Inspection Report Summary
Most inspections found no deficiencies, showing the facility generally maintained a clean, safe, and well-managed environment. Several complaint investigations were unsubstantiated, including concerns about visitation rights, staff communication, and resident safety. However, a complaint investigation on May 23, 2025, found deficiencies related to failure to report an aggressive incident between residents as required, though no immediate health hazards were observed. Earlier in 2024, there were substantiated issues with medication management and safety hazards in outdoor areas, but recent reports show improvement with no deficiencies noted in the latest annual inspection on September 30, 2025. There have been no fines, license suspensions, or severe enforcement actions listed in the available reports.
Deficiencies (last 4 years)
Deficiencies (over 4 years)
1.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
55% better than California average
California average: 4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
100% occupied
Based on a September 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Annual Inspection
Census: 31
Capacity: 31
Deficiencies: 0
Sep 30, 2025
Visit Reason
An unannounced annual inspection was conducted to evaluate the facility's compliance with licensing requirements and ensure the health and safety of residents.
Findings
The facility was found to be clean, well-maintained, and compliant with safety and health regulations. No immediate health or safety hazards were observed. Resident and staff records were complete and current. Fire safety systems and infection control measures were properly maintained.
Report Facts
Residents receiving hospice care: 2
Fire extinguishers last serviced: 2024
Hot water temperature: 114
Resident files reviewed: 4
Staff files reviewed: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Yossi Wieder | Executive Director | Met with Licensing Program Analyst during inspection |
| Raymond Comer | Licensing Program Analyst | Conducted the inspection and authored the report |
| Nichelle Gillyard | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 31
Capacity: 31
Deficiencies: 2
May 23, 2025
Visit Reason
An unannounced case management visit was conducted in conjunction with complaint investigation #31-AS-20250516141919 to address deficiencies related to a complaint involving an aggressive incident between two residents and failure to follow reporting requirements.
Findings
The investigation revealed that staff failed to report the incident to the Administrator and did not submit required incident reports to the Licensing Division, violating Title 22 reporting requirements. No immediate health or safety hazards were observed during the visit.
Complaint Details
Complaint investigation #31-AS-20250516141919 was conducted due to an incident on 05/05/25 where Resident #2 committed an aggressive act upon Resident #1. Staff contacted physicians and family but failed to report the incident to the Administrator or submit required reports to the Licensing Division.
Severity Breakdown
Type B: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to submit an Incident Report to the licensing agency within seven days of the incident's occurrence, posing a potential health risk to residents in care. | Type B |
| Failure to report suspected physical abuse to the local ombudsman and local law enforcement agency within 24 hours as required, posing a potential health risk to residents in care. | Type B |
Report Facts
Capacity: 31
Census: 31
Deficiencies cited: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Marco Villegas | Administrator | Met during inspection and informed of reporting deficiencies |
| Raymond Comer | Licensing Program Analyst | Conducted the unannounced case management visit and complaint investigation |
| Eva Miller | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 53
Capacity: 100
Deficiencies: 0
May 1, 2025
Visit Reason
The visit was an unannounced complaint investigation regarding an allegation that staff did not prevent a resident from entering other residents' rooms.
Findings
The investigation found no health or safety issues and interviews with staff, residents, and the Executive Director indicated that residents have locks on their rooms and staff actively monitor wandering residents. The allegation was deemed unsubstantiated.
Complaint Details
The complaint alleged that staff were aware of a resident entering another resident's room multiple times but neglected to address it. Interviews and observations did not support this claim, and the allegation was unsubstantiated.
Report Facts
Residents interviewed: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Marco Villegas | Administrator | Met with Licensing Program Analyst during investigation. |
| Raymond Comer | Licensing Program Analyst | Conducted the complaint investigation. |
| Eva Miller | Licensing Program Manager | Named as Licensing Program Manager on report. |
Inspection Report
Complaint Investigation
Census: 52
Capacity: 100
Deficiencies: 0
Mar 21, 2025
Visit Reason
An unannounced complaint investigation visit was conducted to investigate allegations that staff do not answer the facility telephone and that visitors are unable to enter or leave due to lack of front desk coverage.
Findings
The investigation found that the telephone was in working order, staff consistently covered the front desk, and interviews with staff and residents confirmed no issues with telephone answering or visitor access. The allegation was unsubstantiated.
Complaint Details
The complaint alleged that staff do not answer the facility telephone during morning and afternoon hours and that visitors are unable to enter or leave due to lack of front desk coverage. The allegation was found to be unsubstantiated based on observations and interviews.
Report Facts
Residents interviewed: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Marco Villegas | Executive Director | Met with Licensing Program Analyst and interviewed regarding complaint |
| Raymond Comer | Licensing Program Analyst | Conducted complaint investigation visit |
| Eva Miller | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Annual Inspection
Census: 30
Capacity: 31
Deficiencies: 0
Dec 12, 2024
Visit Reason
An unannounced annual inspection was conducted to evaluate the facility's compliance with licensing requirements and overall condition.
Findings
The facility was found to be clean, well-maintained, and compliant with safety and health regulations. No immediate health or safety hazards were observed. All required systems, including fire detection and infection control, were functioning properly.
Report Facts
Residents receiving hospice care: 2
Disaster drills last conducted: Sep 25, 2024
Fire extinguishers last serviced: Dec 24, 2023
Resident files reviewed: 3
Staff files reviewed: 3
Hot water temperature: 113.5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Marco Villegas | Facility Administrator | Met with Licensing Program Analyst during inspection and involved in facility tour. |
| Raymond Comer | Licensing Program Analyst | Conducted the unannounced annual inspection. |
| Eva Miller | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Annual Inspection
Census: 57
Capacity: 100
Deficiencies: 0
Oct 22, 2024
Visit Reason
The visit was a continuation of the required annual facility inspection to evaluate compliance with licensing regulations.
Findings
The inspection found that fire detection and protection systems were functional and properly maintained, medication storage and documentation were secure and complete, laundry and common areas were clean and safe, resident bedrooms and bathrooms met safety and comfort standards, and resident and staff records were complete and current. No immediate health or safety hazards were observed.
Report Facts
Resident files reviewed: 6
Staff files reviewed: 6
Hot water temperature: 111
Fire extinguisher last serviced: 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Nancy Adams | Administrator Designee | Met with Licensing Program Analyst during inspection and received exit interview. |
| Raymond Comer | Licensing Program Analyst | Conducted the annual facility inspection. |
| Eva Miller | Licensing Program Manager | Named in report as Licensing Program Manager. |
Inspection Report
Annual Inspection
Census: 57
Capacity: 100
Deficiencies: 0
Oct 21, 2024
Visit Reason
An unannounced annual inspection was conducted to evaluate the facility's compliance with licensing requirements and overall condition.
Findings
The facility was found to be clean and well-maintained, with proper infection control measures and safety systems in place. Resident records were complete and current, and the kitchen met all health and safety standards. The inspection was not fully completed due to time constraints and will be finished at a later date.
Report Facts
Residents receiving hospice care: 5
Resident files reviewed: 6
Disaster drills last conducted: Sep 25, 2024
Room temperature: 77
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Nancy Adams | Wellness Director | Met with Licensing Program Analyst during inspection and received copy of report |
| Raymond Comer | Licensing Program Analyst | Conducted the inspection |
| Eva Miller | Licensing Program Manager | Named in report header and signature section |
Inspection Report
Complaint Investigation
Census: 55
Capacity: 100
Deficiencies: 0
Sep 24, 2024
Visit Reason
An unannounced complaint investigation visit was conducted to investigate allegations regarding food quality and quantity, staff communication with residents, and medication management.
Findings
The investigation found that the facility had sufficient food stock and residents reported food quality and quantity as good. Staff were not found to be rude to residents, and medication management issues were related to insurance coverage and physician restrictions. All allegations were deemed unsubstantiated.
Complaint Details
The complaint included allegations that staff did not ensure good quality and quantity of food, were rude to residents, and did not properly manage medications. The investigation found these allegations unsubstantiated based on observations, interviews with staff and residents, and review of medication records.
Report Facts
Residents interviewed: 8
Medication supply days: 90
Medication supply days: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jose Gary Tan | Licensing Program Analyst | Conducted the complaint investigation visit. |
| Marco Villegas | Executive Director | Met with Licensing Program Analyst during the investigation. |
| Troy Agard | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Complaint Investigation
Census: 54
Capacity: 100
Deficiencies: 0
May 29, 2024
Visit Reason
The visit was conducted as a case management and complaint investigation related to complaint report #31-AS-20240425102904, with an initial complaint investigation visit conducted on 2024-04-30.
Findings
The report documents the delivery of an amended LIC 9099 Complaint Investigation Report to the Assistant Administrator, Jennifer Rivera, summarizing the complaint investigation findings.
Complaint Details
Complaint investigation associated with complaint report #31-AS-20240425102904; initial investigation visit conducted on 2024-04-30. The amended complaint investigation report was delivered on 2024-05-29.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Raymond Comer | Licensing Program Analyst | Delivered the amended LIC 9099 Complaint Investigation Report. |
| Jennifer Rivera | Assistant Administrator | Received the amended LIC 9099 Complaint Investigation Report. |
| Marco Villegas | Administrator/Director | Named as facility administrator/director. |
| Eva Miller | Licensing Program Manager | Named as Licensing Program Manager. |
Inspection Report
Complaint Investigation
Census: 54
Capacity: 100
Deficiencies: 0
Apr 30, 2024
Visit Reason
Unannounced complaint investigation visit conducted due to an allegation that staff do not allow a resident to have visitors.
Findings
The investigation found no issues with visitation rights; the facility does not prohibit residents' visitation. The family member in question was temporarily unable to visit due to medical restrictions at another facility. The allegation was unsubstantiated.
Complaint Details
The complaint alleged that staff prohibited a resident from having visitors. The investigation revealed that the family member was restricted from visiting by their own facility's medical team pending a medical evaluation. The allegation was unsubstantiated.
Report Facts
Capacity: 100
Census: 54
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Marco Villegas | Administrator | Named in relation to the allegation about visitation rights |
| Raymond Comer | Licensing Program Analyst | Conducted the complaint investigation |
| Micheal Cava | Licensing Program Analyst | Conducted the health and safety inspection |
| Eva Miller | Licensing Program Manager | Oversaw the complaint investigation |
Inspection Report
Complaint Investigation
Census: 54
Capacity: 100
Deficiencies: 1
Feb 29, 2024
Visit Reason
This case management visit was conducted in conjunction with a complaint investigation to address deficiencies unrelated to the complaint.
Findings
Deficiencies were observed including a non-working parking lot buzzer, trash containers blocking an exit door, cigarette butts scattered around, and old broken furniture with sharp corners obstructing the parking and recreational area posing health and safety hazards. The parking lot and recreational areas were not maintained as required.
Complaint Details
The visit was complaint-related; deficiencies unrelated to the complaint were observed and cited.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility parking lot and outside recreational area were not clean and free of obstructions, posing potential health and safety hazards to residents. | Type B |
Report Facts
Capacity: 100
Census: 54
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Marco Villegas | Administrator | Met during the visit and discussed noted issues |
| Naira Margaryan | Licensing Program Manager | Supervisor and Licensing Program Manager involved in the inspection |
| Leizl De La Cerra | Licensing Program Analyst | Licensing Program Analyst involved in the inspection |
Inspection Report
Complaint Investigation
Census: 54
Capacity: 100
Deficiencies: 2
Feb 29, 2024
Visit Reason
Unannounced complaint investigation visit conducted due to a complaint received on 2024-01-12 regarding untimely medication refills for residents.
Findings
The investigation found that medication for Resident #1 was not refilled in a timely manner, resulting in a medication gap from 01/03/2024 to 01/08/2024. Additionally, staff continued to initial medication administration records for Resident #1 after the resident had relocated, indicating inaccurate documentation. These findings were substantiated and posed immediate health and safety risks.
Complaint Details
Complaint was substantiated. Allegation was that staff did not order resident’s medication refills in a timely manner. Investigation confirmed medication refill delays and inaccurate medication administration record keeping.
Severity Breakdown
Type A: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Facility did not refill medication in a timely manner for Resident #1, posing an immediate health and safety risk. | Type A |
| Facility staff marked medication administration records days in advance, which is conduct inimical to resident safety. | Type A |
Report Facts
Capacity: 100
Census: 54
Plan of Correction Due Date: Mar 1, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Marco Villegas | Administrator | Met with during investigation and named in findings |
| Huma Rahimi | Licensing Program Analyst | Conducted the complaint investigation |
| Nichelle Gillyard | Licensing Program Manager | Oversaw the complaint investigation |
Inspection Report
Complaint Investigation
Census: 54
Capacity: 100
Deficiencies: 0
Feb 29, 2024
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations that staff did not prevent a resident from handling another resident roughly, did not prevent threatening comments between residents, and did not provide a comfortable environment for a resident.
Findings
The investigation found that although an incident of verbal and physical abuse occurred between two residents who are a married couple, staff intervened promptly to prevent escalation and assisted the residents. Interviews and record reviews supported that staff took appropriate actions and the allegations were unsubstantiated. No immediate health and safety issues were noted.
Complaint Details
The complaint involved allegations of staff failing to prevent rough handling and threatening comments between residents, and not providing a comfortable environment. The allegations were found to be unsubstantiated based on interviews, observations, and record reviews.
Report Facts
Capacity: 100
Census: 54
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Marco Villegas | Administrator | Met with during investigation and named in findings |
| Huma Rahimi | Licensing Program Analyst | Conducted the complaint investigation |
| Nichelle Gillyard | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Original Licensing
Census: 25
Capacity: 31
Deficiencies: 0
Oct 25, 2023
Visit Reason
The visit was an announced Pre-Licensing inspection conducted to evaluate the facility's readiness for licensing and compliance with regulatory requirements.
Findings
The facility was found to be clean, well-maintained, and appropriately equipped with no deficiencies noted. All safety systems, medication storage, resident and staff records, and common areas were observed to be in compliance with regulations.
Report Facts
Fire extinguishers: 5
Facility capacity: 31
Current census: 25
Hot water temperature: 115
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Marco Villegas | Administrator | Met with Licensing Program Analysts during inspection and participated in entrance and exit interviews |
| Evelin Rios | Licensing Program Analyst | Conducted the inspection and signed the report |
| Michael Cava | Licensing Program Analyst | Conducted the inspection |
| Eva Miller | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Original Licensing
Census: 49
Capacity: 100
Deficiencies: 0
Aug 25, 2023
Visit Reason
The visit was a Pre-Licensing reinspection to inspect the facility and ensure compliance with California Code of Regulations, Title 22, Division 6.
Findings
The inspection found that all four emergency exits equipped with delayed egress systems were operational and functioning properly. The facility was in compliance with Title 22 Regulations and had no deficiencies.
Report Facts
Number of emergency exits tested: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Marcos Villegas | Administrator | Met with Licensing Program Analyst during inspection |
| LaQueena Lacy | Licensing Program Analyst | Conducted the Pre-Licensing reinspection visit |
| Naira Margaryan | Licensing Program Manager | Named in report header |
Inspection Report
Original Licensing
Census: 41
Capacity: 100
Deficiencies: 1
Jun 13, 2023
Visit Reason
The inspection was a subsequent pre-licensing visit conducted to evaluate the facility's compliance with regulations prior to licensing approval.
Findings
The inspection found that 2 out of 6 exit doors equipped with the Delayed Egress Locking System (DELS) were not operational or functioning properly, resulting in non-compliance with Title 22 Regulations at the time of the visit.
Deficiencies (1)
| Description |
|---|
| Two out of six exit doors with Delayed Egress Locking System were not operational or functioning properly. |
Report Facts
Exit doors inspected: 6
Exit doors tested: 4
Exit doors not operational: 2
DELS timer setting: 15
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| LaQueena Lacy | Licensing Program Analyst | Conducted the inspection and physical plant tour |
| Marco Villegas | Administrator | Facility administrator met during inspection and exit interview |
| Naira Margaryan | Licensing Program Manager | Named in report header |
Inspection Report
Original Licensing
Census: 41
Capacity: 100
Deficiencies: 1
May 12, 2023
Visit Reason
The visit was an announced pre-licensing inspection to ensure the facility's compliance with California Code of Regulations, Title 22, Division 6.
Findings
The facility was generally clean, well-maintained, and equipped with operational safety features; however, it was found not in compliance due to delayed egress doors on the 1st and 2nd floor exit doors lacking proper fire clearance as per the fire clearance dated 12/08/2022.
Deficiencies (1)
| Description |
|---|
| Delayed egress doors on the 1st and 2nd floor exit doors do not have fire clearance as required. |
Report Facts
Capacity: 100
Census: 41
Fire extinguisher service tag date: Dec 13, 2022
Fire protection report date: Oct 11, 2022
Hot water temperature range: 113.6
Hot water temperature range: 115.6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Marcos Villegas | Administrator | Met with Licensing Program Analyst during inspection and exit interview |
| LaQueena Lacy | Licensing Program Analyst | Conducted the pre-licensing inspection |
| Naira Margaryan | Licensing Program Manager | Named in report header and signature section |
Inspection Report
Original Licensing
Census: 9
Capacity: 31
Deficiencies: 0
Feb 8, 2023
Visit Reason
The visit was conducted as a pre-licensing inspection and Component II evaluation via telephone call to verify the applicant and administrator's understanding of Title 22 and facility operation requirements.
Findings
The Component II evaluation was successfully completed, confirming the applicant and administrator's understanding of facility operation, staff qualifications, training, applicant and administrator qualifications, grievances, complaints, community resources, food service, medication management, and application document review.
Report Facts
Capacity: 31
Census: 9
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Marco Villegas | Administrator | Participant in Component II evaluation |
| Baruch Berkowitz | Owner | Participant in Component II evaluation |
| Shannon Betker | Analyst | CAB analyst conducting Component II evaluation |
| Jude De La Concepcion | Licensing Program Manager | Named in report header and signature |
Inspection Report
Original Licensing
Census: 33
Capacity: 100
Deficiencies: 0
Dec 28, 2022
Visit Reason
The visit was conducted as part of a Change of Ownership (CHOW) application process for the facility.
Findings
The applicant and administrator participated in a telephone call with the analyst to confirm understanding of facility operation, staff qualifications, program policies, and application document requirements. Component II of the evaluation was successfully completed with no deficiencies noted.
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