Inspection Reports for
Desert Cottages II
83421 Himalaya Drive, Indio, CA 92203, Indio, CA, 92203
Back to Facility ProfileDeficiencies (last 6 years)
Deficiencies (over 6 years)
0.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
83% better than California average
California average: 4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Occupancy
Latest occupancy rate
100% occupied
Based on a February 2026 inspection.
This facility has shown a decline in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Census: 6
Capacity: 6
Deficiencies: 0
Date: Feb 20, 2026
Visit Reason
The Licensing Program Analyst conducted an announced visit to the facility to conduct an interview with a resident regarding an open complaint unrelated to this facility.
Findings
During the visit, no issues or concerns were observed by the Licensing Program Analyst. An exit interview was conducted and the report was reviewed and provided to the licensee.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Hengstler | licensee | Met with Licensing Program Analyst during the visit. |
| Glenn Trueman | Licensing Program Analyst | Conducted the announced visit and interview. |
| Wei Siew Ho | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Census: 6
Capacity: 6
Deficiencies: 0
Date: Feb 20, 2026
Visit Reason
The Licensing Program Analyst conducted an announced visit to the facility to conduct an interview with a resident regarding an open complaint unrelated to this facility.
Findings
During the visit, no issues or concerns were observed by the Licensing Program Analyst. An exit interview was conducted and a copy of the report was provided to the licensee.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Hengstler | licensee | Met with Licensing Program Analyst during the visit. |
| Glenn Trueman | Licensing Program Analyst | Conducted the inspection visit and interview. |
| Wei Siew Ho | Licensing Program Manager | Named in report header. |
Inspection Report
Census: 3
Capacity: 6
Deficiencies: 0
Date: Jan 14, 2026
Visit Reason
Licensing Program Analysts conducted an unannounced visit to perform a health and safety check at the facility.
Findings
During the visit, no immediate health or safety concerns were observed. An exit interview was conducted and a copy of the report was provided to the licensee.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Hengstler | Licensee/Administrator | Named as licensee and administrator who joined the visit. |
| Teri Duet | Caregiver | Met with Licensing Program Analysts during the visit. |
| Abdoulaye Zerbo | Licensing Program Analyst | Conducted the unannounced visit. |
| Aziz Faizi | Licensing Program Analyst | Conducted the unannounced visit. |
| Anthony Perez | Licensing Program Manager | Named as Licensing Program Manager. |
Inspection Report
Census: 3
Capacity: 6
Deficiencies: 0
Date: Jan 14, 2026
Visit Reason
Licensing Program Analysts conducted an unannounced visit to the facility to perform a health and safety check.
Findings
During the visit, no immediate health or safety concerns were observed at the time of the visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Hengstler | Licensee/Administrator | Named as Licensee and Administrator who joined the visit. |
| Teri Duet | Caregiver | Met with Licensing Program Analysts during the visit. |
| Abdoulaye Zerbo | Licensing Program Analyst | Conducted the unannounced visit. |
| Aziz Faizi | Licensing Program Analyst | Conducted the unannounced visit. |
| Anthony Perez | Licensing Program Manager | Named as Licensing Program Manager. |
Inspection Report
Census: 3
Capacity: 6
Deficiencies: 0
Date: Dec 17, 2025
Visit Reason
Licensing Program Analyst Seo Jeon conducted an unannounced visit to the facility to conduct a health and safety check and to deliver an amended complaint investigation report dated 2025-12-03.
Findings
The facility was observed to have all utilities operating without issues, and the food supply met regulatory requirements. No health or safety concerns were observed, and no deficiencies or civil penalties were cited.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Hengstler | Administrator | Met with Licensing Program Analyst during the inspection and named in the report. |
| Seo Jeon | Licensing Program Analyst | Conducted the unannounced visit and inspection. |
| Rikesha Stamps | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Complaint Investigation
Census: 3
Capacity: 6
Deficiencies: 0
Date: Dec 17, 2025
Visit Reason
Licensing Program Analyst Seo Jeon conducted an unannounced visit to the facility to conduct a health and safety check and to deliver an amended complaint investigation report dated 2025-12-03.
Complaint Details
The visit was related to an amended complaint investigation report dated 2025-12-03. No deficiencies or penalties were found.
Findings
The facility was toured and all utilities were observed to be operating without issues. The food supply met regulatory requirements and no health or safety concerns were observed. No deficiencies or civil penalties were cited.
Report Facts
Capacity: 6
Census: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Hengstler | Administrator | Met with Licensing Program Analyst during inspection |
| Seo Jeon | Licensing Program Analyst | Conducted the unannounced visit and inspection |
| Rikesha Stamps | Licensing Program Manager | Named in report header |
Inspection Report
Complaint Investigation
Census: 3
Capacity: 6
Deficiencies: 2
Date: Dec 3, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by multiple allegations received on 2024-12-03 regarding resident restraint, unauthorized provision of THC drinks and protein powder, charging for services not rendered, residents left unattended, unauthorized use of bed rails, restricting visiting hours, and moving residents without consent.
Complaint Details
The complaint investigation was unannounced and included allegations of staff restraining residents, providing THC drinks/protein powder without physician orders, charging for services not rendered, residents left unattended, unauthorized bed rails, restricting visiting hours, and moving residents without consent. The investigation found the first five allegations unsubstantiated and the last two substantiated.
Findings
Most allegations including restraint use, unauthorized THC/protein provision, charging for unrendered services, residents left unattended, and unauthorized bed rails were found unsubstantiated due to insufficient evidence. However, the allegations that staff restricted visiting hours and moved residents to other facilities without consent were substantiated.
Deficiencies (2)
Licensee posted visiting hours at the entrance of the facility which poses potential personal rights violation to residents in care.
Licensee did not have acknowledgement from the residents' responsible persons prior to moving the residents to other facilities for daily activities which poses potential personal rights violation for residents in care.
Report Facts
Capacity: 6
Census: 3
Deficiencies cited: 2
Plan of Correction Due Date: 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Hengstler | Licensee/Administrator | Named in relation to findings and interviews regarding allegations |
| Seo Jeon | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Janira Arreola | Licensing Program Analyst | Assisted in conducting the complaint investigation |
Inspection Report
Census: 3
Capacity: 6
Deficiencies: 0
Date: Nov 26, 2025
Visit Reason
Licensing Program Analyst Abdoulaye Zerbo conducted an unannounced visit to the facility to perform a health and safety check.
Findings
During the visit, no immediate health or safety concerns were observed. An exit interview was conducted and a copy of the report was provided to Caregiver Teri Duet.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Abdoulaye Zerbo | Licensing Program Analyst | Conducted the unannounced visit and inspection. |
| Teri Duet | Caregiver | Met with during the visit and provided a copy of the report. |
| Elizabeth Hengstler | Administrator/Director | Licensee who joined the visit at a later time. |
Inspection Report
Census: 3
Capacity: 6
Deficiencies: 0
Date: Nov 26, 2025
Visit Reason
Licensing Program Analyst Abdoulaye Zerbo conducted an unannounced visit to the facility to perform a health and safety check.
Findings
During the visit, no immediate health or safety concerns were observed at the time of the visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Abdoulaye Zerbo | Licensing Program Analyst | Conducted the unannounced visit and health and safety check. |
| Teri Duet | Caregiver | Met with the Licensing Program Analyst during the visit. |
| Elizabeth Hengstler | Administrator/Director | Licensee who joined the visit at a later time. |
Inspection Report
Census: 2
Capacity: 6
Deficiencies: 0
Date: Oct 30, 2025
Visit Reason
Licensing Program Analyst Abdoulaye Zerbo conducted an unannounced visit to the facility to perform a health and safety check.
Findings
During the visit, no immediate health or safety concerns were observed at the time of the visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Hengstler | Licensee | Met with Licensing Program Analyst during the visit |
| Abdoulaye Zerbo | Licensing Program Analyst | Conducted the unannounced visit |
| Anthony Perez | Licensing Program Manager | Named in the report header |
Inspection Report
Census: 2
Capacity: 6
Deficiencies: 0
Date: Oct 30, 2025
Visit Reason
Licensing Program Analyst Abdoulaye Zerbo conducted an unannounced visit to the facility to perform a health and safety check.
Findings
During the visit, no immediate health or safety concerns were observed at the time of the visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Hengstler | Licensee / Administrator | Met with Licensing Program Analyst during the inspection visit. |
| Abdoulaye Zerbo | Licensing Program Analyst | Conducted the unannounced visit and inspection. |
| Anthony Perez | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Census: 2
Capacity: 6
Deficiencies: 0
Date: Oct 24, 2025
Visit Reason
Licensing Program Analyst Abdoulaye Zerbo conducted an unannounced visit to the facility for a health and safety check.
Findings
During the visit, no immediate health and safety concerns were observed. The analyst toured the facility and conducted interviews.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Abdoulaye Zerbo | Licensing Program Analyst | Conducted the unannounced visit and inspection. |
| Teri Duet | Caregiver | Met with the Licensing Program Analyst during the visit. |
| Elizabeth Hengstler | Administrator/Director | Named as facility administrator/director. |
Inspection Report
Census: 2
Capacity: 6
Deficiencies: 0
Date: Oct 24, 2025
Visit Reason
Licensing Program Analyst Abdoulaye Zerbo conducted an unannounced visit to the facility for a health and safety check.
Findings
No immediate health and safety concerns were observed during the visit. An exit interview was conducted and a copy of the report was provided to Caregiver Teri Duet.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Abdoulaye Zerbo | Licensing Program Analyst | Conducted the unannounced visit and inspection. |
| Teri Duet | Caregiver | Met with the Licensing Program Analyst during the visit. |
| Elizabeth Hengstler | Administrator/Director | Named as facility administrator/director. |
| Anthony Perez | Licensing Program Manager | Named as Licensing Program Manager. |
Inspection Report
Census: 2
Capacity: 6
Deficiencies: 0
Date: Oct 16, 2025
Visit Reason
Licensing Program Analyst Abdoulaye Zerbo conducted an unannounced visit to the facility for a health and safety check.
Findings
During the visit, the facility was toured and interviews were conducted. No immediate health and safety concerns were observed.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Hengstler | Licensee / Administrator | Met with Licensing Program Analyst during the inspection and named in the report. |
| Abdoulaye Zerbo | Licensing Program Analyst | Conducted the unannounced visit and inspection. |
| Anthony Perez | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Census: 2
Capacity: 6
Deficiencies: 0
Date: Oct 16, 2025
Visit Reason
Licensing Program Analyst Abdoulaye Zerbo conducted an unannounced visit to the facility for a health and safety check.
Findings
During the visit, the analyst toured the facility and conducted interviews. No immediate health and safety concerns were observed.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Hengstler | Licensee / Administrator | Met with Licensing Program Analyst during the inspection. |
| Abdoulaye Zerbo | Licensing Program Analyst | Conducted the unannounced visit and inspection. |
| Anthony Perez | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Census: 2
Capacity: 6
Deficiencies: 0
Date: Oct 10, 2025
Visit Reason
Licensing Program Analyst Abdoulaye Zerbo conducted an unannounced visit to the facility for a health and safety check.
Findings
During the visit, the facility was toured and interviews were conducted. No immediate health and safety concerns were observed.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Hengstler | Licensee / Administrator | Met with Licensing Program Analyst during the inspection. |
| Abdoulaye Zerbo | Licensing Program Analyst | Conducted the unannounced visit and inspection. |
| Anthony Perez | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Census: 2
Capacity: 6
Deficiencies: 0
Date: Oct 10, 2025
Visit Reason
Licensing Program Analyst Abdoulaye Zerbo conducted an unannounced visit to the facility for a health and safety check.
Findings
During the visit, the analyst toured the facility and conducted interviews. No immediate health and safety concerns were observed.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Hengstler | Licensee | Met with Licensing Program Analyst during the visit. |
| Abdoulaye Zerbo | Licensing Program Analyst | Conducted the unannounced visit and inspection. |
| Anthony Perez | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Annual Inspection
Census: 3
Capacity: 6
Deficiencies: 0
Date: Oct 3, 2025
Visit Reason
An unannounced required annual inspection was conducted to evaluate the facility's compliance with licensing requirements.
Findings
The facility was found to be clean, well-maintained, and in compliance with infection control, physical plant, medication management, and disaster preparedness requirements. No deficiencies were cited during the visit.
Report Facts
Expiration date: 2026
Expiration date: 2026
Expiration date: 2027
Emergency drill date: Oct 3, 2025
Water temperature: 105.9
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Hengstler | Administrator | Facility Administrator present during inspection |
| Terri Duet | Caregiver | Greeted Licensing Program Analyst and allowed entry for inspection |
| Abdoulaye Zerbo | Licensing Program Analyst | Conducted the inspection visit |
| Anthony Perez | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Annual Inspection
Census: 3
Capacity: 6
Deficiencies: 0
Date: Oct 3, 2025
Visit Reason
The inspection was an unannounced required annual inspection conducted by the Licensing Program Analyst to assess compliance with licensing requirements.
Findings
The facility was found to be clean, well maintained, and in compliance with infection control, physical plant, and safety requirements. Adequate staff supervision was present, resident and staff files were complete, medications were properly secured, and the emergency preparedness plan met requirements. No deficiencies were cited during the visit.
Report Facts
Water temperature: 105.9
Fire extinguisher expiration date: Apr 2, 2026
Administrator certificate expiration: Dec 25, 2026
CPR certification expiration: Jan 15, 2027
Number of residents' bedrooms: 3
Number of bathrooms: 3
Number of staff files reviewed: 2
Number of residents' files reviewed: 2
Number of residents' medications reviewed: 1
Emergency drill date: Oct 3, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Hengstler | Administrator | Facility Administrator present during inspection |
| Terri Duet | Caregiver | Caregiver who greeted Licensing Program Analyst during inspection |
| Abdoulaye Zerbo | Licensing Program Analyst | Conducted the inspection visit |
| Anthony Perez | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 3
Capacity: 6
Deficiencies: 0
Date: Sep 30, 2025
Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation that staff physically abused a resident in care.
Complaint Details
The complaint alleged that staff physically abused Resident #1, who was observed with bruises and cuts. Interviews with staff and relevant parties, as well as a police report review, did not corroborate the allegation. The complaint was unsubstantiated.
Findings
The investigation involved interviews and records review, including a police report, and found no preponderance of evidence to substantiate the allegation. The complaint was determined to be unsubstantiated.
Report Facts
Facility capacity: 6
Resident census: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Hengstler | Licensee | Met with Licensing Program Analyst during the investigation |
| Seo Jeon | Licensing Program Analyst | Conducted the complaint investigation visit |
| Rikesha Stamps | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 3
Capacity: 6
Deficiencies: 0
Date: Sep 30, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to multiple allegations received on 12/10/2024 regarding resident care and staff conduct at the facility.
Complaint Details
The complaint involved allegations that facility staff did not meet resident’s incontinence care needs, withheld food, handled a resident roughly, spoke inappropriately, and restricted communication with family. After investigation and follow-up interviews, all allegations were determined to be unsubstantiated.
Findings
The investigation involved interviews with staff and residents and review of records. All allegations including failure to meet incontinence care needs, withholding food, rough handling, inappropriate speech, and restricting communication were found to be unsubstantiated based on evidence and follow-up interviews.
Report Facts
Capacity: 6
Census: 3
Number of allegations: 5
Staff interviewed: 4
Residents interviewed: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Hengstler | Licensee / Administrator | Met with Licensing Program Analyst during investigation |
| Seo Jeon | Licensing Program Analyst | Conducted the complaint investigation visit |
| Rikesha Stamps | Supervisor | Supervisor overseeing the licensing evaluation |
Inspection Report
Complaint Investigation
Census: 3
Capacity: 6
Deficiencies: 1
Date: Sep 30, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit conducted to address multiple allegations received on 2024-04-08 regarding resident care and facility practices at Desert Cottage II.
Complaint Details
The complaint investigation was substantiated for the allegation that staff placed restraint vests on residents. Other allegations including falls, hitting residents, unexplained injuries, failure to report incidents, over medication, unsupervised residents, chemical restraints, use of bedrails, and inadequate food services were unsubstantiated.
Findings
The investigation substantiated the allegation that staff placed weighted restraint vests on residents, posing immediate health and personal rights risks. All other allegations including falls, hitting residents, unexplained injuries, failure to report incidents, over medication, unsupervised residents, chemical restraints, use of bedrails, and inadequate food services were unsubstantiated based on interviews and records review.
Deficiencies (1)
Staff placed weighted vests on residents in care, violating personal rights and posing immediate health and safety risks.
Report Facts
Capacity: 6
Census: 3
Deficiencies cited: 1
Number of allegations: 9
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Hengstler | Licensee | Met with Licensing Program Analyst during investigation and named in findings |
| Seo Jeon | Licensing Program Analyst | Conducted the complaint investigation visit |
| Rikesha Stamps | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Census: 3
Capacity: 6
Deficiencies: 0
Date: Sep 16, 2025
Visit Reason
Licensing Program Analyst Abdoulaye Zerbo conducted an unannounced visit to the facility for a health and safety check.
Findings
No immediate health and safety concerns were observed during the visit. The Licensing Program Analyst toured the facility and conducted interviews.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Hengstler | Licensee / Administrator | Met with Licensing Program Analyst during the inspection visit. |
| Abdoulaye Zerbo | Licensing Program Analyst | Conducted the unannounced visit and inspection. |
| Anthony Perez | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Census: 3
Capacity: 6
Deficiencies: 0
Date: Sep 16, 2025
Visit Reason
Licensing Program Analyst Abdoulaye Zerbo conducted an unannounced visit to the facility for a health and safety check.
Findings
During the visit, the analyst toured the facility and conducted interviews. No immediate health and safety concerns were observed.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Hengstler | Licensee / Administrator | Met with Licensing Program Analyst during the inspection. |
Inspection Report
Census: 3
Capacity: 6
Deficiencies: 0
Date: Sep 8, 2025
Visit Reason
Licensing Program Analyst Abdoulaye Zerbo conducted an unannounced visit to the facility for a health and safety check.
Findings
No immediate health and safety concerns were observed during the visit. The Licensing Program Analyst toured the facility and conducted interviews.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Hengstler | Licensee / Administrator | Met with Licensing Program Analyst during the inspection visit. |
| Abdoulaye Zerbo | Licensing Program Analyst | Conducted the unannounced visit and inspection. |
| Anthony Perez | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Census: 3
Capacity: 6
Deficiencies: 0
Date: Sep 8, 2025
Visit Reason
Licensing Program Analyst Abdoulaye Zerbo conducted an unannounced visit to the facility for a health and safety check.
Findings
During the visit, the analyst toured the facility and conducted interviews. No immediate health and safety concerns were observed.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Abdoulaye Zerbo | Licensing Program Analyst | Conducted the unannounced visit and inspection. |
| Elizabeth Hengstler | Licensee / Administrator | Met with the Licensing Program Analyst during the visit. |
| Anthony Perez | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Census: 3
Capacity: 6
Deficiencies: 0
Date: Sep 4, 2025
Visit Reason
Licensing Program Analyst Abdoulaye Zerbo conducted an unannounced visit to the facility for a health and safety check.
Findings
No immediate health and safety concerns were observed during the visit. The Licensing Program Analyst toured the facility, obtained pertinent documentation, and conducted interviews.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Hengstler | Licensee / Administrator | Met during the inspection and received a copy of the report. |
| Abdoulaye Zerbo | Licensing Program Analyst | Conducted the unannounced visit and inspection. |
| Terri Duet | Caregiver | Met by the Licensing Program Analyst during the visit. |
Inspection Report
Census: 3
Capacity: 6
Deficiencies: 0
Date: Aug 30, 2025
Visit Reason
Licensing Program Analyst Abdoulaye Zerbo conducted an unannounced visit to the facility for a health and safety check.
Findings
No immediate health and safety concerns were observed during the visit. The LPA toured the facility, obtained pertinent documentation, and conducted interviews.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Abdoulaye Zerbo | Licensing Program Analyst | Conducted the unannounced visit and inspection. |
| Elizabeth Hengstler | Administrator/Director | Named as facility administrator/director. |
| Terri Duet | Caregiver | Met with the Licensing Program Analyst during the visit. |
| Anthony Perez | Licensing Program Manager | Named as Licensing Program Manager. |
Inspection Report
Census: 3
Capacity: 6
Deficiencies: 0
Date: Aug 27, 2025
Visit Reason
The visit was an unannounced case management visit to deliver an Immediate Exclusion order for staff member Destiny Villalta.
Findings
During the visit, Licensing Program Analysts toured the facility, collected documentation, and issued an Immediate Exclusion order to staff Destiny Villalta, who then left the premises. No citations were issued during the visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Hengstler | Licensee/Administrator | Met with Licensing Program Analysts during the visit and was informed of the purpose of the visit. |
| Destiny Villalta | Caregiver | Received Immediate Exclusion order and left the premises during the visit. |
| Abdoulaye Zerbo | Licensing Program Analyst | Conducted the case management visit. |
| Armando Perez | Licensing Program Analyst | Conducted the case management visit. |
| Anthony Perez | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Complaint Investigation
Census: 3
Capacity: 6
Deficiencies: 0
Date: Aug 22, 2025
Visit Reason
An unannounced Case Management visit was conducted regarding complaint control numbers 18-AS-20240408110606 and 18-AS-20241210103507.
Complaint Details
The visit was complaint-related, but no deficiencies were found and no substantiation status was stated.
Findings
No health and safety concerns were observed during the visit, and no deficiencies were cited according to California Health & Safety Code and Code of Regulations, Title 22.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Seo Jeon | Licensing Program Analyst | Conducted the unannounced Case Management visit. |
| Destiny Villalta | Administrator | Met with Licensing Program Analyst during the visit. |
Inspection Report
Complaint Investigation
Census: 3
Capacity: 6
Deficiencies: 0
Date: Aug 21, 2025
Visit Reason
Licensing Program Analyst Seo Jeon made an unannounced visit to the facility to conduct a Case Management visit regarding a complaint report received on 12-06-2023.
Complaint Details
The visit was conducted in response to a complaint report received on 12-06-2023. No deficiencies or violations were found, and the complaint was not substantiated.
Findings
No health and safety concerns were observed during the visit. There are no deficiencies being cited per California Health & Safety Code and Code of Regulations, Title 22.
Report Facts
Capacity: 6
Census: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Destiny Villalta | Administrator | Met with Licensing Program Analyst during the inspection |
| Seo Jeon | Licensing Program Analyst | Conducted the unannounced complaint investigation visit |
Inspection Report
Complaint Investigation
Census: 3
Capacity: 6
Deficiencies: 0
Date: Jul 8, 2025
Visit Reason
The visit was an unannounced Case Management inspection conducted regarding a complaint report #18-AS-20241203161122.
Complaint Details
The visit was triggered by a complaint report #18-AS-20241203161122. No deficiencies were found and no health or safety concerns were observed.
Findings
No health and safety concerns were observed during the visit, and no deficiencies were cited according to California Health & Safety Code and Code of Regulations, Title 22.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Destiny Villalta | Administrator | Met with Licensing Program Analysts during the inspection and allowed entry to the facility. |
| Seo Jeon | Licensing Program Analyst | Conducted the inspection and signed the report. |
| Janette Romero | Licensing Program Analyst | Conducted the inspection. |
| Elizabeth Hengstler | Administrator/Director | Named as facility administrator/director in the report header. |
Inspection Report
Census: 3
Capacity: 6
Deficiencies: 0
Date: Jun 26, 2025
Visit Reason
An unannounced visit was conducted by Licensing Program Analyst Abdoulaye Zerbo for a health and safety check of the facility.
Findings
No immediate health and safety concerns were observed during the visit. The facility does not have bedridden residents. Interviews and records review were conducted.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Abdoulaye Zerbo | Licensing Program Analyst | Conducted the unannounced visit and inspection. |
| Destiny Villalta | Administrator | Met with Licensing Program Analyst during the visit and received a copy of the report. |
Inspection Report
Census: 1
Capacity: 6
Deficiencies: 0
Date: Dec 11, 2024
Visit Reason
Licensing Program Analyst Abdoulaye Zerbo conducted an unannounced visit to the facility for case management purposes, including interviews and a health and safety check.
Findings
No health and safety concerns were observed during the visit. Further review is needed, with possible additional visits and phone interviews before a decision is rendered.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Abdoulaye Zerbo | Licensing Program Analyst | Conducted the unannounced case management visit. |
| Destiny Villalta | Facility Administrator | Met with the Licensing Program Analyst during the visit. |
Inspection Report
Complaint Investigation
Census: 1
Capacity: 6
Deficiencies: 1
Date: Nov 26, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit conducted to investigate allegations of neglect and physical abuse resulting in unexplained injuries to Resident #1 (R1).
Complaint Details
The complaint alleged neglect/lack of care and supervision resulting in Resident #1 sustaining unexplained injuries. The allegation was substantiated that the facility failed to provide required care and supervision. The allegation that staff caused injury by physical abuse was unsubstantiated due to insufficient evidence.
Findings
The investigation substantiated that the facility staff failed to provide the required care and supervision to Resident #1, resulting in unexplained injuries including hematoma, bruises, and a swollen lip. However, the allegation that staff caused the injuries by physical abuse was unsubstantiated due to lack of evidence and witnesses.
Deficiencies (1)
Failure to ensure Resident #1 was provided with care, supervision, and services required, resulting in injuries while at the facility.
Report Facts
Facility capacity: 6
Census: 1
Deficiency count: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Eldin Serrano | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Destiny Villalta | Administrator | Met with Licensing Program Analyst to discuss findings |
Inspection Report
Annual Inspection
Census: 1
Capacity: 6
Deficiencies: 0
Date: Oct 16, 2024
Visit Reason
Licensing Program Analysts conducted an unannounced visit to the facility for the purpose of conducting a required annual inspection.
Findings
The facility was found to be clean, well maintained, and in compliance with department requirements. No deficiencies were cited during the visit.
Report Facts
Fire drill date: Jul 1, 2024
Hot water temperature: 109.1
Fire extinguisher expiration: 202512
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Hengstler | Administrator | Facility administrator present during inspection |
| Abdoulaye Zerbo | Licensing Program Analyst | Conducted the inspection |
| Armando Perez | Licensing Program Analyst | Conducted the inspection |
| Rikesha Stamps | Licensing Program Manager | Named in report |
Inspection Report
Census: 1
Capacity: 6
Deficiencies: 0
Date: Oct 16, 2024
Visit Reason
Licensing Program Analysts conducted an announced visit to the facility to interview Resident One regarding an open complaint unrelated to this facility.
Findings
During the visit, no issues or concerns were observed. An exit interview was conducted and the report was reviewed and provided to the licensee.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Hengstler | licensee | Met with Licensing Program Analysts during the visit. |
Inspection Report
Complaint Investigation
Census: 2
Capacity: 6
Deficiencies: 0
Date: Nov 29, 2023
Visit Reason
An unannounced complaint investigation was conducted following allegations that staff did not provide adequate supervision resulting in resident falls and injuries, and that staff overmedicated a resident.
Complaint Details
The complaint alleged inadequate supervision leading to multiple falls and injuries, and overmedication of a resident. The investigation concluded the allegations were unsubstantiated, meaning they were false or without reasonable basis.
Findings
The investigation found the allegations unsubstantiated based on interviews, observations, and record reviews. Staff were found to properly document medication administration and provide adequate supervision. No evidence supported the claims of overmedication or inadequate supervision.
Report Facts
Capacity: 6
Census: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kathleen Banrasavong | Licensing Program Analyst | Conducted the complaint investigation |
| Destiny Villalta | Administrator | Facility administrator met during investigation and exit interview |
| Jazmond D Harris | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Annual Inspection
Census: 1
Capacity: 6
Deficiencies: 0
Date: Oct 28, 2023
Visit Reason
The Licensing Program Analyst conducted an unannounced required annual inspection of the facility on October 28, 2023.
Findings
The facility was found to be in compliance with no Title 22, Division 6 Regulation violations observed or cited. The physical plant, medications, food service, care and supervision, and records were all reviewed and found satisfactory.
Report Facts
Capacity: 6
Census: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Destiny Villalta | Administrator | Met with Licensing Program Analyst during inspection |
| Venus Mixson | Licensing Program Analyst | Conducted the inspection |
| Elizabeth Hengstler | Administrator | Named as facility administrator |
| Jazmond D Harris | Licensing Program Manager | Named in report header |
Inspection Report
Complaint Investigation
Census: 4
Capacity: 6
Deficiencies: 0
Date: Jul 17, 2023
Visit Reason
The inspection visit was conducted as an unannounced complaint investigation regarding an allegation that the facility was not maintaining a comfortable temperature.
Complaint Details
The complaint alleged that the facility was not maintaining a comfortable temperature. The investigation included observation, interviews, and record review. The complaint was found to be unsubstantiated.
Findings
The investigation found that the facility was maintaining the temperature between 78-85 degrees as required, with thermostats set at 83 degrees during the visit despite outside temperatures of 106 degrees. Residents reported some discomfort, but the complaint was unsubstantiated due to insufficient evidence of violation.
Report Facts
Facility capacity: 6
Census: 4
Thermostat setting: 83
Outside temperature: 106
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Javina George | Licensing Program Analyst | Conducted the complaint investigation visit |
| Elizabeth Hengstler | Licensee / Administrator | Facility licensee and administrator involved in the investigation |
| Destiny Villalta | Administrator | Met with Licensing Program Analyst during the visit |
Inspection Report
Complaint Investigation
Census: 4
Capacity: 6
Deficiencies: 0
Date: Jul 10, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to allegations received on 2023-07-05 regarding visitor restrictions and denial of review for investigative purposes at the facility.
Complaint Details
The complaint included allegations that the licensee was not allowing visitors outside of visiting hours and that the licensee did not allow review for investigative purposes. The first allegation was unsubstantiated, meaning there was insufficient evidence to prove it occurred. The second allegation was unfounded, meaning it was false or without reasonable basis.
Findings
The investigation found the allegation that the licensee did not allow visitors outside of visiting hours to be unsubstantiated, and the allegation that the licensee did not allow review for investigative purposes to be unfounded. The facility's visitation policy and interviews supported these findings.
Report Facts
Facility capacity: 6
Census: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Hengstler | Licensee/Administrator | Met with during the investigation and involved in findings related to visitation and investigative review |
| Javina George | Licensing Program Analyst | Conducted the complaint investigation |
| Janette Romero | Licensing Program Analyst | Assisted in conducting the complaint investigation |
| Joel Esquivel | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 3
Capacity: 6
Deficiencies: 0
Date: Jun 15, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2021-04-08 alleging that facility staff were not keeping accurate resident records and were dispensing discontinued medication to a resident.
Complaint Details
The complaint alleged that on March 24, 2021, resident #1's supplements were discontinued but the licensee and staff continued to give these supplements and had inaccurate Medication Administration Records. The finding was unsubstantiated.
Findings
The investigation found the allegation unsubstantiated as there was no evidence or witnesses to corroborate the claim that discontinued supplements were given or that inaccurate record keeping occurred.
Report Facts
Facility capacity: 6
Resident census: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rayshaun Nickolas | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Elizabeth Hengstler | Administrator | Facility administrator mentioned in the report |
| Destiny Villalta | Caregiver | Met with Licensing Program Analyst during the investigation |
| Karen Clemons | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 4
Capacity: 6
Deficiencies: 0
Date: Apr 25, 2023
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations received on 01/14/2021 regarding staff administering medication without a prescription and staff not wearing face masks.
Complaint Details
The complaint involved two allegations: 1) Staff administering medication without a prescription, and 2) Staff not wearing face masks. Both allegations were found unsubstantiated due to lack of evidence or witnesses.
Findings
The investigation found both allegations to be unsubstantiated. Staff and administrator interviews confirmed that medication was prescribed by a physician and that staff always wore masks with appropriate PPE available at the facility.
Report Facts
Facility Capacity: 6
Census: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Hengstler | Licensee/Administrator | Met during investigation and provided statements regarding medication administration and PPE policies |
| Rayshaun Nickolas | Licensing Program Analyst | Conducted the complaint investigation visit |
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 0
Date: Oct 10, 2022
Visit Reason
An unannounced annual inspection was conducted focusing on infection control measures at the facility.
Findings
The inspection found that the facility had implemented adequate infection control measures, including Covid-19 postings, hand hygiene supplies, PPE availability, and regular cleaning protocols. No deficiencies were noted at the time of the visit.
Report Facts
Staff present: 1
Residents present: 5
Facility capacity: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Hengstler | Administrator | Facility Administrator present during inspection |
| Chinwe Nwogene | Licensing Program Analyst | Conducted the inspection |
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 0
Date: Oct 18, 2021
Visit Reason
An unannounced annual inspection was conducted with an emphasis on infection control to evaluate the facility's compliance with Community Care Licensing guidelines.
Findings
The inspection found insufficient proper signage and insufficient PPE supplies, but sufficient hand hygiene supplies and cleaning provisions. No deficiencies were cited during this visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Yolanda Delgado | Licensing Program Analyst | Conducted the inspection visit. |
| Elizabeth Hengstler | Administrator | Facility administrator met during the inspection. |
Inspection Report
Complaint Investigation
Census: 6
Capacity: 6
Deficiencies: 0
Date: Jun 29, 2021
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2019-11-27 regarding chemical restraint of a resident, denial of visitors, and denial of telephone use.
Complaint Details
The complaint involved allegations that facility staff chemically restrained a resident, did not allow the resident to have visitors, and did not allow the resident to use the telephone. All allegations were investigated and deemed unfounded.
Findings
The investigation found all allegations to be unfounded based on resident interviews, staff interviews, record reviews, and observations. No evidence was found that residents were chemically restrained, denied visitors, or denied telephone access.
Report Facts
Capacity: 6
Census: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Torres | Licensing Program Analyst | Conducted the complaint investigation |
| Elizabeth Hengstler | Administrator | Facility administrator interviewed during investigation |
| Ian Hartzel-Russell | Care Staff | Met with during the investigation visit |
| Nedra Brown | Licensing Program Manager | Named in report as Licensing Program Manager |
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