Inspection Report Summary
Most inspections found deficiencies related primarily to environment and safety issues, medication management, and facility maintenance, with several substantiated complaint investigations over the past few years. The most recent report from October 30, 2025, cited multiple deficiencies including unsecured hazardous materials posing immediate health risks, expired food items, disrepair in resident rooms, and lack of current liability insurance. Earlier complaint investigations in 2025 also substantiated medication errors and unsafe medication storage, while some complaints about resident care and supervision were unsubstantiated. There is no record of fines, license suspensions, or enforcement actions in the available reports. While deficiencies have been consistent, the facility has addressed some issues with plans of correction, but overall there is no clear pattern of significant improvement or decline.
Deficiencies (last 5 years)
Deficiencies (over 5 years)
2.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
30% better than California average
California average: 4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
65% occupied
Based on a October 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Annual Inspection
Capacity: 140
Deficiencies: 4
Oct 30, 2025
Visit Reason
The inspection was an unannounced 1-Year Annual Required inspection conducted to evaluate compliance with licensing requirements.
Findings
The facility was found to have several deficiencies including unsecured hazardous materials posing immediate health and safety risks, lack of current liability insurance on file, maintenance issues such as disrepair of resident room fixtures, and expired food items. Plans of correction were agreed upon with due dates ranging from 10/31/2025 to 11/14/2025.
Severity Breakdown
Type A: 1
Type B: 3
Deficiencies (4)
| Description | Severity |
|---|---|
| Unsecured disinfectants, cleaning solutions, poisonous substances, and other hazardous items in residents' rooms and common areas posing immediate health and safety risks. | Type A |
| Facility did not have current liability insurance on file. | Type B |
| Disrepair of R7's toilet, window blinds, and shower soap bar holder; emergency call light button held up by paper towel in R3 and R4 rooms. | Type B |
| Expired food items including sesame sauce, soy sauce, and Hershey chocolate powder present. | Type B |
Report Facts
Deficiencies cited: 4
Capacity: 140
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Beena Kumar | Executive Director | Met with Licensing Program Analysts during inspection and named in plans of correction. |
| Patricia Manalo | Licensing Program Analyst | Conducted inspection and signed the report. |
| Yvonne Flores-Larios | Licensing Program Manager | Oversaw licensing program and signed the report. |
Inspection Report
Complaint Investigation
Census: 91
Capacity: 140
Deficiencies: 1
Oct 22, 2025
Visit Reason
An unannounced Case Management visit was conducted regarding a self-reported incident involving a medication error that occurred on 2025-10-09.
Findings
The facility was cited for giving resident R1 an incorrect medication dosage, which posed a potential safety risk. Staff admitted the medication error was due to a change in dosage after pharmacy refill.
Complaint Details
The visit was complaint-related based on a self-reported incident of medication error. Staff admitted the error. The complaint is substantiated by the citation.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to accord safe, healthful and comfortable accommodations, furnishings and equipment by giving R1 the wrong medication dosage posing a potential safety risk. | Type B |
Report Facts
Deficiencies cited: 1
Plan of Correction Due Date: Oct 30, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Beena Kumar | Executive Director | Self-reported the medication error incident |
| Judith Gitonga | Director of Health and Wellness | Met with Licensing Program Analysts during the visit |
| Patricia Manalo | Licensing Program Analyst | Conducted the inspection and signed the report |
Inspection Report
Census: 91
Capacity: 140
Deficiencies: 0
Oct 22, 2025
Visit Reason
An unannounced Case Management visit was conducted regarding a self-reported incident involving Resident 1 who had an unwitnessed fall resulting in a hip fracture and subsequent hospitalization.
Findings
No deficiencies were cited during the visit. The facility reported the incident and is in the process of reassessing the resident before return. Licensing Program Analysts requested additional documentation for further review.
Report Facts
Census: 91
Total Capacity: 140
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Judith Gitonga | Director of Health and Wellness | Met during the visit and self-reported the incident |
| Patricia Manalo | Licensing Program Analyst | Conducted the inspection visit |
Inspection Report
Complaint Investigation
Census: 93
Capacity: 140
Deficiencies: 1
Aug 28, 2025
Visit Reason
The inspection was conducted as a result of a priority 1 complaint to assess health and safety conditions at the facility.
Findings
The inspection found that Fluticasone Propionate Nasal Spray and medication syrup were left unsupervised on top of the medication cart, posing an immediate health and safety risk. Other areas such as hot water temperature, lighting, food supply, first-aid kit, and fire extinguisher were found to be in compliance.
Complaint Details
The visit was triggered by a priority 1 complaint. The deficiency observed was substantiated as an immediate health and safety risk.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Fluticasone Propionate Nasal Spray and medication syrup were observed on top of the medication cart unsupervised by staff. | Type A |
Report Facts
Hot water temperature readings: 109.9
Hot water temperature readings: 109.5
Hot water temperature readings: 112.1
Hot water temperature readings: 113.4
Hot water temperature readings: 112
Facility capacity: 140
Current census: 93
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Beena Kumar | Administrator/Executive Director | Authorized Director of Health and Wellness to sign the report |
| Judith Gitonga | Director of Health and Wellness | Met with Licensing Program Analyst during inspection and signed the report |
| Patricia Manalo | Licensing Program Analyst | Conducted the inspection |
| Yvonne Flores-Larios | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 87
Capacity: 140
Deficiencies: 1
Jul 22, 2025
Visit Reason
The visit was an unannounced case management inspection conducted during a complaint investigation (15-AS-20250325125744) to assess compliance with licensing requirements.
Findings
The inspection found that the facility's call button system was in disrepair, resulting in residents waiting more than 30 minutes for staff assistance. This deficiency was cited under California Code of Regulations, Title 22.
Complaint Details
The visit was conducted as part of a complaint investigation (15-AS-20250325125744).
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Call button system was in disrepair causing delays in staff response to residents' calls. | Type B |
Report Facts
Census: 87
Total Capacity: 140
Plan of Correction Due Date: Aug 5, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Beena Kumar | Executive Director | Met with Licensing Program Analyst during inspection |
| Patricia Manalo | Licensing Program Analyst | Conducted the inspection and complaint investigation |
| Yvonne Flores-Larios | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Census: 92
Capacity: 140
Deficiencies: 0
Jun 5, 2025
Visit Reason
An unannounced Case Management visit was conducted regarding a self-reported incident involving a resident who suffered a fall resulting in a hip fracture and subsequent hospitalization.
Findings
The visit included review of the resident's medical and care documents, confirming the resident was a fall risk and placed on hourly checks. No deficiencies were cited during the visit.
Report Facts
Resident admission date: May 26, 2025
Incident date: May 29, 2025
Surgery date: May 30, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Judith Gitonga | Director of Health and Wellness | Self-reported the incident and met with Licensing Program Analyst during the visit |
| Patricia Manalo | Licensing Program Analyst | Conducted the unannounced Case Management visit |
Inspection Report
Follow-Up
Census: 93
Capacity: 140
Deficiencies: 0
Apr 16, 2025
Visit Reason
This was an unannounced Case Management follow-up visit conducted on 04/16/2025 regarding an incident reported on 02/27/2025 involving a resident who obtained a wound while hospitalized.
Findings
The visit found no deficiencies. The facility provided documentation from the prior visit and committed to notifying the licensing agency before admitting residents with prohibited or restrictive health conditions.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Vivian Villegas | Interim Executive Director | Met with Licensing Program Analysts during the visit and discussed the purpose of the visit. |
Inspection Report
Complaint Investigation
Census: 97
Capacity: 140
Deficiencies: 0
Mar 27, 2025
Visit Reason
The visit was an unannounced Case Management visit conducted while Licensing Program Analysts were at the facility to conduct a complaint investigation (15-AS-20250325125744).
Findings
No deficiencies were cited during the visit. The Licensing Program Analysts observed construction on 19 residents' patios, which had been planned for over a year and recently approved with a building permit. The Interim Executive Director was unsure if the construction was reported to the licensing agency.
Complaint Details
The visit was related to a complaint investigation identified as 15-AS-20250325125744.
Report Facts
Number of residents' patios under construction: 19
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Vivian Villegas | Interim Executive Director | Met with Licensing Program Analysts during the visit and provided information about the construction project. |
Inspection Report
Census: 96
Capacity: 140
Deficiencies: 0
Mar 14, 2025
Visit Reason
The visit was an unannounced case management follow-up inspection conducted due to an incident reported on 2025-02-27 involving a resident obtaining a wound while hospitalized.
Findings
The Licensing Program Analysts reviewed multiple resident records and interviewed staff. No deficiencies were cited during the visit, and additional staff information was requested for further review.
Complaint Details
The visit was triggered by a complaint regarding a resident injury incident reported to the licensing agency.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Judith Gitonga | Director of Health and Wellness | Met with Licensing Program Analysts during the inspection and involved in discussion regarding the incident. |
| Patricia Manalo | Licensing Program Analyst | Conducted the inspection and signed the report. |
| K. Nguyen | Licensing Program Analyst | Conducted the inspection. |
Inspection Report
Annual Inspection
Census: 88
Capacity: 140
Deficiencies: 4
Nov 15, 2024
Visit Reason
The inspection was an unannounced Required Annual inspection conducted to evaluate compliance with licensing regulations and facility safety standards.
Findings
The facility was found to have adequate environmental conditions and safety measures, but deficiencies were noted related to missing health screenings and TB tests in personnel files, as well as missing and incorrectly sized posted notices. Plans of correction were agreed upon with due dates.
Deficiencies (4)
| Description |
|---|
| S1 and S2 did not have LIC 503 health screening in the files. |
| S1, S2, and S5 did not have a TB test on file. |
| No personal rights and nondiscrimination notice information posted. |
| Complaint and Ombudsman poster was not the correct poster size. |
Report Facts
Capacity: 140
Census: 88
Fire extinguisher last service date: Jun 6, 2024
Fire drill last conducted: Aug 27, 2024
Plan of Correction Due Date: Dec 2, 2024
Plan of Correction Due Date: Nov 22, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Molly Young | Generations Program Director | Met with Licensing Program Analysts during inspection and named in plans of correction |
| Patricia Manalo | Licensing Program Analyst | Conducted inspection and authored report |
| Yvonne Flores-Larios | Licensing Program Manager | Supervised inspection and named in report |
Inspection Report
Census: 88
Capacity: 140
Deficiencies: 0
Sep 27, 2024
Visit Reason
The visit was a case management visit conducted regarding an elopement incident involving a resident.
Findings
The resident was found outside the facility and returned by the police without injury. The facility plans to hire additional staffing for AM and PM shifts. No deficiencies were cited during the visit.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Bernadette M Viray | Administrator/Director | Named as facility administrator/director. |
| Molly Young | Generations Program Director | Met with Licensing Program Analysts during the visit and provided information about the elopement incident. |
| Patricia Manalo | Licensing Program Analyst | Conducted the case management visit. |
| Luisa Fontanilla | Licensing Program Analyst | Conducted the case management visit. |
| Yvonne Flores-Larios | Licensing Program Manager | Named as Licensing Program Manager overseeing the visit. |
Inspection Report
Annual Inspection
Census: 74
Capacity: 140
Deficiencies: 0
Sep 29, 2023
Visit Reason
The inspection was an unannounced 1-Year Annual Required Inspection conducted to evaluate the facility's compliance with licensing requirements.
Findings
The facility was found to be in compliance with no deficiencies cited. The fire clearance was approved for 140 non-ambulatory residents, and safety features such as smoke detectors, carbon monoxide detectors, and fire extinguishers were in proper condition. Staff and resident records, as well as medications, were reviewed without issue.
Report Facts
Bedrooms: 109
Private bedrooms: 85
Shared bedrooms: 12
Staff records reviewed: 10
Resident records reviewed: 10
Resident medications reviewed: 10
Hot water temperature: 119.8
Fire extinguisher last serviced: Jun 6, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Bernadette Viray | Administrator | Met with Licensing Program Analyst during inspection |
| Liridon Fici | Licensing Program Analyst | Conducted the inspection |
| Harpreet Humpal | Licensing Program Manager | Named in report header and signature |
Inspection Report
Complaint Investigation
Census: 74
Capacity: 140
Deficiencies: 0
Sep 22, 2023
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations received on 04/19/2023 regarding resident care concerns including a resident left on the floor, inadequate supervision, bathing assistance, response to call signals, and dietary restrictions.
Findings
Based on interviews with staff and residents, and review of records, the investigation found that staff check on residents regularly, provide bathing assistance and timely response to call signals, and follow dietary restrictions. However, there was insufficient evidence to substantiate the allegations, resulting in an unsubstantiated finding.
Complaint Details
The complaint investigation was unsubstantiated as there was not a preponderance of evidence to prove the alleged violations occurred.
Report Facts
Capacity: 140
Census: 74
Number of staff interviewed: 5
Number of residents interviewed: 7
Number of staff interviewed (additional): 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Bernadette M Viray | Administrator | Met with Licensing Program Analyst during investigation |
| Liridon Fici | Licensing Program Analyst | Conducted complaint investigation visit |
| Harpreet Humpal | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 68
Capacity: 140
Deficiencies: 1
Jan 13, 2023
Visit Reason
The visit was an unannounced case management inspection triggered by an incident reported to the Licensing Program Analyst regarding the facility's failure to submit a required incident report (Lic624) to the Community Care Licensing (CCL) within the mandated timeframe.
Findings
The facility was cited for failing to comply with reporting requirements by not submitting an incident report to CCL within seven days of the occurrence, posing a potential health, safety, or personal rights risk to persons in care.
Complaint Details
The visit was complaint-related due to an incident occurring on 12/31/2022 that was not reported timely. The administrator failed to submit the required Lic624 report within seven days. The deficiency was substantiated and cited.
Deficiencies (1)
| Description |
|---|
| Failure to report an incident to CCL within seven days as required by California Code of Regulations, Title 22, Section 87211(a)(1). |
Report Facts
Capacity: 140
Census: 68
Plan of Correction Due Date: Jan 20, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Bernadette Milo | Administrator | Named in relation to the failure to submit timely incident report |
| Liridon Fici | Licensing Program Analyst | Conducted the inspection and cited the deficiency |
| Yvonne Flores-Larios | Licensing Program Manager | Supervisor overseeing the inspection |
Inspection Report
Annual Inspection
Census: 69
Capacity: 140
Deficiencies: 0
Nov 10, 2022
Visit Reason
The visit was an unannounced Annual Infection Control Visit conducted to evaluate the facility's infection control practices and compliance.
Findings
The inspection found the facility to be in compliance with infection control standards, with sufficient supplies, proper signage, and no deficiencies cited during the visit.
Report Facts
Water temperature: 117
Facility capacity: 140
Census: 69
Fire extinguisher last serviced: Jan 29, 2022
Room temperature: 70
Perishable food supply: 2
Non-perishable food supply: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Liridon Fici | Licensing Program Analyst | Conducted the Annual Infection Control Visit |
| Bernadette Viray | Executive Director | Met with Licensing Program Analyst during inspection |
Inspection Report
Census: 72
Capacity: 140
Deficiencies: 0
Aug 16, 2022
Visit Reason
The visit was an unannounced Case Management visit conducted to deliver an Immediate Exclusion letter and verify staff presence.
Findings
No deficiencies were cited during the visit. Staff 2 was confirmed not present at the facility, and Staff 1 was advised that Staff 2 shall be removed from guardian.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Thune-Barnes | Managing Director | Met with Licensing Program Analysts during the visit. |
Inspection Report
Complaint Investigation
Capacity: 140
Deficiencies: 1
Jun 6, 2022
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by multiple allegations including facility disrepair, staff not meeting resident's needs, resident left in soiled diaper for an extended period, and inadequate laundry service for a resident.
Findings
The allegation that the facility was in disrepair was substantiated, citing failure to maintain the facility in good repair posing potential health and safety risks. The allegations regarding staff not meeting resident needs, resident left in soiled diaper, and inadequate laundry services were unsubstantiated due to lack of preponderance of evidence.
Complaint Details
The complaint investigation was substantiated for the allegation that the facility was in disrepair. Other allegations including staff not meeting resident's needs, resident left in soiled diaper, and inadequate laundry service were unsubstantiated.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility was not clean, safe, sanitary and in good repair at all times, posing a potential health and safety risk to persons in care. | Type B |
Report Facts
Capacity: 140
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Mandeep Kaur | Program Director | Met with Licensing Program Analysts during the investigation |
| Laura Hall | Licensing Program Analyst | Conducted the complaint investigation |
| Harpreet Humpal | Licensing Program Manager | Oversaw the complaint investigation |
Inspection Report
Annual Inspection
Census: 70
Capacity: 140
Deficiencies: 0
Nov 12, 2021
Visit Reason
The inspection was an unannounced Annual Required - 1 Year inspection focused on Infection Control procedures and practices at this Residential Care Facility for the Elderly.
Findings
The facility demonstrated compliance with COVID-19 infection control protocols including screening, PPE use, and cleaning practices. However, carbon monoxide detectors were not observed in common areas or resident bedrooms, and an advisory report was issued. No deficiencies were cited during this inspection.
Report Facts
Capacity: 140
Census: 70
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Karina Canela | Licensing Program Analyst | Conducted the inspection and authored the report |
| Bernadette Viray | Sales Director | Met with Licensing Program Analyst during inspection and participated in walkthrough |
Inspection Report
Complaint Investigation
Census: 69
Capacity: 140
Deficiencies: 1
Jul 8, 2021
Visit Reason
The visit was an unannounced case management inspection conducted regarding a self-reported incident that occurred on 05/16/2021 involving a resident leaving the facility unsupervised.
Findings
The inspection found that Resident R1 left the facility unsupervised despite physician's report indicating the resident was unable to leave unassisted. This deficiency was cited under California Code of Regulations, Title 22, related to personal rights and safety of residents.
Complaint Details
The visit was complaint-related due to a self-reported incident of a resident leaving unsupervised. The report does not explicitly state substantiation status.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Resident R1 left the facility unsupervised which poses a potential risk to health and safety of clients under care, violating personal rights requirements. | Type B |
Report Facts
Capacity: 140
Census: 69
Deficiency count: 1
Plan of Correction Due Date: Jul 15, 2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Michelle Delos Santos | Administrator | Met during inspection and involved in review of incident |
| Allison O'Hollaren | Licensing Program Analyst | Conducted the inspection and authored the report |
| Yvonne Flores-Larios | Licensing Program Manager | Supervisor overseeing the inspection |
Inspection Report
Complaint Investigation
Census: 69
Capacity: 140
Deficiencies: 0
Jul 8, 2021
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that the facility does not deliver hot water to residents.
Findings
The investigation found that the water heater was not working from 06/09/2021 to 06/19/2021, during which the facility provided alternative bathing arrangements including warm sponge baths, hotel showers, and an ADA compliant onsite shower trailer. Notices were sent to residents and responsible parties. The complaint was determined to be unfounded and dismissed.
Complaint Details
The complaint alleged that the facility did not deliver hot water to residents. The complaint was investigated and found to be unfounded, meaning the allegation was false, could not have happened, or was without reasonable basis.
Report Facts
Complaint receipt date: Jun 15, 2021
Water heater non-functioning period: 10
Census: 69
Total capacity: 140
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Allison O'Hollaren | Licensing Program Analyst | Conducted the complaint investigation visit |
| Michelle Delos Santos | Administrator | Met with Licensing Program Analyst during investigation |
| Yvonne Flores-Larios | Licensing Program Manager | Named as Licensing Program Manager on report |
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