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 July 30, 2025, involved serving an Immediate Exclusion Order to a staff member but did not cite any deficiencies. The only cited deficiency occurred in August 2023, related to inadequate care and supervision during an incident of rough handling, which posed a potential health and safety risk. Since then, follow-up inspections found no further issues, showing improvement in resident care and supervision. Other complaints about staffing, resident care, and property were investigated and found unsubstantiated, with no fines or enforcement actions listed in the available reports.
Deficiencies per Year
4
3
2
1
0
Moderate
Census Over Time
Census
Capacity
Inspection Report
Census: 112
Capacity: 155
Deficiencies: 0
Jul 30, 2025
Visit Reason
An unannounced Case Management visit was conducted to serve an Immediate Exclusion Order to staff member S1.
Findings
The Immediate Exclusion Order was explained and served to the Executive Director, Anna Pastores, who acknowledged understanding the order and agreed the facility will adhere to it by not scheduling the excluded staff member for future shifts.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Anna Pastores | Executive Director | Met during the visit and acknowledged the Immediate Exclusion Order. |
| Edward Kim | Licensing Program Analyst | Conducted the unannounced Case Management visit and served the Immediate Exclusion Order. |
| Lourdes Montoya | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Complaint Investigation
Census: 105
Capacity: 155
Deficiencies: 0
Jul 14, 2025
Visit Reason
Unannounced visit/investigation of a complaint alleging that a caregiver was rough with a resident resulting in bruising.
Findings
The investigation found no evidence to substantiate the allegation. Interviews with staff indicated no witnessed rough handling of residents, and observations showed staff assisting residents appropriately. The complaint was determined to be unsubstantiated.
Complaint Details
The complaint was unsubstantiated based on interviews and observations. Although the resident bruised easily, there was no preponderance of evidence to prove the alleged violation occurred.
Report Facts
Capacity: 155
Census: 105
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Cheyenne Ratajczak | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Alyson Womack | Health Services Director | Met with the Licensing Program Analyst during the investigation |
Inspection Report
Complaint Investigation
Census: 105
Capacity: 155
Deficiencies: 0
Jul 14, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations including resident fractures due to neglect, failure to seek timely medical attention, insufficient staffing, and delayed response to call assistance buttons.
Findings
The investigation found all allegations to be unsubstantiated after interviews, record reviews, and observations. The resident's fracture was determined to be pathological and unrelated to neglect, staffing was deemed sufficient, and call response times were generally within acceptable limits.
Complaint Details
The complaint involved multiple allegations: resident sustained fractures due to neglect, staff failed to seek timely medical attention, insufficient staffing, and delayed response to call assistance buttons. All allegations were found unsubstantiated based on interviews, documentation, and observations.
Report Facts
Capacity: 155
Census: 105
Call response time: 20
Call response time typical: 10
Call response time resident reported range: 15
Call response time resident reported range max: 30
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Cheyenne Ratajczak | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Alyson Womack | Health Services Director | Met with investigator to discuss complaint findings |
| Laura Munoz | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 105
Capacity: 155
Deficiencies: 0
Jul 14, 2025
Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that facility staff refused to assist a resident with toileting and changing.
Findings
The investigation included interviews with facility staff and residents, revealing that staff do assist residents with toileting and changing, although response times may vary. The complaint was found to be unsubstantiated due to insufficient evidence.
Complaint Details
The complaint was unsubstantiated, meaning there was not a preponderance of evidence to prove the alleged violation occurred.
Report Facts
Complaint Control Number: 22-AS-20230301143239
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Cheyenne Ratajczak | Licensing Program Analyst | Conducted the complaint investigation and delivered findings. |
| Alyson Womack | Health Services Director | Met with Licensing Program Analyst to discuss complaint findings. |
Inspection Report
Annual Inspection
Census: 92
Capacity: 155
Deficiencies: 0
Dec 5, 2024
Visit Reason
Licensing Program Analyst Claudia Gutierrez made an unannounced visit to conduct a Required/Annual Inspection of the facility.
Findings
The inspection found the facility to be in compliance with all regulations, with no deficiencies cited. Observations included operational safety equipment, proper resident accommodations, and adequate food supplies.
Report Facts
Water temperature range: 112.6
Water temperature range: 120.5
Food supply duration: 2
Food supply duration: 7
Fire extinguisher service date: Mar 29, 2024
Number of resident files reviewed: 9
Number of staff files reviewed: 6
Number of residents interviewed: 6
Number of staff interviewed: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Anna Pastores | Executive Director | Met with Licensing Program Analyst during inspection and involved in facility tour |
| Claudia Gutierrez | Licensing Program Analyst | Conducted the inspection visit |
| Dianna Kuhn | Business Office Director | Met with Licensing Program Analyst and informed about inspection purpose |
| Alyson Womack | Health Services Director | Participated in facility tour during inspection |
Inspection Report
Complaint Investigation
Census: 95
Capacity: 155
Deficiencies: 0
Dec 18, 2023
Visit Reason
An unannounced complaint investigation was conducted in response to allegations that a resident was not receiving proper nutrition and that staff failed to provide care and supervision.
Findings
Interviews with staff and residents, review of physician orders and facility progress notes, and observations did not corroborate the allegations. Conflicting information and lack of preponderance of evidence led to the determination that the allegations are unsubstantiated.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included improper nutrition for a resident and failure of staff to provide care and supervision. Evidence reviewed included interviews, physician orders, weight logs, and observations. No conclusive proof was found to substantiate the allegations.
Report Facts
Resident weight loss: 10
Staff interviewed: 6
Residents interviewed: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Claudia Gutierrez | Licensing Program Analyst | Conducted the complaint investigation and authored the report. |
| Alyson Caluza | Wellness Director | Met with Licensing Program Analyst during the investigation and was involved in the exit interview. |
| Armando J Lucero | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation. |
| Sean Haddad | Licensing Program Analyst | Conducted initial 10-day inspection on 7/11/22 referenced in the report. |
Inspection Report
Complaint Investigation
Census: 98
Capacity: 155
Deficiencies: 0
Dec 7, 2023
Visit Reason
Unannounced visit to investigate complaints alleging that staff did not safeguard a resident's personal property and that a resident sustained bruising while in care.
Findings
The investigation found that the allegation regarding incomplete paperwork at admission was unfounded. The allegations that staff did not safeguard the resident's personal property and that the resident sustained bruising were unsubstantiated due to lack of evidence proving staff responsibility.
Complaint Details
The complaint investigation was triggered by allegations received on 2023-11-01. The allegations included staff not safeguarding resident's personal property and resident sustaining bruising. The investigation included interviews, record reviews, and site observations. Both allegations were found unsubstantiated, and one allegation about incomplete paperwork was found unfounded.
Report Facts
Capacity: 155
Census: 98
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kevin Saborit-Guasch | Licensing Program Analyst | Conducted the complaint investigation and unannounced visit |
| Anna Pastores | Administrator | Facility administrator present during the investigation and interviewee |
| Sheila Santos | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Census: 102
Capacity: 155
Deficiencies: 0
Sep 21, 2023
Visit Reason
This unannounced Case Management – Other inspection was conducted to deliver an amended report for a previous Case Management – Incident inspection from 08/24/23 and to conduct additional interviews to follow up on self-reported incident reports regarding an incident of rough handling resulting in injuries involving staff and residents.
Findings
Based on observations during the inspection, no deficiencies were cited per Title 22 Division 6 of the California Code of Regulations. Technical assistance was provided regarding resident transfers and care plans.
Report Facts
Capacity: 155
Census: 102
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Anna Pastores | Administrator | Met with Licensing Program Analyst during inspection |
| Sean Haddad | Licensing Program Analyst | Conducted the inspection and delivered the amended report |
| Armando J Lucero | Licensing Program Manager | Named in report header |
Inspection Report
Complaint Investigation
Census: 93
Capacity: 155
Deficiencies: 0
Sep 5, 2023
Visit Reason
This unannounced Case Management – Incident inspection was conducted to follow up on self-reported incident reports regarding an incident of rough handling resulting in injuries involving staff and residents.
Findings
During the inspection, health and safety checks were conducted on the involved residents, interviews were held, and no health or safety issues were observed. No deficiencies were cited per Title 22 Division 6 of the California Code of Regulations.
Complaint Details
The visit was triggered by a complaint involving an incident of rough handling resulting in injuries involving Staff #1 and two residents. The complaint was investigated through interviews, observations, and file reviews.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Alyson Caluza | Health Services Director | Met with Licensing Program Analyst and discussed the purpose of the inspection. |
| Anna Pastores | Administrator | Arrived during the inspection and was interviewed. |
| Sean Haddad | Licensing Program Analyst | Conducted the inspection and interviews. |
Inspection Report
Complaint Investigation
Census: 98
Capacity: 155
Deficiencies: 1
Aug 24, 2023
Visit Reason
This unannounced Case Management – Incident inspection was conducted to follow up on self-reported incident reports received regarding an incident of rough handling resulting in injuries involving staff and residents.
Findings
The inspection found that all sharps, toxins, and medications were properly stored with no health and safety issues observed. However, the licensee did not ensure proper care and supervision of residents when they were handled roughly, posing a potential health and safety risk.
Complaint Details
The visit was complaint-related, following up on self-reported incident reports of rough handling resulting in injuries involving Staff #1 and Residents #1 and #2. Further investigation was required.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Licensee did not ensure Resident #1 and Resident #2 received proper care and supervision when handled roughly, posing a potential health and safety risk. | Type B |
Report Facts
Capacity: 155
Census: 98
Deficiencies cited: 1
Plan of Correction Due Date: Aug 31, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jasbir Govender | Business Office Director | Met with Licensing Program Analyst during inspection |
| Anna Pastores | Administrator | Present during inspection and met with Licensing Program Analyst |
| Sean Haddad | Licensing Program Analyst | Conducted the inspection and authored the report |
| Armando J Lucero | Licensing Program Manager | Supervisor of the inspection |
Inspection Report
Complaint Investigation
Census: 98
Capacity: 155
Deficiencies: 0
Feb 1, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations that the facility raised resident's rates without proper notice and charged a resident for services not rendered.
Findings
The investigation found that although there were allegations regarding improper rate increases and charges, there was insufficient evidence to substantiate the claims. The facility credited disputed fees and was reminded to audit resident bills to ensure appropriate charges.
Complaint Details
The complaint was unsubstantiated after investigation. Allegations included improper notice of rate increases and charging for services not rendered. The facility credited disputed fees and no violations were proven by a preponderance of evidence.
Report Facts
Capacity: 155
Census: 98
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Michelle Reed | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Sheila Santos | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
| Anna Pastores | Executive Director | Met with Licensing Program Analyst during investigation and received report |
| Rosalie Sullivan | Executive Director interviewed during investigation | |
| Robert Jakini | Administrator | Facility Administrator named in report header |
Inspection Report
Complaint Investigation
Census: 98
Capacity: 155
Deficiencies: 0
Feb 1, 2023
Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation of lack of care and supervision resulting in a resident falling.
Findings
The investigation found that a resident had an unwitnessed fall resulting in injury; however, based on interviews and records reviewed, the allegation was determined to be unfounded and was dismissed.
Complaint Details
The complaint alleged lack of care and supervision resulting in a resident falling. The allegation was investigated and found to be unfounded, meaning it was false or without reasonable basis.
Report Facts
Facility capacity: 155
Census: 98
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Michelle Reed | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Anna Pastores | Executive Director | Met with Licensing Program Analyst during investigation and received report |
| Sheila Santos | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Annual Inspection
Census: 105
Capacity: 155
Deficiencies: 0
Dec 14, 2022
Visit Reason
Licensing Program Analyst Claudia Gutierrez made an unannounced visit to conduct a Required/Annual Inspection of the facility.
Findings
The inspection included a tour of the facility and review of policies related to resident and staff screening, infection control, and emergency care. No deficiencies were cited during this inspection.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Claudia Gutierrez | Licensing Program Analyst | Conducted the inspection and met with the Executive Director. |
| Anna Pastores | Executive Director | Met with the Licensing Program Analyst during the inspection. |
Inspection Report
Census: 98
Capacity: 155
Deficiencies: 0
Aug 4, 2022
Visit Reason
An unannounced case management visit was conducted to follow up on a report received regarding personal rights.
Findings
No deficiencies were issued during this visit. Follow-up will be necessary regarding the incident based on information obtained and interviews conducted.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Alyson Caluza | Health and Services Director | Interviewed during the visit. |
| Anna Pastores | Executive Director | Interviewed during the visit. |
Inspection Report
Original Licensing
Census: 84
Capacity: 155
Deficiencies: 0
Dec 21, 2020
Visit Reason
The inspection was a pre-licensing visit due to a change of ownership and was conducted via FaceTime as a COVID-19 precautionary measure.
Findings
The facility was toured including interior and exterior areas, with checks on safety equipment, emergency systems, and posted policies. It appears the facility meets the requirements for licensure and both the license and hospice waiver will be granted upon final review.
Report Facts
Resident units: 104
Memory Care capacity: 38
Hospice waiver request: 16
Hot water temperature range: 112
Hot water temperature range: 121
Fire clearance date: Dec 3, 2020
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Charles Eusey | Executive Director | Met with during inspection and involved in exit teleconference |
| Kathrina Chin | Licensing Program Analyst | Conducted the inspection and exit teleconference |
| Sheila Santos | Licensing Program Manager | Named in report as Licensing Program Manager |
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