Inspection Reports for La Vida Real
11588 Via Rancho San Diego, El Cajon, CA 92019, United States, CA, 92019
Back to Facility ProfileInspection Report Summary
Most inspections found no deficiencies, and several complaint investigations were unsubstantiated, indicating generally consistent compliance with regulations. However, some reports documented isolated deficiencies related primarily to resident care issues such as failure to provide feeding assistance, insufficient supervision resulting in a resident being left on the floor, delayed medication assistance, and personal rights violations by staff. The facility also received a $500 fine in September 2023 for allowing an employee to work without a required criminal record clearance. The most recent report dated September 5, 2025, included one substantiated complaint about failure to provide feeding assistance but no other deficiencies. The record shows some recurring themes around staffing and resident care, but recent inspections suggest some improvement in these areas.
Deficiencies per Year
4
3
2
1
0
High
Moderate
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Complaint Investigation
Census: 126
Capacity: 177
Deficiencies: 0
Sep 5, 2025
Visit Reason
An unannounced complaint investigation was conducted in response to allegations that the licensee did not safeguard resident’s personal information and that facility staff did not protect resident’s privacy.
Findings
Based on interviews and record reviews, there was not a preponderance of evidence to prove the alleged violations occurred; therefore, the allegations were unsubstantiated.
Complaint Details
The complaint alleged that a representative of Resident 1 received an unwarranted phone call regarding additional services not requested, and that Resident 1 was visited twice by an unknown person asking for medical insurance documentation, which made Resident 1 feel their privacy was violated. The unknown person was identified as an employee of an outside source medical agency contracted to provide rehabilitation services. The investigation found no evidence to substantiate these allegations.
Report Facts
Capacity: 177
Census: 126
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Iby Strong | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Kristin Molina | Business Office Manager | Met with the Licensing Program Analyst during the investigation and exit interview |
| Simon Jacob | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 126
Capacity: 177
Deficiencies: 1
Sep 5, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint alleging that staff did not ensure residents were provided feeding assistance and other care-related concerns.
Findings
The investigation substantiated that staff failed to provide feeding assistance to Resident 1, posing a potential health and personal rights risk. Other allegations regarding special diet provision and proper positioning in a recliner were unsubstantiated based on interviews and record reviews.
Complaint Details
The complaint was substantiated regarding failure to provide feeding assistance to Resident 1. Other allegations about special diet and positioning were unsubstantiated.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to provide assistance in feeding to 1 of 126 persons in care (Resident 1), violating basic services requirements. | Type B |
Report Facts
Residents in care: 126
Licensed capacity: 177
Deficiency count: 1
Plan of Correction due date: 14
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Iby Strong | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Simon Jacob | Licensing Program Manager | Oversaw the complaint investigation |
| Kristin Molina | Business Office Manager | Facility representative met during investigation and exit interview |
Inspection Report
Complaint Investigation
Census: 126
Capacity: 177
Deficiencies: 0
Aug 8, 2025
Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation received on 2024-03-20 regarding lack of supervision resulting in physical abuse of a resident.
Findings
The investigation found no preponderance of evidence to prove the alleged violation occurred; the allegation of lack of supervision resulting in physical abuse was unsubstantiated.
Complaint Details
Complaint alleged lack of supervision resulting in physical abuse to Resident 2 by Resident 1 on 2024-03-18. Investigation included record reviews and interviews. Residents were separated after the incident but later returned to the same room and moved out by responsible parties. The allegation was unsubstantiated.
Report Facts
Capacity: 177
Census: 126
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Iby Strong | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Simon Jacob | Licensing Program Manager | Named as Licensing Program Manager on the report |
| Kimberly Garcia | Executive Director | Met with Licensing Program Analyst during the investigation |
| David Armour | Administrator | Facility Administrator named in the report |
Inspection Report
Complaint Investigation
Census: 126
Capacity: 177
Deficiencies: 1
Aug 8, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations of lack of supervision resulting in a resident being left on the floor for an extended period and failure of facility staff to seek timely medical attention for the resident.
Findings
The investigation substantiated the allegation that the facility failed to provide adequate supervision to one resident, resulting in the resident being left on the floor for several hours overnight. However, the allegation that staff failed to seek timely medical attention was unsubstantiated. A deficiency was cited for failure to provide sufficient supervision and care.
Complaint Details
The complaint alleged lack of supervision resulting in a resident being left on the floor for an extended period and failure to seek timely medical attention after an unwitnessed fall. The lack of supervision allegation was substantiated, while the failure to seek medical attention allegation was unsubstantiated.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to provide care, supervision, and services that meet individual needs, specifically insufficient supervision and care to one resident posing a potential health, safety, and personal rights risk. | Type B |
Report Facts
Capacity: 177
Census: 126
Deficiency count: 1
Plan of Correction Due Date: Aug 22, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Garcia | Executive Director | Met during inspection and involved in exit interview and plan of correction development |
| Iby Strong | Licensing Program Analyst | Conducted the complaint investigation and inspection |
| Simon Jacob | Licensing Program Manager | Oversaw the complaint investigation |
Inspection Report
Follow-Up
Census: 126
Capacity: 177
Deficiencies: 2
Aug 8, 2025
Visit Reason
An unannounced case management visit was conducted to follow-up on multiple incidents reported to Community Care Licensing, including a self-reported suspected dependent adult/elder abuse and late incident reporting.
Findings
Two Type B deficiencies were issued: failure to assist a resident with prescribed medication, posing a potential health risk, and failure to submit twenty-five incident reports within the required seven-day timeframe, posing a safety risk to persons in care.
Complaint Details
The visit was triggered by a complaint involving an alleged incident where staff forcefully controlled a resident during an aggressive episode; however, no violation of the resident's personal rights was substantiated. Additionally, multiple incident reports were received late.
Severity Breakdown
Type B: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Licensee did not assist resident with prescribed medication in one out of 126 persons in care, posing a potential health risk. | Type B |
| Licensee did not provide the licensing agency with twenty-five incident reports within seven days of occurrence, posing a safety risk to persons in care. | Type B |
Report Facts
Incident reports received late: 25
Residents in care during inspection: 126
Total licensed capacity: 177
Days medication not issued: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Garcia | Executive Director | Met with during inspection and named in relation to findings and exit interview. |
| Iby Strong | Licensing Program Analyst | Conducted the unannounced case management visit and authored the report. |
| Simon Jacob | Licensing Program Manager | Named as Licensing Program Manager overseeing the inspection. |
Inspection Report
Census: 126
Capacity: 177
Deficiencies: 0
Aug 8, 2025
Visit Reason
An unannounced case management visit was conducted by Licensing Program Analyst Iby Strong to discuss the purpose of the visit and deliver an Immediate Exclusion letter for Staff 1.
Findings
No deficiencies were cited during the visit. An exit interview was conducted with the Executive Director Kimberly Garcia, and relevant documents were provided.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Garcia | Executive Director | Met with Licensing Program Analyst during the visit and acknowledged receipt of Immediate Exclusion letter. |
| Iby Strong | Licensing Program Analyst | Conducted the unannounced case management visit and delivered Immediate Exclusion letter. |
| Simon Jacob | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Complaint Investigation
Census: 120
Capacity: 177
Deficiencies: 1
Mar 7, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by complaints alleging that staff do not ensure residents' call buttons are answered timely, residents are left in soiled clothing for extended periods, and the facility is not kept free of malodors.
Findings
The investigation found the first two allegations unsubstantiated due to lack of preponderance of evidence, but substantiated the third allegation that the facility was not kept free of mal odors, specifically a strong urine smell in Resident 1's room. A deficiency was cited related to failure to keep the facility free of odors from incontinence.
Complaint Details
The complaint investigation was unannounced and conducted by Licensing Program Analyst Iby Strong. Allegations included failure to answer call buttons timely, leaving residents in soiled clothing, and failure to keep the facility free of mal odors. The first two allegations were unsubstantiated; the third was substantiated with a deficiency cited.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Managed Incontinence- licensee failed to ensure that incontinent residents are kept clean and dry and that the facility remains free of odors from incontinence, specifically a strong urine odor in Resident 1's room. | Type B |
Report Facts
Capacity: 177
Census: 120
Deficiency count: 1
Plan of Correction Due Date: Mar 21, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Garcia | Executive Director | Met with during inspection and named in report |
| Iby Strong | Licensing Program Analyst | Conducted the complaint investigation |
| Simon Jacob | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 120
Capacity: 177
Deficiencies: 0
Mar 7, 2025
Visit Reason
An unannounced complaint investigation was conducted following allegations that a resident's medication was not issued as prescribed and that the resident was charged for services not rendered.
Findings
The investigation found that the resident did receive medication as prescribed and that the charges for services were consistent with the admissions agreement. Therefore, the allegations were unsubstantiated.
Complaint Details
The complaint alleged that Resident 1 did not receive two prescribed medications and was charged for services after moving out. The investigation included interviews and record reviews, concluding there was no preponderance of evidence to prove violations. The complaint was unsubstantiated.
Report Facts
Capacity: 177
Census: 120
Complaint received date: Feb 11, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Iby Strong | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Kimberly Garcia | Executive Director | Facility representative interviewed during the investigation |
| Simon Jacob | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 120
Capacity: 177
Deficiencies: 0
Mar 7, 2025
Visit Reason
An unannounced complaint investigation was conducted following allegations that staff had a verbal altercation in the presence of residents and that staff did not treat residents with dignity and respect.
Findings
The investigation found that the staff discussion occurred in an unlicensed portion of the facility and did not involve residents. Allegations that a staff member made inappropriate comments and rushed residents were denied and not substantiated by interviews or evidence. Therefore, the allegations were unsubstantiated.
Complaint Details
The complaint alleged a staff verbal altercation witnessed by residents and staff not treating residents with dignity and respect. After interviews and record reviews, the allegations were found unsubstantiated.
Report Facts
Capacity: 177
Census: 120
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Garcia | Executive Director | Met with during investigation and named in report |
| Iby Strong | Licensing Program Analyst | Conducted the complaint investigation |
| Simon Jacob | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Annual Inspection
Census: 117
Capacity: 177
Deficiencies: 0
Dec 27, 2024
Visit Reason
An unannounced required annual inspection was conducted to evaluate the facility's compliance with licensing requirements.
Findings
The facility was found to be clean, sanitary, and in good repair with no deficiencies cited. Resident rooms and common areas met all required standards, including safety, furnishings, and equipment.
Report Facts
Water temperature range: 105
Water temperature range: 118
Water temperature: 115
Licensed bedridden capacity: 30
Food supply duration: 14
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Garcia | Executive Director | Met with Licensing Program Analyst during inspection and participated in exit interview |
| Iby Strong | Licensing Program Analyst | Conducted the unannounced required annual inspection |
| Simon Jacob | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 120
Capacity: 177
Deficiencies: 0
Oct 1, 2024
Visit Reason
An unannounced case management visit was conducted to follow-up on two self-reported incidents of suspected dependent adult/elder abuse involving staff and residents.
Findings
The Licensing Program Analyst conducted a health and safety check and collected records related to the reported incidents. An exit interview was held with the Assisted Living Director, and the facility was provided with a copy of the report and appeal rights.
Complaint Details
The visit was triggered by two self-reported SOC341 forms regarding suspected dependent adult/elder abuse involving Staff 1 and two residents. No substantiation status is provided.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Iby Strong | Licensing Program Analyst | Conducted the unannounced case management visit and health and safety check. |
| Yvonne Harmon | Assisted Living Director | Met with Licensing Program Analyst during the visit and participated in the exit interview. |
| Kimberly Garcia | Administrator/Director | Named as facility administrator/director. |
Inspection Report
Complaint Investigation
Census: 120
Capacity: 177
Deficiencies: 1
Sep 27, 2024
Visit Reason
The visit was an unannounced Case Management inspection in response to a self-reported incident dated 2024-09-20 involving an alleged personal rights violation of Resident 1 on 2024-09-19.
Findings
The investigation found that Staff 1 refused to assist Resident 1 with medication and took away the resident's call button while using inappropriate language, violating the resident's personal rights. Staff 1 has since been separated from the facility. A deficiency was cited under California Code of Regulations, Title 22.
Complaint Details
The complaint investigation was substantiated based on a preponderance of evidence showing Staff 1 violated Resident 1's personal rights by refusing assistance and using inappropriate language. Previous similar incidents were reported to a former Executive Director.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to accord residents dignity in their personal relationships with staff, residents, and others, affecting 3 of 120 persons in care (R1, R2, R3), posing a Personal Rights risk. | Type B |
Report Facts
Residents affected: 3
Persons in care: 120
Facility capacity: 177
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Garcia | Executive Director | Met during inspection and provided information about Staff 1 separation |
| Iby Strong | Licensing Program Analyst | Conducted the unannounced Case Management visit and authored the report |
| Simon Jacob | Licensing Program Manager | Supervisor overseeing the inspection |
Inspection Report
Complaint Investigation
Census: 115
Capacity: 177
Deficiencies: 2
Aug 28, 2024
Visit Reason
An unannounced complaint investigation was conducted following allegations that facility staff failed to respond to a resident call button in a timely manner and did not issue medication as prescribed.
Findings
The investigation substantiated that staff response times to the resident call button were significantly delayed, with waits ranging from 21 to 82 minutes, exceeding the expected 10-15 minute response time. Additionally, the resident did not receive prescribed pain medication in a timely manner, with medication administered only at 9:30 pm despite earlier requests.
Complaint Details
The complaint was substantiated. Allegations included failure to respond timely to resident call button and failure to issue prescribed medication. Evidence showed multiple delayed responses to call button and delayed medication administration. Interviews and records supported these findings.
Severity Breakdown
Type B: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Personnel Requirements-Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. Licensee did not provide sufficient staffing to respond timely to 1 of 65 persons in care [R1]. | Type B |
| 87465 Incidental Medical and Dental Care: The licensee shall assist residents with self-administered medications. Licensee did not assist R1 with medication in 1 of 65 persons in care. | Type B |
Report Facts
Census: 115
Total Capacity: 177
Response times: 82
Response times: 21
Response times: 40
Response times: 46
Deficiencies cited: 2
Plan of Correction Due Date: Sep 11, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Garcia | Executive Director | Met with Licensing Program Analyst during investigation and exit interview |
| Iby Strong | Licensing Program Analyst | Conducted the complaint investigation |
| Simon Jacob | Licensing Program Manager | Oversaw complaint investigation report |
Inspection Report
Complaint Investigation
Census: 116
Capacity: 177
Deficiencies: 0
May 29, 2024
Visit Reason
An unannounced complaint investigation was conducted in response to allegations of neglect resulting in a pressure injury, falls, and refusal to provide meals to Resident 1.
Findings
The investigation found no current pressure injuries on Resident 1, no evidence of falls causing injury, and confirmed that Resident 1 received meals as required. The allegations were determined to be unsubstantiated based on interviews and record reviews.
Complaint Details
The complaint alleged neglect resulting in a pressure injury, falls, and refusal to provide meals to Resident 1. The investigation concluded these allegations were unsubstantiated.
Report Facts
Capacity: 177
Census: 116
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Garcia | Executive Director | Met with during the investigation and named in the report |
| Iby Strong | Licensing Program Analyst | Conducted the complaint investigation |
| Simon Jacob | Licensing Program Manager | Named in the report |
Inspection Report
Complaint Investigation
Census: 123
Capacity: 177
Deficiencies: 0
Apr 24, 2024
Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation that the licensee was harassing a resident.
Findings
The investigation found that the resident in question resides in the independent living section, which is not under Community Care Licensing jurisdiction, therefore the complaint was determined to be unfounded.
Complaint Details
The complaint alleged harassment of a resident by staff in an attempt to move the resident to a higher priced area. The complaint was found to be unfounded as the resident resides in an area outside licensing jurisdiction.
Report Facts
Facility capacity: 177
Census: 123
Independent living units: 210
Total units combined: 353
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Iby Strong | Licensing Program Analyst | Conducted the complaint investigation visit |
| Kimberly Garcia | Executive Director | Met with Licensing Program Analyst during investigation |
Inspection Report
Complaint Investigation
Census: 123
Capacity: 177
Deficiencies: 0
Apr 24, 2024
Visit Reason
An unannounced complaint investigation was conducted based on allegations that the licensee did not provide a resident's records to the authorized representative and did not reassess the resident timely.
Findings
The investigation found no preponderance of evidence to prove the alleged violations occurred; records showed the authorized representative had the requested assessment and the resident was reassessed in a timely manner. Therefore, the allegations were unsubstantiated.
Complaint Details
The complaint alleged Staff 1 did not provide Resident 1's records to the authorized representative and that the licensee did not reassess Resident 1 timely. The investigation included record reviews and interviews, concluding the allegations were unsubstantiated.
Report Facts
Capacity: 177
Census: 123
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Garcia | Executive Director | Met during investigation and named in findings |
| Iby Strong | Licensing Program Analyst | Conducted the complaint investigation |
| Simon Jacob | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 124
Capacity: 177
Deficiencies: 0
Feb 16, 2024
Visit Reason
An unannounced complaint investigation was conducted following an allegation of neglect/lack of supervision resulting in injuries to Resident 1.
Findings
The investigation found no preponderance of evidence to substantiate the allegation of neglect. Resident 1 had an unwitnessed fall with injuries, but records and interviews did not support neglect as the cause. The allegation was unsubstantiated.
Complaint Details
The complaint alleged neglect/lack of supervision resulting in injuries to Resident 1. The investigation included review of resident records, interviews, and observations. The allegation was found unsubstantiated.
Report Facts
Estimated Days of Completion: 90
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| David Armour | Executive Director | Met with during investigation and exit interview |
| Iby Strong | Licensing Program Analyst | Conducted the complaint investigation |
| Simon Jacob | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Plan of Correction
Capacity: 177
Deficiencies: 0
Feb 6, 2024
Visit Reason
An unannounced Plan Of Correction (POC) visit was conducted to collect records, clear previous POCs, and provide the administrator with the Plan of Correction letter.
Findings
The Licensing Program Analyst collected records, cleared Plan of Corrections, and provided the administrator with the Plan of Correction letter during the visit. An exit interview was conducted with the Executive Director.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| David Armour | Executive Director | Met with Licensing Program Analyst during the Plan Of Correction visit and received the Plan of Correction letter. |
| Amy Rodgers | Licensing Program Analyst | Conducted the unannounced Plan Of Correction visit. |
| Denise Powell | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Complaint Investigation
Census: 133
Capacity: 177
Deficiencies: 0
Jan 10, 2024
Visit Reason
An unannounced complaint investigation was conducted regarding an allegation that facility staff did not give medication as prescribed to a resident.
Findings
The investigation found that the allegation was unsubstantiated. Records and interviews showed that the resident received the prescribed suppository medication as needed according to the physician's orders and facility documentation.
Complaint Details
The complaint alleged that around April and May 2021, the licensee did not give Resident #1 their as-needed suppository for constipation as prescribed, specifically that it was given too infrequently. The investigation included a facility tour, record reviews, and interviews. Based on evidence, the allegation was unsubstantiated.
Report Facts
Capacity: 177
Census: 133
Bowel Movements in April 2021: 28
Bowel Movements in May 2021: 24
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dang Nguyen | Licensing Program Analyst | Conducted the complaint investigation and unannounced visit |
| David Armour | Executive Director | Met with Licensing Program Analyst during the investigation and exit interview |
Inspection Report
Complaint Investigation
Census: 133
Capacity: 177
Deficiencies: 1
Jan 10, 2024
Visit Reason
The inspection was an unannounced complaint investigation triggered by an allegation that the licensee did not have sufficient staff to meet resident care needs, specifically related to a resident's call for help not being responded to during a night shift in September 2021.
Findings
The investigation found that on the night in question, staffing levels were insufficient in specific areas and times, particularly in the Memory Care 'J Court' building and the Assisted Living section, due to early clock-outs and late arrivals of staff. This resulted in the facility being short-handed for a brief period, substantiating the complaint that staffing was inadequate to meet resident needs.
Complaint Details
The complaint was substantiated. It involved an allegation that the licensee did not employ sufficient staff to meet resident care needs, specifically that a resident's call for help was not responded to around 11:00 PM on a night in September 2021. The investigation included interviews, facility tours, and review of work schedules and timeclock logs.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Licensee did not ensure facility personnel were sufficient in numbers to provide the services necessary to meet the needs of 1 of 115 residents, posing a potential health and safety risk. | Type B |
Report Facts
Capacity: 177
Census: 133
Residents in care at time of allegation: 115
Deficiency count: 1
Plan of Correction due date: Feb 9, 2024
PM caregivers assigned to AL: 4
PM caregivers assigned to MC: 4
NOC caregivers assigned to AL: 2
NOC caregivers assigned to MC: 4
NOC caregiver late arrival: 44
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dang Nguyen | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| David Armour | Executive Director | Facility representative interviewed during the investigation and exit interview |
| Kimberly Garcia | Administrator | Facility administrator named in the report |
| Lizzette Tellez | Licensing Program Manager | Oversaw the licensing program and signed the report |
Inspection Report
Annual Inspection
Census: 144
Capacity: 177
Deficiencies: 1
Dec 29, 2023
Visit Reason
An unannounced required one-year inspection was conducted to ensure substantial compliance with Title 22 regulations at the assisted living facility.
Findings
The facility was generally compliant with regulations including clean and sufficient bed linens, sanitary bathrooms, working safety equipment, proper food storage, and medication management. However, a deficiency was cited for failure to provide non-skid mats or strips in 5 of 8 resident rooms' showers, posing a potential safety risk.
Deficiencies (1)
| Description |
|---|
| Failure to provide non-skid mats or strips in 5 of 8 resident rooms' showers, posing a potential safety risk. |
Report Facts
Resident rooms lacking non-skid mats: 5
Total resident census: 144
Total licensed capacity: 177
Hospice waiver approved: 24
Bedridden residents: 30
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| David Armour | Administrator | Named in plan of correction agreement for deficiency regarding non-skid mats |
| Perla Provencal | Director of Assisted Living | Met with licensing analyst and participated in exit interview |
| Amy Rodgers | Licensing Program Analyst | Conducted the inspection and signed the report |
| Denise Powell | Licensing Program Manager | Named as supervisor and licensing program manager |
Inspection Report
Complaint Investigation
Capacity: 177
Deficiencies: 0
Dec 20, 2023
Visit Reason
An unannounced complaint investigation was conducted due to allegations of physical abuse resulting in an unexplained fracture to a resident's hand and that the resident's call button was not accessible.
Findings
The investigation found insufficient evidence to substantiate the allegations of physical abuse or lack of access to the call button. The resident had multiple and incompatible explanations for the injuries, and staff reported training and practices to protect the resident. The call button was present in multiple locations and accessible according to observations and interviews.
Complaint Details
The complaint investigation was unsubstantiated based on inconsistent statements, lack of evidence, and no witnesses to corroborate the allegations.
Report Facts
Facility capacity: 177
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Becky Kennedy | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| David Armour | Administrator | Met with Licensing Program Analyst during the investigation and received the report |
Inspection Report
Complaint Investigation
Census: 307
Capacity: 177
Deficiencies: 0
Nov 20, 2023
Visit Reason
An unannounced complaint investigation was conducted following allegations that the facility's call system was in disrepair and that staff did not meet residents' incontinence needs.
Findings
The investigation found that the call button system was in working order with no issues, and staff met residents' incontinence needs according to protocol. Resident interviews were inconsistent, but overall evidence did not support the allegations, resulting in an unsubstantiated finding.
Complaint Details
The complaint was unsubstantiated after investigation. Allegations included a broken call system causing delayed staff response and inadequate incontinence care. Interviews, observations, and records review did not corroborate these claims.
Report Facts
Capacity: 177
Census: 307
Date of contractor system check: Oct 4, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| David Armour | Executive Director | Met with during investigation and exit interview |
| Nacole Patterson | Licensing Program Analyst | Conducted the complaint investigation |
| Lizzette Tellez | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 129
Capacity: 177
Deficiencies: 1
Nov 17, 2023
Visit Reason
An unannounced complaint investigation was conducted due to an allegation that the facility did not maintain a resident's bathroom in a sanitary condition.
Findings
The investigation substantiated that staff did not timely fix resident #1's toilet tank cover, resulting in worms breeding inside the tank, posing a potential personal rights risk. The issue was addressed by the time of the visit, and the plan of correction was cleared.
Complaint Details
The complaint was substantiated based on interviews, observations, and records review. The allegation involved unsanitary bathroom conditions due to delayed maintenance of a toilet tank cover causing worm infestation. The issue was resolved after notification by the resident's family.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility did not maintain resident's bathroom in sanitary condition; staff did not fix resident #1's toilet tank cover timely resulting in worms breeding inside the tank. | Type B |
Report Facts
Census: 129
Total Capacity: 177
Residents affected: 1
Work orders: 30
Work orders: 1100
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| David Armour | Executive Director | Named in relation to findings and exit interview |
| Carmen Lopez | Licensing Program Analyst | Conducted the complaint investigation |
| Denise Powell | Licensing Program Manager | Oversaw the complaint investigation |
| Kristin Molina | Enliven Director | Interviewed during investigation |
| Perla Provencal | Director of Assisted Living | Participated in exit interview |
Inspection Report
Complaint Investigation
Capacity: 177
Deficiencies: 0
Nov 17, 2023
Visit Reason
An unannounced complaint investigation visit was conducted in response to multiple allegations including failure to follow hospice care plans, unclean residents' rooms, failure to provide clean linens, failure to maintain current resident records, and insufficient staff training.
Findings
The investigation included interviews, record reviews, and observations, and found insufficient evidence to substantiate any of the allegations. Residents' rooms were observed clean, linens were provided as needed, records were maintained current, and staff training was adequate.
Complaint Details
The complaint investigation was unsubstantiated based on interviews with staff, residents, and outside sources, review of records, and observations. Specific allegations about hospice care plans, cleanliness, linens, resident records, and staff training were all found unsupported by evidence.
Report Facts
Facility capacity: 177
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| David Armour | Executive Director | Met with during the investigation and named in the report |
| Carmen Lopez | Licensing Program Analyst | Conducted the complaint investigation |
| Denise Powell | Licensing Program Manager | Named in the report as Licensing Program Manager |
| Kristin Molina | Enliven Director | Interviewed during the investigation |
| Perla Provencal | Director of Assisted Living | Present at exit interview |
Inspection Report
Complaint Investigation
Census: 131
Capacity: 177
Deficiencies: 0
Nov 9, 2023
Visit Reason
An unannounced complaint investigation was conducted following allegations that staff did not assess residents after falls and did not ensure residents were protected against hazards.
Findings
The investigation found no preponderance of evidence to substantiate the allegations. Staff interviews and record reviews indicated the facility has a policy for caregivers not to evaluate residents after falls but to contact nursing staff. The alleged hazardous nightstand was determined not to be hazardous, and the injury was due to the resident falling and hitting the nightstand.
Complaint Details
The complaint was unsubstantiated. Allegations included staff not assessing residents after falls and not protecting residents from hazards. Investigation included interviews and record reviews, concluding no violation occurred.
Report Facts
Capacity: 177
Census: 131
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| David Armour | Executive Director | Met with during investigation and exit interview |
| Iby Strong | Licensing Program Analyst | Conducted the complaint investigation |
| Kristen Molina | Memory Care Director | Arrived shortly after investigation began |
| Simon Jacob | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Census: 90
Capacity: 177
Deficiencies: 1
Sep 26, 2023
Visit Reason
An unannounced Case Management - Other visit was conducted to review personnel records, staff interviews, and compliance with criminal record clearance requirements.
Findings
The licensee allowed an employee (S1) to work without a required California criminal record clearance or exemption from 05/05/2023 through 09/09/2023. This violation posed an immediate safety risk and resulted in one deficiency citation and a $500 civil penalty.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Licensee did not ensure that Staff #1 obtained a California criminal record clearance or exemption prior to working at the facility, posing an immediate safety risk to persons in care. | Type A |
Report Facts
Civil penalty amount: 500
Deficiencies cited: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dang Nguyen | Licensing Program Analyst | Conducted the inspection and authored the report |
| Lizzette Tellez | Licensing Program Manager | Supervisor of the inspection |
| David Armour | Administrator | Facility administrator mentioned in report header |
| Tasha Smith | Human Resources Coordinator | Met with Licensing Program Analyst during the visit |
Inspection Report
Census: 41
Capacity: 177
Deficiencies: 0
May 12, 2023
Visit Reason
An unannounced case management visit was conducted to follow-up on an incident reported to Community Care Licensing regarding a resident who went absent without official leave (AWOL) and was returned the same day.
Findings
During the visit, a health and safety check was conducted, staff were interviewed, and facility records were reviewed. No deficiencies were cited during the visit.
Report Facts
Capacity: 177
Census: 41
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kristen Molina | Enliven Director | Met during the visit and exit interview |
| Cristi Ostreng | Assistant Director | Met during the visit and exit interview |
| Alyssa Ramirez | Licensing Program Analyst | Conducted the unannounced case management visit |
Inspection Report
Complaint Investigation
Census: 98
Capacity: 177
Deficiencies: 0
Mar 17, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2022-06-23 regarding inadequate food services and residents being yelled at while in care.
Findings
The investigation found no evidence to substantiate the allegations. Residents reported no issues with food temperature, taste, or service, and no evidence was found that staff yelled at residents. The allegations were determined to be unsubstantiated.
Complaint Details
The complaint investigation was unsubstantiated based on interviews with residents, staff, outside sources, record reviews, and observations. The preponderance of evidence standard was not met to prove the allegations.
Report Facts
Capacity: 177
Census: 98
Estimated Days of Completion: 0
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Amy Domingo | Licensing Program Analyst | Conducted the complaint investigation visit and delivered findings |
| John Rante | Licensing Program Manager | Named in the report as Licensing Program Manager |
| Cristi Ostreng | Director of Assisted Living | Met with the Licensing Program Analyst during the investigation and exit interview |
Inspection Report
Annual Inspection
Census: 144
Capacity: 177
Deficiencies: 0
Feb 3, 2023
Visit Reason
Licensing Program Analyst Tammer de los Santos visited the facility to conduct an annual required licensing inspection.
Findings
The inspection verified compliance with infection control practices including universal entry screening, visitor sign-in policy, hand hygiene promotion, face coverings, hand sanitizer availability, visitation area, and cleaning supplies. No deficiencies were cited during the visit.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Garcia | Administrator | Administrator met with Licensing Program Analyst and provided the Infection Control Plan. |
| Tammer de los Santos | Licensing Program Analyst | Conducted the annual required licensing inspection. |
| Denise Powell | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Complaint Investigation
Census: 142
Capacity: 177
Deficiencies: 0
Jun 28, 2022
Visit Reason
An unannounced complaint investigation was conducted due to an allegation that the facility was not maintaining sanitary conditions, specifically that management was not preventing residents from spitting on the public and dining room floor.
Findings
The investigation included multiple visits, observations, interviews with staff and residents, and review of cleaning records. No unsanitary conditions were observed, and there was no evidence to substantiate the complaint. The allegation was determined to be unsubstantiated.
Complaint Details
Complaint alleging the facility is not maintaining sanitary conditions, specifically that management is not taking action to prevent residents from spitting on public and dining room floors. The complaint was unsubstantiated based on observations, interviews, and records review.
Report Facts
Capacity: 177
Census: 142
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Daniel Slaughter | Executive Director | Met with during investigation and exit interview |
| Iby Strong | Licensing Program Analyst | Conducted the complaint investigation |
| John Rante | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Census: 120
Capacity: 177
Deficiencies: 0
Feb 14, 2022
Visit Reason
The visit was an unannounced Case Management Visit conducted in response to the self-reported death of Resident 1, who passed away on 2022-02-05.
Findings
A wellness check was conducted at the facility with no health or safety issues identified. Residents appeared appropriate for the facility and no deficiencies were cited or observed during the visit.
Report Facts
Resident death date: Feb 5, 2022
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kayla Hilario | Licensing Program Analyst | Conducted the unannounced Case Management Visit |
| Cristi Ostreng | Director of Assisted Living | Met with Licensing Program Analyst during the visit |
| John Rante | Licensing Program Manager | Named in the report header |
Inspection Report
Capacity: 177
Deficiencies: 0
Jan 21, 2022
Visit Reason
The Department conducted an on-site visit to provide technical assistance and to evaluate the facility's mitigation plan including disinfection, testing, vaccination, screening protocols, and use of personal protective equipment (PPE).
Findings
During the visit, no deficiencies were cited. The team interviewed the Administrator and Director of Assisted Living and conducted a walk-through of the facility.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Daniel Slaughter | Administrator | Met with the inspection team and participated in interviews and exit interview. |
| Cristi Ostreng | Director of Assisted Living | Participated in interviews during the visit. |
Inspection Report
Annual Inspection
Capacity: 177
Deficiencies: 0
Dec 2, 2021
Visit Reason
Licensing Program Analyst Kennedy made an unannounced visit to conduct an annual required licensing inspection with a specific focus on infection control.
Findings
No deficiencies were observed during the inspection in the areas evaluated, including symptom screening, infection control procedures, hand hygiene, PPE supplies, and disinfection procedures.
Report Facts
Capacity: 177
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Daniel Slaughter | Executive Director | Met with Licensing Program Analyst and discussed the purpose of the visit |
Inspection Report
Complaint Investigation
Census: 103
Capacity: 177
Deficiencies: 0
Jul 23, 2021
Visit Reason
The visit was a case management follow-up regarding an incident report received about Resident 1 (R1) being AWOL (absent without leave). The purpose was to follow up on the AWOL incident and assess the situation.
Findings
During the visit, the Licensing Program Analyst toured the facility, conducted interviews, and reviewed records. Resident 1 was found unharmed about a block away after being missing during evening medication checks. The resident was disoriented, and the facility planned a new assessment and took steps to keep the resident safe. No deficiencies were cited during the visit.
Complaint Details
The visit was triggered by a complaint incident report regarding Resident 1 being AWOL. The resident was located unharmed but disoriented. The behavior was noted as a change in condition. No deficiencies were cited.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Daniel Slaughter | Executive Director | Met with Licensing Program Analyst during the visit and participated in the exit interview. |
Inspection Report
Complaint Investigation
Census: 100
Capacity: 177
Deficiencies: 1
Nov 2, 2020
Visit Reason
The inspection was an unannounced complaint investigation triggered by an allegation that staff inappropriately grabbed a resident and that the licensee did not meet the needs of Resident #1.
Findings
The investigation substantiated that Staff #1 grabbed Resident #1 in the private area over clothing to check if adult briefs were soiled, which was deemed a violation of personal rights. Another allegation that the licensee did not meet the needs of Resident #1 by leaving them in soiled clothing was found unsubstantiated due to insufficient evidence.
Complaint Details
The complaint investigation was substantiated for the allegation that staff inappropriately grabbed Resident #1. The allegation that the licensee did not meet the needs of Resident #1 by leaving them in soiled clothing was unsubstantiated.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Licensee did not ensure Resident #1 was accorded dignity with Staff #1, posing a potential personal rights risk to residents in care. | Type B |
Report Facts
Capacity: 177
Census: 100
Plan of Correction Due Date: Nov 9, 2020
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Garcia | Assistant Executive Director | Met with during investigation and named in plan of correction |
| Natasha Persaud | Licensing Program Analyst | Evaluator who conducted the complaint investigation |
| John Rante | Supervisor | Supervisor overseeing the investigation |
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