Inspection Report Summary
Most inspections found no deficiencies, and several complaint investigations were unsubstantiated. The most recent report from March 30, 2025, found one deficiency related to inaccurate medication logs, while allegations of staff stealing medication, intoxication, and sleeping on duty were unsubstantiated. A prior substantiated issue in February 2024 involved a staff member stealing $900 from a resident, resulting in termination, but no fines or enforcement actions were listed in the available reports. Other deficiencies included delayed refund issuance, which was substantiated but considered minor and isolated. The facility’s record shows mostly compliance with regulatory requirements, with some improvement noted as the latest annual inspection in March 2025 had no deficiencies.
Deficiencies (last 5 years)
Deficiencies (over 5 years)
0.6 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
85% better than California average
California average: 4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
59% occupied
Based on a March 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Census over time
Inspection Report
Complaint Investigation
Census: 100
Capacity: 170
Deficiencies: 1
Mar 30, 2025
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations received on 10/20/2023 regarding staff stealing residents' medication and inaccurate medication logs.
Findings
The investigation found the allegation of staff stealing residents' medication to be unsubstantiated due to lack of evidence. However, the allegation that staff did not keep an accurate medication log was substantiated based on discrepancies found in Controlled Drug Administration Records and employee disciplinary records.
Complaint Details
The complaint investigation was substantiated for inaccurate medication logs but unsubstantiated for staff stealing residents' medication. The investigation included interviews with staff and residents, record reviews, and facility tours.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to maintain accurate medication logs and resident records, including discrepancies in Controlled Drug Administration Records. | Type B |
Report Facts
Capacity: 170
Census: 100
Controlled Drug Administration Records reviewed: 15
Resident Medication Records reviewed: 10
Discrepancies observed: 2
Employee disciplinary records: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Sigala | Memory Care Director | Met with Licensing Program Analyst during investigation and exit interview |
| Wendy Gibbs | Licensing Program Analyst | Conducted the complaint investigation visit |
| Eva M Alvarez | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
| Ferlina McBride | Administrator | Facility Administrator named in the report |
Inspection Report
Complaint Investigation
Census: 100
Capacity: 170
Deficiencies: 0
Mar 30, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that staff was providing resident care while intoxicated.
Findings
The investigation included interviews with staff and residents, review of staff files, and facility tours. Although some staff and residents reported observations or hearsay of intoxicated staff, there was no preponderance of evidence to substantiate the allegation, resulting in an unsubstantiated finding.
Complaint Details
The complaint alleged that staff was coming to work intoxicated and providing resident care. Interviews revealed some staff and residents had observed or heard of intoxicated staff, but no conclusive evidence was found to support the allegation. The complaint was determined to be unsubstantiated.
Report Facts
Capacity: 170
Census: 100
Staff interviewed: 11
Residents interviewed: 12
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Wendy Gibbs | Licensing Program Analyst | Conducted the complaint investigation visit |
| Melissa Sigala | Memory Care Director | Met with Licensing Program Analyst during investigation and exit interview |
| Kevin Quigley | Administrator | Facility administrator named in report header |
Inspection Report
Complaint Investigation
Census: 100
Capacity: 170
Deficiencies: 0
Mar 30, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that facility staff was sleeping at work.
Findings
The investigation included staff and resident interviews, record reviews, and observations conducted on multiple dates. The allegation that staff was sleeping at work was found to be unsubstantiated based on interviews, records, and observations.
Complaint Details
The allegation was that a staff member was sleeping at work. Interviews with 11 residents and 8 staff showed only 1 resident and 1 staff member observed or heard about staff sleeping at work, while others did not. Records showed no mention of staff sleeping at work. Observations on 3/29/2025 and 3/30/2025 did not observe staff sleeping. The allegation was deemed unsubstantiated due to lack of preponderance of evidence.
Report Facts
Staff interviews conducted: 8
Resident interviews conducted: 11
Facility capacity: 170
Facility census: 100
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Sigala | Memory Care Director | Met with Licensing Program Analysts during the investigation and received a copy of the report |
| Socorro Leandro | Licensing Program Analyst | Conducted the complaint investigation |
| Ulysses Coronel | Licensing Program Manager | Oversaw the complaint investigation |
Inspection Report
Annual Inspection
Census: 128
Capacity: 170
Deficiencies: 0
Mar 17, 2025
Visit Reason
The inspection was an unannounced annual inspection conducted by Licensing Program Analyst Kathleen Banrasavong to assess compliance with regulatory requirements.
Findings
The facility was found to be clean, well-maintained, and in good repair with all operational, safety, infection control, and medication management requirements met. No deficiencies were observed during the inspection.
Report Facts
Records reviewed: 10
Employee records reviewed: 10
Food supply duration: 1
Food supply duration: 2
Water temperature: 108
Fire drill date: Feb 26, 2025
Fire inspection date: Jul 10, 2024
Deficiencies observed: 0
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Amy Banaga | Executive Director | Met with during inspection and named in report |
| Kathleen Banrasavong | Licensing Program Analyst | Conducted the annual inspection |
| Jazmond D Harris | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 127
Capacity: 170
Deficiencies: 0
Feb 25, 2025
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received on 2023-04-03 regarding inadequate food service, elevator disrepair, and improper cleaning at the facility.
Findings
The investigation found no preponderance of evidence to substantiate the allegations. Interviews with residents, staff, and management, as well as review of maintenance records, indicated that food was generally served at safe temperatures, dining areas were cleaned appropriately, and the elevator was maintained and operational during the alleged timeframes.
Complaint Details
The complaint investigation was unsubstantiated due to lack of evidence proving the alleged violations occurred. Allegations included inadequate food service (cold or undercooked meals), elevator disrepair (loud banging noise), and unclean dining tables. Multiple resident and staff interviews, as well as maintenance records, refuted these claims.
Report Facts
Capacity: 170
Census: 127
Resident interviews: 6
Staff interviews: 2
Resident interviews: 6
Resident interviews: 6
Staff interviews: 1
Contract duration: 13
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Janette Romero | Licensing Program Analyst | Conducted the complaint investigation visit |
| Amy Banaga | Administrator | Facility administrator met during investigation and provided information |
| David Padilla | Facility Cook | Interviewed regarding food preparation and service |
| Victoria Taverna | Dining Room Supervisor | Interviewed regarding dining room cleaning and table maintenance |
| Oliver Davila | Maintenance Director | Interviewed regarding elevator maintenance and condition |
| Kevin Quigley | Administrator | Named as facility administrator in report header |
| Tricia Danielson | Licensing Program Manager | Named as licensing program manager overseeing the investigation |
Inspection Report
Annual Inspection
Census: 124
Capacity: 170
Deficiencies: 0
Mar 8, 2024
Visit Reason
An unannounced annual required visit was conducted to evaluate the facility's compliance with regulations and licensing requirements.
Findings
The inspection found the facility to be in compliance with all applicable regulations, including infection control, physical plant conditions, food service, and care and supervision. No violations were observed or cited during the visit.
Report Facts
Capacity: 170
Census: 124
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jessica Lane | Resident Services Director | Met with Licensing Program Analyst during inspection and received exit interview |
| Venus Mixson | Licensing Program Analyst | Conducted the inspection visit |
| Jazmond D Harris | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 135
Capacity: 170
Deficiencies: 1
Feb 26, 2024
Visit Reason
An unannounced complaint investigation was conducted following an allegation that facility staff financially abused a resident by stealing $900.
Findings
The investigation substantiated that a facility staff member stole $900 from a resident by writing and cashing a check without authorization. The staff member admitted to the theft and was terminated. One deficiency was cited related to staff competency and resident rights.
Complaint Details
The complaint was substantiated. The allegation was that a facility staff member stole $900 from a resident. The staff member admitted to the theft during the investigation and was terminated.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility staff was not competent, by stealing $900 from a resident, violating resident rights to care, supervision, and services that meet their individual needs. | Type B |
Report Facts
Deficiencies cited: 1
Fine amount stolen: 900
Capacity: 170
Census: 135
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Amy Banaga | Administrator | Met with Licensing Program Analyst and reported the unauthorized withdrawal. |
| Kathleen Banrasavong | Licensing Program Analyst | Conducted the complaint investigation. |
| Jazmond D Harris | Licensing Program Manager | Oversaw the complaint investigation report. |
Inspection Report
Complaint Investigation
Census: 135
Capacity: 170
Deficiencies: 0
Feb 26, 2024
Visit Reason
The inspection was an unannounced complaint investigation triggered by an allegation that the facility failed to report financial abuse to Licensing.
Findings
The investigation found that the facility did submit the required Unusual Incident/Injury Report to the Regional Office on the date of the incident. The complaint was determined to be unfounded, meaning the allegation was false or without reasonable basis.
Complaint Details
The complaint alleged the facility failed to report financial abuse to Licensing. The investigation found the facility did report the incident on 01/17/2024, and the complaint was unfounded.
Report Facts
Complaint Control Number: 18
Capacity: 170
Census: 135
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Amy Banaga | Executive Director | Interviewed during investigation regarding reporting of financial abuse |
| Kathleen Banrasavong | Licensing Program Analyst | Conducted the complaint investigation |
| Jazmond D Harris | Licensing Program Manager | Named in report header and signature section |
Inspection Report
Follow-Up
Census: 170
Capacity: 170
Deficiencies: 0
Sep 29, 2023
Visit Reason
The visit was an unannounced follow-up, Health and Safety case management visit conducted to assess the facility's compliance and conditions.
Findings
The facility was found clean, well organized, and operating without health or safety concerns. Staff levels were sufficient, food and medication supplies met requirements, and required postings and resident activities were observed. No deficiencies were cited.
Report Facts
Capacity: 170
Census: 170
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jessica Lane | Resident Services Coordinator | Met with Licensing Program Analyst during the visit |
| Venus Mixson | Licensing Program Analyst | Conducted the follow-up inspection visit |
| Jazmond D Harris | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 134
Capacity: 170
Deficiencies: 0
Jul 27, 2023
Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that staff did not issue a refund to a prospective resident.
Findings
The investigation found that a refund of $4000 was issued and received by the prospective resident, but there was insufficient evidence to substantiate the allegation. Therefore, the complaint was unsubstantiated.
Complaint Details
The complaint alleged that staff did not issue a refund to a prospective resident. The allegation was unsubstantiated after investigation, as the refund was confirmed to have been issued and received.
Report Facts
Refund amount: 4000
Facility capacity: 170
Census: 134
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Chinwe Nwogene | Licensing Program Analyst | Conducted the complaint investigation |
| Ferlina McBride | Executive Director | Met with Licensing Program Analyst during investigation |
Inspection Report
Complaint Investigation
Census: 204
Capacity: 170
Deficiencies: 0
May 16, 2023
Visit Reason
An unannounced complaint investigation was conducted due to an allegation that the facility was not providing a safe environment for residents, specifically concerning construction and chemical fumes in the dining area.
Findings
The investigation found no evidence of construction or chemical fumes in the dining area. Interviews with staff and residents, as well as an inspection of the dining area, confirmed the area was clean and in good condition. The allegation was unsubstantiated due to lack of evidence.
Complaint Details
The complaint alleged that the facility dining was undergoing construction with ceiling and floor work and chemical fumes present while residents were eating. The allegation was unsubstantiated after investigation.
Report Facts
Capacity: 170
Census: 204
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Chinwe Nwogene | Licensing Program Analyst | Conducted the complaint investigation |
| Ferlina McBride | Executive Director | Met with Licensing Program Analyst during the investigation |
Inspection Report
Annual Inspection
Census: 143
Capacity: 170
Deficiencies: 0
Apr 10, 2023
Visit Reason
An unannounced annual required visit was conducted to evaluate the facility's compliance with licensing requirements.
Findings
The facility was found to be in compliance with all regulatory requirements including infection control, physical plant conditions, food service, care and supervision, record keeping, medication management, and disaster preparedness. No deficiencies were cited at the time of the visit.
Report Facts
Buildings: 5
Licensed buildings for memory care and assisted living: 2
Stories per building: 3
Non-ambulatory resident capacity: 178
Bedridden resident capacity on first floor: 10
Staff files reviewed: 5
Resident files reviewed: 5
Disaster drill date: Mar 28, 2023
Hot water temperature: 110.3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Rob Johnston | Executive Director | Met with Licensing Program Analysts during the inspection |
| Kevin Quigley | Administrator | Facility administrator possessing current administrator's certificate |
Inspection Report
Complaint Investigation
Census: 147
Capacity: 170
Deficiencies: 0
Jan 11, 2023
Visit Reason
An unannounced complaint investigation was conducted in response to multiple allegations received on 07/13/2022 regarding insufficient staffing, unkempt facility conditions, unmet laundry needs, improper food preparation, extended periods in dirty diapers, diaper rash, and delayed response to call assistance buttons.
Findings
The investigation found no preponderance of evidence to substantiate the allegations. Interviews with staff and residents, facility inspection, and file reviews indicated sufficient staffing, clean and sanitary conditions, timely laundry and food preparation, appropriate diaper care, and generally timely response to call assistance buttons except during a known pendant system outage.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included insufficient staffing, unkempt facility, unmet laundry needs, failure to cut food as instructed, extended periods in dirty diapers, diaper rash, and delayed response to call assistance buttons. Interviews and inspections did not provide enough evidence to prove violations.
Report Facts
Capacity: 170
Census: 147
Staff diaper changes morning: 3.5
Staff diaper changes afternoon: 2.5
Caregiver response time: 15
Caregiver response time: 10
Complaint received date: Jul 13, 2022
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Robert Johnston | Executive Director | Met with Licensing Program Analyst during investigation and provided information on staffing |
| Chinwe Nwogene | Licensing Program Analyst | Conducted the complaint investigation visit |
| Deborah Mullen | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 143
Capacity: 170
Deficiencies: 0
Nov 18, 2022
Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that a resident was not given medication as prescribed.
Findings
The investigation found insufficient evidence to substantiate the allegation that the resident was not given medication as prescribed. Interviews with staff and the resident, as well as a review of the Medication Administration Record, confirmed that the pain medication was administered as needed upon resident request.
Complaint Details
The complaint alleged that a resident was not given medication as prescribed. The allegation was unsubstantiated based on the investigation findings.
Report Facts
Complaint Control Number: 18
Facility Capacity: 170
Census: 143
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Chinwe Nwogene | Licensing Program Analyst | Conducted the complaint investigation |
| Theresa Robert | Resident Services Director | Met with Licensing Program Analyst during investigation |
Inspection Report
Complaint Investigation
Census: 142
Capacity: 170
Deficiencies: 0
Oct 20, 2022
Visit Reason
The inspection was conducted as an unannounced complaint investigation following an allegation received on 01/31/2022 that facility staff were not in compliance with their COVID-19 Mitigation Plan, specifically regarding memory care residents testing positive walking around the facility and assisted living residents not wearing masks inside.
Findings
Based on observations, interviews with staff, residents, and outside sources, and review of facility records, the facility was found to be in substantial compliance with its COVID-19 Mitigation Plan. The allegation was determined to be unfounded as the facility implemented appropriate infection control practices.
Complaint Details
The complaint alleged non-compliance with the COVID-19 Mitigation Plan, including memory care residents who tested positive walking around and assisted living residents not wearing masks. The investigation found no violations and deemed the complaint unfounded.
Report Facts
Capacity: 170
Census: 142
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Marisela Garcia-Centeno | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Theresa Robert | Resident Services Director | Met with the Licensing Program Analyst during the investigation and exit interview |
Inspection Report
Census: 140
Capacity: 170
Deficiencies: 0
Jun 22, 2022
Visit Reason
Licensing Program Analyst Iby Strong conducted an unannounced collateral visit to continue an investigation unrelated to this facility and to conduct an interview with a resident pertinent to the investigation.
Findings
During the visit, an interview was conducted with a resident. An exit interview was held and a copy of the report and Licensee Rights were provided to the Resident Service Director.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Teresa Roberts | Resident Service Director | Met during the visit and provided with report and Licensee Rights. |
| Iby Strong | Licensing Program Analyst | Conducted the unannounced collateral visit and resident interview. |
| John Rante | Licensing Program Manager | Named in the report header. |
Inspection Report
Annual Inspection
Census: 130
Capacity: 170
Deficiencies: 0
May 23, 2022
Visit Reason
An unannounced annual inspection was conducted focused on infection control at the facility.
Findings
The facility was found to have adequate infection control measures including Covid-19 postings, hand hygiene supplies, secured pool, PPE supplies, and a plan to monitor residents for changes in condition. No deficiencies were noted at the time of the visit.
Report Facts
Staff present: 40
Residents present: 130
Capacity: 170
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Theresa Roberts | Resident Services Director | Met with during inspection and informed of the purpose of the visit |
| Chinwe Nwogene | Licensing Program Analyst | Conducted the inspection visit |
| Deborah Mullen | Licensing Program Manager | Named in the report |
Inspection Report
Complaint Investigation
Census: 144
Capacity: 170
Deficiencies: 1
Apr 29, 2022
Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation that the facility failed to issue a refund in a timely manner after a resident passed away.
Findings
The investigation substantiated that the facility did not issue a refund within the agreed 15 days after removal of the resident's personal belongings. It took 22 days for the refund to be mailed, and a review of other recent refunds showed delays in processing times, with only 5 of 17 refunds issued within 15 days of the refund request.
Complaint Details
The complaint was substantiated. The allegation was that the facility took a month to refund a resident's prepaid rent after the resident passed away. Evidence showed the refund was mailed 22 days after personal belongings were removed, exceeding the 15-day timeframe in the admission agreement.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| The licensee did not issue a refund within 15 days in nine of one hundred forty-one residents, posing a potential personal rights risk to residents in care. | Type B |
Report Facts
Census: 144
Total Capacity: 170
Refund delays: 22
Residents with delayed refunds: 9
Residents reviewed for refunds: 17
Residents refunded within 15 days: 5
Plan of Correction Due Date: May 30, 2022
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Denise Powell | Licensing Program Manager | Conducted complaint investigation and signed report |
| Esther Miller | Licensing Program Analyst | Conducted complaint investigation and signed report |
| David Alspach | Executive Director | Facility representative who granted entry and participated in exit interview |
| Kevin Quigley | Administrator | Facility administrator named in report header |
Inspection Report
Capacity: 170
Deficiencies: 0
Oct 28, 2020
Visit Reason
The visit was a virtual Case Management visit conducted in response to a self-reported Incident Report received by the Regional Office on October 22, 2020.
Findings
No deficiencies were cited or observed during this visit. Interviews were conducted and records were requested to obtain additional information regarding the incident.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kevin Quigley | Executive Director | Met with Licensing Program Analyst during the visit and discussed the purpose of the visit. |
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