Inspection Report Summary
Most inspections of this facility were clean, with no deficiencies cited in routine annual visits and follow-ups through May 31, 2024. Several complaint investigations were unsubstantiated, including allegations of inadequate supervision, failure to provide records, and resident-on-resident abuse. However, there were isolated deficiencies found in complaint investigations, including a failure to administer prescribed medications properly in March 2024 and a failure to update a resident’s care plan to reflect behavior changes in July 2022. The most recent report from September 26, 2025, was a complaint investigation that found no deficiencies and determined the allegations unsubstantiated. Overall, the facility appears to have addressed previous issues, with the latest inspection showing no problems.
Deficiencies per Year
4
3
2
1
0
Moderate
Census Over Time
Census
Capacity
Inspection Report
Complaint Investigation
Census: 24
Capacity: 30
Deficiencies: 0
Sep 26, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2024-06-21 regarding inadequate supervision resulting in a resident's elopement and injury, and failure to provide resident records to an authorized representative.
Findings
The investigation found that although the allegations may have happened or are valid, there was not a preponderance of evidence to prove the alleged violations occurred. The resident did fall and fracture a wrist, but the facility staff and environment were found to have a secure perimeter and no evidence supported the elopement claim. Regarding the records allegation, the facility stated no information was withheld and explained the lack of video footage due to non-recording cameras.
Complaint Details
The complaint involved two allegations: 1) Staff did not provide adequate supervision resulting in a resident's elopement and injury; 2) Staff did not provide resident’s records to resident’s authorized representative. The allegations were determined to be unsubstantiated after interviews, records review, and observations.
Report Facts
Facility capacity: 30
Census: 24
Complaint received date: Jun 21, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Grace Donato | Licensing Program Analyst | Conducted the complaint investigation and telephone interview |
| Jeffrey Settineri | Administrator | Facility administrator mentioned in relation to complaint and records request |
| Genoveva Guerrero | Facility staff member met during investigation and telephone interview |
Inspection Report
Follow-Up
Census: 28
Capacity: 30
Deficiencies: 0
May 31, 2024
Visit Reason
An unannounced case management visit was conducted to follow up on consultation provided during a required annual inspection on May 15, 2024.
Findings
During the visit, the Licensing Program Analyst toured the facility, reviewed records, and interacted with residents. No deficiencies were cited.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Daniel Pena | Licensing Program Analyst | Conducted the unannounced case management visit. |
| Gladys Vincent | Compliance Analyst | Met with the Licensing Program Analyst during the visit. |
Inspection Report
Annual Inspection
Census: 25
Capacity: 30
Deficiencies: 0
May 15, 2024
Visit Reason
An unannounced annual one year required inspection was conducted to evaluate compliance with licensing regulations for Harborview Senior Assisted Living Facility.
Findings
The inspection found the facility to be in compliance with all applicable regulations, including physical plant, food service, medication management, resident and staff records, and safety requirements. No deficiencies were observed during the inspection.
Report Facts
Facility capacity: 30
Census: 25
Fire drill date: May 14, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jeffrey Settineri | Administrator | Met during inspection and named in report |
| Genoveva Guerrero | Facility Manager | Met during inspection and named in report |
| Daniel Pena | Licensing Program Analyst | Conducted the inspection |
| Simon Jacob | Licensing Program Manager | Named in report |
Inspection Report
Complaint Investigation
Census: 26
Capacity: 30
Deficiencies: 0
Apr 4, 2024
Visit Reason
An unannounced complaint investigation was conducted due to an allegation of lack of supervision resulting in resident-on-resident abuse at Harborview Senior Assisted Living Facility.
Findings
The investigation included interviews, record reviews, and observations. No evidence was found to support the allegation that lack of supervision caused the resident-on-resident abuse. The allegation was determined to be unsubstantiated.
Complaint Details
The complaint alleged lack of supervision resulting in resident-on-resident abuse occurring on 05/12/2023. Investigation found no corroboration or evidence that the incident was due to staff supervision lapses. The allegation was unsubstantiated.
Report Facts
Capacity: 30
Census: 26
Staff on duty: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Daniel Pena | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Genoveva Guerrero | Manager | Facility manager met during the investigation and exit interview |
| Jeffrey Settineri | Administrator | Facility administrator named in the report |
| Simon Jacob | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 26
Capacity: 30
Deficiencies: 0
Apr 4, 2024
Visit Reason
An unannounced complaint investigation was conducted in response to allegations that the licensee did not provide a copy of the admission agreement, did not safeguard residents' belongings, and did not report a resident's change in condition to the responsible party.
Findings
The investigation found insufficient evidence to substantiate the allegations. Records and interviews showed the resident's representative signed the admission agreement and refused a copy, the resident had no personal property at admission, and the representative was notified of care plan changes following choking incidents. Therefore, the allegations were unsubstantiated.
Complaint Details
The complaint was unsubstantiated after investigation. The allegations included failure to provide a copy of the admission agreement, failure to safeguard resident belongings, and failure to notify the responsible party of a change in condition. Evidence did not meet the preponderance of evidence standard.
Report Facts
Capacity: 30
Census: 26
Complaint Control Number: 08-AS-20230525113628
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Daniel Pena | Licensing Program Analyst | Conducted the complaint investigation |
| Genoveva Guerrero | Manager | Facility representative met during investigation |
| Simon Jacob | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 28
Capacity: 30
Deficiencies: 1
Mar 28, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2023-05-01 regarding medication administration, resident supervision, and food service at Harborview Senior Assisted Living Facility.
Findings
The investigation substantiated that one resident was not given two prescribed medications as ordered, posing a potential health risk. Other allegations regarding lack of supervision resulting in resident altercation and failure to provide food service were unsubstantiated due to insufficient evidence.
Complaint Details
The complaint investigation was substantiated for the allegation that medications were not given as prescribed to Resident 1 on 4/27/2023. The allegations of lack of supervision resulting in resident-on-resident altercation and failure to provide food service were unsubstantiated.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to ensure medication was administered according to physician's directions to one resident, posing a potential health risk. | Type B |
Report Facts
Residents present during inspection: 28
Licensed capacity: 30
Residents involved in medication deficiency: 1
Estimated days to complete plan of correction: 0
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jeffrey Settineri | Administrator | Met with Licensing Program Analyst during investigation and named in findings |
| Dawn Segura | Licensing Program Analyst | Conducted the complaint investigation visit |
| Lizzette Tellez | Licensing Program Manager | Oversaw complaint investigation |
Inspection Report
Complaint Investigation
Census: 26
Capacity: 30
Deficiencies: 1
Jul 22, 2022
Visit Reason
The visit was an unannounced Case Management Visit conducted during a complaint investigation regarding a change in behavior of a resident that was not documented in the resident's file or care plans.
Findings
The investigation found that Resident 1 exhibited hitting behavior towards Resident 2 starting November 2021, which was not documented in the resident's file, LIC625, or needs and services plan. Additionally, the licensee failed to update the needs and services plan for 1 of 27 residents, posing a potential health, safety, or personal rights risk.
Complaint Details
The complaint investigation revealed that Resident 1 had a change in behavior involving hitting another resident, which was not documented as required. This substantiates a deficiency related to failure to update care plans.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to update the needs and services plan to document significant changes in a resident's behavior and condition. | Type B |
Report Facts
Residents in care: 27
Census: 26
Total Capacity: 30
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jeffrey Settineri | Administrator | Met during inspection and named in report |
| Iby Strong | Licensing Program Analyst | Conducted the complaint investigation and inspection |
| John Rante | Licensing Program Manager | Supervisor named in report |
Inspection Report
Annual Inspection
Census: 26
Capacity: 30
Deficiencies: 0
May 27, 2022
Visit Reason
The visit was an annual required licensing inspection conducted to verify compliance with licensing regulations and infection control practices.
Findings
The inspection found the facility in compliance with infection control practices and COVID-19 mitigation measures. No deficiencies were cited during the visit.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jeffrey Settineri | Administrator | Met with during the inspection and participated in the exit interview. |
| Gladys Vincent | House Manager | Met with during the inspection and participated in the exit interview. |
Inspection Report
Annual Inspection
Capacity: 30
Deficiencies: 0
May 27, 2022
Visit Reason
The visit was an annual required licensing inspection conducted to verify compliance with infection control practices and other regulatory requirements.
Findings
The inspection found the facility in compliance with infection control practices, including COVID-19 mitigation measures, and no deficiencies were cited during the visit.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jeffrey Settineri | Administrator | Named as facility administrator present during the inspection and exit interview. |
| Gladys Vincent | House Manager | Named as house manager present during the inspection and exit interview. |
Inspection Report
Census: 29
Capacity: 30
Deficiencies: 0
Sep 30, 2021
Visit Reason
An unannounced case management visit was conducted to perform a health and safety check and review COVID-19 mitigation strategies via a virtual FaceTime visit.
Findings
During the visit, the Licensing Program Analyst toured the facility and interviewed the Administrator. No deficiencies were issued during this visit.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jeffrey Settineri | Licensee | Met with Licensing Program Analyst during the visit |
| Genoveva Guerrero | Administrator | Interviewed during the visit and participated in exit interview |
| Rebecca Ruiz | Licensing Program Analyst | Conducted the unannounced case management visit |
| Alexandre Vo | Licensing Program Manager | Named in report header |
Inspection Report
Census: 27
Capacity: 30
Deficiencies: 0
Sep 1, 2021
Visit Reason
The Department conducted an on-site visit to provide technical assistance and to evaluate the facility's mitigation plan including disinfection, testing, vaccination, screening protocols, and use of personal protective equipment (PPE).
Findings
During the visit, no deficiencies were cited. The team interviewed the Licensee and conducted a walk-through of the facility, concluding with a debriefing and exit interview.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jeffrey Settineri | Licensee | Interviewed during the visit and participated in the exit interview. |
| Rebecca Ruiz | Licensing Program Analyst | Conducted the on-site HAI assessment visit. |
| Elizar Perez | County of San Diego Nurse Contractor | Participated in the HAI assessment visit. |
| Sandra Brackman | County of San Diego Nurse Contractor | Participated in the HAI assessment visit. |
Inspection Report
Census: 27
Capacity: 30
Deficiencies: 0
Aug 27, 2021
Visit Reason
An unannounced case management visit was conducted to perform a health and safety check and review COVID-19 mitigation strategies via a virtual FaceTime visit due to COVID-19 restrictions.
Findings
During the visit, the Licensing Program Analyst toured the facility and interviewed the Licensee. No deficiencies were issued during this visit.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jeffrey Settineri | Licensee | Interviewed during the visit and participated in the exit interview. |
| Rebecca A Ruiz | Licensing Program Analyst | Conducted the unannounced case management visit. |
| Alexandre Vo | Licensing Program Manager | Named in the report header. |
Inspection Report
Annual Inspection
Census: 25
Capacity: 30
Deficiencies: 0
May 27, 2021
Visit Reason
Licensing Program Analyst Laarni Santiago visited the facility to conduct an annual required licensing inspection.
Findings
The inspection verified compliance with infection control practices including COVID-19 mitigation measures. No deficiencies were cited during the visit.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jeffrey Settineri | Administrator | Met with Licensing Program Analyst during inspection and participated in exit interview. |
| Maria Flores | House Manager | Met with Licensing Program Analyst during inspection and participated in exit interview. |
| Laarni Santiago | Licensing Program Analyst | Conducted the annual required licensing inspection. |
Loading inspection reports...
