Most inspections found no deficiencies, and several complaint investigations were unsubstantiated, indicating generally good compliance with regulations. The most recent report from October 30, 2025, had no deficiencies and involved a fire alarm activation with water discharge but no resident injuries. Earlier inspections cited some deficiencies related to staff training, documentation, chemical storage, kitchen cleanliness, and temperature control, with one substantiated complaint about HVAC issues in May 2023. There was a civil penalty of $250 assessed in October 2022 for medication errors and late incident reporting, and a substantiated complaint in November 2021 for overcharging a resident $9,408. The facility’s record shows improvement over time, with the latest reports free of citations and no ongoing enforcement actions listed.
The visit was an unannounced Case Management inspection conducted to review an incident involving the activation of the building's fire alarm system and subsequent water discharge caused by a triggered sprinkler head.
Findings
The fire alarm system activated as designed with no active fire found. Water discharge occurred due to a sprinkler head activation, affecting several areas. Staff contained the affected areas, conducted resident safety checks, and relocated some residents temporarily. No resident injuries were reported and repairs are underway.
Report Facts
Capacity: 270Census: 255
Employees Mentioned
Name
Title
Context
Desiree Valerio
Administrator
Met with Licensing Program Analyst during the inspection and involved in incident response
The inspection was an unannounced Annual Inspection continuation visit conducted by Licensing Program Analyst K. Kaur to evaluate compliance with regulatory requirements.
Findings
The inspection found that 1 out of 6 residents did not have a current Physician's Report and TB clearance documentation, and staff files lacked annual continuation training. Medication audit met regulatory requirements. Deficiencies were cited accordingly.
Deficiencies (2)
Description
1 out of 5 resident's current medical assessment and TB test documentation was not available, posing a potential health, safety or personal rights risk.
Staff members did not have current training in required areas, posing an immediate health, safety or personal rights risk to persons in care.
Report Facts
Census: 269Total Capacity: 270
Employees Mentioned
Name
Title
Context
Desiree Valero
Administrator
Met with Licensing Program Analyst during inspection and involved in plan of correction
The inspection was a required unannounced annual inspection visit conducted to evaluate compliance with licensing regulations.
Findings
The facility was generally clean, clutter-free, and odor-free with clear fire exit routes and current fire extinguisher servicing. However, deficiencies were cited related to unsafe storage of chemicals and cleaning solutions in resident bedrooms and common areas, and the absence of the required Residential Care Facility for the Elderly Complaint Poster in the main entryway.
Deficiencies (2)
Description
Chemicals, disinfectants, cleaning solutions, knives, and sharp objects were found in unlocked storage in 1 out of 6 bedrooms, bistro area cabinets, and housekeeping cart, posing an immediate health and safety risk.
Residential Care Facility for the Elderly (RCFE) Complaint Poster (PUB 475) was not posted in the main entryway of the facility.
Report Facts
Census: 269Total Capacity: 270Deficiencies cited: 2Plan of Correction Due Date: Feb 5, 2025Plan of Correction Due Date: Feb 11, 2025
Employees Mentioned
Name
Title
Context
Desiree Valero
Administrator
Met with Licensing Program Analyst during inspection and involved in plan of correction
The visit was an unannounced case management inspection conducted by Licensing Program Analyst B. Miranda to review resident charts and overall facility management.
Findings
No deficiencies or citations were noted during the visit. The analyst reviewed charts of two residents who had passed away, with no prior incidents or complaints recorded. Staff had no additional information to provide.
Employees Mentioned
Name
Title
Context
Desiree Valero
Administrator
Met with Licensing Program Analyst during the case management visit.
Brianna Miranda
Licensing Program Analyst
Conducted the unannounced case management visit and reviewed resident charts.
The inspection was a required unannounced annual inspection visit conducted to evaluate the facility's compliance with regulatory standards.
Findings
The facility was generally clean, clutter-free, and odor-free with secured medications and toxins. However, citations were issued for kitchen cleanliness issues and some staff files lacking current training documentation.
Deficiencies (2)
Description
Some staff members did not have current training in required areas including dementia care and postural supports.
Kitchen cabinets had debris, ice cream was not stored properly, and defrosting food was not properly covered, posing potential health and safety risks.
Report Facts
Capacity: 270Census: 251Plan of Correction Due Date: Mar 25, 2024
Employees Mentioned
Name
Title
Context
Desiree Valero
Administrator
Met with Licensing Program Analyst during inspection
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2023-07-10 regarding staffing, staff behavior, and bathing assistance at the facility.
Findings
After interviews, observations, and record reviews, the allegations were found to be unsubstantiated due to lack of preponderance of evidence, despite some conflicting statements about staffing and bathing assistance timing.
Complaint Details
The complaint included allegations that the facility did not ensure sufficient overnight staffing, staff yelled at residents, and residents were not provided bathing assistance in a timely manner. The investigation found no sufficient evidence to substantiate these allegations; thus, they were unsubstantiated.
Report Facts
Capacity: 270Census: 254
Employees Mentioned
Name
Title
Context
Desiree Valero
Administrator
Facility administrator contacted during the investigation
Brianna Miranda
Licensing Program Analyst
Investigator who conducted the complaint investigation
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2023-08-07 regarding multiple allegations about food storage, food denial, food quality, care plan adherence, water delivery, eviction threats, and resident mobility within the facility.
Findings
After conducting interviews, observations, and record reviews, the investigation found no preponderance of evidence to substantiate any of the seven allegations. Some interviewees noted small food portions but no denial of food, and difficulty maneuvering into public bathrooms but not throughout the facility. The allegations were therefore unsubstantiated.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included inadequate food storage, denial of food to residents, poor food quality, failure to follow care plans, failure to deliver water, staff threatening eviction, and residents' inability to maneuver properly. None of these allegations were substantiated based on interviews and observations.
Report Facts
Capacity: 270Census: 254
Employees Mentioned
Name
Title
Context
Desiree Valero
Administrator
Facility Administrator contacted during the investigation
Brianna Miranda
Licensing Program Analyst
Investigator who conducted the complaint investigation
The visit was an unannounced case management inspection conducted to review a previously submitted death report related to a resident fall incident on 6/14/2023.
Findings
The Licensing Program Analyst found no deficiencies or citations during the visit. The administrator and staff provided details about the incident and the response to the resident's fall.
Employees Mentioned
Name
Title
Context
Desiree Valero
Administrator
Met with Licensing Program Analyst and discussed the resident fall incident.
Brianna Miranda
Licensing Program Analyst
Conducted the case management visit and inspection.
An unannounced complaint investigation was conducted due to an allegation that staff did not ensure HVAC was working properly.
Findings
The investigation found that multiple AC units required repair and thermostats throughout the facility were not maintaining comfortable temperatures, with some areas exceeding set thermostat temperatures. The allegation was substantiated based on observations, interviews, and record reviews.
Complaint Details
The complaint was substantiated. The allegation was that staff did not ensure HVAC was working properly. The investigation confirmed the facility did not maintain comfortable temperatures, violating CCR 87303(b)(2).
Severity Breakdown
Type A: 1
Deficiencies (1)
Description
Severity
Failure to maintain a comfortable temperature for residents as thermostats did not show AC working properly and repairs took 7 days or longer.
Type A
Report Facts
Census: 225Total Capacity: 270Deficiency Type: 1POC Due Date: May 19, 2023
Employees Mentioned
Name
Title
Context
Desiree Valero
Administrator
Met with Licensing Program Analyst during investigation and involved in findings related to HVAC repairs
The visit was an unannounced Annual Required Inspection conducted by Licensing Program Analyst B. Miranda to evaluate the facility's compliance with regulatory standards.
Findings
The facility was found to be clean, well-maintained, and compliant with safety and health regulations. Exits were clear, fire extinguishers were current, food was properly stored and labeled, and medications were securely locked. Residents were observed participating in activities and interacting with staff.
Report Facts
Capacity: 270Census: 218Requested information due date: Apr 7, 2023
Employees Mentioned
Name
Title
Context
Desiree Valero
Administrator/General Manager
Met with Licensing Program Analyst during inspection and involved in facility tour
An unannounced case management - deficiencies inspection was conducted to evaluate compliance with medication administration and reporting requirements.
Findings
The inspection found medication administration errors including multiple doses given without proper doctor's orders and intact medication packs recorded as administered. Additionally, incident reports were submitted late, posing potential health and safety risks to residents. A civil penalty of $250 was assessed for a repeat violation.
Deficiencies (2)
Description
Medication Ciprofloxacin 500 mg was given three times in one day contrary to orders, and Amlodipine dosage changes were administered without doctor's orders. Medication bubble packs were recorded as given but remained intact.
Incident reports for events threatening resident welfare were submitted late, violating reporting requirements.
Report Facts
Civil penalty amount: 250Deficiency count: 2
Employees Mentioned
Name
Title
Context
Desiree Valero
Administrator
Met with Licensing Program Analyst during inspection and involved in plan of corrections
The inspection was an unannounced complaint investigation visit triggered by an allegation that staff mishandled a resident's medication resulting in the resident's hospitalization.
Findings
The investigation found the allegation unsubstantiated as records showed the resident's vitals were stable upon hospital admission and no documentation linked the hospitalization to medication mishandling.
Complaint Details
The complaint alleged staff mishandled a resident's medication causing hospitalization. The allegation was found unsubstantiated due to lack of evidence linking the hospitalization to medication mishandling.
Report Facts
Facility capacity: 270Census: 212
Employees Mentioned
Name
Title
Context
Desiree Valero
Administrator
Met with Licensing Program Analyst during inspection and received report
The inspection was an unannounced case management - other visit conducted to evaluate facility conditions and compliance.
Findings
The Licensing Program Analyst observed maintenance issues in the kitchen, including 4-6 ceiling panels removed exposing the HVAC system and the main AC unit turned off due to a water pipe leak. This posed a potential health and safety risk to residents.
Deficiencies (1)
Description
Main AC unit in the kitchen is turned off to prevent AC water pipe leak, posing a potential health and safety risk to residents.
Report Facts
Capacity: 270Census: 207Plan of Correction Due Date: Aug 9, 2022
Employees Mentioned
Name
Title
Context
Desiree Valero
Administrator
Met with Licensing Program Analyst during inspection
The visit was an unannounced Plan of Correction (POC) inspection to verify correction of a previously cited deficiency related to CCR 87211(a)(1)(D).
Findings
The facility had not completed or submitted the required Plan of Correction by the due date. Civil penalties were assessed for failure to correct the cited deficiency, with penalties continuing until correction is made.
Deficiencies (1)
Description
Violation of CCR 87211(a)(1)(D) for which a Plan of Correction was not completed or submitted by the due date.
An unannounced complaint investigation was conducted in response to an allegation that staff did not issue a refund to a resident.
Findings
The investigation found that the facility issued the refund to the resident within 30 days as agreed upon in the admission agreement. The complaint was determined to be unfounded and was dismissed.
Complaint Details
The complaint alleging staff did not issue a refund to a resident was investigated and found to be unfounded.
Employees Mentioned
Name
Title
Context
Desiree Valero
Administrator
Met with Licensing Program Analyst during complaint investigation and named in report.
An unannounced complaint investigation was conducted in response to an allegation that the facility failed to issue the full refund amount to a resident.
Findings
The investigation found that the facility issued a prorated refund to the resident for the specified dates. The facility could not locate the original written notice of intent to vacate and relied on a verbal notice date from staff. Therefore, the allegation was unsubstantiated.
Complaint Details
The complaint alleged the facility failed to issue the full refund amount. The complaint was found to be unsubstantiated after investigation.
Report Facts
Capacity: 270Census: 203
Employees Mentioned
Name
Title
Context
Desiree Valero
Administrator
Met with Licensing Program Analyst during complaint investigation
The inspection was an unannounced case management - other visit conducted due to reports of multiple residents and staff testing positive for COVID-19, including review of Special Incident Reports related to these cases.
Findings
The facility failed to submit timely Special Incident Reports (SIRs) for COVID-19 positive cases as required by California Code of Regulations, Title 22, resulting in a cited deficiency.
Severity Breakdown
Type B: 1
Deficiencies (1)
Description
Severity
Failure to submit written reports to the licensing agency within seven days of incidents threatening the welfare, safety, or health of residents, specifically delayed reporting of COVID-19 positive cases.
The inspection was an unannounced required 1-year infection control inspection conducted to assess compliance with infection control practices.
Findings
The Licensing Program Analyst observed compliance with infection control practices including symptom screening, PPE supply, and staff wearing face coverings. No deficiencies were found during the inspection.
Report Facts
PPE supply duration: 30
Employees Mentioned
Name
Title
Context
Melinda Medina
Licensing Program Analyst
Conducted the infection control inspection
Deanne Edwards
Administrator
Facility administrator interviewed during inspection
An unannounced complaint investigation was conducted based on a complaint received on 06/14/2021 alleging that the facility was overcharging a resident and illegal eviction.
Findings
The investigation substantiated that the facility overcharged a resident $9408 for services the resident did not agree to and could not produce documentation of agreement. The allegation of illegal eviction was unsubstantiated as the eviction notice was rescinded by the facility.
Complaint Details
Complaint investigation was substantiated for overcharging a resident and unsubstantiated for illegal eviction.
Severity Breakdown
Type A: 1
Deficiencies (1)
Description
Severity
Facility overcharged resident $9408 for services not agreed to and failed to provide written notice of rate increase within two business days as required by HSC 1569.657.
Type A
Report Facts
Amount overcharged: 9408Capacity: 270Census: 211
Employees Mentioned
Name
Title
Context
Jessica Sommer
Operations Manager
Named in deficiency finding related to reimbursement and plan of correction.
Deanne Edwards
Administrator
Facility administrator named in report header.
Malia Thao
Licensing Program Analyst
Conducted the complaint investigation.
Desiree Valero
Assistant Manager
Met with during inspection and recipient of report.
An unannounced visit was conducted to investigate a complaint received on 07/07/2021 alleging that the facility is in disrepair.
Findings
The investigation found that all work orders placed for R1 were completed or pending completion, with one work order pending for 3 weeks but on order for replacement. The allegation was unsubstantiated.
Complaint Details
The complaint alleging the facility is in disrepair was investigated and found to be unsubstantiated.
Employees Mentioned
Name
Title
Context
Malia Thao
Licensing Program Analyst
Conducted the complaint investigation
Deanne Edwards
Administrator
Met with Licensing Program Analyst during investigation
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