | Licensing Program Analyst | Conducted the complaint investigation |
| Lisa Rios | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Annual Inspection
Census: 74
Capacity: 100
Deficiencies: 0
Date: Apr 4, 2024
Visit Reason
The visit was an unannounced annual inspection conducted to ensure compliance with Title 22 regulations at the facility.
Findings
The facility was observed to be clean, odor-free, and in good repair with properly furnished bedrooms and adequate food supplies. No deficiencies or citations were issued during this visit.
Report Facts
Hot water temperature: 110.7
Hot water temperature: 114.4
Facility thermostat temperature: 75
Resident census: 74
Facility capacity: 100
Resident files reviewed: 6
Staff files reviewed: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Renee Campbell | Licensing Program Analyst | Conducted the inspection and authored the report |
| Tony Montellano | Executive Director | Met with LPA during inspection and facilitated the facility tour |
Inspection Report
Annual Inspection
Census: 74
Capacity: 100
Deficiencies: 0
Date: Apr 4, 2024
Visit Reason
An unannounced annual inspection was conducted to ensure compliance with Title 22 regulations at the facility.
Findings
The facility was observed to be clean, odor-free, and in good repair with properly furnished bedrooms and adequate food supplies. No deficiencies or citations were issued during this visit.
Report Facts
Hot water temperature: 110.7
Hot water temperature: 114.4
Facility thermostat temperature: 75
Resident census: 74
Licensed capacity: 100
Resident bedridden capacity: 8
Hospice waiver capacity: 10
Staff files reviewed: 6
Resident files reviewed: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Renee Campbell | Licensing Program Analyst | Conducted the inspection and toured the facility |
| Tony Montellano | Executive Director | Met with Licensing Program Analyst during inspection |
Inspection Report
Complaint Investigation
Census: 68
Capacity: 100
Deficiencies: 1
Date: Mar 20, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2023-11-09 regarding allegations of staff mismanaging residents' medication, failure to notify authorized representatives of changes in level of care, failure to provide 60-day notice of rate increase, and failure to keep residents' personal information confidential.
Complaint Details
The complaint investigation was substantiated for the allegation that staff mismanaged residents' medication. Other allegations regarding notification of authorized representatives, rate increase notice, and confidentiality of personal information were unsubstantiated.
Findings
The investigation substantiated the allegation that staff mismanaged residents' medication, with evidence showing medication errors corrected immediately but still constituting a violation. The allegations regarding failure to notify authorized representatives of changes in level of care and failure to provide a 60-day notice of rate increase were unsubstantiated. The allegation regarding failure to keep residents' personal information confidential was also unsubstantiated.
Deficiencies (1)
Basic services shall at a minimum include personal assistance and care as needed by the resident, including assistance with taking prescribed medications. This requirement is not met as evidenced by failure to ensure the resident received assistance and care with taking prescribed medications, posing a potential Health, Safety and Personal Rights risk.
Report Facts
Census: 68
Total Capacity: 100
Deficiency Type B: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Renee Campbell | Licensing Program Analyst | Conducted the complaint investigation and presented findings |
| Tony Monellano | Executive Director | Met with Licensing Program Analyst during inspection |
| Janet Johns | Administrator / Assistant Executive Director | Met with Licensing Program Analyst during inspection |
Inspection Report
Complaint Investigation
Census: 68
Capacity: 100
Deficiencies: 1
Date: Mar 20, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2023-11-09 alleging staff mismanagement of residents' medication and other issues.
Complaint Details
The complaint investigation was substantiated for the allegation that staff mismanaged residents' medication. Other allegations about failure to notify authorized representatives of level of care changes and failure to provide 60-day notice of rate increase were unsubstantiated. The allegation regarding confidentiality of personal information was also unsubstantiated.
Findings
The investigation substantiated the allegation that staff mismanaged residents' medication, with evidence showing medication errors were corrected immediately but deficiencies were cited. Other allegations regarding notification of authorized representatives and confidentiality of personal information were unsubstantiated.
Deficiencies (1)
Licensee did not ensure the resident received assistance and care with taking prescribed medications, posing a potential Health, Safety and Personal Rights risk.
Report Facts
Capacity: 100
Census: 68
Deficiency count: 1
Plan of Correction Due Date: Apr 3, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Renee Campbell | Licensing Program Analyst | Conducted the complaint investigation and presented findings |
| Lisa Rios | Licensing Program Manager | Oversaw the complaint investigation |
| Tony Monellano | Executive Director | Met with Licensing Program Analyst during inspection |
| Janet Johns | Administrator / Assistant Executive Director | Met with Licensing Program Analyst during inspection |
Inspection Report
Complaint Investigation
Census: 89
Capacity: 100
Deficiencies: 1
Date: Feb 22, 2024
Visit Reason
The visit was an unannounced Case Management inspection triggered by an incident report received on 02/21/2024 regarding a medication error that occurred on 02/07/2024.
Complaint Details
The visit was complaint-related due to an incident report about a medication error. The incident was substantiated as the MedTech admitted fault for not reading medication orders or following dispensing procedures. The incident report was also late by 6 days beyond the 7-day reporting requirement.
Findings
The inspection found that a medication error occurred due to a MedTech not following medication orders and dispensing procedures. The incident report was submitted late, 6 days past the required reporting timeframe. A deficiency was cited related to failure to assist persons with self-administration of medications as authorized by a physician, posing an immediate health and safety risk.
Deficiencies (1)
Failure to assist persons with self-administration of medications as authorized by a person's physician, posing an immediate health, safety, or personal rights risk.
Report Facts
Deficiencies cited: 1
Plan of Correction Due Date: Mar 19, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Anneka Ogundipe | Health and Wellness Director | Interviewed during the visit and recipient of the report copy |
| Renee Campbell | Licensing Program Analyst | Conducted the inspection visit |
| Tony Montellano | Administrator | Met during the inspection visit |
Inspection Report
Complaint Investigation
Census: 89
Capacity: 100
Deficiencies: 1
Date: Feb 22, 2024
Visit Reason
The visit was an unannounced Case Management - Incident inspection triggered by an incident report received regarding a medication error that occurred on 02/07/2024.
Complaint Details
The complaint was substantiated as the medication error was confirmed to have occurred on 02/07/2024 due to staff error. The incident report was received late, violating reporting requirements.
Findings
The inspection found that a medication error occurred due to a MedTech dispensing medication incorrectly by not reading the medication orders or following dispensing procedures. The incident report was received late, 6 days past the 7-day reporting requirement. A deficiency was cited related to this incident.
Deficiencies (1)
Based on interviews and record reviews, 1 of 2 staff reported that they did not assist persons with self-administration as authorized by a person's physician, posing an immediate Health, Safety or Personal Rights risk to persons in care.
Report Facts
Deficiencies cited: 1
Census: 89
Total Capacity: 100
Plan of Correction Due Date: Mar 19, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Anneka Ogundipe | Health and Wellness Director | Met with Licensing Program Analyst during inspection and involved in medication error discussion |
| Renee Campbell | Licensing Program Analyst | Conducted the unannounced Case Management visit and authored the report |
| Lisa Rios | Licensing Program Manager | Supervisor overseeing the inspection |
| Tony Montellano | Administrator | Met with Licensing Program Analyst during inspection |
Inspection Report
Complaint Investigation
Census: 78
Capacity: 100
Deficiencies: 1
Date: Feb 16, 2024
Visit Reason
The inspection was an unannounced complaint investigation triggered by a complaint received on 2023-11-09 regarding the facility's failure to provide a resident's authorized representative with the resident's records in a timely manner.
Complaint Details
The complaint was substantiated. The allegation that staff did not provide the resident's authorized representative with resident's records was found valid based on evidence that records requested in October 2023 were not provided until February 2024, exceeding the required two business days.
Findings
The investigation substantiated the allegation that the facility did not provide the resident's authorized representative with requested records within the required two business days. Records requested in October 2023 were not fully provided until February 2024, several months later, posing a potential health, safety, or personal rights risk.
Deficiencies (1)
Failure to provide prompt access to review all resident records and to purchase photocopies within two business days as required by CCR 87468.2(a)(19).
Report Facts
Capacity: 100
Census: 78
Plan of Correction Due Date: Mar 25, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Janet Johns | Administrator | Named as facility administrator in relation to the complaint investigation |
| Tony Montellano | Administrator | Met with during the investigation |
| Renee Campbell | Licensing Evaluator | Conducted the complaint investigation |
| Lisa Rios | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 78
Capacity: 100
Deficiencies: 1
Date: Feb 16, 2024
Visit Reason
The inspection was an unannounced complaint investigation triggered by a complaint received on 2023-11-09 regarding staff not providing a resident's authorized representative with the resident's records.
Complaint Details
The complaint was substantiated based on evidence that the resident's representative did not receive requested unredacted records until several months after the request, violating the two business day requirement.
Findings
The allegation was substantiated as the facility failed to provide requested resident records within the required two business days, with records only being fully provided in February 2024 after requests in October 2023, posing a potential health, safety, or personal rights risk.
Deficiencies (1)
Failure to provide prompt access to review all resident records and to provide photocopies within two business days as required by CCR 87468.2(a)(19).
Report Facts
Capacity: 100
Census: 78
Deficiencies cited: 1
Plan of Correction Due Date: 03/25/2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Janet Johns | Administrator | Named as facility administrator during investigation |
| Tony Montellano | Administrator | Met with during inspection |
| Renee Campbell | Evaluator / Licensing Program Analyst | Conducted the complaint investigation |
| Lisa Rios | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 74
Capacity: 100
Deficiencies: 0
Date: Sep 27, 2023
Visit Reason
An unannounced complaint investigation was conducted regarding an allegation that staff handled a resident in a rough manner.
Complaint Details
The allegation that staff handled a resident in a rough manner was investigated and found unsubstantiated due to lack of evidence.
Findings
The investigation found no evidence to support the allegation after interviews with 6 staff and 4 residents. The allegation was deemed unsubstantiated and no deficiencies were cited.
Report Facts
Estimated Days of Completion: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Janet Johns | Assistant Executive Director | Met with licensing analysts during complaint investigation |
| Renee Campbell | Licensing Program Analyst | Conducted complaint investigation |
| Victoria Brown | Licensing Program Analyst | Conducted complaint investigation |
Inspection Report
Complaint Investigation
Census: 74
Capacity: 100
Deficiencies: 0
Date: Sep 27, 2023
Visit Reason
An unannounced complaint investigation was conducted regarding an allegation that staff handled a resident in a rough manner.
Complaint Details
The allegation that staff handled a resident in a rough manner was investigated and found unsubstantiated based on interviews and lack of evidence.
Findings
The investigation found no preponderance of evidence to support the allegation after interviews with 6 staff and 4 residents. The allegation was deemed unsubstantiated and no deficiencies were cited.
Report Facts
Estimated Days of Completion: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Renee Campbell | Licensing Program Analyst | Conducted the complaint investigation |
| Janet Johns | Assistant Executive Director | Met with investigators during the complaint investigation |
Inspection Report
Annual Inspection
Census: 83
Capacity: 100
Deficiencies: 0
Date: May 16, 2023
Visit Reason
An unannounced annual/required inspection was conducted to evaluate compliance with licensing requirements at the facility.
Findings
The facility was found to be in compliance with no deficiencies observed. Inspections included resident areas, safety equipment, food storage, and security measures.
Report Facts
Residents reviewed: 10
Staff reviewed: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jason Lund | Licensing Program Analyst | Conducted the inspection and evaluation |
| Anthonty Montellano | Executive Director | Met with Licensing Program Analyst during inspection |
Inspection Report
Annual Inspection
Census: 83
Capacity: 100
Deficiencies: 0
Date: May 16, 2023
Visit Reason
Licensing Program Analyst Jason Lund arrived unannounced to conduct an annual/required inspection and met with the Executive Director to explain the reason for the visit.
Findings
The facility was toured and inspected including activity areas, common areas, kitchen, memory care unit, and exterior grounds. All safety measures, food storage, and fire extinguishers were found to be in compliance. No deficiencies were observed during the visit.
Report Facts
Residents files reviewed: 10
Staff files reviewed: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jason Lund | Licensing Program Analyst | Conducted the annual inspection and met with Executive Director |
| Anthonty Montellano | Executive Director | Met with Licensing Program Analyst during inspection |
Inspection Report
Original Licensing
Census: 70
Capacity: 100
Deficiencies: 0
Date: May 27, 2022
Visit Reason
Unannounced prelicensing visit conducted to evaluate the facility's readiness for licensing and compliance with regulations.
Findings
The facility was toured including resident rooms, common areas, kitchen, and safety equipment. All observed areas and equipment were found to be in compliance with regulations, and no deficiencies were noted during the visit.
Report Facts
Hot water temperature range: 105
Hot water temperature range: 120
Food supply duration: 2
Food supply duration: 7
Fire extinguisher inspection date: May 5, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Janet Johns | Executive Director | Met during inspection and interviewed |
| Charlie Yang | Licensing Program Analyst | Conducted the inspection |
| Arielle Pascua | Licensing Program Analyst | Conducted the inspection |
| Stephenie Doub | Supervisor | Supervised the inspection |
Inspection Report
Original Licensing
Census: 70
Capacity: 100
Deficiencies: 0
Date: May 27, 2022
Visit Reason
Unannounced prelicensing visit conducted to evaluate the facility's readiness for licensing and compliance with regulations.
Findings
The facility was toured including resident rooms, common areas, kitchen, and safety equipment. All observed areas and safety measures were found to be in compliance with no deficiencies noted during the visit.
Report Facts
Hot water temperature range: 105
Hot water temperature range: 120
Food supply duration: 2
Food supply duration: 7
Fire extinguisher inspection date: May 5, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Janet Johns | Executive Director | Met during the inspection and interviewed |
| Charlie Yang | Licensing Program Analyst | Conducted the inspection |
| Arielle Pascua | Licensing Program Analyst | Conducted the inspection |
| Stephenie Doub | Licensing Program Manager | Oversaw the inspection |
Inspection Report
Original Licensing
Census: 75
Capacity: 100
Deficiencies: 0
Date: Apr 22, 2022
Visit Reason
The visit was conducted as part of a change of ownership application process for the facility, including verification of the applicant/administrator's identity and understanding of relevant regulations.
Findings
The applicant and administrator demonstrated understanding of California Code Title 22 regulations covering facility operation, admission policies, staffing, health conditions, emergency preparedness, complaints, and pre-licensing readiness during a telephone interview.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Anthony Montellano | Administrator | Named as facility administrator in relation to the licensing evaluation. |
| Janet Johns | Participant in COMP II interview. | |
| Bethany Hunter | Licensing Evaluator | Conducted licensing evaluation. |
| Jude De La Concepcion | Supervisor | Named as supervisor overseeing the licensing evaluation. |
Inspection Report
Original Licensing
Census: 75
Capacity: 100
Deficiencies: 0
Date: Apr 22, 2022
Visit Reason
The visit was conducted as a change of ownership evaluation for the Residential Care Facility for the Elderly, including verification of applicant and administrator identification and understanding of California Code Title 22 regulations.
Findings
The applicant and administrator demonstrated understanding of licensing requirements, facility operation, admission policies, staffing, health conditions, emergency preparedness, complaints and reporting, and pre-licensing readiness during a telephone interview.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Anthony Montellano | Administrator | Named as facility administrator participating in the evaluation. |
| Janet Johns | Participant in COMP II telephone interview. | |
| Jude De La Concepcion | Licensing Program Manager | Named as licensing program manager. |
| Bethany Hunter | Licensing Program Analyst | Named as licensing program analyst. |
Report
January 29, 2026
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