Deficiencies (last 4 years)
Deficiencies (over 4 years)
3.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
13% better than California average
California average: 4 deficiencies/yearDeficiencies per year
16
12
8
4
0
Census
Latest occupancy rate
72% occupied
Based on a February 2026 inspection.
Occupancy over time
Inspection Report
Annual Inspection
Census: 73
Capacity: 101
Deficiencies: 0
Date: Feb 6, 2026
Visit Reason
The visit was an unannounced required annual inspection conducted by Licensing Program Analyst Jacqueline Shaw-Ross to evaluate compliance with licensing requirements for the facility.
Findings
The facility was found to be in compliance with all applicable regulations with no deficiencies cited. The physical plant, medication management, food service, care and supervision, and records were all reviewed and found satisfactory. No Title 22, Division 6 Regulation violations were observed or cited during the visit.
Report Facts
Resident files reviewed: 7
Staff files reviewed: 6
Licensed capacity: 101
Census: 73
Hospice waiver approved residents: 18
Bedridden residents allowed: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Monica Flores | Executive Director | Met with Licensing Program Analyst during inspection and participated in exit interview |
| Jacqueline Shaw-Ross | Licensing Program Analyst | Conducted the inspection and authored the report |
| Rikesha Stamps | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 74
Capacity: 101
Deficiencies: 0
Date: Sep 22, 2025
Visit Reason
An unannounced complaint investigation visit was conducted due to an allegation that, due to staff neglect, a resident sustained a burn requiring hospitalization.
Complaint Details
The complaint alleged staff neglect resulting in a resident sustaining a burn requiring hospitalization. The allegation was investigated through observations, interviews, and records review and was found to be unfounded.
Findings
The investigation found insufficient evidence that staff neglect caused the resident's injuries. Medical records indicated the resident was not diagnosed with a burn but with injuries related to their health conditions. Staff obtained timely medical attention. The allegation was determined to be unfounded.
Report Facts
Complaint received date: Jul 13, 2023
Resident hospitalization period: 20
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Javina George | Licensing Program Analyst | Conducted the complaint investigation and unannounced visit |
| Monica Flores | Executive Director | Met with Licensing Program Analyst during investigation and exit interview |
| Carolyn Tuba | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 74
Capacity: 101
Deficiencies: 0
Date: Sep 22, 2025
Visit Reason
The visit was an unannounced complaint investigation triggered by a complaint received on 07/13/2023 alleging that due to staff neglect, a resident sustained a burn requiring hospitalization.
Complaint Details
Complaint was regarding staff neglect causing a resident to sustain a burn requiring hospitalization. The complaint was investigated through observations, interviews, and records review and was found to be unfounded.
Findings
The investigation found no sufficient evidence that staff neglect caused the resident's injuries. Medical records showed the resident was not diagnosed with a burn but with injuries related to their health conditions. Staff obtained timely medical attention. The allegation was determined to be unfounded.
Report Facts
Complaint received date: Jul 13, 2023
Resident hospitalization period: 20
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Javina George | Licensing Program Analyst | Conducted the complaint investigation and unannounced visit |
| Monica Flores | Executive Director | Met with Licensing Program Analyst during investigation and exit interview |
| Carolyn Tuba | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 4
Capacity: 101
Deficiencies: 0
Date: May 20, 2025
Visit Reason
An unannounced complaint investigation was conducted in response to allegations that the licensee did not allow a resident access to a telephone and did not allow the resident to leave the facility.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included denial of telephone access and restriction from leaving the facility. Evidence showed the resident had communication access and could leave with assistance due to cognitive limitations.
Findings
The investigation found that the resident was allowed to receive phone calls and had a personal cell phone. Staff and outside sources confirmed the resident was not restricted from communication. The resident was not allowed to leave the facility unassisted due to cognition but could leave with an escort. The allegations were unsubstantiated based on interviews, observations, and records review.
Report Facts
Complaint Control Number: 8
Capacity: 101
Census: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nacole Patterson | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Monica Flores | Executive Director | Facility administrator met during investigation and exit interview |
| Jennifer Lott | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 4
Capacity: 101
Deficiencies: 0
Date: May 20, 2025
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations that the licensee did not allow a resident access to a telephone and did not allow the resident to leave the facility.
Complaint Details
The complaint was unsubstantiated. The investigation included interviews with staff, residents, outside sources, and records review. It was found that the resident was allowed communication and escorted when leaving the facility. The resident did not express concerns about the facility.
Findings
The investigation found that the resident was allowed to receive phone calls and had a personal cell phone. Staff and outside sources confirmed the resident was not restricted from communication. The resident was not allowed to leave the facility unassisted due to cognition but was able to leave with an escort. The allegations were unsubstantiated based on interviews, observations, and records review.
Report Facts
Capacity: 101
Census: 4
Complaint Control Number: 08-AS-20250516142641
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nacole Patterson | Licensing Program Analyst | Conducted the complaint investigation visit |
| Monica Flores | Executive Director | Facility administrator met during the investigation |
| Jennifer Lott | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Census: 63
Capacity: 101
Deficiencies: 0
Date: May 14, 2025
Visit Reason
The visit was an unannounced Case Management visit in response to the facility's self-report of a fire in a resident's room.
Findings
The investigation revealed that a resident's personal lamp tipped over and caused a fire, which was extinguished by staff and emergency responders. No injuries were identified, and no deficiencies were cited or observed during the visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Monica Flores | Executive Director | Met with Licensing Program Analyst during the visit and involved in the fire incident response. |
Inspection Report
Census: 63
Capacity: 101
Deficiencies: 0
Date: May 14, 2025
Visit Reason
The visit was an unannounced Case Management visit in response to the facility's self-report of a fire in a resident's room.
Findings
The investigation revealed the fire was caused by a malfunctioning personal lamp that tipped over. Staff responded immediately, extinguished the fire, and evacuated residents safely. No injuries or hospital transports occurred, and no deficiencies were cited during the visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Monica Flores | Executive Director | Met with Licensing Program Analyst during the visit and involved in fire incident response. |
| Nacole Patterson | Licensing Program Analyst | Conducted the unannounced Case Management visit. |
| Jennifer Lott | Licensing Program Manager | Named in the report header. |
Inspection Report
Complaint Investigation
Census: 67
Capacity: 101
Deficiencies: 0
Date: Apr 4, 2025
Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation received on 2025-03-28 regarding an uncleared staff member caring for residents.
Complaint Details
The complaint alleged that an uncleared staff member was caring for residents due to being underage. The allegation was found to be unsubstantiated based on interviews, observations, and records review.
Findings
The investigation found that the staff member in question had a valid work permit approved by their school and legal background check documents on file. Therefore, the allegation was unsubstantiated.
Report Facts
Capacity: 101
Census: 67
Estimated Days of Completion: 0
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nacole Patterson | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Monica Flores | Executive Director | Met with Licensing Program Analyst during the investigation |
Inspection Report
Complaint Investigation
Census: 67
Capacity: 101
Deficiencies: 0
Date: Apr 4, 2025
Visit Reason
The inspection visit was conducted as an unannounced complaint investigation regarding an allegation that an uncleared staff member was caring for residents due to being underage.
Complaint Details
The complaint alleged that an uncleared staff was caring for residents due to being underage. The allegation was found to be unsubstantiated based on staff interviews, record reviews, and observations.
Findings
The investigation found that the staff member had a valid work permit and legal background check documents, and therefore the allegation was unsubstantiated.
Report Facts
Capacity: 101
Census: 67
Complaint Control Number: 08-AS-20250328163548
Estimated Days of Completion: 0
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nacole Patterson | Licensing Program Analyst | Conducted the complaint investigation |
| Monica Flores | Executive Director | Met with the Licensing Program Analyst during the investigation |
Inspection Report
Complaint Investigation
Census: 69
Capacity: 101
Deficiencies: 0
Date: Mar 30, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to an allegation that staff yelled at residents.
Complaint Details
The complaint alleged that Staff #1 yelled at Resident #1 during a meeting on October 5, 2023. Interviews with staff and residents revealed conflicting accounts, and Resident #1 was no longer reachable. The investigation concluded there was not enough evidence to substantiate the allegation.
Findings
The investigation included interviews, record reviews, and a facility tour. The allegation that staff yelled at Resident #1 was found to be unsubstantiated due to insufficient evidence, with multiple staff and residents unable to confirm the incident.
Report Facts
Complaint control number: 18
Number of allegations: 1
Number of residents interviewed: 7
Number of staff interviewed: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ernand Dabuet | Licensing Program Analyst | Conducted the complaint investigation visit |
| Philip Green | Food Services Director | Met with during the investigation and exit interview |
| Ferlina McBride | Administrator | Facility administrator named in the report |
| Janae Hammond | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 69
Capacity: 101
Deficiencies: 0
Date: Mar 30, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit conducted to investigate an allegation that staff yelled at residents.
Complaint Details
The complaint alleged that Staff #1 yelled at Resident #1 during a meeting on October 5, 2023. Multiple staff and residents were interviewed, but no conclusive evidence was found to support the allegation. Resident #1 was no longer at the facility and could not be contacted. The allegation was determined unsubstantiated.
Findings
The investigation included interviews with staff and residents, review of records, and a facility tour. The allegation that staff yelled at a resident was found to be unsubstantiated due to insufficient evidence.
Report Facts
Capacity: 101
Census: 69
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ernand Dabuet | Licensing Program Analyst | Conducted the complaint investigation visit |
| Philip Green | Food Services Director | Met with the Licensing Program Analyst during the investigation and participated in the exit interview |
| Ferlina McBride | Administrator | Facility administrator named in the report |
Inspection Report
Complaint Investigation
Census: 69
Capacity: 101
Deficiencies: 2
Date: Mar 29, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations that staff were not assisting residents with transportation and were not adhering to the admission agreement.
Complaint Details
The complaint alleged that staff were not assisting Resident #1 with transportation and were not adhering to the admission agreement. The investigation found that transportation was unavailable for several months in 2023 due to mechanical issues and lack of proper vehicle registration. The facility enforced a 10-mile radius transportation policy inconsistent with the 12-mile radius in the admission agreement. The allegations were substantiated.
Findings
The investigation substantiated that the facility failed to provide transportation services as agreed in the Residence and Care Agreement due to the facility van being out of service and operated with expired registration. Additionally, the facility enforced a 10-mile transportation radius policy inconsistent with the 12-mile radius stated in the admission agreement.
Deficiencies (2)
Failure to provide transportation for residents when the van was out of service, and expired DMV registration tags on the facility van.
Failure to comply with transportation service conditions and enforcement of a policy contradicting the admissions agreement.
Report Facts
Deficiencies cited: 2
Plan of Correction Due Date: 2025
Facility capacity: 101
Census: 69
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ernand Dabuet | Licensing Program Analyst | Conducted the complaint investigation and authored the report. |
| Monica Flores | Executive Director | Met with the Licensing Program Analyst during the investigation. |
| Adriana Marquez | Activities Director | Received a copy of the report and appeal rights during the exit interview. |
Inspection Report
Complaint Investigation
Census: 69
Capacity: 101
Deficiencies: 2
Date: Mar 29, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations that staff were not assisting residents with transportation and were not adhering to the admission agreement.
Complaint Details
The complaint alleged that staff were not assisting residents with transportation and were not adhering to the admission agreement. The investigation found these allegations substantiated based on interviews, record reviews, and observations.
Findings
The investigation substantiated that the facility failed to provide transportation services as agreed in the Residence and Care Agreement due to a non-operational van and expired DMV registration. Additionally, staff enforced a 10-mile transportation radius policy inconsistent with the 12-mile radius stated in the admission agreement, compromising reliable transportation support for residents.
Deficiencies (2)
Failed to provide transportation for residents when the van was out of service and operated the van with expired DMV registration tags.
Failed to comply with transportation service conditions and enforced a policy contradicting the admissions agreement.
Report Facts
Capacity: 101
Census: 69
Transportation unavailability duration: 4
Plan of Correction Due Date: Apr 22, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ernand Dabuet | Licensing Program Analyst | Conducted the complaint investigation |
| Monica Flores | Executive Director | Met with Licensing Program Analyst during investigation |
| Adriana Marquez | Activities Director | Received exit interview and copy of report |
Inspection Report
Complaint Investigation
Census: 69
Capacity: 101
Deficiencies: 0
Date: Mar 18, 2025
Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that a staff member physically abused a resident.
Complaint Details
The complaint alleged staff physically abused a resident. The allegation was unsubstantiated after investigation, with evidence showing the resident's delusion and no proof of abuse.
Findings
The investigation found no evidence to substantiate the allegation. Interviews, record reviews, and observations indicated the resident was experiencing a delusion due to an acute infection, and the accused staff member was not working on the day of the alleged incident.
Report Facts
Complaint Control Number: 8
Capacity: 101
Census: 69
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Angela Scott-Kapiloff | Executive Director | Met during investigation and exit interview |
| Nacole Patterson | Licensing Program Analyst | Conducted the complaint investigation |
| Jennifer Lott | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 69
Capacity: 101
Deficiencies: 0
Date: Mar 18, 2025
Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that a staff member physically abused a resident.
Complaint Details
The complaint alleged staff physically abused a resident. The investigation included interviews, record reviews, and observations. The resident was found to have cognitive decline and delusions, and no evidence supported the abuse allegation. The complaint was unsubstantiated.
Findings
The investigation found that the allegation was unsubstantiated. Evidence showed the resident was experiencing a delusion due to an acute infection, and the accused staff member was not working on the day of the alleged incident. Interviews and records did not support the claim.
Report Facts
Complaint Control Number: 8
Capacity: 101
Census: 69
Estimated Days of Completion: 0
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nacole Patterson | Licensing Program Analyst | Conducted the complaint investigation |
| Angela Scott-Kapiloff | Executive Director | Facility administrator met during investigation |
| Jennifer Lott | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 69
Capacity: 101
Deficiencies: 2
Date: Mar 18, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by multiple allegations received on 2024-04-25 concerning the facility's provision of toilet paper, medication administration, mold presence, air conditioner disrepair, hygiene product provision, and adherence to a resident's Admission Agreement.
Complaint Details
The complaint investigation was substantiated for failure to provide toilet paper and medication administration errors. The allegations about mold, air conditioner issues, hygiene product provision, and noncompliance with the resident's Admission Agreement were unsubstantiated. The investigation included interviews, records review, and direct observations. A Plan of Correction was developed with the licensee.
Findings
The investigation substantiated that the licensee failed to ensure provision of toilet paper and did not administer medication as prescribed, posing potential health risks. Other allegations regarding mold, air conditioner disrepair, hygiene product provision, and following the resident's Admission Agreement were unsubstantiated based on interviews, records, and direct observations.
Deficiencies (2)
Licensee did not assure provision of hygiene items of general use such as toilet paper in 2 of 69 residents, posing a potential health risk.
Licensee did not ensure medication was given according to the physician's directions in 1 of 69 residents, posing a potential health risk.
Report Facts
Residents affected: 2
Residents affected: 1
Total residents during visit: 69
Facility capacity: 101
Plan of Correction due date: 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nacole Patterson | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Angela Scott-Kapiloff | Executive Director | Facility representative met during the investigation and exit interview |
| Ferlina McBride | Administrator | Facility administrator named in the report |
Inspection Report
Complaint Investigation
Census: 69
Capacity: 101
Deficiencies: 2
Date: Mar 18, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to multiple allegations received on 2024-04-25 regarding the facility's failure to provide adequate hygiene items, medication administration errors, and other care concerns.
Complaint Details
The complaint investigation was substantiated for failure to provide toilet paper and medication administration errors. Other allegations including mold in resident's room, air conditioner disrepair, failure to provide hygiene products, and failure to follow resident's Admission Agreement were unsubstantiated.
Findings
The investigation substantiated that the facility failed to ensure provision of toilet paper to residents and did not administer medication as prescribed in one case, posing potential health risks. Other allegations related to mold, air conditioning disrepair, hygiene product provision, and adherence to admission agreements were unsubstantiated based on interviews, records review, and direct observations.
Deficiencies (2)
Licensee did not assure provision of hygiene items of general use such as toilet paper in 2 of 69 residents, posing a potential health risk.
Licensee did not ensure medication was given according to the physician's directions in 1 of 69 residents, posing a potential health risk.
Report Facts
Residents affected: 2
Residents affected: 1
Total residents during inspection: 69
Facility capacity: 101
Plan of Correction due date: Apr 18, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nacole Patterson | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Jennifer Lott | Licensing Program Manager | Oversaw the complaint investigation |
| Angela Scott-Kapiloff | Executive Director | Facility representative involved in interviews and exit interview |
| Ferlina McBride | Administrator | Facility administrator named in the report |
Inspection Report
Census: 68
Capacity: 101
Deficiencies: 0
Date: Mar 7, 2025
Visit Reason
The visit was an unannounced Case Management visit in response to two self-reported incidents by the facility regarding a resident death and a resident with a medical condition who is no longer able to meet their own insulin needs.
Findings
A wellness check was conducted at the facility with no health or safety issues identified. No deficiencies were cited or observed during this visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nae Brownell | Resident Services Director | Met with Licensing Program Analyst during the visit and involved in exit interview. |
Inspection Report
Complaint Investigation
Census: 68
Capacity: 101
Deficiencies: 2
Date: Mar 7, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by multiple allegations including staff not answering resident call buttons timely and improper chemical storage, as well as other complaints regarding neglect, food service, facility repair, and temperature control.
Complaint Details
The complaint investigation was substantiated for allegations that staff did not answer resident call buttons timely and that chemicals were improperly stored. The allegation that neglect/lack of supervision resulted in resident death was unsubstantiated, as was the allegation regarding inadequate food service, facility repair issues, and facility temperature concerns.
Findings
The investigation substantiated that staff response times to resident call buttons were excessively long due to insufficient staffing, and that chemicals were not properly secured, posing safety risks. Other allegations regarding neglect resulting in resident death, inadequate food service, facility repair, and temperature issues were unsubstantiated based on interviews, observations, and records review.
Deficiencies (2)
Facility personnel were not sufficient in numbers and competent to provide necessary services, resulting in long resident wait times for assistance.
Licensee did not ensure cleaning solutions and poisonous substances were locked in storage or attended while in use, posing a health and safety risk.
Report Facts
Pendant calls with wait times 20 minutes or above: 55
Longest pendant call wait time: 86
Facility census: 68
Facility capacity: 101
Plan of Correction due date: 21
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nacole Patterson | Licensing Program Analyst | Conducted the complaint investigation and authored the report. |
| Jennifer Lott | Licensing Program Manager | Oversaw the complaint investigation. |
| Nae Brownell | Resident Services Director | Facility representative met during the investigation and exit interview. |
| Ferlina McBride | Administrator | Facility administrator named in the report. |
Inspection Report
Complaint Investigation
Census: 68
Capacity: 101
Deficiencies: 2
Date: Mar 7, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2024-12-09 regarding permanent room changes without required notice and failure to promptly respond to communications from a resident's representative.
Complaint Details
The complaint investigation was substantiated for allegations that the licensee permanently changed a resident's accommodations without required notice and did not answer communications from a representative promptly. The allegation that the licensee did not ensure a resident had a working telephone was unsubstantiated.
Findings
The investigation substantiated that the licensee permanently changed a resident's accommodations without providing the required 30-day written notice to responsible parties and did not promptly respond to communications from a resident's representative. Another allegation regarding ensuring a resident had a working telephone was unsubstantiated due to the availability of a communal phone.
Deficiencies (2)
Licensee did not provide written notice at least 30 days in advance to responsible parties regarding room changes.
Licensee did not promptly respond to communications from a resident's representative.
Report Facts
Deficiencies cited: 2
Residents in care: 68
Facility capacity: 101
Plan of Correction due date: Mar 28, 2025
Communication attempts: 3
Communication attempt period: 12
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nacole Patterson | Licensing Program Analyst | Conducted the complaint investigation and unannounced visit |
| Jennifer Lott | Licensing Program Manager | Oversaw the complaint investigation report |
| Nae Brownell | Resident Services Director | Facility representative met during the investigation and exit interview |
| Ferlina McBride | Administrator | Facility administrator named in the report |
Inspection Report
Census: 68
Capacity: 101
Deficiencies: 0
Date: Mar 7, 2025
Visit Reason
The visit was an unannounced Case Management visit in response to two self-reported incidents by the facility regarding a resident death and a resident with a medical condition who is no longer able to meet their own insulin needs.
Findings
A wellness check was conducted with no health or safety issues identified. No deficiencies were cited or observed during this visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nae Brownell | Resident Services Director | Met with during the visit and involved in the exit interview. |
Inspection Report
Complaint Investigation
Census: 69
Capacity: 101
Deficiencies: 0
Date: Feb 21, 2025
Visit Reason
An unannounced complaint investigation was conducted due to an allegation that lack of supervision resulted in a resident elopement at the facility.
Complaint Details
The complaint alleged lack of supervision resulting in resident elopement. The investigation included unannounced visits, interviews with staff, residents, outside sources, and records review. The allegation was found unsubstantiated as evidence did not prove inadequate supervision by the Licensee.
Findings
The investigation found that the resident was almost completely independent and staff provided supervision consistent with the care plan. The resident experienced a change in condition resulting in elopement for the first time, and the facility immediately adjusted supervision levels. The allegation was unsubstantiated based on interviews, observations, and records review.
Report Facts
Capacity: 101
Census: 69
Complaint Control Number: 08-AS-20241211132531
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nacole Patterson | Licensing Program Analyst | Conducted the complaint investigation and unannounced visit |
| Angela Scott-Kapiloff | Executive Director | Facility representative met during the investigation and exit interview |
| Ferlina McBride | Administrator | Facility administrator named in the report |
| Jennifer Lott | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 69
Capacity: 101
Deficiencies: 0
Date: Feb 21, 2025
Visit Reason
An unannounced complaint investigation was conducted due to an allegation of lack of supervision resulting in resident elopement at the facility.
Complaint Details
The complaint alleged lack of supervision resulting in resident elopement. The investigation concluded the allegation was unsubstantiated as staff supervision was consistent with R1's care plan and the elopement was a new behavior.
Findings
The investigation found that the resident (R1) was almost completely independent and staff provided supervision consistent with the care plan. The elopement was a new behavior for R1, and the facility immediately adjusted supervision after the incident. The allegation was unsubstantiated based on interviews, observations, and records review.
Report Facts
Capacity: 101
Census: 69
Complaint Control Number: 08-AS-20241211132531
Visit Start Time: 01:30 PM
Visit End Time: 02:00 PM
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nacole Patterson | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Angela Scott-Kapiloff | Executive Director | Facility representative met during the investigation and exit interview |
| Jennifer Lott | Supervisor | Supervisor overseeing the investigation |
| Ferlina McBride | Administrator | Facility administrator |
Inspection Report
Plan of Correction
Census: 74
Capacity: 101
Deficiencies: 0
Date: Jan 24, 2025
Visit Reason
The visit was conducted to collect proof for the completed plan of corrections for deficiencies cited on 2025-01-15 during the facility's annual inspection.
Findings
A wellness check was conducted with no health or safety issues identified. No deficiencies were cited or observed on this date, and the facility's plan of corrections was completed and the deficiency cleared.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Angela Scott-Kapiloff | Executive Director | Met with Licensing Program Analyst during the visit and participated in exit interview. |
| Nacole Patterson | Licensing Program Analyst | Conducted the unannounced Case Management Visit. |
Inspection Report
Plan of Correction
Census: 74
Capacity: 101
Deficiencies: 0
Date: Jan 24, 2025
Visit Reason
The visit was conducted to collect proof for the completed plan of corrections for deficiencies cited on 2025-01-15 during the facility's annual inspection.
Findings
No health or safety issues were identified during the unannounced case management visit. No deficiencies were cited or observed, and the facility's plan of corrections was completed and the deficiency cleared.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Angela Scott-Kapiloff | Executive Director | Met with Licensing Program Analyst during the visit and exit interview. |
Inspection Report
Annual Inspection
Census: 75
Capacity: 101
Deficiencies: 1
Date: Jan 15, 2025
Visit Reason
An unannounced required annual inspection was conducted to evaluate compliance with licensing regulations for the facility.
Findings
The facility was found to be clean, sanitary, and in good repair with proper furnishings and safety measures. However, deficiencies were cited related to food service requirements, specifically regarding the quality and condition of food containers.
Deficiencies (1)
Licensee did not comply with food service requirements in 10 out of 10 food containers, posing a potential health, safety, or personal rights risk to persons in care.
Report Facts
Deficiencies cited: 1
Plan of Correction Due Date: Jan 24, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Angela Scott-Kapiloff | Executive Director | Met with Licensing Program Analyst and involved in exit interview and plan of correction |
| Nacole Patterson | Licensing Program Analyst | Conducted the inspection and authored the report |
| Mayra Macedo | Resident Services Director | Assisted in touring and inspecting the facility |
| Jennifer Lott | Licensing Program Manager | Supervisor and named in the report |
Inspection Report
Complaint Investigation
Census: 75
Capacity: 101
Deficiencies: 0
Date: Jan 15, 2025
Visit Reason
An unannounced complaint investigation visit was conducted regarding an allegation that the licensee did not follow the facility's infection control notification policy.
Complaint Details
The complaint alleged failure to follow infection control notification policy. The allegation was unsubstantiated based on staff interviews, records review, and direct observations.
Findings
The investigation found that the facility did not experience a COVID-19 outbreak during the complaint timeframe, with only two concurrent cases which did not require community notification. Infection control protocols were in place and followed, and the allegation was unsubstantiated.
Report Facts
Covid-19 cases: 5
Concurrent Covid-19 cases under isolation: 2
Facility capacity: 101
Facility census: 75
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nacole Patterson | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Angela Scott-Kapiloff | Executive Director | Facility representative met during investigation and exit interview |
Inspection Report
Annual Inspection
Census: 75
Capacity: 101
Deficiencies: 1
Date: Jan 15, 2025
Visit Reason
An unannounced Required Annual Inspection was conducted to evaluate compliance with licensing regulations and facility standards.
Findings
The facility was generally clean, sanitary, and in good repair with proper furnishings and safety equipment. However, deficiencies were cited related to food service requirements, specifically the presence of expired or damaged food containers.
Deficiencies (1)
Licensee did not comply with food service requirements in 10 out of 10 food containers, posing potential health, safety, or personal rights risks to persons in care.
Report Facts
Food containers non-compliant: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Angela Scott-Kapiloff | Executive Director | Met with during inspection and involved in plan of correction |
| Mayra Macedo | Resident Services Director | Assisted in touring and inspecting the facility |
| Nacole Patterson | Licensing Program Analyst | Conducted the inspection |
| Jennifer Lott | Supervisor | Supervisor overseeing the inspection process |
Inspection Report
Complaint Investigation
Census: 75
Capacity: 101
Deficiencies: 0
Date: Jan 15, 2025
Visit Reason
An unannounced visit was conducted to investigate a complaint alleging that the licensee did not follow the facility's infection control notification policy.
Complaint Details
The complaint alleging failure to follow infection control notification policy was unsubstantiated based on staff interviews, records review, direct observations, and outside source interviews.
Findings
The investigation found that the facility did not experience a COVID-19 outbreak during the complaint timeframe, with only two concurrent cases which did not require community notification. Infection control protocols were properly implemented and followed, and no evidence was found to substantiate the allegation.
Report Facts
Covid-19 cases: 5
Concurrent isolation cases: 2
Facility capacity: 101
Facility census: 75
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nacole Patterson | Licensing Program Analyst | Conducted the complaint investigation visit |
| Angela Scott-Kapiloff | Executive Director | Met with Licensing Program Analyst during investigation and exit interview |
| Jennifer Lott | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 56
Capacity: 101
Deficiencies: 0
Date: Jun 24, 2024
Visit Reason
The visit was conducted in response to a self-reported incident where a resident exited the facility without staff knowledge or assistance.
Complaint Details
The visit was complaint-related due to the incident of Resident 1 exiting the facility unassisted. No health or safety issues were identified.
Findings
The Licensing Program Analyst interviewed staff and residents, reviewed records, and completed a wellness check, finding no health or safety issues related to the incident.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Parris McDaniel | Memory Care Director | Met with Licensing Program Analyst during the visit and involved in the exit interview. |
| Nacole Patterson | Licensing Program Analyst | Conducted the unannounced Case Management Visit. |
| Jennifer Lott | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Complaint Investigation
Census: 56
Capacity: 101
Deficiencies: 0
Date: Jun 24, 2024
Visit Reason
The visit was conducted in response to a self-reported incident where a resident exited the facility without staff knowledge or assistance.
Complaint Details
The visit was complaint-related due to the incident of Resident 1 exiting the facility without staff knowledge. No health or safety issues were identified.
Findings
The licensing analyst conducted interviews and a wellness check, finding no health or safety issues related to the incident.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Parris McDaniel | Memory Care Director | Met with during the visit and involved in the exit interview. |
Inspection Report
Complaint Investigation
Census: 68
Capacity: 101
Deficiencies: 0
Date: Apr 11, 2024
Visit Reason
An unannounced complaint investigation was conducted based on allegations that the licensee did not adhere to the admission agreement and did not assist residents with transportation.
Complaint Details
The complaint was unsubstantiated after interviews with residents, staff, and review of documentation showed no violations regarding admission agreement adherence or transportation assistance.
Findings
The investigation found no evidence to support the allegations. Cable television service was confirmed to be working and paid for, and transportation was provided despite the facility bus being under repair. Therefore, the allegations were unsubstantiated.
Report Facts
Complaint Control Number: 8
Repair duration: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amy Domingo | Licensing Program Analyst | Conducted the complaint investigation and interviews |
| Angela Scott-Kapiloff | Executive Director | Facility representative met during investigation and exit interview |
| Simon Jacob | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 68
Capacity: 101
Deficiencies: 0
Date: Apr 11, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations that the licensee did not adhere to the admission agreement and did not assist residents with transportation.
Complaint Details
The complaint alleged that the licensee did not adhere to the admission agreement by failing to provide basic cable television service and did not assist residents with transportation. The investigation included interviews with residents and staff, review of billing and repair invoices, and found the allegations unsubstantiated.
Findings
The investigation found no preponderance of evidence to prove the alleged violations occurred. The cable television service was confirmed to be working and paid for, and transportation was provided despite the facility bus being under repair. Therefore, the allegations were unsubstantiated.
Report Facts
Capacity: 101
Census: 68
Repair duration: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amy Domingo | Licensing Program Analyst | Conducted the complaint investigation and unannounced visit |
| Angela Scott-Kapiloff | Executive Director | Facility representative interviewed during the investigation |
| Simon Jacob | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Annual Inspection
Census: 61
Capacity: 101
Deficiencies: 0
Date: Feb 20, 2024
Visit Reason
The inspection was an unannounced one-year annual inspection conducted by Licensing Program Analyst Amy Rodgers to evaluate compliance with licensing requirements for the facility serving elderly residents.
Findings
The facility was found to be in compliance with all licensing requirements, including safety systems, sanitation, medication storage, and resident care. No deficiencies were cited during the visit.
Report Facts
Hospice Waiver residents: 18
Food supply duration: 2
Food supply duration: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amy Rodgers | Licensing Program Analyst | Conducted the inspection and authored the report |
| Angela Scott-Kapiloff | Executive Director | Facility representative who granted entry and participated in the inspection |
Inspection Report
Annual Inspection
Census: 61
Capacity: 101
Deficiencies: 0
Date: Feb 20, 2024
Visit Reason
The inspection was an unannounced one-year annual inspection conducted by Licensing Program Analyst Amy Rodgers to evaluate compliance with licensing requirements for the facility serving elderly residents.
Findings
The facility was found to be in compliance with all licensing requirements, including safety systems, sanitation, medication storage, and resident care. No deficiencies were cited during the visit.
Report Facts
Hospice Waiver residents: 18
Food supply duration: 2
Food supply duration: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amy Rodgers | Licensing Program Analyst | Conducted the inspection and authored the report |
| Angela Scott-Kapiloff | Executive Director | Facility representative who accompanied the inspection and acknowledged receipt of the report |
| Ferlina McBride | Administrator | Facility administrator mentioned in the report header |
Inspection Report
Annual Inspection
Census: 61
Capacity: 101
Deficiencies: 0
Date: Feb 7, 2024
Visit Reason
Licensing Program Analysts conducted an unannounced visit to conduct a Required Annual Inspection of the facility.
Findings
During the visit, the analysts toured the facility, reviewed staff and resident records, and interviewed staff and residents. No deficiencies were cited during this visit, but a return visit is needed to complete the annual inspection due to time constraints.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Angela Scott-Kapiloff | Executive Director | Met with during the inspection and exit interview. |
Inspection Report
Annual Inspection
Census: 61
Capacity: 101
Deficiencies: 0
Date: Feb 7, 2024
Visit Reason
The inspection was an unannounced required annual inspection conducted to review the facility's compliance with licensing regulations.
Findings
During the visit, the licensing analysts toured the facility, reviewed staff and resident records, and interviewed staff and residents. No deficiencies were cited during this visit, but a return visit is needed to complete the annual inspection due to time constraints.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Angela Scott-Kapiloff | Executive Director | Met with during the inspection and exit interview. |
| Amy Rodgers | Licensing Program Analyst | Conducted the inspection. |
| Juliana Barfield | Licensing Program Analyst | Conducted the inspection. |
| Denise Powell | Licensing Program Manager | Named in the report header. |
Inspection Report
Original Licensing
Census: 56
Capacity: 101
Deficiencies: 0
Date: Oct 14, 2022
Visit Reason
The Licensing Program Analyst conducted a prelicensing inspection due to a change of ownership and to review submitted prelicensing materials including facility sketch, emergency disaster plan, evacuation route, and infection control plan.
Findings
The facility had one elevator out of service with expected repair soon, experienced flooding in nine resident units which has been repaired with room repairs expected to complete by mid-November, and has an outstanding balance on the current license. The facility must complete appropriate repairs to obtain the new license.
Report Facts
Outstanding balance: 2973
Flooded resident units: 9
Licensed capacity: 101
Ambulatory beds: 91
Bedridden beds: 10
Elevators out of service: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ferlina McBride | Assistant Executive Director | Met with Licensing Program Analyst during prelicensing inspection and participated in exit interview |
Inspection Report
Original Licensing
Census: 56
Capacity: 101
Deficiencies: 0
Date: Oct 14, 2022
Visit Reason
Licensing Program Analyst Janira Arreola conducted a prelicensing inspection due to a change of ownership from Ventas Operating Holdings AOC to Pacifica CA LLC.
Findings
The facility had one elevator out of service with expected repair by 10/17/2022 and recent flooding affecting nine resident units with repairs expected by 11/14/2022. The administrator's certificate was pending, and the facility had an outstanding balance of $2,973.00 on the current license.
Report Facts
Outstanding balance: 2973
Flooded resident units: 9
Licensed capacity: 101
Census: 56
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Janira Arreola | Licensing Program Analyst | Conducted the prelicensing inspection |
| Ferlina McBride | Assistant Executive Director | Met with Licensing Program Analyst during inspection |
| Amy Banaga | Administrator | Current facility administrator |
| Joel Esquivel | Supervisor | Supervisor overseeing the licensing evaluation |
Inspection Report
Original Licensing
Census: 60
Capacity: 101
Deficiencies: 0
Date: Sep 15, 2022
Visit Reason
The visit was conducted as a Component II (COMP II) evaluation by the Community Care Licensing Division to assess the applicant's and administrator's understanding of licensing requirements and facility operation for initial licensing.
Findings
The applicant and administrator successfully completed the COMP II evaluation via telephone, demonstrating understanding of Title 22 regulations, facility operation, staff qualifications, program policies, and application document requirements. No deficiencies or violations were noted.
Report Facts
Capacity: 101
Census: 60
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amy Banaga | Administrator/Applicant's Representative | Participant in COMP II evaluation |
| Julia Kim | Licensing Program Manager | Named in report header |
| Thai Doan | Licensing Program Analyst | Conducted COMP II evaluation and signed report |
Inspection Report
Original Licensing
Census: 60
Capacity: 101
Deficiencies: 0
Date: Sep 15, 2022
Visit Reason
The visit was conducted as a Component II (COMP II) evaluation by the Community Care Licensing Division to assess the applicant's and administrator's understanding of licensing requirements and facility operations for initial licensing.
Findings
The applicant and administrator successfully completed the COMP II evaluation via telephone, demonstrating understanding of facility operation, staff qualifications, program policies, and application document requirements. No deficiencies or violations were noted in the report.
Report Facts
Capacity: 101
Census: 60
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amy Banaga | Administrator/Applicant's Representative | Participant in COMP II evaluation |
| Julia Kim | Supervisor | Supervisor overseeing the licensing evaluation |
| Thai Doan | Licensing Evaluator | Licensing evaluator conducting the evaluation |
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