Deficiencies (last 2 years)

Deficiencies (over 2 years) 2 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

50% better than California average
California average: 4 deficiencies/year

Deficiencies per year

4 3 2 1 0
2024
2025

Census

Latest occupancy rate 69% occupied

Based on a July 2025 inspection.

This facility has shown a decline in demand based on occupancy rates.

Occupancy over time

40 60 80 100 120 Jun 2024 Mar 2025 Jun 2025 Jun 2025 Jul 2025

Inspection Report

Annual Inspection
Census: 67 Capacity: 97 Deficiencies: 0 Date: 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
NameTitleContext
Janna O'SullivanExecutive DirectorMet with Licensing Program Analyst during inspection and discussed visit purpose
Komal CharitraLicensing Program AnalystConducted the unannounced annual inspection
April CowanLicensing Program ManagerNamed as Licensing Program Manager on report

Inspection Report

Follow-Up
Census: 62 Capacity: 97 Deficiencies: 1 Date: 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.

Complaint Details
The visit was triggered by a reported incident where resident #1, diagnosed with moderate late onset Alzheimer's Dementia, left the facility unattended due to inadequate supervision by a caregiver who was attending to other residents.
Findings
The facility failed to ensure adequate supervision of a resident with moderate late onset Alzheimer's Dementia, resulting in the resident leaving the facility unattended, posing an immediate health and safety risk. A deficiency was cited for failure to have an auditory or staff alert device to monitor exits on exterior doors.

Deficiencies (1)
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.
Report Facts
Facility capacity: 97 Census: 62 Plan of Correction due date: Jun 19, 2025

Employees mentioned
NameTitleContext
Antonio LeonDirector of SalesMet with Licensing Program Analyst during the visit
Cathy NugyenHealth Services DirectorMet with Licensing Program Analyst during the visit
Janna O'SullivanAdministrator/DirectorFacility Administrator named in the report
Murial HanLicensing Program AnalystConducted the inspection visit
April CowanLicensing Program ManagerNamed in the report

Inspection Report

Follow-Up
Census: 62 Capacity: 97 Deficiencies: 1 Date: 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.

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.
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.

Deficiencies (1)
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.
Report Facts
Capacity: 97 Census: 62 Plan of Correction Due Date: Jun 19, 2025

Employees mentioned
NameTitleContext
Murial HanLicensing Program AnalystConducted the inspection and authored the report
Antonio LeonDirector of SalesMet with Licensing Program Analyst during the visit
Cathy NugyenHealth Services DirectorMet with Licensing Program Analyst during the visit
Janna O'SullivanAdministrator/DirectorFacility Administrator named in the report
April CowanLicensing Program ManagerNamed in the report

Inspection Report

Follow-Up
Census: 63 Capacity: 97 Deficiencies: 0 Date: Jun 5, 2025

Visit Reason
An unannounced Case Management visit was conducted to follow up on an incident reported by the facility involving a resident who was found outside the facility during a celebration.

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.

Employees mentioned
NameTitleContext
Janna O'SullivanAdministratorMet with Licensing Program Analyst during the visit and discussed the incident.
Murial HanLicensing Program AnalystConducted the unannounced Case Management visit.
April CowanLicensing Program ManagerNamed as Licensing Program Manager on the report.

Inspection Report

Follow-Up
Census: 63 Capacity: 97 Deficiencies: 0 Date: 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
NameTitleContext
Janna O'SullivanAdministratorMet with Licensing Program Analyst during the visit
Murial HanLicensing Program AnalystConducted the unannounced Case Management visit
April CowanLicensing Program ManagerNamed as Licensing Program Manager on the report

Inspection Report

Complaint Investigation
Census: 64 Capacity: 97 Deficiencies: 1 Date: Mar 12, 2025

Visit Reason
An unannounced complaint investigation was conducted following a complaint received on 2025-01-21 regarding a resident being locked in a room due to staff neglect.

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 wandered into an empty room with a broken door lock and was unable to exit for hours because staff did not search all rooms as required by protocol.
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 hours. The facility failed to search all rooms on the floor, and the maintenance director did not communicate the broken lock to staff.

Deficiencies (1)
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 an empty room for hours, posing an immediate health and safety risk.
Report Facts
Capacity: 97 Census: 64 Plan of Correction Due Date: Mar 13, 2025

Employees mentioned
NameTitleContext
Murial HanLicensing Program AnalystConducted the complaint investigation
Janna O'SullivanAdministratorFacility administrator involved in investigation and report
April CowanSupervisorSupervisor overseeing the investigation

Inspection Report

Complaint Investigation
Census: 64 Capacity: 97 Deficiencies: 1 Date: 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.

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.
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.

Deficiencies (1)
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.
Report Facts
Capacity: 97 Census: 64 Plan of Correction Due Date: Mar 13, 2025

Employees mentioned
NameTitleContext
Janna O'SullivanAdministratorMet with Licensing Program Analyst during investigation and acknowledged findings
Murial HanLicensing Program AnalystConducted the complaint investigation visit
April CowanLicensing Program ManagerOversaw the complaint investigation report

Inspection Report

Original Licensing
Census: 79 Capacity: 97 Deficiencies: 0 Date: Jun 27, 2024

Visit Reason
An unannounced pre-licensing visit was conducted to evaluate the facility's compliance and readiness for licensing.

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

Employees mentioned
NameTitleContext
Oreisha MorganExecutive DirectorMet with Licensing Program Analyst during the pre-licensing visit
Grace DonatoLicensing Program AnalystConducted the unannounced pre-licensing visit
Andrea MedlinSupervisorSupervisor overseeing the licensing evaluation

Inspection Report

Original Licensing
Census: 79 Capacity: 97 Deficiencies: 0 Date: 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
NameTitleContext
Oreisha MorganExecutive DirectorMet with Licensing Program Analyst during pre-licensing visit
Grace DonatoLicensing Program AnalystConducted the unannounced pre-licensing visit
Andrea MedlinLicensing Program ManagerNamed in report header

Viewing

Loading inspection reports...