Most inspections found no deficiencies, with the facility consistently meeting licensing requirements and maintaining a clean, well-kept environment. The most recent report from July 24, 2025, was perfect with no deficiencies noted. A single minor deficiency was cited in April 2022 related to a nonfunctioning auditory device following a resident being seen unsupervised outside the facility, which was linked to a power outage affecting alarms. Several complaint investigations, including those about pressure injuries and incontinence care, were unsubstantiated. Overall, the facility’s record shows strong compliance with only one isolated issue that has not recurred in later inspections.
An unannounced annual inspection was conducted by Licensing Program Analyst Nicholas Reed to evaluate compliance with licensing requirements.
Findings
The facility was found to be in compliance with Title 22 regulations with no immediate health or safety hazards noted. All resident and personnel files were complete, emergency equipment was operational, and the facility environment was clean and well-maintained.
Report Facts
Number of bedrooms: 7Number of bathrooms: 5Number of residents with medications reviewed: 3Number of auditory alarms tested: 5Water temperature: 111.6
An unannounced annual inspection was conducted to evaluate the facility's compliance with Title 22 regulations and licensing requirements.
Findings
The facility was found to be in compliance with all applicable regulations with no immediate health or safety hazards noted. All safety equipment and emergency systems were operational, and the environment was clean and well-maintained.
An unannounced annual inspection was conducted to evaluate compliance with licensing regulations and facility conditions.
Findings
The facility was found to be in compliance with Title 22 regulations. No immediate health or safety hazards were noted. The facility was clean, well-maintained, and all safety equipment was operational.
Report Facts
Water temperature: 115.7Number of bedrooms: 7Number of bathrooms: 5Number of residents: 6Facility capacity: 6
An unannounced complaint investigation visit was conducted in response to allegations that residents in care sustained multiple pressure injuries.
Findings
The investigation found that Resident #1 had no pressure wounds during the time in question but had a traumatic wound on the right forearm managed by hospice care. Resident #2 had stage three pressure sores being treated by a home health agency nurse. Staff interviews and resident confirmations indicated regular checks and care for incontinent residents. The allegation was deemed unsubstantiated.
Complaint Details
The complaint alleged that residents sustained multiple pressure injuries. The investigation included record reviews and interviews. The complaint was found unsubstantiated based on evidence that wounds were being properly managed and residents were regularly checked.
Report Facts
Facility capacity: 6Census: 6Complaint receipt date: Nov 15, 2021Resident admission date: Jul 29, 2020Resident admission date: Jan 29, 2021Home health nurse visits per week: 7Wound cleaning frequency per day: 3Wound cleaning frequency per day: 4
Employees Mentioned
Name
Title
Context
Jose Gary Tan
Licensing Program Analyst
Conducted the complaint investigation and delivered findings
Sona Muradyan
Administrator
Met with Licensing Program Analyst during the investigation
An unannounced complaint investigation visit was conducted to investigate an allegation that staff did not meet the incontinence needs of residents in care.
Findings
The investigation found that staff were regularly changing the diapers of incontinent residents as needed, and no evidence was found to substantiate the allegation. Interviews with staff, residents, and administrators supported that residents were not left soiled during the period in question. The allegation was deemed unsubstantiated.
Complaint Details
The complaint alleged that on 11/10/2021, two residents were covered with urine and feces from head to toe. The investigation found no substantiation of this allegation.
Report Facts
Capacity: 6Census: 6
Employees Mentioned
Name
Title
Context
Jose Gary Tan
Licensing Program Analyst
Conducted the complaint investigation visit
Sona Muradyan
Administrator
Met with Licensing Program Analyst during investigation
An unannounced annual inspection was conducted by Licensing Program Analyst Nicholas Reed to evaluate compliance with Title 22 regulations.
Findings
The facility was found to be in compliance with Title 22 regulations. The inspection covered bedrooms, bathrooms, kitchen, laundry, common areas, safety features, outdoor areas, vehicle, and garage, all of which were in good condition and free from hazards.
Report Facts
Water temperature: 105.7Room temperature: 78.8Facility capacity: 6Census: 6
The inspection was an unannounced case management visit triggered by an incident report submitted by the facility regarding a resident seen unsupervised outside the facility.
Findings
The facility was found to be in compliance with Title 22 regulations during the inspection; however, a deficiency was issued for one auditory device that was not functioning properly on 04/17/2022, posing a potential health and safety risk to residents.
Complaint Details
The visit was complaint-related due to an incident where Resident #1 was seen unsupervised outside the facility on 04/17/2022. The incident was attributed in part to a power outage on 04/15/2022 which may have caused alarms to malfunction. The complaint was investigated and a deficiency was cited.
Severity Breakdown
Type B: 1
Deficiencies (1)
Description
Severity
One out of five auditory devices was not functioning properly on 04/17/2022, posing a potential health, safety, and personal rights risk to residents in care.
Type B
Report Facts
Deficiencies cited: 1Census: 6Total capacity: 6
Employees Mentioned
Name
Title
Context
Nicholas Reed
Licensing Program Analyst
Conducted the inspection and authored the report
Tigran Zakharyan
Administrator
Facility administrator met during inspection and provided information
An unannounced infection control visit was conducted as part of the required 1-year routine inspection to verify compliance with the facility's approved COVID-19 mitigation plan.
Findings
The facility was found to be in compliance with infection control measures including visitor screening, availability of handwashing and sanitizing supplies, adequate PPE, and signage for COVID-19 precautions. No deficiencies were cited during the visit.
Employees Mentioned
Name
Title
Context
Sona Muradyan
Administrator
Met with during the inspection and confirmed the facility's approved mitigation plan.
Alexander Pitz
Licensing Program Analyst
Conducted the unannounced infection control visit.
Eva Miller
Licensing Program Manager
Named in the report header.
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