Inspection Reports for Manzanita Village Senior Living
27900 Brodiaea Ave, Moreno Valley, CA 92555, United States, CA, 92555
Back to Facility ProfileInspection Report Summary
Most inspections found no deficiencies, and several complaint investigations were unsubstantiated, including a recent allegation of staff negligence in a resident’s death on August 19, 2025. The most recent report from that date had no deficiencies and confirmed the death was accidental with no staff negligence. Earlier reports noted isolated issues such as incomplete staff training on postural support and a failure to prevent a resident from wandering into another resident’s room, which posed a safety risk but did not result in enforcement actions or fines. There was a serious incident involving theft by a staff member in late 2024, leading to the staff member’s discharge and law enforcement involvement, but no fines or license actions were listed. Overall, the facility’s record shows mostly compliance with occasional minor or isolated deficiencies and improvement in recent inspections.
Deficiencies per Year
4
3
2
1
0
High
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Complaint Investigation
Census: 125
Capacity: 125
Deficiencies: 0
Aug 19, 2025
Visit Reason
An unannounced complaint investigation was conducted following an allegation that facility staff was negligent in a resident's death.
Findings
The investigation found that the resident became agitated during showering, fell and struck their head, and despite staff efforts, the fall was not prevented. The facility complied with protocols and safety measures, and the cause of death was accidental blunt force trauma. The allegation of staff negligence was unsubstantiated.
Complaint Details
The complaint alleged negligence by facility staff in a resident's death. The allegation was found unsubstantiated based on interviews, observations, and records reviewed.
Report Facts
Capacity: 125
Census: 125
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Valerie Flores | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Anna Martinez | Assistant Director | Met with Licensing Program Analyst during investigation and received report |
| Anthony Perez | Licensing Program Manager | Named in report as Licensing Program Manager |
| Kameshi Taylor | Administrator | Facility Administrator named in report |
Inspection Report
Census: 118
Capacity: 125
Deficiencies: 1
May 27, 2025
Visit Reason
The visit was an unannounced Case Management with Deficiencies inspection conducted to assess care and supervision following information received on May 14, 2025, about a resident wandering into another resident’s room.
Findings
The facility was found to have sufficient staff, adequate food and medication supplies, and no immediate health or safety threats. However, a deficiency was cited for failure to prevent a resident from wandering into another resident’s room, posing an immediate risk to health and safety.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility failed to provide appropriate and adequate supervision to prevent a resident from wandering into another resident’s room. | Type A |
Report Facts
Capacity: 125
Census: 118
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Anna Martinez | Memory Care Director | Met with Licensing Program Analyst during inspection |
| Venus Mixson | Licensing Program Analyst | Conducted the inspection and signed the report |
| Jazmond D Harris | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Census: 118
Capacity: 125
Deficiencies: 0
May 20, 2025
Visit Reason
The visit was an unannounced Health and Safety case management visit conducted to assess the facility's compliance with health and safety standards.
Findings
No immediate threats to the health, safety, or welfare of residents were observed. The facility was clean, well-organized, with sufficient staff and supplies, and no deficiencies were cited during the visit.
Report Facts
Capacity: 125
Census: 118
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brook Huerta | Administrator | Met with Licensing Program Analyst during the inspection and received a copy of the report |
| Venus Mixson | Licensing Program Analyst | Conducted the Health and Safety case management visit |
| Jazmond D Harris | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Annual Inspection
Census: 102
Capacity: 125
Deficiencies: 1
Jan 24, 2025
Visit Reason
The inspection was an unannounced continuation of a required annual inspection to evaluate compliance with regulatory requirements at the facility.
Findings
The inspection found the facility generally in compliance with regulatory standards, including physical plant safety, staffing, food service, medical and dental care, and resident records. Minor issues such as missing furniture in some rooms were addressed during the visit and resulted in an advisory notice. No deficiencies were cited at the time of the visit.
Deficiencies (1)
| Description |
|---|
| Missing chairs in rooms 8, 27, and 109; missing night stand in room 27; missing drawer from chest of drawers in room 22 |
Report Facts
Residents receiving hospice services: 10
Approved hospice waiver capacity: 20
Non-perishable food supply: 7
Perishable food supply: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brooke Abrego-Huerta | Executive Director | Met with Licensing Program Analyst during inspection and named in relation to facility operation and findings |
| Stephanie Martinez | Licensing Program Analyst | Conducted the inspection |
| Rikesha Stamps | Licensing Program Manager | Named in the report as Licensing Program Manager |
| Sammy Ortiz | Facility Maintenance Director | Accompanied Licensing Program Analyst during physical plant inspection |
Inspection Report
Annual Inspection
Census: 102
Capacity: 125
Deficiencies: 2
Jan 22, 2025
Visit Reason
The inspection was a required annual unannounced visit conducted by the Licensing Program Analyst to evaluate compliance with regulatory requirements.
Findings
The facility has an Infection Control Plan that was last reviewed in 2022 and is currently followed during outbreaks. The Plan of Operation and emergency preparedness plans are in place. Staff have appropriate fingerprint clearances and training, though postural support training was incomplete for four care staff members. Several required resident rights notices were not posted, resulting in advisory notices. A follow-up visit is needed to complete the inspection due to insufficient time.
Deficiencies (2)
| Description |
|---|
| Postural support training, which is a required 4 hours, was not completed for four care staff members. |
| Complaint poster (PUB 475), non-discrimination notice, Personal Rights (87468.1) and Personal Rights of Residents in All Facilities (87468.2) were not posted. |
Report Facts
Staff missing required postural support training: 4
Facility capacity: 125
Census: 102
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brooke Abrego-Huerta | Executive Director | Met with Licensing Program Analyst during inspection and was informed of the purpose of the visit. |
| Stephanie Martinez | Licensing Program Analyst | Conducted the required annual inspection. |
| Rikesha Stamps | Licensing Program Manager | Named in the report as Licensing Program Manager. |
Inspection Report
Complaint Investigation
Census: 90
Capacity: 125
Deficiencies: 0
Nov 5, 2024
Visit Reason
The inspection was an unannounced visit to follow up on alleged thefts involving residents' property and valuables at the facility.
Findings
The investigation revealed multiple reports of theft involving two residents, including unauthorized withdrawals and transactions totaling up to $8,000. The staff member implicated was discharged, and law enforcement was notified. Additional time is required to complete the investigation.
Complaint Details
The visit was triggered by complaints of theft involving residents R1 and R2. Allegations included unauthorized withdrawals and missing funds. The staff member involved was identified as S1 and was discharged. Attempts to obtain a statement from S1 were unsuccessful. Law enforcement was involved.
Report Facts
Unauthorized transactions amount: 8000
Withdrawal amount: 1000
Loan amount: 1000
Cash amount missing: 200
Facility capacity: 125
Resident census: 90
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Martinez | Licensing Program Analyst | Conducted the unannounced visit and investigation |
| Anna Martinez | Memory Care Director | Met with Licensing Program Analyst during the visit and was informed of the investigation |
Inspection Report
Census: 84
Capacity: 125
Deficiencies: 0
Sep 10, 2024
Visit Reason
The visit was an unannounced Case Management Death Report inspection in response to the death of Resident #1, reported on 09/09/2024, who died of unknown cause on 09/07/2024.
Findings
During the visit, the Licensing Program Analyst reviewed Resident #1's file and related documents. No deficiencies were cited during this inspection.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Yolanda Delgado | Licensing Program Analyst | Conducted the unannounced Case Management Death Report visit. |
| Brooke Abrego-Huerta | Executive Director | Met with the Licensing Program Analyst during the visit. |
| Anna Martinez | Memory Care Director | Met with the Licensing Program Analyst during the visit. |
Inspection Report
Complaint Investigation
Census: 83
Capacity: 125
Deficiencies: 0
Jul 11, 2024
Visit Reason
The inspection was an unannounced visit to follow up on two incident reports received from the facility relating to alleged theft of personal items belonging to a resident.
Findings
The Licensing Program Analyst reviewed and collected relevant records related to the alleged theft. Additional time is required to conclude the investigation and obtain further information.
Complaint Details
The visit was triggered by two reports of theft of personal items belonging to Resident One (R1). The investigation is ongoing and not yet concluded.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Martinez | Licensing Program Analyst | Conducted the unannounced visit and investigation related to alleged theft. |
| Brooke Abrego Huerta | Executive Director | Met with the Licensing Program Analyst during the visit. |
| Kameshi Taylor | Administrator/Director | Named as the facility administrator/director. |
Inspection Report
Annual Inspection
Census: 76
Capacity: 125
Deficiencies: 0
Apr 5, 2024
Visit Reason
The inspection was an unannounced visit to continue the required annual inspection of the facility.
Findings
The facility was found to be clean, well-maintained, and compliant with licensing requirements. No citations were issued during this visit. Staff training and resident care plans, including hospice care, were in place and up to date.
Report Facts
Hospice residents: 13
Hospice waiver capacity: 20
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brooke Abrego Huerta | Administrator | Met with Licensing Program Analyst during the inspection and provided information about hospice residents. |
| Stephanie Martinez | Licensing Program Analyst | Conducted the unannounced annual inspection visit. |
| Rikesha Stamps | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Annual Inspection
Census: 76
Capacity: 125
Deficiencies: 0
Mar 8, 2024
Visit Reason
Licensing Program Analyst Stephanie Martinez made an unannounced visit to conduct a required annual inspection of the facility.
Findings
Staff interviews showed sufficient knowledge and awareness in providing appropriate care and supervision. The Emergency Disaster Plan requires updates as it incorrectly states an emergency generator is available, but the facility has none on premises. A return visit will be conducted to complete the inspection due to insufficient time.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brooke Abrego Huerta | Administrator | Met with Licensing Program Analyst during inspection and involved in Emergency Disaster Plan discussion. |
| Stephanie Martinez | Licensing Program Analyst | Conducted the unannounced annual inspection visit. |
| Rikesha Stamps | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Complaint Investigation
Census: 65
Capacity: 125
Deficiencies: 0
Aug 17, 2023
Visit Reason
An unannounced complaint investigation was conducted in response to allegations that staff refused to accept a resident back into care following hospitalization and failed to ensure prompt communication with the resident's representative.
Findings
The investigation found that the facility did not deny the resident's return but recommended transfer to a skilled nursing facility for appropriate care. Communication with the resident's representative was not fully documented, and attempts to contact the representative were unsuccessful. Due to insufficient information, both allegations were deemed unsubstantiated.
Complaint Details
The complaint was unsubstantiated due to insufficient evidence to prove the alleged violations occurred. Allegations included refusal to accept resident back after hospitalization and failure to promptly communicate with the resident's representative.
Report Facts
Capacity: 125
Census: 65
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Martinez | Licensing Program Analyst | Conducted the complaint investigation |
| Brooke Abrego-Huerta | Executive Director | Interviewed during investigation and involved in communication regarding resident care |
| Kameshi Taylor | Administrator | Named as facility administrator |
| Rikesha Stamps | Licensing Program Manager | Oversaw the complaint investigation |
Inspection Report
Original Licensing
Census: 67
Capacity: 125
Deficiencies: 0
Jan 27, 2023
Visit Reason
The inspection was conducted as a pre-licensing visit for a change in ownership to serve as a residential facility for the elderly, ages 60 and above.
Findings
The facility was toured and found to have appropriate accommodations including furniture, linens, private bathrooms, emergency exits, fire and carbon monoxide detectors, kitchen supplies, medication carts, and functional laundry equipment. The fire clearance was reviewed and emergency plans were current.
Report Facts
Fire clearance capacity: 113
Fire clearance capacity: 12
Hot water temperature: 107.7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kameshi Taylor | Executive Director | Met during inspection and named in report |
| Janira Arreola | Licensing Program Analyst | Conducted the inspection visit |
| Joel Esquivel | Licensing Program Manager | Named in report |
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