Inspection Report Summary
Most inspections found no deficiencies, with the most recent report on May 19, 2025, showing full compliance and no issues. An earlier inspection on April 17, 2025, identified a few minor deficiencies related to fire clearance for delayed egress doors, bathroom water temperatures, and incomplete first aid kit supplies. These issues were addressed by the time of the latest inspection, indicating improvement. No fines, enforcement actions, or serious problems were noted in any report. Several complaint investigations were not applicable, as no complaints were filed during this period.
Deficiencies per Year
4
3
2
1
0
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Original Licensing
Census: 26
Capacity: 44
Deficiencies: 0
May 19, 2025
Visit Reason
The visit was a pre-licensing inspection conducted as a follow-up to the initial pre-licensing inspection from 04/25/2025 to verify compliance with licensing requirements.
Findings
The facility met all pre-licensing requirements including fire clearance for 44 residents, appropriate hot water temperatures in bathrooms, and a fully stocked first aid kit. The Licensing Program Analyst found no deficiencies and will submit documentation for final license review.
Report Facts
Hot water temperature: 105.9
Hot water temperature: 106.5
Hot water temperature: 108.3
Hot water temperature: 106.3
Hot water temperature: 106.1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maria Ceballos | Administrator | Met with Licensing Program Analyst during pre-licensing inspection |
| Elsa Nguyen | Licensee | Met with Licensing Program Analyst during pre-licensing inspection |
| Christina Gomez | Administrator Assistant | Met with Licensing Program Analyst during pre-licensing inspection |
| Mai Yang | Licensing Program Analyst | Conducted the pre-licensing inspection and follow-up visit |
Inspection Report
Original Licensing
Census: 26
Capacity: 44
Deficiencies: 3
Apr 17, 2025
Visit Reason
The inspection was a pre-licensing and Component III inspection for Change of Ownership conducted to evaluate the facility for licensing compliance.
Findings
The inspection found that the facility generally met licensing requirements including resident and staff file reviews, fire extinguisher servicing, medication storage, and safety features. However, some items were noted for correction including fire clearance for delayed egress doors, bathroom water temperatures outside the required range, and incomplete first aid kit supplies.
Deficiencies (3)
| Description |
|---|
| Fire clearance for delayed egress doors |
| All bathroom temperatures to be within 105 and 120 degrees F |
| First Aid kit missing required items including approved first aid manual, scissors, tweezers, and thermometers |
Report Facts
Facility capacity: 44
Resident census: 26
Inspection start time: 845
Inspection end time: 1235
Fire extinguisher service dates: 2
Food supply duration: 2
Food supply duration: 7
Refrigerator temperature: 38
Freezer temperature: -11
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maria Ceballos | Administrator | Met during inspection and involved in facility operations |
| Elsa Nguyen | Licensee | Met during inspection and involved in facility operations |
| Christina Gomez | Administrator Assistant | Met during inspection and involved in facility operations |
| Mai Yang | Licensing Program Analyst | Conducted the inspection |
Inspection Report
Original Licensing
Capacity: 44
Deficiencies: 0
Mar 14, 2025
Visit Reason
The visit was an office type inspection conducted via phone call to complete Component II of the licensing process, verifying the applicant and administrator's understanding of Title 22 and related facility operation requirements.
Findings
The applicant and administrator successfully completed Component II of the licensing process, demonstrating understanding of facility operation, staff qualifications, program policies, grievances, physical plant, and application document requirements.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maria Caballos | Administrator | Met with during the inspection and confirmed understanding of Title 22 |
| Elsa Nguyen | Met with during the inspection | |
| Victoria Morales | Licensing Program Manager | Named in report header |
| Gina Baldwin | Licensing Program Analyst | Named in report header and signed report |
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