Deficiencies (last 4 years)

Deficiencies (over 4 years) 22 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

450% worse than California average
California average: 4 deficiencies/year

Deficiencies per year

80 60 40 20 0
2022
2023
2024
2025

Census

Latest occupancy rate 74% occupied

Based on a December 2025 inspection.

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

Occupancy over time

20 40 60 80 Jun 2022 Oct 2022 May 2023 May 2024 Jul 2025 Oct 2025 Dec 2025

Inspection Report

Complaint Investigation
Census: 26 Capacity: 35 Deficiencies: 0 Date: Dec 4, 2025

Visit Reason
Unannounced complaint investigation visit conducted due to multiple allegations against staff and facility practices received on 2025-06-09.

Complaint Details
The complaint investigation was unsubstantiated. Allegations investigated included staff not properly transferring a resident resulting in fracture, staff punching a resident, rough handling of residents, lack of dignity and respect, failure to provide incidental medical care assistance, inadequate staff training, and failure to follow reporting requirements. Evidence did not support any violations.
Findings
All allegations including improper resident transfer causing fracture, staff punching resident, rough handling, lack of dignity and respect, inadequate assistance with incidental medical care, insufficient staff training, and failure to follow reporting requirements were investigated and found unsubstantiated with no deficiencies cited.

Report Facts
Capacity: 35 Census: 26 Complaint Control Number: 15-AS-20250609100754 Training hours: 20

Employees mentioned
NameTitleContext
Seema SandhuAdministratorFacility administrator involved in investigation and authorized staff to act on her behalf
Daisy PanlilioLicensing Program AnalystEvaluator who conducted the complaint investigation visit
Angela CurryManager on DutyFacility staff met during the investigation visit

Inspection Report

Complaint Investigation
Census: 26 Capacity: 35 Deficiencies: 1 Date: Oct 22, 2025

Visit Reason
The inspection visit was an unannounced complaint investigation triggered by an allegation that the facility did not give a refund to a resident's responsible party.

Complaint Details
The complaint was substantiated. The responsible party alleged the facility did not give a refund despite multiple requests. The resident was admitted on 2020-10-30 and passed away on 2025-03-09. The refund amount agreed upon was $3,477.46, which was issued during the visit.
Findings
The allegation was substantiated. The investigation found that the facility failed to issue a refund to the resident's responsible party in a timely manner, posing a potential health and safety risk. The refund check was issued and mailed to the responsible party during the visit.

Deficiencies (1)
Facility did not give refund to resident’s responsible party within required timeframe, posing a potential health and safety risk.
Report Facts
Refund amount: 3477.46 Capacity: 35 Census: 26

Employees mentioned
NameTitleContext
Seema SandhuAdministratorFacility administrator involved in investigation and refund issuance.
Daisy PanlilioLicensing Program AnalystEvaluator who conducted the complaint investigation.
Bennett FongSupervisorSupervisor overseeing the licensing evaluation.

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
NameTitleContext
Daisy PanlilioLicensing Program AnalystConducted the complaint investigation and unannounced visit
Seema SandhuAdministratorFacility administrator involved in interviews and investigation
Cynthia MurphyAdministrator/Facility NurseMet 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
NameTitleContext
Seema SandhuAdministratorNamed in findings related to insufficient presence and staffing
Cynthia MurphyAdministrator/Facility NurseMet with Licensing Program Analyst during investigation
Daisy PanlilioLicensing Program AnalystConducted the complaint investigation
Bennett FongLicensing Program ManagerOversaw complaint investigation

Inspection Report

Complaint Investigation
Census: 31 Capacity: 35 Deficiencies: 0 Date: Aug 20, 2025

Visit Reason
The visit was an unannounced complaint investigation conducted in response to multiple allegations received on 2025-08-13 regarding 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 resident’s change in condition, staff taking resident’s personal belongings, facility not feeding residents appropriate quantities of food, and staff not providing proper incontinence care. Investigations involved interviews with reporting party, staff, and review of resident documents. Observations and evidence did not support the allegations.
Findings
All allegations investigated were found to be unsubstantiated after interviews with staff and review of resident documents. The resident was observed to be hydrated, nourished, and odor free, and the facility was found to be providing appropriate care and supplies.

Report Facts
Facility capacity: 35 Resident census: 31

Employees mentioned
NameTitleContext
Seema SandhuAdministratorNamed in relation to complaint investigation and interviews
Cynthia MurphyAdministrator/Facility NurseMet with during investigation
Daisy PanlilioLicensing Program AnalystConducted the complaint investigation

Inspection Report

Follow-Up
Census: 32 Capacity: 35 Deficiencies: 0 Date: Aug 13, 2025

Visit Reason
The visit was an unannounced proof of correction (POC) inspection 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.

Employees mentioned
NameTitleContext
Cynthia MurphyFacility NurseMet with Licensing Program Analyst during the inspection and involved in the visit.

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
NameTitleContext
Cynthia MurphyFacility NurseMet with Licensing Program Analyst during the inspection
Alona GomezLicensing Program AnalystConducted the proof of correction visit
Seema SandhuAdministrator/DirectorNamed 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
NameTitleContext
Cynthia MurphyFacility NurseMet with Licensing Program Analysts during inspection and approved signing of report
Alona GomezLicensing Program AnalystConducted case management and inspection, cited deficiencies, and signed report
Yvonne Flores-LariosLicensing Program ManagerNamed as Licensing Program Manager on report

Inspection Report

Follow-Up
Census: 31 Capacity: 35 Deficiencies: 2 Date: Jul 24, 2025

Visit Reason
Unannounced proof of correction (POC) visit to verify corrections 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 cleanliness. However, new deficiencies were observed related to failure to create and follow a weekly menu and inaccurate completion of the Medication Administration Record (MAR), resulting in a civil penalty.

Deficiencies (2)
Facility is not creating and following the weekly menu as required.
Staff are still not accurately completing the Medication Administration Record (MAR).
Report Facts
Civil penalty amount: 500 Capacity: 35 Census: 31

Employees mentioned
NameTitleContext
Cynthia MurphyFacility NurseMet with Licensing Program Analysts during the inspection and approved to sign the report in absence of the Administrator.
Seema SandhuAdministrator/DirectorNamed as facility administrator but was unable to attend the visit.
Alona GomezLicensing Program AnalystConducted the inspection and cited deficiencies.
Yvonne Flores-LariosLicensing Program ManagerNamed as Licensing Program Manager overseeing the inspection.

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
NameTitleContext
Cindy MurphyFacility Manager/NurseMet with Licensing Program Analyst during inspection.
Alona GomezLicensing Program AnalystConducted the inspection and signed the report.
Yvonne Flores-LariosLicensing Program ManagerNamed in report as Licensing Program Manager.

Inspection Report

Census: 31 Capacity: 35 Deficiencies: 11 Date: Jul 1, 2025

Visit Reason
A case management visit was conducted as a result of observations made during a previous facility visit on 2025-06-11 to assess compliance and address identified issues.

Findings
Multiple deficiencies were observed including incorrect poster dimensions, insufficient dining space causing residents to eat in walkways, undocumented postural supports for residents, expired food items, unclean kitchen floors, improper food storage, incomplete medication administration records, incomplete resident files, insufficient staffing for supervision, unlocked scissors accessible to residents, and failure to develop and follow a weekly menu. A civil penalty of $250 was issued for a repeat violation.

Deficiencies (11)
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 doctors 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 file incomplete for R1
Insufficient staff to supervise residents outside as observed with R1 and S1
Unlocked scissors accessible to residents at the front desk
Facility is not developing and following a weekly menu
Report Facts
Civil Penalty Amount: 250

Employees mentioned
NameTitleContext
Cindy MurphyFacility Manager/NurseMet with Licensing Program Analyst during inspection
Alona GomezLicensing Program AnalystConducted the case management visit and signed the report
Yvonne Flores-LariosLicensing Program ManagerNamed 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 assess 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 hindering egress, blocked fire exits and walkways, unsecured hazardous items in the kitchen and salon, 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 had child locks hindering exit.
Multiple fire exits and walkways blocked with items.
Kitchen lock broken and inside hazards such as knives and open flames left unattended; salon unlocked with dangerous chemicals inside.
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
NameTitleContext
Seema SandhuAdministratorMet with Licensing Program Analyst during inspection
Alona GomezLicensing Program AnalystConducted the inspection and authored the report
Yvonne Flores-LariosLicensing Program ManagerNamed 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
NameTitleContext
Seema SandhuAdministratorMet with Licensing Program Analyst during inspection
Alona GomezLicensing Program AnalystConducted the inspection and authored the report
Yvonne Flores-LariosLicensing Program ManagerNamed as Licensing Program Manager on report

Inspection Report

Annual Inspection
Census: 33 Capacity: 35 Deficiencies: 4 Date: May 21, 2025

Visit Reason
The inspection was an unannounced annual required inspection conducted to evaluate compliance with licensing requirements at the Friendship Care Home facility.

Findings
The inspection found several deficiencies including common hallway flooring needing repairs, water leak causing floor 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 proper 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 retain water/develop mold
Back porch asphalt driveway has a large hole that is a safety hazard
Disorganized office with various unfiled documents
Report Facts
Capacity: 35 Census: 33 Plan of Correction Due Date: Jun 6, 2025 Fire extinguisher last inspection date: Jan 20, 2025 Hot water temperature: 115 Facility temperature: 75

Employees mentioned
NameTitleContext
Seema SandhuAdministratorMet with Licensing Program Analyst during inspection and named in plans of correction
Cynthia MurphyNursing SupervisorMet with Licensing Program Analyst during inspection
Daisy PanlilioLicensing Program AnalystConducted the inspection and signed the report
Bennett FongLicensing Program ManagerNamed in the report as Licensing Program Manager

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
NameTitleContext
Seema SandhuAdministratorMet during inspection and infection control leader
Cynthia MurphyNursing SupervisorMet during inspection
Daisy PanlilioLicensing Program AnalystConducted the inspection
Bennett FongLicensing Program ManagerNamed 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
NameTitleContext
Seema SandhuAdministrator/DirectorFacility Administrator named in report header
Cynthia MurphyHouse ManagerMet with Licensing Program Analyst during the inspection
Daisy PanlilioLicensing Program AnalystConducted the unannounced health and safety check
Bennett FongSupervisorSupervisor named in report

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
NameTitleContext
Daisy PanlilioLicensing Program AnalystConducted the unannounced Health and Safety check
Cynthia MurphyHouse ManagerMet with Licensing Program Analyst during the inspection
Seema SandhuAdministrator/DirectorFacility 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
NameTitleContext
Seema SandhuAdministratorMet during inspection and infection control leader
Cynthia MurphyNursing SupervisorMet during inspection
Daisy PanlilioLicensing Program AnalystConducted the inspection
Bennett FongLicensing Program ManagerNamed in report

Inspection Report

Annual Inspection
Census: 28 Capacity: 35 Deficiencies: 0 Date: May 28, 2024

Visit Reason
The inspection was an unannounced annual required inspection conducted by the Licensing Program Analyst to evaluate compliance with regulatory standards.

Findings
The facility was found to be in compliance with no deficiencies cited. The inspection included a tour of the facility, review of staff and resident files, and interviews. Safety measures, infection control, and emergency preparedness were all satisfactory.

Report Facts
Staff files reviewed: 5 Resident files reviewed: 5 Staff interviews conducted: 5 Resident interviews conducted: 5 Fire extinguisher last inspection date: Apr 24, 2024 Administrator certificate expiration date: Nov 16, 2024

Employees mentioned
NameTitleContext
Seema SandhuAdministratorMet during inspection and identified as infection control leader
Cynthia MurphyNursing SupervisorMet during inspection
Daisy PanlilioLicensing Program AnalystConducted the inspection

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
NameTitleContext
Seema SandhuAdministratorNamed in relation to the complaint investigation and findings
Cynthia MurphyManager on DutyInterviewed during investigation and provided information on allegations
Daisy PanlilioLicensing Program AnalystConducted the complaint investigation visit
Bennett FongLicensing Program ManagerOversaw complaint investigation and signed 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 resident's personal belongings from the authorized representative on 11/01/23. The resident's family became aggressive when asked to sign for the release of the items. The allegation that the facility did not prevent damage to the 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 observation of the items.

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 Plan of Correction Due Date: Nov 30, 2023

Employees mentioned
NameTitleContext
Seema SandhuAdministratorNamed in relation to the complaint investigation and findings
Cynthia MurphyManager on DutyInterviewed during complaint investigation and provided information
Daisy PanlilioLicensing Program AnalystConducted the complaint investigation visit

Inspection Report

Complaint Investigation
Census: 31 Capacity: 35 Deficiencies: 0 Date: Oct 5, 2023

Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response 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 to be unsubstantiated after reviewing records, conducting interviews, and observations. The facility had implemented infection control measures and no deficiencies were cited during the visit.

Report Facts
Facility capacity: 35 Resident census: 31

Employees mentioned
NameTitleContext
Daisy PanlilioLicensing Program AnalystConducted the complaint investigation visit and delivered findings
Seema SandhuAdministratorFacility administrator named in the report
Bennett FongSupervisorSupervisor overseeing the investigation
Cynthia MurphyManager on DutyMet with the Licensing Program Analyst during the investigation

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
NameTitleContext
Daisy PanlilioLicensing Program AnalystConducted the complaint investigation visit and authored the report
Bennett FongLicensing Program ManagerNamed as Licensing Program Manager overseeing the investigation
Seema SandhuAdministratorFacility administrator named in the report
Cynthia MurphyManager on DutyMet 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
NameTitleContext
Daisy PanlilioLicensing Program AnalystConducted the inspection and signed the report
Bennett FongLicensing Program ManagerSupervisor overseeing the inspection
Seema SandhuAdministratorFacility administrator involved in inspection and plan of correction
Cynthia MurphyAdministratorMet with Licensing Program Analyst during inspection

Inspection Report

Annual Inspection
Census: 31 Capacity: 35 Deficiencies: 5 Date: Jun 30, 2023

Visit Reason
An unannounced annual required inspection was conducted to evaluate compliance with licensing regulations and facility safety 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. The facility had adequate PPE supplies, operational safety equipment, and posted required notices.

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
NameTitleContext
Daisy PanlilioLicensing Program AnalystConducted the inspection and authored the report
Seema SandhuAdministratorFacility administrator involved in inspection and plan of correction
Bennett FongSupervisorSupervisor overseeing the licensing evaluation

Inspection Report

Complaint Investigation
Census: 31 Capacity: 35 Deficiencies: 0 Date: Jun 30, 2023

Visit Reason
This 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 neglect, telephone answering issues, temperature maintenance, medication log maintenance, and overmedication at Friendship Care Home.

Complaint Details
The complaint investigation was triggered by multiple allegations including questionable death, inadequate feeding, visitor restrictions, grooming neglect, failure to answer telephone, failure to maintain comfortable temperature, failure to maintain medication logs, and overmedication. All allegations were found unsubstantiated or unfounded after review of records, interviews, and observations.
Findings
All allegations investigated during the visit 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 needs, telephone answering, temperature control, medication log maintenance, and overmedication claims.

Report Facts
Facility capacity: 35 Census: 31 Facility temperature: 75 Medication record dates: Apr 5, 2022 Medication record dates: Jun 15, 2023

Employees mentioned
NameTitleContext
Seema SandhuAdministratorNamed in relation to findings and interviews during complaint investigation
Daisy PanlilioLicensing Program AnalystEvaluator who conducted the complaint investigation visit
Cynthia MurphyAdministratorMet with during the inspection visit
Bennett FongSupervisorSupervisor overseeing the licensing evaluation

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
NameTitleContext
Seema SandhuAdministratorNamed in relation to findings and interviews during complaint investigation
Daisy PanlilioLicensing Program AnalystConducted the complaint investigation and authored the report
Bennett FongLicensing Program ManagerOversaw the complaint investigation
Cynthia MurphyAdministratorMet 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
NameTitleContext
Seema SandhuAdministratorConfirmed missing resident belongings and involved in investigation
Daisy PanlilioLicensing Program AnalystConducted the complaint investigation visit
Bennett FongLicensing Program ManagerOversaw complaint investigation report
Cynthia MurphyAdministratorMet 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 the 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, could not have happened, and/or was without reasonable basis.
Findings
The investigation reviewed medication logs and administration records for six residents and found that the facility was meeting regulatory requirements. The complaint was determined to be unfounded with no deficiencies cited.

Report Facts
Residents reviewed: 6

Employees mentioned
NameTitleContext
Daisy PanlilioLicensing Program AnalystConducted the complaint investigation visit and delivered investigation findings
Seema SandhuAdministratorFacility administrator met with during the investigation

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
NameTitleContext
Daisy PanlilioLicensing Program AnalystConducted the complaint investigation visit and delivered findings
Seema SandhuAdministratorFacility administrator met with during the investigation

Inspection Report

Complaint Investigation
Census: 31 Capacity: 35 Deficiencies: 1 Date: Mar 14, 2023

Visit Reason
An unannounced complaint investigation was conducted due to an allegation that the facility did not provide the authorized representative a copy of a resident's records.

Complaint Details
The complaint was substantiated based on observations, interviews, and record reviews. The facility received a request for resident records on 03/03/23 but did not provide the copies as required.
Findings
The investigation found the allegation substantiated as the facility failed to provide the authorized representative a copy of resident R1's records, which posed a potential health and safety risk.

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 Plan of Correction Due Date: Mar 17, 2023

Employees mentioned
NameTitleContext
Seema SandhuAdministratorConfirmed failure to provide authorized representative a copy of resident's records
Cynthia MurphyManager on DutyProvided information about receipt and handling of record request
Daisy PanlilioLicensing Program AnalystConducted the complaint investigation
Bennett FongSupervisorSupervisor overseeing 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
NameTitleContext
Daisy PanlilioLicensing Program AnalystConducted the complaint investigation and authored the report
Seema SandhuAdministratorFacility administrator who confirmed failure to provide records
Cynthia MurphyManager on DutyMet with Licensing Program Analyst during investigation
Bennett FongLicensing Program ManagerOversaw 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
NameTitleContext
Daisy PanlilioLicensing Program AnalystConducted the health and safety check
Cynthia MurphyManager on DutyMet with Licensing Program Analyst during inspection

Inspection Report

Complaint Investigation
Census: 31 Capacity: 35 Deficiencies: 0 Date: Mar 7, 2023

Visit Reason
The inspection was conducted as a result of the department receiving a priority 2 complaint, leading to a Health and Safety check at the facility.

Complaint Details
The visit was triggered by a priority 2 complaint. No deficiencies were found, indicating no substantiated issues during this inspection.
Findings
During the health and safety check, no deficiencies were cited. Residents appeared safe with no imminent health or safety concerns observed.

Report Facts
Staff wearing face masks: 6

Employees mentioned
NameTitleContext
Daisy PanlilioLicensing Program AnalystConducted the health and safety check
Cynthia MurphyManager on DutyFacility manager present during the 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 refund was issued late, five days past the 15-day refund period after the resident's belongings were removed. A final refund check was issued during the visit.
Findings
The investigation found that the licensee issued a refund check to the resident's authorized representative five days late, violating Title 22 Section 87507 refund regulation. The licensee subsequently issued a final refund check during the visit, and the allegation was substantiated.

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, pursuant to Health and Safety Code section 1569.652 was not met due to late refund of R1's paid September 2022 fees after resident's death on 09/26/22, violating Title 22 Section 87507 refund regulation.
Report Facts
Refund check amount: 45 Refund issuance delay: 5 Census: 32 Total capacity: 35

Employees mentioned
NameTitleContext
Daisy PanlilioLicensing Program AnalystConducted the complaint investigation visit.
Seema SandhuLicenseeLicensee involved in refund issuance and interview.
Cindy MurphyAdministratorMet with Licensing Program Analyst during the visit.

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
NameTitleContext
Daisy PanlilioLicensing Program AnalystConducted the complaint investigation visit and authored the report.
Bennett FongLicensing Program ManagerNamed as Licensing Program Manager overseeing the investigation.
Seema SandhuLicenseeLicensee involved in the refund allegation and investigation.
Cindy MurphyAdministratorAdministrator 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
NameTitleContext
Esmeralda VegaSupervisorMet with Licensing Program Analysts during the visit
Seema SandhuAdministratorSpoken to by phone during the visit
Lizette FranciscoLicensing Program AnalystConducted the inspection and signed the report
Harpreet HumpalLicensing Program ManagerNamed as Licensing Program Manager and Supervisor
K. NguyenLicensing Program AnalystConducted the inspection

Inspection Report

Complaint Investigation
Census: 34 Capacity: 35 Deficiencies: 2 Date: Oct 7, 2022

Visit Reason
Licensing Program Analysts conducted a Case Management visit at the facility for complaint investigations related to two complaint numbers. The visit was unannounced and aimed to assess compliance with regulations.

Complaint Details
The visit was conducted in response to complaints CN# 15-AS-20220930151105 and CN# 15-AS-20220929165630. The complaint was substantiated by observed deficiencies.
Findings
Deficiencies were observed including an ottoman and other items blocking exit doors, and failure to submit an incident report for a resident admitted to the hospital after spitting blood. These deficiencies pose potential health and safety risks to residents.

Deficiencies (2)
Ottoman blocking an exit door and 3 beds and wheelchairs obstructing another exit door.
Failure to submit an incident report for a resident admitted to the hospital for spitting out blood.
Report Facts
Deficiencies cited: 2 Capacity: 35 Census: 34

Employees mentioned
NameTitleContext
Esmeralda VegaSupervisorMet with Licensing Program Analysts during the visit
Seema SandhuAdministratorSpoken to by phone during the visit, not available in person
Lizette FranciscoLicensing EvaluatorConducted the inspection and signed the report
Harpreet HumpalSupervisorNamed in the report as supervisor

Inspection Report

Complaint Investigation
Census: 34 Capacity: 35 Deficiencies: 1 Date: Oct 7, 2022

Visit Reason
The inspection was an unannounced complaint investigation conducted in response to allegations that the facility did not adhere to admission agreement requirements and did not issue a proper refund.

Complaint Details
The complaint investigation was triggered by allegations that the facility did not adhere to admission agreement requirements and did not issue a proper refund. The first allegation was substantiated, and the second was unsubstantiated.
Findings
The investigation substantiated that the facility violated Title 22 regulation 87507(g)(5)(A) by having a non-refundable policy regarding refunds after a resident's death, which is not compliant with regulations. Another allegation regarding improper refund issuance was unsubstantiated due to lack of preponderance of evidence.

Deficiencies (1)
Facility policy concerning refunds included a non-refundable policy which violates Title 22 regulation 87507(g)(5)(A) regarding refund conditions after a resident's death.
Report Facts
Capacity: 35 Census: 34 Plan of Correction Due Date: Oct 14, 2022

Employees mentioned
NameTitleContext
Lizette FranciscoLicensing EvaluatorConducted the complaint investigation
Harpreet HumpalSupervisorSupervisor overseeing the investigation
Seema SandhuAdministratorFacility Administrator mentioned in the report
Esmeralda VegaSupervisorFacility Supervisor met during the investigation

Inspection Report

Complaint Investigation
Census: 34 Capacity: 35 Deficiencies: 2 Date: Oct 7, 2022

Visit Reason
An unannounced complaint investigation was conducted based on allegations including residents being locked inside the facility and staff not adhering to COVID-19 infection control protocols.

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 by not screening visitors or requiring sign-in. Other allegations were unsubstantiated due to lack of evidence.
Findings
The investigation substantiated that the front main entrance door was locked, restricting residents' personal rights, and that visitors were not consistently screened or required to sign in, posing health and safety risks. Other allegations such as lack of call buttons, inadequate nighttime assistance, room temperature issues, staff under influence, disrepair of lights, and refund issues were unsubstantiated.

Deficiencies (2)
Locking front main entrance door with a key, restricting residents' personal rights.
Visitor was not screened and did not sign in, posing a potential health and safety risk.
Report Facts
Capacity: 35 Census: 34 Deficiencies cited: 2

Employees mentioned
NameTitleContext
Seema SandhuAdministratorNamed in relation to facility administration and plan of correction
Lizette FranciscoLicensing EvaluatorConducted the complaint investigation
Harpreet HumpalSupervisorSupervisor involved in the investigation and report
Esmeralda VegaSupervisorMet with Licensing Program Analysts during the investigation

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
NameTitleContext
Lizette FranciscoLicensing Program AnalystConducted the complaint investigation
Harpreet HumpalLicensing Program ManagerOversaw the complaint investigation
Esmeralda VegaSupervisorMet 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
NameTitleContext
Seema SandhuAdministratorNamed in relation to facility administration and plan of correction
Esmeralda VegaSupervisorMet with Licensing Program Analysts during investigation
Lizette FranciscoLicensing Program AnalystConducted complaint investigation
Harpreet HumpalLicensing Program ManagerOversaw 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
NameTitleContext
Daisy PanlilioLicensing Program AnalystConducted the health and safety check
Bennett FongLicensing Program ManagerNamed in the report header
Cynthia MurphyAdministratorMet with the Licensing Program Analyst during the inspection

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 were found and the complaint was effectively unsubstantiated based on the findings.
Findings
During the health and safety check, no deficiencies were cited and residents appeared safe with no imminent health or safety concerns observed.

Report Facts
Staff members observed: 6

Employees mentioned
NameTitleContext
Daisy PanlilioLicensing Program AnalystConducted the health and safety check
Cynthia MurphyAdministratorMet with Licensing Program Analyst during the inspection

Inspection Report

Complaint Investigation
Census: 31 Capacity: 35 Deficiencies: 0 Date: Aug 23, 2022

Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations that facility staff did not dispense medication as prescribed and that the licensee did not maintain current records of residents' medications.

Complaint Details
The complaint investigation was triggered by allegations regarding medication dispensing and record maintenance. The findings were unfounded based on interviews with resident R1 and review of medication administration records.
Findings
Both allegations were found to be unfounded after interviews and record reviews. Resident R1 confirmed refusal of medication, and medication administration records showed proper documentation and administration of prescribed medications.

Report Facts
Capacity: 35 Census: 31 Number of prescription medications: 10 Number of PRN medications: 1

Employees mentioned
NameTitleContext
Daisy PanlilioLicensing Program AnalystConducted the complaint investigation and delivered findings
Seema SandhuAdministratorFacility administrator met during the investigation
Bennett FongSupervisorSupervisor overseeing the licensing evaluation

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
NameTitleContext
Daisy PanlilioLicensing Program AnalystConducted the complaint investigation visit and delivered findings
Bennett FongLicensing Program ManagerNamed as Licensing Program Manager on the report
Seema SandhuAdministratorFacility administrator named in the report
Cynthia MurphyAdministratorMet 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
NameTitleContext
Seema SandhuApplicant/AdministratorMet with Licensing Program Analyst during the pre-licensing inspection.
Daisy PanlilioLicensing Program AnalystConducted the unannounced pre-licensing inspection.
Bennett FongLicensing Program ManagerNamed 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
NameTitleContext
Seema SandhuApplicant/AdministratorMet with during the visit and agreed to comply with regulations.
Bennett FongLicensing Program ManagerNamed as Licensing Program Manager on the report.
Daisy PanlilioLicensing Program AnalystConducted the Component III presentation and 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 found to be in compliance with no deficiencies observed. Infection control measures, safety equipment, and facility conditions met licensing requirements, 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
NameTitleContext
Seema SandhuApplicant/AdministratorMet with Licensing Program Analyst during pre-licensing inspection
Daisy PanlilioLicensing Program AnalystConducted the pre-licensing inspection
Bennett FongSupervisorSupervisor overseeing the licensing evaluation

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 ensure staff compliance with all requirements in a timely manner. No specific deficiencies were cited in the report.

Employees mentioned
NameTitleContext
Seema SandhuApplicant/AdministratorMet with Licensing Program Analyst during the visit

Inspection Report

Original Licensing
Census: 30 Capacity: 35 Deficiencies: 5 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 posing health and safety risks to residents.

Deficiencies (5)
Insufficient perishable and non-perishable food in the kitchen pantry, refrigerators, and freezers.
Insufficient staff to meet residents' needs, including one resident requiring one-on-one care.
Deteriorating flooring in common hallway and bathroom in the east wing.
Broken blinds inside residents' bedrooms and common hallway doors.
Warm temperature inside facility with thermostat reading at 82 degrees Fahrenheit.
Report Facts
Census: 30 Total Capacity: 35 Plan of Correction Due Date: Jul 16, 2022

Employees mentioned
NameTitleContext
Seema SandhuAdministratorFacility administrator present during inspection
Cynthia MurphyAdministratorMet with Licensing Program Analyst during visit
Esmeralda VegaMed TechMet with Licensing Program Analyst during 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, during which it was identified that no unusual incident report (LIC 624) was submitted on 06/03/22 despite 4 COVID positive residents being present on that day.

Findings
A deficiency was cited for failure to submit the required unusual incident report related to COVID positive residents, violating Title 22 California Code of Regulations. The administrator must submit a plan of correction by the due date to avoid civil penalties.

Deficiencies (1)
Failure to submit unusual incident report (LIC 624) for 4 COVID positive residents on 06/03/22 as required by Title 22 CCR 87211(a)(2).
Report Facts
Deficiency Type: 1 COVID positive residents: 4

Employees mentioned
NameTitleContext
Daisy PanlilioLicensing Program AnalystConducted the inspection and cited the deficiency
Seema SandhuAdministratorFacility administrator responsible for submitting incident reports

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
NameTitleContext
Daisy PanlilioLicensing Program AnalystDiscussed the missing incident report and conducted the evaluation
Bennett FongLicensing Program ManagerSupervisor and Licensing Program Manager overseeing the evaluation
Cynthia MurphyAdministratorFacility 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
NameTitleContext
Cynthia MurphyAdministratorMet with Licensing Program Analyst during inspection
Esmeralda VegaMed TechPresent during inspection
Bennett FongLicensing Program ManagerNamed in report as supervisor and manager
Daisy PanlilioLicensing Program AnalystConducted the inspection and authored the report

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