Most inspections found no deficiencies, including the most recent annual inspection on May 30, 2025, which was clean and found the facility in good condition with all standards met. An isolated deficiency appeared in May 2022 related to unsafe sleeping quarters set up in a resident’s bedroom closet, which posed a safety risk; technical assistance was provided to address infection control practices. Several complaint investigations, including one in December 2021 about timely emergency medical response, were unsubstantiated after thorough review. Other inspections consistently reported no issues with safety, resident care, or regulatory compliance. Overall, the facility’s record shows mostly clean inspections with a minor issue that was addressed and no enforcement actions or fines listed.
The visit was an unannounced required comprehensive annual inspection of the facility.
Findings
The facility was found to be operating within the approved capacity and maintained in good condition with no deficiencies cited. All required safety equipment, resident accommodations, food service, care and supervision, and record reviews met regulatory standards.
The visit was an unannounced required comprehensive annual inspection of the facility.
Findings
The facility was found to be operating within its approved capacity with no obstructions or safety issues. Resident rooms and common areas were adequately furnished and maintained, and all required postings and safety devices were in place. No deficiencies were cited during the inspection.
The visit was an unannounced annual inspection limited to infection control only, including a COVID-19 risk assessment and review of infection control practices.
Findings
The facility was generally compliant with infection control practices and mitigation plans, but a deficiency was cited for unsafe sleeping quarters set up in a resident master bedroom closet. Technical assistance was provided regarding PPE supplies and N95 mask fit testing.
Severity Breakdown
Type A: 1
Deficiencies (1)
Description
Severity
Sleeping quarters set up in resident master bedroom closet, posing a safety risk to residents.
Type A
Report Facts
Capacity: 6Census: 6Plan of Correction Due Date: May 10, 2022
Employees Mentioned
Name
Title
Context
Noelia Garcia
Administrator/Licensee
Met with Licensing Program Analyst during inspection and discussed infection control and PPE issues
Unannounced complaint investigation visit conducted to follow up on allegation that staff did not seek emergency medical services for a resident in a timely manner.
Findings
The investigation included file reviews, interviews, and observations. It was found that staff did call 911 when the resident showed signs of a change in condition. The allegation was deemed unsubstantiated due to insufficient evidence to prove or disprove the claim.
Complaint Details
Allegation: Staff did not seek emergency medical services for resident on a timely manner. The allegation was unsubstantiated after review of medical records, interviews, and observations.
Report Facts
Facility capacity: 6Resident census: 6
Employees Mentioned
Name
Title
Context
Noelia Garcia
Licensee/Administrator
Met with during investigation and involved in exit interview
The inspection was conducted as a required annual unannounced visit to evaluate the facility's compliance with regulations.
Findings
The inspection found that all staff and residents were vaccinated, COVID-19 safety protocols were properly followed, and no citations or technical violations were issued at this time.
Employees Mentioned
Name
Title
Context
Noelia Garcia
Licensee
Accompanied Licensing Program Analyst on facility tour and provided information about staff testing and COVID protocols.
Pauline Beschorner
Licensing Program Analyst
Conducted the annual inspection visit.
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