Most inspections were clean or focused on licensing requirements, with the most recent report dated July 30, 2025, showing no deficiencies after investigating complaints about staffing, medical attention, resident care, and plumbing, all of which were unsubstantiated. Earlier inspections in May 2025 identified several deficiencies related to emergency preparedness and infection control plans, including missing evacuation maps and outdated emergency plans, which required correction within a set timeframe. There were no fines, enforcement actions, or severe findings reported. The facility appears to have addressed or is in the process of addressing these administrative and safety plan issues. Several complaint investigations were unsubstantiated, suggesting concerns raised were not supported by evidence.
The inspection was an unannounced complaint investigation visit conducted to investigate allegations received on 2025-07-22 regarding staffing adequacy, medical attention for residents, resident care related to soiling, and facility plumbing conditions.
Findings
The investigation found insufficient evidence to substantiate any of the four allegations: staff not meeting resident needs due to lack of staff, staff not seeking medical attention for residents, staff leaving residents soiled for extended periods, and staff not ensuring the facility's plumbing was in good repair. All allegations were determined to be unsubstantiated based on interviews, record reviews, and observations.
Complaint Details
The complaint included four allegations: 1) Staff are not meeting resident's needs due to lack of staff; 2) Staff do not seek medical attention for residents; 3) Staff leave residents soiled for extended periods of time; 4) Staff did not ensure facility's plumbing was in good repair. All allegations were investigated through interviews with staff and residents, and review of relevant records. Each allegation was found to be unsubstantiated due to insufficient evidence.
Met with investigator during exit interview and investigation
Inspection Report Original LicensingCensus: 74Capacity: 102Deficiencies: 5May 30, 2025
Visit Reason
The inspection was conducted as a prelicensing evaluation for a change of ownership application for a Residential Care Facility for the Elderly serving residents 60 years and older, with a requested capacity of 102 residents.
Findings
The facility was inspected for compliance with licensing requirements including structure, rooms, emergency plans, fire safety, and record reviews. Several deficiencies were noted related to the Infection Control Plan, Emergency Disaster Plan, first aid manual, evacuation maps, and emergency/disaster plan for bedridden residents, requiring correction by 06/17/2025.
Deficiencies (5)
Description
Lack of Infection Control Plan addressing initial and ongoing staff training requirements.
Emergency Disaster Plan missing updated CCLD phone numbers, temporary shelter locations, assignments, and hospice resident key.
No current edition of a first aid manual observed during facility tour.
Evacuation maps with assembly points were not observed during facility tour.
Emergency and disaster plan does not address fire safety precautions specific to evacuation of bedridden residents.
Report Facts
Requested capacity: 102Current census: 74Staff records reviewed: 7Resident records reviewed: 7Correction due date: Jun 17, 2025
Employees Mentioned
Name
Title
Context
Nestor Mendez
Executive Director
Met with during inspection
Regina Cloyd
Licensing Program Analyst
Conducted inspection and signed report
Jose Anguiano
Licensing Program Analyst
Conducted initial announced visit for prelicensing evaluation
Alfonso Iniguez
Licensing Program Analyst
Conducted continuation of prelicensing evaluation
Ulysses Coronel
Licensing Program Manager
Named as Licensing Program Manager on report
Inspection Report Original LicensingCensus: 74Capacity: 102Deficiencies: 0May 29, 2025
Visit Reason
The visit was conducted as a prelicensing evaluation for a change of ownership application for a Residential Care Facility for the Elderly to serve residents aged 60 and older.
Findings
Licensing Program Analysts inspected multiple floors and common areas, tested safety equipment, measured water temperature, and reviewed resident records and medications. Due to insufficient time, a continuation of the pre-license inspection is required.
Report Facts
Resident records reviewed: 9Floors in facility: 6
Employees Mentioned
Name
Title
Context
Nestor Mendez
Executive Director
Met with during the inspection and provided a copy of the report
Regina Cloyd
Licensing Program Analyst
Conducted the inspection
Jose Anguiano
Licensing Program Analyst
Conducted the inspection
Ulysses Coronel
Licensing Program Manager
Named as Licensing Program Manager on the report
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