Most inspections found no deficiencies, and several complaint investigations were unsubstantiated, indicating generally good compliance with regulations. However, the facility had some isolated issues, including a substantiated failure to provide timely emergency medical assistance in May 2025 that resulted in a resident’s death, and maintenance problems such as a broken window and other repairs noted in the most recent report from October 13, 2025. There was also a substantiated incident of financial abuse by a staff member reported in late 2024, along with a deficiency for failing to submit an incident report on time. The most recent inspection on October 13, 2025, found one deficiency related to facility maintenance and safety but no immediate harm-level findings or fines were listed in the available reports. While some serious events occurred in the past, recent investigations show improvement in complaint outcomes, though maintenance issues remain a concern.
Deficiencies (last 3 years)
Deficiencies (over 3 years)1.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
58% better than California average
California average: 4 deficiencies/year
Deficiencies per year
43210
2023
2024
2025
Census
Latest occupancy rate84% occupied
Based on a October 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
An unannounced Case Management - Deficiencies visit was conducted in conjunction with Complaint Control #31-AS-20251003161950 to investigate reported issues at the facility.
Findings
The inspection found that bedroom 50 had a broken window covered with a wooden board that had been unrepaired for several months, and bedroom 68 had multiple maintenance issues including only one functioning light bulb in the bathroom, a broken shower head, and a broken bed frame propped up with a box of cans. Residents reported these issues had been communicated but not corrected for over a year.
Complaint Details
The visit was conducted in conjunction with Complaint Control #31-AS-20251003161950. The complaint was substantiated as deficiencies were found.
Severity Breakdown
Type B: 1
Deficiencies (1)
Description
Severity
Facility was not clean, safe, sanitary, and in good repair as evidenced by broken window in room 50 and maintenance issues in room 68 posing potential health, safety, or personal rights risks.
Type B
Report Facts
Deficiencies cited: 1Capacity: 199Census: 168
Employees Mentioned
Name
Title
Context
Stephanie Oden
Administrator
Met with Licensing Program Analyst during inspection and named in report
Evelin Rios
Licensing Program Analyst
Conducted the inspection visit and signed the report
The visit was an unannounced complaint investigation triggered by an allegation that staff opened residents' mail and packages without the residents' consent.
Findings
The investigation found that mailboxes were secured with keys and numbered by room. Staff assist residents who need help with their keys, and residents confirmed no issues with mail being opened by staff. The allegation was unsubstantiated based on observations and interviews.
Complaint Details
The complaint alleged that staff opened residents' mail and packages without consent. Interviews with staff and residents, as well as physical observations, did not substantiate the allegation.
Report Facts
Staff interviewed: 4Residents interviewed: 17Residents confirming no issue: 15
Employees Mentioned
Name
Title
Context
Gina Saucedo
Licensing Program Analyst
Conducted the complaint investigation and authored the report
Angela Smith
Administrator
Facility administrator who met with the Licensing Program Analyst during the investigation
An unannounced complaint investigation visit was conducted to investigate the allegation that staff do not communicate with the responsible party regarding a resident's care.
Findings
The investigation found that the facility staff have communicated all aspects of the resident's care with the responsible party, and the allegation was deemed unsubstantiated.
Complaint Details
The complaint alleged that staff did not communicate with the responsible party regarding Resident #1's care. After interviews with the administrator, staff, and resident, and review of records, the allegation was found to be unsubstantiated.
Report Facts
Capacity: 199Census: 178
Employees Mentioned
Name
Title
Context
Angela Smith
Administrator
Met with during the investigation and provided information regarding communication with the responsible party
An unannounced complaint investigation visit was conducted to investigate allegations that staff did not ensure the personal property of a resident was safely secured.
Findings
The investigation found that although the allegation may have occurred, there was insufficient evidence to verify that the facility failed to safeguard the resident's personal belongings. The allegation was deemed unsubstantiated.
Complaint Details
The complaint alleged that Resident #2 stole gold coins from Resident #1 when hired to clean their closet. The police investigation concluded with the coins returned to Resident #1. Interviews and record reviews did not substantiate the facility's failure to safeguard belongings.
An unannounced complaint investigation visit was conducted due to an allegation that facility staff did not seek timely medical attention for a resident in care.
Findings
The investigation found that the allegation was unsubstantiated. Interviews with the Executive Director, Wellness Director, Engagement Director, and residents indicated that the resident did not report symptoms to staff on the alleged date, and prior medical concerns had been addressed promptly.
Complaint Details
The complaint alleged that on 06/05/2025, facility staff sent Resident #1 to the senior program with constipation and neck pain without providing medical attention. The investigation revealed that Resident #1 did not report these symptoms to staff on that date, and previous medical issues were addressed immediately. Sixteen residents interviewed expressed no concerns. The allegation was deemed unsubstantiated.
The visit was an unannounced complaint investigation initiated due to an allegation that facility staff did not provide a copy of the admission agreement to a resident.
Findings
The investigation found that staff did provide a copy of the admission agreement to the resident, but the resident refused to take it due to a dispute over cost sharing. Other residents confirmed receiving their admission agreements. The allegation was determined to be unsubstantiated with no health and safety issues noted.
Complaint Details
The complaint was unsubstantiated. The allegation was that facility staff did not provide a copy of the admission agreement to resident #1 (R1). Interviews and records review showed staff did provide the copy, but R1 refused it. Other residents confirmed receiving copies. No health and safety issues were found.
Deficiencies (1)
Description
Facility staff did not provide a copy of admission agreement to resident
Report Facts
Capacity: 199Census: 173Residents interviewed: 17
Employees Mentioned
Name
Title
Context
Antonia Alvizar-Ettima
Licensing Program Analyst
Conducted the complaint investigation and unannounced visit
Maya Mnoyan
Administrator
Facility administrator met during the investigation
The inspection was an unannounced complaint investigation visit triggered by allegations that staff failed to provide emergency medical services in a timely manner and did not respond promptly to a resident's call pendant.
Findings
The complaint that staff failed to provide timely emergency medical services was substantiated, with evidence showing delayed 911 call for a resident who was vomiting and weak. The allegation regarding delayed response to call pendants was unsubstantiated, with staff response times within 14 minutes and no resident concerns noted.
Complaint Details
The complaint investigation was initiated due to allegations that staff failed to provide emergency medical services timely and did not respond promptly to a resident's call pendant. The emergency medical services allegation was substantiated; the call pendant response allegation was unsubstantiated. The resident involved (R1) had been vomiting since 7:00 p.m. on 06/21/24, but 911 was not called until 11:00 p.m. R1 passed away on 06/22/24.
Severity Breakdown
Type A: 1
Deficiencies (1)
Description
Severity
Licensee did not ensure to provide immediate emergency medical assistance to resident (R1), who appeared to be weak and vomiting, posing an immediate health and safety risk.
The visit was an unannounced complaint investigation conducted in response to allegations received on 2025-04-14 regarding staff response to emergency alerts, provision of medical attention, and room maintenance at the facility.
Findings
The investigation found insufficient evidence to substantiate the allegations. Interviews with residents and staff, as well as record reviews, indicated that staff responded to emergency alerts, provided medical attention when needed, and maintained residents' rooms properly. No health and safety hazards were noted during the visit.
Complaint Details
The complaint included three allegations: 1) staff did not respond timely to a resident's emergency alerts, 2) staff did not provide required medical attention to a resident, and 3) staff did not properly maintain a resident's room. All allegations were found to be unsubstantiated based on interviews and record reviews.
Report Facts
Residents interviewed: 11Staff interviewed: 6
Employees Mentioned
Name
Title
Context
Angela Smith
Executive Director
Met with Licensing Program Analyst during the investigation and named in the report
The inspection was a required unannounced one-year visit to evaluate compliance with licensing requirements at the assisted living facility.
Findings
The facility was found to be generally compliant with no health and safety hazards noted. The physical plant was toured, medication was inaccessible to residents, first aid kits were complete, and environmental conditions such as temperature and cleanliness were adequate.
Report Facts
Licensed capacity: 199Current census: 169Non-ambulatory capacity: 100Bedridden capacity: 30Hospice waiver capacity: 30Food stock duration (perishable): 2Food stock duration (non-perishable): 7Hot water temperature: 117.8Fire extinguisher last inspection date: Oct 21, 2024
Employees Mentioned
Name
Title
Context
Angela Smith
Executive Director
Met with Licensing Program Analyst during inspection
The inspection visit was conducted as an unannounced complaint investigation regarding an allegation that the facility elevator was in disrepair and not working, affecting residents who use wheelchairs on the third floor.
Findings
The Licensing Program Analyst observed the elevator to be working, conducted 17 interviews with residents and 3 with staff, all confirming the elevator was operational and that residents on the second and third floors did not use wheelchairs. The allegation was found to be unsubstantiated, no citations were issued.
Complaint Details
The complaint alleged that the facility elevator was in disrepair and not working, impacting residents using wheelchairs on the third floor. The investigation found the elevator operational and the allegation unsubstantiated.
Report Facts
Number of resident interviews: 17Number of staff interviews: 3
Employees Mentioned
Name
Title
Context
Gina Saucedo
Licensing Program Analyst
Conducted the complaint investigation and physical tour
Angela Smith
Administrator
Met with Licensing Program Analyst during the investigation
An unannounced complaint investigation visit was conducted to investigate allegations that staff did not follow up with a resident's medical coverage.
Findings
The investigation found that the resident's issue with medical coverage was a mix-up that was resolved immediately, and the resident received needed care. Staff assist residents with appointments and insurance management, and no health or safety hazards were noted. The allegation was unsubstantiated.
Complaint Details
The complaint alleged that staff did not follow up with Resident #1's HMO insurance coverage. Interviews with residents and staff revealed the resident had an expired HMO card but was rescheduled and received treatment. The allegation was unsubstantiated due to insufficient evidence.
Report Facts
Capacity: 199Census: 173Complaint Control Number: 31Number of residents interviewed: 3Number of staff interviewed: 2Days rescheduled after error: 2
Employees Mentioned
Name
Title
Context
Angela Smith
Executive Director
Met with Licensing Program Analyst during investigation
An unannounced Case Management visit was conducted to address an incident of alleged financial abuse by Staff #1 involving multiple residents, with police reports filed by some residents.
Findings
The investigation confirmed financial abuse involving six residents, with four interviewed victims confirming abuse. The facility failed to submit an incident report timely for the 09/25/2024 incident. No other health and safety hazards were noted during the visit.
Complaint Details
The visit was complaint-related due to allegations of financial abuse by Staff #1 involving six residents, with three residents filing police reports. Four of six alleged victims were interviewed and confirmed some form of financial abuse. The investigation is ongoing with unknown dollar amounts involved.
Severity Breakdown
Type A: 1
Deficiencies (1)
Description
Severity
Failure to submit an incident report within 24 hours as required for occurrences threatening the welfare of residents; incident report was submitted late on 10/24/2024.
Type A
Report Facts
Number of residents involved in alleged abuse: 6Number of residents who filed police reports: 3Number of residents interviewed: 4Plan of Correction due date: Oct 26, 2024Census: 158Total capacity: 199
Employees Mentioned
Name
Title
Context
Angela Smith
Executive Director
Met with Licensing Program Analyst and provided statements regarding the incident
Abeye Duguma
Licensing Program Analyst
Conducted the unannounced Case Management visit and investigation
The visit was an unannounced complaint investigation triggered by an allegation that staff did not provide adequate supervision, resulting in a resident eloping from the facility.
Findings
The investigation found that Resident #1 was independent and authorized to leave the facility unassisted. Staff interviews and record reviews indicated the incident was isolated, and there was insufficient evidence to substantiate the allegation. No health and safety hazards were noted during the visit.
Complaint Details
The allegation that staff did not provide adequate supervision resulting in resident eloping was investigated and found to be unsubstantiated.
Report Facts
Capacity: 199
Employees Mentioned
Name
Title
Context
Abeye Duguma
Licensing Program Analyst
Conducted the complaint investigation visit
Maya Mnoyan
Administrator
Facility administrator named in the report
Brandy Rangel
Assistant Administrator
Met with Licensing Program Analyst during the visit
An unannounced complaint investigation visit was conducted in response to an allegation that facility staff did not provide a copy of the admission agreement to a resident.
Findings
The investigation found that staff did provide a copy of the admission agreement to the resident, and records confirmed this. The allegation was determined to be unsubstantiated with no health or safety issues noted during the visit.
Complaint Details
The complaint alleged that facility staff did not provide a copy of the admission agreement to a resident. The allegation was unsubstantiated based on staff interviews and record reviews.
Report Facts
Capacity: 199Census: 156
Employees Mentioned
Name
Title
Context
Rosaura Valenzuela
Licensing Program Analyst
Conducted the complaint investigation visit
Brandy Rangel
Assistant Administrator
Met with Licensing Program Analyst during the investigation
An unannounced complaint investigation was conducted due to allegations that facility staff did not respond in a timely manner to a resident's call pendant and failed to provide emergency medical services promptly.
Findings
Based on interviews and records review, there was insufficient information to support the allegations. The resident was monitored frequently, and emergency services were called appropriately when the resident showed signs of distress. No health and safety issues were noted at the time of the visit.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included delayed staff response to a resident's call pendant and failure to provide timely emergency medical services. Interviews and record reviews did not support these allegations.
Report Facts
Capacity: 199Census: 154
Employees Mentioned
Name
Title
Context
Rosaura Valenzuela
Licensing Program Analyst
Conducted the complaint investigation
Brandy Rangel
Assistant Administrator
Met with the Licensing Program Analyst during the investigation
An unannounced complaint investigation was conducted to investigate allegations that staff mismanaged a resident's medication and did not meet the resident's medical needs.
Findings
The investigation found that the facility followed all physician orders and properly assisted the resident with their medication and medical needs. Both allegations were deemed unsubstantiated. No immediate health and safety risks were observed during the visit.
Complaint Details
The complaint involved allegations of medication mismanagement and failure to meet medical needs. After interviews and record reviews, both allegations were found unsubstantiated.
Report Facts
Facility capacity: 199Resident census: 143Medication dosage change: 1000Medication dosage change: 800Lab appointment dates: Jun 18, 2024Lab appointment dates: Jun 21, 2024Lab results received date: Jun 24, 2024
Employees Mentioned
Name
Title
Context
Nicholas Reed
Licensing Program Analyst
Conducted the complaint investigation and authored the report
Maya Mnoyan
Administrator
Facility administrator mentioned in relation to investigation
Brandy Rangel
Met with Licensing Program Analyst during the visit
An unannounced complaint investigation was conducted regarding an allegation that staff did not prevent an altercation between residents.
Findings
The investigation found that staff did not intervene in time to prevent a physical altercation between Resident #1 and Resident #2. The allegation was substantiated, and a deficiency was cited related to personal rights of residents.
Complaint Details
The complaint alleged that staff did not prevent an altercation between residents. The allegation was substantiated based on interviews and record review. Staff failed to intervene in time to prevent the altercation between Resident #1 and Resident #2. The facility has agreed to update service plans and schedule staff training.
Severity Breakdown
Type B: 1
Deficiencies (1)
Description
Severity
Failure to ensure residents were accorded safe, healthful and comfortable accommodations as staff did not intervene to prevent an altercation between residents.
Type B
Report Facts
Residents involved in altercation: 2Residents interviewed: 3Staff interviewed: 4Deficiency count: 1Facility census: 143Facility capacity: 199Plan of Correction due date: Jul 26, 2024
Employees Mentioned
Name
Title
Context
Nicholas Reed
Licensing Program Analyst
Conducted the complaint investigation and authored the report
An unannounced complaint investigation visit was conducted in response to an allegation that staff did not safeguard residents' belongings.
Findings
The investigation found insufficient information to support the allegation. Resident #1 left the facility before completing admission and their belongings were placed in facility storage. No health and safety issues were noted.
Complaint Details
The complaint alleging staff did not safeguard residents' belongings was unsubstantiated.
Report Facts
Capacity: 199Census: 151
Employees Mentioned
Name
Title
Context
Rosaura Valenzuela
Licensing Program Analyst
Conducted the complaint investigation visit
Nilda Mercado
Business Office Manager
Met with the Licensing Program Analyst during the investigation
An unannounced complaint investigation visit was conducted in response to an allegation that staff does not provide a safe environment for residents.
Findings
The investigation found insufficient information to support the allegation. Interviews and record reviews confirmed that the alleged resident was not present at the facility during the visit and staff were not aware of any threats or assaults. No health and safety issues were noted at the time of the visit.
Complaint Details
The allegation that staff does not provide a safe environment for a resident was unsubstantiated after investigation. Resident #1 was out of the community due to being a danger to others and placed on a 5150 hold. Staff reported no knowledge of any threats or assaults against the resident.
Report Facts
Facility capacity: 199
Employees Mentioned
Name
Title
Context
Rosaura Valenzuela
Licensing Program Analyst
Conducted the complaint investigation visit
Brandy Rangel
Assistant Administrator
Met with Licensing Program Analyst during the visit
An unannounced complaint investigation visit was conducted due to allegations of lack of supervision resulting in resident assaults and staff not providing a safe environment for residents.
Findings
The investigation found insufficient evidence to substantiate the allegations. One resident was hospitalized after an altercation, but staff intervened promptly and residents reported feeling safe. No health and safety issues were noted at the time of the visit.
Complaint Details
The complaint involved allegations of lack of supervision leading to resident assaults and unsafe environment. The allegations were found to be unsubstantiated based on interviews and records review.
Report Facts
Capacity: 199Census: 154
Employees Mentioned
Name
Title
Context
Rosaura Valenzuela
Licensing Program Analyst
Conducted the complaint investigation visit
Brandy Rangel
Assistant Administrator
Met with Licensing Program Analyst during the visit
An unannounced complaint investigation visit was conducted in response to an allegation that the licensee does not allow a resident to have a cat.
Findings
The investigation found that the resident's medical doctor stated the resident is not capable of caring for service animals, and staff explained this to the resident and their case manager. Facility records confirmed this information. The allegation was unsubstantiated.
Complaint Details
The complaint alleged that the licensee does not allow a resident to have a cat. The allegation was found to be unsubstantiated based on staff interviews and record review.
Report Facts
Facility capacity: 199
Employees Mentioned
Name
Title
Context
Rosaura Valenzuela
Licensing Program Analyst
Conducted the complaint investigation visit
Brandy Rangel
Assistant Administrator
Met with the Licensing Program Analyst during the investigation
An unannounced complaint investigation was conducted due to an allegation that a resident was able to leave the facility unassisted because of lack of supervision.
Findings
The investigation found that Resident #1 left the facility unassisted before completing admission paperwork. Records and staff interviews confirmed the resident is ambulatory and the facility is not locked down. The allegation was unsubstantiated with no health or safety issues noted at the time of the visit.
Complaint Details
The complaint alleged lack of supervision allowing a resident to leave unassisted. The allegation was found unsubstantiated based on interviews and records review.
Report Facts
Capacity: 199Census: 149
Employees Mentioned
Name
Title
Context
Rosaura Valenzuela
Licensing Program Analyst
Conducted the complaint investigation visit
Brandy Rangel
Assistant Administrator
Met with Licensing Program Analyst during investigation
Aaron Khodorkovsky
Administrator
Facility administrator named in report header
Naira Margaryan
Licensing Program Manager
Named in report as Licensing Program Manager
Inspection Report Original LicensingCensus: 143Capacity: 199Deficiencies: 0Feb 22, 2024
Visit Reason
The visit was an announced Pre-Licensing inspection conducted to evaluate the facility for licensing approval.
Findings
The facility was toured and inspected including the kitchen, bedrooms, bathrooms, medication room, common areas, and surroundings. No deficiencies were found and the facility met all requirements for pre-licensing.
Report Facts
Facility capacity: 199Census: 143Hot water temperature: 119.9Fire extinguisher last serviced date: Nov 19, 2023Inspection start time: 1030Inspection end time: 1639
Employees Mentioned
Name
Title
Context
Aaron Khodorkovsky
Administrator
Met with Licensing Program Analysts during inspection
Rosaura Valenzuela
Licensing Program Analyst
Conducted the inspection and signed the report
Abeye Duguma
Licensing Program Analyst
Conducted the inspection
Naira Margaryan
Licensing Program Manager
Named in report header
Inspection Report Original LicensingCensus: 126Capacity: 199Deficiencies: 0Nov 30, 2023
Visit Reason
The visit was conducted as a Component II evaluation for a Change in Ownership (CHOW) application for a Residential Care Facility for Elderly (RCFE).
Findings
The Component II evaluation was completed successfully, confirming that the Applicant and Administrator understand the community care facility licensing laws and regulations, including facility operation, admission policies, staffing, health conditions, emergency preparedness, complaints and reporting, and pre-licensing readiness.
Employees Mentioned
Name
Title
Context
Aaron Khodorkovsky
Administrator
Administrator participating in Component II evaluation
Steven Atlas
Applicant
Applicant participating in Component II evaluation
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