Most inspections found no deficiencies, including the most recent annual inspection on January 22, 2025, which was clean. There were a few isolated issues in earlier complaint investigations, such as a substantiated finding in October 2024 that a staff member worked without required fingerprint clearance, posing a potential safety risk. Another substantiated deficiency from June 2022 involved failure to report a resident’s fall, while other serious allegations like neglect and inadequate care were unsubstantiated. Several complaint investigations found no evidence to support the allegations. Overall, the facility’s record shows improvement with no deficiencies in the latest reports and mostly minor or isolated issues in the past.
The visit was an unannounced 1-Year Annual Required inspection conducted by Licensing Program Analyst Greg Clark to evaluate compliance with regulatory standards.
Findings
The inspection found no deficiencies. The facility was toured, records reviewed, and safety equipment checked, all of which were in compliance with regulations.
Report Facts
Fire extinguisher last serviced: Feb 28, 2024Fire drill last conducted: Dec 20, 2024Hot water temperature: 109.3Hallway temperature: 70Residents records reviewed: 5Staff records reviewed: 5
Employees Mentioned
Name
Title
Context
Gregory Clark
Licensing Program Analyst
Conducted the inspection
Rolinda Noquillo
Administrator
Met with Licensing Program Analyst during inspection
The inspection was an unannounced complaint investigation visit conducted in response to an allegation that staff yelled at residents.
Findings
The investigation included interviews with staff and residents, all of whom denied the allegation. The complaint was found to be unsubstantiated due to lack of preponderance of evidence.
Complaint Details
The complaint alleged that staff yelled at residents. The investigation found no evidence to substantiate the allegation, and it was determined to be unsubstantiated.
Report Facts
Number of staff interviewed: 4Number of residents interviewed: 5
Employees Mentioned
Name
Title
Context
Gregory Clark
Licensing Program Analyst
Conducted the complaint investigation and delivered findings
Rolinda Noquillo
Administrator
Met with Licensing Program Analyst during the investigation
Marie Ann Lagasca
Facility Administrator named in the report header
Yvonne Flores-Larios
Licensing Program Manager
Named as Licensing Program Manager overseeing the investigation
The inspection was an unannounced complaint investigation visit triggered by an allegation of uncleared staff providing care to residents.
Findings
The investigation found that staff member S2 did not have fingerprint clearance and was not fingerprinted prior to working at the facility, which poses a potential immediate health and safety risk. The allegation was substantiated and the licensee was cited for noncompliance with California Code of Regulations.
Complaint Details
The complaint alleged uncleared staff providing care to residents. The investigation substantiated this allegation based on evidence that S2 lacked fingerprint clearance and was told not to report to work until background exemption is granted.
Severity Breakdown
Type A: 1
Deficiencies (1)
Description
Severity
All individuals subject to criminal record review shall be fingerprinted and sign a Criminal Record Statement. The licensee did not submit fingerprints for S2 prior to employment, violating CCR 87355(d)(3).
Type A
Report Facts
Capacity: 60Census: 40Deficiencies cited: 1
Employees Mentioned
Name
Title
Context
Gregory Clark
Licensing Program Analyst
Conducted the complaint investigation and delivered findings
Rolinda Noquillo
Administrator
Met with Licensing Program Analyst during the investigation
The visit was an unannounced 1-Year Annual Required inspection conducted to evaluate the facility's compliance with licensing requirements.
Findings
The inspection found the facility to be in compliance with no deficiencies cited. The environment was safe and well-maintained, with adequate lighting, temperature, and safety equipment. Resident and staff records were complete.
Report Facts
Fire extinguisher last serviced: 2023Emergency Disaster Plan last posted: 2024Emergency disaster drill last conducted: 2024Residents records reviewed: 5Staff records reviewed: 5Hot water temperature: 107.2
Employees Mentioned
Name
Title
Context
Stephen Zimmerman
Administrator
Met with Licensing Program Analyst during inspection
The inspection was an unannounced Infection Control Inspection conducted as a required 1-year visit to assess compliance with infection control standards.
Findings
The facility was found to have adequate infection control measures including proper PPE use, sufficient food supply, posted visitor policies, and universal screening procedures. No deficiencies were cited during the visit.
An unannounced complaint investigation visit was conducted in response to multiple allegations including failure to properly report an incident involving a resident, inadequate care and supervision, staff sleeping on duty, improper staff training, failure to follow medical orders, neglect resulting in resident death, failure to seek timely medical attention, and overcharging for services not received.
Findings
The investigation substantiated the allegation that staff failed to submit an unusual incident report for a resident's fall on 9/12/2021. Other allegations such as inadequate care, staff sleeping, improper training, failure to follow medical orders, neglect, failure to seek timely medical attention, and overcharging were found to be unsubstantiated or unfounded based on interviews, record reviews, and observations.
Complaint Details
The complaint investigation was substantiated for failure to report an incident involving a resident fall. Other allegations including neglect, inadequate care, staff sleeping, improper training, failure to follow medical orders, failure to seek timely medical attention, and overcharging were unsubstantiated or unfounded.
Deficiencies (1)
Description
Failure to submit unusual incident report to Community Care Licensing for resident's fall on 9/12/2021.
Report Facts
Capacity: 60Census: 36Deficiency Type: 1Plan of Correction Due Date: Jun 10, 2022
Employees Mentioned
Name
Title
Context
Leslie Ibo
Licensing Program Analyst
Conducted the complaint investigation and authored the report
Stephen Zimmerman
Administrator
Facility administrator met with during investigation
Marie Ann Lagasca
Administrator
Named as facility administrator in report header
Harpreet Humpal
Licensing Program Manager
Named as Licensing Program Manager overseeing the investigation
The visit was an unannounced Infection Control Inspection conducted as a required 1-year routine inspection.
Findings
The facility was toured including key areas such as entrance, screening station, bedrooms, and kitchen. The facility maintained adequate food supplies, PPE, and had proper screening and infection control measures in place. No deficiencies were cited during the visit.
The inspection was conducted as a health and safety check following receipt of a priority 1 complaint.
Findings
The facility was toured and inspected with no imminent health or safety concerns observed. Smoke detectors and carbon monoxide detectors were present throughout the facility. No deficiencies were cited during this visit.
Complaint Details
The visit was triggered by a priority 1 complaint. No deficiencies or substantiated issues were found during the inspection.
Employees Mentioned
Name
Title
Context
Stephen Zimmerman
Administrator
Met with Licensing Program Analyst during the health and safety check.
Remy Todd
Nurse
Met with Licensing Program Analyst during the health and safety check.
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