Inspection Report Summary
Most inspections found no deficiencies, with the facility consistently meeting regulatory standards for safety, care, and infection control. Several complaint investigations were unsubstantiated, including allegations of rough staff behavior, confidentiality breaches, and care concerns. The most recent report from October 6, 2025, was clean with no deficiencies cited. Early on, the pre-licensing evaluation in July 2021 identified minor issues with water quality, electrical hazards, and posted information, but these were resolved and not seen in later visits. This shows the facility has maintained a strong compliance record with no serious enforcement actions or fines listed in the available reports.
Deficiencies per Year
4
3
2
1
0
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Annual Inspection
Census: 139
Capacity: 170
Deficiencies: 0
Oct 6, 2025
Visit Reason
The visit was an unannounced required comprehensive annual inspection of the Residential Care Facility for Elderly (RCFE) to assess compliance with licensing requirements.
Findings
The facility was found to be operating within approved capacity and in good repair with no obstructions, sufficient furniture, clean bathrooms, and proper safety equipment. Food supply and care staff coverage were adequate. A review of resident and staff files and medication audits revealed no deficiencies. No licensing deficiencies were cited during this inspection.
Report Facts
Resident files reviewed: 4
Staff files reviewed: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Janeth Medrano | Facility Administrator | Met with Licensing Program Analyst during inspection and participated in exit interview |
| Paola Guerrero | Licensing Program Analyst | Conducted the unannounced annual inspection visit |
| Efren Malagon | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Annual Inspection
Census: 142
Capacity: 170
Deficiencies: 0
Sep 13, 2024
Visit Reason
The visit was an unannounced required comprehensive annual inspection of the facility to assess compliance with regulations.
Findings
The facility was found to be operating in good repair and safe conditions with no deficiencies cited. Resident rooms, physical plant, food service, and care supervision met regulatory standards.
Report Facts
Resident files reviewed: 7
Staff files reviewed: 6
Water temperature: 111.6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Janeth Medrano | Facility Administrator | Met with Licensing Program Analysts during inspection and participated in exit interview |
| Paola Guerrero | Licensing Program Analyst | Conducted the inspection and signed the report |
| Efren Malagon | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 139
Capacity: 170
Deficiencies: 0
Jun 14, 2024
Visit Reason
An unannounced complaint investigation visit was conducted in response to a complaint received on 2024-02-09 alleging that the licensee did not refund preadmission fees.
Findings
The investigation found that a refund check was given to Resident #1 on 2024-02-07 and the resident personally picked up the refund. Based on the evidence, the allegation was determined to be unsubstantiated.
Complaint Details
The complaint alleged that the licensee did not refund preadmission fees. The allegation was investigated and found to be unsubstantiated due to lack of evidence proving the violation occurred.
Report Facts
Capacity: 170
Census: 139
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Janeth Medrano | Facility Director | Interviewed regarding the refund allegation |
| Paola Guerrero | Licensing Program Analyst | Conducted the complaint investigation |
| Efren Malagon | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 144
Capacity: 170
Deficiencies: 0
Sep 15, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2023-07-17 alleging staff pushed residents resulting in injury and handled residents in a rough manner.
Findings
The investigation consisted of interviews with residents and staff, all of whom denied the allegations. Based on the evidence obtained, the allegations were determined to be unsubstantiated due to lack of preponderance of evidence.
Complaint Details
The complaint alleged that staff pushed residents resulting in injury and handled residents in a rough manner. Interviews with multiple residents and staff denied these allegations. The complaint was found to be unsubstantiated.
Report Facts
Capacity: 170
Census: 144
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Janeth Medrano | Facility Administrator | Met with Licensing Program Analyst during the investigation and named in the report |
| Paola Guerrero | Licensing Program Analyst | Conducted the complaint investigation |
| Efren Malagon | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 144
Capacity: 170
Deficiencies: 0
Sep 15, 2023
Visit Reason
Unannounced complaint investigation visit conducted in response to allegations that staff disclosed a resident's confidential information to another resident and that staff did not adequately supervise residents resulting in sexual harassment.
Findings
The investigation found no substantiated evidence for either allegation. Residents and staff interviews indicated that confidential information was not disclosed and that the sexual harassment incident occurred via residents' own cellphones, which staff could not prevent. The allegations were determined to be unsubstantiated.
Complaint Details
The complaint investigation was unsubstantiated. Although the allegations may have happened or be valid, there was not a preponderance of evidence to prove the alleged violation did or did not occur.
Report Facts
Capacity: 170
Census: 144
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Paola Guerrero | Licensing Program Analyst | Conducted the complaint investigation and unannounced visit |
| Janeth Medrano | Facility Administrator | Met with Licensing Program Analyst during the investigation |
| Efren Malagon | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 113
Capacity: 170
Deficiencies: 0
Jul 6, 2023
Visit Reason
An unannounced complaint investigation visit was conducted to investigate allegations received on 2023-06-28 regarding resident care issues including pressure injuries, incontinence care, staff behavior, and substance use.
Findings
The investigation found no substantiated evidence to support the allegations. Residents and staff interviews, along with document reviews, indicated appropriate care and behavior. No deficiencies were cited during the visit.
Complaint Details
The complaint included allegations that residents developed pressure injuries while in care, staff did not meet residents' incontinence care needs, staff spoke inappropriately to residents, staff handled residents roughly, and staff provided care while under the influence of substances. The investigation concluded these allegations were unsubstantiated due to lack of evidence.
Report Facts
Residents with pressure injuries: 4
Capacity: 170
Census: 113
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ryan Gardner | Licensing Program Analyst | Conducted the complaint investigation visit and authored the report |
| Janeth Medrano | Administrator | Facility administrator met during the investigation and exit interview |
| Efren Malagon | Licensing Program Manager | Oversaw the complaint investigation process |
Inspection Report
Annual Inspection
Census: 115
Capacity: 170
Deficiencies: 0
Sep 14, 2022
Visit Reason
An unannounced annual inspection was conducted with emphasis on infection control to evaluate the facility's compliance with Community Care Licensing Division guidelines.
Findings
The facility has an infection control plan in place, including COVID-19 testing, isolation, PPE supply, and staff training. No deficiencies were cited during the visit.
Report Facts
PPE supply duration: 30
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Janeth Medrano | Administrator | Met with Licensing Program Analyst during the inspection and accompanied the tour of the facility. |
| Natalie Ibarra | Licensing Program Analyst | Conducted the unannounced annual inspection visit. |
| Efren Malagon | Licensing Program Manager | Named in the report as Licensing Program Manager. |
Inspection Report
Annual Inspection
Census: 127
Capacity: 170
Deficiencies: 0
Nov 22, 2021
Visit Reason
An unannounced annual inspection was conducted with an emphasis on the infection control domain.
Findings
No deficiencies were cited during the inspection. The facility demonstrated compliance with infection control measures, including COVID-19 mitigation plans, symptom screening, and proper use of face coverings. Fire safety equipment was maintained and tested as required.
Report Facts
Capacity: 170
Census: 127
Fire extinguisher last inspection date: Dec 3, 2020
Smoke and carbon monoxide detectors last tested: Oct 22, 2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Janeth Medrano | Administrator | Met with Licensing Program Analyst during inspection and confirmed COVID-19 status and fire safety maintenance |
| Anna Bueno | Licensing Program Analyst | Conducted the unannounced annual inspection |
Inspection Report
Original Licensing
Census: 118
Capacity: 170
Deficiencies: 3
Jul 29, 2021
Visit Reason
The visit was conducted as a Pre-Licensing evaluation for a Residential Care for the Elderly facility (RCFE) to assess the facility prior to initial licensing.
Findings
The facility was observed to have adequate furnishings, operational kitchen appliances, sufficient safety equipment including smoke detectors and fire extinguishers, and appropriate living and outdoor areas. However, the pre-licensing was incomplete due to deficiencies related to water quality, electrical hazards, and improperly posted informational posters.
Deficiencies (3)
| Description |
|---|
| Water Quality |
| Electrical Hazards - Lighting |
| See something say something poster and Ombudsman poster posted in obscure areas (should be visible to staff, residents, and guests) |
Report Facts
Capacity: 170
Census: 118
Smoke detectors: 200
Fire extinguishers: 36
Non-ambulatory residents capacity: 155
Bedridden residents capacity: 15
Personal apartment units: 129
Memory care units: 26
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Janeth Medrano | Administrator | Met with Licensing Program Analyst during pre-licensing evaluation |
| Elecia Weathersby | Licensing Program Analyst | Conducted the pre-licensing evaluation visit |
| Efren Malagon | Licensing Program Manager | Named as Licensing Program Manager on report |
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