Most inspections found no deficiencies, and several complaint investigations were unsubstantiated, including a recent one on August 11, 2025, which found no evidence that staff failed to address a resident’s fall risk. The most recent report from August 7, 2025, identified a single technical violation related to residents diagnosed with dementia, but no complaints were noted. Earlier in 2024, substantiated complaints involved staff misconduct, including a verbal altercation with a resident that was not reported promptly and resulted in staff reassignment and resignation. These serious findings from 2024 contrast with the cleaner record in 2025, suggesting some improvement over time. Other issues noted were minor or isolated, and no fines, license suspensions, or enforcement actions were listed in the available reports.
Deficiencies (last 2 years)
Deficiencies (over 2 years)1.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
63% better than California average
California average: 4 deficiencies/year
Deficiencies per year
43210
2024
2025
Census
Latest occupancy rate70% occupied
Based on a August 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
An unannounced complaint investigation visit was conducted regarding allegations that facility staff did not address a resident's fall risk and change in condition.
Findings
The investigation included review of records and interviews with staff, residents, and the resident's spouse. The allegations were found to be unsubstantiated due to lack of preponderance of evidence, with documentation showing ongoing monitoring and communication regarding the resident's falls and condition changes.
Complaint Details
The complaint alleged that facility staff did not address Resident #1's fall risk and change in condition. After review and interviews, these allegations were determined to be unsubstantiated.
Report Facts
Complaint Control Number: 22-AS-20250609111614Number of residents interviewed: 3Number of staff interviewed: 2
Employees Mentioned
Name
Title
Context
Tami Ojwang
Executive Director
Met with Licensing Program Analyst during investigation and participated in exit interview.
The visit was a continuation of a required 1-year annual inspection to evaluate compliance with licensing requirements.
Findings
A Technical Violation was assessed during the visit related to observations of residents diagnosed with dementia. The Licensing Program Analyst reviewed resident and staff files, medication records, and conducted staff interviews. First Aid supplies were maintained properly.
Deficiencies (1)
Description
Technical Violation related to residents diagnosed with dementia.
The inspection was an unannounced required 1-Year annual visit conducted using the CARE Inspection Tool to evaluate compliance with licensing requirements.
Findings
The facility was found to be sanitary, appropriately furnished, and compliant with Title 22 regulations. Emergency preparedness and infection control practices were observed to be adequate. A continuation inspection was planned to complete audits of resident files, staff files, medication administration, staff interviews, and first aid kit.
Report Facts
Resident interviews conducted: 8Staff interviews conducted: 1Fire/Safety Drill frequency: 4Fire/Safety Drill last conducted: Jun 25, 2025Fire extinguisher service date: Oct 10, 2024Smoke and carbon monoxide detector inspection date: Jan 23, 2025PPE supply duration: 30Perishable food supply duration: 2Non-perishable food supply duration: 7
Employees Mentioned
Name
Title
Context
Tami Ojwang
Executive Director
Met with Licensing Program Analyst and participated in exit interview
Edward Kim
Licensing Program Analyst
Conducted the inspection visit
Armando Galvan
Maintenance Director
Conducted physical tour of the facility with Licensing Program Analyst
An unannounced case management visit was conducted regarding an incident report received about a verbal altercation and inappropriate conduct involving staff and a resident, triggered by a complaint.
Findings
The investigation found that an incident involving staff yelling at a resident and calling them a 'thief' occurred and was not reported to the licensing agency within the required timeframe, posing immediate personal rights and safety risks. Staff involved included one who resigned and another who was reassigned within the facility.
Complaint Details
The visit was complaint-related, triggered by an incident report received on July 30, 2024, regarding a verbal altercation and inappropriate conduct by staff towards a resident. The complaint was substantiated based on video evidence and staff interviews.
Severity Breakdown
Type A: 2
Deficiencies (2)
Description
Severity
Failure to submit a written report to the licensing agency within seven days of an incident threatening the welfare, safety, or health of a resident; incident was not reported for over 30 days.
Type A
Failure to ensure residents are free from punishment, humiliation, intimidation, abuse, or other punitive actions; staff yelled at resident and called them a 'thief'.
Type A
Report Facts
Capacity: 261Census: 170Deficiencies cited: 2Plan of Correction Due Date: Sep 5, 2024
Employees Mentioned
Name
Title
Context
Jennifer Turgeon
Former Executive Director
Provided a written statement regarding the investigation of the incident
Tami Ojwang
Executive Director
Met with Licensing Program Analyst during the inspection
Claudia Gutierrez
Licensing Program Analyst
Conducted the case management visit and investigation
An unannounced case management visit was conducted due to an incident report received on July 30, 2024, regarding a staff-resident interaction involving a verbal altercation and privacy concerns.
Findings
The Licensing Program Analyst conducted interviews and obtained rosters but was denied access to internal investigation documents. The incident requires further investigation due to insufficient information at this time.
Complaint Details
The complaint involved a staff member texting a video and photographs of a resident engaged in a verbal altercation and being assisted with changing clothes. The staff member resigned on July 25, 2024. The Executive Director refused to provide documentation related to the internal investigation.
Employees Mentioned
Name
Title
Context
Jennifer Turgeon
Executive Director
Met with Licensing Program Analyst during inspection and refused to provide internal investigation documentation.
An unannounced case management visit was conducted to follow up on a Death Report sent to the Regional Office dated July 3, 2024.
Findings
During the visit, interviews with staff and relevant documents were collected. No deficiencies were cited as a result of the case management visit.
Employees Mentioned
Name
Title
Context
Jerome Haley
Licensing Program Analyst
Conducted the unannounced case management visit and interviews.
Jennifer Turgeon
Executive Director
Met with during the visit and received a copy of the report.
Inspection Report Original LicensingCensus: 158Capacity: 261Deficiencies: 0Apr 10, 2024
Visit Reason
The visit was conducted as a pre-licensing evaluation for an Adult Residential Facility for the Elderly with a capacity of 261 residents.
Findings
The facility was inspected for readiness for licensure and was found to be ready pending final approval. The building and services, including safety systems, resident accommodations, and emergency plans, were evaluated and found compliant.
Report Facts
Resident capacity: 261Current census: 158Ambulatory residents capacity: 51Non-ambulatory residents capacity: 210Bedridden residents capacity: 8Hospice waiver residents: 20Facility temperature: 72Water temperature range: 106.0-113.4Fire extinguisher last charged date: Oct 3, 2023
Employees Mentioned
Name
Title
Context
Jennifer Turgeon
Executive Director/Administrator
Met during inspection and involved in pre-licensing evaluation
Rosie Quiroz
Licensing Program Analyst
Conducted the inspection visit
Alisa Ortiz
Licensing Program Manager
Named in report as Licensing Program Manager
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