Inspection Reports for Maple House II
2000 Brommer St, Santa Cruz, CA 95062, USA, CA, 95062
Back to Facility ProfileDeficiencies per Year
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Inspection Report
Original Licensing
Capacity: 40
Deficiencies: 0
Dec 11, 2024
Visit Reason
The visit was a pre-licensing inspection conducted unannounced to follow up on corrections and deficiencies observed during a previous pre-licensing visit on 2024-10-22.
Findings
No deficiencies were cited during this visit. The previously noted issues with a corroded dishwasher and cracked parking lot cement stoppers were corrected. The facility is in the process of replacing the dishwasher and was advised to resubmit a bedridden capacity increase request.
Report Facts
Bedridden capacity: 8
Bedridden capacity: 15
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Anshu Gupta | Applicant | Met with during the inspection and reviewed Component III |
| Marcella Tarin | Licensing Program Analyst | Conducted the inspection and signed the report |
| David Marrufo | Licensing Program Analyst | Conducted the inspection |
Inspection Report
Original Licensing
Census: 21
Capacity: 40
Deficiencies: 0
Oct 22, 2024
Visit Reason
The visit was a pre-licensing, unannounced inspection conducted to evaluate the facility under a change of ownership and to assess readiness for licensing.
Findings
The facility was toured and inspected, with observations including secured toxins, working smoke and carbon monoxide detectors, and proper storage of medications. Some corrections were noted, such as a corroded dishwasher and cracked parking lot cement stoppers, which need to be addressed. No deficiencies were cited at this time.
Report Facts
Nonperishable food supply: 7
Perishable food supply: 2
Fire extinguisher inspection date: Mar 13, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Anshu Gupta | Vice President/Applicant | Met during inspection and exit interview |
| Rose Anne Roxas | House Manager/Administrator | Met during inspection and exit interview |
| Marcella Tarin | Licensing Program Analyst | Conducted inspection |
| Maria (Mita) Partoza | Licensing Program Analyst | Conducted inspection |
Inspection Report
Original Licensing
Capacity: 40
Deficiencies: 0
Sep 16, 2024
Visit Reason
The visit was conducted as part of the Community Care Licensing evaluation for a change of ownership (CHOW) application and pre-licensing readiness assessment.
Findings
The applicant/administrator participated in a COMP II telephone interview to verify identification and confirm understanding of community care facility licensing laws, including facility operation, admission policies, staffing, emergency preparedness, complaints, and pre-licensing readiness.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Rose Anne Roxas | Administrator | Applicant/Administrator who participated in COMP II interview and confirmed understanding of licensing laws. |
| Mirella Quaranta | Licensing Program Manager | Named as Licensing Program Manager on the report. |
| Stefania Fonteno | Licensing Program Analyst | Named as Licensing Program Analyst on the report. |
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