Inspection Report Summary
Most inspections found no deficiencies, and the facility was generally clean, well-maintained, and compliant with infection control and safety standards. The most recent report from September 5, 2025, had no deficiencies and noted safe, sanitary conditions throughout the home. Earlier reports included a few isolated issues such as a substantiated bed bug infestation in August 2023, a failure to follow proper eviction procedures in June 2022, and some safety concerns like loose grab bars and water temperature warnings. Several complaint investigations were unsubstantiated, including allegations of abuse, financial misconduct, and staff impairment. Overall, the facility’s condition appears to have improved over time, with recent inspections showing no violations.
Deficiencies per Year
4
3
2
1
0
High
Moderate
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Annual Inspection
Census: 158
Capacity: 215
Deficiencies: 0
Sep 5, 2025
Visit Reason
The visit was a continuation of the required annual inspection initiated on 08/28/2025 to observe, review, and inspect various domains of the facility.
Findings
The inspection found that resident bedrooms, bathrooms, medication storage, common areas, and outdoor spaces were clean, safe, and well-maintained with no immediate health or safety hazards observed.
Report Facts
Hot water temperature: 108
Hot water temperature: 110
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Yeni Flores | Administrator | Met with Licensing Program Analyst during inspection |
| Raymond Comer | Licensing Program Analyst | Conducted the inspection |
| Nichelle Gillyard | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Annual Inspection
Census: 158
Capacity: 215
Deficiencies: 0
Aug 28, 2025
Visit Reason
An unannounced annual inspection visit was conducted to evaluate the facility's compliance with licensing requirements and assess the physical plant, safety systems, and records.
Findings
The facility was found to be clean and well-maintained with proper infection control measures, current disaster drills, and functioning fire detection and protection systems. Resident and staff records were complete and current. No health and safety hazards were observed at the time of inspection. The inspection was not fully completed due to time constraints and will be finished at a later date.
Report Facts
Licensed capacity: 215
Current census: 158
Disaster drills last conducted: 5
Fire system certification date: Mar 5, 2025
Fire extinguisher service date: May 17, 2025
Resident files reviewed: 9
Staff files reviewed: 8
Hospice waiver approved residents: 2
Non-ambulatory residents capacity: 215
Bedridden residents capacity: 16
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Yeni Flores | Administrator | Met with Licensing Program Analyst during inspection |
| Raymond Comer | Licensing Program Analyst | Conducted the inspection visit |
| Nichelle Gillyard | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Annual Inspection
Census: 156
Capacity: 215
Deficiencies: 0
Nov 23, 2024
Visit Reason
An unannounced annual visit was conducted to evaluate the facility's compliance with licensing requirements and overall condition.
Findings
The facility was found to be clean, well-maintained, and compliant with infection control and safety protocols. No immediate health or safety hazards were observed. Resident and staff records were complete and current.
Report Facts
Resident files reviewed: 8
Staff files reviewed: 7
Disaster drills last conducted: Nov 2, 2024
Fire department inspection date: Feb 26, 2024
Fire extinguisher service date: May 15, 2024
Room temperature: 73
Hot water temperature range: 107.8-114.0
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jaime Trejo | Facility Manager | Met with Licensing Program Analysts during inspection and coordinated communications with Administrator. |
| Yeni Flores | Administrator | Facility Administrator who was contacted during the inspection and designated Mr. Trejo to sign the report. |
| Raymond Comer | Licensing Program Analyst | Conducted the inspection. |
| Jose Gary Tan | Licensing Program Analyst | Conducted the inspection. |
| Eva Miller | Licensing Program Manager | Named in the report as Licensing Program Manager. |
Inspection Report
Complaint Investigation
Census: 151
Capacity: 215
Deficiencies: 1
Aug 2, 2023
Visit Reason
The inspection visit was an unannounced complaint investigation triggered by an allegation that staff does not keep the facility free of vermin, specifically roaches and bed bugs in a resident's living space.
Findings
The investigation found that although weekly pest control treatments for roaches were in place, bed bugs were observed on a resident and in their bed during the inspection. The allegation was substantiated based on interviews, observations, and record review. No other health and safety hazards were noted.
Complaint Details
The complaint was substantiated. The allegation was that staff did not keep the facility free of vermin, specifically roaches and bed bugs. Evidence included resident interviews, direct observation of bed bugs on a resident and in their bed, and review of pest control records.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| The facility failed to ensure it was free from bed bugs, violating CCR 87303(a) Maintenance and Operation (a) requiring the facility to be clean, safe, sanitary and in good repair at all times. | Type A |
Report Facts
Residents interviewed: 10
Total residents: 155
Deficiency Type: 1
Plan of Correction Due Date: Aug 3, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| LaQueena Lacy | Licensing Program Analyst | Conducted complaint investigation and inspection |
| Yeni Flores | Administrator | Facility administrator interviewed and present during inspection |
| Naira Margaryan | Licensing Program Manager | Oversaw complaint investigation |
Inspection Report
Complaint Investigation
Capacity: 215
Deficiencies: 0
Oct 14, 2022
Visit Reason
The visit was conducted as an unannounced complaint investigation regarding an allegation that a resident was inappropriately touched by another resident in care.
Findings
Based on interviews with residents, staff, and observations, there was insufficient corroborating evidence to prove the alleged violation occurred; therefore, the allegation was unsubstantiated. No deficiencies were cited.
Complaint Details
The complaint alleged that another resident stuck their hand up resident #1's dress. Interviews with 15 of 16 residents and 4 staff found no witnesses or reports of inappropriate touching. The allegation was deemed unsubstantiated due to lack of evidence.
Report Facts
Capacity: 215
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| LaQueena Lacy | Licensing Program Analyst | Conducted the complaint investigation and delivered investigative findings |
| Yeni Flores | Administrator | Met with Licensing Program Analyst during investigation and findings delivery |
| Naira Margaryan | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 157
Capacity: 215
Deficiencies: 0
Oct 14, 2022
Visit Reason
The inspection was conducted as an unannounced complaint investigation following a complaint received on 06/22/2022 alleging that the facility did not safeguard a resident's cash resources.
Findings
The investigation found insufficient corroborating evidence to prove the alleged violation that March and April checks were missing. The allegation was determined to be unsubstantiated at this time, and no deficiencies were cited.
Complaint Details
The complaint alleged that two monthly checks for resident #1 were cashed by an unknown person. Interviews with the resident and administrator, along with document review, showed that the administrator returned the March and April checks to the Social Security Administration. The allegation was unsubstantiated.
Report Facts
Capacity: 215
Census: 157
Number of checks returned: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| LaQueena Lacy | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Yeni Flores | Administrator | Facility administrator interviewed during the investigation |
Inspection Report
Complaint Investigation
Census: 160
Capacity: 215
Deficiencies: 0
Sep 9, 2022
Visit Reason
The visit was conducted as a case management incident investigation following an incident involving resident R1 who was found hanging in the facility.
Findings
The investigation revealed that resident R1 had mental health problems and required medication assistance but had no suicidal ideation. No immediate health and safety hazards were noted during the visit.
Complaint Details
The visit was triggered by an incident on 09/07/2022 where resident R1 was found hanging from a shower head using a belt and was unresponsive despite CPR efforts. The family was notified and a psychologist was contacted to speak with staff and residents.
Report Facts
Census: 160
Total Capacity: 215
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Yeni Flores | Administrator | Met with during the visit and involved in contacting a psychologist following the incident |
| Abeye Duguma | Licensing Program Analyst | Conducted the visit and reviewed facility records |
| Naira Margaryan | Licensing Program Manager | Named in report header |
Inspection Report
Routine
Census: 158
Capacity: 215
Deficiencies: 1
Sep 1, 2022
Visit Reason
The visit was a required one-year unannounced infection control inspection to evaluate compliance with health and safety regulations.
Findings
The facility was generally found to be compliant with infection control and safety standards, including proper PPE availability, medication security, kitchen cleanliness, and adequate storage. However, a deficiency was cited for non-compliance with water temperature regulations posing a health risk.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Hot water temperature ranged from 105.7 to 132.6 degrees Fahrenheit, failing to meet the requirement that taps delivering water at 125 degrees F or above be prominently identified by warning signs, posing an immediate health, safety, or personal rights risk. | Type A |
Report Facts
Resident files reviewed: 16
Staff files reviewed: 9
Water temperature range: 105.7
Water temperature range: 132.6
POC Due Date: Sep 2, 2022
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Yeni Flores | Administrator | Met with during inspection and discussed visit purpose |
| LaQueena Lacy | Licensing Program Analyst | Conducted inspection and signed report |
| Naira Margaryan | Licensing Program Manager | Supervisor overseeing inspection |
Inspection Report
Complaint Investigation
Census: 159
Capacity: 215
Deficiencies: 0
Aug 19, 2022
Visit Reason
An unannounced complaint investigation visit was conducted following allegations received on 11/22/2021 regarding inappropriate sexual touching, staff impairment while caring for residents, and staff offering marijuana to a resident.
Findings
The investigation found insufficient corroborating evidence to substantiate any of the allegations. Interviews, observations, and video surveillance review led to all allegations being unsubstantiated. No deficiencies were cited.
Complaint Details
The complaint involved three allegations: 1) Facility staff member inappropriately sexually touched a resident; 2) Facility staff member was impaired while caring for residents; 3) Facility staff member offered resident marijuana. All allegations were found unsubstantiated based on interviews, observations, and evidence review.
Report Facts
Capacity: 215
Census: 159
Residents interviewed: 12
Staff interviewed: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Yeni Flores | Administrator | Met with during the investigation and named in the report |
| LaQueena Lacy | Licensing Program Analyst | Conducted the complaint investigation visit |
| Jose Santana | Investigator | Conducted investigation and interviews related to allegations |
Inspection Report
Complaint Investigation
Census: 159
Capacity: 215
Deficiencies: 0
Aug 19, 2022
Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that staff did not provide adequate supervision, resulting in a resident being abused by another resident.
Findings
The investigation included interviews with residents and staff, which found no corroborating evidence of abuse or physical altercations between residents. The allegation was determined to be unsubstantiated due to lack of evidence.
Complaint Details
The complaint alleged that Resident #1's roommate hit Resident #1 over the head with a slipper, slapped her hand, yelled, and cursed. Interviews with nine out of fourteen residents and five staff members revealed no witnessed or reported abuse or physical altercations. Resident #1 could not confirm the abuse or that staff were informed. The allegation was unsubstantiated.
Report Facts
Capacity: 215
Census: 159
Number of residents interviewed: 9
Number of residents total: 14
Number of staff interviewed: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| LaQueena Lacy | Licensing Program Analyst | Conducted the complaint investigation and unannounced visit |
| Yeni Flores | Administrator | Facility administrator met during the investigation |
| Naira Margaryan | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 160
Capacity: 215
Deficiencies: 1
Jun 29, 2022
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 12/10/2021 regarding illegal eviction of a resident and prevention of mail delivery to residents.
Findings
The investigation substantiated that the facility did not follow proper eviction procedures prior to serving an eviction notice to resident #1, constituting an illegal eviction. Another allegation that staff prevented residents from receiving mail was unsubstantiated based on interviews and observations.
Complaint Details
The complaint investigation was substantiated for illegal eviction of resident #1 due to improper eviction procedures. The allegation that staff prevented residents from receiving mail was unsubstantiated.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to follow proper eviction procedures prior to serving an eviction notice to resident #1. | Type B |
Report Facts
Capacity: 215
Census: 160
Deficiencies cited: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Yeni Flores | Administrator | Named in findings related to eviction procedures and interviewed during investigation |
| LaQueena Lacy | Licensing Program Analyst | Conducted the complaint investigation and site visits |
Inspection Report
Complaint Investigation
Census: 153
Capacity: 215
Deficiencies: 0
Apr 7, 2022
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received on 08/02/2021 regarding fire safety, staff treatment of residents, and medication distribution by a minor.
Findings
All three allegations were investigated through interviews with staff, residents, and review of relevant documents. The investigation found no evidence to substantiate the allegations, and all were deemed unsubstantiated.
Complaint Details
The complaint included allegations that a fire was started at the facility due to lack of supervision, staff did not treat residents with dignity and respect, and a minor was distributing medication to residents. After interviews and document review, all allegations were found unsubstantiated.
Report Facts
Staff interviewed: 5
Residents interviewed: 10
Complaint received date: Aug 2, 2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Ruiz | Licensing Program Analyst | Conducted the complaint investigation |
| Yeni Flores | Administrator | Facility administrator interviewed during investigation |
Inspection Report
Complaint Investigation
Census: 147
Capacity: 215
Deficiencies: 0
Oct 15, 2021
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that the facility was receiving payments for a resident no longer in care.
Findings
The investigation found that the facility was receiving Social Security Administration benefits payments for a resident who left the facility on 07/01/2020, but the payments were returned to SSA. The allegation was deemed unsubstantiated based on information gathered during this and prior visits.
Complaint Details
The complaint alleged that the facility was receiving payments for a resident no longer in care. The allegation was investigated and found to be unsubstantiated.
Report Facts
Facility capacity: 215
Census: 147
Date complaint received: Aug 31, 2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jose Gary Tan | Licensing Program Analyst | Conducted the complaint investigation and interview |
| Yeni Flores | Administrator | Facility administrator interviewed during the investigation |
| Naira Margaryan | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 150
Capacity: 215
Deficiencies: 0
Sep 2, 2021
Visit Reason
An unannounced complaint investigation visit was conducted to investigate allegations of staff physically abusing a resident and speaking inappropriately to a resident.
Findings
The investigation included interviews with the resident, staff, and administrator, as well as a physical plant tour. The allegations of physical abuse and inappropriate speech by staff were found to be unsubstantiated based on the information gathered.
Complaint Details
The complaint involved allegations that staff physically abused a resident and spoke inappropriately to the resident. The allegations were investigated and deemed unsubstantiated.
Report Facts
Capacity: 215
Census: 150
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Yeni Flores | Administrator | Met with Licensing Program Analyst during the investigation |
| Jose Gary Tan | Licensing Program Analyst | Conducted the complaint investigation visit |
| Naira Margaryan | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 149
Capacity: 215
Deficiencies: 1
Aug 23, 2021
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations that residents were smoking in their rooms and that a resident developed rashes while in care.
Findings
The allegation that residents were smoking in their rooms was substantiated based on interviews and observations, posing a potential health and safety risk. The allegation regarding a resident developing rashes while in care was unsubstantiated due to insufficient evidence linking the rash to the facility.
Complaint Details
The complaint investigation was substantiated for the allegation that residents were smoking in their rooms. The allegation that a resident developed rashes while in care was unsubstantiated.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Residents were caught smoking in their rooms, violating the facility's house rules and posing a potential health and safety risk. | Type B |
Report Facts
Capacity: 215
Census: 149
Deficiency due date: Aug 30, 2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Tuesday Cabiness | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Yeni Flores | Administrator | Facility administrator involved in the investigation and discussions about resident smoking |
| Cassandra Harris | Licensing Program Manager | Oversaw the complaint investigation |
Inspection Report
Complaint Investigation
Census: 148
Capacity: 215
Deficiencies: 0
Jul 18, 2021
Visit Reason
The inspection was an unannounced complaint investigation visit conducted to investigate the allegation that the facility was not providing a safe environment for residents.
Findings
The investigation included staff and resident interviews, room tours, and document review. No evidence was found to support the allegation, and the complaint was determined to be unsubstantiated.
Complaint Details
The complaint alleged that the facility was not providing a safe environment for residents. The allegation was unsubstantiated based on interviews, observations, and record review.
Report Facts
Capacity: 215
Census: 148
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Rosaura Valenzuela | Licensing Program Analyst | Conducted the complaint investigation visit |
Inspection Report
Annual Inspection
Census: 140
Capacity: 215
Deficiencies: 1
Jul 15, 2021
Visit Reason
The inspection was a required one-year unannounced infection control visit to evaluate compliance with health and safety regulations.
Findings
The facility was generally clean and well-maintained with appropriate COVID-19 prevention measures, adequate food storage, and functioning emergency systems. However, several grab bars in resident rooms were found to be loose and not sturdy, posing a potential safety risk.
Deficiencies (1)
| Description |
|---|
| Water supplies and plumbing fixtures shall be maintained. Grab bars shall be maintained for each toilet; bathtub and shower used by residents. Grab bars in rooms 118, 141, and 226 were loose and not sturdy for use. |
Report Facts
Capacity: 215
Census: 140
Plan of Correction Due Date: Jul 29, 2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| LaQueena Lacy | Licensing Program Analyst | Conducted the inspection and authored the report |
| Naira Margaryan | Licensing Program Manager | Supervisor overseeing the inspection |
| Yeni Flores | Administrator | Facility administrator met during inspection |
Inspection Report
Complaint Investigation
Census: 139
Capacity: 215
Deficiencies: 1
Mar 29, 2021
Visit Reason
An unannounced complaint investigation was conducted due to an allegation that a resident was mentally and emotionally abused by another resident while in care.
Findings
The investigation substantiated that client #2 was emotionally abusing client #1 by making threats and using derogatory language. Interviews and record reviews confirmed the conflict and abuse, posing a potential health and safety hazard to clients in care.
Complaint Details
The complaint was substantiated. Client #2 was found to be emotionally abusing client #1 by making threats to get client #1 evicted and deported, using derogatory language, and attempting to control client #1. The abuse was verified through interviews and record review.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| 87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (3) To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature. Licensee did not assure that clients are free of humiliation and abuse. The client C1 was mentally and emotionally abused by client C2, posing potential health and safety hazard. | Type B |
Report Facts
Capacity: 215
Census: 139
Deficiency Type: 1
Plan of Correction Due Date: Due date for plan of correction is 04/02/2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Naira Margaryan | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Nichelle Gillyard | Licensing Program Manager | Oversaw the complaint investigation |
| Yeni Flores | Administrator | Facility administrator involved in the investigation |
Inspection Report
Complaint Investigation
Census: 152
Capacity: 215
Deficiencies: 0
Nov 20, 2020
Visit Reason
The inspection was an unannounced complaint investigation triggered by an allegation of financial abuse regarding residents not receiving their stimulus checks and staff allegedly telling residents they would not receive them.
Findings
The investigation found no relevant information to verify the allegation. Interviews with the administrator and residents, document review, and observations confirmed that residents either received their stimulus checks or were waiting for them, and the facility properly handled the checks. The allegation was unsubstantiated.
Complaint Details
The complaint alleged financial abuse related to stimulus checks not being given to residents and staff misinformation. The allegation was found to be unsubstantiated after interviews, observations, and record review.
Report Facts
Residents interviewed: 16
Residents census: 152
Facility capacity: 215
Residents with direct deposit: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Naira Margaryan | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Yeni Flores | Administrator | Facility administrator interviewed during the investigation |
| Nichelle Gillyard | Licensing Program Manager | Named as Licensing Program Manager on the report |
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