Most inspections found no deficiencies, with the facility generally maintaining cleanliness, safety, and compliance with regulations. However, some reports did cite issues such as medication storage concerns, facility clutter and unsanitary conditions, and obstructions in outdoor passageways. A serious complaint investigation in July 2021 found substantiated neglect related to delayed medical care causing stage 4 pressure injuries to a resident. The most recent report from September 17, 2025, cited one deficiency involving a staff member working before proper criminal record clearance and included a $500 civil penalty. Earlier deficiencies have been addressed over time, with the August 18, 2025 follow-up visit finding no current violations, indicating some improvement.
The inspection visit was an unannounced case management visit conducted in conjunction with complaint 22-AS-20230707101059 regarding allegations that a female non-staff was sleeping in the common area.
Findings
One deficiency was cited related to a staff member working at the facility prior to being associated or eligible to work, violating criminal record clearance requirements. A $500 civil penalty was issued.
Complaint Details
The visit was triggered by complaint 22-AS-20230707101059 alleging that a female non-staff was sleeping in the common area (living room couch). During the initial complaint visit, it was observed that Staff 1 had a background clearance but was not associated with the facility per Licensing Information System records.
Severity Breakdown
Type A: 1
Deficiencies (1)
Description
Severity
Criminal Record Clearance (e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall request a transfer of a criminal record clearance as specified in Section 87355(c). This requirement is not met as evidence by interviews, record review, and administrator admission that Staff 1 began working at the facility prior to being associated/eligible to work.
Type A
Report Facts
Civil Penalty Amount: 500Deficiency Count: 1
Employees Mentioned
Name
Title
Context
Alvaro Ramirez Jr.
Licensing Program Analyst
Conducted the unannounced inspection visit and authored the report.
Ma Dinah Dela Cruz
Administrator
Facility administrator who admitted the staff member began working prior to eligibility.
Lucille Nofies
Caregiver
Met with the Licensing Program Analyst during the inspection.
Inspection Report Plan of CorrectionCensus: 2Capacity: 6Deficiencies: 0Aug 18, 2025
Visit Reason
An unannounced Plan of Correction visit was conducted to follow up on a deficiency cited during the annual inspection on July 25, 2025.
Findings
No deficiencies were cited during this visit. The previously cited deficiency from the annual inspection was cleared at the time of this visit.
Report Facts
Capacity: 6Census: 2
Employees Mentioned
Name
Title
Context
Ma Dinah Dela Cruz
Administrator
Assisted with the inspection and was present during the exit interview
Brandon Lopez
Licensing Program Analyst
Conducted the Plan of Correction visit
Lucille Nofies
Care Attendant
Met with the Licensing Program Analyst during the inspection
An unannounced visit was conducted on July 25, 2025, to perform the required annual inspection of the facility.
Findings
The facility was inspected for compliance with licensing requirements including safety, cleanliness, and resident accommodations. One deficiency was cited related to obstructions in the outdoor passageways posing a potential risk to residents.
Severity Breakdown
Type B: 1
Deficiencies (1)
Description
Severity
Passageways leading to the front yard had obstructions including tree branches/leaves, two ladders, empty trashcans, chairs, a tire, and cardboard, violating CCR 87307(d)(6) requiring all passageways to be free of obstruction.
Type B
Report Facts
Capacity: 6Census: 2Plan of Correction Due Date: Aug 8, 2025Hot water temperature: 119Fire extinguisher service date: Jul 7, 2025
Employees Mentioned
Name
Title
Context
Ma Dinah Dela Cruz
Administrator
Administrator present during inspection and named in the deficiency plan of correction
Licensing Program Analyst Lydia Martinez conducted an unannounced Required - 1 Year inspection to evaluate the facility's compliance with regulatory requirements.
Findings
The inspection found no deficiencies; all regulatory requirements including food supply, medication storage, emergency care, and safety measures were met. The facility was noted to be clean, safe, and adequately supplied for the residents present.
The inspection was an unannounced complaint investigation visit conducted in response to complaints received on 07/07/2023 regarding facility clutter and unsanitary conditions, and a female non-staff sleeping in the common area.
Findings
The investigation substantiated two allegations: the facility was cluttered and unsanitary, and a female non-staff member was sleeping in the common area. Observations included food particles and discoloration in the refrigerator, mold growing on kitchen tiles, clutter in the backyard and side exit, and confirmation that a non-staff individual was sleeping on the living room couch. Civil penalties were issued for these violations.
Complaint Details
The complaint investigation was substantiated. Two main allegations were investigated: facility clutter and unsanitary conditions, and a female non-staff sleeping in the common area. Evidence included interviews, observations, and document reviews. A $500 civil penalty was issued for the non-staff sleeping allegation, and a $250 civil penalty was issued for the repeat violation of facility cleanliness.
Severity Breakdown
Type A: 1Type B: 1
Deficiencies (2)
Description
Severity
Failure to obtain criminal record clearance prior to staff working at the facility; staff member S1 worked prior to clearance.
Type A
Facility was cluttered and unsanitary including mold on kitchen tiles, food contamination in refrigerator, and clutter in backyard and exit areas.
Licensing Program Analyst Claudia Gutierrez made an unannounced visit to conduct a Required/Annual Inspection of the facility.
Findings
Two deficiencies were cited related to medication storage and facility cleanliness and maintenance. A Technical Advisory was also given regarding the lack of a 30-day supply of PPE.
Deficiencies (2)
Description
Medicines were not stored in a safe and locked place accessible only to employees, posing an immediate health and safety risk.
Facility was not maintained clean, sanitary, and in good repair, posing a potential health risk to persons in care.
Report Facts
Deficiencies cited: 2
Employees Mentioned
Name
Title
Context
Claudia Gutierrez
Licensing Program Analyst
Conducted the inspection and cited deficiencies.
Armando J Lucero
Licensing Program Manager
Supervisor named in the report.
Maria Semcheshen
Administrator
Participated in the inspection and provided plan of correction statements.
An unannounced complaint investigation was conducted due to an allegation that a resident developed multiple stage 4 pressure injuries while in care.
Findings
The investigation found that Resident 1 developed stage 4 pressure injuries due to lack of timely medical attention by both the facility and the home health care provider. The facility failed to provide necessary medical care and did not call emergency services despite the resident's deteriorating condition, resulting in substantiated neglect.
Complaint Details
The complaint was substantiated. Resident 1 developed multiple stage 4 pressure injuries due to delayed medical care and failure to call emergency services. Both the facility and Green Meadows Home Care failed to provide timely medical attention, causing immediate decline in health and unnecessary pain and suffering.
Severity Breakdown
Type A: 1
Deficiencies (1)
Description
Severity
Failure to provide timely medical attention resulting in stage IV pressure injury to Resident 1.
Type A
Report Facts
Capacity: 6Census: 2Plan of Correction Due Date: Aug 6, 2021
Employees Mentioned
Name
Title
Context
Lydia Martinez
Licensing Program Analyst
Conducted the complaint investigation and authored the report
Ma Dinah Dela Cruz
Administrator
Facility administrator involved in investigation and interviews
Licensing Program Analyst Lydia Martinez conducted an unannounced visit for the purpose of conducting a Required 1 Year inspection.
Findings
The facility appeared clean, sanitary, and well maintained with residents happy and well taken care of. No deficiencies were noted during the inspection, and the facility has an active COVID-19 prevention plan in place.
Report Facts
Bedrooms: 6Residents present: 2Capacity: 6
Employees Mentioned
Name
Title
Context
Lydia Martinez
Licensing Program Analyst
Conducted the inspection visit.
Ma Dinah DeLa Cruz
Administrator
Facility administrator who met with the Licensing Program Analyst.
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