Deficiencies per Year
4
3
2
1
0
Severe
High
Moderate
Low
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Complaint Investigation
Census: 89
Capacity: 121
Deficiencies: 0
Jul 18, 2025
Visit Reason
The visit was an unannounced case management inspection to follow up on a recent incident report alleging abuse involving staff and a resident.
Findings
No immediate health and safety concerns were observed during the visit, and no citations were issued. Further investigation is needed and will be conducted at a later date if warranted.
Complaint Details
The complaint involved an allegation that on 07/12/2025, Staff #1 was observed yelling and slapping Resident #1 on their back. Resident #1 was assessed and did not express any concerns. The investigation is ongoing.
Report Facts
Staff interviewed: 5
Visit start time: 1145
Visit end time: 1400
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Angela Avakian | Executive Director | Met with Licensing Program Analyst during the visit and received the incident report |
| Brian Balisi | Licensing Program Analyst | Conducted the unannounced case management visit |
| Christina Spears | Administrator/Director | Named as facility administrator/director |
Inspection Report
Complaint Investigation
Census: 87
Capacity: 121
Deficiencies: 0
Apr 14, 2025
Visit Reason
An unannounced complaint investigation visit was conducted to investigate allegations received on 2025-03-12 regarding inadequate food services, improper personal hygiene protocols, inadequate laundry services, and uncomfortable temperature maintenance for residents.
Findings
The investigation found insufficient evidence to substantiate any of the allegations. Interviews with staff and family members, observations of the facility, and review of documentation did not corroborate claims of inadequate food service, poor hygiene practices, inadequate laundry services, or uncomfortable temperatures. All allegations were deemed unsubstantiated.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included inadequate food services, failure to follow personal hygiene protocols, inadequate laundry services, and failure to maintain comfortable temperatures. The Department did not find sufficient evidence to prove these allegations.
Report Facts
Staff interviewed: 8
Family members interviewed: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brian Balisi | Licensing Program Analyst | Conducted the complaint investigation visit |
| Christina Spears | Executive Director | Met with Licensing Program Analyst during the investigation |
| Desaree Perera | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Annual Inspection
Census: 87
Capacity: 121
Deficiencies: 0
Jan 16, 2025
Visit Reason
The visit was an unannounced required annual inspection to ensure the facility's compliance with Title 22 Regulations and health and safety standards.
Findings
The facility was found to be in compliance with regulations, with no health or safety hazards observed. All areas including kitchen, resident bedrooms, restrooms, emergency supplies, and medication storage were inspected and found to be properly maintained and in order. Personnel and resident records were reviewed and found complete. Fire safety systems and infection control protocols were adequate.
Report Facts
Fire extinguisher last serviced: Jul 18, 2024
Fire alarm last inspected: Jul 5, 2024
Fire sprinkler system last inspected: Jul 3, 2024
Personnel files reviewed: 6
Resident files reviewed: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Christina Spears | Executive Director | Met with Licensing Program Analysts during inspection |
| Brian Balisi | Licensing Program Analyst | Conducted the inspection and signed the report |
| Martha Arroyo | Licensing Program Analyst | Conducted the inspection |
Inspection Report
Complaint Investigation
Census: 88
Capacity: 121
Deficiencies: 0
Nov 19, 2024
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations received on 2024-04-11 regarding staff not seeking timely medical care for a resident and staff handling a resident roughly causing a skin tear.
Findings
The investigation found insufficient evidence to support the allegations. Staff promptly cleaned and dressed the resident's skin tear and communicated with family and EMS as needed. Residents and staff interviews, as well as a police report, did not substantiate claims of rough handling or delayed medical care. Both allegations were deemed unsubstantiated.
Complaint Details
The complaint involved two allegations: 1) staff did not seek timely medical care for a resident with a skin tear, and 2) staff handled the resident roughly causing the skin tear. The investigation included interviews with staff, residents, review of resident files, and a police report. Both allegations were found unsubstantiated due to insufficient evidence.
Report Facts
Capacity: 121
Census: 88
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Martha Arroyo | Licensing Program Analyst | Conducted the complaint investigation and visits |
| Desaree Perera | Licensing Program Manager | Named as Licensing Program Manager on the report |
| Christina Spears | Executive Director | Met with during the investigation entrance interview |
| Remon Pagels | Administrator | Facility Administrator named in the report |
Inspection Report
Annual Inspection
Census: 78
Capacity: 121
Deficiencies: 1
Jan 23, 2024
Visit Reason
The inspection was an unannounced required annual visit to evaluate compliance with Title 22 Regulations and ensure health and safety standards at the facility.
Findings
The facility was found to be generally in compliance with regulations, with clean and well-maintained resident rooms and restrooms, proper food storage, and adequate emergency preparedness. A technical violation was issued for hot water temperature exceeding limits in memory care, which was corrected during the visit. Medication storage and documentation were proper, and infection control policies were adequate.
Severity Breakdown
technical-violation: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Hot water temperature measured at 124 degrees Fahrenheit in two vacant memory care rooms, exceeding allowed limits. | technical-violation |
Report Facts
Personnel files reviewed: 7
Resident files reviewed: 7
Staff interviewed: 6
Residents interviewed: 5
Fire extinguisher last serviced: 2023
Last fire inspection date: 2023
Last fire and earthquake drill date: 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Remon Pagels | Executive Director | Met with Licensing Program Analysts during inspection |
| Brian Balisi | Licensing Program Analyst | Conducted inspection and authored report |
| Desaree Perera | Licensing Program Manager | Oversaw inspection process |
| Martha Arroyo | Licensing Program Analyst | Conducted inspection |
Inspection Report
Original Licensing
Census: 71
Capacity: 121
Deficiencies: 0
Dec 21, 2022
Visit Reason
The inspection was conducted as an announced change of ownership pre-licensing inspection to evaluate the facility for licensing approval.
Findings
The facility was found to be in compliance with applicable regulations, including fire safety, medication storage, kitchen and dining operations, and resident room safety features. The physical plant and safety systems were observed to be in good condition and operational.
Report Facts
Capacity: 121
Census: 71
Bedridden resident limit: 8
Memory Care rooms: 29
Double occupancy rooms in Memory Care: 5
Assisted Living units: 52
Water temperature range: 107.1
Water temperature range: 116.1
Fire extinguisher service date: Jul 11, 2022
Fire system inspection date: Jul 12, 2022
Fire system maintenance date: Nov 17, 2022
Parking spaces: 8
Transportation capacity: 20
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Vivian Reyes | Health Services Director | Met with Licensing Program Analyst during inspection |
| Kevan Sidney | Executive Director | Facility administrator; noted as unable to attend meeting |
| Teresa Camara | Licensing Program Analyst | Conducted the inspection and authored the report |
| Jeralyn Ann Pfannenstiel | Licensing Program Manager | Named in report header and signature |
Inspection Report
Capacity: 121
Deficiencies: 0
Nov 30, 2022
Visit Reason
The visit was an office type evaluation involving a telephone call to complete Component II (COMP II) with the applicant/administrator to verify understanding of licensing requirements and program policies.
Findings
The applicant/administrator successfully completed COMP II, confirming understanding of facility operation, staff qualifications, program policies, and application document requirements. No deficiencies or violations were noted in the report.
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