Inspection Report Summary
Most inspections found no deficiencies, and several complaint investigations were unsubstantiated, indicating generally consistent compliance with regulations. The most recent report from October 15, 2025, was free of deficiencies following a follow-up on a self-reported incident involving inappropriate staff behavior, which resulted in staff termination. Earlier reports cited isolated issues such as a non-functional air conditioning unit posing a potential health risk in June 2025 and medication record inaccuracies in January 2025. More serious concerns occurred in late 2024, including inadequate supervision leading to a resident elopement and medication errors, both posing immediate health and safety risks; these incidents were addressed with corrective actions. Overall, the facility’s recent inspections show improvement after these events, with no deficiencies noted in the latest visits.
Deficiencies (last 5 years)
Deficiencies (over 5 years)
1.4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
65% better than California average
California average: 4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
79% occupied
Based on a September 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Follow-Up
Capacity: 130
Deficiencies: 0
Oct 15, 2025
Visit Reason
The visit was an unannounced case management follow-up to gather additional information on an incident that was self-reported to Community Care Licensing on 2025-07-10.
Findings
During the visit, interviews and documentation related to the incident were obtained. No deficiencies were cited during this visit.
Complaint Details
The visit was triggered by a self-reported incident involving staff (S1) kissing a resident (R1) on the lips approximately 2.5 months prior. Staff (S1) was terminated on 2025-07-01. The incident was reported to CCL on 2025-07-10.
Report Facts
Facility capacity: 130
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Shelley Reyes | Administrator / Program Director | Met with during the visit and involved in the incident report |
| Ethel Contreras | Licensing Program Analyst | Conducted the unannounced case management visit |
| Kimberley Mota | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Census: 103
Capacity: 130
Deficiencies: 0
Sep 9, 2025
Visit Reason
The visit was an unannounced case management inspection to gather documents regarding an incident report submitted on 2025-07-21 and a death report submitted on 2025-07-24.
Findings
The inspection found no deficiencies. The Licensing Program Analyst reviewed incident and death reports related to a resident fall and subsequent death, and discussed reporting and documentation requirements with the care coordinator.
Report Facts
Incident report date: Jul 21, 2025
Death report date: Jul 24, 2025
Resident date of death: Jul 22, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Josephine Garcia | Care Coordinator | Met with Licensing Program Analyst during inspection and provided documentation |
| Shelley Reyes | Administrator | Participated in exit interview |
| Ethel Contreras | Licensing Program Analyst | Conducted the inspection visit |
Inspection Report
Complaint Investigation
Census: 100
Capacity: 130
Deficiencies: 1
Jun 25, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations that the facility is in disrepair and that the licensee is not ensuring a comfortable temperature for residents at all times.
Findings
The investigation substantiated the allegation that the facility is in disrepair due to a non-functional A/C unit affecting parts of the facility, posing a potential health and safety risk. The allegation regarding uncomfortable temperatures was unsubstantiated as temperatures were within regulatory limits and residents reported no discomfort.
Complaint Details
The complaint investigation was substantiated for the allegation of facility disrepair due to non-functional A/C. The allegation regarding failure to maintain comfortable temperatures was unsubstantiated based on observations and resident interviews.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. A/C was observed non-functional resulting in increased temperatures within parts of facility posing a potential health and safety risk to residents in care. | Type B |
Report Facts
Deficiencies cited: 1
Plan of Correction Due Date: Jul 3, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Elias Magdaleno | Licensing Program Analyst | Conducted complaint investigation and delivered findings. |
| Shelley Reyes | Administrator | Met with Licensing Program Analyst during investigation. |
| Victoria Bertozzi | Licensing Program Manager | Named as Licensing Program Manager on report. |
Inspection Report
Complaint Investigation
Census: 97
Capacity: 130
Deficiencies: 0
Apr 28, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations that facility staff were not ensuring contaminated surfaces were disinfected and not addressing changes in a resident's condition.
Findings
Based on record review, interviews, and observations, the allegations were found to be unsubstantiated. No odors or soiled surfaces were observed, and documentation showed appropriate care and cleaning practices. No deficiencies were cited during the visit.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included failure to disinfect contaminated surfaces and failure to address changes in Resident 1's condition. Evidence did not support these claims.
Report Facts
Complaint Control Number: 21
Capacity: 130
Census: 97
Investigation duration: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Julie Florio | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Shelley Reyes | Administrator | Facility administrator met during inspection and provided information |
| Bethany Moellers | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Annual Inspection
Census: 92
Capacity: 130
Deficiencies: 1
Jan 15, 2025
Visit Reason
The inspection was an unannounced required 1-year annual inspection of the Cornerstone Assisted Living Facility to assess compliance with regulations.
Findings
The facility was generally found to be in compliance with regulations including safety, hygiene, and emergency preparedness. However, a deficiency was cited regarding centrally stored medication records not accurately reflecting prescription labels, posing a potential health and safety risk.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Centrally stored medication records do not accurately reflect the prescription labels for each respective medication. | Type B |
Report Facts
Residents in care: 92
Total licensed capacity: 130
Hospice waiver beds: 12
Bedridden waiver beds: 30
Residents' rooms tested for call system: 5
Caregiver response time: 2
Caregiver response time: 4
Staff files reviewed: 10
Resident files reviewed: 10
Fire extinguisher last serviced: 12
Fire system last serviced: 1
Plan of Correction due date: Feb 17, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Shelley Reyes | Administrator | Met with Licensing Program Analysts during inspection and named in report |
| Julie Florio | Licensing Program Analyst | Conducted inspection and authored report |
| Robert Frank | Licensing Program Analyst | Conducted inspection |
| Bethany Moellers | Licensing Program Manager | Supervisor named in deficiency section |
Inspection Report
Complaint Investigation
Census: 93
Capacity: 130
Deficiencies: 1
Oct 22, 2024
Visit Reason
The inspection was an unannounced complaint investigation initiated due to an allegation that staff did not provide adequate supervision, resulting in a resident wandering away from the facility.
Findings
The complaint was substantiated as the facility failed to provide adequate supervision for Resident 1, who eloped from the facility. This posed an immediate health, safety, and personal rights risk to residents in care.
Complaint Details
The complaint was substantiated. Resident 1, who has Mild Cognitive Impairment and is unable to leave the facility unassisted, was found wandering in a nearby shopping center after eloping from the facility on 10/13/2024. The facility self-reported the incident and submitted required documentation. The investigation confirmed inadequate supervision by staff.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to provide supervision that meets residents' individual needs, resulting in a resident elopement. | Type A |
Report Facts
Capacity: 130
Census: 93
Deficiency Plan of Correction Due Date: Oct 23, 2024
Plan of Correction Completion Date: Nov 8, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Julie Florio | Licensing Program Analyst | Conducted the complaint investigation and signed the report |
| Bethany Moellers | Licensing Program Manager | Named in the report as Licensing Program Manager overseeing the investigation |
| Shelley Reyes | Administrator | Facility Administrator met during investigation and acknowledged receipt of report |
Inspection Report
Follow-Up
Census: 93
Capacity: 130
Deficiencies: 2
Oct 22, 2024
Visit Reason
Unannounced Case Management - Incident follow-up visit regarding 5 Unusual Incident/Injury Reports and 1 Death Report received by Community Care Licensing between 09/23/2024 and 10/22/2024.
Findings
The facility had medication errors including a pharmacy error resulting in a resident receiving an incorrect dose, an accidental medication administration, and failure to report two falls to the licensing agency. One resident had an unwitnessed fall and subsequently died due to heart failure. Deficiencies were cited related to medication administration and failure to submit timely incident reports.
Severity Breakdown
Type A: 1
Type B: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Licensee did not ensure Resident 2 received the correct medication as prescribed, posing an immediate health, safety, and/or personal rights risk. | Type A |
| Licensee did not ensure Community Care Licensing received Unusual Incident/Injury reports for two falls experienced by Resident 4, posing a potential health, safety, and/or personal rights risk. | Type B |
Report Facts
Unusual Incident/Injury Reports: 5
Death Reports: 1
Falls not reported: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Julie Florio | Licensing Program Analyst | Conducted the inspection and signed the report |
| Shelley Reyes | Administrator | Facility Administrator met with Licensing Program Analyst and was involved in incident discussions |
| Bethany Moellers | Licensing Program Manager | Named as Licensing Program Manager overseeing the inspection |
Inspection Report
Follow-Up
Capacity: 130
Deficiencies: 1
May 9, 2024
Visit Reason
The visit was conducted as a case management follow-up on a self-reported incident involving a resident who eloped from the facility without staff knowledge.
Findings
The facility was cited for failing to comply with regulations regarding the care of persons with dementia, specifically for inadequate safety measures to prevent elopement, posing an immediate health and safety risk to residents.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to meet requirements for care of residents with dementia, including safety measures to address behaviors and ingestion of toxic materials, evidenced by a resident eloping without staff knowledge. | Type A |
Report Facts
Capacity: 130
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Shelley Reyes | Administrator | Met with Licensing Program Analysts during the case management visit and involved in interviews regarding the incident. |
| Jill Nakagawa | Licensing Program Analyst | Conducted the case management visit and signed the report. |
| Kimberley Mota | Licensing Program Manager | Named as Licensing Program Manager overseeing the inspection. |
Inspection Report
Complaint Investigation
Census: 87
Capacity: 130
Deficiencies: 0
Jan 29, 2024
Visit Reason
An unannounced complaint investigation was conducted in response to allegations received on 2023-12-06 regarding staff not meeting residents' needs, facility cleanliness, pest infestation, inadequate food service, and unsafe environment.
Findings
The investigation found no evidence to support the allegations. The facility was observed to be clean, pest control measures were in place, food service met regulations, and the environment was safe and comfortable. Therefore, the allegations were unsubstantiated.
Complaint Details
The complaint investigation was unsubstantiated based on records review, staff interviews, and facility observations. No evidence was found to support the allegations.
Report Facts
Capacity: 130
Census: 87
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Christopher Arnhold | Licensing Program Analyst | Conducted the complaint investigation |
| Shelley Reyes | Administrator | Facility administrator met during investigation |
| Bethany Moellers | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Annual Inspection
Census: 89
Capacity: 130
Deficiencies: 0
Dec 2, 2023
Visit Reason
An unannounced annual inspection was conducted to evaluate the facility's compliance with regulatory standards.
Findings
The inspection found the facility to be clean, well-maintained, and compliant with regulations. No deficiencies or citations were issued during the visit.
Report Facts
Rooms inspected: 10
Personnel files inspected: 5
Resident files inspected: 5
Fire extinguisher last serviced: Dec 14, 2022
Fire Department inspection date: Feb 8, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Shelley Reyes | Administrator | Facility administrator present during inspection |
| Jill Nakagawa | Licensing Program Analyst | Conducted the inspection |
| Irene Heryford | Care Coordinator | Accompanied the analyst during facility tour |
Inspection Report
Complaint Investigation
Census: 88
Capacity: 130
Deficiencies: 0
Jul 6, 2023
Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that staff did not prevent a resident from causing harm to other residents while in care.
Findings
The investigation found no evidence that the resident caused physical harm to others. The facility had implemented an updated care plan and taken steps to transfer the resident to a higher level of care. The complaint was found to be unsubstantiated due to lack of corroborating evidence.
Complaint Details
The complaint alleged that staff did not prevent a resident (R1) from causing harm to other residents. The investigation included interviews, record reviews, and observations. Although R1 exhibited verbally and physically aggressive behaviors, there was no indication of physical harm to other residents. The facility intervened with care plans and legal eviction to place R1 in a higher level of care. The complaint was unsubstantiated.
Report Facts
Complaint Control Number: 21-AS-20230329092303
Capacity: 130
Census: 88
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dominic Tobola | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Shelley Reyes | Executive Director | Interviewed during investigation and met with Licensing Program Analyst |
| Kimberley Mota | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Annual Inspection
Census: 80
Capacity: 130
Deficiencies: 0
Jan 26, 2023
Visit Reason
The inspection was an unannounced annual required inspection conducted by the Licensing Program Analyst to evaluate compliance with regulations at the Cornerstone Assisted Living Facility.
Findings
The facility was found to be in compliance with no deficiencies cited. Observations included proper visitor screening, functional fire safety systems, adequate PPE and incontinence supplies, and documented staff training on infection control.
Report Facts
Fire extinguisher last serviced date: Dec 14, 2022
Fire system last serviced date: 202301
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Shelley Reyes | Executive Director | Met with Licensing Program Analyst during inspection |
| Katrina Walters | Licensing Program Analyst | Conducted the annual inspection |
| Hope DeBenedetti | Licensing Program Manager | Named in report header and signature |
Inspection Report
Complaint Investigation
Census: 79
Capacity: 130
Deficiencies: 0
Dec 22, 2022
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 09/12/2022 alleging that a resident fell and sustained an injury due to building and grounds, staff did not seek timely medical attention, staff did not maintain resident's records accurately, and staff did not adequately supervise the resident.
Findings
Based on interviews, record reviews, observations, and staff interviews, the complaint allegations were found to be unsubstantiated. The grounds and floors were adequately maintained, the resident did not require immediate medical attention, the resident was capable of managing their own care, and resident records were complete and organized. No deficiencies were cited.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included resident injury due to building and grounds, failure to seek timely medical attention, inadequate supervision, and inaccurate record keeping. The investigation found no evidence to support these allegations.
Report Facts
Capacity: 130
Census: 79
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Katrina Walters | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Hope DeBenedetti | Licensing Program Manager | Named as Licensing Program Manager on the report |
| Shelley Reyes | Administrator | Facility Administrator met during the investigation |
Inspection Report
Complaint Investigation
Census: 87
Capacity: 130
Deficiencies: 0
Aug 26, 2022
Visit Reason
The inspection was conducted as an unannounced complaint investigation following allegations that the facility was in disrepair and staff did not provide a safe environment for residents.
Findings
The investigation found that the facility door was in disrepair but could be manually operated by staff and did not pose a safety hazard. Documentation showed repair requests were made and repairs completed. There was insufficient evidence to substantiate the allegations, and the complaint was unsubstantiated.
Complaint Details
The complaint was unsubstantiated. Allegations included facility disrepair and unsafe environment for residents. The investigation included observations, record reviews, security footage, and interviews. No deficiencies were cited.
Report Facts
Facility capacity: 130
Resident census: 87
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Shelley Reyes | Administrator | Met with Licensing Program Analyst during investigation |
| Katrina Walters | Licensing Program Analyst | Conducted the complaint investigation |
| Hope DeBenedetti | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Follow-Up
Census: 90
Capacity: 130
Deficiencies: 0
Mar 4, 2022
Visit Reason
The visit was conducted to follow up on a self-reported incident that occurred on 2022-01-24 involving staff and a resident, specifically an allegation that staff member S1 was observed yelling at resident R1.
Findings
The Licensing Program Analyst interviewed residents and conducted an investigation which resulted in the termination of staff member S1. No deficiencies were cited during this visit, but the incident requires further investigation.
Complaint Details
Visit was complaint-related due to an incident involving staff yelling at a resident; the staff member was terminated based on the investigation.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Aida Rea Santos | Assistant Administrator | Met with during the visit and involved in the incident follow-up |
| Katrina Walters | Licensing Program Analyst | Conducted the investigation and visit |
| Shelley Reyes | Administrator | Facility Administrator not present during visit but available by phone |
Inspection Report
Annual Inspection
Census: 84
Capacity: 130
Deficiencies: 1
Dec 21, 2021
Visit Reason
The inspection was an unannounced annual inspection focused on infection control procedures and practices, including COVID-19 mitigation measures.
Findings
The facility had COVID-19 signage, screening, and mitigation plans in place, but deficiencies were noted including staff failing to wear face masks while providing care and a fire safety concern with conjoined resident bedrooms blocking a door.
Deficiencies (1)
| Description |
|---|
| Facility staff failed to ensure staff S1 wore face mask coverings while providing care to residents, posing a potential health, safety, or personal rights risk. |
Report Facts
Capacity: 130
Census: 84
Plan of Correction Due Date: Jan 3, 2022
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Shelley Reyes | Administrator | Named in relation to facility operations and findings |
| Katrina Walters | Licensing Program Analyst | Conducted the inspection and authored the report |
| Hope DeBenedetti | Licensing Program Manager | Supervisor overseeing the inspection |
Inspection Report
Complaint Investigation
Census: 86
Capacity: 130
Deficiencies: 0
Dec 17, 2021
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2021-10-20 regarding understaffing, lack of supervision resulting in resident falls, residents wandering from the facility, and residents sustaining injuries while in care.
Findings
The investigation found the allegations to be unsubstantiated after interviews, observations, and record reviews. The facility was found to have appropriate staffing levels, and although an unwitnessed fall with injuries occurred, the facility responded appropriately and residents were observed to be content and safe.
Complaint Details
The complaint alleged understaffing, lack of supervision resulting in resident falls, residents wandering from the facility, and residents sustaining injuries. The investigation found these allegations unsubstantiated due to insufficient evidence to prove violations occurred.
Report Facts
Facility Capacity: 130
Resident Census: 86
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Farhaan Sarangi | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Shelley Reyes | Administrator | Facility administrator met with the Licensing Program Analyst during the investigation |
| Hope DeBenedetti | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 88
Capacity: 130
Deficiencies: 0
May 12, 2021
Visit Reason
An unannounced complaint investigation was conducted regarding multiple allegations including inadequate supervision resulting in a resident fall, inappropriate staff behavior, failure to notify responsible parties of condition changes, unmet dietary needs, and falsification of resident charts.
Findings
The investigation found no substantiated evidence supporting the allegations. Staff conducted required room checks, residents had access to call lights, dietary needs were met with meal options, and no falsification of charts was found. The complaint was determined to be unsubstantiated with no deficiencies cited.
Complaint Details
The complaint investigation was unsubstantiated, meaning there was insufficient evidence to prove the alleged violations occurred. Allegations included inadequate supervision causing a fall, inappropriate staff speech, failure to notify family and doctor of condition changes, unmet dietary needs, and falsification of charts. Another complaint alleging removal of a resident's call button was found to be unfounded.
Report Facts
Capacity: 130
Census: 88
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dominic Tobola | Licensing Program Analyst | Conducted the complaint investigation |
| Shelley Reyes | Administrator | Facility administrator met with Licensing Program Analyst during investigation |
| Kimberley Mota | Licensing Program Manager | Named in report as Licensing Program Manager |
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