Most inspections found no deficiencies, and several complaint investigations were unsubstantiated, including a March 11, 2025 complaint about hand hygiene that was not supported by evidence. The most recent report from October 4, 2025 did cite three deficiencies, including missing or expired physician reports for some residents, incomplete staff file documentation, and lack of updated emergency and infection control plans. These issues were isolated and technical in nature, with no fines, enforcement actions, or severe findings noted. Earlier reports, including the September 5, 2024 pre-licensing inspection, were clean and showed the facility was ready for licensure. The record suggests mostly good compliance with some room for improvement in documentation and plan availability.
The visit was an unannounced required comprehensive annual inspection of the Residential Care Facility for Elderly (RCFE) to assess compliance with licensing requirements.
Findings
The facility was generally found to be clean, in good repair, and operating safely with sufficient staffing and supplies. However, one deficiency was cited for missing or expired physician reports in resident files, and two technical violations were issued related to staff file documentation and missing emergency and infection control plans.
Severity Breakdown
Type A: 1Technical Violation: 2
Deficiencies (3)
Description
Severity
Two out of six residents did not have current physician reports completed and in their files, posing an immediate health, safety, or personal rights risk.
Type A
Two out of five staff files were missing CPR/training or criminal records clearance.
Technical Violation
Facility did not review or have available the LIC610E Emergency Disaster Plan and LIC9282 Residential Infection Control Plan.
Technical Violation
Report Facts
Residents with missing or expired physician reports: 2Staff files missing CPR/training or criminal records clearance: 2Resident files reviewed: 6Staff files reviewed: 4
Employees Mentioned
Name
Title
Context
Lavette Farlow
Licensing Program Analyst
Conducted the inspection and authored the report
Hannah C. Lewis
Activity Director
Met with Licensing Program Analyst during inspection and received the report
Kiara Estrella
Health Service Director
Accompanied Licensing Program Analyst during inspection
The visit was an unannounced complaint investigation triggered by an allegation that staff do not ensure that staff follow hand hygiene protocol.
Findings
The investigation found insufficient evidence to support the allegation that staff do not follow hand hygiene protocols. The facility adheres to hygiene protocols including hand sanitizing stations and glove use, and no immediate health or safety concerns were found.
Complaint Details
The complaint alleged that staff do not ensure that staff follow hand hygiene protocol. The allegation was investigated and deemed unsubstantiated due to insufficient evidence.
Report Facts
Capacity: 77Census: 52
Employees Mentioned
Name
Title
Context
Javier Prieto
Licensing Program Analyst
Conducted the complaint investigation and signed the report
Jennifer Sanchez
Executive Director
Met with the investigator and confirmed hygiene protocols
Karen Clemons
Licensing Program Manager
Named in the report as Licensing Program Manager
Inspection Report Original LicensingCensus: 61Capacity: 77Deficiencies: 0Sep 5, 2024
Visit Reason
An announced pre-licensing visit was conducted to evaluate the facility's readiness for licensure.
Findings
The facility was found to have proper posting throughout and was evaluated in accordance with California Code of Regulation Title 22 Chapter 6, Division 8. Based on observations, the facility is ready for licensure.
Employees Mentioned
Name
Title
Context
Jennifer Sanchez
Executive Director
Assisted in the tour of the facility and was present during the pre-licensing visit.
Javier Prieto
Licensing Program Analyst
Conducted the pre-licensing visit.
LaVette Farlow
Licensing Program Analyst
Conducted the pre-licensing visit.
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