Inspection Report Summary
Most inspections found no deficiencies, including the most recent annual inspection on June 4, 2025, which cited two minor issues related to cleanliness and maintenance in a memory care resident’s room. Earlier reports showed some deficiencies, notably a failure to maintain exit alarms that led to a resident eloping and being injured, as well as substantiated water leaks causing maintenance concerns in 2024. Several complaint investigations were unsubstantiated, including allegations about visitation restrictions and inadequate resident care. The facility appears to have addressed many prior issues, with the latest inspection showing only isolated, less serious deficiencies and no enforcement actions or fines listed in the available reports.
Deficiencies per Year
4
3
2
1
0
High
Moderate
Census Over Time
Census
Capacity
Inspection Report
Annual Inspection
Census: 133
Capacity: 173
Deficiencies: 2
Jun 4, 2025
Visit Reason
The inspection was an unannounced Annual Required - 1 Year inspection conducted to evaluate compliance with licensing requirements, including infection control, emergency disaster plans, and facility maintenance.
Findings
The facility was generally compliant with required plans and supplies, including infection control and emergency preparedness. However, two Type B deficiencies were cited: a resident's room in the memory care unit smelled strongly of urine indicating inadequate cleaning, and broken blinds were observed in the same resident's room and adjacent sitting area, indicating maintenance issues.
Severity Breakdown
Type B: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Resident's room smelled strongly of urine, indicating the facility was not free from incontinent odors as required by regulation. | Type B |
| Broken and missing blinds in resident's room and adjacent sitting area, indicating the facility was not in good repair as required. | Type B |
Report Facts
Capacity: 173
Census: 133
Hospice waiver approval: 10
Fire clearance capacity: 173
Fire clearance bedridden capacity: 16
AL main building and bungalows capacity: 140
AL main building bedridden capacity: 6
Memory care building capacity: 33
Memory care bedridden capacity: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Megan Leone | Administrator/Executive Director | Met with Licensing Program Analyst during inspection and named in exit interview |
| Joel Gonzalez | Business Office Director | Accompanied Licensing Program Analyst during facility tour |
| Michelle Simpson | Health Services Director | Accompanied Licensing Program Analyst during facility tour |
| Dina Alviso | Licensing Program Analyst | Conducted the inspection and signed the report |
| Bethany Moellers | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Capacity: 173
Deficiencies: 0
May 20, 2025
Visit Reason
The inspection was conducted in response to a complaint alleging that staff were restricting a resident's ability to have visitation.
Findings
The investigation found no evidence to support the allegation that staff restricted resident visitation. The allegation was determined to be unsubstantiated after interviews, record reviews, and observations.
Complaint Details
The complaint alleged that staff were restricting a resident's ability to have visitation. The investigation was unsubstantiated, meaning there was not a preponderance of evidence to prove the alleged violation did or did not occur.
Report Facts
Facility capacity: 173
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Megan Leone | Administrator | Met with Licensing Program Analyst during complaint investigation |
| Dina Alviso | Licensing Program Analyst | Conducted the complaint investigation |
| Bethany Moellers | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Census: 99
Capacity: 173
Deficiencies: 1
May 20, 2025
Visit Reason
The inspection was a case management-incident visit conducted to obtain more information on a resident AWOL (elopement) incident reported by the Administrator.
Findings
The facility was found deficient for failing to ensure auditory devices or staff alert features were active to monitor exits on exterior doors and perimeter fence gates, which led to a resident eloping from the memory care unit without staff knowledge or supervision, resulting in a fall and injuries to the resident.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| 87705(d) Care of Persons with Dementia - The licensee shall ensure that the facility has an auditory device or other staff alert feature to monitor exits on exterior doors and perimeter fence gates accessible to those residents who may be at risk for elopement. This requirement was not met as evidenced by a resident eloping when alarms on the exit door had been turned off. | Type A |
Report Facts
Capacity: 173
Census: 99
Plan of Correction Due Date: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Megan Leone | Administrator | Met with Licensing Program Analyst during inspection and reported the AWOL incident |
| Michelle Simpson | Health Services Director | Met with Licensing Program Analyst during inspection |
| Dina Alviso | Licensing Program Analyst | Conducted the case management-incident inspection |
| Bethany Moellers | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Census: 133
Capacity: 173
Deficiencies: 0
Mar 11, 2025
Visit Reason
The inspection was a case management-incident visit conducted to obtain more information on a resident incident reported by the Administrator.
Findings
The Licensing Program Analyst reviewed resident records and staff roster but found no deficiencies cited during this inspection.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Megan Leone | Administrator | Met with during the inspection and involved in reporting the resident incident. |
Inspection Report
Complaint Investigation
Capacity: 173
Deficiencies: 0
Sep 10, 2024
Visit Reason
An unannounced complaint investigation was conducted in response to allegations that staff did not prevent residents from entering other residents' rooms, causing harm, and inappropriately locking resident rooms.
Findings
The investigation found that residents in the memory care unit have care plans and are monitored and redirected as needed. Residents may have locked rooms with keys if they can manage them, and staff assist residents in accessing their rooms. There was no evidence to support the allegations, and no deficiencies were cited.
Complaint Details
The complaint was unsubstantiated based on interviews, record reviews, and observations. Allegations included failure to prevent residents from entering other rooms, causing harm, and inappropriate locking of rooms. No violations were found.
Report Facts
Facility capacity: 173
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Megan Leone | Administrator | Met with Licensing Program Analyst during the complaint investigation and participated in exit interview |
| Dina Alviso | Licensing Program Analyst | Conducted the complaint investigation |
| Bethany Moellers | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 99
Capacity: 173
Deficiencies: 0
Aug 27, 2024
Visit Reason
The inspection was an unannounced complaint investigation conducted in response to allegations received on 04/03/2024 regarding inadequate resident care at Fountaingrove Lodge.
Findings
The investigation found no evidence to substantiate the allegations of neglect or inadequate care. Interviews, record reviews, and observations indicated that resident care, including hygiene, hydration, and room cleanliness, met facility standards. No deficiencies were cited.
Complaint Details
The complaint alleged that staff did not check on the resident every 2 hours, left the resident soiled for extended periods, failed to assist with showering, did not maintain room cleanliness, did not respond timely to calls, did not provide clean linen, and did not ensure hydration. The investigation concluded these allegations were unsubstantiated due to lack of evidence.
Report Facts
Capacity: 173
Census: 99
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Megan Leone | Administrator | Met during inspection and exit interview |
| Dina Alviso | Licensing Program Analyst | Conducted the complaint investigation |
| Bethany Moellers | Licensing Program Manager | Named in report as licensing program manager |
| Michelle Simpson | Health and Wellness Director | Met during inspection |
| Juan Ferrel | Memory Care Director | Met during inspection |
Inspection Report
Complaint Investigation
Capacity: 173
Deficiencies: 1
Aug 7, 2024
Visit Reason
The inspection was conducted as an unannounced complaint investigation following a complaint received on 07/31/2024 regarding multiple water leaks in an apartment unit that had not been repaired.
Findings
The investigation substantiated the complaint that the apartment unit had multiple water leaks in the last few months, with the latest leak on 07/27/2024 not yet repaired due to pending kitchen repairs. The facility has provided rent credits and offered alternative accommodations to affected residents. A deficiency was cited for failure to maintain the facility in a clean, safe, sanitary, and good repair condition.
Complaint Details
The complaint alleging multiple unrepaired water leaks in an apartment unit was substantiated. The investigation found four leaks in 2024, with the latest leak on 07/27/2024 pending repair. Rent credits were provided to affected residents, and alternative accommodations were offered but declined. The deficiency citation was issued under California Code of Regulations 87303(a).
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| 87303(a) Maintenance and Operation - The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement was not met due to water damage from leaks in residents' apartment unit. | Type B |
Report Facts
Capacity: 173
Number of leaks in 2024: 4
Plan of Correction Due Date: Aug 19, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dina Alviso | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Bethany Moellers | Licensing Program Manager | Oversaw the complaint investigation |
| Megan Leone | Administrator | Facility administrator who participated in the exit interview |
| Joel Gonzalez | Business Office Manager | Met with the Licensing Program Analyst during the investigation |
| Michelle Simpson | Health Services Director | Met with the Licensing Program Analyst during the investigation |
Inspection Report
Annual Inspection
Census: 101
Capacity: 173
Deficiencies: 0
Jul 25, 2024
Visit Reason
The inspection was an unannounced Annual Required - 1 Year inspection conducted to evaluate compliance with licensing regulations and facility plans.
Findings
The facility was found to have all required plans in place including infection control, emergency disaster, and dementia plans. Staff files and resident files were reviewed with all required certifications and clearances present. The facility met regulatory requirements for fire safety, emergency supplies, and environmental safety. No deficiencies were cited during this visit.
Report Facts
Hospice waiver approval: 10
Fire clearance capacity: 173
Resident files reviewed: 9
Staff files reviewed: 9
Fire drills conducted: 3
Hot water temperature main building: 119.3
Hot water temperature memory care building: 111
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Megan Leone | Administrator | Met with Licensing Program Analyst during inspection and exit interview |
| Joel Gonzalez | Business Office Director | Accompanied Licensing Program Analyst during facility tour |
| Dina Alviso | Licensing Program Analyst | Conducted the inspection and signed the report |
| Bethany Moellers | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Census: 101
Capacity: 173
Deficiencies: 0
Feb 27, 2024
Visit Reason
The inspection was a case management incident inspection conducted to review and obtain additional information on a resident incident recently reported to the Department.
Findings
The Licensing Program Analyst reviewed the incident report, death report, and resident records, including medical documentation. The resident was identified as independent and able to access the community on their own. Staff addressed the incident as needed when it occurred. No deficiencies were cited during the inspection.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Megan Leone | Executive Director | Met with Licensing Program Analyst during the inspection. |
Inspection Report
Original Licensing
Census: 134
Capacity: 173
Deficiencies: 0
Feb 9, 2023
Visit Reason
This was an unannounced pre-licensing inspection conducted as part of a change of ownership application for the facility, which is currently operating.
Findings
The inspection found that the facility's requested capacity remains at 173 with fire clearance approvals for nonambulatory and bedridden residents. Fire extinguishers were serviced and tagged, exits were unobstructed, and the facility had sufficient emergency supplies, furnishings, lighting, and safety equipment including evacuation chairs and PPE supply.
Report Facts
Fire extinguishers in assisted living: 42
Fire extinguishers in memory care: 9
Licensed capacity: 173
Current census: 134
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Shawn Mooney | Administrator | Met with Licensing Program Analyst during pre-licensing inspection and completed component III orientation |
| Dina Alviso | Licensing Program Analyst | Conducted the pre-licensing inspection |
| Carla Martinez | Licensing Program Manager | Named in report header |
Inspection Report
Census: 133
Capacity: 173
Deficiencies: 0
Jan 13, 2023
Visit Reason
The visit was conducted as part of a Change of Ownership application process for the facility.
Findings
The applicant/administrator participated in a COMP II telephone interview to verify identification and confirm understanding of California Code Title 22 regulations, including facility operation, admission policies, staffing, health conditions, emergency preparedness, complaints, and pre-licensing readiness.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Shawn Mooney | Administrator | Applicant/administrator who participated in COMP II interview. |
| Jude De La Concepcion | Licensing Program Manager | Named as Licensing Program Manager on the report. |
| Bethany Hunter | Licensing Program Analyst | Named as Licensing Program Analyst on the report. |
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