Inspection Report Summary
Most inspections found no deficiencies, and several complaint investigations were unsubstantiated, indicating generally good compliance. The most recent report from May 6, 2025, did identify one deficiency related to the facility’s failure to provide a resident file copy within the required two business days, which posed a potential risk to residents’ rights. Earlier reports noted isolated issues including a staff member using inappropriate language toward a resident in October 2024, which resulted in staff termination and a citation for personal rights violation, as well as some minor problems with medication recordkeeping and food service storage. There were no fines, license suspensions, or severe enforcement actions listed in the available reports. The facility’s record shows improvement over time, with the latest annual inspection in February 2025 having no deficiencies.
Deficiencies (last 5 years)
Deficiencies (over 5 years)
1.4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
65% better than California average
California average: 4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
75% occupied
Based on a May 2025 inspection.
Census over time
Inspection Report
Complaint Investigation
Census: 45
Capacity: 60
Deficiencies: 1
Date: May 6, 2025
Visit Reason
This was an unannounced complaint investigation visit triggered by a complaint received on 2025-04-07 regarding the facility's failure to provide a resident file as requested.
Complaint Details
The complaint was substantiated based on interviews and records review. The facility failed to provide requested resident records within the required timeframe, violating Health and Safety Code 1569.269(a)(21).
Findings
The investigation substantiated that the facility did not provide a copy of the resident file to the resident or responsible party within the required two business days, violating Health and Safety Code 1569.269(a)(21). The delay posed a potential risk to residents' health, safety, or personal rights.
Deficiencies (1)
Facility did not provide resident file copies within two business days as required, with copies requested on 2025-03-17 but not provided until 2025-04-12.
Report Facts
Census: 45
Total Capacity: 60
Deficiency count: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Daiquiri Boyd | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Constance Peters | Administrator | Facility administrator involved in the investigation and responsible for providing requested documents |
Inspection Report
Annual Inspection
Census: 42
Capacity: 60
Deficiencies: 0
Date: Feb 24, 2025
Visit Reason
The inspection was a required annual unannounced visit conducted by Licensing Program Analysts to evaluate compliance with regulatory requirements.
Findings
The facility was toured inside and out, including checks of water temperatures, fire extinguishers, kitchens, medication storage, bedrooms, and smoke/carbon monoxide detectors. All required documentation was reviewed and found to be updated and in place. No deficiencies were cited during this inspection.
Report Facts
Water temperature range: 107.6
Water temperature range: 114.5
Fire extinguisher last service date: Mar 14, 2024
Smoke detector inspection date: Jun 19, 2024
Number of updated forms to submit: 9
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Constance Peters | Administrator | Met with Licensing Program Analysts during inspection and exit interview |
| Rachel A Bruce | Licensing Program Analyst | Conducted the inspection |
| Sergiy Pidgirny | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Annual Inspection
Census: 42
Capacity: 60
Deficiencies: 0
Date: Feb 24, 2025
Visit Reason
Licensing Program Analysts conducted an unannounced visit to the facility to perform an Annual Inspection.
Findings
The Licensing Program Analysts toured the three facility buildings with the Administrator and completed a file review for staff and clients. Documentation of the facility tour was done separately.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Constance Peters | Administrator | Met with Licensing Program Analysts during the inspection. |
| Daiquiri Boyd | Licensing Program Analyst | Conducted the inspection visit. |
| Rachel Bruce | Licensing Program Analyst | Conducted the inspection visit and documented the facility tour. |
| Sergiy Pidgirny | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Capacity: 60
Deficiencies: 0
Date: Dec 5, 2024
Visit Reason
An unannounced visit was conducted to check the facility and records to verify that an employee named Tiana Gilbert was not employed or present on the premises.
Findings
The individual named Tiana Gilbert has not been employed at the facility since January 5, 2024, and was only employed for approximately two weeks in 2023.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Daiquiri Boyd | Licensing Program Analyst | Conducted the unannounced visit to verify employee status. |
| Constance Peters | Administrator/Director | Facility representative met during the visit. |
Inspection Report
Complaint Investigation
Census: 43
Capacity: 60
Deficiencies: 0
Date: Oct 18, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to multiple allegations received on 2024-05-29 regarding staff neglect, medication mishandling, inadequate care, and facility maintenance issues.
Complaint Details
The complaint investigation was unsubstantiated for allegations including staff neglect causing a resident fracture, improper medication handling, inadequate care and supervision, failure to report incidents, insufficient staff training, failure to prevent altercations, delayed response to resident alerts, and delayed medical attention. The allegations regarding pest control and facility maintenance were found to be unfounded.
Findings
The investigation found insufficient evidence to substantiate the allegations related to resident care and medication administration, resulting in an unsubstantiated finding. Additionally, allegations regarding pest control and facility maintenance were found to be unfounded with no deficiencies cited.
Report Facts
Capacity: 60
Census: 43
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Constance Peters | Administrator | Met with during the investigation and named in the report |
| Melinda Medina | Licensing Program Analyst | Conducted the complaint investigation visit |
Inspection Report
Complaint Investigation
Census: 41
Capacity: 60
Deficiencies: 1
Date: Oct 1, 2024
Visit Reason
The visit was an unannounced case management incident inspection to discuss an incident reported on September 26, 2024, involving a staff member using inappropriate language toward a resident.
Complaint Details
The visit was complaint-related due to an incident report alleging inappropriate language used by a staff member toward a resident. The allegation was investigated, and although the administrator could not confirm the events, the staff was terminated. A citation was issued for personal rights violation.
Findings
The investigation found that a staff member spoke inappropriately to a resident by calling them a derogatory name, which posed a potential immediate health, safety, or personal rights risk. The staff member was terminated, and a citation was issued for a personal rights violation.
Deficiencies (1)
Staff 1 speaking inappropriately to resident by calling resident a "fucking bitch", which poses a potential immediate health, safety, or personal rights risk to residents in care.
Report Facts
Capacity: 60
Census: 41
Deficiency Type B count: 1
Plan of Correction Due Date: Due date for Plan of Correction is 10/15/2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Constance Peters | Administrator | Met with Licensing Program Analyst and involved in investigation and exit interview |
| Daiquiri Boyd | Licensing Program Analyst | Conducted the inspection, interviews, and issued citation |
| Sergiy Pidgirny | Licensing Program Manager | Supervisor of the inspection |
Inspection Report
Census: 46
Capacity: 60
Deficiencies: 0
Date: May 31, 2024
Visit Reason
An unannounced Case Management visit was conducted to assess the facility's compliance and resident health status.
Findings
No deficiencies were observed or cited during the visit. The facility's exits were open and free of obstruction, and no hazards were noted.
Report Facts
Residents on hospice: 4
Residents receiving home health services: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Constance Peters | Administrator | Met with Licensing Program Analyst during the visit |
| Melinda Medina | Licensing Program Analyst | Conducted the unannounced Case Management visit |
Inspection Report
Complaint Investigation
Census: 47
Capacity: 60
Deficiencies: 0
Date: Feb 27, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2024-01-26 regarding staff not safeguarding residents' personal belongings, inadequate food service, failure to notify authorized representatives of condition changes, and untimely assistance with bathing.
Complaint Details
The complaint investigation was unsubstantiated as there was insufficient evidence to prove the alleged violations occurred. Allegations included failure to safeguard belongings, inadequate food service, failure to notify authorized representatives, and untimely bathing assistance.
Findings
The investigation found no supportive evidence to substantiate any of the allegations. Observations, interviews, and record reviews indicated that staff safeguarded belongings, provided adequate food service, notified representatives appropriately, and assisted residents with bathing in a timely manner. No deficiencies were cited.
Report Facts
Capacity: 60
Census: 47
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Constance Peters | Facility Administrator | Met with Licensing Program Analyst during investigation and exit interview |
| Miriam Flores | Licensing Program Analyst | Conducted the complaint investigation and signed the report |
| Sergiy Pidgirny | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Annual Inspection
Census: 46
Capacity: 60
Deficiencies: 1
Date: Feb 21, 2024
Visit Reason
The inspection visit was an unannounced continuation of the annual inspection to evaluate compliance with licensing regulations.
Findings
Deficiencies were cited related to food service requirements, specifically the improper storage of soaps, detergents, and cleaning compounds with food supplies. A Plan of Correction was developed with the administrator during the exit interview.
Deficiencies (1)
Soaps, detergents, cleaning compounds or similar substances were not stored in areas separate from food supplies, violating CCR 87555(b)(25).
Report Facts
Persons affected: 46
Total capacity: 60
Census: 46
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Constance Peters | Administrator | Met with Licensing Program Analyst and involved in Plan of Correction development |
| Miriam Flores | Licensing Program Analyst | Conducted the inspection and authored the report |
| Sergiy Pidgirny | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Annual Inspection
Census: 46
Capacity: 60
Deficiencies: 0
Date: Feb 20, 2024
Visit Reason
The visit was an unannounced required annual inspection conducted by the Licensing Program Analyst to evaluate compliance with licensing regulations.
Findings
The Licensing Program Analyst toured the facility, checked water temperatures, fire extinguishers, kitchens, medication storage, bedrooms, and smoke detectors. No deficiencies or citations were issued at this time due to time constraints, and the inspection will be completed on a later date.
Report Facts
Water temperature range: 112.6
Water temperature range: 119.6
Fire extinguisher last service date: Apr 13, 2023
Smoke detector inspection date: Feb 16, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Constance Peters | Administrator | Met with Licensing Program Analyst during inspection and exit interview |
| Miriam Flores | Licensing Program Analyst | Conducted the annual inspection visit |
| Sergiy Pidgirny | Licensing Program Manager | Named in report header |
Inspection Report
Complaint Investigation
Census: 44
Capacity: 60
Deficiencies: 0
Date: Feb 6, 2024
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations received on 2023-12-01 regarding staff mistreatment and neglect of residents at Magnolia Crossing facility.
Complaint Details
The complaint included allegations of staff handling residents roughly, emotional abuse, failure to assist with ambulating, personal care, and incontinence needs, and inappropriate speech to residents. The investigation found no substantiated evidence to support these allegations.
Findings
The investigation included interviews, observations, and record reviews. No preponderance of evidence was found to substantiate the allegations of rough handling, emotional abuse, lack of assistance with ambulating, personal care, incontinence needs, or inappropriate speech by staff. The allegations were determined to be unsubstantiated and no deficiencies were cited.
Report Facts
Capacity: 60
Census: 44
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Constance Peters | Facility Administrator | Met with Licensing Program Analyst during investigation and exit interview |
| Miriam Flores | Licensing Program Analyst | Conducted the complaint investigation |
| Sergiy Pidgirny | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 46
Capacity: 60
Deficiencies: 0
Date: Dec 8, 2023
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations received on 2023-10-13 regarding medication administration, assistance with physical therapy, mobility needs, and modified dietary needs at Magnolia Crossing facility.
Complaint Details
The complaint was unsubstantiated/unfounded after investigation. Allegations included failure to administer medications as prescribed, failure to assist with physical therapy and mobility needs, and failure to meet modified dietary needs. No preponderance of evidence was found to prove violations.
Findings
The investigation found insufficient evidence to substantiate the allegations. It was unclear whether staff failed to administer medications, assist with physical therapy, or assist with mobility needs. The complaint regarding modified dietary needs was found to be unfounded. No deficiencies were cited.
Report Facts
Capacity: 60
Census: 46
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Constance Peters | Administrator | Met during investigation and exit interview |
| Miriam Flores | Licensing Program Analyst | Conducted the complaint investigation |
| Sergiy Pidgirny | Licensing Program Manager | Named in report header and signature |
Inspection Report
Follow-Up
Census: 40
Capacity: 60
Deficiencies: 0
Date: Sep 12, 2023
Visit Reason
The visit was a case management follow-up on SOC341 conducted by the Licensing Program Analyst to review resident files and assess compliance.
Findings
During the visit, the resident file for R1 was reviewed and no citations were issued. The report was provided to the Administrator.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Miriam Flores | Licensing Program Analyst | Conducted the case management follow-up visit. |
| Krista Mildebrand | Resident Care Coordinator | Met with Licensing Program Analyst during the visit. |
| Constance Peters | Administrator | Met with Licensing Program Analyst during the visit. |
Inspection Report
Complaint Investigation
Census: 40
Capacity: 60
Deficiencies: 0
Date: Aug 4, 2023
Visit Reason
Unannounced complaint investigation visit conducted in response to allegations that staff did not seek medical attention for a resident and did not dispense residents' medication as prescribed.
Complaint Details
The complaint was unsubstantiated. Although the allegations may have occurred, there was not a preponderance of evidence to prove the alleged violations did or did not occur.
Findings
The investigation found that the Medication Administration Records contained several errors and it was unclear if medication errors or lack of medical attention occurred. Based on interviews and documentation reviewed, both allegations were unsubstantiated due to insufficient evidence.
Report Facts
Capacity: 60
Census: 40
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sarah Hurt | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Constance Peters | Facility Administrator | Met with Licensing Program Analyst during the investigation and exit interview |
Inspection Report
Census: 41
Capacity: 60
Deficiencies: 1
Date: Aug 4, 2023
Visit Reason
The visit was a Case Management - Other type inspection conducted to review the facility's medication administration records and overall medication tracking system.
Findings
The Licensing Program Analyst observed that the facility's medication tracking system was unorganized, with missing medication technician signatures, extra signatures, and crossed out information on medication administration records without proper documentation. Technical assistance was provided to the administrator.
Deficiencies (1)
Medication tracking system is unorganized, missing medication technician signatures, extra signatures documented, and crossed out information without explanation on Medication Administration Records.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sarah Hurt | Licensing Program Analyst | Conducted the inspection and observed medication tracking deficiencies. |
| Constance Peters | Administrator | Met with Licensing Program Analyst during inspection and was advised on medication tracking issues. |
Inspection Report
Complaint Investigation
Census: 42
Capacity: 60
Deficiencies: 0
Date: Jul 17, 2023
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations including staff using profanity toward residents, falsifying resident records, engaging in inappropriate activities in front of residents, multiple residents developing stage 4 pressure injuries due to lack of repositioning, staff not providing meals, and a resident's dog disrupting others.
Complaint Details
The complaint was unsubstantiated and unfounded. Allegations included staff using profanity, falsifying records, inappropriate activities, failure to reposition residents causing pressure injuries, failure to provide meals, and a disruptive resident's dog. The reporting party was anonymous and no contact information was provided for follow-up. Evidence did not support the allegations.
Findings
The investigation included interviews, observations, and record reviews. No evidence was found to substantiate the allegations. Residents and witnesses did not report or observe the alleged behaviors or conditions. The complaint was determined to be unsubstantiated or unfounded due to lack of evidence.
Report Facts
Capacity: 60
Census: 42
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Darius Williams | Licensing Program Analyst | Conducted the complaint investigation and unannounced visit |
| Serigy Pidgirny | Licensing Program Manager | Oversaw the complaint investigation |
| Constance Peters | Administrator | Met with Licensing Program Analyst during the investigation |
Inspection Report
Census: 43
Capacity: 60
Deficiencies: 1
Date: Jul 6, 2023
Visit Reason
The visit was conducted in response to a resident document received, focusing on case management and deficiencies related to medical assessments for residents in the memory care facility.
Findings
The inspection found that two residents in dementia care did not have their annual medical assessments completed as required by Title 22 regulations, posing a potential health and safety risk.
Deficiencies (1)
Licensee did not ensure 2 residents in Dementia care had an annual medical assessment completed, which caused a potential health and safety risk to persons in care.
Report Facts
Residents without annual medical assessment: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Darius Williams | Licensing Program Analyst | Conducted the visit and reviewed medical assessments. |
| Constance Peters | Administrator | Met with Licensing Program Analyst during the visit. |
| Serigy Pidgirny | Licensing Program Manager | Supervisor named in the report. |
Inspection Report
Complaint Investigation
Census: 39
Capacity: 60
Deficiencies: 0
Date: Jun 23, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations that staff provided care while under the influence of marijuana, failed to maintain infection control practices when handling medication, and did not distribute residents' medications as prescribed.
Complaint Details
The complaint investigation was unsubstantiated for allegations of staff providing care while under the influence of marijuana and failing to maintain infection control practices. The allegation that staff did not distribute medications as prescribed was found to be unfounded.
Findings
The investigation found all allegations to be unsubstantiated or unfounded due to lack of sufficient evidence. No violations were confirmed regarding staff impairment, infection control, or medication distribution.
Report Facts
Facility capacity: 60
Census: 39
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Les Xiong | Licensing Program Analyst | Conducted the complaint investigation visit |
| Constance Peters | Met with Licensing Program Analyst during the investigation |
Inspection Report
Complaint Investigation
Census: 39
Capacity: 60
Deficiencies: 1
Date: Jun 2, 2023
Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation that staff were restricting residents' visitors.
Complaint Details
The complaint alleged that staff were restricting residents' visitors. The allegation was substantiated based on interviews, documentation, and evidence reviewed.
Findings
The investigation found the allegation to be substantiated. Facility staff did not allow a visitor (Witness 1) to visit Resident 1 despite the resident's consent and no legal restriction on visitors, posing an immediate health, safety, or personal rights risk.
Deficiencies (1)
Facility staff restricted a resident's right to associate with visitors, violating Title 22 CCR 87468.1(b)(7).
Report Facts
Capacity: 60
Census: 39
Deficiencies cited: 1
Plan of Correction Due Date: Jun 3, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sarah Hurt | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Constance Peters | Administrator | Facility administrator met with the investigator and was involved in the exit interview |
Inspection Report
Complaint Investigation
Census: 39
Capacity: 60
Deficiencies: 0
Date: May 31, 2023
Visit Reason
An unannounced complaint investigation was conducted following a complaint received on 05/25/2023 alleging that staff did not ensure facility ovens were working properly.
Complaint Details
The complaint was investigated and found to be unfounded.
Findings
The Licensing Program Analyst conducted interviews and toured the facility, observing all six ovens operational and heating up. The allegation was found to be unfounded and without reasonable basis.
Report Facts
Facility capacity: 60
Census: 39
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Malia Thao | Licensing Program Analyst | Conducted the complaint investigation |
| Constance Peters | Administrator | Met with Licensing Program Analyst during inspection |
Inspection Report
Census: 39
Capacity: 60
Deficiencies: 0
Date: May 31, 2023
Visit Reason
An unannounced case management - other inspection was conducted related to complaint #24-AS-20230525082016 to verify staff association and compliance with licensing requirements.
Complaint Details
Inspection was conducted in response to complaint #24-AS-20230525082016. The complaint involved verification of staff association with the facility. No deficiencies were cited.
Findings
The Licensing Program Analyst found that the Administrator and staff member S1 were not previously associated with the facility but had completed required criminal record clearances during the inspection. No deficiencies were cited. The licensee was advised to submit paperwork for the change of Administrator and to pay annual renewal fees within specified timeframes.
Report Facts
Timeframe for paperwork submission: 3
Timeframe for fee payment: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Malia Thao | Licensing Program Analyst | Conducted the inspection and explained the reason for the inspection |
| Constance Peters | Administrator | Met with Licensing Program Analyst during inspection |
Inspection Report
Complaint Investigation
Census: 34
Capacity: 60
Deficiencies: 0
Date: Feb 21, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations including staff administering medication while under the influence and medication missing.
Complaint Details
The complaint investigation involved two main allegations: 1) Staff administering medication while under the influence, which was unsubstantiated, and 2) Medication missing, which was unfounded after investigation.
Findings
The investigation found the allegation of staff administering medication while under the influence to be unsubstantiated due to lack of evidence. The allegation of medication missing was found to be unfounded after review and interviews, with no deficiencies issued during the inspection.
Report Facts
Capacity: 60
Census: 34
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Alexandria Walton | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Lai Saeteurn | Administrator | Met with Licensing Program Analyst during investigation and received report |
Inspection Report
Complaint Investigation
Census: 40
Capacity: 60
Deficiencies: 1
Date: Jun 29, 2022
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2021-10-21 regarding staff inappropriately handling residents and using inappropriate words towards a resident.
Complaint Details
The complaint was substantiated. The allegations of inappropriate handling and verbal abuse by staff were confirmed through interviews and observations. The preponderance of evidence standard was met.
Findings
The investigation substantiated the allegations that staff were inappropriately transferring and speaking aggressively to residents, with staff working outside their usual areas due to COVID-related staffing issues, posing a potential health and safety risk to residents.
Deficiencies (1)
87468.1 Personal Rights of Residents - Residents must be free from punishment, humiliation, intimidation, abuse, or other punitive actions. Staff were shorthanded, working in unfamiliar areas, and S1 was transferring/talking to residents inappropriately, posing a potential health and safety risk.
Report Facts
Deficiencies cited: 1
Plan of Correction Due Date: Jul 12, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mary Garza | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Frances Hernandez | Administrator | Met with Licensing Program Analyst during investigation and provided statements regarding staff conditions |
Inspection Report
Complaint Investigation
Census: 40
Capacity: 60
Deficiencies: 0
Date: Jun 29, 2022
Visit Reason
Unannounced visit/investigation of a complaint received on 2021-10-21 regarding allegations of resident falls, delayed medical attention, improper medication administration, and forced medication.
Complaint Details
Complaint investigation was unsubstantiated. Allegations included resident falls resulting in injury, staff not seeking timely medical attention, improper medication administration, and forced medication. The evidence did not meet the Department's standard for substantiation.
Findings
The investigation found that although the resident had a history of falls and was on hospice care, the injuries were treated by hospice and not due to lack of care or supervision. Medication administration was as prescribed with a PCP order to crush medications. The allegations were unsubstantiated based on the preponderance of evidence.
Report Facts
Complaint Control Number: 24
Facility Capacity: 60
Census: 40
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mary Garza | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Frances Hernandez | Administrator | Met with Licensing Program Analyst during investigation |
Inspection Report
Routine
Census: 37
Capacity: 60
Deficiencies: 0
Date: Feb 22, 2022
Visit Reason
The inspection was an unannounced required infection control inspection conducted due to the facility having positive COVID staff and residents.
Findings
The infection control practices were found to be in compliance with no deficiencies cited. Technical assistance was given for masking and trash bins.
Report Facts
PPE supply: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Frances Hernandez | Administrator | Met with Licensing Program Analyst during inspection |
| Mary Garza | Licensing Program Analyst | Conducted the infection control inspection |
| Melinda Hoffmann | Licensing Program Manager | Named in report header |
Inspection Report
Complaint Investigation
Census: 36
Capacity: 60
Deficiencies: 0
Date: May 24, 2021
Visit Reason
Unannounced complaint investigation visit conducted in response to allegations that staff yelled at and rough handled residents in care.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included staff yelling at residents and rough handling residents. The investigation included interviews with staff and residents and review of physicians reports, special incident reports, staff schedules, and written statements.
Findings
Based on interviews and records review, the allegations were found to be unsubstantiated due to lack of preponderance of evidence. Exit interview was completed and appeal rights were given.
Report Facts
Capacity: 60
Census: 36
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mary Garza | Licensing Program Analyst | Conducted complaint investigation visit and discussed findings with facility administrator |
| Frances Hernandez | Administrator | Met with Licensing Program Analyst during complaint investigation |
Inspection Report
Complaint Investigation
Census: 36
Capacity: 60
Deficiencies: 0
Date: Mar 29, 2021
Visit Reason
The visit was an unannounced complaint investigation triggered by a complaint received on 07/06/2020 alleging that hygiene items were not provided at the facility.
Complaint Details
The complaint alleged that hygiene items were not provided. The allegation was investigated and found to be unsubstantiated.
Findings
The investigation included interviews and records review conducted via teleconference due to COVID-19 precautions. The allegation was found to be unsubstantiated as there was not a preponderance of evidence to prove the violation occurred.
Report Facts
Complaint Control Number: 24
Facility Capacity: 60
Census: 36
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mary Garza | Licensing Program Analyst | Conducted the complaint investigation visit |
| Frances Hernandez | Administrator | Met with Licensing Program Analyst during investigation |
Inspection Report
Complaint Investigation
Census: 36
Capacity: 60
Deficiencies: 0
Date: Mar 29, 2021
Visit Reason
The visit was an unannounced complaint investigation triggered by a complaint received on 07/06/2020 alleging dirty facility floors, dirty resident bathroom, and inadequate food service.
Complaint Details
Complaint was investigated and found to be unfounded. Allegations included dirty floors, dirty bathroom, and inadequate food service. Complaint was dismissed.
Findings
The investigation found the complaint to be unfounded, meaning the allegations were false, could not have happened, or were without reasonable basis. The complaint was dismissed after discussion with the facility administrator.
Report Facts
Complaint Control Number: 24
Capacity: 60
Census: 36
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mary Garza | Licensing Program Analyst | Conducted the complaint investigation visit |
| Frances Hernandez | Administrator | Facility administrator met with Licensing Program Analyst during investigation |
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