Inspection Reports for Genesis Manor III

6440 Opal St., Alta Loma, CA 91701, CA, 91701

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Inspection Report Summary

Most inspections found no deficiencies, with the facility consistently meeting regulatory requirements for safety, infection control, staffing, resident care, and medication management. Several complaint investigations were unsubstantiated, including a March 14, 2024, investigation that found no evidence to support allegations of neglect or improper care. The most recent report from April 28, 2025, was also free of deficiencies, showing the facility continues to maintain high standards. Earlier reports similarly showed compliance with all applicable regulations and no enforcement actions or fines were listed in the available reports. This record indicates a stable and well-managed facility with no serious issues over time.

Deficiencies (last 5 years)

Deficiencies (over 5 years) 0 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

Same as California average
California average: 4 deficiencies/year

Deficiencies per year

4 3 2 1 0
2021
2022
2023
2024
2025

Census

Latest occupancy rate 50% occupied

Based on a April 2025 inspection.

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

Census over time

0 3 6 9 12 Jun 2021 May 2022 May 2023 Mar 2024 Mar 2024 Apr 2025
Inspection Report Annual Inspection Census: 3 Capacity: 6 Deficiencies: 0 Apr 28, 2025
Visit Reason
An annual unannounced inspection visit was conducted to evaluate compliance with licensing requirements for Genesis Manor II facility.
Findings
No deficiencies were observed during the visit. The facility met all regulatory requirements including physical plant safety, food service, disaster preparedness, resident rights, staffing, infection control, and resident records.
Report Facts
Residents on hospice care: 3 Licensed capacity: 6 Personnel records reviewed: 3 Emergency drills dates: Last documented emergency drills were conducted on 04/19/2025 and 01/13/2025.
Employees Mentioned
NameTitleContext
Alaina HendrickAdministratorMet with Licensing Program Analyst during the inspection and holds Administrator Certificate valid until 07/18/2026.
Kimberly RamirezLicensing Program AnalystConducted the annual inspection visit.
Tony VasalloSupervisorSupervisor overseeing the licensing evaluation.
Inspection Report Annual Inspection Census: 5 Capacity: 6 Deficiencies: 0 Mar 29, 2024
Visit Reason
An unannounced Annual Required 1-year Visit was conducted to evaluate compliance with licensing requirements for the facility serving elderly residents with dementia.
Findings
The facility was observed to be clean, well maintained, and compliant with safety and care standards. No deficiencies were cited during the inspection.
Report Facts
Residents on hospice care: 3 Emergency drills dates: Last documented drills were conducted on 01/04/24 and 10/08/23.
Employees Mentioned
NameTitleContext
Kimberly RamirezLicensing Program AnalystConducted the inspection and evaluation.
Alaina HendrickAdministratorMet with Licensing Program Analyst during the inspection.
Elyssa MarkieBack up AdministratorAssisted with the tour and exit interview.
Tony VasalloSupervisorSupervisor overseeing the licensing evaluation.
Inspection Report Complaint Investigation Census: 5 Capacity: 6 Deficiencies: 0 Mar 14, 2024
Visit Reason
An unannounced complaint investigation visit was conducted to investigate multiple allegations including neglect resulting in pressure injuries, improper wound care, prevention of home health agency staff from performing duties, uncleared staff working in the facility, and lack of a qualified administrator.
Findings
The investigation found no preponderance of evidence to substantiate any of the allegations. Staff and witnesses denied neglect or improper care, and records showed appropriate certifications and clearances for staff and administrator. No deficiencies were observed or cited.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included resident sustaining pressure injury due to staff neglect, staff not meeting wound care needs, staff preventing home health agency duties, uncleared staff working, and unqualified administrator. Interviews with staff, witnesses, and review of records found no evidence to support these allegations.
Report Facts
Facility capacity: 6 Census: 5 Staff interviewed: 6 Witnesses interviewed: 4 Residents unable to interview: 5
Employees Mentioned
NameTitleContext
Alina HendrickAdministratorNamed in investigation and confirmed as qualified administrator with valid certification
Valeria MaldonadoLicensing Program AnalystConducted the complaint investigation
Fernando FierrosLicensing Program ManagerOversaw the complaint investigation
Heydi BendanaInvestigatorConducted interviews and investigation of allegations
Inspection Report Annual Inspection Census: 6 Capacity: 6 Deficiencies: 0 May 9, 2023
Visit Reason
The Licensing Program Analyst conducted the required annual inspection of the facility, which is licensed to serve 6 non-ambulatory residents and 2 hospice residents age 60 years and older.
Findings
The inspection found the facility in compliance with all applicable regulations, including infection control, physical plant safety, staffing, personnel training, resident rights, food service, medication administration, and disaster preparedness. No deficiencies were observed during the visit.
Report Facts
Food supply duration: 2 Food supply duration: 7 Staff interviews conducted: 4 Resident interviews conducted: 1
Employees Mentioned
NameTitleContext
Gerry MarkieAdministratorFacility administrator met during inspection and named in report
Tena HerreraLicensing Program AnalystConducted the annual inspection
David SicairosSupervisorSupervisor named in report
Alaina HendrikAdministratorAdministrator with certificate expiring 07/18/2024 mentioned in staffing section
Inspection Report Annual Inspection Census: 6 Capacity: 6 Deficiencies: 0 May 6, 2022
Visit Reason
Licensing Program Analyst Vasallo conducted an annual required visit to evaluate the facility using the infection control tool and to inspect the physical plant, COVID-19 procedures, residents' medications and records, food supply, and staff records.
Findings
No deficiencies were observed during the visit. The facility was found to have proper infection control measures, adequate resident accommodations, proper medication documentation and administration, sufficient food supply, and appropriate staff health screenings and training.
Report Facts
Residents on hospice: 1 Hot water temperature: 116.2 Resident records reviewed: 6 Staff records reviewed: 4
Employees Mentioned
NameTitleContext
Gerry MarkieAdministratorMet with Licensing Program Analyst during the inspection
Tony VasalloLicensing Program AnalystConducted the annual required visit and inspection
Inspection Report Annual Inspection Census: 6 Capacity: 6 Deficiencies: 0 Jun 4, 2021
Visit Reason
The inspection was an annual required visit conducted to evaluate the facility's compliance, including infection control and COVID-19 procedures.
Findings
The facility was found to have safe and sanitary conditions in resident bedrooms and bathrooms, sufficient food supply, proper medication storage, and functioning safety detectors. A mitigation plan was submitted and pending approval.
Report Facts
Capacity: 6 Census: 6
Employees Mentioned
NameTitleContext
Linda AlmarazLicensing Program AnalystConducted the annual required visit and evaluation
Gerry MarkieLicenseeMet with Licensing Program Analyst during inspection
Alaina HendrickAdministratorMet with Licensing Program Analyst during inspection and participated in exit interview

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