Inspection Reports for Merrill Gardens at Rockridge
5238 Coronado Ave, Oakland, CA 94618, CA, 94618
Back to Facility ProfileInspection Report Summary
Most inspections found no deficiencies, with the most recent report on December 27, 2024, showing a clean record and no issues noted. Earlier reports included some substantiated deficiencies related to medication administration, care plan updates, staffing shortages, infection control lapses, and a serious incident of physical abuse by a caregiver in early 2023, which led to immediate staff removal. The facility also faced a $500 fine in mid-2022 for employing an uncleared staff member. Several complaint investigations were unsubstantiated, including allegations of inappropriate staff behavior and neglect. The trend shows improvement over time, with recent annual inspections free of deficiencies and corrective actions taken for prior issues.
Deficiencies (last 4 years)
Deficiencies (over 4 years)
2.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
30% better than California average
California average: 4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
85% occupied
Based on a December 2024 inspection.
Census over time
Inspection Report
Annual Inspection
Census: 127
Capacity: 150
Deficiencies: 0
Date: Dec 27, 2024
Visit Reason
The inspection was an unannounced 1-Year Annual Required inspection conducted to evaluate compliance with licensing requirements.
Findings
The Licensing Program Analyst toured the facility and reviewed resident and staff records, finding no deficiencies. The facility was found to have adequate lighting, temperature control, food supply, medication security, and up-to-date fire extinguisher servicing and emergency drills.
Report Facts
Resident records reviewed: 5
Staff records reviewed: 5
Fire extinguisher last serviced: Nov 16, 2024
Emergency disaster drill last conducted: Nov 20, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Aubrey Goo | Interim General Manager | Met with Licensing Program Analyst during inspection |
| David Doidge | Licensing Program Analyst | Conducted the inspection |
| Bennett Fong | Licensing Program Manager | Named in report header |
Inspection Report
Annual Inspection
Census: 122
Capacity: 150
Deficiencies: 0
Date: Jan 26, 2024
Visit Reason
The visit was an unannounced annual inspection conducted by Licensing Program Analysts to evaluate the facility's compliance with regulatory standards.
Findings
The facility was inspected thoroughly including resident apartments, bathrooms, activity rooms, kitchen, and common areas. No deficiencies were cited during the visit, and all safety and care standards were met.
Report Facts
Hot water temperature: 106.1
Residents records reviewed: 5
Staff records reviewed: 5
Staff interviewed: 5
Residents interviewed: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Anna Reddy | General Manager | Met with Licensing Program Analyst and designated Tony Ibarra to sign off on the report |
| Jill Clancy-Czuleger | Licensing Program Analyst | Conducted the inspection and authored the report |
| Harpreet Humpal | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 120
Capacity: 150
Deficiencies: 0
Date: Sep 5, 2023
Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation of staff engaging in inappropriate behavior while in the presence of residents.
Complaint Details
The allegation was that staff engaged in inappropriate behavior in the presence of residents. Interviews revealed rumors but no direct evidence or witness accounts confirming the behavior. The allegation was determined to be unsubstantiated.
Findings
The investigation included interviews with staff, residents, and a witness, and a tour of the facility. Although rumors existed, there was no preponderance of evidence to substantiate the allegation, resulting in an unsubstantiated finding.
Report Facts
Capacity: 150
Census: 120
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Anna Reddy | Administrator | Met with Licensing Program Analyst during the investigation |
| Lisha Holmes | Licensing Program Analyst | Conducted the complaint investigation |
| Yvonne Flores-Larios | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 120
Capacity: 150
Deficiencies: 0
Date: Sep 5, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to allegations received on 2023-06-20 regarding rough handling of residents, staff smoking in the facility, and staff being under the influence.
Complaint Details
The complaint involved allegations that facility staff handled residents roughly, smoked in the facility, and were under the influence. Interviews with multiple staff, residents, and a witness did not confirm these allegations. The complaint was found to be unsubstantiated.
Findings
After interviews with staff, residents, and a witness, and a facility tour, there was no preponderance of evidence to substantiate the allegations. The complaint was determined to be unsubstantiated.
Report Facts
Capacity: 150
Census: 120
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Anna Reddy | Administrator | Met with Licensing Program Analyst during investigation |
| Lisha Holmes | Licensing Program Analyst | Conducted complaint investigation |
| Yvonne Flores-Larios | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Census: 120
Capacity: 150
Deficiencies: 0
Date: May 31, 2023
Visit Reason
The visit was an unannounced case management inspection conducted following receipt of an Unusual Incident Report regarding a fire that occurred on 2023-05-28 at the facility.
Findings
The fire originated in Resident #1's apartment due to cat food left on the stove burner. Multiple apartments sustained fire, water, and smoke damage. The facility has taken steps including contacting a water restoration company, placing fans and humidifiers, and scheduling fire safety training for staff and residents.
Report Facts
Date of fire incident: May 28, 2023
Number of floors affected: 5
Date for submission of resident identification/emergency contact sheets: Jun 2, 2023
Date of fire safety training with staff: May 25, 2023
Date of scheduled fire safety training with residents: Jun 1, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Anna Reddy | General Manager | Met with Licensing Program Analyst during inspection and reported incident |
| Lisha Holmes | Licensing Program Analyst | Conducted the case management inspection |
| Yvonne Flores-Larios | Licensing Program Manager | Named in report header and narrative |
Inspection Report
Complaint Investigation
Census: 126
Capacity: 150
Deficiencies: 0
Date: Feb 1, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to allegations received on 09/27/2021 regarding staff not answering call buttons timely, not meeting residents' needs, and not providing adequate food quantity.
Complaint Details
The complaint involved allegations that staff were not answering call buttons timely, not meeting residents' needs, and not providing sufficient food quantity. The investigation found that staff responded appropriately, met residents' needs as per care plans, and provided adequate food. The allegations were unsubstantiated due to lack of preponderance of evidence.
Findings
After interviews with caregivers, review of records including pendant call logs and hospice notes, and observations, the allegations were found to be unsubstantiated with no deficiencies noted.
Report Facts
Capacity: 150
Census: 126
Pendant call response times: 10
Pendant calls: 4
Pendant call response times (individual): 5
Pendant call response time (individual): 12
Pendant call response time (individual): 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Catherine Lin | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Bennett Fong | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
| Anna Reddy | Administrator | Met with Licensing Program Analyst during the investigation |
Inspection Report
Complaint Investigation
Census: 126
Capacity: 150
Deficiencies: 2
Date: Feb 1, 2023
Visit Reason
An unannounced complaint investigation was conducted in response to allegations received on 01/24/2023 regarding medication administration, resident reappraisal, privacy, and communication with family members.
Complaint Details
The complaint investigation was substantiated for two allegations: untimely medication administration and failure to reappraise resident care plan after health condition change. Two other allegations regarding privacy and communication with family member were unsubstantiated.
Findings
Two allegations were substantiated: staff did not administer medication timely and staff failed to reappraise a resident's care plan after a health condition change. Two allegations were unsubstantiated: staff entering resident rooms without consent and failure to communicate with family member (POA). Deficiencies were cited related to medication administration and reappraisals.
Deficiencies (2)
Failure to assist residents with self-administered medications as needed, resulting in untimely medication administration.
Failure to update pre-admission appraisal and care plan when resident health condition changed, specifically when admitted to hospice.
Report Facts
Capacity: 150
Census: 126
Plan of Correction Due Date: Feb 8, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Anna Reddy | Administrator | Met with Licensing Program Analyst during investigation |
| Catherine Lin | Licensing Program Analyst | Conducted the complaint investigation |
| Bennett Fong | Licensing Program Manager | Oversaw complaint investigation |
Inspection Report
Complaint Investigation
Census: 126
Capacity: 150
Deficiencies: 1
Date: Feb 1, 2023
Visit Reason
An unannounced case management visit was conducted following a self-reported incident dated 12/20/22 regarding physical abuse of a resident.
Complaint Details
The visit was triggered by a complaint/self-reported incident of physical abuse. The allegation was substantiated as evidenced by video recording and neighbor witness.
Findings
The licensee did not comply with regulations prohibiting physical abuse, as a caregiver was recorded hitting a resident's lower body. The staff member was immediately removed and terminated, and staff training was provided.
Deficiencies (1)
Care and supervision of residents shall be provided without physical or verbal abuse, exploitation or prejudice. The caregiver hit resident's lower body as witnessed by a neighbor and video recorded, posing an immediate health, safety or personal rights risk.
Report Facts
Capacity: 150
Census: 126
Deficiencies cited: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Anna Reddy | Administrator | Facility administrator involved in the incident report and interview |
| Catherine Lin | Licensing Program Analyst | Conducted the inspection visit and evaluation |
| Bennett Fong | Licensing Program Manager | Supervisor overseeing the licensing evaluation |
Inspection Report
Routine
Census: 126
Capacity: 150
Deficiencies: 0
Date: Jan 10, 2023
Visit Reason
Unannounced infection control inspection conducted as a required one-year visit to assess compliance with infection control protocols.
Findings
The facility was found to have proper infection control measures in place, including screening stations, PPE usage, and adequate food and PPE supplies. No deficiencies were cited during the visit.
Report Facts
Capacity: 150
Census: 126
PPE supply duration: 30
Perishable food supply duration: 2
Non-perishable food supply duration: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Anna Reddy | Administrator | Met during inspection and exit interview |
| Catherine Lin | Licensing Program Analyst | Conducted the infection control inspection |
Inspection Report
Complaint Investigation
Census: 128
Capacity: 150
Deficiencies: 3
Date: Dec 13, 2022
Visit Reason
Unannounced complaint investigation visit conducted due to allegations received on 07/12/2022 regarding failure to follow COVID-19 protocols, lack of current care plans for residents, and insufficient staffing to meet residents' needs.
Complaint Details
The complaint investigation was substantiated for allegations that the facility did not follow COVID-19 protocols, lacked current care plans for residents, and had insufficient staffing. Allegations regarding unpaid services, inadequate staff training, and inadequate food were unsubstantiated.
Findings
The investigation substantiated that the facility did not follow COVID-19 protocols, lacked current care plans for three residents, and had insufficient staff during certain shifts in July 2022. Other allegations regarding unpaid services, inadequate staff training, and inadequate food were unsubstantiated.
Deficiencies (3)
Facility did not comply with infection control protocols; staff crossover between COVID-19 positive and negative residents was observed.
Care plans were not updated for residents who changed health condition since 2019.
Insufficient staff observed on work schedule in July 2022, including no care staff scheduled or present on certain shifts.
Report Facts
Capacity: 150
Census: 128
Deficiency count: 3
Plan of Correction Due Date: Dec 20, 2022
Staff shortage days: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Catherine Lin | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Bennett Fong | Licensing Program Manager | Oversaw the complaint investigation |
| Candice Moses | Administrator | Facility administrator involved in the investigation and discussions of deficiencies |
| Anna Reddy | Administrator | Met with Licensing Program Analyst during the investigation visit |
Inspection Report
Census: 128
Capacity: 150
Deficiencies: 0
Date: Dec 13, 2022
Visit Reason
The visit was an unannounced case management visit conducted due to receiving residents from Grand Lake Gardens and a self-reporting incident regarding a resident's suicidal ideation.
Findings
During the visit, 14 residents from Grand Lake Gardens were confirmed residing at the facility, with no imminent health or safety concerns noted. Supplies were adequate and staffing was stable, and residents reported feeling safe and comfortable.
Report Facts
Residents from Grand Lake Gardens: 14
New move-ins since last visit: 3
Resident discharged: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Catherine Lin | Licensing Program Analyst | Conducted the unannounced case management visit |
| Rob Arthur | Resident Care Director | Met with Licensing Program Analyst during the visit |
Inspection Report
Census: 128
Capacity: 150
Deficiencies: 1
Date: Dec 13, 2022
Visit Reason
The visit was a case management visit conducted to investigate deficiencies related to staff training records not being available for review.
Findings
A deficiency was cited for failure to maintain staff training records on and before September 2022, which poses a potential health, safety, or personal rights risk to persons in care.
Deficiencies (1)
Failure to maintain personnel records verification of required staff training and orientation; staff training records on and before September 2022 were not available for review.
Report Facts
Deficiency Type B: 1
Plan of Correction Due Date: Dec 20, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Anna Reddy | Administrator | Met with Licensing Program Analyst during the visit. |
| Catherine Lin | Licensing Program Analyst | Conducted the case management visit and evaluation. |
| Bennett Fong | Licensing Program Manager | Supervisor overseeing the licensing evaluation. |
Inspection Report
Census: 127
Capacity: 150
Deficiencies: 0
Date: Dec 6, 2022
Visit Reason
An unannounced case management visit was conducted due to receiving residents from Grand Lake Gardens and to check on residents, as well as to review a self-reporting incident regarding a resident's suicidal ideation.
Findings
The Licensing Program Analyst reviewed the roster of residents transferred from Grand Lake Gardens, met with residents who reported feeling safe and comfortable, and reviewed the hospitalized resident's physician report and care plan. The resident involved in the incident remains hospitalized with no discharge date.
Report Facts
Residents transferred from Grand Lake Gardens: 12
New move-ins since last visit: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rob Arthur | Resident Care Director | Met with Licensing Program Analyst during the visit |
| Catherine Lin | Licensing Program Analyst | Conducted the unannounced case management visit |
| Bennett Fong | Licensing Program Manager | Named in report header |
Inspection Report
Census: 123
Capacity: 150
Deficiencies: 0
Date: Nov 23, 2022
Visit Reason
An unannounced case management visit was conducted as a result of receiving residents from Grand Lake Gardens and to check on residents.
Findings
The visit found that supplies were adequate, staffing was stable, and there were no imminent health or safety concerns. Residents reported feeling safe and comfortable living in the facility.
Report Facts
Residents from Grand Lake Gardens: 10
New move-ins: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rob Arthur | Resident Care Director | Met with Licensing Program Analyst during the visit |
Inspection Report
Census: 121
Capacity: 150
Deficiencies: 0
Date: Nov 17, 2022
Visit Reason
An unannounced case management visit was conducted as a result of receiving residents from Grand Lake Gardens (GLG) and to check on residents.
Findings
During the visit, 8 residents from GLG were found residing at the facility, with 6 being new move-ins since the last visit. Residents reported feeling safe, supplies were adequate, staffing was stable, and no imminent health or safety concerns were identified.
Report Facts
Residents from GLG: 8
New move-ins: 6
Residents met: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rob Arthur | Resident Care Director | Met with Licensing Program Analyst during the visit |
| Catherine Lin | Licensing Program Analyst | Conducted the unannounced case management visit |
| Bennett Fong | Licensing Program Manager | Named in the report header |
Inspection Report
Census: 114
Capacity: 150
Deficiencies: 0
Date: Nov 10, 2022
Visit Reason
An unannounced case management visit was conducted as a result of receiving residents from Grand Lake Gardens (GLG) and to check on residents.
Findings
During the visit, 10 residents from GLG had moved into Merrill Gardens at Rockridge. Two residents reported feeling safe, supplies were adequate, staffing was stable, and no imminent health or safety concerns were identified.
Report Facts
Residents moved in from another facility: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rob Arthur | Resident Care Director | Met with Licensing Program Analyst during the visit |
Inspection Report
Census: 120
Capacity: 150
Deficiencies: 0
Date: Aug 29, 2022
Visit Reason
An unannounced case management visit was conducted as a result of receiving two self-reported incidents submitted to the Community Care Licensing Division.
Findings
The visit reviewed two incidents: one involving a resident's elopement where a private caregiver was hired and educated on supervision, and another involving a resident's injury caused by an unsecured stackable washer and dryer. No deficiencies were cited during the visit.
Report Facts
Incident dates: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dillon R. Cagulada | Administrator | Met with Licensing Program Analyst during the visit and discussed incidents |
| Catherine Lin | Licensing Program Analyst | Conducted the unannounced case management visit |
| Bennett Fong | Licensing Program Manager | Named in report header |
Inspection Report
Complaint Investigation
Capacity: 150
Deficiencies: 1
Date: Aug 10, 2022
Visit Reason
The visit was an unannounced case management inspection conducted due to a self-reported incident regarding a medication error submitted on 08/02/2022.
Complaint Details
The visit was triggered by a complaint/self-reported incident of medication error. No civil penalty was assessed as no injury or medical issue resulted. The deficiency was substantiated and cited under Title 22 California Code of Regulations.
Findings
The licensee gave the wrong medication Levothyroxine 100mg tablet to resident R1, which belonged to resident R2. Resident R1 was taken to the hospital with a diagnosis of hypotension due to drugs, but no injury or medical issue resulted as of the inspection date. A deficiency was cited for failure to comply with medication administration regulations.
Deficiencies (1)
Wrong medication was given to resident R1 which poses an immediate health, safety or personal rights risk to persons in care.
Report Facts
Facility capacity: 150
Plan of Correction Due Date: Aug 11, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Catherine Lin | Licensing Program Analyst | Conducted the inspection and authored the report |
| Bennett Fong | Licensing Program Manager | Supervisor overseeing the inspection |
| David Tamo | General Manager | Facility representative met during the inspection |
Inspection Report
Complaint Investigation
Census: 127
Capacity: 150
Deficiencies: 2
Date: Jul 11, 2022
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2021-02-23 regarding excessive wait times for resident assistance and malfunctioning emergency call buttons.
Complaint Details
The complaint was substantiated regarding excessive wait times and malfunctioning emergency call buttons. The allegation of insufficient staff to meet residents' needs was unsubstantiated due to lack of preponderance of evidence.
Findings
The investigation substantiated that the facility staff failed to respond timely to a resident's pendant call due to staff shortages and technical issues with the call button system, posing potential risks to resident health and safety. Another allegation regarding insufficient staffing was unsubstantiated based on interviews and record reviews.
Deficiencies (2)
Facility staff failed to respond to Resident 1's pendant call for assistance in a timely manner, posing a potential risk to resident health and safety.
Facility's emergency call button had technical issues, posing a potential risk to the health and safety of clients under care.
Report Facts
Response time range: 689
Deficiencies cited: 2
Capacity: 150
Census: 127
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Catherine Lin | Licensing Program Analyst | Conducted the complaint investigation and authored the report. |
| Bennett Fong | Licensing Program Manager | Oversaw the complaint investigation. |
| Lisa Read | Business Office Director | Met with Licensing Program Analyst during the inspection and exit interview. |
| Dillon Cagulada | Manager | Confirmed technical issues with the pendant call system during interview. |
| Candice Moses | Administrator | Facility administrator mentioned in relation to staff training plan for call response. |
Inspection Report
Complaint Investigation
Census: 127
Capacity: 150
Deficiencies: 0
Date: Jul 11, 2022
Visit Reason
The inspection visit was an unannounced complaint investigation triggered by an allegation of neglect/lack of supervision received on 2021-08-27 regarding possible sexual abuse of a resident by a staff member.
Complaint Details
The complaint alleged neglect/lack of supervision involving sexual abuse (kissing and hugging) of Resident 1 by a male staff member. Interviews with the resident, staff, and former Resident Care Coordinator did not support the allegation. The complaint was unsubstantiated.
Findings
The investigation included interviews and record reviews, and the allegation that Resident 1 was sexually abused by a male staff member was found to be unsubstantiated due to lack of preponderance of evidence. No deficiencies were noted.
Report Facts
Capacity: 150
Census: 127
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Catherine Lin | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Lisa Read | Business Office Director | Met with Licensing Program Analyst during inspection |
| Bennett Fong | Licensing Program Manager | Named in report as Licensing Program Manager |
| Candice Moses | Administrator | Facility administrator named in report |
Inspection Report
Complaint Investigation
Census: 127
Capacity: 150
Deficiencies: 1
Date: Jul 11, 2022
Visit Reason
The visit was conducted as case management while delivering complaint investigation findings related to a staff member not cleared or associated with the facility.
Complaint Details
Complaint investigation findings (15-AS-20210827145908) were delivered. The deficiency was substantiated as one staff was not cleared or associated with the facility.
Findings
During the investigation, it was found that one staff member working at the facility was not cleared or associated with the facility, posing an immediate threat to the health and safety of residents. A deficiency was cited and a civil penalty of $500 was assessed.
Deficiencies (1)
A staff working at the facility was not cleared or associated to the facility, posing an immediate threat to the health and safety of clients under care.
Report Facts
Civil Penalty: 500
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lisa Read | Business Office Director | Met during the visit and involved in the exit interview. |
| Catherine Lin | Licensing Program Analyst | Conducted the case management and complaint investigation. |
| Bennett Fong | Licensing Program Manager | Supervisor overseeing the licensing evaluation. |
Inspection Report
Complaint Investigation
Census: 127
Capacity: 150
Deficiencies: 0
Date: Jun 29, 2022
Visit Reason
Unannounced complaint investigation visit conducted due to allegations received on 2022-01-24 regarding failure to seek timely medical attention, unmet resident care needs, and medication mismanagement.
Complaint Details
The complaint included allegations that facility staff failed to seek timely medical attention for a resident, resident care needs were not being met, and staff mismanaged the resident's medication. All allegations were found unsubstantiated after investigation.
Findings
All three allegations were investigated and found to be unsubstantiated based on record reviews and interviews. The facility staff provided timely care, met resident needs, and properly managed medication orders.
Report Facts
Capacity: 150
Census: 127
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Catherine Lin | Licensing Program Analyst | Conducted the complaint investigation visit |
| Parinda Kleinberg | Resident Care Director | Met with investigator during the visit |
| Bennett Fong | Licensing Program Manager | Named in report as Licensing Program Manager |
| Candice Moses | Administrator | Facility administrator named in report |
Inspection Report
Complaint Investigation
Census: 121
Capacity: 150
Deficiencies: 0
Date: Mar 3, 2022
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to allegations received on 2021-12-01 regarding staff not safeguarding residents' personal items and facility overcharging residents.
Complaint Details
The complaint investigation was unannounced and conducted by Licensing Program Analyst Catherine Lin. The allegation that staff did not safeguard residents' personal items was unsubstantiated due to lack of evidence. The allegation that the facility was overcharging residents was unfounded.
Findings
The investigation found no preponderance of evidence to substantiate the allegation that staff did not safeguard residents' personal items, resulting in an unsubstantiated finding. The allegation that the facility was overcharging residents was determined to be unfounded based on resident interviews.
Report Facts
Capacity: 150
Census: 121
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Catherine Lin | Licensing Program Analyst | Conducted the complaint investigation |
| Dillon Cagulada | Administrator | Met with Licensing Program Analyst during investigation |
| Candice Moses | Administrator | Named as facility administrator |
Inspection Report
Census: 121
Capacity: 150
Deficiencies: 0
Date: Mar 3, 2022
Visit Reason
The visit was a Case Management health and safety check conducted by the Licensing Program Analyst to assess the facility's compliance and conditions.
Findings
The Licensing Program Analyst toured the facility, interviewed residents and visitors, and found that food supplies were sufficient, daily menus were prepared and posted, dining room hours were as agreed, staffing was adequate, and no deficiencies were cited during the visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Catherine Lin | Licensing Program Analyst | Conducted the Case Management visit and inspection. |
| Dillon Cagulada | Administrator | Met with Licensing Program Analyst during the visit. |
Inspection Report
Routine
Census: 117
Capacity: 150
Deficiencies: 0
Date: Feb 2, 2022
Visit Reason
The visit was an unannounced Infection Control Inspection conducted as a required 1-year routine inspection.
Findings
The inspection found no deficiencies. The facility demonstrated proper infection control measures including screening, PPE use, and adequate supplies of food and PPE.
Report Facts
Food supply duration: 2
Food supply duration: 7
PPE supply duration: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dillon Cagulada | Administrator | Met with Licensing Program Analyst during inspection |
| Catherine Lin | Licensing Program Analyst | Conducted the Infection Control Inspection |
| Bennett Fong | Licensing Program Manager | Named in report header |
Inspection Report
Complaint Investigation
Census: 114
Capacity: 150
Deficiencies: 0
Date: Nov 29, 2020
Visit Reason
The inspection was conducted as an unannounced complaint investigation following a complaint received on 07/02/2020 alleging the presence of pests and improper trash disposal at the facility.
Complaint Details
The complaint included allegations that the facility had pests and that staff did not properly dispose of trash. The pest allegation was found to be unfounded, meaning it was false or without reasonable basis. The trash disposal allegation was unsubstantiated, indicating there was not enough evidence to prove the violation occurred.
Findings
The allegation of pests was determined to be unfounded after investigation and interviews. The allegation regarding improper trash disposal was unsubstantiated due to insufficient evidence, with staff describing routine trash disposal practices and COVID-19 safety precautions in place.
Report Facts
Estimated Days of Completion: 30
Capacity: 150
Census: 114
Trash bins emptied frequency: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rolanda Pitcher | Licensing Program Analyst | Conducted the complaint investigation and interviews |
| Daniel Slaughter | Administrator | Executive Director interviewed during investigation |
| Yolanda Harrell | Resident Care Director | Spoke with Licensing Program Analyst to deliver complaint findings and participated in exit interviews |
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