Inspection Reports for
La Vida Real

11588 Via Rancho San Diego, El Cajon, CA 92019, United States, CA, 92019

Back to Facility Profile

Deficiencies (last 7 years)

Deficiencies (over 7 years) 3 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

25% better than California average
California average: 4 deficiencies/year

Deficiencies per year

12 9 6 3 0
2020
2021
2022
2023
2024
2025
2026

Occupancy

Latest occupancy rate 70% occupied

Based on a January 2026 inspection.

This facility has shown a decline in demand based on occupancy rates.

Occupancy rate over time

0% 50% 100% 150% 200% Nov 2020 Mar 2023 Nov 2023 May 2024 Mar 2025 Dec 2025 Jan 2026

Inspection Report

Complaint Investigation
Census: 124 Capacity: 177 Deficiencies: 0 Date: Jan 21, 2026

Visit Reason
The inspection was an unannounced complaint investigation triggered by allegations received on 07/22/2022 regarding staff not meeting a resident's needs, not following physician's orders, and failing to notify the responsible party of the resident's condition.

Complaint Details
The complaint alleged that staff did not meet Resident 1's needs, did not follow physician's orders, and failed to notify the responsible party of the resident's condition. The investigation was unsubstantiated.
Findings
The investigation found no preponderance of evidence to substantiate the allegations. Records and interviews showed that the resident received meals, bathing, and monitoring as required, and the responsible party was notified of changes in the resident's condition.

Report Facts
Capacity: 177 Census: 124

Employees mentioned
NameTitleContext
Kimberly GarciaExecutive DirectorContacted during investigation and exit interview
Iby StrongLicensing Program AnalystConducted the complaint investigation
Simon JacobSupervisorSupervisor overseeing the investigation

Inspection Report

Complaint Investigation
Census: 124 Capacity: 177 Deficiencies: 0 Date: Jan 21, 2026

Visit Reason
The inspection was an unannounced complaint investigation triggered by allegations received on 07/22/2022 that staff did not meet the resident's needs, did not follow physician's orders, and failed to notify the responsible party of the resident's condition.

Complaint Details
The complaint was unsubstantiated based on interviews and record reviews. Allegations included failure to meet resident needs, failure to follow physician orders, and failure to notify responsible party of condition changes.
Findings
The investigation found no preponderance of evidence to substantiate the allegations. Records and interviews showed that the resident received meals and bathing as requested, physician orders did not require continuous monitoring, and changes in the resident's skin condition were reported to the responsible party.

Report Facts
Capacity: 177 Census: 124

Employees mentioned
NameTitleContext
Kimberly GarciaExecutive DirectorContacted via telephone during investigation and exit interview
Iby StrongLicensing Program AnalystConducted the complaint investigation
Simon JacobSupervisorSupervisor overseeing the investigation

Inspection Report

Complaint Investigation
Census: 124 Capacity: 177 Deficiencies: 0 Date: Jan 14, 2026

Visit Reason
The inspection was an unannounced complaint investigation triggered by an allegation that staff did not assist a resident in a timely manner, resulting in a resident fall.

Complaint Details
The complaint alleged that on December 17, 2025, Resident 1 was not assisted timely in using the restroom, resulting in a fall. Resident 1 has a cognitive condition but requires only minimal assistance with toileting. Surveillance showed Resident 1 walked without a walking aid and fell. Staff arrived shortly after to assist and assess. The allegation was unsubstantiated based on the investigation.
Findings
The investigation found no preponderance of evidence to prove the alleged violation occurred; therefore, the allegation was unsubstantiated. Interviews, record reviews, and surveillance footage were used to assess the claim.

Report Facts
Complaint Control Number: 08-AS-20251219101314 Facility Capacity: 177 Census: 124

Employees mentioned
NameTitleContext
Kimberly GarciaExecutive DirectorContacted via telephone during investigation and exit interview
Iby StrongLicensing Program AnalystConducted the complaint investigation
Simon JacobSupervisorNamed as supervisor in the report

Inspection Report

Complaint Investigation
Census: 124 Capacity: 177 Deficiencies: 0 Date: Jan 14, 2026

Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that staff did not assist a resident in a timely manner, resulting in a resident fall.

Complaint Details
The complaint alleged that on December 17, 2025, staff did not assist Resident 1 in a timely manner, resulting in a fall. The resident has a cognitive condition but requires minimal assistance with toileting. Surveillance showed the resident walked without aid and fell before staff arrived. The allegation was unsubstantiated.
Findings
The investigation found no preponderance of evidence to prove the alleged violation occurred, and the complaint was unsubstantiated. Interviews, record reviews, and surveillance footage indicated the resident fell independently and received timely assistance thereafter.

Report Facts
Complaint Control Number: 8.0525121910131 Complaint received date: Dec 19, 2025

Employees mentioned
NameTitleContext
Kimberly GarciaExecutive DirectorContacted via telephone during investigation and exit interview
Iby StrongLicensing Program AnalystInvestigator conducting the complaint investigation
Simon JacobSupervisorSupervisor overseeing the investigation

Inspection Report

Complaint Investigation
Census: 123 Capacity: 177 Deficiencies: 2 Date: Dec 22, 2025

Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to multiple allegations received on 2025-10-27 regarding medication disposal, call button response times, resident care, staff conduct, and facility conditions.

Complaint Details
The complaint investigation was substantiated for allegations that staff did not properly dispose of medications and did not respond to residents' call buttons in a timely manner. Other allegations including physical abuse, withholding medications, improper transfers, and facility conditions were unsubstantiated.
Findings
The investigation substantiated that staff did not properly dispose of medications according to regulations and failed to respond to residents' call buttons in a timely manner, posing potential health and safety risks. Multiple other allegations including physical abuse, withholding medications, and poor facility conditions were found unsubstantiated after interviews and record reviews.

Deficiencies (2)
Facility personnel were not sufficient in numbers and competent to meet resident needs, evidenced by failure to respond timely to residents' call buttons.
Prescription medications were not destroyed by the administrator and another adult as required by regulation.
Report Facts
Residents present during inspection (census): 123 Total licensed capacity: 177 Residents with untimely call button response: 2 Residents whose medications were not destroyed by administrator: 121 Residents reviewed for call button response times: 124

Employees mentioned
NameTitleContext
Kimberly GarciaExecutive DirectorDiscussed allegations and findings during complaint investigation
Natasha PersaudLicensing Program AnalystConducted the unannounced complaint investigation visit
Lizzette TellezSupervisorSupervisor overseeing the complaint investigation

Inspection Report

Complaint Investigation
Census: 130 Capacity: 177 Deficiencies: 2 Date: Dec 19, 2025

Visit Reason
An unannounced complaint investigation was conducted following allegations of lack of supervision resulting in serious bodily injury and charging a resident for services not rendered.

Complaint Details
The complaint alleged lack of supervision resulting in serious bodily injury to Resident 1, who left the facility unassisted and fell, fracturing their hip. It was also alleged that Resident 1 was charged for services not rendered. The allegations were substantiated based on interviews, record reviews, and video surveillance. Resident 1 died later in the year, with the injury contributing to their death.
Findings
The investigation substantiated that lack of supervision resulted in Resident 1 sustaining a serious injury (fractured hip) after leaving the facility unassisted, and that the resident was charged for services not provided. Two deficiencies were cited, and civil penalties were assessed.

Deficiencies (2)
Basic services shall at a minimum include care and supervision as defined in regulations; this requirement was not met, posing an immediate health and safety risk.
Residents shall have personal rights to services that meet their individual needs delivered by sufficient and competent staff; this requirement was not met, posing a potential safety risk.
Report Facts
Civil Penalty: 500 Civil Penalty: 250 Resident Points: 114 Resident Census: 130 Facility Capacity: 177

Employees mentioned
NameTitleContext
Kimberly GarciaAdministratorMet with during investigation and named in findings.
Iby StrongLicensing Program AnalystConducted the complaint investigation.
Simon JacobSupervisorSupervisor overseeing the investigation.

Inspection Report

Annual Inspection
Census: 124 Capacity: 177 Deficiencies: 0 Date: Dec 8, 2025

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 observed or cited. All safety equipment, resident rooms, and records were compliant with regulations.

Report Facts
Hot water temperature range: 106 Hot water temperature range: 118 Perishable food supply: 2 Non-perishable food supply: 7

Employees mentioned
NameTitleContext
Kimberly GarciaExecutive DirectorMet with Licensing Program Analyst during inspection and exit interview
Natasha PersaudLicensing Program AnalystConducted the unannounced required annual inspection
Kristin MolinaBusiness Office ManagerAccompanied Licensing Program Analyst during inspection

Inspection Report

Complaint Investigation
Census: 124 Capacity: 177 Deficiencies: 0 Date: Dec 8, 2025

Visit Reason
The inspection was an unannounced complaint investigation triggered by allegations including dehydration due to insufficient liquids, inappropriate staff communication, unsanitary resident room conditions, and lack of notice for planned activities.

Complaint Details
The complaint investigation was unsubstantiated after review of hospital records, staff and resident interviews, and observation. Allegations included dehydration, inappropriate staff speech, unsanitary room conditions, and failure to provide activity notices, none of which were supported by a preponderance of evidence.
Findings
The investigation included interviews, record reviews, and facility tour, revealing inconsistent statements and insufficient evidence to substantiate the allegations. The complaints were deemed unsubstantiated.

Report Facts
Capacity: 177 Census: 124

Employees mentioned
NameTitleContext
Kimberly GarciaExecutive DirectorMet with Licensing Program Analyst during complaint investigation
Natasha PersaudLicensing Program AnalystConducted the complaint investigation
Lizzette TellezSupervisorSupervisor overseeing the complaint investigation

Inspection Report

Complaint Investigation
Census: 126 Capacity: 177 Deficiencies: 0 Date: 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.

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.
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.

Report Facts
Capacity: 177 Census: 126

Employees mentioned
NameTitleContext
Iby StrongLicensing Program AnalystConducted the complaint investigation and authored the report
Kristin MolinaBusiness Office ManagerMet with the Licensing Program Analyst during the investigation and exit interview
Simon JacobLicensing Program ManagerNamed in the report as Licensing Program Manager

Inspection Report

Complaint Investigation
Census: 126 Capacity: 177 Deficiencies: 1 Date: 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.

Complaint Details
The complaint was substantiated regarding failure to provide feeding assistance to Resident 1. Other allegations about special diet and positioning were unsubstantiated.
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.

Deficiencies (1)
Failure to provide assistance in feeding to 1 of 126 persons in care (Resident 1), violating basic services requirements.
Report Facts
Residents in care: 126 Licensed capacity: 177 Deficiency count: 1 Plan of Correction due date: 14

Employees mentioned
NameTitleContext
Iby StrongLicensing Program AnalystConducted the complaint investigation and authored the report
Simon JacobLicensing Program ManagerOversaw the complaint investigation
Kristin MolinaBusiness Office ManagerFacility representative met during investigation and exit interview

Inspection Report

Complaint Investigation
Census: 126 Capacity: 177 Deficiencies: 0 Date: 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.

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.
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.

Report Facts
Capacity: 177 Census: 126

Employees mentioned
NameTitleContext
Iby StrongLicensing Program AnalystConducted the complaint investigation and delivered findings
Simon JacobLicensing Program ManagerNamed as Licensing Program Manager on the report
Kimberly GarciaExecutive DirectorMet with Licensing Program Analyst during the investigation
David ArmourAdministratorFacility Administrator named in the report

Inspection Report

Complaint Investigation
Census: 126 Capacity: 177 Deficiencies: 1 Date: 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.

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.
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.

Deficiencies (1)
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.
Report Facts
Capacity: 177 Census: 126 Deficiency count: 1 Plan of Correction Due Date: Aug 22, 2025

Employees mentioned
NameTitleContext
Kimberly GarciaExecutive DirectorMet during inspection and involved in exit interview and plan of correction development
Iby StrongLicensing Program AnalystConducted the complaint investigation and inspection
Simon JacobLicensing Program ManagerOversaw the complaint investigation

Inspection Report

Follow-Up
Census: 126 Capacity: 177 Deficiencies: 2 Date: 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.

Complaint Details
The visit was triggered by multiple incident reports including a self-reported SOC341-Report of Suspected Dependent Adult/Elder Abuse involving a staff member and a resident. The allegation of staff forcefully controlling a resident during an aggressive episode was not substantiated based on interviews.
Findings
Two Type B deficiencies were issued related to failure to assist a resident with prescribed medication and failure to submit twenty-five incident reports within the required seven-day timeframe, posing potential health and safety risks to persons in care.

Deficiencies (2)
Licensee did not assist resident with prescribed medication in one out of 126 persons in care, posing a potential health risk.
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.
Report Facts
Incident reports late: 25 Residents in care: 126 Total licensed capacity: 177

Employees mentioned
NameTitleContext
Kimberly GarciaExecutive DirectorMet with during inspection and named in findings related to incident reporting and medication assistance.
Iby StrongLicensing Program AnalystConducted the unannounced case management visit and authored the report.
Simon JacobLicensing Program ManagerNamed in the report as Licensing Program Manager.

Inspection Report

Follow-Up
Census: 126 Capacity: 177 Deficiencies: 2 Date: 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.

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.
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.

Deficiencies (2)
Licensee did not assist resident with prescribed medication in one out of 126 persons in care, posing a potential health risk.
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.
Report Facts
Incident reports received late: 25 Residents in care during inspection: 126 Total licensed capacity: 177 Days medication not issued: 5

Employees mentioned
NameTitleContext
Kimberly GarciaExecutive DirectorMet with during inspection and named in relation to findings and exit interview.
Iby StrongLicensing Program AnalystConducted the unannounced case management visit and authored the report.
Simon JacobLicensing Program ManagerNamed as Licensing Program Manager overseeing the inspection.

Inspection Report

Census: 126 Capacity: 177 Deficiencies: 0 Date: 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
NameTitleContext
Kimberly GarciaExecutive DirectorMet with Licensing Program Analyst during the visit and acknowledged receipt of Immediate Exclusion letter.
Iby StrongLicensing Program AnalystConducted the unannounced case management visit and delivered Immediate Exclusion letter.
Simon JacobLicensing Program ManagerNamed as Licensing Program Manager on the report.

Inspection Report

Complaint Investigation
Census: 120 Capacity: 177 Deficiencies: 1 Date: 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.

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.
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.

Deficiencies (1)
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.
Report Facts
Capacity: 177 Census: 120 Deficiency count: 1 Plan of Correction Due Date: Mar 21, 2025

Employees mentioned
NameTitleContext
Kimberly GarciaExecutive DirectorMet with during inspection and named in report
Iby StrongLicensing Program AnalystConducted the complaint investigation
Simon JacobLicensing Program ManagerNamed in report as Licensing Program Manager

Inspection Report

Complaint Investigation
Census: 120 Capacity: 177 Deficiencies: 0 Date: 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.

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.
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.

Report Facts
Capacity: 177 Census: 120 Complaint received date: Feb 11, 2025

Employees mentioned
NameTitleContext
Iby StrongLicensing Program AnalystConducted the complaint investigation and authored the report
Kimberly GarciaExecutive DirectorFacility representative interviewed during the investigation
Simon JacobLicensing Program ManagerNamed in report as Licensing Program Manager

Inspection Report

Complaint Investigation
Census: 120 Capacity: 177 Deficiencies: 0 Date: 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.

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.
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.

Report Facts
Capacity: 177 Census: 120

Employees mentioned
NameTitleContext
Kimberly GarciaExecutive DirectorMet with during investigation and named in report
Iby StrongLicensing Program AnalystConducted the complaint investigation
Simon JacobLicensing Program ManagerNamed in report as Licensing Program Manager

Inspection Report

Annual Inspection
Census: 117 Capacity: 177 Deficiencies: 0 Date: 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
NameTitleContext
Kimberly GarciaExecutive DirectorMet with Licensing Program Analyst during inspection and participated in exit interview
Iby StrongLicensing Program AnalystConducted the unannounced required annual inspection
Simon JacobLicensing Program ManagerNamed as Licensing Program Manager on the report

Inspection Report

Complaint Investigation
Census: 120 Capacity: 177 Deficiencies: 0 Date: 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.

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.
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.

Employees mentioned
NameTitleContext
Iby StrongLicensing Program AnalystConducted the unannounced case management visit and health and safety check.
Yvonne HarmonAssisted Living DirectorMet with Licensing Program Analyst during the visit and participated in the exit interview.
Kimberly GarciaAdministrator/DirectorNamed as facility administrator/director.

Inspection Report

Complaint Investigation
Census: 120 Capacity: 177 Deficiencies: 1 Date: 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.

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.
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.

Deficiencies (1)
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.
Report Facts
Residents affected: 3 Persons in care: 120 Facility capacity: 177

Employees mentioned
NameTitleContext
Kimberly GarciaExecutive DirectorMet during inspection and provided information about Staff 1 separation
Iby StrongLicensing Program AnalystConducted the unannounced Case Management visit and authored the report
Simon JacobLicensing Program ManagerSupervisor overseeing the inspection

Inspection Report

Complaint Investigation
Census: 120 Capacity: 177 Deficiencies: 1 Date: Sep 27, 2024

Visit Reason
The visit was an unannounced Case Management inspection conducted in response to a self-reported incident dated 2024-09-20 involving an alleged personal rights violation of a resident.

Complaint Details
The complaint was substantiated based on a preponderance of evidence showing Staff 1 violated Resident 1's personal rights by refusing assistance and using inappropriate language. Staff 1 was separated from the facility.
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 for failure to accord residents dignity in personal relationships.

Deficiencies (1)
Failure to accord residents dignity in their personal relationships with staff, residents, and other persons, posing a personal rights risk to 3 of 120 persons in care.
Report Facts
Deficiencies cited: 1 Residents affected: 3 Census: 120 Total Capacity: 177

Employees mentioned
NameTitleContext
Kimberly GarciaExecutive DirectorMet during inspection and provided information about staff separation
Iby StrongLicensing Program AnalystConducted the unannounced Case Management visit and authored the report
Simon JacobSupervisorSupervisor overseeing the licensing evaluation

Inspection Report

Complaint Investigation
Census: 115 Capacity: 177 Deficiencies: 2 Date: 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.

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.
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.

Deficiencies (2)
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].
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.
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
NameTitleContext
Kimberly GarciaExecutive DirectorMet with Licensing Program Analyst during investigation and exit interview
Iby StrongLicensing Program AnalystConducted the complaint investigation
Simon JacobLicensing Program ManagerOversaw complaint investigation report

Inspection Report

Complaint Investigation
Census: 116 Capacity: 177 Deficiencies: 0 Date: 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.

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.
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.

Report Facts
Capacity: 177 Census: 116

Employees mentioned
NameTitleContext
Kimberly GarciaExecutive DirectorMet with during the investigation and named in the report
Iby StrongLicensing Program AnalystConducted the complaint investigation
Simon JacobLicensing Program ManagerNamed in the report

Inspection Report

Complaint Investigation
Census: 123 Capacity: 177 Deficiencies: 0 Date: Apr 24, 2024

Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation that the licensee was harassing a resident.

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.
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.

Report Facts
Facility capacity: 177 Census: 123 Independent living units: 210 Total units combined: 353

Employees mentioned
NameTitleContext
Iby StrongLicensing Program AnalystConducted the complaint investigation visit
Kimberly GarciaExecutive DirectorMet with Licensing Program Analyst during investigation

Inspection Report

Complaint Investigation
Census: 123 Capacity: 177 Deficiencies: 0 Date: 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.

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.
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.

Report Facts
Capacity: 177 Census: 123

Employees mentioned
NameTitleContext
Kimberly GarciaExecutive DirectorMet during investigation and named in findings
Iby StrongLicensing Program AnalystConducted the complaint investigation
Simon JacobLicensing Program ManagerNamed in report as Licensing Program Manager

Inspection Report

Complaint Investigation
Census: 124 Capacity: 177 Deficiencies: 0 Date: 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.

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.
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.

Report Facts
Estimated Days of Completion: 90

Employees mentioned
NameTitleContext
David ArmourExecutive DirectorMet with during investigation and exit interview
Iby StrongLicensing Program AnalystConducted the complaint investigation
Simon JacobLicensing Program ManagerNamed in report as Licensing Program Manager

Inspection Report

Plan of Correction
Capacity: 177 Deficiencies: 0 Date: 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
NameTitleContext
David ArmourExecutive DirectorMet with Licensing Program Analyst during the Plan Of Correction visit and received the Plan of Correction letter.
Amy RodgersLicensing Program AnalystConducted the unannounced Plan Of Correction visit.
Denise PowellLicensing Program ManagerNamed as Licensing Program Manager on the report.

Inspection Report

Complaint Investigation
Census: 133 Capacity: 177 Deficiencies: 0 Date: 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.

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.
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.

Report Facts
Capacity: 177 Census: 133 Bowel Movements in April 2021: 28 Bowel Movements in May 2021: 24

Employees mentioned
NameTitleContext
Dang NguyenLicensing Program AnalystConducted the complaint investigation and unannounced visit
David ArmourExecutive DirectorMet with Licensing Program Analyst during the investigation and exit interview

Inspection Report

Complaint Investigation
Census: 133 Capacity: 177 Deficiencies: 1 Date: 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.

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.
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.

Deficiencies (1)
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.
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
NameTitleContext
Dang NguyenLicensing Program AnalystConducted the complaint investigation and authored the report
David ArmourExecutive DirectorFacility representative interviewed during the investigation and exit interview
Kimberly GarciaAdministratorFacility administrator named in the report
Lizzette TellezLicensing Program ManagerOversaw the licensing program and signed the report

Inspection Report

Annual Inspection
Census: 144 Capacity: 177 Deficiencies: 1 Date: 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)
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
NameTitleContext
David ArmourAdministratorNamed in plan of correction agreement for deficiency regarding non-skid mats
Perla ProvencalDirector of Assisted LivingMet with licensing analyst and participated in exit interview
Amy RodgersLicensing Program AnalystConducted the inspection and signed the report
Denise PowellLicensing Program ManagerNamed as supervisor and licensing program manager

Inspection Report

Complaint Investigation
Capacity: 177 Deficiencies: 0 Date: 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.

Complaint Details
The complaint investigation was unsubstantiated based on inconsistent statements, lack of evidence, and no witnesses to corroborate the allegations.
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.

Report Facts
Facility capacity: 177

Employees mentioned
NameTitleContext
Becky KennedyLicensing Program AnalystConducted the complaint investigation and delivered findings
David ArmourAdministratorMet with Licensing Program Analyst during the investigation and received the report

Inspection Report

Complaint Investigation
Census: 307 Capacity: 177 Deficiencies: 0 Date: 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.

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.
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.

Report Facts
Capacity: 177 Census: 307 Date of contractor system check: Oct 4, 2023

Employees mentioned
NameTitleContext
David ArmourExecutive DirectorMet with during investigation and exit interview
Nacole PattersonLicensing Program AnalystConducted the complaint investigation
Lizzette TellezLicensing Program ManagerNamed in report as Licensing Program Manager

Inspection Report

Complaint Investigation
Census: 129 Capacity: 177 Deficiencies: 1 Date: 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.

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.
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.

Deficiencies (1)
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.
Report Facts
Census: 129 Total Capacity: 177 Residents affected: 1 Work orders: 30 Work orders: 1100

Employees mentioned
NameTitleContext
David ArmourExecutive DirectorNamed in relation to findings and exit interview
Carmen LopezLicensing Program AnalystConducted the complaint investigation
Denise PowellLicensing Program ManagerOversaw the complaint investigation
Kristin MolinaEnliven DirectorInterviewed during investigation
Perla ProvencalDirector of Assisted LivingParticipated in exit interview

Inspection Report

Complaint Investigation
Capacity: 177 Deficiencies: 0 Date: 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.

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.
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.

Report Facts
Facility capacity: 177

Employees mentioned
NameTitleContext
David ArmourExecutive DirectorMet with during the investigation and named in the report
Carmen LopezLicensing Program AnalystConducted the complaint investigation
Denise PowellLicensing Program ManagerNamed in the report as Licensing Program Manager
Kristin MolinaEnliven DirectorInterviewed during the investigation
Perla ProvencalDirector of Assisted LivingPresent at exit interview

Inspection Report

Complaint Investigation
Census: 131 Capacity: 177 Deficiencies: 0 Date: 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.

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.
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.

Report Facts
Capacity: 177 Census: 131

Employees mentioned
NameTitleContext
David ArmourExecutive DirectorMet with during investigation and exit interview
Iby StrongLicensing Program AnalystConducted the complaint investigation
Kristen MolinaMemory Care DirectorArrived shortly after investigation began
Simon JacobLicensing Program ManagerNamed in report as Licensing Program Manager

Inspection Report

Census: 90 Capacity: 177 Deficiencies: 1 Date: 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.

Deficiencies (1)
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.
Report Facts
Civil penalty amount: 500 Deficiencies cited: 1

Employees mentioned
NameTitleContext
Dang NguyenLicensing Program AnalystConducted the inspection and authored the report
Lizzette TellezLicensing Program ManagerSupervisor of the inspection
David ArmourAdministratorFacility administrator mentioned in report header
Tasha SmithHuman Resources CoordinatorMet with Licensing Program Analyst during the visit

Inspection Report

Census: 90 Capacity: 177 Deficiencies: 1 Date: Sep 26, 2023

Visit Reason
An unannounced Case Management - Other visit was conducted to review personnel records, interview staff, and assess 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.

Deficiencies (1)
Licensee allowed Staff #1 (S1) to work without obtaining a California criminal record clearance or exemption prior to employment.
Report Facts
Civil penalty amount: 500 Deficiencies cited: 1

Employees mentioned
NameTitleContext
Dang NguyenLicensing Program AnalystConducted the inspection and authored the report
Tasha SmithHuman Resources CoordinatorInterviewed during the visit and received the exit interview

Inspection Report

Census: 41 Capacity: 177 Deficiencies: 0 Date: 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
NameTitleContext
Kristen MolinaEnliven DirectorMet during the visit and exit interview
Cristi OstrengAssistant DirectorMet during the visit and exit interview
Alyssa RamirezLicensing Program AnalystConducted the unannounced case management visit

Inspection Report

Complaint Investigation
Census: 98 Capacity: 177 Deficiencies: 0 Date: 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.

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.
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.

Report Facts
Capacity: 177 Census: 98 Estimated Days of Completion: 0

Employees mentioned
NameTitleContext
Amy DomingoLicensing Program AnalystConducted the complaint investigation visit and delivered findings
John RanteLicensing Program ManagerNamed in the report as Licensing Program Manager
Cristi OstrengDirector of Assisted LivingMet with the Licensing Program Analyst during the investigation and exit interview

Inspection Report

Annual Inspection
Census: 144 Capacity: 177 Deficiencies: 0 Date: 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
NameTitleContext
Kimberly GarciaAdministratorAdministrator met with Licensing Program Analyst and provided the Infection Control Plan.
Tammer de los SantosLicensing Program AnalystConducted the annual required licensing inspection.
Denise PowellLicensing Program ManagerNamed as Licensing Program Manager on the report.

Inspection Report

Complaint Investigation
Census: 142 Capacity: 177 Deficiencies: 0 Date: 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.

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.
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.

Report Facts
Capacity: 177 Census: 142

Employees mentioned
NameTitleContext
Daniel SlaughterExecutive DirectorMet with during investigation and exit interview
Iby StrongLicensing Program AnalystConducted the complaint investigation
John RanteLicensing Program ManagerNamed in report as Licensing Program Manager

Inspection Report

Census: 120 Capacity: 177 Deficiencies: 0 Date: 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
NameTitleContext
Kayla HilarioLicensing Program AnalystConducted the unannounced Case Management Visit
Cristi OstrengDirector of Assisted LivingMet with Licensing Program Analyst during the visit
John RanteLicensing Program ManagerNamed in the report header

Inspection Report

Capacity: 177 Deficiencies: 0 Date: 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
NameTitleContext
Daniel SlaughterAdministratorMet with the inspection team and participated in interviews and exit interview.
Cristi OstrengDirector of Assisted LivingParticipated in interviews during the visit.

Inspection Report

Annual Inspection
Capacity: 177 Deficiencies: 0 Date: 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
NameTitleContext
Daniel SlaughterExecutive DirectorMet with Licensing Program Analyst and discussed the purpose of the visit

Inspection Report

Complaint Investigation
Census: 103 Capacity: 177 Deficiencies: 0 Date: 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.

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.
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.

Employees mentioned
NameTitleContext
Daniel SlaughterExecutive DirectorMet with Licensing Program Analyst during the visit and participated in the exit interview.

Inspection Report

Complaint Investigation
Census: 100 Capacity: 177 Deficiencies: 1 Date: 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.

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.
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.

Deficiencies (1)
Licensee did not ensure Resident #1 was accorded dignity with Staff #1, posing a potential personal rights risk to residents in care.
Report Facts
Capacity: 177 Census: 100 Plan of Correction Due Date: Nov 9, 2020

Employees mentioned
NameTitleContext
Kimberly GarciaAssistant Executive DirectorMet with during investigation and named in plan of correction
Natasha PersaudLicensing Program AnalystEvaluator who conducted the complaint investigation
John RanteSupervisorSupervisor overseeing the investigation

Viewing

Loading inspection reports...