Deficiencies (last 5 years)
Deficiencies (over 5 years)
1.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
55% better than California average
California average: 4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Occupancy
Latest occupancy rate
68% occupied
Based on a March 2026 inspection.
Occupancy rate over time
Inspection Report
Annual Inspection
Census: 15
Capacity: 22
Deficiencies: 2
Date: Mar 13, 2026
Visit Reason
The inspection was an unannounced 1-Year Annual Required inspection conducted to evaluate compliance with licensing requirements for the facility.
Findings
The facility was toured and found to have adequate lighting, temperature, and safety features such as grab bars and non-skid mats. However, deficiencies were cited related to staff training requirements not being met, posing potential health, safety, or personal rights risks to residents. Fire and safety equipment were in working order, and required documentation updates were requested.
Deficiencies (2)
Licensee did not complete 40 hours of required training for staff members S6, S7, and S9, including dementia care and hospice care training.
Licensee did not complete 20 hours of annual training for staff members S2, S3, S4, S5, and S8, including dementia care and hospice care training.
Report Facts
Facility capacity: 22
Current census: 15
Hot water temperature: 106.7
Hot water temperature: 109
Fire extinguisher last serviced: Feb 18, 2026
Emergency disaster plan last posted: Jan 7, 2026
Emergency disaster drill last conducted: Jan 15, 2026
Staff records reviewed: 10
Staff with current first aid training: 10
Plan of Correction due date: Apr 10, 2026
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Victoria Lingbanan | Administrator | Facility Administrator and Licensee involved in inspection and plan of correction |
| Christopher Mendoza | Caregiver | Met with Licensing Program Analyst during inspection |
| Johnny Lingbanan | Licensee present during facility tour | |
| Lori Alexander-Washington | Licensing Program Analyst | Conducted the inspection and signed the report |
| Bennett Fong | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Annual Inspection
Census: 14
Capacity: 22
Deficiencies: 1
Date: Mar 20, 2025
Visit Reason
The inspection was an unannounced 1-Year Annual Required inspection conducted to evaluate compliance with licensing requirements and facility safety standards.
Findings
The facility was toured and found to have adequate lighting, temperature control, and safety features such as grab bars and locked medication storage. However, a deficiency was cited for failure to have an updated annual routine medical visit and documented medical assessment for one resident (R5).
Deficiencies (1)
Licensee did not have an updated annual routine visit and documented medical assessment (LIC602-A) on file for resident R5; last assessment dated 11/28/2018.
Report Facts
Residents' records reviewed: 7
Staff records reviewed: 4
Staff with current first aid training: 4
Hospice waiver approved residents: 5
POC due date: Mar 27, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Victoria Lingbanan | Licensee/Administrator | Met during inspection and agreed to submit updated physician's report |
| Anabelle Mendoza | Caregiver | Met during inspection and informed administrator of visit |
| Lori Alexander-Washington | Licensing Program Analyst | Conducted the inspection |
| Bennett Fong | Supervisor | Supervisor overseeing the inspection |
Inspection Report
Census: 16
Capacity: 22
Deficiencies: 0
Date: May 3, 2024
Visit Reason
The visit was an unannounced Case Management inspection to assess the status of previously identified deficiencies and civil penalties related to the facility.
Findings
No deficiencies were issued during this visit. The Licensing Program Analyst observed that the excess items in the backyards were removed and the yard was cleaned, indicating correction of prior issues.
Report Facts
Capacity: 22
Census: 16
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Victoria Lingbanan | Licensee/Administrator | Met with Licensing Program Analyst during the inspection and involved in correction of deficiencies |
| Johnny Lingbanan | Licensee involved in submitting photos and toured the backyards with Licensing Program Analyst | |
| Lori Alexander | Licensing Program Analyst | Conducted the Case Management visit and assessment |
Inspection Report
Follow-Up
Census: 16
Capacity: 22
Deficiencies: 1
Date: Apr 25, 2024
Visit Reason
The visit was an unannounced Proof of Correction (POC) inspection conducted because the facility failed to submit the POC by the due date following an Annual visit where deficiencies were cited.
Findings
The facility had deficiencies from the prior Annual visit that were not cleared by the POC due date. Civil penalties totaling $900.00 were assessed for failure to meet the POC date, with ongoing daily penalties until corrections are made.
Deficiencies (1)
Failure to submit Plan of Correction by due date for deficiencies cited on 03/26/2024
Report Facts
Civil Penalties assessed: 900
Days overdue: 9
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Victoria Lingbanan | Licensee/Administrator | Met during the inspection and informed of visit reason |
| Lori Alexander | Licensing Program Analyst | Conducted the Proof of Correction visit |
Inspection Report
Annual Inspection
Census: 14
Capacity: 22
Deficiencies: 2
Date: Mar 26, 2024
Visit Reason
The inspection was an unannounced 1-Year Annual Required inspection conducted to evaluate compliance with licensing regulations and facility safety standards.
Findings
The facility was generally found to be safe and adequately maintained, with adequate lighting, temperature control, and food supplies. However, two deficiencies were cited: excessively hot water temperature in a shared bathroom posing immediate risk, and an unclean backyard posing potential health and safety risks.
Deficiencies (2)
Hot water in shared downstairs bathroom measured at 121 degrees Fahrenheit, posing an immediate health, safety or personal rights risk to persons in care.
Backyard was not cleaned, with piles of wood, laundry detergent buckets, bookshelves, shopping carts, carts, TV monitor, dresser, plastic tubing, pipes, commodes, walkers, paint brushes, and paint rollers present, posing a potential health, safety or personal rights risk.
Report Facts
Capacity: 22
Census: 14
Hot water temperature: 121
Hot water temperature after correction: 110
Hospice waiver capacity: 5
Residents records reviewed: 7
Staff records reviewed: 5
Staff with current first aid training: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Victoria Lingbanan | Licensee/Administrator | Met with Licensing Program Analyst during inspection and involved in plan of correction |
| Lori Alexander-Washington | Licensing Program Analyst | Conducted the inspection and authored the report |
| Bennett Fong | Supervisor | Supervisor overseeing the licensing evaluation |
Inspection Report
Annual Inspection
Census: 15
Capacity: 22
Deficiencies: 0
Date: Apr 26, 2023
Visit Reason
The inspection was an unannounced 1-Year Annual Required inspection conducted to evaluate compliance with licensing requirements.
Findings
The facility was toured and found to have adequate lighting, appropriate temperature, and safety features such as grab bars and non-skid mats. Medications and hazardous materials were securely stored. Staff records showed current first aid training. No deficiencies were cited during the visit.
Report Facts
Fire clearance capacity: 12
Residents records reviewed: 5
Staff records reviewed: 4
Staff with current first aid training: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Victoria Lingbanan | Administrator | Facility Administrator present during inspection |
| Maria Luz Egipto | Caregiver | Caregiver met with Licensing Program Analyst during inspection |
| Lori Alexander-Washington | Licensing Evaluator | Conducted the inspection |
| Bennett Fong | Supervisor | Supervisor overseeing the inspection |
Inspection Report
Complaint Investigation
Census: 15
Capacity: 22
Deficiencies: 1
Date: Mar 30, 2023
Visit Reason
The inspection visit was an unannounced complaint investigation conducted due to allegations including the facility not being in good repair, menus not made available for residents, insufficient funds to operate, and food quality concerns.
Complaint Details
The complaint investigation was substantiated for the allegation that the facility was not in good repair due to elevator issues. Other allegations about menus, funding, and food quality were unsubstantiated.
Findings
The investigation substantiated the allegation that the facility was not in good repair due to elevator door issues confirmed by staff and residents, posing a potential health and safety risk. Other allegations regarding menus, funding, and food quality were found to be unsubstantiated based on interviews and observations.
Deficiencies (1)
Facility was not in good repair as evidenced by elevator door not opening properly, posing a potential health and safety risk.
Report Facts
Capacity: 22
Census: 15
Deficiency Type B: 1
Plan of Correction Due Date: Apr 7, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Victoria Lingbanan | Administrator | Met with during investigation and named in report |
| Lizette Francisco | Licensing Program Analyst | Conducted the complaint investigation |
| Luz Santos | Care Staff | Greeted Licensing Program Analyst and provided information during investigation |
Inspection Report
Annual Inspection
Census: 16
Capacity: 22
Deficiencies: 2
Date: May 12, 2022
Visit Reason
The inspection was an unannounced infection control inspection conducted as a required one-year visit to evaluate the facility's compliance with health and safety regulations.
Findings
The facility was generally found to be clean, safe, and well-maintained with adequate lighting, temperature, and safety features. However, deficiencies were noted related to stored mattresses and furniture items on the patio and backyard, posing potential health and safety risks.
Deficiencies (2)
Observed a mattress and bedframe stored improperly.
Observed 3 mattresses, 2 night stands, and other stored items improperly stored on patio and backyard.
Report Facts
Deficiencies cited: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Victoria Lingbanan | Administrator | Facility administrator present during inspection |
| Renato Pundanera | Caregiver | Met with Licensing Program Analyst during inspection |
| Carol Fowler | Licensing Program Analyst | Conducted the inspection |
| Bennett Fong | Supervisor | Supervisor overseeing the inspection |
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