Inspection Report Summary
Most inspections found no deficiencies, with several complaint investigations unsubstantiated. The most recent report from October 31, 2025, cited two deficiencies related to medication recordkeeping and a resident elopement, both posing potential safety risks. Earlier reports noted issues with staff training, outdated care plans, and missing TB clearances, while one complaint investigation in April 2023 found staff lacked current first aid certification. No fines, license actions, or severe enforcement measures were listed in the available reports. The facility’s record shows some recurring minor to moderate issues, but the overall pattern does not indicate worsening conditions.
Deficiencies per Year
4
3
2
1
0
High
Moderate
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Annual Inspection
Census: 14
Capacity: 145
Deficiencies: 2
Oct 31, 2025
Visit Reason
An unannounced annual inspection was conducted to evaluate compliance with licensing requirements for the assisted living portion of the facility.
Findings
The inspection found the facility generally compliant with regulations, including safe food storage, proper environmental conditions, and complete resident and staff records. However, two deficiencies were cited related to medication recordkeeping and resident elopement.
Severity Breakdown
Type A: 1
Type B: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| R2 had a bubble pack of Quetiapine FUM 50mg not listed on Centrally Stored Medication Log (CSML), posing an immediate health, safety or personal rights risk. | Type A |
| Resident R1 eloped from the facility, posing a potential health, safety or personal rights risk to persons in care. | Type B |
Report Facts
Residents in Assisted Living: 14
Residents in Independent Living: 67
Residents receiving hospice care: 5
Resident records reviewed: 7
Staff records reviewed: 7
Fire extinguisher inspection date: Apr 10, 2025
Fire alarm inspection date: 202508
Disaster drill date: Sep 23, 2025
Plan of Correction Due Date: Nov 3, 2025
Medication training completion date: Nov 17, 2025
Medication training submission date: Nov 21, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Robert Rubio | Administrator | Met with Licensing Program Analyst during inspection; named in discussion of findings |
| Christi Coppo | Licensing Program Analyst | Conducted the inspection and authored the report |
| Victoria Bertozzi | Licensing Program Manager | Named as Licensing Program Manager overseeing the inspection |
Inspection Report
Annual Inspection
Census: 10
Capacity: 145
Deficiencies: 2
Dec 5, 2024
Visit Reason
An unannounced annual inspection was conducted to evaluate compliance with licensing requirements for the assisted living portion of the facility.
Findings
The inspection found the facility generally compliant with safety and environmental standards, including food storage, fire safety, and emergency preparedness. However, deficiencies were cited for two residents lacking TB clearance and two staff members not completing the required 20 hours of annual training.
Deficiencies (2)
| Description |
|---|
| Residents R1 and R2 did not have a TB clearance on file. |
| Staff members S1 and S2 did not have 20 hours of annual training completed; S1 had 7 hours and S2 had 10.5 hours. |
Report Facts
Residents in Assisted Living: 10
Residents in Independent Living: 69
Residents receiving hospice care: 2
Facility capacity: 145
Staff training hours: 7
Staff training hours: 10.5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Robert Rubio | Administrator | Met with Licensing Program Analyst during inspection and discussed findings |
| Christi Coppo | Licensing Program Analyst | Conducted the inspection and authored the report |
| Victoria Bertozzi | Licensing Program Manager | Supervisor overseeing the inspection |
Inspection Report
Complaint Investigation
Census: 7
Capacity: 145
Deficiencies: 0
Feb 6, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations that staff were not preventing a resident from smoking in the facility and not providing a comfortable environment for residents.
Findings
Both allegations were found to be unsubstantiated due to lack of preponderance of evidence. The facility had taken steps to address smoking concerns, and interviews with residents indicated no discomfort from smoke or evidence supporting the allegations.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included staff not preventing resident smoking in unauthorized areas and not providing a comfortable environment. The investigation found no sufficient evidence to prove the violations occurred.
Report Facts
Capacity: 145
Census: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Robert Rubio | Administrator | Named in relation to complaint findings and authorization for report signing |
| Christi Coppo | Licensing Program Analyst | Conducted the complaint investigation |
| Bethany Moellers | Licensing Program Manager | Named in report as Licensing Program Manager |
| Korina Weatherson | Sales Manager | Met with Licensing Program Analyst during investigation and signed report |
Inspection Report
Annual Inspection
Census: 9
Capacity: 145
Deficiencies: 3
Dec 15, 2023
Visit Reason
An unannounced Required - 1 Year annual inspection was conducted to evaluate compliance with regulations for the assisted living portion of the facility.
Findings
The inspection found several deficiencies including outdated resident care plans for 6 out of 9 residents, one resident lacking a current medical assessment, and 2 out of 5 staff missing required annual training hours. The facility environment and safety measures were generally compliant.
Deficiencies (3)
| Description |
|---|
| 2 out of 5 staff did not have annual required training hours on file. |
| 1 out of 9 residents did not have a current medical assessment within the last 12 months. |
| 6 out of 9 residents' care plans were not updated within the last 12 months. |
Report Facts
Residents in Assisted Living: 9
Residents in Independent Living: 83
Staff records reviewed: 5
Resident records reviewed: 9
Staff missing training hours: 2
Residents with outdated care plans: 6
Residents without current medical assessment: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Robert Rubio | Executive Director | Met with Licensing Program Analyst during inspection and named in findings related to facility compliance. |
| Marisol Cuadra | Licensing Program Analyst | Conducted the inspection and authored the report. |
| Bethany Moellers | Licensing Program Manager | Supervisor overseeing the inspection. |
Inspection Report
Complaint Investigation
Census: 77
Capacity: 145
Deficiencies: 0
Jun 16, 2023
Visit Reason
The inspection was conducted as a Case Management-Incident visit following an incident report regarding a resident fall and denial of medical treatment.
Findings
No deficiencies were cited during the inspection. The facility was found clean, with unobstructed exits, and ongoing construction was observed. The importance of timely incident reporting was discussed.
Complaint Details
The visit was complaint-related due to an incident on February 8, 2023 involving a resident fall and denial of medical treatment. The resident later had a CT scan on June 2, 2023 revealing a mild fracture. The complaint was discussed but no deficiencies were cited.
Report Facts
Incident date: Feb 8, 2023
Incident report forwarded date: Jun 6, 2023
CT scan date: Jun 2, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Robert Rubio | Administrator | Facility Administrator who met with Licensing Program Analyst and discussed incident |
| Farhaan Sarangi | Licensing Program Analyst | Conducted the Case Management-Incident inspection |
Inspection Report
Complaint Investigation
Census: 82
Capacity: 145
Deficiencies: 1
Apr 28, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations that staff do not possess current first aid certificates and that staff are not properly trained.
Findings
The complaint that staff did not possess current first aid certificates was substantiated, with 2 out of 5 staff lacking valid First Aid/CPR cards, posing an immediate risk to residents. The complaint that staff were not properly trained was unsubstantiated, as evidence showed sufficient training and proper medication distribution.
Complaint Details
The complaint investigation was substantiated for the allegation that staff do not possess current first aid certificates. The allegation that staff are not properly trained was unsubstantiated due to insufficient evidence.
Deficiencies (1)
| Description |
|---|
| Staff providing care did not receive appropriate training in first aid as required by regulation; 2 out of 5 staff members lacked current First Aid/CPR certification. |
Report Facts
Staff without valid First Aid/CPR card: 2
Facility census: 82
Facility capacity: 145
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Farhaan Sarangi | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Robert Rubio | Prospective Administrator | Met with Licensing Program Analyst during inspection |
Inspection Report
Annual Inspection
Census: 80
Capacity: 145
Deficiencies: 0
Oct 25, 2022
Visit Reason
The inspection was a Required 1-Year unannounced inspection focused on Infection Control procedures and practices at the facility.
Findings
The facility was found to be clean and orderly with sufficient PPE supplies, proper medication security, and no deficiencies cited during the inspection.
Report Facts
Fire extinguisher service expiration: 2022
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jaclyn Carenbauer | Administrator | Met with Licensing Program Analyst during inspection and mentioned in findings |
| Dina Alviso | Licensing Program Analyst | Conducted the inspection |
| Hope DeBenedetti | Licensing Program Manager | Named in report header |
Inspection Report
Complaint Investigation
Census: 78
Capacity: 145
Deficiencies: 0
Mar 2, 2022
Visit Reason
The inspection was conducted as an unannounced complaint investigation following allegations that the facility was not following proper COVID-19 protocols, staff were not wearing masks, and a staff member yelled at residents.
Findings
The investigation found that staff and residents were observed wearing masks during visits, COVID-19 protocols and PPE were in place, and interviews with residents and staff did not substantiate the allegations. Therefore, all allegations were unsubstantiated due to lack of preponderance of evidence.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included failure to follow COVID-19 protocols, no mask wearing, and staff yelling at residents. Interviews and observations did not provide sufficient evidence to substantiate these claims.
Report Facts
Capacity: 145
Census: 78
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Erik Gonzalez Campos | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Jaclyn Carenbauer | Administrator | Facility administrator met during inspection and interviewed |
| Kimberley Mota | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Annual Inspection
Census: 76
Capacity: 145
Deficiencies: 0
Oct 21, 2021
Visit Reason
An unannounced annual inspection was conducted focusing on the Infection Control procedures and practices of the facility.
Findings
The facility was found to be clean, in good repair, and compliant with infection control protocols including PPE use, vaccination rates, and COVID-19 mitigation measures. No deficiencies were cited during the inspection.
Report Facts
Facility capacity: 145
Current census: 76
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jaclyn Carenbauer | Administrator | Met with Licensing Program Analyst during inspection and named in report |
| Erik Gonzalez Campos | Licensing Program Analyst | Conducted the annual inspection |
| Kimberley Mota | Licensing Program Manager | Named in report |
Inspection Report
Complaint Investigation
Census: 5
Capacity: 145
Deficiencies: 0
Jan 6, 2021
Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that staff did not ensure a resident received transportation.
Findings
The investigation found the complaint to be unfounded, determining that the allegation was false, could not have happened, and/or was without reasonable basis. The facility does not prohibit residents from using other transportation and has developed a plan to provide transportation services during the Shelter in Place order.
Complaint Details
Complaint alleged staff did not ensure resident received transportation. The complaint was investigated and found to be unfounded.
Report Facts
Capacity: 145
Census: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kimberley Mota | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Carla Martinez | Licensing Program Manager | Named in report as Licensing Program Manager |
| Michael Cataldo | Met with Licensing Program Analyst during investigation |
Inspection Report
Census: 5
Capacity: 120
Deficiencies: 0
Dec 11, 2020
Visit Reason
The inspection was a case management visit conducted via tele-video due to COVID-19 precautions, regarding a request for a capacity increase from 80 to 105 non-ambulatory residents, including 7 bedridden residents.
Findings
The inspection found that the prior skilled nursing area was converted to the assisted living section, with all rooms equipped with call systems, proper grab bars, and necessary amenities. A fire clearance was approved for the capacity increase. No deficiencies were cited during the visit.
Report Facts
Capacity increase: 105
Fire extinguisher last charged: Apr 30, 2020
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Clara Allen | Executive Director | Met during inspection and provided information about facility and capacity increase |
| Bill Faulkner | Maintenance Technician | Met via Zoom during inspection |
| Kimberley Mota | Licensing Program Analyst | Conducted the case management inspection |
| Carla Martinez | Licensing Program Manager | Named in report header |
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