Inspection Report Summary
Most inspections at Foothill Village Senior Living Facility found no deficiencies, and several complaint investigations were unsubstantiated, indicating generally good compliance with regulations. However, some deficiencies were noted over time, primarily involving resident personal rights, emergency planning, food safety, and environmental cleanliness. The most recent report from August 29, 2025, found serious issues related to a fire caused by unsafe electrical equipment near oxygen supplies, resulting in a $500 fine and citations for emergency planning and resident rights violations. Earlier reports cited problems such as expired food, toxic substances accessible to residents with dementia, and odor and cleanliness concerns, though many complaints were not substantiated. While the facility has had some isolated and minor issues, the recent fire-related deficiencies represent a more serious enforcement action, suggesting a need for improved safety measures.
Deficiencies per Year
4
3
2
1
0
High
Moderate
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Capacity: 78
Deficiencies: 3
Aug 29, 2025
Visit Reason
The visit was an unannounced case management inspection conducted due to a fire incident that occurred at the facility on 2025-08-26.
Findings
The inspection found that a fire started in a resident's apartment due to a non-surge protected multi-plug outlet extender that caught fire near an oxygen concentrator and an electric fireplace. The facility failed to include plans for assistive oxygen equipment in their emergency disaster plan. The administrator allowed a resident to have a fireplace space heater despite the admissions agreement prohibiting such items. An immediate civil penalty of $500 was assessed for violations related to resident personal rights, administrator duties, and emergency planning.
Severity Breakdown
Type A: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| The facility failed to remove the non-surge protector multi-plug outlet extender that caught on fire. | Type A |
| Based on the admissions agreement stating that space heaters are not allowed and the facility allowed resident to have a fireplace space heater. | Type A |
| Section C on page 6 of LIC610 Emergency and Disaster Plan did not include mention of oxygen equipment. | Type A |
Report Facts
Civil penalty amount: 500
Plan of Correction (POC) due date: Sep 5, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jacob Harryman | Administrator | Met with Licensing Program Analyst during inspection and named in findings related to administrator duties. |
| Ellen Lindstrom | Licensing Program Analyst | Conducted the inspection and authored the report. |
| Lisa Rios | Licensing Program Manager | Named as Licensing Program Manager overseeing the inspection. |
Inspection Report
Complaint Investigation
Census: 50
Capacity: 78
Deficiencies: 0
May 7, 2025
Visit Reason
An unannounced complaint investigation visit was conducted to investigate multiple allegations regarding staff health, cleanliness, odor control, linen provision, security of personal belongings, and medication dispensing at Foothill Village Senior Living Facility.
Findings
The investigation found insufficient evidence to substantiate any of the allegations. Staff health screenings were current, resident rooms and facility areas were clean and odor-free, linens were provided as needed, personal belongings were secured, and medications were dispensed as prescribed. No deficiencies were cited.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included staff health and capability, cleanliness of resident rooms, facility odor control, provision of clean linens, security of residents' personal belongings, and proper medication dispensing. Interviews with staff and residents, record reviews, and observations did not support the allegations.
Report Facts
Staff interviewed: 7
Residents interviewed: 7
Staff interviewed: 5
Residents interviewed: 5
Facility capacity: 78
Facility census: 50
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jacob Harryman | Facility Designated Administrator | Met with Licensing Program Analysts during the complaint investigation |
| Arielle Pascua | Licensing Program Analyst | Conducted the complaint investigation |
| Lisa Rios | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Annual Inspection
Census: 50
Capacity: 78
Deficiencies: 1
May 7, 2025
Visit Reason
The visit was an unannounced annual inspection conducted to evaluate compliance with licensing requirements and Title 22 regulations at Foothill Village Senior Living Facility.
Findings
The facility was found to be in compliance with Title 22 regulations with no deficiencies at the time of inspection. A technical violation was issued for Section 87303(a). The physical plant, resident living quarters, medication storage, and safety equipment were inspected and found generally in good condition, though some food debris and grease were observed in the kitchen area and the AC unit in the walk-in freezer was not working but scheduled for repair.
Deficiencies (1)
| Description |
|---|
| Technical violation issued for Section 87303(a). |
Report Facts
Licensed capacity: 78
Current census: 50
Hospice waiver capacity: 6
Hot water temperature: 118.4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jacob Harryman | Executive Director | Met with Licensing Program Analysts during inspection and participated in exit interview |
| Ellen Lindstrom | Licensing Program Analyst | Conducted inspection and signed report |
| Arielle Pascua | Licensing Program Analyst | Conducted inspection |
Inspection Report
Census: 51
Capacity: 78
Deficiencies: 0
Sep 19, 2024
Visit Reason
The visit was an unannounced case management inspection conducted in relation to an incident report received about a resident vomiting black blood.
Findings
The Licensing Program Analyst reviewed the resident's medical and service records and found that the reported incident was unrelated to dietary needs. Technical assistance was provided to ensure accuracy and updates of physician reports and service plans. No citations were issued.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jacob Harryman | Executive Director | Met with Licensing Program Analyst during inspection and provided information about resident care. |
| Angelica White | Memory Care Director | Met with Licensing Program Analyst during inspection and provided information about resident care. |
| Maja Jensen | Licensing Program Analyst | Conducted the unannounced case management inspection. |
Inspection Report
Annual Inspection
Census: 67
Capacity: 78
Deficiencies: 1
May 16, 2024
Visit Reason
The inspection was an unannounced required 1-year annual inspection to evaluate compliance with licensing regulations at Foothill Village Senior Living Facility.
Findings
The facility was generally well maintained with adequate furnishings, lighting, and safety equipment. However, a deficiency was cited due to a persistent incontinence odor in one of the memory care sections, posing a potential risk to residents' health and safety. Repairs for a broken handrail were in progress and scheduled to be completed shortly.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Managed Incontinence - The facility failed to ensure that incontinent residents are kept clean and dry and that the facility remains free of odors from incontinence, as evidenced by the presence of incontinence odors in the memory care section. | Type B |
Report Facts
Capacity: 78
Census: 67
Plan of Correction Due Date: May 23, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Mary McClure | Executive Director | Met with Licensing Program Analyst during inspection and confirmed repair status of broken handrail and carpet replacement plans |
| Maja Jensen | Licensing Program Analyst | Conducted the inspection, identified deficiencies, and signed the report |
| Lisa Rios | Licensing Program Manager | Supervisor of the inspection and named in the deficiency section |
Inspection Report
Annual Inspection
Census: 67
Capacity: 78
Deficiencies: 0
May 15, 2024
Visit Reason
The inspection was an unannounced required one year annual visit conducted by Licensing Program Analyst Maja Jensen.
Findings
The Licensing Program Analyst toured floors 1 through 3 and the grounds of the facility. Due to time constraints, the annual inspection will require a continuation. An exit interview was conducted and a copy of the report was provided.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maja Jensen | Licensing Program Analyst | Conducted the annual inspection visit. |
| Mary McClure | Administrator | Met with Licensing Program Analyst during the inspection. |
Inspection Report
Complaint Investigation
Census: 42
Capacity: 78
Deficiencies: 1
Apr 15, 2024
Visit Reason
An unannounced complaint investigation was conducted in response to allegations that the facility was odiferous and dirty.
Findings
The investigation substantiated the allegations of the facility being odiferous and dirty, with observations of a strong odor likely from a sewer pipe and over 15 significantly sized stains on carpeting in dining areas.
Complaint Details
The complaint investigation was substantiated based on observations and interviews confirming the odor and dirty conditions. The preponderance of evidence standard was met.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Stained carpeting and malodorous conditions in the facility posing potential risk to health, safety, and personal rights of residents. | Type B |
Report Facts
Number of significantly sized stains: 15
Facility capacity: 78
Facility census: 42
Plan of Correction due date: Apr 22, 2024
Compliance completion date: May 13, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maja Jensen | Licensing Program Analyst | Conducted the complaint investigation and made observations |
| Lisa Rios | Licensing Program Manager | Named in report as Licensing Program Manager overseeing the investigation |
| Angelica White | Resident Care Director | Interviewed during the investigation |
| Angelica Harryman | Met with during the investigation |
Inspection Report
Complaint Investigation
Census: 74
Capacity: 78
Deficiencies: 0
Jan 3, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to allegations received on 2023-11-22 regarding resident care and billing practices at Foothill Village Senior Living Facility.
Findings
The investigation found no evidence to support the allegations that staff retained a resident requiring a higher level of care or billed for services not provided; these allegations were deemed unfounded. Another allegation that staff did not bring a resident's change of condition to the physician's attention was found to be unsubstantiated based on timely communication and documentation.
Complaint Details
The complaint investigation addressed three allegations: 1) staff retaining a resident requiring a higher level of care, 2) staff billing a resident for services not provided, and 3) staff failing to notify the resident's physician of a change in condition. Allegations 1 and 2 were found to be unfounded, and allegation 3 was unsubstantiated.
Report Facts
Capacity: 78
Census: 74
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maja Jensen | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Lisa Rios | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
| Angelica White | Resident Care Director | Interviewed during the investigation and involved in findings |
| Mary McClure | Administrator | Facility administrator named in the report |
Inspection Report
Complaint Investigation
Capacity: 78
Deficiencies: 1
Jan 3, 2024
Visit Reason
An unannounced visit was conducted to continue a complaint investigation related to complaint control number 27-AS-20231122163414. The visit included case management to address observed deficiencies.
Findings
A deficiency was found regarding the admission agreement for Resident 1, where the referenced fee schedule in Appendix A was missing or non-existent, posing a potential risk to residents' health, safety, and personal rights.
Complaint Details
The visit was a continuation of a complaint investigation for complaint control number 27-AS-20231122163414. A deficiency was observed during the investigation and addressed through case management.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Admission agreement referenced a fee schedule in Appendix A that was missing or non-existent, with no rates listed for additional items and services. | Type B |
Report Facts
Capacity: 78
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Angelica White | Resident Care Director | Met with during the visit and explained the purpose of the visit |
| Maja Jensen | Licensing Program Analyst | Conducted the unannounced visit and complaint investigation |
| Lisa Rios | Licensing Program Manager | Supervisor and Licensing Program Manager overseeing the visit |
Inspection Report
Complaint Investigation
Census: 74
Capacity: 78
Deficiencies: 0
Nov 27, 2023
Visit Reason
The visit was an unannounced case management inspection conducted in response to an incident report regarding Resident 2 who was ill and vomiting on 11/23/2023 and hospitalized.
Findings
No deficiencies were observed during the inspection. Facility staff confirmed Resident 2 was not diagnosed with an infectious disease and will return to the community shortly.
Complaint Details
The visit was triggered by an incident report received on 11/25/2023 concerning Resident 2's illness and hospitalization. The complaint was investigated and found to be unsubstantiated as no infectious disease was diagnosed.
Report Facts
Capacity: 78
Census: 74
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maja Jensen | Licensing Program Analyst | Conducted the inspection and case management visit |
| Kim Gerhmann | Business Manager | Met with Licensing Program Analyst during the visit |
Inspection Report
Complaint Investigation
Census: 76
Capacity: 78
Deficiencies: 1
Nov 16, 2023
Visit Reason
An unannounced complaint investigation was conducted in response to allegations regarding kitchen staff qualifications, consultation with nutritionists, food temperatures, and kitchen cleanliness at Foothill Village Senior Living Facility.
Findings
The investigation found that allegations about unqualified kitchen staff, lack of consultation with a nutritionist, and improper food temperatures were unsubstantiated or unfounded. However, the allegation that the kitchen was not clean was substantiated due to observed debris and buildup in various kitchen areas.
Complaint Details
The complaint investigation was unannounced and conducted by Licensing Program Analyst Maja Jensen. Allegations included unqualified kitchen staff, lack of consultation with nutritionists, improper food temperatures, and unclean kitchen. Findings were unsubstantiated or unfounded except for the kitchen cleanliness allegation which was substantiated.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Maintenance and Operation: The facility shall be clean, safe, sanitary and in good repair at all times. Debris observed in refrigerators, kitchen corners, floor drain, oil splatter on deep fryer, and waste buildup on exterior of garbage can. | Type B |
Report Facts
Capacity: 78
Census: 76
Deficiency count: 1
Plan of Correction Due Date: Nov 23, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maja Jensen | Licensing Program Analyst | Conducted the complaint investigation and site visits |
| Mary McClure | Administrator | Facility administrator met during investigation |
| Lisa Rios | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Complaint Investigation
Capacity: 78
Deficiencies: 0
Oct 5, 2023
Visit Reason
The visit was an unannounced continuation of a complaint investigation in an unrelated matter, with the Executive Director requesting case management for guidance and technical assistance on dementia care, levels of care, and evictions.
Findings
Technical assistance was provided regarding dementia care, levels of care, and eviction requirements. No citations were issued as a result of this care management visit.
Complaint Details
The visit was to continue a complaint investigation unrelated to the case management topics discussed. No citations or deficiencies were issued.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Mary McClure | Executive Director | Requested case management and was met with during the visit. |
| Maja Jensen | Licensing Program Analyst | Conducted the visit and provided technical assistance. |
| Stephenie Doub | Licensing Program Manager | Named in the report header. |
Inspection Report
Complaint Investigation
Census: 69
Capacity: 78
Deficiencies: 1
Aug 17, 2023
Visit Reason
An unannounced visit was made to the facility to follow up on a complaint regarding safety concerns in the memory care unit.
Findings
During the inspection, 30 toxic substances were found in two unlocked resident rooms in the dementia care unit, posing potential health and safety risks to residents. The facility agreed to implement shower caddies stored in locked rooms and revisit resident care plans to monitor access to hygiene items.
Complaint Details
The visit was a follow-up on a complaint. The deficiency cited posed a potential health, safety, or personal rights risk to persons in care.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Care for Persons with Dementia: Toxic substances such as Lysol toilet bowl cleaner, disinfectant air freshener, and other hazardous items were found accessible in unlocked resident rooms. | Type A |
Report Facts
Toxic substances observed: 30
Residents present: 69
Total licensed capacity: 78
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Viarella | Licensing Program Analyst | Conducted the inspection and signed the report. |
| Liza King | Licensing Program Manager | Conducted the inspection, cited deficiencies, and signed the report. |
| Angelica White | Designated Facility Representative interviewed during the inspection. |
Inspection Report
Complaint Investigation
Census: 69
Capacity: 78
Deficiencies: 1
Aug 17, 2023
Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation that staff served expired food to residents.
Findings
The allegation that staff served expired food was substantiated with multiple expired food items found during inspection. Other allegations regarding facility safety and disrepair were found to be unfounded.
Complaint Details
The complaint was substantiated regarding expired food served to residents. Other complaints about facility safety and disrepair were determined to be unfounded.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| The total daily diet shall be of the quality and in the quantity necessary to meet the needs of residents. All food shall be selected, stored, prepared and served in a safe and healthful manner. Based on inspection, 19 out of 25 food items were expired, posing a potential health, safety, or personal rights risk. | Type B |
Report Facts
Expired food items: 19
Facility capacity: 78
Census: 69
Plan of Correction due date: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Viarella | Licensing Program Analyst | Conducted the complaint investigation and signed the report |
| Liza King | Licensing Program Manager | Oversaw the complaint investigation and signed the report |
| Maureen H. Bitler | Administrator | Facility administrator named in the report |
| Mary Mc Clure | Designated Facility Representative met during inspection |
Inspection Report
Complaint Investigation
Capacity: 78
Deficiencies: 0
Aug 4, 2023
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations received on 2023-04-20 regarding communication with family and treatment of residents.
Findings
Both allegations—that facility staff were not communicating with family in a timely manner and that residents were not treated with dignity and respect—were found to be unsubstantiated. No deficiencies were observed or cited during the visit.
Complaint Details
The complaint investigation found the allegations unsubstantiated, meaning there was not a preponderance of evidence to prove the alleged violations occurred. The facility communicated appropriately with the designated family member, and interactions with residents were observed to be respectful.
Report Facts
Facility capacity: 78
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Viarella | Licensing Program Analyst | Conducted the complaint investigation visit |
| Angelica White | Resident Care Director | Met with Licensing Program Analyst during the investigation |
| Liza King | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 69
Capacity: 78
Deficiencies: 0
Aug 4, 2023
Visit Reason
An unannounced complaint investigation was conducted based on a complaint received on 2023-06-12 alleging that the licensee lacks adequate funds to properly operate the facility.
Findings
The investigation found the allegations to be unsubstantiated after review of records, observations, and information gathered, including paid utility bills and a regional office conference. There was not a preponderance of evidence to support the allegation.
Complaint Details
The complaint allegation was that the licensee lacks adequate funds to properly operate the facility. The finding was unsubstantiated, meaning there was insufficient evidence to prove the alleged violation occurred.
Report Facts
Facility capacity: 78
Census: 69
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Viarella | Licensing Program Analyst | Conducted the complaint investigation and made the unannounced visit |
| Angelica White | Resident Care Director | Met with the Licensing Program Analyst during the investigation |
Inspection Report
Complaint Investigation
Census: 51
Capacity: 78
Deficiencies: 1
Jun 16, 2023
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received on 2023-06-12 regarding inadequate supply of PPE and inadequate food services to residents.
Findings
The allegation regarding inadequate PPE supply was unsubstantiated as adequate gloves were observed and confirmed by staff. The allegation regarding inadequate food services was substantiated due to failure to maintain proper food temperature during transport and service to residents in Memory Care areas.
Complaint Details
The complaint investigation was unannounced and conducted by Licensing Program Analyst Jennifer Fain and Licensing Program Manager Liza King. The complaint control number is 27-AS-20230612130714. The PPE supply allegation was unsubstantiated. The food service allegation was substantiated with citations issued under Title 22, Division 6.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to implement a procedure to ensure the proper temperature of food is maintained during transport and prior to service. | Type B |
Report Facts
Capacity: 78
Census: 51
Deficiency count: 1
Plan of Correction Due Date: Jun 23, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Angelica White | Resident Care Director | Interviewed during complaint investigation and exit interview |
| Jennifer Fain | Licensing Program Analyst | Conducted complaint investigation |
| Liza King | Licensing Program Manager | Conducted complaint investigation |
Inspection Report
Annual Inspection
Census: 71
Capacity: 78
Deficiencies: 0
Apr 26, 2023
Visit Reason
The inspection was an unannounced required 1 Year Annual Inspection conducted by Licensing Program Analysts to evaluate compliance with Title 22 rules and regulations and Health and Safety Codes.
Findings
The inspection found no deficiencies. The facility was observed to have sufficient furniture, lighting, food supplies, and safety equipment. Medications were securely stored, staff files were reviewed and all staff were fingerprint cleared.
Report Facts
Hot water temperature: 110.5
Resident files reviewed: 5
Staff files reviewed: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maureen H. Bitler | Administrator | Facility administrator met with Licensing Program Analysts during inspection |
| Ruth Wallace | Licensing Program Analyst | Conducted the inspection and reviewed facility compliance |
| Kim Viarella | Licensing Program Analyst | Conducted the inspection and reviewed facility compliance |
| Stephen Richardson | Licensing Program Manager | Named as Licensing Program Manager on report |
| Mary McClure | Administrator | Met with Licensing Program Analysts during inspection |
Inspection Report
Complaint Investigation
Census: 65
Capacity: 78
Deficiencies: 1
Mar 27, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by complaints received on 01/11/2023 regarding the facility administrator's presence, facility disrepair, and violation of residents' personal rights.
Findings
The investigation found the allegation that the facility administrator was not present was unsubstantiated due to established coverage and scheduling. The allegation of facility disrepair was unsubstantiated despite leaks caused by heavy rain and ongoing repairs. The allegation that the facility violated residents' personal rights by not providing requested dietitian information to the resident council was substantiated.
Complaint Details
The complaint investigation was unannounced and based on allegations received on 01/11/2023. The allegations included the facility administrator not being present, facility disrepair, and violation of residents' personal rights. The first two allegations were found unsubstantiated, while the third was substantiated. The substantiated finding related to failure to provide requested dietitian information to the resident council, which is a potential safety concern.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Residents in all residential care facilities for the elderly shall have all of the following personal rights: To have communications to the licensee from their representatives answered promptly and appropriately. This requirement was not met as evidenced by interviews conducted and records unavailable to be reviewed. | Type B |
Report Facts
Capacity: 78
Census: 65
Estimated Days of Completion: 0
Plan of Correction Due Date: Apr 10, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Albert Johnson | Evaluator / Licensing Program Analyst | Conducted the complaint investigation and signed the report |
| Maureen H. Bitler | Administrator | Facility administrator named in the report |
| Stephenie Doub | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
| Kim Gehrmann | Person met with during the inspection |
Inspection Report
Census: 62
Capacity: 78
Deficiencies: 1
Sep 1, 2022
Visit Reason
Licensing Program Analyst Sarah Hurt conducted an unannounced Case Management visit to the facility to evaluate resident rights and facility compliance.
Findings
The facility's Executive Council voted to prevent Resident 2 from being a representative on the Resident Executive Council, which was found to violate Resident 2's personal rights and posed a potential health, safety, or personal rights risk to residents in care.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| 87468.1 Personal Rights of Residents in All Facilities(a) - Facility executive council voted to prevent Resident 2 from being on the Resident Executive Council as a representative, violating personal rights. | Type B |
Report Facts
Capacity: 78
Census: 62
Plan of Correction Due Date: Sep 15, 2022
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sarah Hurt | Licensing Program Analyst | Conducted the inspection and cited deficiencies |
| Stephenie Doub | Licensing Program Manager | Supervisor overseeing the inspection |
| Maureen H. Bitler | Administrator | Facility administrator mentioned in the report |
| Angelica White | Resident Care Coordinator | Met with Licensing Program Analyst during the visit |
Inspection Report
Annual Inspection
Census: 61
Capacity: 78
Deficiencies: 1
May 10, 2022
Visit Reason
An unannounced annual inspection was conducted by the Licensing Program Analyst to evaluate compliance with Title 22 rules and regulations.
Findings
The inspection found that the facility generally met physical plant and safety requirements, including fire safety and medication storage. However, a deficiency was noted for hot water temperature exceeding the required range, posing a health and safety risk.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Hot water temperature controls shall be maintained to automatically regulate temperature of hot water delivered between 105 and 120 degrees F. Measured hot water temperature was 123.5 degrees F, exceeding the allowed maximum. | Type A |
Report Facts
Resident files reviewed: 12
Staff files reviewed: 12
Deficiencies cited: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Albert Johnson | Licensing Program Analyst | Conducted the inspection and signed the report |
| Stephenie Doub | Licensing Program Manager | Supervisor overseeing the inspection |
| Maureen H. Bitler | Administrator | Facility administrator met with the Licensing Program Analyst during the inspection |
Inspection Report
Complaint Investigation
Census: 54
Capacity: 78
Deficiencies: 0
Dec 20, 2021
Visit Reason
Unannounced complaint investigation visit conducted in response to allegations that the facility was not clean and not being disinfected, and that the facility did not have sufficient staffing.
Findings
Both allegations were found to be unsubstantiated. The facility was observed to be clean and disinfected, including the COVID isolation wing, and staffing was deemed sufficient with recent new hires and positive resident and staff interviews.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included the facility not being clean or disinfected and insufficient staffing. Observations, interviews with staff and residents, and record reviews did not support these allegations.
Report Facts
Facility capacity: 78
Census: 54
New care staff hired: 5
Sign on bonus: 1500
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maureen Hope Bitler | Executive Director | Met with Licensing Program Analyst during investigation and provided statements regarding staffing and facility operations |
| Sarah Hurt | Licensing Program Analyst | Conducted the complaint investigation visit and authored the report |
| Stephenie Doub | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 54
Capacity: 78
Deficiencies: 0
Nov 5, 2021
Visit Reason
An unannounced complaint investigation was conducted based on allegations that the facility was not serving food of adequate quality, not communicating about COVID-positive cases, and not screening visitors for COVID-19 symptoms prior to entry.
Findings
All allegations were found to be unsubstantiated after interviews, observations, and document reviews. The facility was found to be serving food meeting residents' needs, communicating appropriately about COVID cases, and screening visitors for COVID-19 symptoms. No deficiencies were cited during the visit.
Complaint Details
The complaint investigation was unsubstantiated for all allegations, including food quality, communication regarding COVID-positive cases, and visitor screening for COVID-19 symptoms.
Report Facts
Capacity: 78
Census: 54
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sarah Hurt | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Maureen H. Bitler | Administrator | Facility administrator met with Licensing Program Analyst during investigation |
| Stephenie Doub | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Census: 49
Capacity: 78
Deficiencies: 0
Nov 1, 2021
Visit Reason
An office meeting was conducted to discuss HAI recommendations for COVID mitigation and to get an update regarding staffing concerns at the facility.
Findings
The facility reported 16 positive residents with 5 cleared and 2 deaths, 3 residents hospitalized due to COVID, and 9 staff positive with 4 cleared. Recommendations were made regarding vaccination rates, visitation, PPE use, staff training, fit testing, and staffing concerns. The facility agreed to implement several corrective actions by early November 2021.
Report Facts
Positive residents: 16
Residents cleared: 5
Resident deaths: 2
Residents hospitalized: 3
Staff positive: 9
Staff cleared: 4
Capacity: 78
Census: 49
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Hope Bitler | Executive Director | Met during the office meeting and exit interview |
| Krystall Moore | Regional Manager | Present at the meeting and Licensing Program Manager |
| Stephenie Doub | Licensing Program Manager | Present at the meeting and Licensing Program Analyst |
Inspection Report
Census: 49
Capacity: 78
Deficiencies: 0
Oct 28, 2021
Visit Reason
The visit was a Case Management - COVID-19 unannounced infection control training and evaluation at the facility.
Findings
The facility was found to be clean and in good repair with proper infection control practices including isolation, testing, PPE availability, and staff screening. Dining and activities were closed until the facility is cleared.
Report Facts
Residents on hospice: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Hope Bitler | Executive Director | Met with Licensing Program Analyst and CDPH HAI during infection control training |
| Jason Lund | Licensing Program Analyst | Conducted infection control training and facility evaluation |
| Shantala Stanya | CDPH HAI | Provided infection control training and instruction |
Inspection Report
Original Licensing
Census: 55
Capacity: 78
Deficiencies: 0
Apr 23, 2021
Visit Reason
The visit was an unannounced prelicensing inspection of Foothill Village Senior Living Facility to evaluate the facility for licensing approval.
Findings
The Licensing Program Analyst conducted a tour and observed the facility to be free of hazards, adequately furnished, with proper storage of medications and cleaning supplies. Fire safety equipment and emergency systems were operational, and water temperature was tested and found appropriate.
Report Facts
Fire clearance capacity: 78
Water temperature: 119
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maureen H. Bitler | Administrator | Met Licensing Program Analyst during inspection |
| Albert Johnson | Licensing Program Analyst | Conducted the inspection and authored the report |
| Stephenie Doub | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Original Licensing
Census: 47
Capacity: 78
Deficiencies: 0
Mar 19, 2021
Visit Reason
The visit was conducted as part of the original licensing process (Change of Ownership - CHOW) for Foothill Village Senior Living Facility to verify applicant and administrator understanding of regulations and readiness for licensing.
Findings
The facility successfully completed Component II of the licensing evaluation, confirming understanding of facility operation, admission policies, staffing, health conditions, emergency preparedness, complaints reporting, and pre-licensing readiness.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maureen Hope Bitler | Administrator | Participant in Component II interview and applicant/administrator verified for licensing. |
| Wyatt Mello | Applicant/licensee | Participant in Component II interview and applicant/administrator verified for licensing. |
| Mirella Quaranta | Licensing Program Manager | Named as Licensing Program Manager overseeing the evaluation. |
| Susan Nguyen | Licensing Program Analyst | Named as Licensing Program Analyst conducting the evaluation. |
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