Inspection Report
Annual Inspection
Census: 73
Capacity: 120
Deficiencies: 1
Oct 21, 2025
Visit Reason
The inspection was an unannounced Required 1 Year Annual evaluation conducted to assess compliance with licensing requirements.
Findings
The facility was found to be generally clean, sanitary, and in good repair with adequate furnishings and safety features. However, a Type B deficiency was cited due to four routine medications not being given as prescribed to one resident on October 12, 2025.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Four routine medications were not given as prescribed for resident R1 on October 12, 2025, posing a potential health and safety risk. | Type B |
Report Facts
Medication errors: 4
Resident census: 73
Facility capacity: 120
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ray Pellicer | Executive Director/Administrator | Met with Licensing Program Analysts during inspection and named in medication error finding |
| Analyn Samson | Resident Services Director | Accompanied LPAs on physical plant tour |
| Ira Lustina | Memory Care Director | Participated in exit interview |
| Eboni Bentley | Licensing Program Analyst | Conducted inspection and signed report |
Inspection Report
Complaint Investigation
Census: 74
Capacity: 120
Deficiencies: 0
Aug 21, 2025
Visit Reason
An unannounced complaint investigation was conducted following an allegation that a staff member sexually abused a resident in care.
Findings
The investigation found insufficient evidence to substantiate the allegation due to inconsistencies in the resident's statements, lack of witnesses, and no prior complaints against the staff member. The allegation was deemed unsubstantiated.
Complaint Details
The complaint alleged that a staff member sexually abused a resident (R1) during shower assistance. The resident reported discomfort with the staff member washing their private area and made statements to the police. Interviews with other residents and staff did not support the allegation. The staff member was temporarily placed on leave and reassigned. The resident did not want the staff member terminated and was satisfied with the facility's handling of the situation.
Report Facts
Capacity: 120
Census: 74
Complaint received date: Apr 30, 2025
Staff leave duration: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jenifer Tirre | Licensing Program Analyst | Conducted the complaint investigation and unannounced visit |
| Ray Pellicer | Executive Director | Facility representative met during investigation and exit interview |
Inspection Report
Complaint Investigation
Census: 196
Capacity: 120
Deficiencies: 0
Mar 12, 2025
Visit Reason
The inspection was conducted as an unannounced complaint investigation following allegations that staff left residents unattended for excessive amounts of time and did not provide adequate care and supervision.
Findings
The investigation included record review, observations, and interviews, and found no preponderance of evidence to substantiate the allegations. Staff schedules and training records were reviewed, and no health and safety concerns were observed during the visit. The complaint was determined to be unsubstantiated.
Complaint Details
The complaint alleged that staff left residents unattended for excessive amounts of time and failed to provide adequate care and supervision. The investigation was unsubstantiated due to lack of evidence to prove the alleged violations occurred.
Report Facts
Staff members: 26
Staff per shift: 6
Facility capacity: 120
Census: 196
Fall lift assist calls: 25
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jenifer Tirre | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Raymond Pellicer | Executive Director | Met with Licensing Program Analyst during investigation and exit interview |
| Lourdes Montoya | Licensing Program Manager | Named as Licensing Program Manager on report |
| Andrew Tran | Emergency Medical Services Coordinator | Contacted regarding service calls from facility |
| Jamie Jantzen | Emergency Medical Services Nurse Educator | Provided information on fall lift assist calls received by Anaheim Fire and Rescue |
Inspection Report
Annual Inspection
Census: 72
Capacity: 120
Deficiencies: 2
Sep 18, 2024
Visit Reason
Licensing Program Analysts conducted an unannounced visit to perform the required annual inspection of the facility.
Findings
The inspection found that the facility generally maintained cleanliness and organization, with operational emergency systems in assisted living but a non-operational signal system in the memory care unit. One staff member did not meet the required 20 hours of annual training.
Deficiencies (2)
| Description |
|---|
| The 19 rooms in the memory care unit did not have a working signal system. |
| One out of five staff members (Staff 4) did not have the required 20 hours of annual training, having only 12.5 hours. |
Report Facts
Rooms with non-operational signal system: 19
Staff members reviewed: 5
Resident files reviewed: 7
Staff member training hours: 12.5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Raymond Pellicer | Executive Director | Met with Licensing Program Analysts during inspection and verified signal system status |
| Sheila Bottinelli | Administrator/Director | Named as facility administrator/director |
| Staff 4 | Staff member who did not meet required annual training hours |
Inspection Report
Census: 75
Capacity: 120
Deficiencies: 0
Jun 30, 2023
Visit Reason
An unannounced visit was made by Licensing Program Analyst Alvaro Ramirez, Jr. to reissue a report dated 03/23/23 in conjunction with complaint 22-AS-20200819143438 due to a technical error.
Findings
The Licensing Program Analyst was granted entry and met with the Resident Care Director. The report was delivered at the time of exit after an exit interview was conducted.
Complaint Details
Visit was related to complaint 22-AS-20200819143438; no substantiation status stated.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Alvaro Ramirez Jr. | Licensing Program Analyst | Conducted the unannounced visit and delivered the report. |
| Analyn Samsong | Resident Care Director | Met with the Licensing Program Analyst during the visit. |
Inspection Report
Complaint Investigation
Census: 78
Capacity: 120
Deficiencies: 0
Mar 23, 2023
Visit Reason
An unannounced collateral visit was conducted in conjunction with complaint 22-AS-20200819143438 to evaluate the facility's compliance and investigate the complaint.
Findings
The Licensing Program Analyst toured the Assisted Living facility and interviewed staff. The facility was unable to provide records from August 2020, and there were no residents currently present who lived at the facility at that time.
Complaint Details
The visit was related to complaint 22-AS-20200819143438. No further substantiation status or findings related to the complaint were stated.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Analyn Samsong | Resident Care Director | Met with Licensing Program Analyst during the visit and exit interview. |
| Sheila Bottinelli | Executive Director | Met with Licensing Program Analyst during the visit. |
| Alvaro Ramirez Jr. | Licensing Program Analyst | Conducted the unannounced collateral visit. |
| Alisa Ortiz | Licensing Program Manager | Named in the report header. |
Inspection Report
Complaint Investigation
Census: 75
Capacity: 120
Deficiencies: 0
Dec 1, 2022
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2022-02-03 regarding allegations of staff leaving a resident in soiled clothing, residents using others' belongings, personal belongings blocking a heater, and staff not wearing masks.
Findings
The investigation included interviews, record reviews, and a tour of the memory care unit. Staff were observed wearing masks and residents appeared well cared for. The allegations were found to be unsubstantiated due to lack of sufficient evidence.
Complaint Details
The complaint was unsubstantiated, meaning there was not a preponderance of evidence to prove the alleged violations occurred.
Report Facts
Capacity: 120
Census: 75
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Michelle Reed | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Sheila Botinelli | Administrator | Facility administrator met during the investigation and exit interview |
Inspection Report
Complaint Investigation
Census: 73
Capacity: 120
Deficiencies: 0
Nov 16, 2022
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 05/28/2021 alleging that alcohol was accessible to a resident.
Findings
The investigation found that although alcohol was accessible to Resident #1, there was insufficient evidence to prove that the facility staff provided the alcohol. The allegation was determined to be unsubstantiated.
Complaint Details
The complaint alleged that alcohol was accessible to a resident. Resident #1 was found with an altered level of consciousness and admitted to drinking alcohol. Family confirmed a sealed box of wine was in the resident's room. Facility staff and administrator stated the facility does not provide alcohol. The allegation was unsubstantiated.
Report Facts
Facility capacity: 120
Resident census: 73
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Michelle Reed | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Sheila Bottinelli | Administrator | Facility administrator present during investigation and exit interview |
Inspection Report
Complaint Investigation
Census: 73
Capacity: 120
Deficiencies: 1
Nov 16, 2022
Visit Reason
The inspection was an unannounced complaint investigation triggered by allegations that a resident sustained a fall while in care and was left on the floor for an extended period of time.
Findings
The investigation substantiated the allegations that Resident #1 fell in the bathroom and was left on the floor for approximately an hour before staff became aware. Staff were unaware of the fall and that the resident had called 911 and was admitted to the hospital. This posed an immediate health and safety risk to residents.
Complaint Details
The complaint was substantiated based on the preponderance of evidence standard. Staff were unaware of the resident's fall and that the resident had called paramedics and went to the hospital.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Basic Services-Basic services shall at a minimum include Care and Supervision as indicated in the pre-admission appraisal and resident assessment. This requirement was not met as evidenced by Resident #1 falling and staff being unaware until approximately 6am when they discovered the resident was not in her room, posing an immediate health and safety/personal rights risk. | Type A |
Report Facts
Capacity: 120
Census: 73
Deficiency count: 1
Plan of Correction Due Date: Nov 17, 2022
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sheila Botinelli | Administrator | Met with Licensing Program Analyst and named in findings |
| Michelle Reed | Licensing Program Analyst | Conducted complaint investigation |
| Sheila Santos | Licensing Program Manager | Named in report and signatures |
Inspection Report
Annual Inspection
Census: 74
Capacity: 120
Deficiencies: 0
Sep 26, 2022
Visit Reason
Licensing Program Analyst Edward Tapia conducted an unannounced required annual inspection at the facility to evaluate compliance with licensing requirements and observe resident care and facility conditions.
Findings
The facility was found to be in good repair with no deficiencies noted in observed areas. Two advisories were issued related to missing hand washing signs in common restrooms and an incorrectly sized PUB 475 poster. The facility met food supply, safety, and COVID-19 mitigation requirements.
Report Facts
Capacity: 120
Census: 74
Temperature range: 105.2-119.6
Advisories issued: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sheila Bottinelli | Administrator | Met with Licensing Program Analyst during inspection and exit interview |
| Analyn Samson | Director of Health Services | Met with Licensing Program Analyst during inspection |
| Edward Tapia | Licensing Program Analyst | Conducted the inspection and exit interview |
| Sheila Santos | Licensing Program Manager | Named in report header and narrative |
Inspection Report
Complaint Investigation
Census: 75
Capacity: 120
Deficiencies: 1
Aug 23, 2022
Visit Reason
An unannounced complaint investigation was conducted due to an allegation that food was not of good quality and not stored in a safe and healthful manner.
Findings
The investigation found wilted vegetables stored in cardboard boxes, undated and partially covered food in refrigerators and freezer, and other unsafe food storage practices. The allegation was substantiated based on observations during the kitchen and dining room tour.
Complaint Details
The complaint was substantiated based on the preponderance of evidence standard. The allegation involved food quality and safe storage issues.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| General Food Service Requirements-All food shall be selected, stored, prepared and served in a safe and healthful manner. Observed wilted vegetables stored in cardboard boxes and undated and uncovered food in kitchen refrigerators and freezer. | Type B |
Report Facts
Capacity: 120
Census: 75
Plan of Correction Due Date: Aug 26, 2022
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sheila Botinelli | Executive Director | Met with Licensing Program Analyst during investigation and involved in findings |
| Michelle Reed | Licensing Program Analyst | Conducted the complaint investigation |
| Jessica Jensen | Sales Director | Met with Licensing Program Analyst and participated in kitchen tour |
| Larry Andrews | Food Service Director | Participated in kitchen tour and provided information about food delivery and storage |
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