Inspection Report Summary
Most inspections found no deficiencies, including the most recent annual inspection on July 31, 2024, which was clean with no issues cited. Complaint investigations in December 2023 and January 2025 were unsubstantiated, with no evidence found to support allegations about visitor restrictions or medication provision. The facility demonstrated proper infection control practices during the July 2022 inspection, and all records and medication management were compliant. There were no fines, enforcement actions, or severe findings listed in the available reports. Overall, the facility’s record shows consistent compliance and no recent deficiencies.
Deficiencies per Year
4
3
2
1
0
Census Over Time
Census
Capacity
Inspection Report
Complaint Investigation
Capacity: 6
Deficiencies: 0
Jan 15, 2025
Visit Reason
An unannounced complaint investigation was conducted regarding an allegation that staff did not provide the responsible party with a resident's medication for an overnight outing.
Findings
The investigation found that the medication was provided to the responsible party on the day of the resident's departure, but one medication was left behind. Attempts to retrieve or deliver the medication were unsuccessful, and law enforcement eventually retrieved the medication and gave it to the responsible party. The allegation was deemed unsubstantiated due to insufficient evidence.
Complaint Details
The complaint alleged that staff did not provide the responsible party with the resident's medication for an overnight outing. The allegation was investigated and found to be unsubstantiated.
Report Facts
Facility capacity: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Javier Prieto | Licensing Program Analyst | Conducted the complaint investigation |
| Raul Velazquez | Licensee | Facility licensee involved in the investigation |
| Karen Clemons | Licensing Program Manager | Named in report signature section |
Inspection Report
Annual Inspection
Census: 4
Capacity: 6
Deficiencies: 0
Jul 31, 2024
Visit Reason
The inspection was an unannounced required comprehensive annual inspection conducted by Licensing Program Analyst Paola Guerrero to evaluate the facility's compliance with regulations.
Findings
The facility was found to be operating within approved capacity and in safe, clean, and good repair condition. No deficiencies were cited during the inspection. Resident and staff files were reviewed and found compliant, and medications were dispensed appropriately.
Report Facts
Staff present: 3
Resident files reviewed: 4
Staff files reviewed: 3
Water temperature: 112
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Raul Velazquez | Facility Administrator | Met with Licensing Program Analyst during inspection and participated in exit interview |
| Paola Guerrero | Licensing Program Analyst | Conducted the unannounced annual inspection |
| Efren Malagon | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 5
Capacity: 6
Deficiencies: 0
Dec 14, 2023
Visit Reason
The inspection was conducted as an unannounced complaint investigation regarding allegations that staff were not allowing a resident to have visitors.
Findings
The investigation found that the resident in question does have visitors daily for approximately 2 hours in the morning and 2 hours in the evening, and visitors have never been denied entry. The complaint was determined to be unfounded and dismissed.
Complaint Details
The complaint alleging staff were not allowing a resident to have visitors was investigated and found to be unfounded, meaning the allegations were false or without reasonable basis.
Report Facts
Capacity: 6
Census: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Javier Prieto | Licensing Program Analyst | Conducted the complaint investigation |
| Raul Velazquez | Administrator | Facility administrator mentioned in the investigation |
| Mirian Velasquez | Lead staff | Met with the Licensing Program Analyst during the investigation |
Inspection Report
Annual Inspection
Census: 4
Capacity: 6
Deficiencies: 0
Jul 21, 2022
Visit Reason
Licensing Program Analyst Javier Prieto made an unannounced visit to conduct an annual inspection with an emphasis on infection control.
Findings
The facility was found to have proper infection control measures including signage, hand hygiene supplies, PPE use, and a designated infection control lead. No deficiencies were cited during the inspection.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Raul Velazquez | Administrator | Met with Licensing Program Analyst during the inspection. |
| Javier Prieto | Licensing Program Analyst | Conducted the annual inspection. |
| Karen Clemons | Licensing Program Manager | Named in the report as Licensing Program Manager. |
Inspection Report
Original Licensing
Capacity: 6
Deficiencies: 0
Jun 16, 2021
Visit Reason
The visit was an office evaluation conducted as part of the original licensing process for Hacienda Living Facility, including verification of applicant and administrator qualifications and understanding of regulatory requirements.
Findings
The applicant and administrator successfully completed Component II of the licensing process via telephone, confirming understanding of Title 22 regulations and facility operation requirements. No clients were in care at the time of the evaluation.
Report Facts
Capacity: 6
Census: 0
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Raul Velazquez | Applicant/Administrator | Participated in Component II licensing evaluation |
| Julia Kim | Licensing Program Manager | Named in report header |
| Thai Doan | Licensing Program Analyst | Conducted Component II evaluation and signed report |
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