Inspection Reports for
Genesis Manor VI

6936 Amethyst Ave, Rancho Cucamonga, CA 91701, CA, 91701

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Deficiencies (last 5 years)

Deficiencies (over 5 years) 1.4 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

65% better than California average
California average: 4 deficiencies/year

Deficiencies per year

8 6 4 2 0
2022
2023
2024
2025
2026

Occupancy

Latest occupancy rate 83% occupied

Based on a February 2026 inspection.

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

Occupancy rate over time

40% 60% 80% 100% 120% Feb 2022 Apr 2022 Oct 2023 Jan 2024 Feb 2025 Feb 2026

Inspection Report

Annual Inspection
Census: 5 Capacity: 6 Deficiencies: 5 Date: Feb 5, 2026

Visit Reason
The inspection was an unannounced annual inspection conducted to evaluate compliance with licensing requirements for the Genesis Manor VI facility.

Findings
The facility was found to have five deficiencies and two technical violations, including issues with fire clearance for bedridden residents, unsecured cleaning supplies, expired food items, inaccurate medication records, and water temperature concerns. The facility was otherwise clean, in good repair, and operating safely.

Deficiencies (5)
Two bedridden residents were occupying two separate nonambulatory bedrooms, violating fire clearance limits for only one bedridden resident.
Cleaning supplies were stored unsecured under the bathroom sink, posing a safety risk.
Expired parmesan cheese and peanut butter were found in the pantry.
Medication record did not match the number of medications in the bubble pack for one resident.
Water temperature in bathroom and kitchen initially measured above safe limits; retesting was incomplete.
Report Facts
Deficiencies cited: 5 Technical Violations cited: 2 Capacity: 6 Census: 5 Plan of Correction Due Date: Feb 6, 2026

Employees mentioned
NameTitleContext
Marya AlpertAdministratorNamed in relation to findings and plans of correction
Lavette FarlowLicensing Program AnalystConducted the inspection and signed the report
Nedra BrownLicensing Program ManagerNamed as Licensing Program Manager on the report

Inspection Report

Annual Inspection
Census: 3 Capacity: 6 Deficiencies: 0 Date: Feb 26, 2025

Visit Reason
The visit was an unannounced required comprehensive annual inspection conducted by Licensing Program Analyst Mary Rico to evaluate the facility's compliance with regulations.

Findings
The facility was found to be operating within its approved capacity and in safe, clean, and good repair conditions. No deficiencies were cited during the inspection.

Report Facts
Resident files reviewed: 3 Resident medications reviewed: 3 Hospice files reviewed: 1 Staff files reviewed: 4

Employees mentioned
NameTitleContext
David MarkieAdministratorMet with Licensing Program Analyst during inspection and received report
Mary RicoLicensing Program AnalystConducted the unannounced annual inspection
Marietta TecsonCaregiverAccompanied Licensing Program Analyst during inspection

Inspection Report

Annual Inspection
Census: 3 Capacity: 6 Deficiencies: 0 Date: Feb 26, 2025

Visit Reason
The visit was an unannounced required comprehensive annual inspection conducted by the Licensing Program Analyst Mary Rico to assess compliance with regulations.

Findings
The facility was found to be operating within approved capacity and in safe, clean conditions with sufficient care staff and proper maintenance of physical plant, food service, and records. No deficiencies were cited during the inspection.

Report Facts
Resident files reviewed: 3 Resident medications reviewed: 3 Hospice files reviewed: 1 Staff files reviewed: 4

Employees mentioned
NameTitleContext
David MarkieAdministratorMet with Licensing Program Analyst during inspection and named in report
Mary RicoLicensing Program AnalystConducted the inspection visit
Efren MalagonLicensing Program ManagerNamed in report as Licensing Program Manager
Marietta TecsonCaregiverAccompanied Licensing Program Analyst during inspection

Inspection Report

Annual Inspection
Census: 6 Capacity: 6 Deficiencies: 0 Date: Jan 22, 2024

Visit Reason
The Licensing Program Analyst conducted an unannounced annual inspection of the Genesis Manor VI facility to evaluate compliance with licensing requirements.

Findings
The facility was found to be clean, in good repair, and operating safely with no deficiencies cited. Staff files, resident records, physical plant, food service, and care supervision were all in compliance with regulations.

Report Facts
Residents present: 6 Licensed capacity: 6 Staff present: 4 Resident files reviewed: 3 Staff files reviewed: 2

Employees mentioned
NameTitleContext
Amber ColemanLicensing Program AnalystConducted the annual inspection
David MarkieAdministratorFacility administrator mentioned in report
Marietta TecsonCaregiverMet with Licensing Program Analyst during inspection
Marya AlpertAdministrator contacted during inspection

Inspection Report

Annual Inspection
Census: 6 Capacity: 6 Deficiencies: 0 Date: Jan 22, 2024

Visit Reason
The Licensing Program Analyst conducted an unannounced annual inspection of the Genesis Manor VI facility to evaluate compliance with licensing requirements.

Findings
The facility was found to be clean, in good repair, and operating in safe conditions for residents. No deficiencies were cited during the inspection.

Report Facts
Staff members present: 4 Resident files reviewed: 3 Staff files reviewed: 2

Employees mentioned
NameTitleContext
Amber ColemanLicensing Program AnalystConducted the annual inspection
David MarkieAdministratorFacility administrator mentioned during the inspection
Marietta TecsonCaregiverGreeted the Licensing Program Analyst upon arrival
AlfonsaStaff member who contacted the Administrator during the visit

Inspection Report

Census: 6 Capacity: 6 Deficiencies: 0 Date: Oct 30, 2023

Visit Reason
The Licensing Program Analyst arrived at the Genesis Manor Residential Care for the Elderly to obtain signatures on an Amended Report and to complete the report.

Findings
The Licensing Program Analyst met with staff, introduced herself, obtained signatures, and completed the report. An exit interview was conducted where the report was discussed and provided to the facility representative.

Employees mentioned
NameTitleContext
Amber ColemanLicensing Program AnalystConducted the visit, obtained signatures, and completed the report.
David MarkieAdministratorFacility administrator mentioned in the report header.
Marrietta TecsonCaregiverMet with the Licensing Program Analyst during the visit.

Inspection Report

Census: 6 Capacity: 6 Deficiencies: 0 Date: Oct 30, 2023

Visit Reason
The visit was conducted to obtain signatures on an Amended Report as part of case management activities.

Findings
The Licensing Program Analyst met with staff, introduced herself, obtained signatures, and completed the report. An exit interview was conducted where the report was discussed and provided to the facility representative.

Employees mentioned
NameTitleContext
Amber ColemanLicensing Program AnalystConducted the visit, obtained signatures, and completed the report.
David MarkieAdministratorFacility administrator mentioned in the report.
Marrietta TecsonCaregiverMet with the Licensing Program Analyst during the visit.
Nedra BrownLicensing Program ManagerNamed as Licensing Program Manager in the report.

Inspection Report

Complaint Investigation
Census: 6 Capacity: 6 Deficiencies: 0 Date: Oct 30, 2023

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations that staff prevented home health agency staff from performing their duties, uncleared staff were allowed to work in the facility, and the facility did not have a qualified Administrator.

Complaint Details
The complaint investigation was unsubstantiated. Allegations included staff preventing home health agency staff from performing duties, uncleared staff working in the facility, and lack of a qualified Administrator. The findings showed no evidence to support these allegations, and the complaint was dismissed.
Findings
The investigation found no substantiated evidence supporting the allegations. Staff files showed proper fingerprint clearances, criminal background checks, and up-to-date training. Administrator certificates were current and in good standing. No deficiencies were cited, and the allegations were determined to be unsubstantiated or unfounded.

Report Facts
Capacity: 6 Census: 6 Staff files reviewed: 4 Administrator Certificates found: 3

Employees mentioned
NameTitleContext
Amber ColemanLicensing Program AnalystConducted the complaint investigation and delivered findings
David MarkieAdministratorFacility Administrator mentioned in the report
Marrietta TecsonCaregiverMet with Licensing Program Analyst and granted entry to the facility
Nedra BrownLicensing Program ManagerNamed as Licensing Program Manager overseeing the investigation

Inspection Report

Complaint Investigation
Census: 6 Capacity: 6 Deficiencies: 1 Date: Apr 27, 2022

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations of lack of supervision leading to inappropriate resident interaction and failure to provide a safe environment for residents.

Complaint Details
The complaint was substantiated regarding lack of supervision leading to inappropriate resident interaction. The allegation that staff failed to provide a safe environment was unsubstantiated.
Findings
The investigation substantiated that due to lack of supervision, two residents engaged in inappropriate behavior, posing a potential health and safety risk. Another allegation that staff failed to provide a safe environment was unsubstantiated based on interviews and observations.

Deficiencies (1)
Failure to ensure adequate direct care staff to support residents with dementia, resulting in residents engaging in inappropriate behavior.
Report Facts
Civil penalty amount: 100 Capacity: 6 Census: 6

Employees mentioned
NameTitleContext
Rohit LamaLicensing Program AnalystConducted the complaint investigation and exit interview
Marya AlpertAdministratorMet with Licensing Program Analyst during investigation and exit interview
David MarkieAdministratorNamed as facility administrator

Inspection Report

Complaint Investigation
Census: 6 Capacity: 6 Deficiencies: 1 Date: Apr 27, 2022

Visit Reason
An unannounced complaint investigation was conducted due to allegations of lack of supervision leading to inappropriate resident interaction and failure to provide a safe environment for residents.

Complaint Details
The complaint was substantiated regarding lack of supervision leading to inappropriate resident interaction. The allegation that staff failed to provide a safe environment was unsubstantiated.
Findings
The allegation of lack of supervision resulting in inappropriate behavior between residents was substantiated. However, the allegation that staff failed to provide a safe environment was unsubstantiated based on interviews and observations.

Deficiencies (1)
Care of Persons with Dementia: Licensees who accept and retain residents with dementia shall ensure adequate direct care staff to support each resident's physical, social, emotional, safety and health care needs. This regulation was not met as evidenced by interviews with staff that residents engaged in inappropriate behavior posing a potential health and safety risk.
Report Facts
Civil penalty amount per day per resident: 100 Number of residents: 6 Plan of Correction due date: May 11, 2022

Employees mentioned
NameTitleContext
Rohit LamaLicensing Program AnalystConducted the complaint investigation and exit interview
Nedra BrownLicensing Program ManagerNamed in report as Licensing Program Manager
David MarkieAdministratorFacility administrator named in report
Marya AlpertAdministratorAdministrator met with during investigation and exit interview

Inspection Report

Annual Inspection
Census: 5 Capacity: 6 Deficiencies: 0 Date: Feb 25, 2022

Visit Reason
An unannounced annual inspection was conducted with an emphasis on infection control to assess compliance with regulations.

Findings
No deficiencies were observed or cited during the visit. The facility demonstrated compliance with infection control practices, including COVID-19 mitigation measures and adequate supplies of PPE and hygiene materials.

Report Facts
Capacity: 6 Census: 5

Employees mentioned
NameTitleContext
Josephine SandiganCaregiverMet with Licensing Program Analyst during inspection
Shaunte HenryLicensing Program AnalystConducted the inspection
David MarkieAdministratorFacility administrator named in report header

Inspection Report

Annual Inspection
Census: 5 Capacity: 6 Deficiencies: 0 Date: Feb 25, 2022

Visit Reason
The inspection was an unannounced annual inspection with an emphasis on infection control conducted by the Licensing Program Analyst.

Findings
No deficiencies were observed or cited during the visit. The facility demonstrated compliance with infection control practices, including COVID-19 symptom screening, PPE availability, and a COVID mitigation plan.

Employees mentioned
NameTitleContext
Josephine SandigancaregiverMet with Licensing Program Analyst during inspection and discussed report findings.
Shaunte HenryLicensing Program AnalystConducted the unannounced annual inspection.
Nedra BrownLicensing Program ManagerNamed in the report as Licensing Program Manager.

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