Inspection Report Summary
Most inspections found no deficiencies, with the most recent report on January 16, 2025, showing full compliance and a safe, well-maintained environment. Earlier licensing inspections in early 2024 identified a few minor deficiencies related to emergency preparedness and resident amenities, such as the need for an updated disaster plan, emergency keys, and internet access for residents. These issues were addressed before licensure, and no complaints were reported or substantiated. There were no fines, enforcement actions, or severe findings noted in any report. The facility’s record shows improvement over time, culminating in a clean annual inspection.
Deficiencies per Year
4
3
2
1
0
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 0
Jan 16, 2025
Visit Reason
An unannounced required 1-year comprehensive inspection was conducted to evaluate compliance with licensing regulations for the facility.
Findings
The facility was found to be in compliance with regulations, with no citations issued. The environment was safe and well-maintained, including clear emergency exits, functioning smoke and carbon monoxide detectors, and proper storage of medications and cleaning supplies. Resident files and medications were current and accurately logged.
Report Facts
Capacity: 6
Census: 6
Fire extinguisher inspection tag date: Nov 20, 2024
Water temperature: 110
Last fire/disaster drill date: Oct 17, 2024
Administrator certificate expiration: Aug 14, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sophia Chen | Administrator | Met with Licensing Program Analyst during inspection |
| Jaime Vado | Licensing Program Analyst | Conducted the inspection |
Inspection Report
Original Licensing
Census: 5
Capacity: 6
Deficiencies: 3
Feb 16, 2024
Visit Reason
Applicant SZB LLC applied for RCFE licensure for 6 non-ambulatory elderly clients. The visit was a prelicensing inspection to evaluate the facility for licensure approval.
Findings
The facility was toured and found to have 6 private bedrooms and appropriate amenities. Several items must be addressed prior to licensure, including provision of an internet access device for residents, availability of keys for emergency use, and updating the Emergency Disaster Plan. The facility is currently licensed under a different name and has 5 residents present, including one bedridden client who cannot be retained due to lack of fire clearance.
Deficiencies (3)
| Description |
|---|
| No internet access device dedicated for resident use with videoconferencing technology. |
| Lack of a set of keys available to staff on each shift for emergency evacuation use. |
| Emergency Disaster Plan must be updated to include corrected utility shut off and fire extinguisher locations. |
Report Facts
Residents present: 5
Total licensed capacity: 6
Inspection start time: 1500
Inspection end time: 1830
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sophia Chen | Administrator | Certified administrator and licensee named in the report |
| Audrey Jeung | Licensing Program Analyst | Conducted the facility tour and inspection |
| Cara Smith | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Original Licensing
Capacity: 6
Deficiencies: 0
Jan 23, 2024
Visit Reason
The visit was an office evaluation conducted via phone call to complete Component II (COMP II) of the licensing process, verifying the applicant and administrator's understanding of Title 22 and related facility operation requirements.
Findings
The applicant and administrator successfully completed COMP II by phone, confirming understanding of facility operation, staff qualifications, program policies, and application document requirements. No deficiencies or violations were noted in the report.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sophia Chen | Administrator | Applicant/administrator who participated in COMP II and was verified by photo ID. |
| Darla Neeley | Licensing Program Manager | Named as Licensing Program Manager on the report. |
| Gina Baldwin | Licensing Program Analyst | Named as Licensing Program Analyst who conducted the COMP II telephone call. |
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