Most inspections found no deficiencies, with the facility generally maintaining compliance in infection control, safety, and documentation. Two complaint investigations in early 2024 were substantiated: one found that an uncleared staff member had access to residents, resulting in a $100 fine, and another identified problems with the call system causing delayed staff response to residents’ calls, including a wait of up to 32 minutes. These issues were addressed, with the call system replaced and staff clearance procedures presumably improved. The most recent report from February 19, 2025, showed no deficiencies and found the facility clean, orderly, and compliant with regulations. Several other complaint investigations were unsubstantiated, and there is a clear improvement trend since the substantiated issues in 2024.
Deficiencies (last 5 years)
Deficiencies (over 5 years)0.6 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
85% better than California average
California average: 4 deficiencies/year
Deficiencies per year
43210
2021
2022
2023
2024
2025
Census
Latest occupancy rate53% occupied
Based on a February 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
The inspection was an unannounced Required 1 Year visit to evaluate compliance with regulations for an assisted living facility.
Findings
The facility was found to be clean, orderly, and compliant with safety and health regulations. No deficiencies were cited during the visit. Staff and resident documentation were in order, emergency plans and supplies were adequate, and fire safety systems were up to date.
Report Facts
Staff file sample size: 8Resident file sample size: 8Medication spot check sample size: 5Hot water temperature sample size: 7Fire extinguisher service date: Jan 20, 2025Fire department inspection date: Apr 30, 2024
Employees Mentioned
Name
Title
Context
Susan Allen
Acting Administrator
Met with Licensing Program Analyst during inspection and named in report
Unannounced visit/investigation of a complaint received on 2023-12-06 regarding the facility's signal system not working properly and staff not answering residents' calls in a timely manner.
Findings
The investigation substantiated that the facility's front door phone system and call button pendant system were not working properly, resulting in delayed staff response to residents' calls for assistance, including a case where a resident waited up to 32 minutes for help. The facility has since installed a new phone system and corrected the issues.
Complaint Details
Complaint was substantiated based on evidence that the facility's signal system and staff response to residents' calls were inadequate, posing immediate and potential risks to resident health and safety.
Severity Breakdown
Type A: 1Type B: 1
Deficiencies (2)
Description
Severity
Residents of residential care facilities for the elderly did not receive care, supervision, and services that meet their individual needs due to insufficient staff response to call buttons, resulting in a resident waiting about 32 minutes for assistance.
Type A
Facility signal system did not transmit visual and/or auditory signals properly to summon staff, including issues with phones and pendant calls not alerting staff.
Type B
Report Facts
Resident wait time: 32Facility capacity: 80Facility census: 41Plan of Correction due date: Mar 14, 2024Plan of Correction due date: Apr 5, 2024Proof of training due date: Mar 21, 2024
Employees Mentioned
Name
Title
Context
Araceli Canela
Licensing Program Analyst
Conducted the complaint investigation and signed the report.
Susan Allen
Executive Director
Met with Licensing Program Analyst during investigation.
Saveiro Gratteri
Executive Chef
Met with Licensing Program Analyst and authorized to sign reports.
Kaitlyn Clarey
Administrator
Facility administrator who provided statements regarding the signal system issues.
This was an unannounced annual inspection visit conducted to evaluate the facility's compliance with licensing requirements.
Findings
The inspection found no deficiencies. One wing of the building was sealed off due to plumbing repairs, with affected residents relocated temporarily. Several administrative documents were requested for update and submission by a specified date.
Report Facts
Capacity: 80Census: 36
Employees Mentioned
Name
Title
Context
Susan Allen
Executive Director
Present and completed the visit
Saverio Gratteri
Facility Chef
Toured the facility with the Licensing Program Analyst
An unannounced complaint investigation was conducted regarding an allegation that an uncleared adult had access to residents in care.
Findings
The investigation substantiated that staff member S1 did not have proper fingerprint clearance and was allowed access to residents by being hired as an outside contractor while clearance was pending. A $100 civil penalty was assessed for this violation.
Complaint Details
The complaint alleging that an uncleared adult had access to residents in care was substantiated based on evidence that staff S1 was not cleared to work in the facility but was allowed access.
Severity Breakdown
Type A: 1
Deficiencies (1)
Description
Severity
Staff S1 did not have the proper fingerprint clearance and had access to residents in care, posing an immediate risk to health and safety.
Type A
Report Facts
Civil penalty amount: 100Deficiency count: 1
Employees Mentioned
Name
Title
Context
Araceli Canela
Licensing Program Analyst
Conducted the complaint investigation and authored the report
Kimberley Mota
Licensing Program Manager
Oversaw the complaint investigation report
Susan Allen
Administrator/Executive Director
Met with Licensing Program Analyst during investigation
Licensing Program Analyst arrived unannounced to follow up on a death report received for resident R-1 who died on July 08, 2023.
Findings
The Licensing Program Analyst toured portions of the facility, spoke with the Administrator, obtained medical records for the deceased resident, and requested additional records. No citations were issued during this visit.
The inspection was an unannounced Annual Required - 1 Year inspection focused on infection control procedures and practices at the facility.
Findings
The facility was found to have appropriate infection control practices including COVID-19 precautions, PPE training, and daily cleaning. The facility environment was safe with fire safety equipment serviced and exits unobstructed. An issue with a sprinkler or leak at the main entrance was noted and additional information was requested. No deficiencies were cited during this inspection.
Report Facts
Approved hospice waiver residents: 6Fire extinguisher service date: Nov 16, 2022PPE supply duration: 30
Employees Mentioned
Name
Title
Context
Denise April Vasquez
Business Office Manager
Met with Licensing Program Analyst during inspection and exit interview
Kaitlyn Clarey
Administrator
Named as facility administrator; not available during inspection
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2022-04-29 alleging that the facility failed to meet residents' care needs.
Findings
The Licensing Program Analyst conducted interviews and observations but found no corroborating evidence to substantiate the allegation that staff failed to assist a resident with incontinent care. The allegation was determined to be unsubstantiated and no citations were issued.
Complaint Details
The complaint alleged that the facility failed to meet residents' care needs when staff did not assist Resident 1 with incontinent care and left the resident in a damp bed. The investigation found no corroborating statements from staff and was unable to obtain statements from the resident. The allegation was unsubstantiated.
Report Facts
Facility capacity: 80Census: 37
Employees Mentioned
Name
Title
Context
Araceli Canela
Licensing Program Analyst
Conducted the complaint investigation and delivered findings
Helen Casas
Health and Wellness Director
Met with the Licensing Program Analyst during the investigation
The visit was an unannounced complaint investigation triggered by an allegation that facility staff was financially abusing a resident in care.
Findings
The investigation found that the staff member in question was no longer employed at the facility when the alleged incident occurred, and the resident was capable of independent community access. The allegation was determined to be unfounded and the complaint was dismissed with no citations issued.
Complaint Details
The complaint alleged staff was financially abusing a resident by purchasing a brand new vehicle for a staff member. The allegation was found to be unfounded as the staff member was not employed at the time of the incident.
Report Facts
Complaint Control Number: 21Complaint Control Number: 20220216100627
Employees Mentioned
Name
Title
Context
Araceli Canela
Licensing Program Analyst
Conducted the complaint investigation and delivered findings
Kaitlyn Clarey
Administrator
Met with Licensing Program Analyst during investigation
The inspection was an unannounced Annual Required - 1 Year inspection focused on Infection Control procedures and practices at the facility.
Findings
The facility was found to be compliant with infection control practices including COVID-19 precautions, PPE training, and visitor screening. The environment was safe with operational fire safety equipment and sufficient food supplies. No citations were issued during the visit.
Report Facts
Hospice waiver residents: 6Fire extinguisher service date: Nov 4, 2021COVID-19 Mitigation plan submission date: Jul 20, 2021Inspection start time: 1232Inspection end time: 1420
Employees Mentioned
Name
Title
Context
Carol Dowell
Administrator
Met with Licensing Program Analyst during inspection
Araceli Canela
Licensing Program Analyst
Conducted the Annual Required - 1 Year inspection
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