Deficiencies (last 5 years)
Deficiencies (over 5 years)
1 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
75% better than California average
California average: 4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Occupancy
Latest occupancy rate
83% occupied
Based on a February 2026 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 0
Date: Feb 28, 2026
Visit Reason
The inspection was an unannounced required one-year visit to evaluate compliance with licensing requirements for the facility.
Findings
The facility was found to be in compliance with safety and operational standards, including fire clearance for six non-ambulatory residents, operable smoke and carbon monoxide alarms, locked medications and cleaning supplies, and proper maintenance of resident rooms and common areas. No deficiencies were explicitly cited in the report.
Report Facts
Fire extinguisher last inspection date: Nov 14, 2025
Water temperature range (°F): 107.9
Water temperature range (°F): 111.8
Disaster drill last conducted: Jan 10, 2026
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Richard Garcia | House manager | Met with during inspection and assisted with physical plant tour |
| Jose Gary Tan | Licensing Program Analyst | Conducted the unannounced inspection visit |
| Troy Agard | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Census: 2
Capacity: 6
Deficiencies: 0
Date: Jun 26, 2025
Visit Reason
The visit was an unannounced case management inspection to tour the facility and review resident and staff records.
Findings
The Licensing Program Analyst found no deficiencies during the visit. The facility was toured, records were reviewed, and required postings were observed.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Spaeth | Licensing Program Analyst | Conducted the unannounced case management visit and inspection. |
| Stephanie Domingo | Administrator/Director | Facility administrator mentioned in the report header. |
Inspection Report
Census: 4
Capacity: 6
Deficiencies: 1
Date: May 9, 2025
Visit Reason
The visit was an unannounced case management visit conducted to evaluate compliance and identify deficiencies.
Findings
A deficiency was found where a staff member had not been fingerprint cleared as required, posing an immediate health and safety risk to residents. The staff member was ordered to leave the facility immediately.
Deficiencies (1)
Failure to ensure a staff member had obtained a California Clearance or a criminal record exemption, posing an immediate health and safety risk to residents.
Report Facts
Penalty amount per day: 100
Penalty maximum days: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Spaeth | Licensing Program Analyst | Conducted the unannounced case management visit and observed the deficiency |
| Troy Agard | Licensing Program Manager | Named as Licensing Program Manager on the report |
| Stephanie Domingo | Administrator/Director | Facility Administrator during the inspection |
| Jerome Viray | Licensee who was informed about the staff member needing to leave |
Inspection Report
Annual Inspection
Census: 2
Capacity: 6
Deficiencies: 1
Date: Jan 9, 2025
Visit Reason
The visit was an unannounced annual inspection conducted to evaluate compliance with licensing regulations for the facility.
Findings
The inspection found the facility generally well-maintained with proper safety measures in place, but identified a deficiency related to the failure to obtain communicable tuberculosis test results for one resident, posing an immediate health and safety risk.
Deficiencies (1)
Failure to obtain communicable tuberculosis test results for resident R1.
Report Facts
Capacity: 6
Census: 2
Plan of Correction Due Date: Jan 10, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Domingo | Administrator | Named in relation to the tuberculosis test deficiency |
| Melissa Spaeth | Licensing Program Analyst | Conducted the inspection and identified deficiencies |
| Troy Agard | Supervisor | Supervisor overseeing the inspection |
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 3
Date: Feb 23, 2024
Visit Reason
The visit was an unannounced annual inspection to evaluate compliance with licensing regulations at the facility.
Findings
The inspection found several deficiencies including unsecured cleaning solutions in a bathroom cabinet, missing Physician's Reports for two residents, and a non-functioning lock on the medication cabinet. Immediate health and safety risks were noted due to these issues.
Deficiencies (3)
Cleaning solution was not locked in a bathroom cabinet, posing an immediate health and safety risk.
Physician's Report was missing from resident 1 and resident 5 files, posing an immediate health and safety risk.
Kitchen cabinet lock where medications are stored was not working, posing an immediate health and safety risk.
Report Facts
Residents present: 5
Total licensed capacity: 6
Water temperature: 118
Plan of Correction Due Date: Feb 23, 2024
Plan of Correction Due Date: Mar 4, 2024
Plan of Correction Due Date: Feb 26, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Spaeth | Licensing Program Analyst | Conducted the inspection and documented findings |
| Stephanie Domingo | Administrator | Facility administrator present during inspection and involved in correction plans |
Inspection Report
Original Licensing
Capacity: 6
Deficiencies: 0
Date: Jan 31, 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, prior to licensing approval.
Findings
The facility was found to be in compliance with Title 22 regulations at the time of inspection. The physical plant, safety features, and resident accommodations were observed to be appropriate and in good repair.
Report Facts
Fire extinguishers purchased: 2
Bedrooms: 4
Bathrooms: 2.5
Hot water temperature: 119
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jerome Viray | Administrator | Met with Licensing Program Analyst during the pre-licensing visit and exit interview. |
| Angela Panushkina | Licensing Program Analyst | Conducted the pre-licensing inspection and evaluation. |
| Nichelle Gillyard | Supervisor | Supervisor overseeing the licensing evaluation. |
Inspection Report
Original Licensing
Capacity: 6
Deficiencies: 0
Date: Dec 30, 2022
Visit Reason
The visit was conducted as a Component II completion for original licensing of the facility, including verification of the applicant/administrator's understanding of licensing laws and regulations.
Findings
The applicant/administrator successfully completed Component II, demonstrating understanding of community care facility licensing laws, policies, staffing, emergency preparedness, complaints, and pre-licensing readiness. Identification and documentation were verified.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jerome Viray | Applicant/Administrator | Participant in Component II completion and interview |
| Julia Kim | Supervisor | Named as supervisor on report |
| Thai Doan | Licensing Evaluator | Named as licensing evaluator on report |
Viewing
Loading inspection reports...
