Inspection Reports for
Fountaingrove Lodge

CA

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Deficiencies (last 3 years)

Deficiencies (over 3 years) 3 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

25% better than California average
California average: 4 deficiencies/year

Deficiencies per year

8 6 4 2 0
2023
2024
2025

Occupancy

Latest occupancy rate 100% occupied

Based on a August 2025 inspection.

This facility has shown a steady increase in demand based on occupancy rates.

Occupancy rate over time

40% 60% 80% 100% 120% Jan 2023 Feb 2024 Aug 2024 May 2025 Aug 2025

Inspection Report

Complaint Investigation
Capacity: 173 Deficiencies: 2 Date: Nov 10, 2025

Visit Reason
The inspection was an unannounced complaint investigation conducted due to allegations including failure to meet statutory requirements for budget process, failure to respond to resident association timely, facility having broken Watt Stoppers, failure to provide adequate justification for monthly fee increase, and failure to file and post required reports timely.

Complaint Details
The complaint investigation was substantiated for failure to meet statutory requirements for budget process and failure to respond to resident association timely. The allegations about broken Watt Stoppers, failure to provide adequate justification for monthly fee increase, and failure to file and post required reports timely were unsubstantiated.
Findings
The investigation substantiated violations related to failure to provide the budget 14 days prior to the meeting and failure to respond in writing to resident association requests timely. The allegations regarding broken Watt Stoppers, inadequate justification for monthly fee increase, and failure to file and post reports timely were found unsubstantiated.

Deficiencies (2)
Provider failed to make available to residents the budget for the upcoming year 14 days prior to the meeting; budget was provided less than 3 hours prior to the meeting.
Management failed to provide a written response to the resident association's written requests and concerns within required timeframes.
Report Facts
Capacity: 173 Monthly Care Fee Increase: 6 Projected Revenue Growth: 5.9 Plan of Correction Due Date: 2025

Employees mentioned
NameTitleContext
Megan Leone Administrator Met with Licensing Program Analyst during complaint inspection and named in findings
Dina Alviso Licensing Program Analyst Conducted the complaint investigation

Inspection Report

Complaint Investigation
Capacity: 173 Deficiencies: 0 Date: Aug 19, 2025

Visit Reason
The inspection was conducted as a complaint investigation following an allegation that facility staff were not preventing the spread of a communicable disease.

Complaint Details
The complaint alleged that facility staff were not preventing the spread of a communicable disease. The allegation was found to be unsubstantiated based on interviews, record reviews, and inspection findings.
Findings
The investigation found no evidence to support the allegation; resident records and staff interviews showed no cases of scabies or bed bug outbreaks, and PPE was available and used according to infection control plans. The allegation was unsubstantiated and no deficiencies were cited.

Report Facts
Resident records reviewed: 8 Facility capacity: 173

Employees mentioned
NameTitleContext
Megan Leone Administrator Met with Licensing Program Analyst during the complaint investigation and participated in exit interview
Dina Alviso Licensing Evaluator Conducted the complaint investigation
Bethany Moellers Supervisor Supervisor overseeing the complaint investigation

Inspection Report

Complaint Investigation
Census: 173 Capacity: 173 Deficiencies: 1 Date: Aug 19, 2025

Visit Reason
The inspection was an unannounced complaint investigation triggered by an allegation that staff did not issue a proper refund to a resident.

Complaint Details
The complaint was substantiated. The allegation that staff did not issue a proper refund to resident R1 was confirmed after review of records, interviews, and documentation. The first refund check was short and late, and the second check was issued after the required timeframe.
Findings
The investigation substantiated the allegation that the facility failed to issue the proper refund within the required 14 calendar days after resale of the unit. The first refund check was short by $258.71 and was received late, outside the contractual timeframe.

Deficiencies (1)
Failure to issue full lump-sum refund payment within 14 calendar days after resale of the unit as required by contract and California Code of Regulations.
Report Facts
Refund shortfall amount: 258.71 Capacity: 173 Census: 173 Plan of Correction Due Date: 2025

Employees mentioned
NameTitleContext
Megan Leone Administrator Met with Licensing Program Analyst during complaint investigation and involved in refund issue.
Dina Alviso Licensing Program Analyst Conducted the complaint investigation.
Bethany Moellers Supervisor Supervisor overseeing the investigation.

Inspection Report

Complaint Investigation
Census: 173 Capacity: 173 Deficiencies: 1 Date: Aug 19, 2025

Visit Reason
The inspection was an unannounced complaint investigation triggered by an allegation that staff did not issue a proper refund to a resident.

Complaint Details
The complaint was substantiated. The allegation was that staff did not issue a proper refund to resident R1. The investigation confirmed the refund was late and incomplete initially, violating contract terms and regulations.
Findings
The investigation substantiated the allegation that the facility failed to issue the full refund to resident R1 within the required 14 calendar days after resale of the unit. The first refund check was short by $258.71 and was received late. A second check was issued later to cover the owed amount.

Deficiencies (1)
Failure to issue full lump-sum refund payment within 14 calendar days after resale of the unit as required by contract and California Code of Regulations.
Report Facts
Refund shortfall amount: 258.71 Refund due timeframe: 14 Census: 173 Total capacity: 173

Employees mentioned
NameTitleContext
Megan Leone Administrator Met with Licensing Program Analyst during complaint investigation and involved in refund issue.
Dina Alviso Licensing Program Analyst Conducted the complaint investigation.
Bethany Moellers Supervisor Supervisor overseeing the complaint investigation.

Inspection Report

Annual Inspection
Census: 133 Capacity: 173 Deficiencies: 2 Date: 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.

Deficiencies (2)
Resident's room smelled strongly of urine, indicating the facility was not free from incontinent odors as required by regulation.
Broken and missing blinds in resident's room and adjacent sitting area, indicating the facility was not in good repair as required.
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
NameTitleContext
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
Census: 99 Capacity: 173 Deficiencies: 1 Date: May 20, 2025

Visit Reason
The inspection was conducted as a case management-incident visit to obtain more information on a resident AWOL (elopement) incident reported by the Administrator.

Complaint Details
The visit was complaint-related, investigating an AWOL/elopement incident involving a resident who eloped during a move-in when exit door alarms were turned off. The resident sustained minor injuries and was cleared by 911 responders. The complaint was substantiated by the cited deficiency.
Findings
The resident eloped from the memory care unit without staff knowledge or supervision due to exit door alarms being turned off during a move-in. The resident suffered a fall with minor injuries but was cleared to remain in the facility. A deficiency was cited for failure to have an auditory or staff alert device to monitor exits accessible to residents at risk for elopement.

Deficiencies (1)
Failure to ensure the facility has an auditory device or other staff alert feature to monitor exits on exterior doors and perimeter fence gates accessible to residents at risk for elopement.
Report Facts
Capacity: 173 Census: 99 Deficiencies cited: 1 Plan of Correction Due Date: 1

Employees mentioned
NameTitleContext
Megan Leone Administrator Met with Licensing Program Analyst during inspection and involved in incident report
Michelle Simpson Health Services Director Met with Licensing Program Analyst during inspection
Bethany Moellers Licensing Program Manager Named in report signature and review
Dina Alviso Licensing Program Analyst Conducted the inspection and signed the report

Inspection Report

Complaint Investigation
Capacity: 173 Deficiencies: 0 Date: 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.

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.
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.

Report Facts
Facility capacity: 173

Employees mentioned
NameTitleContext
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 Date: 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.

Deficiencies (1)
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.
Report Facts
Capacity: 173 Census: 99 Plan of Correction Due Date: 1

Employees mentioned
NameTitleContext
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 Date: 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
NameTitleContext
Megan Leone Administrator Met with during the inspection and involved in reporting the resident incident.

Inspection Report

Complaint Investigation
Capacity: 173 Deficiencies: 0 Date: 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.

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.
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.

Report Facts
Facility capacity: 173

Employees mentioned
NameTitleContext
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 Date: 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.

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.
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.

Report Facts
Capacity: 173 Census: 99

Employees mentioned
NameTitleContext
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 Date: 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.

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).
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.

Deficiencies (1)
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.
Report Facts
Capacity: 173 Number of leaks in 2024: 4 Plan of Correction Due Date: Aug 19, 2024

Employees mentioned
NameTitleContext
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 Date: 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
NameTitleContext
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 Date: 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
NameTitleContext
Megan Leone Executive Director Met with Licensing Program Analyst during the inspection.

Inspection Report

Original Licensing
Census: 134 Capacity: 173 Deficiencies: 0 Date: 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
NameTitleContext
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 Date: 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
NameTitleContext
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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