Deficiencies (last 6 years)
Deficiencies (over 6 years)
1.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
55% better than California average
California average: 4 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
83% occupied
Based on a March 2026 inspection.
This facility has shown a decline in demand based on occupancy rates.
Occupancy over time
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 0
Date: Mar 24, 2026
Visit Reason
The inspection was conducted as an annual required unannounced visit to evaluate compliance with licensing requirements.
Findings
The inspection found all resident and staff files contained the required paperwork and training. The facility was toured with no health or safety violations observed. Food, fire drills, water temperature, and fire extinguisher compliance were confirmed. No deficiencies were cited.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sergei Entona | Administrator | Met with during inspection and named in report. |
| Lavinia Muscan | Licensing Program Analyst | Conducted the annual inspection. |
| Laura Munoz | Licensing Program Manager | Named in report. |
Inspection Report
Annual Inspection
Capacity: 6
Deficiencies: 0
Date: Apr 2, 2025
Visit Reason
The visit was an unannounced annual inspection conducted to evaluate the facility's compliance with licensing requirements.
Findings
The facility was non-operational due to cosmetic upgrades. The inspection found no deficiencies, with all safety and operational requirements met, including locked storage of medications and cleaning products, operational smoke and carbon monoxide detectors, and maintained emergency equipment.
Report Facts
Bedrooms inspected: 6
Bathrooms inspected: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sergei Entona | Residential Care Coordinator (RCC) | Met with Licensing Program Analyst during inspection |
| Lavinia Muscan | Licensing Program Analyst | Conducted the inspection visit |
Inspection Report
Annual Inspection
Capacity: 6
Deficiencies: 0
Date: Apr 2, 2025
Visit Reason
The inspection was an unannounced annual visit conducted to evaluate the facility's compliance and readiness for operation after a cosmetic upgrade.
Findings
The facility was non-operational at the time due to cosmetic upgrades. The inspection found no deficiencies, with all safety equipment operational and required postings observed. The RCC was advised to notify the Department when the first client moves in.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sergei Entona | RCC | Met with Licensing Program Analyst during inspection |
| Lavinia Muscan | Licensing Program Analyst | Conducted the inspection visit |
| Laura Munoz | Licensing Program Manager | Named in report header |
Inspection Report
Complaint Investigation
Capacity: 6
Deficiencies: 0
Date: Dec 10, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to allegations received on 2024-08-20 regarding staff smoking illegal drugs on the premises and staff stealing residents' medications.
Complaint Details
The complaint investigation was triggered by allegations that staff were smoking illegal drugs on the premises and stealing residents' medications. The allegation of drug use was unsubstantiated, and the medication theft allegation was unfounded.
Findings
The investigation found the allegation of staff smoking illegal drugs on the premises to be unsubstantiated due to lack of evidence and contradictory statements. The allegation of staff stealing residents' medications was found to be unfounded as the facility had no residents or medications at the time due to remodeling.
Report Facts
Facility capacity: 6
Census: 0
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lavinia Muscan | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Laura Munoz | Licensing Program Manager | Named in report as Licensing Program Manager |
| Dr. Benjamin Foulk | Administrator | Facility administrator interviewed during investigation |
| Serge Entona | RCC | Met with Licensing Program Analyst during inspection |
Inspection Report
Capacity: 6
Deficiencies: 0
Date: Dec 10, 2024
Visit Reason
The visit was an unannounced health and safety check conducted by the Licensing Program Analyst to assess the facility's compliance with health regulations.
Findings
No concerns were noted during the inspection. The facility had no residents since February/March 2024, and no citations were issued per Title 22 Regulations.
Report Facts
Capacity: 6
Census: 0
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sergei Entona | RCC | Met with Licensing Program Analyst during inspection |
| Lavinia Muscan | Licensing Program Analyst | Conducted the health and safety check |
| Laura Munoz | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Capacity: 6
Deficiencies: 0
Date: Dec 10, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to allegations received on 2024-08-20 regarding staff smoking illegal drugs on the premises and staff stealing residents' medications.
Complaint Details
The complaint investigation was triggered by allegations that staff were smoking illegal drugs on the premises and stealing residents' medications. The allegation of drug use was unsubstantiated after interviews and review of drug screening results. The medication theft allegation was unfounded as the facility was not operating and had no residents or medications at the time.
Findings
The investigation found the allegation of staff smoking illegal drugs on the premises to be unsubstantiated based on interviews and documentation review. The allegation of staff stealing residents' medications was found to be unfounded as the facility had no residents or medications at the time due to remodeling.
Report Facts
Facility capacity: 6
Census: 0
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lavinia Muscan | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Serge Entona | RCC | Met with the evaluator during the investigation |
| Benjamin Foulk | Administrator | Interviewed during the investigation |
| Laura Munoz | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Capacity: 6
Deficiencies: 0
Date: Dec 10, 2024
Visit Reason
The visit was an unannounced case management health and safety check conducted by the Licensing Program Analyst to assess the facility's compliance and safety conditions.
Findings
During the visit, the Department checked the food supply and conducted a brief walkthrough with staff. No concerns or citations were noted, and the facility has had no residents since February/March 2024.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sergei Entona | RCC | Met with Licensing Program Analyst during the health and safety check. |
| Lavinia Muscan | Licensing Program Analyst | Conducted the unannounced health and safety check. |
Inspection Report
Complaint Investigation
Capacity: 6
Deficiencies: 1
Date: Jun 6, 2024
Visit Reason
An unannounced complaint investigation was conducted due to an allegation that the licensee failed to report to the Department that they filed for bankruptcy.
Complaint Details
The complaint was substantiated. The licensee failed to provide required notifications regarding bankruptcy filing within the required timeframe.
Findings
The investigation substantiated that the licensee filed for bankruptcy on May 21, 2024, but failed to notify the Department, the State Long-Term Care Ombudsman, residents, and legal representatives within two business days as required. A facility tour and food inspection found adequate food supply for residents.
Deficiencies (1)
A licensee shall notify the department, the State Long-Term Care Ombudsman, all residents, and, if applicable, their legal representatives, in writing, within two business days of filing for bankruptcy. This requirement was not met.
Report Facts
Capacity: 6
Census: 0
Plan of Correction Due Date: Jun 20, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lavinia Muscan | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Laura Munoz | Licensing Program Manager | Named as Licensing Program Manager on the report |
| Lenore Alexius | Administrator | Met with the Licensing Program Analyst during the investigation |
Inspection Report
Capacity: 6
Deficiencies: 0
Date: Jun 6, 2024
Visit Reason
The visit was conducted as a health and safety check in response to the facility filing for bankruptcy.
Findings
The licensing program analyst checked the food supply and conducted a brief walkthrough. No concerns or citations were noted during the visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lavinia Muscan | Licensing Program Analyst | Conducted the health and safety check and inspection. |
| Lenore Alexius | Administrator | Met with during the inspection. |
| Benjamin Foulk | Administrator/Director | Named as facility administrator/director. |
Inspection Report
Complaint Investigation
Capacity: 6
Deficiencies: 1
Date: Jun 6, 2024
Visit Reason
An unannounced complaint investigation was conducted due to an allegation that the licensee failed to report filing for bankruptcy to the Department as required.
Complaint Details
The complaint was substantiated. The licensee failed to provide required notifications due to bankruptcy filing on May 21, 2024.
Findings
The investigation substantiated that the licensee filed for bankruptcy on May 21, 2024, but did not notify the Department, the State Long-Term Care Ombudsman, residents, or their legal representatives within two business days as required by regulation.
Deficiencies (1)
A licensee shall notify the department, the State Long-Term Care Ombudsman, all residents, and, if applicable, their legal representatives, in writing, within two business days of filing for bankruptcy. This requirement was not met.
Report Facts
Capacity: 6
Census: 0
Plan of Correction Due Date: Jun 20, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lavinia Muscan | Licensing Program Analyst | Conducted the complaint investigation and unannounced visit |
| Lenore Alexius | Administrator | Met with evaluator during the investigation |
Inspection Report
Capacity: 6
Deficiencies: 0
Date: Jun 6, 2024
Visit Reason
The visit was conducted as a health and safety check in response to the facility filing for bankruptcy.
Findings
The licensing evaluator checked the food supply and conducted a brief walk through with no concerns noted. No citations were issued during the visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lavinia Muscan | Licensing Evaluator | Conducted the health and safety check and evaluation. |
| Lenore Alexius | Administrator | Met with the licensing evaluator during the visit. |
Inspection Report
Annual Inspection
Capacity: 6
Deficiencies: 0
Date: Apr 22, 2024
Visit Reason
The visit was an unannounced annual inspection conducted to evaluate the facility's compliance and readiness for reopening after a period of non-operation due to cosmetic upgrades.
Findings
The facility was non-operational at the time of inspection but scheduled to reopen soon. Files for 2 residents temporarily residing at a sister facility and 2 staff members were reviewed and found to contain the required paperwork and training. No deficiencies were cited during this inspection.
Report Facts
Residents' files reviewed: 2
Staff files reviewed: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lavinia Muscan | Licensing Program Analyst | Conducted the annual inspection visit |
| Lenore Alexius | Administrator | Met with Licensing Program Analyst during inspection |
| Benjamin Foulk | Administrator/Director | Named as facility administrator/director |
Inspection Report
Annual Inspection
Capacity: 6
Deficiencies: 0
Date: Apr 22, 2024
Visit Reason
The inspection was an unannounced annual visit conducted to evaluate the facility's compliance and readiness for reopening after a temporary closure for cosmetic upgrades.
Findings
The facility was non-operational at the time of inspection due to cosmetic upgrades but is scheduled to reopen soon. No deficiencies were cited during this inspection, and required resident and staff files were reviewed and found to be in order.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lavinia Muscan | Licensing Program Analyst | Conducted the annual unannounced inspection visit. |
| Lenore Alexius | Administrator | Met with Licensing Program Analyst during inspection. |
Inspection Report
Follow-Up
Census: 4
Capacity: 6
Deficiencies: 1
Date: Sep 5, 2023
Visit Reason
The visit was conducted as a joint follow-up with the El Dorado Hills Fire District to verify correction of previously cited fire code deficiencies that had not been corrected since a prior correction notice issued on 02/21/2023.
Findings
The facility had outstanding fire code deficiencies from a previous correction notice that remained uncorrected. A second correction notice was issued with a due date of 7 calendar days from the visit date, and a follow-up visit will be conducted to ensure corrections are made.
Deficiencies (1)
Fire code deficiencies noted in prior correction notice have not been corrected.
Report Facts
Correction notice due date: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Benjamin Foulk | Licensee | Met during the visit and explained the purpose of the visit |
| Jennifer Hinch | Administrator | Met during the visit and received the report |
| Laura Munoz | Licensing Program Manager | Conducted the visit |
| Lavinia Muscan | Licensing Program Analyst | Conducted the visit |
Inspection Report
Follow-Up
Census: 4
Capacity: 6
Deficiencies: 0
Date: Sep 5, 2023
Visit Reason
The visit was an unannounced case management follow-up conducted jointly with the El Dorado Hills Fire District to verify correction of previously cited fire code deficiencies.
Findings
The fire district had issued a correction notice on 02/21/2023 for fire code violations that remained uncorrected as of this visit. A second correction notice was issued with a 7-day deadline, and a follow-up visit will be conducted to ensure compliance.
Report Facts
Correction notice due date: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Benjamin Foulk | Licensee | Met with during the visit |
| Jennifer Hinch | Administrator | Met with during the visit and received the report |
| Laura Munoz | Licensing Program Manager | Conducted the visit |
| Lavinia Muscan | Licensing Program Analyst | Conducted the visit |
Inspection Report
Complaint Investigation
Census: 4
Capacity: 6
Deficiencies: 0
Date: Aug 22, 2023
Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation that the licensee did not maintain liability insurance.
Complaint Details
The complaint allegation that the licensee did not maintain liability insurance was investigated and found to be unfounded.
Findings
The investigation found that the facility had current liability insurance, and the allegation was determined to be unfounded.
Report Facts
Facility capacity: 6
Census: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lavinia Muscan | Licensing Program Analyst | Conducted the complaint investigation |
| Jaynae Boyles | Licensing Program Analyst | Assisted in conducting the complaint investigation |
| Jennifer Hinch | Administrator | Met with investigators during the visit |
Inspection Report
Complaint Investigation
Census: 4
Capacity: 6
Deficiencies: 0
Date: Aug 22, 2023
Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation that the licensee did not maintain liability insurance.
Complaint Details
The complaint allegation that the licensee did not maintain liability insurance was investigated and found to be unfounded.
Findings
The investigation found that the facility had current liability insurance, and the allegation was determined to be unfounded.
Report Facts
Capacity: 6
Census: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lavinia Muscan | Licensing Evaluator | Conducted the complaint investigation |
| Jennifer Hinch | Administrator | Met with evaluators during the investigation |
Inspection Report
Annual Inspection
Census: 4
Capacity: 6
Deficiencies: 1
Date: Apr 5, 2023
Visit Reason
The visit was conducted as a required unannounced annual inspection to evaluate compliance with regulatory standards for the facility.
Findings
The facility was generally clean, well organized, and compliant with most requirements including resident and staff files, first aid and CPR training, fire drills, and required postings. However, a deficiency was found related to staff training where one out of two staff training records did not meet the required initial training standards.
Deficiencies (1)
Staff training did not contain the required initial training as required by HSC 1569.69(a)(2) for employees assisting residents with self-administration of medications.
Report Facts
Staff training records reviewed: 2
Resident files reviewed: 4
Capacity: 6
Census: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rod Fleeman | Administrator | Met with during inspection and involved in facility tour |
| Melissa Parks | Licensing Program Analyst | Conducted the annual inspection |
| Lavinia Muscan | Licensing Program Analyst | Conducted the annual inspection and signed the report |
| Laura Munoz | Licensing Program Manager | Supervisor overseeing the inspection |
Inspection Report
Annual Inspection
Census: 4
Capacity: 6
Deficiencies: 1
Date: Apr 5, 2023
Visit Reason
The inspection was conducted as a required annual unannounced inspection to evaluate compliance with regulatory standards for the facility.
Findings
The facility was generally clean, well organized, and compliant with required postings, fire drills, and staff training except for one deficiency related to staff initial training on medication self-administration.
Deficiencies (1)
Staff training did not contain the required initial training for medication self-administration as required by HSC 1569.69(a)(2).
Report Facts
Staff training records reviewed: 2
Resident files reviewed: 4
Plan of Correction Due Date: Apr 26, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rod Fleeman | Administrator | Met with Licensing Program Analysts during inspection and participated in facility tour |
| Melissa Parks | Licensing Program Analyst | Conducted the annual inspection |
| Lavinia Muscan | Licensing Program Analyst | Conducted the annual inspection and signed the report |
| Laura Munoz | Supervisor | Supervisor overseeing the inspection |
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 0
Date: May 11, 2022
Visit Reason
The visit was an unannounced required annual inspection conducted by the Licensing Program Analyst to assess compliance with regulations.
Findings
No deficiencies were observed during the inspection. The facility was found to be in compliance with all applicable regulations, including valid administrator certification, functional safety equipment, clean common areas, and adequate food supplies.
Report Facts
Capacity: 6
Census: 6
Food supply: 2
Food supply: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| DeAnna Williams-Lyons | Licensing Program Analyst | Conducted the annual inspection and infection control questionnaire |
| Omita Khan | Administrator | Facility administrator met with Licensing Program Analyst during inspection |
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 0
Date: May 11, 2022
Visit Reason
The visit was an unannounced required annual inspection conducted by the Licensing Program Analyst to assess compliance with regulations.
Findings
No deficiencies were observed during the inspection. The facility was found to be in good repair, with functional safety equipment, adequate food supplies, and compliance with COVID-19 protocols.
Report Facts
Food supply: 2
Food supply: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| DeAnna Williams-Lyons | Licensing Program Analyst | Conducted the annual inspection |
| Omita Khan | Administrator | Met with Licensing Program Analyst during inspection |
| Dr. Benjamin Foulk | Administrator | Facility administrator named in report header |
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 0
Date: May 13, 2021
Visit Reason
The inspection was an unannounced Required-1 Year Inspection conducted to evaluate infection control and overall health and safety compliance at the facility.
Findings
The facility was found to be in substantial compliance with no immediate health, safety, or personal rights violations observed. No deficiencies were cited during this inspection.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Priya Lal | administrator | Met with Licensing Program Analyst during inspection and participated in facility tour. |
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 0
Date: May 13, 2021
Visit Reason
The inspection was a required unannounced 1-year annual inspection focusing on infection control protocols, including COVID-19 testing and facility risk assessment.
Findings
The facility was found to be in substantial compliance with no immediate health, safety, or personal rights violations observed. No deficiencies were cited during this inspection.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Priya Lal | administrator | Met with Licensing Program Analyst during inspection and participated in facility tour. |
Inspection Report
Complaint Investigation
Census: 2
Capacity: 6
Deficiencies: 3
Date: Feb 26, 2021
Visit Reason
The inspection was conducted as an unannounced complaint investigation following allegations that the facility failed to meet residents' care needs, staff were not properly trained, the facility did not provide a safe environment, and failed to report an incident to licensing.
Complaint Details
The complaint was received on 10/05/2020 and included allegations that the facility failed to meet residents' care needs, staff were not properly trained, the facility did not provide a safe environment, and failed to report an incident to licensing. The investigation involved interviews with staff, residents, a witness, and review of records. The allegations regarding training, safety environment, and reporting were substantiated; one allegation was unsubstantiated.
Findings
The investigation found the allegations that staff were not properly trained, the facility did not provide a safe environment, and failed to report an incident to licensing to be substantiated, posing an immediate health and safety risk. One allegation was found unsubstantiated due to insufficient evidence.
Deficiencies (3)
Uneven pavement in the driveway causing a fall with injury.
Staff did not have required training on file, including incomplete training and improper medication handling.
Failure to submit an incident report to licensing regarding a witnessed fall with injury.
Report Facts
Capacity: 6
Census: 2
Staff training records reviewed: 5
Staff with incomplete training: 3
Plan of Correction Due Date: Mar 26, 2021
Employees mentioned
| Name | Title | Context |
|---|---|---|
| DeAnna Williams-Lyons | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Priya Lal | Administrator | Facility administrator interviewed during investigation |
| Benjamin Foulk | Administrator | Named as facility administrator in report header |
| Laura Munoz | Licensing Program Manager | Oversaw licensing program and signed report |
Inspection Report
Complaint Investigation
Census: 2
Capacity: 6
Deficiencies: 3
Date: Feb 26, 2021
Visit Reason
The inspection was an unannounced complaint investigation triggered by allegations that the facility failed to meet residents' care needs, staff were not properly trained, the facility did not provide a safe environment, and failed to report an incident to licensing.
Complaint Details
The complaint investigation was triggered by allegations received on 10/05/2020. The allegations included failure to meet residents' care needs, improper staff training, unsafe environment, and failure to report an incident. The allegation of failure to meet care needs was unsubstantiated. The other allegations were substantiated based on interviews, observations, and document reviews.
Findings
The investigation found the allegation of failing to meet residents' care needs unsubstantiated. However, the allegations that staff were not properly trained, the facility did not provide a safe environment, and failed to report an incident were substantiated. Deficiencies were cited related to unsafe uneven pavement causing a fall, incomplete staff training, and failure to report an incident to licensing.
Deficiencies (3)
Uneven pavement in the driveway causing a fall with injury.
Staff did not have required training on file, posing a potential health, safety, or personal rights risk to residents.
Failure to submit a written incident report to licensing regarding a fall with injury.
Report Facts
Capacity: 6
Census: 2
Staff training records reviewed: 5
Staff with incomplete training: 3
Plan of Correction due date: Mar 26, 2021
Employees mentioned
| Name | Title | Context |
|---|---|---|
| DeAnna Williams-Lyons | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Laura Munoz | Licensing Program Manager | Oversaw the complaint investigation |
| Priya Lal | Administrator | Facility administrator interviewed during investigation |
| Dr. Benjamin Foulk | Administrator | Named as facility administrator |
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