Most inspections found no deficiencies, including the most recent visit on May 20, 2025, which was clean and cleared a prior issue with hot water temperature. Earlier reports cited some deficiencies, primarily related to safety concerns such as unsecured medications and cleaning supplies, locked exit gates, and resident privacy issues from surveillance cameras, with some posing immediate health and safety risks. One complaint investigation in April 2025 about unauthorized medication administration was unsubstantiated. The facility showed improvement over time, with fewer and less severe deficiencies in recent inspections. The only recent issue was a minor hot water temperature exceedance found in May 2025, which was resolved by the following visit.
The visit was an unannounced required annual inspection conducted to evaluate compliance with licensing requirements for the Residential Care Facility for the Elderly.
Findings
The facility was generally found to be in compliance with licensing requirements, with clean and hazard-free resident bedrooms and bathrooms, operational safety equipment, and proper storage of medications and chemicals. One deficiency was cited related to hot water temperature exceeding regulatory limits.
Severity Breakdown
Type B: 1
Deficiencies (1)
Description
Severity
Hot water temperature in the three resident bathrooms measured between 123.6 to 123.8 degrees Fahrenheit, exceeding the maximum allowed temperature of 120 degrees Fahrenheit.
Type B
Report Facts
Hot water temperature: 123.8Facility capacity: 6Resident census: 4Plan of Correction due date: May 16, 2025
Employees Mentioned
Name
Title
Context
Vijay Kanase
Administrator
Assisted with the inspection and was involved in the plan of correction for the hot water temperature deficiency
The inspection was conducted as a Case Management Incident inspection to follow up on an incident report received regarding a family providing unauthorized medication to Resident #1.
Findings
During the visit, the Licensing Program Analyst conducted a health and safety check of the five residents and reviewed Resident #1's records. No deficiencies were cited per Title 22 of the California Code of Regulations.
Complaint Details
The visit was triggered by a complaint involving unauthorized medication administration to Resident #1. The complaint was investigated and no deficiencies were found.
Report Facts
Capacity: 6Census: 5
Employees Mentioned
Name
Title
Context
Vijay Kanase
Administrator
Met with Licensing Program Analyst during inspection and involved in interview regarding incident
The inspection visit was conducted to complete the required 1-Year annual visit for the facility.
Findings
A deficiency was cited related to the care of persons with dementia, specifically the failure to ensure an annual medical assessment and reappraisal for a resident with dementia. The first aid kit and staff and resident files were reviewed, and interviews were conducted.
Deficiencies (1)
Description
Failure to ensure each resident with dementia has an annual medical assessment and reappraisal as required by CCR 87705(c)(5).
Report Facts
Capacity: 6Census: 6Plan of Correction Due Date: Jun 7, 2024
An unannounced required 1-Year annual visit was conducted using the CARE Inspection Tool to evaluate compliance with licensing regulations.
Findings
The facility was found to be sanitary, appropriately furnished, and compliant with Title 22 regulations. Infection control practices, fire safety equipment, and resident and staff files were observed to be in order. Some inspection components will be completed at a later date due to time constraints.
Report Facts
Fire extinguisher service date: Jan 8, 2024Fire/Safety Drill date: Mar 5, 2024Water temperature: 107Facility temperature: 75PPE supply duration: 30Perishable food supply duration: 2Non-perishable food supply duration: 7
Employees Mentioned
Name
Title
Context
Vijay Kanase
Administrator
Met with Licensing Program Analyst during inspection and named in report
Licensing Program Analyst Andrea Mendivil conducted an unannounced visit for the purpose of conducting a required annual inspection of the facility.
Findings
The facility was found to have several deficiencies including unsecured medication and cleaning supplies, presence of surveillance cameras in resident bedrooms, lack of physician's orders for postural supports, locked exit gates, and partial bed rails without physician orders. These deficiencies pose immediate health, safety, and personal rights risks to residents.
Deficiencies (5)
Description
Unsecured medication in the kitchen which poses an immediate health and safety risk to persons in care.
Unsecured cleaning supplies which poses an immediate health and safety risk to persons in care.
Surveillance cameras observed in 2 out of 4 resident bedrooms which poses an immediate personal rights risk to persons in care.
Partial bed rails without physician's orders observed in 2 out of 4 beds which poses a potential health and safety risk to persons in care.
Two exit gates in backyard were locked which poses an immediate health and safety risk to persons in care.
Report Facts
POC Due Date: May 17, 2022Residents present: 3Bedrooms: 4Bathrooms: 3Exit gates locked: 2
Employees Mentioned
Name
Title
Context
Andrea Mendivil
Licensing Program Analyst
Conducted the inspection and cited deficiencies
Vijay Kanase
Administrator
Facility administrator present during the inspection
Flor De Guzman
Caregiver
Staff member who greeted the Licensing Program Analyst and assisted during the tour
This unannounced inspection was conducted by Licensing Program Analysts for the purpose of conducting an Annual Inspection of the facility.
Findings
The facility was generally clean and organized with residents doing well; however, deficiencies were cited due to toxins, knives, medications, and other dangerous items being accessible to residents in 2 out of 11 rooms, posing an immediate health and safety risk.
Deficiencies (1)
Description
Licensee did not ensure toxins, knives, medications, and other dangerous items were inaccessible to residents in 2 out of 11 rooms, posing an immediate health and safety risk.
Report Facts
Deficiency count: 1POC Due Date: May 26, 2021
Employees Mentioned
Name
Title
Context
Vijay Kanase
Administrator
Met with Licensing Program Analysts during inspection and involved in securing dangerous items.
Sean Haddad
Licensing Program Analyst
Conducted inspection and authored report.
Marina Stanic
Licensing Program Manager
Supervisor overseeing inspection.
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