Inspection Report Summary
Most inspections found no deficiencies, with several complaint investigations being unsubstantiated. The most recent report from August 28, 2025, cited one deficiency for a delayed incident report submission beyond the required seven days, but no harm-level findings or fines were noted. Earlier inspections identified minor issues such as expired CPR certification and missing criminal record clearance transfers for staff, which did not pose immediate risks. The facility showed improvement in complaint investigations, with no substantiated allegations of inadequate care or supervision. Overall, the facility’s record reflects mostly compliance with isolated administrative deficiencies and no enforcement actions.
Deficiencies per Year
4
3
2
1
0
High
Moderate
Census Over Time
Census
Capacity
Inspection Report
Complaint Investigation
Census: 191
Capacity: 250
Deficiencies: 1
Aug 28, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations including staff not providing timely medical care for a resident, lack of supervision leading to a resident fall, and failure to provide an incident report to authorized representatives.
Findings
The investigation found the allegation of untimely medical care to be unfounded, the allegation of lack of supervision causing a resident fall to be unsubstantiated, and substantiated the allegation that the facility failed to provide a timely written incident report to the responsible party and licensing agency, citing a delay of 9 days beyond the required 7-day reporting period.
Complaint Details
The complaint investigation addressed three allegations: 1) staff did not get timely medical care for a resident (unfounded), 2) due to lack of supervision, a resident fell sustaining an injury (unsubstantiated), and 3) staff did not provide an incident report to authorized representatives (substantiated).
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| The Licensee did not submit a written report for Resident 1's incident that took place on August 3, 2025, to the responsible party and the Licensing Agency within seven days, posing a potential health, safety and personal rights risk to residents. | Type B |
Report Facts
Capacity: 250
Census: 191
Days late for incident report: 2
Plan of Correction Due Date: Sep 8, 2025
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 |
| Paola Carrillo | Hospitality Services Director | Interviewed during the investigation |
| Deserie Rodillo | Assisted Living Director | Interviewed during the investigation |
Inspection Report
Complaint Investigation
Census: 198
Capacity: 250
Deficiencies: 0
Dec 24, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to allegations received on 2024-10-15 regarding a resident being denied telephone use, visitation wishes not being respected, and the resident not receiving their mail.
Findings
The investigation found conflicting and insufficient evidence to substantiate the allegations. The facility staff and documentation indicated that the resident was allowed telephone access with a delay due to an emergency, visitation wishes were generally respected though there were conflicting reports about undue influence by family members, and the facility did not withhold mail but mail was directed to the resident's conservator. The allegations were deemed unsubstantiated.
Complaint Details
The complaint involved three allegations: 1) Resident was not allowed to use the telephone; 2) Facility did not respect residents' visitation wishes; 3) Facility did not allow resident to have their mail. The investigation included interviews with the Administrator, Memory Care Director, resident, family members, conservator, and 20 other residents, as well as review of relevant documents. The complaint was found to be unsubstantiated due to lack of preponderance of evidence.
Report Facts
Facility capacity: 250
Census: 198
Number of residents interviewed: 20
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sean Haddad | Licensing Program Analyst | Conducted the complaint investigation |
| Armando J Lucero | Licensing Program Manager | Oversaw the complaint investigation |
| Norma Martinez | Memory Care Director | Interviewed during investigation regarding allegations |
| Myra Aragones | Administrator | Interviewed during investigation; denied allegations |
Inspection Report
Annual Inspection
Census: 194
Capacity: 250
Deficiencies: 2
Dec 14, 2024
Visit Reason
An unannounced annual required visit was conducted using the CARE Inspection Tool to evaluate compliance with licensing regulations.
Findings
The facility was found to be generally well-maintained with adequate supplies, functioning emergency systems, and proper infection control practices. However, deficiencies were noted related to staff criminal clearance transfer and expired CPR/First Aid certification.
Severity Breakdown
Type A: 1
Type B: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Staff #8 did not have criminal record clearance transfer on file or included on CDSS Guardian Background System. | Type A |
| Staff #7 did not have current CPR/First Aid Certificate on file; last CPR expired 10/2024. | Type B |
Report Facts
Facility capacity: 250
Current census: 194
Residents by care type: 164
Residents by care type: 30
Residents by care type: 6
Resident bedrooms: 211
Resident bathrooms: 211
Personnel files audited: 7
Service files audited: 7
Fire drill record date: Oct 17, 2024
POC due date for criminal clearance: Dec 16, 2024
POC due date for CPR/First Aid: Dec 28, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Myra Aragones | Administrator/Director | Facility administrator named in the report and exit interview |
| Paola Carrillo | Hospitality Director | Met with Licensing Program Analyst during inspection |
| David Deger | Maintenance Director | Toured the physical plant with Licensing Program Analyst |
| Ernand Dabuet | Licensing Program Analyst | Conducted the inspection and authored the report |
| Janae Hammond | Licensing Program Manager | Supervisor overseeing the inspection |
Inspection Report
Complaint Investigation
Census: 167
Capacity: 250
Deficiencies: 0
Oct 6, 2023
Visit Reason
An unannounced collateral visit was conducted in conjunction with complaint investigation 22-AS-20231004114033 at another licensed facility to gather information related to the complaint.
Findings
The Licensing Program Analyst met with the General Manager and a resident to gather information pertaining to the complaint. An exit interview was conducted and a copy of the report was provided to the General Manager.
Complaint Details
Visit was related to complaint investigation 22-AS-20231004114033. Resident agreed to speak with the Licensing Program Analyst. No substantiation status stated.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Joseph Alejandre | Licensing Program Analyst | Conducted the unannounced collateral visit and investigation. |
| Myra Aragones | General Manager | Met with Licensing Program Analyst during the visit. |
| Michael Osterbauer | Administrator | Facility administrator named in report header. |
| Luz Adams | Licensing Program Manager | Named in report. |
Inspection Report
Follow-Up
Census: 146
Capacity: 250
Deficiencies: 0
Apr 13, 2023
Visit Reason
This unannounced inspection was conducted as a health and safety check and to conclude the follow-up on a report that Resident #1 had recently passed away.
Findings
The facility was found to be clean and organized with no health and safety issues. The facility had adequate food supplies and utilities were functioning. No deficiencies were cited based on the investigation.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Michael Osterbauer | Administrator | Met with Licensing Program Analysts during the inspection and provided information regarding Resident #1. |
Inspection Report
Census: 144
Capacity: 250
Deficiencies: 0
Feb 24, 2023
Visit Reason
This unannounced inspection was conducted for the purpose of a health and safety check and to follow up on a report that Resident #1 had recently passed away.
Findings
The facility was observed to be clean and organized with no health and safety issues. The resident's spouse was checked and found to be doing well. The facility had adequate food supplies and utilities were functioning properly.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Michael Osterbauer | Administrator | Met with Licensing Program Analyst during inspection and interviewed regarding Resident #1. |
| Sean Haddad | Licensing Program Analyst | Conducted the inspection. |
| Armando J Lucero | Licensing Program Manager | Named in report header. |
Inspection Report
Original Licensing
Census: 153
Capacity: 250
Deficiencies: 0
Dec 2, 2022
Visit Reason
An announced pre-licensing inspection was conducted to evaluate the facility's readiness to operate as a Residential Care Facility for the Elderly (RCFE) with a capacity of 250 residents, including 240 non-ambulatory and 10 bedridden residents, and a hospice waiver for 20.
Findings
The facility was found to be in substantial compliance with Title 22 requirements, with no deficiencies observed during the visit. The facility is ready to be licensed and meets all regulatory requirements including safety, hygiene, and emergency preparedness.
Report Facts
Hot water temperature: 114.2
Hot water temperature: 108.6
Perishable food supply duration: 2
Non-perishable food supply duration: 7
Facility capacity: 250
Current census: 153
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Cynthia Williams | Administrator | Met during inspection and involved in facility operations |
| David Deger | Facilities Director | Met during inspection |
| Michael Osterbauer | General Manager | Met during inspection |
| Joseph Alejandre | Licensing Program Analyst | Conducted the inspection visit |
| Luz Adams | Licensing Program Manager | Named in report |
Inspection Report
Original Licensing
Census: 175
Capacity: 250
Deficiencies: 0
Sep 1, 2022
Visit Reason
The visit was conducted as part of the original licensing process involving a Component II (COMP II) evaluation to verify the applicant/administrator's understanding of California Code Title 22 Regulations and readiness for licensing.
Findings
The Component II completion was successful, confirming the applicant/administrator's knowledge of facility operation, admission policies, staffing requirements, restrictive health conditions, general provisions, emergency preparedness, complaints and reporting, and pre-licensing readiness.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Cynthia Williams | Administrator | Applicant/licensee representative and administrator who participated in the Component II evaluation. |
| Mirella Quaranta | Licensing Program Manager | Named as Licensing Program Manager on the report. |
| Susan Nguyen | Licensing Program Analyst | Named as Licensing Program Analyst who confirmed applicant's understanding during Component II. |
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