Most inspections found no deficiencies, including the most recent annual inspection on July 8, 2025, which was clean with no citations. Earlier complaint investigations related to bed bugs were unsubstantiated, as the facility demonstrated effective pest control measures and no ongoing infestations were found. A substantiated complaint from October 28, 2024, involved rough handling of a resident causing bruising, resulting in a cited deficiency and staff suspension; this was the only serious issue noted. Since then, the facility has shown improvement with no further deficiencies reported. Other minor concerns were isolated and did not lead to enforcement actions or fines, which were not listed in the available reports.
Deficiencies (last 2 years)
Deficiencies (over 2 years)0.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
88% better than California average
California average: 4 deficiencies/year
Deficiencies per year
43210
2024
2025
Census
Latest occupancy rate82% occupied
Based on a July 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
An unannounced annual inspection was conducted to evaluate compliance with licensing requirements and ensure the facility meets health and safety standards.
Findings
The facility was found to be in compliance with Title 22 regulations, with no citations issued. Resident rooms, common areas, medication storage, and emergency preparedness measures were all satisfactory. All reviewed resident and personnel records were in order.
Report Facts
Resident rooms observed: 10Resident records reviewed: 10Personnel records reviewed: 10Hot water temperature range: 109Hot water temperature range: 117.4Last fire safety inspection date: May 6, 2025Last emergency disaster drill date: Jun 26, 2025
Employees Mentioned
Name
Title
Context
Kellie Smith
Executive Director
Met with LPAs during inspection and participated in facility tour
An unannounced complaint investigation was conducted to investigate the allegation that staff did not keep the facility free of bedbugs.
Findings
The investigation found that although there was a prior occurrence of bed bugs in one room, the facility took proactive preventative measures including additional Ecolab visits. No current evidence of bed bugs was found during the inspection, and the allegation was deemed unsubstantiated due to insufficient evidence.
Complaint Details
The complaint alleged that staff did not keep the facility free of bedbugs. The allegation was found to be unsubstantiated as the occurrence was contained to one room and the facility demonstrated proactive preventative measures. No new bed bug activity was found during the investigation.
An unannounced complaint investigation was conducted in response to an allegation that staff does not keep residents' rooms free from bed bugs.
Findings
The investigation found that bed bugs were identified and treated in Resident #1's room, with ongoing pest control measures in place. No new bed bug activity was observed during the inspection, and the facility demonstrated a proactive pest management approach. The allegation was deemed unsubstantiated due to insufficient evidence.
Complaint Details
The complaint alleged that staff failed to keep residents' rooms free from bed bugs. The allegation was investigated and found unsubstantiated due to lack of sufficient evidence.
Report Facts
Facility capacity: 100Census: 85
Employees Mentioned
Name
Title
Context
Brian Balisi
Licensing Program Analyst
Conducted the complaint investigation
Lilit E Mnatsakanyan
Executive Director
Met with Licensing Program Analyst during investigation
The visit was an unannounced Case Management - Incident inspection to continue the investigation of a self-reported incident involving alleged rough handling of a resident that caused bruising.
Findings
The investigation found sufficient evidence that Staff #1 handled Resident #1 in a rough manner, causing bruising on the resident's forearms. Staff #1 was suspended pending investigation and subsequently resigned. A deficiency was cited for failure to protect residents from abuse.
Complaint Details
The visit was triggered by a complaint regarding an incident on 08/15/2024 where Staff #1 was observed handling Resident #1 roughly, resulting in bruising. The complaint was substantiated based on interviews and record review.
Severity Breakdown
Type A: 1
Deficiencies (1)
Description
Severity
Failure to be free from neglect, financial exploitation, involuntary seclusion, punishment, humiliation, intimidation, and verbal, mental, physical, or sexual abuse as Staff #1 handled resident in a rough manner causing bruising.
Type A
Report Facts
Capacity: 100Census: 70Deficiency Type: 1Plan of Correction Due Date: Oct 29, 2024
Employees Mentioned
Name
Title
Context
Lilit Mnatsakanyan
Executive Director
Met with during inspection and involved in interviews regarding the incident
The inspection visit was conducted as an unannounced Case Management – Incident investigation to review self-reported incident reports regarding a staff handling a resident in a firm manner resulting in bruising.
Findings
The Licensing Program Analyst conducted interviews, reviewed documentation, and determined that further investigation is needed, with a plan to return at a later date to complete the investigation if warranted.
Complaint Details
The complaint involved an incident on 08/15/2024 where Staff #1 was observed handling Resident #1 in a firm manner causing discoloration/bruising on the resident's forearms. The resident did not indicate discomfort or additional injuries. The investigation is ongoing.
Report Facts
Incident date: Aug 15, 2024Report received date: Aug 23, 2024
Employees Mentioned
Name
Title
Context
Kathleen Olson
Interim Executive Director
Met with Licensing Program Analyst during the investigation
Brian Balisi
Licensing Program Analyst
Conducted the unannounced Case Management – Incident visit
Inspection Report Original LicensingCensus: 67Capacity: 100Deficiencies: 0Jul 11, 2024
Visit Reason
Licensing Program Analyst Martha Arroyo conducted a pre-licensing visit as part of a change of ownership application for the facility, which will retain its name. The visit included inspection of fire safety, personal accommodations, services, and food service.
Findings
The facility was found to be in compliance with Title 22 regulations with no corrections required. Fire clearance was approved for 92 non-ambulatory and 8 bedridden residents. The kitchen, common areas, resident rooms, and safety equipment were all observed to be adequate and well maintained.