Inspection Reports for
Manzanita Village Senior Living

27900 Brodiaea Ave, Moreno Valley, CA 92555, United States, CA, 92555

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Deficiencies (last 4 years)

Deficiencies (over 4 years) 1.5 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

63% better than California average
California average: 4 deficiencies/year

Deficiencies per year

8 6 4 2 0
2023
2024
2025
2026

Occupancy

Latest occupancy rate 81% occupied

Based on a February 2026 inspection.

This facility has shown a steady increase in demand based on occupancy rates.

Occupancy rate over time

40% 60% 80% 100% 120% Jan 2023 Jul 2024 May 2025 Oct 2025 Dec 2025 Jan 2026 Feb 2026

Inspection Report

Complaint Investigation
Census: 122 Capacity: 150 Deficiencies: 0 Date: Feb 10, 2026

Visit Reason
The visit was an unannounced complaint investigation triggered by allegations that facility staff neglected the needs of residents in care, including withholding dinner, neglect leading to a resident's death, leaving a resident soiled, and denying a resident cake repeatedly.

Complaint Details
The complaint alleged neglect of residents R1-R5, including delayed dinner for R2, decline and death of R3 due to neglect, R4 left soiled for extended periods, and R5 denied cake repeatedly. Investigations included interviews with residents and staff, document reviews, and observations. All evidence failed to substantiate the allegations, resulting in an unsubstantiated finding.
Findings
After multiple interviews with residents, staff, and review of documents and observations, there was insufficient evidence to substantiate the allegations of neglect. Residents and staff denied the allegations, and observations confirmed meals were served on time with adequate care provided. The complaint was determined to be unsubstantiated with no deficiencies cited.

Report Facts
Capacity: 150 Census: 122 Resident interviews: 8 Staff interviews: 8

Employees mentioned
NameTitleContext
Deborah LeeLicensing EvaluatorConducted the complaint investigation
Eva M AlvarezSupervisorSupervised the complaint investigation
Kameshi TaylorAdministratorFacility administrator named in report
Anna MartinezAssistant Executive DirectorInterviewed during investigation and explained purpose of visit
Cristina MillerExecutive DirectorParticipated in exit interview and investigation

Inspection Report

Complaint Investigation
Census: 122 Capacity: 150 Deficiencies: 0 Date: Feb 10, 2026

Visit Reason
The inspection was an unannounced complaint investigation visit conducted to investigate allegations that facility staff neglected the needs of residents in care.

Complaint Details
The complaint alleged neglect including delayed meal service, residents left soiled for extended periods, denial of requested food, and decline in resident health leading to death. Interviews with 8 residents and 4 staff denied these allegations. Documentation and observations supported that care was appropriate and timely. The resident who died was on hospice care, and neglect related to death was denied.
Findings
After multiple interviews with residents, staff, and review of documents, there was insufficient evidence to substantiate the allegations of neglect. No deficiencies were cited during the visit, and the complaint was determined to be unsubstantiated.

Report Facts
Capacity: 150 Census: 122 Resident interviews: 8 Staff interviews: 4

Employees mentioned
NameTitleContext
Deborah LeeLicensing EvaluatorConducted the complaint investigation
Anna MartinezAssistant Executive DirectorInterviewed during investigation and met with department during visits
Cristina MillerExecutive DirectorParticipated in exit interview and met with department during visits
Kameshi TaylorAdministratorNamed as facility administrator

Inspection Report

Complaint Investigation
Census: 122 Capacity: 150 Deficiencies: 0 Date: Jan 30, 2026

Visit Reason
The inspection visit was conducted to investigate a complaint alleging that staff did not prevent an inappropriate sexual interaction between residents while in care.

Complaint Details
The complaint alleged that on 5/12/25 at 8:00 PM, resident R1 was sexually assaulted by another resident. Interviews with staff, residents, and witnesses revealed no evidence supporting the allegation. The facility's internal investigation and witness statements were reviewed and found no credible evidence to support the allegation. The complaint was unsubstantiated.
Findings
The investigation found insufficient evidence to support the allegation of inappropriate sexual interaction between residents. The allegation was determined to be unsubstantiated and no deficiencies were cited during the visit.

Report Facts
Complaint Control Number: 18 Complaint Control Number suffix: 20250514105046

Employees mentioned
NameTitleContext
Deborah LeeEvaluatorConducted the complaint investigation
Cristina MillerExecutive DirectorMet with Department staff during investigation and exit interview
Anna MartinezAssistant DirectorMet with Department staff during investigation
Brooke HuertaAdministratorFacility administrator named in report header
Eva M AlvarezSupervisorSupervisor overseeing the investigation

Inspection Report

Complaint Investigation
Census: 122 Capacity: 150 Deficiencies: 0 Date: Jan 30, 2026

Visit Reason
The inspection was an unannounced complaint investigation visit conducted to investigate allegations regarding staff not preventing a resident from entering another resident's room and lack of supervision resulting in a resident pushing another resident.

Complaint Details
The complaint included two allegations: 1) Staff did not prevent a resident from entering another resident's room, and 2) Lack of supervision resulted in a resident pushing another resident. Both allegations were found to be unsubstantiated due to insufficient evidence after multiple visits, interviews, and document reviews.
Findings
The investigation found insufficient evidence to substantiate the allegations. Interviews with staff and residents, as well as document reviews, indicated no reported incidents or evidence supporting the complaints. The facility was found to maintain adequate staffing and staff training.

Report Facts
Capacity: 150 Census: 122 Staff interviews: 4 Resident interviews: 5

Employees mentioned
NameTitleContext
Cristina MillerExecutive DirectorMet during investigation and exit interview
Deborah LeeLicensing EvaluatorConducted the complaint investigation
Kameshi TaylorAdministratorFacility administrator named in report header

Inspection Report

Complaint Investigation
Census: 122 Capacity: 150 Deficiencies: 0 Date: Jan 30, 2026

Visit Reason
The inspection was an unannounced complaint investigation visit conducted to investigate allegations that staff did not prevent a resident from entering another resident's room and that lack of supervision resulted in a resident pushing another resident.

Complaint Details
The complaint involved two allegations: 1) staff did not prevent a resident from entering another resident's room, and 2) lack of supervision resulted in a resident being pushed out of bed. Both allegations were found to be unsubstantiated due to insufficient evidence after multiple interviews and document reviews.
Findings
The investigation found insufficient evidence to substantiate the allegations. Interviews with staff and residents, as well as document reviews, indicated no reported incidents of the alleged events, and the facility was found to maintain adequate staffing and training.

Report Facts
Capacity: 150 Census: 122 Staff interviews: 4 Resident interviews: 5

Employees mentioned
NameTitleContext
Deborah LeeLicensing EvaluatorConducted the complaint investigation
Cristina MillerExecutive DirectorMet with Department staff during investigation and exit interview
Kameshi TaylorAdministratorFacility administrator named in report header

Inspection Report

Complaint Investigation
Census: 122 Capacity: 150 Deficiencies: 0 Date: Jan 30, 2026

Visit Reason
The inspection was an unannounced complaint investigation visit conducted to investigate allegations that staff did not prevent an inappropriate sexual interaction between residents while in care.

Complaint Details
The complaint alleged that on 5/12/25 at 8:00 PM, resident R1 was allegedly sexually assaulted by another resident. Staff and residents denied the allegation, and witnesses did not see the incident and could not confirm it. The Department reviewed internal investigations and found no credible evidence to support the allegation. The complaint was unsubstantiated.
Findings
The investigation found insufficient evidence to support the allegation of inappropriate sexual interaction between residents. Interviews with staff, residents, and witnesses, as well as review of facility documents, revealed no credible evidence of the incident. The allegation was determined to be unsubstantiated and no deficiencies were cited.

Report Facts
Complaint Control Number: 18 Complaint Control Number: 20250514105046

Employees mentioned
NameTitleContext
Deborah LeeEvaluatorConducted the complaint investigation
Cristina MillerExecutive DirectorMet with Department staff during investigation and exit interview
Anna MartinezAssistant DirectorMet with Department staff during investigation
Brooke HuertaAdministratorFacility administrator named in report header
Eva M AlvarezSupervisorSupervisor overseeing the investigation

Inspection Report

Complaint Investigation
Census: 122 Capacity: 150 Deficiencies: 0 Date: Jan 29, 2026

Visit Reason
The inspection was an unannounced complaint investigation visit to investigate allegations that facility staff neglected the needs of residents in care.

Complaint Details
The complaint alleged neglect of residents R1-R5, including delayed dinner for R2, decline and death of R3, extended soiling of R4, and denial of cake to R5. Interviews with staff and administrators denied these allegations. Observations confirmed meals were served on time and adequate staffing was present. Document review supported staff training and care plans. The allegation was unsubstantiated due to insufficient evidence.
Findings
The investigation found insufficient evidence to substantiate the allegations of neglect, including claims of delayed meals, residents left soiled, and denial of requested food. Staff interviews and document reviews supported that residents received appropriate care and training was provided to staff.

Report Facts
Capacity: 150 Census: 122

Employees mentioned
NameTitleContext
Deborah LeeLicensing EvaluatorConducted the complaint investigation and authored the report
Cristina MillerExecutive DirectorMet with Department staff during the investigation and exit interview
Anna MartinezAssistant Executive DirectorMet with Department staff during the investigation
Kameshi TaylorAdministratorFacility administrator named in the report
Eva M AlvarezSupervisorSupervisor overseeing the licensing evaluation

Inspection Report

Complaint Investigation
Census: 122 Capacity: 150 Deficiencies: 0 Date: Jan 29, 2026

Visit Reason
The inspection was an unannounced complaint investigation visit conducted to investigate allegations that facility staff neglected the needs of residents in care.

Complaint Details
The complaint alleged neglect including delayed meal service to R2, decline and death of R3 due to neglect, R4 left soiled for extended periods, and R5 denied cake repeatedly. The investigation included interviews with staff and review of training and resident care documents. The allegations were unsubstantiated due to lack of preponderance of evidence.
Findings
The investigation found insufficient evidence to substantiate the allegations of neglect regarding residents R1-R5. Interviews with staff and observations during the visit indicated that meals were served on time, residents were changed regularly, and adequate care and supervision were provided. No deficiencies were cited.

Report Facts
Capacity: 150 Census: 122

Employees mentioned
NameTitleContext
Cristina MillerExecutive DirectorMet during the visit and exit interview
Anna MartinezAssistant Executive DirectorMet during the visit
Deborah LeeLicensing EvaluatorConducted the complaint investigation
Eva M AlvarezSupervisorSupervised the investigation
Kameshi TaylorAdministratorNamed as facility administrator

Inspection Report

Census: 125 Capacity: 150 Deficiencies: 0 Date: Jan 9, 2026

Visit Reason
The unannounced visit was conducted to investigate a matter brought to the attention of Community Licensing regarding a physical altercation between a husband and wife at the facility.

Complaint Details
The visit was complaint-related due to information received about a physical altercation between a husband and wife on December 22, 2025. No substantiation status was explicitly stated.
Findings
The Licensing Program Analyst observed that the facility was clean, free of clutter and unpleasant odors, had sufficient staff to assist residents, working utilities, required postings, and adequate food supply. Caregivers were seen assisting residents appropriately, and medication management was ongoing.

Employees mentioned
NameTitleContext
Brooke HuertaAdministratorMet with the Licensing Program Analyst during the inspection and participated in the exit interview.
Venus MixsonLicensing Program AnalystConducted the unannounced visit and inspection.
Jazmond D HarrisLicensing Program ManagerNamed in the report header.

Inspection Report

Census: 125 Capacity: 150 Deficiencies: 0 Date: Jan 9, 2026

Visit Reason
The visit was an unannounced case management and health check inspection triggered by information received about a physical altercation between a husband and wife at the facility.

Complaint Details
The visit was prompted by a complaint regarding a physical altercation between a husband and wife at the facility. No substantiation status was stated.
Findings
The Licensing Program Analyst observed sufficient staffing, working utilities, cleanliness, required postings, and adequate food availability. Caregivers were seen assisting residents appropriately, and medication management was ongoing. No deficiencies or violations were explicitly noted in the report.

Report Facts
Capacity: 150 Census: 125

Employees mentioned
NameTitleContext
Brooke HuertaAdministratorMet with Licensing Program Analyst during inspection
Venus MixsonLicensing Program AnalystConducted the unannounced inspection visit
Jazmond D HarrisLicensing Program ManagerNamed in report header

Inspection Report

Annual Inspection
Census: 125 Capacity: 125 Deficiencies: 0 Date: Dec 30, 2025

Visit Reason
The inspection visit was conducted to complete the previously started annual visit and to conduct a case management visit to approve the facility capacity increase.

Findings
LPAs conducted a tour of the facility and reviewed six resident files during the annual visit. There were issues observed at the time of the visit, but no observable health and safety concerns were noted.

Employees mentioned
NameTitleContext
Anne MartinezAdministratorMet with during the inspection visit
Venus MixsonLicensing Program AnalystConducted the inspection visit
Yolanda DelgadoLPA who arrived unannounced to complete the annual visit
Jazmond D HarrisLicensing Program ManagerNamed in the report header

Inspection Report

Annual Inspection
Census: 125 Capacity: 125 Deficiencies: 0 Date: Dec 30, 2025

Visit Reason
The inspection visit was conducted to complete the previously started annual visit and to conduct a case management visit to approve the facility capacity increase.

Findings
LPAs conducted a tour and review of six resident files during the annual visit. There were issues observed at the time of the visit, but no observable health and safety concerns were noted.

Employees mentioned
NameTitleContext
Anne MartinezAdministratorMet with during the inspection visit
Venus MixsonLicensing Program AnalystConducted the inspection visit
Yolanda DelgadoLicensing Program Analyst who arrived unannounced to complete the visit
Jazmond D HarrisLicensing Program ManagerNamed in the report header

Inspection Report

Annual Inspection
Census: 122 Capacity: 125 Deficiencies: 0 Date: Dec 22, 2025

Visit Reason
The inspection visit occurred as a required annual inspection to review facility compliance and licensing requirements for Manzanita Village at Rancho Belago.

Findings
The inspection found no visible deficiencies during the visit. A review of 10 percent of staff and resident files was conducted using the Care-Tools Inspection Tool, and all required documentation was verified.

Report Facts
Percentage of files reviewed: 10 Facility capacity: 125 Facility census: 122

Employees mentioned
NameTitleContext
Brooke HuertaAdministratorMet with during inspection and exit interview
Venus MixsonLicensing Program AnalystConducted inspection and file review
Mia LankfordLicensing Program AnalystConducted inspection and file review
Jazmond D HarrisLicensing Program ManagerNamed in report header

Inspection Report

Annual Inspection
Census: 122 Capacity: 125 Deficiencies: 0 Date: Dec 22, 2025

Visit Reason
The inspection visit occurred as a required annual inspection to evaluate compliance with licensing requirements for the facility.

Findings
The inspection included a review of 10 percent of facility staff and resident files using the Care-Tools Inspection Tool. No visible deficiencies were observed or cited during the visit.

Report Facts
Percentage of files reviewed: 10

Employees mentioned
NameTitleContext
Brooke HuertaAdministratorMet with during inspection and named in report
Venus MixsonLicensing Program AnalystConducted inspection and named in report
Mia LankfordLicensing Program AnalystConducted inspection and named in report
Jazmond D HarrisLicensing Program ManagerNamed in report

Inspection Report

Complaint Investigation
Census: 124 Capacity: 125 Deficiencies: 0 Date: Dec 17, 2025

Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that staff were not properly supervising a resident who is a fall risk.

Complaint Details
The complaint alleged inadequate supervision of a fall-risk resident who had two emergency calls on the same day due to an unwitnessed fall. The investigation concluded the allegation was unsubstantiated as staff followed policies and the resident did not report pain or concerns.
Findings
The investigation found the allegation unsubstantiated after interviews, record reviews, and observations. Staff followed emergency procedures and supervision plans, and the resident refused medical care after an unwitnessed fall.

Report Facts
Facility capacity: 125 Census: 124

Employees mentioned
NameTitleContext
Brooke HuertaAdministratorInterviewed regarding supervision and emergency procedures
Venus MixsonLicensing Program AnalystConducted the complaint investigation
Anna MartinezExecutive DirectorMet with during the investigation
Jazmond D HarrisSupervisorSupervisor overseeing the investigation

Inspection Report

Complaint Investigation
Census: 124 Capacity: 125 Deficiencies: 0 Date: Dec 17, 2025

Visit Reason
The inspection was an unannounced complaint investigation visit conducted to investigate allegations received on 2024-04-22 regarding staffing adequacy, hygiene measures with resident food, and the presence of a facility menu.

Complaint Details
The complaint investigation addressed three allegations: 1) Facility is not staffed to meet residents' needs, 2) Staff are not adhering to hygiene measures with resident's food, and 3) Facility does not have a menu. All allegations were found to be unsubstantiated based on interviews with staff, residents, and review of documents including staff schedules, food handler certificates, and menus.
Findings
The investigation found insufficient evidence to substantiate any of the allegations. Staffing was deemed adequate, staff had current food handler certifications and adhered to hygiene measures, and the facility maintained menus as required. No deficiencies were cited during the visit.

Report Facts
Capacity: 125 Census: 124 Food handler certificate expiration dates: Certificates with expiration dates 12/3/27, 11/18/27, 11/26/27, 11/6/27

Employees mentioned
NameTitleContext
Brooke Abrego-HuertaAdministratorInterviewed during complaint investigation and involved in findings
Deborah LeeLicensing EvaluatorConducted the complaint investigation
Eva M AlvarezSupervisorSupervisor overseeing the investigation

Inspection Report

Complaint Investigation
Census: 124 Capacity: 125 Deficiencies: 0 Date: Dec 17, 2025

Visit Reason
The inspection visit was conducted as an unannounced complaint investigation following a complaint received on 2025-07-22 alleging that staff were not properly supervising a resident who is a fall risk.

Complaint Details
The complaint alleged that staff were not properly supervising a resident who is a fall risk, citing two emergency calls on the same day due to an unwitnessed fall. The investigation found staff followed policies and procedures, and the resident did not report pain or concerns. The allegation was unsubstantiated.
Findings
The investigation included interviews, record reviews, and observations. The allegation that staff were not properly supervising the resident was deemed unsubstantiated as evidence showed staff followed emergency procedures and supervision plans, and the resident refused assistance and medical care.

Report Facts
Capacity: 125 Census: 124

Employees mentioned
NameTitleContext
Brooke HuertaAdministratorInterviewed regarding complaint and investigation findings
Venus MixsonLicensing Program AnalystConducted the complaint investigation
Anna MartinezExecutive DirectorMet with during the inspection visit
Jazmond D HarrisSupervisorSupervisor overseeing the investigation

Inspection Report

Complaint Investigation
Census: 124 Capacity: 125 Deficiencies: 0 Date: Dec 17, 2025

Visit Reason
The inspection was an unannounced complaint investigation visit conducted to investigate allegations received on 2024-04-22 regarding staffing adequacy, hygiene measures with resident food, and the presence of a facility menu.

Complaint Details
The complaint investigation addressed three allegations: 1) Facility is not staffed to meet residents' needs, 2) Staff are not adhering to hygiene measures with resident's food, and 3) Facility does not have a menu. All allegations were found to be unsubstantiated due to lack of preponderance of evidence.
Findings
The investigation found insufficient evidence to substantiate any of the allegations. Staffing was deemed adequate, hygiene measures were properly followed with valid food handler certifications, and the facility maintained menus as required. No deficiencies were cited during the visit.

Report Facts
Capacity: 125 Census: 124 Food handler certificate expiration dates: 4

Employees mentioned
NameTitleContext
Brooke Abrego-HuertaAdministratorInterviewed and provided responses denying allegations during complaint investigation

Inspection Report

Complaint Investigation
Census: 124 Capacity: 125 Deficiencies: 0 Date: Dec 16, 2025

Visit Reason
The inspection was conducted as an unannounced complaint investigation visit following a complaint received on 2024-05-07 alleging staff shortages impacting resident care.

Complaint Details
The complaint alleged that on 2024-05-05, only one staff member was assisting 20 residents, indicating staff shortage. The allegation was unsubstantiated after investigation.
Findings
The investigation found insufficient evidence to substantiate the allegation of staff shortage. Interviews with the administrator, five staff members, and four residents, along with document reviews and observations, indicated adequate staffing at the time of the visit.

Report Facts
Residents present: 124 Licensed capacity: 125 Staff interviewed: 5 Residents interviewed: 4

Employees mentioned
NameTitleContext
Brooke Abrego-HuertaAdministratorInterviewed and denied the allegation of staff shortage

Inspection Report

Complaint Investigation
Census: 124 Capacity: 125 Deficiencies: 0 Date: Dec 16, 2025

Visit Reason
The inspection visit was conducted as an unannounced complaint investigation following allegations that staff were not able to meet the needs of residents due to staff shortage.

Complaint Details
The complaint alleged that on 5/5/24, only one staff member was assisting all 20 residents. The allegation was unsubstantiated based on interviews and observations during the December 16, 2025 visit.
Findings
The investigation found insufficient evidence to substantiate the allegation of staff shortage. Interviews with the administrator, staff, and residents, as well as document reviews and observations, indicated adequate staffing at the facility.

Report Facts
Capacity: 125 Census: 124 Staff interviewed: 5 Residents interviewed: 4

Employees mentioned
NameTitleContext
Brooke Abrego-HuertaAdministratorInterviewed and denied the allegation of understaffing

Inspection Report

Annual Inspection
Census: 120 Capacity: 125 Deficiencies: 0 Date: Dec 11, 2025

Visit Reason
The inspection was an unannounced required annual inspection conducted to evaluate compliance with licensing requirements for the facility.

Findings
The facility was found to be in compliance with regulations, including physical plant conditions, medication management, food service, care and supervision, records, disaster preparedness, and infection control. No deficiencies or violations were noted during the inspection.

Report Facts
Capacity: 125 Census: 120

Inspection Report

Annual Inspection
Census: 120 Capacity: 125 Deficiencies: 0 Date: Dec 11, 2025

Visit Reason
The inspection was an unannounced required annual inspection conducted to evaluate compliance with licensing requirements for the facility.

Findings
The facility was found to be in compliance with regulations including physical plant conditions, medication management, food service, care and supervision, records, disaster preparedness, and infection control. No deficiencies were noted during this annual inspection.

Report Facts
Facility capacity: 125 Census: 120

Inspection Report

Census: 123 Capacity: 125 Deficiencies: 0 Date: Nov 24, 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 imminent health or safety concerns were observed. The facility was clean, well-staffed, with sufficient food and medication supplies, and no deficiencies were cited during the visit.

Report Facts
Capacity: 125 Census: 123

Employees mentioned
NameTitleContext
Brooke HuertaAdministratorMet with Licensing Program Analyst during the inspection and mentioned in the report
Venus MixsonLicensing Program AnalystConducted the inspection visit
Jazmond D HarrisLicensing Program ManagerNamed in the report as Licensing Program Manager

Inspection Report

Census: 123 Capacity: 125 Deficiencies: 0 Date: Nov 24, 2025

Visit Reason
The visit was an unannounced Health and Safety case management visit conducted to assess the facility's compliance with care and safety standards.

Findings
No imminent health or safety concerns were observed. The facility was clean, well-organized, with sufficient staff and supplies including food and medications. No deficiencies were cited during the visit.

Report Facts
Census: 123 Total Capacity: 125

Employees mentioned
NameTitleContext
Brooke HuertaAdministratorMet with Licensing Program Analyst during the visit and involved in observations
Venus MixsonLicensing Program AnalystConducted the unannounced Health and Safety case management visit

Inspection Report

Complaint Investigation
Census: 124 Capacity: 125 Deficiencies: 0 Date: Oct 28, 2025

Visit Reason
The inspection was an unannounced complaint investigation visit conducted to investigate allegations regarding unclear resident billing statements and failure to provide services agreed upon in the resident's admission agreement.

Complaint Details
The complaint alleged that the resident billing statement did not clearly state charges and that staff were not providing services agreed upon in the resident's admission agreement, specifically the termination of beauty shop services. The investigation included interviews with staff, residents, and review of records. The allegations were found unsubstantiated.
Findings
The investigation found no preponderance of evidence to substantiate the allegations. The billing statement issue was related to previous administration and was corrected, and the facility continues to provide beautician services as agreed. No deficiencies were cited.

Report Facts
Capacity: 125 Census: 124

Employees mentioned
NameTitleContext
Antonine RichardLicensing Program AnalystConducted the complaint investigation
Anna MartinezAssistant Executive DirectorInterviewed during the investigation and received a copy of the report
Kameshi TaylorAdministratorNamed as facility administrator

Inspection Report

Complaint Investigation
Census: 124 Capacity: 125 Deficiencies: 0 Date: Oct 28, 2025

Visit Reason
The inspection was an unannounced complaint investigation visit conducted to investigate allegations regarding medication administration, dispensing medications without prescriptions, and failure to notify authorized representatives of fee increases.

Complaint Details
The complaint included three allegations: 1) Staff not providing medications as prescribed; 2) Facility staff dispensing medications without prescriptions; 3) Facility not providing proper notification to authorized representatives for fee increases. All allegations were found to be unsubstantiated based on interviews, record reviews, and observations.
Findings
The investigation found no preponderance of evidence to substantiate the allegations. Medication administration records and interviews with staff and residents supported that medications were provided as prescribed and with proper authorization. The facility's fee increase notification procedures were also found to be in compliance.

Report Facts
Capacity: 125 Census: 124 Fee increase amount: 1600 Previous fee amount: 400

Employees mentioned
NameTitleContext
Antonine RichardLicensing Program AnalystConducted the complaint investigation and authored the report
Anna MartinezAssistant Executive DirectorInterviewed during the investigation and recipient of the report
Kameshi TaylorAdministratorFacility administrator named in the report header

Inspection Report

Complaint Investigation
Census: 124 Capacity: 125 Deficiencies: 0 Date: Oct 28, 2025

Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to allegations received on 2023-03-06 regarding medication administration, dispensing medications without prescriptions, and failure to notify authorized representatives of fee increases.

Complaint Details
The complaint included three allegations: 1) staff not providing medications as prescribed, 2) dispensing medications without prescriptions, and 3) failure to notify authorized representatives of fee increases. All allegations were found unsubstantiated based on interviews, record reviews, and observations.
Findings
The investigation found no preponderance of evidence to substantiate the allegations. Interviews with staff and residents, review of medication administration records, and facility documentation supported that medications were administered properly, prescriptions were followed, and fee increases were properly communicated.

Report Facts
Capacity: 125 Census: 124 Fee increase amount: 1600 Previous fee amount: 400

Employees mentioned
NameTitleContext
Antonine RichardLicensing Program AnalystConducted the complaint investigation and authored the report
Anna MartinezAssistant Executive DirectorInterviewed during investigation and received report copy
Kameshi TaylorAdministratorFacility administrator named in report header

Inspection Report

Complaint Investigation
Census: 124 Capacity: 125 Deficiencies: 0 Date: Oct 27, 2025

Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to allegations received on 2023-03-06 regarding insufficient staffing to meet residents' needs and failure to provide adequate food service.

Complaint Details
The complaint alleged insufficient staffing and inadequate food service. The allegations were unsubstantiated based on interviews with the Assistant Executive Director, Med Tech, Dining Services Manager, staff members, and residents, as well as review of facility records and observations.
Findings
After interviews with staff, residents, and review of records and menus, the investigation found no preponderance of evidence to substantiate the allegations. All interviewed parties denied the allegations, and observations confirmed adequate staffing and food service.

Report Facts
Capacity: 125 Census: 124

Employees mentioned
NameTitleContext
Antonine RichardLicensing Program AnalystConducted the complaint investigation and authored the report
Anna MartinezAssistant Executive DirectorInterviewed during investigation and received report copy
Kameshi TaylorAdministratorFacility administrator named in report header

Inspection Report

Complaint Investigation
Census: 124 Capacity: 125 Deficiencies: 0 Date: Oct 27, 2025

Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to allegations received on 2023-03-06 regarding insufficient staffing to meet residents' needs and inadequate food service at the facility.

Complaint Details
The complaint alleged insufficient staffing to meet residents' needs and failure to provide adequate food service, including lack of snacks in memory care. The investigation found these allegations unsubstantiated based on interviews, observations, and record reviews.
Findings
After interviews with staff, residents, and review of records and menus, the investigation found no preponderance of evidence to substantiate the allegations. All interviewed parties denied the allegations, and observations confirmed adequate staffing and food service. Therefore, both allegations were unsubstantiated and no deficiencies were cited.

Report Facts
Capacity: 125 Census: 124 On-call caregivers: 4 On-call Med Techs: 2

Employees mentioned
NameTitleContext
Antonine RichardLicensing Program AnalystConducted the complaint investigation and authored the report
Anna MartinezAssistant Executive DirectorInterviewed during investigation and received report copy

Inspection Report

Complaint Investigation
Census: 125 Capacity: 125 Deficiencies: 1 Date: Oct 21, 2025

Visit Reason
The inspection visit was an unannounced complaint investigation conducted to deliver investigative findings regarding allegations that staff did not respond to residents' calls for assistance in a timely manner and that staff did not meet the needs of residents' religious dietary preferences.

Complaint Details
The complaint investigation was substantiated for the allegation that staff did not respond timely to residents' calls for assistance, with evidence from signaling system records and resident interviews. The allegation regarding failure to meet religious dietary needs was unsubstantiated due to insufficient evidence.
Findings
The allegation that staff did not respond to residents' calls for assistance in a timely manner was substantiated based on interviews and records showing residents waited between 20 to 65 minutes for assistance. The allegation that staff did not meet residents' religious dietary preferences was unsubstantiated due to evidence of alternative meal options and staff efforts to accommodate dietary restrictions.

Deficiencies (1)
Staff did not respond to five residents' calls for assistance within a timely manner, resulting in residents waiting between 30 minutes to an hour, posing a potential health and safety risk.
Report Facts
Residents waiting time: 65 Capacity: 125 Census: 125 Plan of Correction Due Date: Nov 4, 2025

Employees mentioned
NameTitleContext
Brooke HuertaExecutive DirectorMet with Licensing Program Analyst during investigation and named in deficiency finding
Valerie FloresLicensing Program AnalystConducted the complaint investigation

Inspection Report

Complaint Investigation
Census: 121 Capacity: 125 Deficiencies: 0 Date: Sep 5, 2025

Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that the facility staff did not administer medication as prescribed.

Complaint Details
The complaint alleged that facility staff did not administer medication as prescribed, specifically that a resident was given 13 unopened boxes of eye drops upon relocation, suggesting medication was not distributed properly. The allegation was found to be unfounded based on interviews, record reviews, and observations.
Findings
The investigation found that the allegation was unfounded. Interviews, record reviews, and observations confirmed that the resident did not miss any medication and that medication was provided in singular doses as prescribed.

Report Facts
Capacity: 125 Census: 121 Unopened medication boxes: 13

Employees mentioned
NameTitleContext
Venus MixsonLicensing Program AnalystConducted the complaint investigation and provided findings
Brooke HuertaLicensee / AdministratorMet with the Licensing Program Analyst during the investigation and provided information regarding medication administration
Kameshi TaylorAdministratorNamed as facility administrator in the report header
Jazmond D HarrisSupervisorSupervisor overseeing the investigation

Inspection Report

Complaint Investigation
Census: 125 Capacity: 125 Deficiencies: 0 Date: Aug 19, 2025

Visit Reason
An unannounced complaint investigation was conducted following an allegation that facility staff was negligent in a resident's death.

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.
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.

Report Facts
Capacity: 125 Census: 125

Employees mentioned
NameTitleContext
Valerie FloresLicensing Program AnalystConducted the complaint investigation and delivered findings
Anna MartinezAssistant DirectorMet with Licensing Program Analyst during investigation and received report
Anthony PerezLicensing Program ManagerNamed in report as Licensing Program Manager
Kameshi TaylorAdministratorFacility Administrator named in report

Inspection Report

Complaint Investigation
Census: 118 Capacity: 125 Deficiencies: 1 Date: May 27, 2025

Visit Reason
The visit was an unannounced Case Management with Deficiencies inspection conducted due to information received on May 14, 2025, stating that a resident wandered into another resident’s room.

Complaint Details
The complaint was substantiated based on information received about a resident wandering into another resident’s room, which posed an immediate health, safety, or personal rights risk.
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, safety, or personal rights.

Deficiencies (1)
Facility failed to provide appropriate and adequate supervision to prevent a resident from wandering into another resident’s room.
Report Facts
Deficiencies cited: 1 Capacity: 125 Census: 118

Employees mentioned
NameTitleContext
Anna MartinezMemory Care DirectorMet with Licensing Program Analyst during inspection

Inspection Report

Census: 118 Capacity: 125 Deficiencies: 1 Date: 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.

Deficiencies (1)
Facility failed to provide appropriate and adequate supervision to prevent a resident from wandering into another resident’s room.
Report Facts
Capacity: 125 Census: 118

Employees mentioned
NameTitleContext
Anna MartinezMemory Care DirectorMet with Licensing Program Analyst during inspection
Venus MixsonLicensing Program AnalystConducted the inspection and signed the report
Jazmond D HarrisLicensing Program ManagerNamed as Licensing Program Manager on the report

Inspection Report

Census: 118 Capacity: 125 Deficiencies: 0 Date: May 20, 2025

Visit Reason
The visit was an unannounced Health and Safety case management visit conducted to assess the facility's compliance with care 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
NameTitleContext
Brook HuertaAdministratorMet with Licensing Program Analyst during the inspection and named in the report
Venus MixsonLicensing Program AnalystConducted the inspection visit
Jazmond D HarrisLicensing Program ManagerNamed in the report

Inspection Report

Census: 118 Capacity: 125 Deficiencies: 0 Date: 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
NameTitleContext
Brook HuertaAdministratorMet with Licensing Program Analyst during the inspection and received a copy of the report
Venus MixsonLicensing Program AnalystConducted the Health and Safety case management visit
Jazmond D HarrisLicensing Program ManagerNamed as Licensing Program Manager on the report

Inspection Report

Annual Inspection
Census: 102 Capacity: 125 Deficiencies: 1 Date: 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)
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
NameTitleContext
Brooke Abrego-HuertaExecutive DirectorMet with Licensing Program Analyst during inspection and named in relation to facility operation and findings
Stephanie MartinezLicensing Program AnalystConducted the inspection
Rikesha StampsLicensing Program ManagerNamed in the report as Licensing Program Manager
Sammy OrtizFacility Maintenance DirectorAccompanied Licensing Program Analyst during physical plant inspection

Inspection Report

Complaint Investigation
Census: 102 Capacity: 125 Deficiencies: 0 Date: Jan 22, 2025

Visit Reason
An unannounced complaint investigation was conducted due to allegations that staff were not properly supervising residents who may be a fall risk.

Complaint Details
The complaint alleged improper supervision of a resident at fall risk, with multiple emergency calls made for the resident. The investigation included interviews, record reviews, and incident reports. The allegation was unsubstantiated due to insufficient evidence.
Findings
The investigation found insufficient evidence to substantiate the allegation. Multiple interviews and record reviews indicated that staff were generally meeting care needs, and only four calls to emergency services were confirmed for the resident in question. The allegation was deemed unsubstantiated due to lack of preponderance of evidence.

Report Facts
Calls to emergency services: 4 Resident census: 102 Facility capacity: 125

Employees mentioned
NameTitleContext
Stephanie MartinezLicensing Program AnalystConducted the complaint investigation
Brooke Abrego HuertaExecutive DirectorMet with Licensing Program Analyst during investigation

Inspection Report

Annual Inspection
Census: 102 Capacity: 125 Deficiencies: 2 Date: 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)
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
NameTitleContext
Brooke Abrego-HuertaExecutive DirectorMet with Licensing Program Analyst during inspection and was informed of the purpose of the visit.
Stephanie MartinezLicensing Program AnalystConducted the required annual inspection.
Rikesha StampsLicensing Program ManagerNamed in the report as Licensing Program Manager.

Inspection Report

Complaint Investigation
Census: 102 Capacity: 125 Deficiencies: 0 Date: Jan 22, 2025

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations that staff were not properly supervising residents who may be a fall risk.

Complaint Details
The complaint alleged improper supervision of a resident at fall risk, with multiple 911 calls related to falls. The investigation included interviews, record reviews, and incident reports. The complaint was found unsubstantiated due to insufficient evidence.
Findings
The investigation found insufficient evidence to substantiate the allegation. Interviews and records showed that staff were generally meeting care needs, and only four calls to emergency services were confirmed for the resident in question. The allegation was deemed unsubstantiated due to lack of preponderance of evidence.

Report Facts
Calls to emergency services: 4 Resident census: 102 Facility capacity: 125

Employees mentioned
NameTitleContext
Stephanie MartinezLicensing Program AnalystConducted the complaint investigation visit
Brooke Abrego HuertaExecutive DirectorMet with Licensing Program Analyst during investigation

Inspection Report

Complaint Investigation
Census: 90 Capacity: 125 Deficiencies: 0 Date: 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.

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.
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.

Report Facts
Unauthorized transactions amount: 8000 Withdrawal amount: 1000 Loan amount: 1000 Cash amount missing: 200 Facility capacity: 125 Resident census: 90

Employees mentioned
NameTitleContext
Stephanie MartinezLicensing Program AnalystConducted the unannounced visit and investigation
Anna MartinezMemory Care DirectorMet with Licensing Program Analyst during the visit and was informed of the investigation

Inspection Report

Census: 84 Capacity: 125 Deficiencies: 0 Date: 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
NameTitleContext
Yolanda DelgadoLicensing Program AnalystConducted the unannounced Case Management Death Report visit.
Brooke Abrego-HuertaExecutive DirectorMet with the Licensing Program Analyst during the visit.
Anna MartinezMemory Care DirectorMet with the Licensing Program Analyst during the visit.

Inspection Report

Complaint Investigation
Census: 83 Capacity: 125 Deficiencies: 0 Date: 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.

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.
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.

Employees mentioned
NameTitleContext
Stephanie MartinezLicensing Program AnalystConducted the unannounced visit and investigation related to alleged theft.
Brooke Abrego HuertaExecutive DirectorMet with the Licensing Program Analyst during the visit.
Kameshi TaylorAdministrator/DirectorNamed as the facility administrator/director.

Inspection Report

Annual Inspection
Census: 76 Capacity: 125 Deficiencies: 0 Date: 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
NameTitleContext
Brooke Abrego HuertaAdministratorMet with Licensing Program Analyst during the inspection and provided information about hospice residents.
Stephanie MartinezLicensing Program AnalystConducted the unannounced annual inspection visit.
Rikesha StampsLicensing Program ManagerNamed as Licensing Program Manager on the report.

Inspection Report

Annual Inspection
Census: 76 Capacity: 125 Deficiencies: 0 Date: 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
NameTitleContext
Brooke Abrego HuertaAdministratorMet with Licensing Program Analyst during inspection and involved in Emergency Disaster Plan discussion.
Stephanie MartinezLicensing Program AnalystConducted the unannounced annual inspection visit.
Rikesha StampsLicensing Program ManagerNamed as Licensing Program Manager on the report.

Inspection Report

Complaint Investigation
Census: 65 Capacity: 125 Deficiencies: 0 Date: 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.

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.
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.

Report Facts
Capacity: 125 Census: 65

Employees mentioned
NameTitleContext
Stephanie MartinezLicensing Program AnalystConducted the complaint investigation
Brooke Abrego-HuertaExecutive DirectorInterviewed during investigation and involved in communication regarding resident care
Kameshi TaylorAdministratorNamed as facility administrator
Rikesha StampsLicensing Program ManagerOversaw the complaint investigation

Inspection Report

Complaint Investigation
Census: 64 Capacity: 125 Deficiencies: 0 Date: Apr 18, 2023

Visit Reason
An unannounced complaint investigation was conducted regarding an allegation that staff prohibited a resident from having PRN medication at the facility.

Complaint Details
The complaint alleged staff prohibited a resident from having PRN medication. The allegation was unsubstantiated as there was no preponderance of evidence to prove the violation occurred.
Findings
The investigation found that the facility requested outside agencies to discontinue unused PRN medications that remained unused for two months, but did not require removal without resident or responsible party approval. The allegation was deemed unsubstantiated due to insufficient evidence.

Report Facts
Capacity: 125 Census: 64

Employees mentioned
NameTitleContext
Stephanie TorresLicensing EvaluatorConducted the complaint investigation
Kameshi TaylorExecutive DirectorInterviewed regarding medication policy
Lucia GutierrezBusiness Office ManagerMet with LPAs during investigation

Inspection Report

Original Licensing
Census: 67 Capacity: 125 Deficiencies: 0 Date: 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
NameTitleContext
Kameshi TaylorExecutive DirectorMet during inspection and named in report
Janira ArreolaLicensing Program AnalystConducted the inspection visit
Joel EsquivelLicensing Program ManagerNamed in report

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