Most inspections found no deficiencies, including the most recent report from August 27, 2025, which was a complaint investigation that found no evidence to support allegations about staff response or elevator maintenance. Several complaint investigations over the years were unsubstantiated, and annual inspections consistently showed the facility to be clean, well-maintained, and in compliance with regulations. However, a substantiated complaint investigation in December 2023 identified serious issues involving delayed medical care and inadequate supervision that led to a resident eloping, both posing immediate risks to resident safety. Since that time, inspections have shown no further deficiencies, indicating improvement. Other minor or isolated concerns were not cited in the available reports, and no fines or enforcement actions were listed.
An unannounced complaint investigation visit was conducted to investigate allegations that staff did not assist residents during an emergency alarm event and that the licensee did not ensure the elevator was maintained in good repair.
Findings
The investigation found no evidence that staff failed to respond appropriately during the alarm event or that the elevator was not maintained in good repair. The fire alarm was accidentally triggered by a maintenance technician working on a separate alarm system, and the elevator ceased operation as designed. The complaint was deemed unsubstantiated with no deficiencies cited.
Complaint Details
The complaint was unsubstantiated. There was no actual fire or emergency, no residents trapped in the elevator, and no resident required evacuation or staff intervention. The elevator was in good working order outside of the alarm activation.
The inspection was an unannounced annual inspection conducted to evaluate the facility's compliance with licensing requirements.
Findings
The inspection found the facility to be clean, well-maintained, and in compliance with regulations. No deficiencies were observed or cited during the inspection.
Report Facts
Residents on hospice: 15
Employees Mentioned
Name
Title
Context
Sara Post
Administrator
Named as the facility administrator with certification expiring 08/29/2026
Andrea Ramirez
Facility staff
Met with Licensing Program Analyst during inspection and participated in exit interview
The visit was an unannounced complaint investigation conducted in response to an allegation that a resident was billed for services not rendered.
Findings
The investigation found that although the allegation may have happened or is valid, there was not a preponderance of evidence to prove the alleged violation did or did not occur, resulting in the allegation being unsubstantiated. No deficiencies were cited during the investigation.
Complaint Details
The complaint alleged that a resident was billed for services not rendered. The allegation was unsubstantiated due to insufficient evidence.
Report Facts
Capacity: 185Census: 156
Employees Mentioned
Name
Title
Context
Sarah Hurt
Licensing Program Analyst
Conducted the complaint investigation
Andrea Ramirez
Business Office Manager
Met with Licensing Program Analyst during investigation
The inspection visit was an unannounced complaint investigation triggered by an allegation that staff do not provide daily activities for residents.
Findings
The Licensing Program Analyst found that residents reported regular activities including on weekends, and observed activity postings and calendars in the facility. There was insufficient evidence to substantiate the allegation, and no deficiencies were cited.
Complaint Details
The allegation that staff do not provide daily activities for residents was investigated and found unsubstantiated due to lack of preponderance of evidence.
Report Facts
Capacity: 185Census: 150
Employees Mentioned
Name
Title
Context
Jewel Sanchez
Facility Medication Technician
Met with Licensing Program Analyst during the investigation and participated in exit interview
The inspection was an unannounced annual inspection conducted to evaluate the facility's compliance with regulatory standards.
Findings
The facility was found to be in good condition with clean and well-maintained areas, adequate food supply, operational safety equipment, and proper staff background clearance. No deficiencies were observed or cited during the inspection.
Report Facts
Residents on hospice: 8
Employees Mentioned
Name
Title
Context
Sara Post
Administrator
Met with Licensing Program Analyst during inspection and mentioned in report
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2023-08-18 regarding the facility's failure to seek timely medical attention and inadequate supervision resulting in a resident eloping.
Findings
Both allegations were substantiated. Resident 1 was not provided timely medical care after a fall, receiving hospital care 8 hours later with a fractured femur diagnosis. Resident 1 also eloped from the facility, escaping unnoticed and was later found down the street.
Complaint Details
The complaint investigation was substantiated based on evidence and interviews. The allegations included failure to seek timely medical attention and inadequate supervision leading to resident elopement.
Severity Breakdown
Type A: 2
Deficiencies (2)
Description
Severity
Resident 1 was not provided timely medical care as she was provided medical attention 8 hours after the initial fall on 08/03/2023 which poses an immediate health, safety, or personal rights risk to residents in care.
Type A
Resident 1 eloped from the facility on 06/30/2023 which poses an immediate health, safety, or personal rights risk to residents in care.
Type A
Report Facts
Capacity: 185Census: 174Deficiencies cited: 2Plan of Correction Due Date: Dec 15, 2023
Employees Mentioned
Name
Title
Context
Sara Post
Administrator
Met with Licensing Program Analyst during investigation and named in findings
Sarah Hurt
Licensing Program Analyst
Conducted the complaint investigation visit and authored the report
Brenda Chan
Licensing Program Manager
Named as Licensing Program Manager overseeing the investigation
The inspection visit was an unannounced annual inspection conducted to evaluate the facility's compliance with regulatory standards.
Findings
The inspection found the facility to be clean and in good repair with adequate food supply and locked medication storage. No deficiencies were observed or cited during the inspection.
Report Facts
Residents present: 163
Employees Mentioned
Name
Title
Context
Sara Post
Administrator
Met with Licensing Program Analysts during the inspection and mentioned in the exit interview
The visit was an unannounced case management visit to deliver personal protective equipment (PPE) to the facility.
Findings
The facility received 50 gowns and 600 surgical masks during the visit. An exit interview was conducted and a copy of the report was provided.
Report Facts
PPE delivered: 50PPE delivered: 600
Employees Mentioned
Name
Title
Context
Cynthia Huerta
Memory Care Director
Met with Licensing Program Analyst during PPE delivery
Shawna Doucette
Licensing Program Analyst
Conducted unannounced visit and delivered PPE
Sergiy Pidgirny
Licensing Program Manager
Named in report header
Inspection Report Original LicensingCensus: 150Capacity: 185Deficiencies: 0Mar 30, 2022
Visit Reason
The inspection visit was a pre-licensing announced Component III inspection conducted to evaluate the facility prior to issuing a license.
Findings
The Licensing Program Analyst found that the applicant met all pre-licensing requirements after touring the facility, reviewing resident records, staff records, and inspecting various facility areas including safety and medication storage.
Report Facts
Bedrooms in assisted living: 123Bedrooms in memory care: 44Fire clearance capacity non-ambulatory: 167Fire clearance capacity bedridden: 18
Employees Mentioned
Name
Title
Context
Amy Saulnier
Administrator
Met with Licensing Program Analyst during the inspection
Mai Yang
Licensing Program Analyst
Conducted the pre-licensing inspection
Melinda Hoffmann
Licensing Program Manager
Named in report header
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