Most inspections found deficiencies related to medication management, resident care planning, and confidentiality of resident records. The most recent report from June 3, 2025, cited a serious medication administration issue where half of the residents did not receive their medications as documented, posing an immediate health and safety risk. Earlier reports noted missing care plans, lack of required awake night staff for residents with dementia, and breaches in maintaining resident record confidentiality, with one complaint investigation substantiated in February 2023. Some issues involved improper medication storage and incomplete documentation, but no fines or license actions were listed in the available reports. While deficiencies have appeared intermittently, the facility has not shown a clear improvement or worsening trend over time.
The visit was an unannounced required comprehensive annual inspection of Inspirations Home Care III facility to assess compliance with licensing requirements.
Findings
The facility was found to be operating within its approved capacity with adequate physical plant conditions, food service, and care supervision. However, one deficiency was cited related to medication administration where 3 out of 6 residents did not receive their medications as documented, posing an immediate health and safety risk.
Severity Breakdown
Type A: 1
Deficiencies (1)
Description
Severity
Based on medication audit, 3 out of 6 resident's medications were not given, and documentation did not match medication start dates, posing an immediate health, safety, or personal rights risk.
Type A
Report Facts
Resident medications not given: 3Resident census: 6Facility capacity: 6
Employees Mentioned
Name
Title
Context
Rosemarie Macadangdang
House Manager
Met with Licensing Program Analysts during inspection and named in medication deficiency finding
Mary Rico
Licensing Program Analyst
Conducted inspection and cited deficiencies
Efren Malagon
Licensing Program Manager
Named as Licensing Program Manager overseeing the inspection
The visit was an unannounced required comprehensive annual inspection of Inspirations Home Care III, a Residential Care Facility for the Elderly (RCFE).
Findings
Two deficiencies were cited: the facility did not have needs and services plans completed for all six residents, and the facility did not have an awake staff at night despite having a resident requiring awake night supervision.
Deficiencies (2)
Description
Residents R1, R2, R3, R4, R5, and R6 do not have needs and services plans completed.
Facility does not have an awake staff at night as required for residents with dementia; staff are asleep and on call only.
The inspection visit was an unannounced complaint investigation triggered by allegations that the licensee failed to ensure resident personal information remained confidential and that residents' records were inaccessible.
Findings
The investigation substantiated the allegations that resident R1's records were not kept confidential, as they were accessed by a doctor without consent who then falsely charged the resident for services not provided. Additionally, R1's records were found left accessible on a kitchen table instead of being stored in a central record location, posing potential health, safety, or personal rights risks.
Complaint Details
The complaint investigation was substantiated based on evidence that the licensee failed to maintain confidentiality of resident personal information and failed to store resident records in an inaccessible manner, as alleged.
Severity Breakdown
Type B: 2
Deficiencies (2)
Description
Severity
Resident records were not maintained confidential; records were revealed to an outside party and resident was charged for medical services without consent.
Type B
Resident records were left accessible on the kitchen table instead of being stored in a centrally stored record location.
Type B
Report Facts
Deficiencies cited: 2Capacity: 6Census: 6Plan of Correction Due Date: Feb 21, 2023
Employees Mentioned
Name
Title
Context
Ryan Gardner
Licensing Program Analyst
Conducted the complaint investigation and authored the report.
Noelia Garcia
Licensee
Facility licensee involved in the findings regarding resident records confidentiality.
Efren Malagon
Licensing Program Manager
Named as Licensing Program Manager overseeing the investigation.
The visit was an unannounced required annual inspection with an emphasis on infection control due to the COVID-19 pandemic.
Findings
The facility was found to have a plan in place for COVID-19 infection control and prevention, including PPE supplies and visitor screening. However, one deficiency was cited for improper medication storage where a resident's medication was stored in a plastic cup instead of the original prescription container.
Deficiencies (1)
Description
Resident's medication was stored and labeled in a plastic cup that is not the original prescription bottle from the pharmacy, posing an immediate health, safety, or personal rights risk.
An unannounced annual inspection focused on infection control was conducted to assess compliance with regulations and COVID-19 mitigation measures.
Findings
The facility was found to be in compliance with infection control requirements, including adequate hand hygiene supplies, staff wearing face coverings, and regular cleaning of high-touch surfaces. No deficiencies were cited during the inspection.
Report Facts
Staff present: 3Residents present: 6
Employees Mentioned
Name
Title
Context
Noelia Garcia
Licensee/Administrator
Administrator present during the inspection and recipient of the report
Javina George
Licensing Program Analyst
Conducted the inspection visit
Joel Esquivel
Licensing Program Manager
Named in the report header
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