Inspection Report Summary
Most inspections found no deficiencies, with the facility generally clean, well-maintained, and compliant with regulations. The most recent report from July 15, 2025, was perfect, showing no issues. However, earlier in 2025, two incidents posed immediate health and safety risks: one involved a resident leaving unattended due to inadequate supervision and lack of exit monitoring, and another involved a resident being locked in a room with a broken door lock after staff failed to follow search protocols. These deficiencies were isolated and addressed, with a follow-up inspection on June 5, 2025, finding no problems. Several complaint investigations were substantiated, but no fines, license suspensions, or enforcement actions were noted in the available reports.
Deficiencies per Year
4
3
2
1
0
High
Census Over Time
Census
Capacity
Inspection Report
Annual Inspection
Census: 67
Capacity: 97
Deficiencies: 0
Jul 15, 2025
Visit Reason
An unannounced annual inspection was conducted to evaluate compliance with licensing requirements at the assisted living and memory care facility.
Findings
The facility was found to be clean, odor-free, and free from hazards, with all required furnishings and safety equipment in place. Resident and staff records were complete and up to date, medications were properly stored and accounted for, and no citations were issued during the visit.
Report Facts
Hot water temperature range: 107
Hot water temperature range: 113
Perishable food observation days: 2
Non-perishable food observation days: 7
Fire extinguisher inspection date: 2025
Resident records reviewed: 5
Staff records reviewed: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Janna O'Sullivan | Executive Director | Met with Licensing Program Analyst during inspection and discussed visit purpose |
| Komal Charitra | Licensing Program Analyst | Conducted the unannounced annual inspection |
| April Cowan | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Follow-Up
Census: 62
Capacity: 97
Deficiencies: 1
Jun 18, 2025
Visit Reason
An unannounced Case Management Visit was conducted to follow up on an incident reported by the facility involving a resident who left the facility unattended during a holiday celebration.
Findings
The facility was found deficient for failing to ensure adequate supervision of a resident with moderate late onset Alzheimer's Dementia who exited the facility unattended, posing an immediate health and safety risk. The deficiency was cited under California Health and Safety Code LIC 809D.
Complaint Details
The visit was triggered by a reported incident where resident #1 left the facility unattended due to caregiver supervision lapse. The caregiver was supervising multiple residents and left the resident unattended while assisting another resident, leading to the resident exiting the facility unescorted.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to ensure the facility has an auditory device or other staff alert feature to monitor exits on exterior doors, resulting in a resident leaving the facility unattended and posing an immediate health and safety risk. | Type A |
Report Facts
Capacity: 97
Census: 62
Plan of Correction Due Date: Jun 19, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Murial Han | Licensing Program Analyst | Conducted the inspection and authored the report |
| Antonio Leon | Director of Sales | Met with Licensing Program Analyst during the visit |
| Cathy Nugyen | Health Services Director | Met with Licensing Program Analyst during the visit |
| Janna O'Sullivan | Administrator/Director | Facility Administrator named in the report |
| April Cowan | Licensing Program Manager | Named in the report |
Inspection Report
Follow-Up
Census: 63
Capacity: 97
Deficiencies: 0
Jun 5, 2025
Visit Reason
The visit was an unannounced Case Management follow-up on an incident reported by the facility involving a resident who was found outside the facility.
Findings
During the visit, the Licensing Program Analyst observed the resident involved, interviewed the administrator, and requested documents. No deficiencies were cited during this inspection.
Report Facts
Capacity: 97
Census: 63
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Janna O'Sullivan | Administrator | Met with Licensing Program Analyst during the visit |
| Murial Han | Licensing Program Analyst | Conducted the unannounced Case Management visit |
| April Cowan | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 64
Capacity: 97
Deficiencies: 1
Mar 12, 2025
Visit Reason
An unannounced complaint investigation visit was conducted following a complaint received on 2025-01-21 regarding a resident being locked in a room due to staff neglect.
Findings
The investigation substantiated that staff did not follow the facility's missing resident search protocol, resulting in a resident (R1) being locked in an empty room with a broken door lock for several hours. The maintenance director failed to communicate the broken lock status to staff, and the administrator acknowledged that the resident would have been found sooner if all rooms had been searched.
Complaint Details
The complaint was substantiated. The allegation was that a resident was locked in a room due to staff neglect. The investigation found that the resident was found locked in an empty room with a broken door lock after hours of searching, and staff failed to search all rooms as required by protocol.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Staff did not follow the facility's missing resident search protocol to search all rooms/units when R1 was discovered missing, and staff was unaware of a broken door lock resulting in R1 being locked in a room for hours, posing an immediate health and safety risk. | Type A |
Report Facts
Capacity: 97
Census: 64
Plan of Correction Due Date: Mar 13, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Janna O'Sullivan | Administrator | Met with Licensing Program Analyst during investigation and acknowledged findings |
| Murial Han | Licensing Program Analyst | Conducted the complaint investigation visit |
| April Cowan | Licensing Program Manager | Oversaw the complaint investigation report |
Inspection Report
Original Licensing
Census: 79
Capacity: 97
Deficiencies: 0
Jun 27, 2024
Visit Reason
An unannounced pre-licensing visit was conducted to evaluate the facility's readiness for licensing and compliance with regulations.
Findings
The facility was found to be clean, in good repair, and in compliance with Title 22 regulations. No deficiencies or citations were issued during the visit.
Report Facts
Food supply duration: 2
Food supply duration: 7
Fire extinguisher maintenance date: Jul 5, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Oreisha Morgan | Executive Director | Met with Licensing Program Analyst during pre-licensing visit |
| Grace Donato | Licensing Program Analyst | Conducted the unannounced pre-licensing visit |
| Andrea Medlin | Licensing Program Manager | Named in report header |
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