Inspection Report Summary
Most inspections found deficiencies related primarily to staffing shortages, inadequate dining accommodations, medication administration record inaccuracies, and issues with safeguarding residents’ personal belongings. Several complaint investigations were substantiated, including findings that residents were locked inside the facility, staff did not safeguard belongings, and the administrator was insufficiently present. The facility received civil penalties for repeat violations and safety hazards, including a $500 fine for immediate safety risks observed in June 2025. The most recent report from August 20, 2025 included both substantiated and unsubstantiated complaints; it confirmed ongoing staffing and dining area issues but found no evidence supporting allegations of neglect or improper care. While some improvements were noted after earlier citations, recent findings indicate persistent challenges in staffing, environment, and resident rights compliance.
Deficiencies (last 4 years)
Deficiencies (over 4 years)
11.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
188% worse than California average
California average: 4 deficiencies/yearDeficiencies per year
16
12
8
4
0
Census
Latest occupancy rate
89% occupied
Based on a August 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Census over time
Inspection Report
Complaint Investigation
Census: 31
Capacity: 35
Deficiencies: 0
Date: Aug 20, 2025
Visit Reason
Unannounced complaint investigation visit conducted due to multiple allegations including staff not addressing residents' change in condition, taking residents' personal belongings, not feeding residents appropriate quantities of food, and not providing proper incontinence care.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included staff not addressing residents' change in condition, staff taking residents' personal belongings, facility not feeding residents appropriate quantities of food, and staff not providing proper incontinence care. Each allegation was investigated through interviews and document reviews and found unsubstantiated.
Findings
All allegations investigated were found to be unsubstantiated after interviews with staff and review of resident documents. Observations showed residents were hydrated, nourished, and had sufficient supplies, with no preponderance of evidence supporting the allegations.
Report Facts
Facility capacity: 35
Census: 31
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Daisy Panlilio | Licensing Program Analyst | Conducted the complaint investigation and unannounced visit |
| Seema Sandhu | Administrator | Facility administrator involved in interviews and investigation |
| Cynthia Murphy | Administrator/Facility Nurse | Met with during the investigation visit |
Inspection Report
Complaint Investigation
Census: 31
Capacity: 35
Deficiencies: 3
Date: Aug 20, 2025
Visit Reason
An unannounced complaint investigation visit was conducted due to allegations that the facility did not have enough afternoon and night staff to meet residents' needs, was not equipped to serve residents in the dining area, and that the administrator was not present at the facility a sufficient number of hours per week.
Complaint Details
The complaint investigation was substantiated. Allegations included insufficient afternoon and night staff, inadequate dining area accommodations, and insufficient administrator presence. The investigation included interviews with staff and review of personnel records, residents roster, and incident reports.
Findings
All three allegations were substantiated. The facility lacked sufficient staff during PM and night shifts to meet residents' needs, the dining area was inadequately equipped with insufficient tables causing residents to be fed in the activities/TV room, and the administrator was present only 1 to 2 times per week for about an hour, which was insufficient.
Deficiencies (3)
Facility personnel shall at all times be sufficient in numbers and competent to provide the services necessary to meet resident needs.
Sufficient room shall be available to accommodate persons served in comfort and safety.
Administrator must devote additional hours in the facility to fulfill responsibilities when substantiated by written documentation.
Report Facts
Residents present during inspection: 31
Total licensed capacity: 35
Residents requiring 2+ assist: 11
Staff on PM shift: 3
Staff on Night shift: 2
Plan of Correction Due Date: Sep 19, 2025
Minimum administrator hours per week: 20
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Seema Sandhu | Administrator | Named in findings related to insufficient presence and staffing |
| Cynthia Murphy | Administrator/Facility Nurse | Met with Licensing Program Analyst during investigation |
| Daisy Panlilio | Licensing Program Analyst | Conducted the complaint investigation |
| Bennett Fong | Licensing Program Manager | Oversaw complaint investigation |
Inspection Report
Plan of Correction
Census: 32
Capacity: 35
Deficiencies: 0
Date: Aug 13, 2025
Visit Reason
The visit was an unannounced proof of correction (POC) inspection conducted to verify that previously cited deficiencies had been corrected.
Findings
The facility was found to have corrected the previously cited deficiencies related to following the weekly menu and accurate completion of the Medication Administration Record (MAR). No deficiencies were cited during this visit.
Report Facts
Facility capacity: 35
Census: 32
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cynthia Murphy | Facility Nurse | Met with Licensing Program Analyst during the inspection |
| Alona Gomez | Licensing Program Analyst | Conducted the proof of correction visit |
| Seema Sandhu | Administrator/Director | Named as facility administrator/director |
Inspection Report
Follow-Up
Census: 31
Capacity: 35
Deficiencies: 2
Date: Jul 24, 2025
Visit Reason
Unannounced proof of correction (POC) visit to verify correction of previously cited deficiencies from a case management inspection conducted on 2025-07-01.
Findings
The facility demonstrated correction of several previously cited deficiencies including posting of the PUB 475 poster, availability of dining areas, food quality and storage, hiring of additional staff, and kitchen floor cleanliness. However, new deficiencies were observed related to failure to create and follow a weekly menu and inaccurate medication administration records (MAR). A civil penalty was assessed for repeat violations.
Deficiencies (2)
Facility is not creating and following the weekly menu, posing a potential personal rights violation for residents in care.
Staff are still not accurately completing the Medication Administration Record (MAR), posing a potential health and safety violation for residents in care.
Report Facts
Civil penalty amount: 500
Census: 31
Total capacity: 35
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cynthia Murphy | Facility Nurse | Met with Licensing Program Analysts during inspection and approved signing of report |
| Alona Gomez | Licensing Program Analyst | Conducted case management and inspection, cited deficiencies, and signed report |
| Yvonne Flores-Larios | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Census: 31
Capacity: 35
Deficiencies: 14
Date: Jul 1, 2025
Visit Reason
A case management visit was conducted on 07/01/2025 as a result of observations made during a facility visit on 06/11/2025.
Findings
Multiple deficiencies were observed including incorrect poster dimensions, insufficient dining area causing residents to eat in walkways, undocumented postural supports for residents, expired food items, dirty kitchen floors, improper food storage, incomplete medication administration records (MAR), incomplete resident files, insufficient staff supervision, unlocked scissors accessible to residents, and failure to develop and follow a weekly menu.
Deficiencies (14)
PUB 475 Poster is not the correct dimensions.
Facility is placing residents in walkways to eat meals because dining area cannot accommodate all residents.
Residents R1 and R2 are utilizing chairs with attached lap trays without exception or doctor's orders for postural supports.
Expired almond milk observed being used in the kitchen.
Floors in the kitchen/food area are sticky and dirty with debris and food.
Food is not properly stored in the kitchen.
Medication Administration Record (MAR) is incomplete for all residents.
Resident R1's file is incomplete.
Insufficient staff to supervise residents outside; resident R1 was told to wait to go outside.
Unlocked scissors accessible to residents at the front desk.
Facility is not developing and following a weekly menu.
Incomplete resident records.
Inaccurate MAR posing potential health and safety violation.
Insufficient number of staff to meet resident needs.
Report Facts
Civil Penalty: 250
Census: 31
Total Capacity: 35
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cindy Murphy | Facility Manager/Nurse | Met with Licensing Program Analyst during inspection. |
| Alona Gomez | Licensing Program Analyst | Conducted the inspection and signed the report. |
| Yvonne Flores-Larios | Licensing Program Manager | Named in report as Licensing Program Manager. |
Inspection Report
Complaint Investigation
Census: 30
Capacity: 35
Deficiencies: 5
Date: Jun 11, 2025
Visit Reason
The inspection was conducted as a result of a priority 1 complaint to evaluate health and safety conditions at the facility.
Complaint Details
The visit was triggered by a priority 1 complaint. The complaint was substantiated as multiple immediate safety and personal rights violations were found.
Findings
Multiple deficiencies were observed including locked exit doors with child locks hindering exit, blocked fire exits and walkways, unsecured kitchen with unattended hazards, unlocked room containing dangerous chemicals, and facility disrepair with broken locks and doors. A civil penalty of $500 was assessed.
Deficiencies (5)
Facility front door locked from inside and other exit doors have child locks hindering exit.
Multiple fire exits and walkways blocked with items.
Kitchen lock broken with unattended hazards such as knives and open flames; unlocked room labeled 'Salon' containing dangerous chemicals.
Facility in disrepair with multiple broken door locks and broken door in activity room.
Residents' personal rights violated by locking front main entrance door with a key and having child locks on perimeter doors.
Report Facts
Civil penalty amount: 500
Capacity: 35
Census: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Seema Sandhu | Administrator | Met with Licensing Program Analyst during inspection |
| Alona Gomez | Licensing Program Analyst | Conducted the inspection and authored the report |
| Yvonne Flores-Larios | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Annual Inspection
Census: 33
Capacity: 35
Deficiencies: 4
Date: May 21, 2025
Visit Reason
The visit was an unannounced annual required inspection conducted to evaluate compliance with licensing requirements and ensure the safety and well-being of residents.
Findings
The inspection found several deficiencies including common hallway flooring needing repairs due to water leaks causing buckling and mold, a large hole in the back porch asphalt driveway posing a safety hazard, and a disorganized office with unfiled documents. The facility had adequate emergency plans, infection control measures, and safety equipment in place.
Deficiencies (4)
Common hallway flooring needs repairs in areas near the common shower room
Water leak from common hallway shower room and kitchen causing common hallway flooring to buckle and develop mold
Back porch asphalt driveway has a large hole that is a safety hazard
Disorganized office with various unfiled documents
Report Facts
POC Due Date: Jun 6, 2025
Capacity: 35
Census: 33
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Seema Sandhu | Administrator | Met during inspection and infection control leader |
| Cynthia Murphy | Nursing Supervisor | Met during inspection |
| Daisy Panlilio | Licensing Program Analyst | Conducted the inspection |
| Bennett Fong | Licensing Program Manager | Named in report header and signature |
Inspection Report
Census: 27
Capacity: 35
Deficiencies: 0
Date: Jul 30, 2024
Visit Reason
An unannounced Health and Safety check was conducted by Licensing Program Analyst D Panlilio to assess the safety and health conditions of the facility.
Findings
During the health and safety check, 9 staff and 27 residents were observed. The facility was toured including bedrooms, kitchen, bathroom, and common areas. Residents appeared safe with no imminent health or safety concerns and no deficiencies were cited.
Report Facts
Staff observed: 9
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Daisy Panlilio | Licensing Program Analyst | Conducted the unannounced Health and Safety check |
| Cynthia Murphy | House Manager | Met with Licensing Program Analyst during the inspection |
| Seema Sandhu | Administrator/Director | Facility Administrator/Director |
Inspection Report
Annual Inspection
Census: 28
Capacity: 35
Deficiencies: 0
Date: May 28, 2024
Visit Reason
An unannounced annual required inspection was conducted to evaluate compliance with licensing requirements and facility operations.
Findings
The facility was toured and inspected, including review of staff and resident files and interviews. No deficiencies were cited during this visit. Safety equipment and infection control measures were found to be in place and operational.
Report Facts
Staff files reviewed: 5
Resident files reviewed: 5
Staff interviews conducted: 5
Resident interviews conducted: 5
Fire extinguisher last inspected: Apr 24, 2024
Administrator certificate expiration: Nov 16, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Seema Sandhu | Administrator | Met during inspection and infection control leader |
| Cynthia Murphy | Nursing Supervisor | Met during inspection |
| Daisy Panlilio | Licensing Program Analyst | Conducted the inspection |
| Bennett Fong | Licensing Program Manager | Named in report |
Inspection Report
Complaint Investigation
Census: 30
Capacity: 35
Deficiencies: 1
Date: Nov 8, 2023
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations that the facility withheld a resident's personal belongings and did not prevent resident's personal belongings from becoming damaged.
Complaint Details
The complaint investigation was substantiated regarding the facility withholding a resident's personal belongings from the authorized representative on 11/01/23. The resident's family became aggressive when refusing to sign the release form for the remaining personal items. The allegation that the facility did not prevent damage to the resident's personal belongings was unsubstantiated.
Findings
The allegation that the facility withheld a resident's personal belongings was substantiated based on interviews, observations, and record reviews. The allegation that the facility did not prevent resident's personal belongings from becoming damaged was found to be unsubstantiated after investigation and review of records and interviews.
Deficiencies (1)
The executor or the administrator of the estate shall be notified by the licensee, and the cash resources, personal property, and valuables surrendered to said party. This requirement was not met as evidenced by staff withholding resident’s personal belongings to authorized representative on 11/01/23.
Report Facts
Capacity: 35
Census: 30
Deficiency count: 1
Plan of Correction Due Date: Nov 30, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Seema Sandhu | Administrator | Named in relation to the complaint investigation and findings |
| Cynthia Murphy | Manager on Duty | Interviewed during investigation and provided information on allegations |
| Daisy Panlilio | Licensing Program Analyst | Conducted the complaint investigation visit |
| Bennett Fong | Licensing Program Manager | Oversaw complaint investigation and signed report |
Inspection Report
Complaint Investigation
Census: 31
Capacity: 35
Deficiencies: 0
Date: Oct 5, 2023
Visit Reason
Unannounced complaint investigation visit conducted due to an allegation that facility staff were not treating residents for scabies.
Complaint Details
The complaint alleged that facility staff were not treating for scabies. The investigation found this allegation unsubstantiated based on evidence including hospital confirmation of scabies, infection control actions taken by the facility, and staff interviews.
Findings
The investigation found the allegation unsubstantiated after reviewing records, conducting interviews, and observations. The facility implemented infection control measures after a resident was confirmed to have scabies, and no deficiencies were cited.
Report Facts
Facility capacity: 35
Census: 31
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Daisy Panlilio | Licensing Program Analyst | Conducted the complaint investigation visit and authored the report |
| Bennett Fong | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
| Seema Sandhu | Administrator | Facility administrator named in the report |
| Cynthia Murphy | Manager on Duty | Met with the Licensing Program Analyst during the visit |
Inspection Report
Annual Inspection
Census: 31
Capacity: 35
Deficiencies: 5
Date: Jun 30, 2023
Visit Reason
The visit was an unannounced annual required inspection conducted to evaluate the facility's compliance with regulatory standards.
Findings
The inspection found several deficiencies including a damaged automatic front gate, insufficient food supply for the census, broken kitchen vents, lifting flooring between Shower 2 entry and hallway, and peeling walls in Shower #2. These issues posed potential health and safety risks to residents.
Deficiencies (5)
Automatic front gate damaged
Insufficient food supply in the kitchen (not enough for census of 31 residents)
Broken kitchen vents
Lifting flooring between Shower 2 entry and hallway
Peeling walls in Shower #2
Report Facts
Capacity: 35
Census: 31
POC Due Date: Jul 28, 2023
Food supply duration: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Daisy Panlilio | Licensing Program Analyst | Conducted the inspection and signed the report |
| Bennett Fong | Licensing Program Manager | Supervisor overseeing the inspection |
| Seema Sandhu | Administrator | Facility administrator involved in inspection and plan of correction |
| Cynthia Murphy | Administrator | Met with Licensing Program Analyst during inspection |
Inspection Report
Complaint Investigation
Census: 31
Capacity: 35
Deficiencies: 0
Date: Jun 30, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to multiple allegations received on 2022-08-31 regarding questionable death, inadequate feeding, visitor restrictions, grooming needs, telephone answering, temperature maintenance, medication log maintenance, and overmedication at the facility.
Complaint Details
The complaint investigation was triggered by allegations including questionable death, staff not ensuring adequate feeding, preventing visitors, unmet grooming needs, staff not answering the telephone, failure to maintain comfortable temperature, lack of medication logs, and overmedication. All allegations were found unsubstantiated or unfounded after review of records, interviews, and observations.
Findings
All allegations investigated were found to be unsubstantiated or unfounded. The investigation found no preponderance of evidence to prove any violations occurred, including the questionable death, feeding adequacy, visitor access, grooming assistance, telephone answering, temperature control, medication log maintenance, and overmedication claims.
Report Facts
Capacity: 35
Census: 31
Inspection start time: 11
Inspection end time: 12.5
Temperature: 75
Medication record review dates: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Seema Sandhu | Administrator | Named in relation to findings and interviews during complaint investigation |
| Daisy Panlilio | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Bennett Fong | Licensing Program Manager | Oversaw the complaint investigation |
| Cynthia Murphy | Administrator | Met with Licensing Program Analyst during inspection |
Inspection Report
Complaint Investigation
Census: 31
Capacity: 35
Deficiencies: 1
Date: Jun 30, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2023-02-28 regarding staff not safeguarding resident belongings and other care-related concerns.
Complaint Details
The complaint investigation was substantiated for the allegation that staff did not safeguard resident R1's belongings, which were missing after the resident passed away. Other allegations regarding neglect, inadequate assistance, unauthorized medical procedures, poor communication, failure to turn resident, lack of dignity, and unsanitary medical equipment were unsubstantiated.
Findings
The investigation substantiated the allegation that staff did not safeguard a resident's belongings, with missing personal items confirmed. All other allegations related to resident care, including pressure injuries, assistance timeliness, permission for medical procedures, communication, turning, dignity, and equipment sanitation, were found unsubstantiated due to lack of preponderance of evidence.
Deficiencies (1)
Staff did not safeguard resident's belongings, resulting in missing personal items and posing a potential health and safety risk.
Report Facts
Capacity: 35
Census: 31
Deficiencies cited: 1
Plan of Correction Due Date: Jul 14, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Seema Sandhu | Administrator | Confirmed missing resident belongings and involved in investigation |
| Daisy Panlilio | Licensing Program Analyst | Conducted the complaint investigation visit |
| Bennett Fong | Licensing Program Manager | Oversaw complaint investigation report |
| Cynthia Murphy | Administrator | Met with Licensing Program Analyst during inspection |
Inspection Report
Complaint Investigation
Census: 31
Capacity: 35
Deficiencies: 0
Date: May 16, 2023
Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation that staff mishandled residents' medication records.
Complaint Details
The complaint alleging staff mishandled residents' medication records was investigated and found to be unfounded, meaning the allegation was false or without reasonable basis.
Findings
The investigation reviewed medication logs and administration records for six residents and found the facility was meeting regulatory requirements. The complaint was determined to be unfounded with no deficiencies cited.
Report Facts
Residents reviewed: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Daisy Panlilio | Licensing Program Analyst | Conducted the complaint investigation visit and delivered findings |
| Seema Sandhu | Administrator | Facility administrator met with during the investigation |
Inspection Report
Complaint Investigation
Census: 31
Capacity: 35
Deficiencies: 1
Date: Mar 14, 2023
Visit Reason
The inspection visit was an unannounced complaint investigation conducted in response to a complaint received on 2023-03-13 regarding the facility's failure to provide an authorized representative a copy of a resident's records.
Complaint Details
The complaint was substantiated. The allegation that the facility did not provide an authorized representative a copy of resident R1's records was confirmed by the Licensing Program Analyst during the unannounced visit.
Findings
The investigation confirmed that the facility did not provide the authorized representative a copy of the resident's records as requested, which was substantiated based on observations, interviews, and record reviews. A deficiency was cited for failure to maintain confidentiality and provide records as required.
Deficiencies (1)
Facility did not provide authorized representative a copy of resident's records, violating confidentiality requirements under CCR 87506(c)(01).
Report Facts
Capacity: 35
Census: 31
Deficiencies cited: 1
Plan of Correction Due Date: Mar 17, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Daisy Panlilio | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Seema Sandhu | Administrator | Facility administrator who confirmed failure to provide records |
| Cynthia Murphy | Manager on Duty | Met with Licensing Program Analyst during investigation |
| Bennett Fong | Licensing Program Manager | Oversaw complaint investigation process |
Inspection Report
Complaint Investigation
Census: 31
Capacity: 35
Deficiencies: 0
Date: Mar 7, 2023
Visit Reason
The inspection was conducted as a Health and Safety check following receipt of a priority 2 complaint.
Complaint Details
The visit was triggered by a priority 2 complaint. No deficiencies were cited during the health and safety check.
Findings
During the health and safety check, 6 staff wearing face masks and 31 residents were observed. The facility was toured including bedrooms, kitchen, bathroom, and common areas. Residents appeared safe with no imminent health or safety concerns. No deficiencies were cited.
Report Facts
Staff wearing face masks: 6
Residents present: 31
Facility capacity: 35
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Daisy Panlilio | Licensing Program Analyst | Conducted the health and safety check |
| Cynthia Murphy | Manager on Duty | Met with Licensing Program Analyst during inspection |
Inspection Report
Complaint Investigation
Census: 32
Capacity: 35
Deficiencies: 1
Date: Nov 4, 2022
Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation that the licensee did not issue a refund following a resident's death.
Complaint Details
The complaint was substantiated. The allegation was that the licensee did not issue a refund. The investigation confirmed a late refund issuance beyond the 15-day period after the resident's death and belongings removal.
Findings
The investigation found that the licensee issued a refund check five days late beyond the required 15-day refund period after the resident's belongings were removed. A final refund check of $45 was issued as full payment. The allegation was substantiated and a deficiency was cited for violation of Title 22 Section 87507 refund regulation.
Deficiencies (1)
Facility policy concerning refunds, including the conditions under which a refund for advanced monthly fees will be returned in the event of a resident’s death, was not met due to late refund issuance.
Report Facts
Refund check amount: 45
Refund delay days: 5
Resident census: 32
Facility capacity: 35
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Daisy Panlilio | Licensing Program Analyst | Conducted the complaint investigation visit and authored the report. |
| Bennett Fong | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation. |
| Seema Sandhu | Licensee | Licensee involved in the refund allegation and investigation. |
| Cindy Murphy | Administrator | Administrator met with Licensing Program Analyst during the investigation. |
Inspection Report
Complaint Investigation
Census: 34
Capacity: 35
Deficiencies: 2
Date: Oct 7, 2022
Visit Reason
The visit was a Case Management conducted due to complaints CN# 15-AS-20220930151105 and CN# 15-AS-20220929165630, to investigate alleged deficiencies at the facility.
Complaint Details
The visit was triggered by two complaints (CN# 15-AS-20220930151105 and CN# 15-AS-20220929165630).
Findings
Two deficiencies were observed: an ottoman and other items blocking exit doors, and failure to submit an incident report after a resident was hospitalized for spitting blood.
Deficiencies (2)
Ottoman blocking an exit door and 3 beds and wheelchairs obstructing another exit door.
Failure to submit an incident report for resident R1 who was hospitalized for spitting blood.
Report Facts
Capacity: 35
Census: 34
Plan of Correction Due Dates: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Esmeralda Vega | Supervisor | Met with Licensing Program Analysts during the visit |
| Seema Sandhu | Administrator | Spoken to by phone during the visit |
| Lizette Francisco | Licensing Program Analyst | Conducted the inspection and signed the report |
| Harpreet Humpal | Licensing Program Manager | Named as Licensing Program Manager and Supervisor |
| K. Nguyen | Licensing Program Analyst | Conducted the inspection |
Inspection Report
Complaint Investigation
Census: 34
Capacity: 35
Deficiencies: 1
Date: Oct 7, 2022
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to an allegation that the facility did not adhere to admission agreement requirements, specifically regarding refund policies.
Complaint Details
The complaint investigation was triggered by an allegation that the facility did not adhere to admission agreement requirements, specifically a non-refundable policy for refunds after a resident's death. The allegation was substantiated based on interviews and record reviews. A second allegation that the facility did not issue a proper refund was unsubstantiated.
Findings
The investigation found that the facility had a non-refundable policy for advanced monthly fees upon a resident's death, which violates Title 22 regulation 87507(g)(5)(A). This allegation was substantiated. Another allegation regarding improper refund issuance was unsubstantiated due to insufficient evidence.
Deficiencies (1)
Facility policy concerning refunds, including the conditions under which a refund for advanced monthly fees will be returned in the event of a resident’s death, was non-refundable and in violation of Title 22 regulation 87507(g)(5)(A).
Report Facts
Capacity: 35
Census: 34
Plan of Correction Due Date: Oct 14, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lizette Francisco | Licensing Program Analyst | Conducted the complaint investigation |
| Harpreet Humpal | Licensing Program Manager | Oversaw the complaint investigation |
| Esmeralda Vega | Supervisor | Met with Licensing Program Analysts during the investigation |
Inspection Report
Complaint Investigation
Census: 34
Capacity: 35
Deficiencies: 2
Date: Oct 7, 2022
Visit Reason
The inspection was an unannounced complaint investigation conducted due to allegations including residents being locked inside the facility and staff not adhering to COVID-19 infection control, among other complaints.
Complaint Details
The complaint investigation was substantiated for allegations that residents were locked inside the facility and staff failed to adhere to COVID-19 infection control protocols. Other allegations were unsubstantiated due to lack of sufficient evidence.
Findings
The investigation substantiated that residents were locked inside the facility and that staff did not consistently screen visitors or have them sign the sign-in log, violating personal rights and health safety regulations. Other allegations such as lack of call buttons, inadequate nighttime assistance, room temperature issues, staff under influence, disrepair of lights, and refund issues were found unsubstantiated.
Deficiencies (2)
Licensee did not comply with regulation by locking front main entrance door with a key, posing an immediate personal rights risk to persons in care.
Licensee did not comply with regulation as visitor was not screened and requested to sign in, posing a potential health and safety risk to persons in care.
Report Facts
Facility capacity: 35
Census: 34
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Seema Sandhu | Administrator | Named in relation to facility administration and plan of correction |
| Esmeralda Vega | Supervisor | Met with Licensing Program Analysts during investigation |
| Lizette Francisco | Licensing Program Analyst | Conducted complaint investigation |
| Harpreet Humpal | Licensing Program Manager | Oversaw complaint investigation and signed report |
Inspection Report
Complaint Investigation
Census: 33
Capacity: 35
Deficiencies: 0
Date: Sep 1, 2022
Visit Reason
The inspection was conducted as a result of the department receiving a priority 1 complaint, triggering a health and safety check at the facility.
Complaint Details
The visit was triggered by a priority 1 complaint. No deficiencies or violations were found, indicating no substantiated issues at the time of inspection.
Findings
During the health and safety check, the Licensing Program Analyst observed 33 residents and 6 staff members, toured the facility with the administrator, and found no imminent health or safety concerns. No deficiencies were cited during the inspection.
Report Facts
Staff members observed: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Daisy Panlilio | Licensing Program Analyst | Conducted the health and safety check |
| Bennett Fong | Licensing Program Manager | Named in the report header |
| Cynthia Murphy | Administrator | Met with the Licensing Program Analyst during the inspection |
Inspection Report
Complaint Investigation
Census: 31
Capacity: 35
Deficiencies: 0
Date: Aug 23, 2022
Visit Reason
An unannounced complaint investigation visit was conducted following a complaint received on 08/17/2022 regarding medication dispensing and record maintenance at the facility.
Complaint Details
The complaint alleged that facility staff did not dispense medication as prescribed and that the licensee did not maintain current records of residents' medications. Both allegations were found to be unfounded after investigation.
Findings
The investigation found both allegations to be unfounded. Resident R1 refused medications as prescribed, and the facility maintained current medication records as verified by review and interviews.
Report Facts
Number of prescription medications for resident R1: 10
Number of PRN medications for resident R1: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Daisy Panlilio | Licensing Program Analyst | Conducted the complaint investigation visit and delivered findings |
| Bennett Fong | Licensing Program Manager | Named as Licensing Program Manager on the report |
| Seema Sandhu | Administrator | Facility administrator named in the report |
| Cynthia Murphy | Administrator | Met with Licensing Program Analyst during the visit |
Inspection Report
Original Licensing
Census: 30
Capacity: 35
Deficiencies: 0
Date: Jul 8, 2022
Visit Reason
The visit was an unannounced Change of Ownership Pre-licensing Required inspection to evaluate the facility for licensing approval.
Findings
The facility was toured and inspected with no deficiencies observed. COVID infection control measures were in place, safety equipment was operational, and the facility was deemed ready for licensing.
Report Facts
Number of apartments: 35
Room temperature: 75
Hot water temperature: 112
Fire extinguisher last serviced: Jun 4, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Seema Sandhu | Applicant/Administrator | Met with Licensing Program Analyst during the pre-licensing inspection. |
| Daisy Panlilio | Licensing Program Analyst | Conducted the unannounced pre-licensing inspection. |
| Bennett Fong | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Census: 31
Capacity: 35
Deficiencies: 0
Date: Jul 8, 2022
Visit Reason
The visit occurred for Case Management - Other, during which the Licensing Program Analyst completed the Component III presentation with the applicant and discussed common deficiencies for RCFEs and how to avoid them.
Findings
The applicant agreed to comply with all RCFE Title 22 regulations and to ensure staff compliance with all requirements in a timely manner. No deficiencies or violations were cited in this report.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Seema Sandhu | Applicant/Administrator | Met with during the visit and agreed to comply with regulations. |
| Bennett Fong | Licensing Program Manager | Named as Licensing Program Manager on the report. |
| Daisy Panlilio | Licensing Program Analyst | Conducted the Component III presentation and visit. |
Inspection Report
Census: 30
Capacity: 35
Deficiencies: 1
Date: Jun 16, 2022
Visit Reason
The visit occurred as a Case Management - Other type of visit to address the failure to submit an unusual incident report (LIC 624) regarding 4 COVID positive residents on 06/03/22.
Findings
The facility failed to submit the required unusual incident report for an incident involving COVID positive residents, which posed a potential health and safety risk. A deficiency was cited per Title 22 California Code of Regulations.
Deficiencies (1)
Failure to submit unusual incident report (LIC 624) for an incident involving 4 COVID positive residents on 06/03/22.
Report Facts
COVID positive residents: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Daisy Panlilio | Licensing Program Analyst | Discussed the missing incident report and conducted the evaluation |
| Bennett Fong | Licensing Program Manager | Supervisor and Licensing Program Manager overseeing the evaluation |
| Cynthia Murphy | Administrator | Facility administrator met during the visit |
Inspection Report
Original Licensing
Census: 30
Capacity: 35
Deficiencies: 3
Date: Jun 16, 2022
Visit Reason
An unannounced pre-licensing visit was conducted to evaluate the facility's readiness for licensing and compliance with regulations.
Findings
The facility was found to have multiple deficiencies including insufficient food supplies, inadequate staffing levels, deteriorating flooring, broken blinds, and elevated indoor temperature. These deficiencies posed immediate or potential health and safety risks to residents.
Deficiencies (3)
Insufficient perishable and non-perishable food in the kitchen pantry, refrigerators and freezers.
Insufficient staff to meet residents' needs.
Deteriorating flooring in common areas, warm temperature inside facility, and broken window blinds posing potential health and safety risks.
Report Facts
Capacity: 35
Census: 30
Staffing: 3
Staffing: 2
Staffing: 1
Temperature: 82
Plan of Correction Due Date: Jul 16, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cynthia Murphy | Administrator | Met with Licensing Program Analyst during inspection |
| Esmeralda Vega | Med Tech | Present during inspection |
| Bennett Fong | Licensing Program Manager | Named in report as supervisor and manager |
| Daisy Panlilio | Licensing Program Analyst | Conducted the inspection and authored the report |
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