Inspection Report Summary
Most inspections found no deficiencies, and several complaint investigations were unsubstantiated, indicating that many concerns raised were not supported by evidence. The facility’s most recent report from September 4, 2025, included one deficiency for a hot water temperature that posed a safety risk, but no other serious issues or enforcement actions were noted. Earlier reports showed no deficiencies, and complaint investigations consistently found allegations unsubstantiated, reflecting a generally stable compliance record. The only notable past issues were at the time of original licensing in 2021, when multiple safety-related deficiencies were cited but subsequently resolved. Overall, the facility’s inspection record shows improvement and mostly meets regulatory standards.
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
Census
Latest occupancy rate
54% occupied
Based on a September 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Census over time
Inspection Report
Complaint Investigation
Census: 43
Capacity: 80
Deficiencies: 0
Sep 4, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2025-03-27 concerning resident care issues including unexplained lacerations, untimely medical treatment, inadequate feeding assistance, improper supervision of fall-risk residents, and unmet dietary needs.
Findings
The investigation found that although the allegations may have occurred or be valid, there was insufficient evidence to substantiate the complaints. Staff were monitoring the resident's condition and providing medical care as needed, and supervision and dietary support were documented despite some resident refusals. The complaints were therefore unsubstantiated.
Complaint Details
The complaint involved multiple allegations about resident care including unexplained lacerations, failure to seek timely medical treatment, inadequate feeding assistance, improper supervision of fall-risk residents, and failure to meet dietary needs. Interviews with staff and review of care notes indicated monitoring and care were provided, but the resident often refused care or food. The resident had been on Hospice and had multiple moves within the facility. The investigation concluded the allegations were unsubstantiated due to lack of preponderance of evidence.
Report Facts
Facility capacity: 80
Resident census: 43
Complaint control number: 15
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Gregory Clark | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Juan Ferrel | Interim Administrator | Met with Licensing Program Analyst during investigation |
| Mindy M Han | Administrator | Facility administrator named in report header |
| Yvonne Flores-Larios | Licensing Program Manager | Named as Licensing Program Manager overseeing investigation |
Inspection Report
Annual Inspection
Census: 43
Capacity: 80
Deficiencies: 1
Sep 4, 2025
Visit Reason
The visit was an unannounced 1-Year Annual Required inspection conducted to evaluate compliance with licensing requirements.
Findings
The inspection found that the facility generally met licensing requirements, including adequate lighting, temperature control, safety equipment, and record completeness. However, a deficiency was cited for hot water temperature at a hallway bathroom sink measuring 135.1 degrees Fahrenheit, which poses an immediate health and safety risk.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Hot water temperature at a sink in the hallway bathroom was measured at 135.1 degrees Fahrenheit. | Type A |
Report Facts
Hot water temperature: 135.1
Capacity: 80
Census: 43
Plan of Correction Due Date: Sep 5, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Gregory Clark | Licensing Program Analyst | Conducted the inspection and signed the report |
| Juan Ferrel | Interim Administrator | Met with Licensing Program Analyst during inspection |
| Yvonne Flores-Larios | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 51
Capacity: 80
Deficiencies: 0
Sep 17, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2024-06-13 regarding medication dispensing, medication mismanagement, and inadequate supervision of residents.
Findings
The investigation found all allegations unsubstantiated after reviewing training records, medication administration records, and interviewing staff responsible for resident supervision and transportation.
Complaint Details
The complaint included allegations that staff dispensed medication without appropriate training, mismanaged residents' medications, and did not provide adequate supervision. The investigation found no evidence to substantiate these allegations.
Report Facts
Facility capacity: 80
Resident census: 51
Number of med techs: 5
Med techs in training: 1
Residents reviewed for medication mismanagement: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Gregory Clark | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Jannelle Douglas | Administrator | Met with Licensing Program Analyst during the investigation |
| Yvonne Flores-Larios | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Annual Inspection
Census: 51
Capacity: 80
Deficiencies: 0
Sep 17, 2024
Visit Reason
The inspection was an unannounced 1-Year Annual Required inspection conducted to evaluate compliance with licensing requirements.
Findings
The Licensing Program Analyst toured the facility, reviewed resident and staff records, and observed safety and emergency preparedness measures. No deficiencies were cited during the visit.
Report Facts
Residents records reviewed: 5
Staff records reviewed: 5
Fire extinguisher last serviced: Jan 3, 2024
Emergency Disaster Plan last posted: Jul 15, 2024
Emergency disaster drill last conducted: Jun 15, 2024
Hot water temperature: 117.2
Hallway temperature: 70
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Gregory Clark | Licensing Program Analyst | Conducted the inspection and authored the report |
| Jannelle Douglas | Administrator | Met with Licensing Program Analyst during inspection |
Inspection Report
Complaint Investigation
Census: 49
Capacity: 80
Deficiencies: 0
Aug 9, 2024
Visit Reason
Unannounced complaint investigation conducted in response to allegations including lack of resident care and supervision, wound development due to staff negligence, unmet hygiene and feeding needs, and failure to follow personal hygiene and sanitation practices.
Findings
The investigation found no preponderance of evidence to substantiate the allegations. Staff were observed to provide appropriate care and supervision, wounds were attributed to the resident's medical condition, hygiene and feeding needs were met, and staff followed hygiene and sanitation protocols.
Complaint Details
The complaint was unsubstantiated. Allegations included staff leaving resident without care and supervision, wound development due to lack of supervision, unmet hygiene and feeding needs, and failure to follow hygiene and sanitation practices. Interviews and chart reviews did not support these claims.
Report Facts
Facility capacity: 80
Resident census: 49
Complaint receipt date: Aug 1, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Gregory Clark | Licensing Program Analyst | Conducted the complaint investigation |
| Yvonne Flores-Larios | Licensing Program Manager | Oversaw the complaint investigation |
| Jannelle Douglas | Administrator | Facility administrator met during investigation |
| S1 | Interviewed staff member who reported no complaints from resident's responsible party | |
| S2 | Interviewed staff member who confirmed resident care and wound treatment | |
| W1 | Resident's son interviewed, stated care was exceptional |
Inspection Report
Complaint Investigation
Census: 47
Capacity: 80
Deficiencies: 0
Nov 21, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by complaints received on 07/18/2023 regarding facility air conditioning disrepair, inadequate resident incontinent care, and insufficient staffing.
Findings
The investigation found that the air conditioning was repaired shortly after the complaint, staffing levels on the reviewed date were sufficient to provide appropriate care, and there was no documentation of incontinent care but no evidence of neglect. Overall, the complaints were unsubstantiated due to lack of preponderance of evidence.
Complaint Details
The complaint investigation addressed allegations of facility air conditioning disrepair, staff not meeting residents' incontinent care needs, and insufficient staffing. The findings concluded the complaints were unsubstantiated.
Report Facts
Complaint Control Number: 15-AS-20230718134653
Staff on duty: 4
Memory care census: 22
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Gregory Clark | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Caroline Frangieh | Interim Administrator | Met with Licensing Program Analyst during the investigation |
| Yvonne Flores-Larios | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 50
Capacity: 80
Deficiencies: 0
Oct 4, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to a complaint alleging that the facility call system was in disrepair.
Findings
The investigation found that the complaint was unsubstantiated. The facility's Phillips Lifeline pendant system was initially not operational but was repaired and observed to be operational at the time of the visit.
Complaint Details
The complaint alleging the facility call system was in disrepair was investigated and found to be unsubstantiated due to lack of preponderance of evidence.
Report Facts
Capacity: 80
Census: 50
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Gregory Clark | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Yvonne Flores-Larios | Licensing Program Manager | Named in report as Licensing Program Manager |
| Mindy M Han | Administrator | Facility Administrator mentioned in relation to the complaint and investigation |
| San Sor | Interim Administrator | Met with Licensing Program Analyst during the investigation visit |
Inspection Report
Annual Inspection
Census: 51
Capacity: 80
Deficiencies: 0
Sep 22, 2023
Visit Reason
The visit was an unannounced 1-Year Annual Required inspection conducted by the Licensing Program Analyst to evaluate compliance with facility regulations.
Findings
The inspection found no deficiencies. The facility was toured, resident and staff records were reviewed, and safety measures such as fire clearance, fire extinguisher servicing, and fire drills were verified as compliant.
Report Facts
Fire extinguisher last serviced: Jan 14, 2023
Fire drill last conducted: Jun 29, 2023
Hot water temperature: 118.5
Hallway temperature: 70
Residents records reviewed: 5
Staff records reviewed: 5
Staff with current first aid training: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Caroline Frangieh | Interim Administrator | Met with Licensing Program Analyst during inspection |
| Gregory Clark | Licensing Program Analyst | Conducted the inspection |
| Yvonne Flores-Larios | Licensing Program Manager | Named in report header |
Inspection Report
Complaint Investigation
Census: 50
Capacity: 80
Deficiencies: 0
Jul 28, 2023
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations received on 10/20/2021 regarding staff failing to assist a resident (R1) with ADLs, withholding food and water, prohibiting phone use, verbal abuse, failure to assist with incontinence care, and short staffing.
Findings
After interviews with staff, the resident, and review of records, the allegations were found to be unsubstantiated due to insufficient evidence. Staff denied the allegations, and observations and records supported that residents were assisted appropriately. No deficiencies were cited.
Complaint Details
The complaint involved six allegations against staff related to resident care and facility staffing. The investigation included interviews with resident R1, multiple staff members, the Executive Director, and attempts to contact the resident's family and hospice agency. The complaint was closed as unsubstantiated.
Report Facts
Facility capacity: 80
Resident census: 50
Number of staff interviewed: 8
Number of allegations: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Alicia Delmundo | Licensing Program Analyst | Conducted the complaint investigation |
| Mindy Han | Executive Director | Met with Licensing Program Analyst during investigation |
| Bennett Fong | Licensing Program Manager | Oversaw complaint investigation report |
Inspection Report
Census: 55
Capacity: 80
Deficiencies: 0
Feb 16, 2023
Visit Reason
The visit was an unannounced case management visit to verify if an individual is currently employed at the facility.
Findings
The Licensing Program Analyst reviewed the staff roster and interviewed staff, verifying that the individual was not present, employed, or residing at the facility. No deficiencies were cited during the visit.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Gregory Clark | Licensing Program Analyst | Conducted the case management visit and verified employment status. |
| Melisa Melek | Regional Director | Met with the Licensing Program Analyst during the visit. |
Inspection Report
Census: 55
Capacity: 80
Deficiencies: 0
Feb 16, 2023
Visit Reason
The visit was an unannounced case management visit conducted due to receiving an incomplete LIC624 form.
Findings
During the visit, the Licensing Program Analyst interviewed the facility's Health Services Director and reviewed the internal Incident Report, noting that proper notifications were made to the resident's family. No deficiencies were cited during the visit.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Melek | Health Services Director | Interviewed during the visit and involved in discussion of the internal Incident Report. |
Inspection Report
Complaint Investigation
Census: 58
Capacity: 80
Deficiencies: 0
Sep 23, 2022
Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation that the facility did not safeguard a resident's credit card.
Findings
The investigation found that the allegation was unfounded. The facility kept the resident's credit card locked in a safe at the request of the resident's cousin, and the resident confirmed the card was in her possession during the alleged unauthorized use. The bank removed the disputed charge and issued a new card.
Complaint Details
The complaint alleged that the facility did not safeguard a resident's credit card. The complaint was investigated and found to be unfounded, meaning the allegation was false or without reasonable basis.
Report Facts
Capacity: 80
Census: 58
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Gregory Clark | Licensing Program Analyst | Conducted the complaint investigation and delivered the amended report |
| Cayia Peevy | Executive Director | Interviewed during the investigation regarding the safeguarding of the resident's credit card |
Inspection Report
Census: 59
Capacity: 80
Deficiencies: 0
Nov 19, 2021
Visit Reason
Unannounced post licensing visit to conduct an Infection Control Inspection at the facility.
Findings
The inspection found the facility compliant with infection control standards, including proper PPE use, sufficient food supply, posted visitor policies, and routine screening records. No deficiencies were cited during the visit.
Report Facts
Capacity: 80
Census: 59
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Avon Nguyen | Administrator | Met with Licensing Program Analysts during the inspection |
| Gregory Clark | Licensing Program Analyst | Conducted the Infection Control Inspection |
| L. Francisco | Licensing Program Analyst | Conducted the Infection Control Inspection |
| Yvonne Flores-Larios | Licensing Program Manager | Named in report header |
Inspection Report
Original Licensing
Census: 64
Capacity: 80
Deficiencies: 4
Sep 7, 2021
Visit Reason
The inspection was a pre-licensing visit conducted unannounced due to a change of ownership to evaluate the facility for licensing approval.
Findings
The inspection included evaluation of fire clearance, resident rooms, common areas, kitchen, and safety measures. Several deficiencies were observed including unlocked medications and poisonous disinfectants accessible to residents. The facility was not recommended for license until all deficiencies were cleared.
Deficiencies (4)
| Description |
|---|
| Medication observed unlocked and accessible to resident in room 317. |
| Medication observed accessible in resident's bathroom in room 227. |
| Poisonous disinfectant spray found unlocked and accessible in room 229. |
| Poisonous disinfectant found unlocked and accessible in room 106. |
Report Facts
Facility capacity: 80
Resident census: 64
Fire clearance: 6
Fire clearance: 74
Hot water temperature: 117.2
Fire extinguisher inspection date: Jan 3, 2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Avon Nguyen | Nurse | Met with Licensing Program Analyst during inspection and involved in medication management |
| Gerry Vadnais | Administrator | Facility administrator informed of inspection and gave permission to conduct inspection |
| Leslie Ibo | Licensing Program Analyst | Conducted the pre-licensing inspection and authored the report |
| Harpreet Humpal | Licensing Program Manager | Named in report header and narrative |
Inspection Report
Original Licensing
Capacity: 80
Deficiencies: 0
Aug 13, 2021
Visit Reason
The visit was conducted as a Component II (COMP II) pre-licensing evaluation via telephone call to verify the applicant/administrator's understanding of Title 22 and various regulatory requirements for facility operation, staff qualifications, program policies, and application documentation.
Findings
The applicant/administrator successfully completed the COMP II telephone call, demonstrating understanding of facility operation, staff qualifications, program policies, and application document requirements. No deficiencies or violations were noted in the report.
Report Facts
Capacity: 80
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Gerry Vadnais | Administrator | Applicant/administrator who participated in COMP II telephone call |
| Mirella Quaranta | Licensing Program Manager | Named in report header |
| Stefania Fonteno | Licensing Program Analyst | Conducted COMP II telephone call and signed report |
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