Deficiencies per Year
4
3
2
1
0
Severe
High
Moderate
Low
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Complaint Investigation
Census: 86
Capacity: 100
Deficiencies: 0
Oct 3, 2025
Visit Reason
The visit occurred to deliver an amended report for complaint #15-AS-20250514141716 and to meet with the facility's Executive Director to explain the purpose of the visit.
Findings
No deficiencies were cited during the visit. An exit interview was conducted and a copy of the report was provided to the Executive Director.
Complaint Details
The visit was related to complaint #15-AS-20250514141716. The amended report was delivered, and no deficiencies were found during this complaint-related visit.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Yolanda Harrell | Executive Director | Met with Licensing Program Analysts during the visit and received the amended complaint report. |
| Ardalan Gharachorloo | Licensing Program Analyst | Conducted the unannounced visit and delivered the amended complaint report. |
| Greg Clark | Licensing Program Analyst | Conducted the unannounced visit and delivered the amended complaint report. |
Inspection Report
Annual Inspection
Census: 93
Capacity: 100
Deficiencies: 0
Sep 29, 2025
Visit Reason
The visit was an unannounced 1-Year Annual Required inspection conducted to evaluate the facility's compliance with licensing requirements.
Findings
The Licensing Program Analyst toured the facility, reviewed resident and staff records, and inspected safety equipment and emergency plans. No deficiencies were cited during the visit.
Report Facts
Residents records reviewed: 5
Staff records reviewed: 5
Fire extinguisher last serviced: May 13, 2025
Emergency disaster plan last reviewed: Dec 31, 2024
Emergency disaster drill last conducted: Aug 20, 2025
Hot water temperature: 106
Hallway temperature: 71
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Yolanda Harrell | Executive Director | Met with Licensing Program Analyst during inspection |
| Ardalan Gharachorloo | Licensing Program Analyst | Conducted the inspection visit |
Inspection Report
Complaint Investigation
Census: 85
Capacity: 100
Deficiencies: 0
Sep 5, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to allegations received on 2025-06-10 regarding notification delays and staff training deficiencies at the facility.
Findings
The investigation found both allegations unsubstantiated after reviewing staff interviews, incident reports, training records, and communication logs. The facility followed proper notification and training protocols as documented and confirmed by staff.
Complaint Details
The complaint included allegations that the facility did not notify the responsible party in a timely manner and that staff did not meet training requirements. Both allegations were found unsubstantiated due to lack of preponderance of evidence.
Report Facts
Capacity: 100
Census: 85
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Yolanda Harrell | Executive Director | Met with Licensing Program Analyst during investigation |
| Ardalan Gharachorloo | Licensing Program Analyst | Conducted the complaint investigation |
| Yvonne Flores-Larios | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 88
Capacity: 100
Deficiencies: 0
Aug 12, 2025
Visit Reason
Unannounced complaint investigation visit conducted to investigate allegations regarding staff restraint causing injuries, failure to notify resident's responsible party of an incident, and failure to seek medical attention for a resident.
Findings
The investigation found all allegations unsubstantiated after interviews with staff and review of incident reports, medical records, and facility documentation. No evidence supported that staff restrained the resident causing injuries, failed to notify the responsible party, or neglected to seek medical attention.
Complaint Details
The complaint involved three allegations: staff restrained a resident causing injuries, staff did not notify the resident's responsible party of an incident, and staff did not seek medical attention for a resident. All allegations were found unsubstantiated due to lack of preponderance of evidence.
Report Facts
Capacity: 100
Census: 88
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Yolanda Harrell | Executive Director | Met with Licensing Program Analyst during investigation |
| Ardalan Gharachorloo | Licensing Program Analyst | Conducted the complaint investigation |
| Yvonne Flores-Larios | Licensing Program Manager | Oversaw the complaint investigation report |
Inspection Report
Complaint Investigation
Census: 78
Capacity: 100
Deficiencies: 0
Jun 19, 2025
Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that facility staff did not ensure a resident was brought down for meal service.
Findings
The investigation found the complaint to be unsubstantiated due to lack of preponderance of evidence, despite initial concerns about the resident missing breakfast and communication issues. The complainant later withdrew the complaint after clarification from staff.
Complaint Details
The complaint alleged that facility staff did not ensure a resident was brought down for meal service. The complaint was investigated and found unsubstantiated. The complainant initially reported the resident was found in bed without pants and missed breakfast, but later withdrew the complaint after clarification from staff.
Report Facts
Complaint Control Number: 15-AS-20250617132913
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Yolanda Harrell | Administrator | Met during investigation and named in report |
| Ardalan Gharachorloo | Licensing Program Analyst | Conducted the complaint investigation |
| Yvonne Flores-Larios | Licensing Program Manager | Named in report |
Inspection Report
Complaint Investigation
Census: 81
Capacity: 100
Deficiencies: 0
Apr 11, 2025
Visit Reason
The inspection visit was an unannounced complaint investigation triggered by an allegation that the licensee did not provide a resident with a refund.
Findings
The investigation found the allegation to be unsubstantiated. The Licensing Program Analyst interviewed facility staff and reviewed relevant documents, confirming that the resident's account was settled and the late fee was removed.
Complaint Details
The complaint was unsubstantiated as there was not a preponderance of evidence to prove the alleged violation occurred.
Report Facts
Capacity: 100
Census: 81
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Yolanda Harrell | Executive Director | Met with Licensing Program Analyst during investigation |
| Ardalan Gharachorloo | Licensing Program Analyst | Conducted the complaint investigation |
| Yvonne Flores-Larios | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Original Licensing
Census: 60
Capacity: 100
Deficiencies: 2
Aug 16, 2024
Visit Reason
The inspection was conducted as a pre-licensing visit due to a change in ownership (CHOW) of the facility.
Findings
The facility was inspected inside and out, including assisted living and Memory Care units. Deficiencies were found in resident medical assessments, specifically missing physician's signature on Resident 2's report and missing TB test on Resident 3's report.
Deficiencies (2)
| Description |
|---|
| Resident 2's Physician's Report does not have the physician's signature. |
| Resident 3's Physician's Report does not have TB test. |
Report Facts
Capacity: 100
Census: 60
Hot water temperature: 106
Fire clearance approval date: Jan 22, 2024
Last fire drill date: Jul 18, 2024
Plan of Correction Due Date: Aug 30, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Yolanda Harrell | Executive Director | Met with Licensing Program Analysts during inspection |
| Luisa Fontanilla | Licensing Program Analyst | Conducted the inspection and authored the report |
| Ardalan Gharachorloo | Licensing Program Analyst | Conducted the inspection |
| Yvonne Flores-Larios | Licensing Program Manager | Supervisor of the inspection |
Inspection Report
Census: 60
Capacity: 100
Deficiencies: 0
Aug 16, 2024
Visit Reason
The visit was a Case Management - Other type of inspection conducted unannounced to evaluate the facility and present Component III information to the Executive Director.
Findings
LPAs Luisa Fontanilla and Ardalan Gharachorloo conducted Component III with the Executive Director Yolanda Harrell, including a PowerPoint presentation. A copy of the report was provided to the Executive Director.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Yolanda Harrell | Executive Director | Met with during the Component III presentation and inspection. |
| Luisa Fontanilla | Licensing Program Analyst | Conducted Component III presentation and inspection. |
| Ardalan Gharachorloo | Licensing Program Analyst | Conducted Component III presentation and inspection. |
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