Most inspections found no deficiencies, including the most recent report on April 30, 2025, which was a complaint investigation that found the allegations of medication mismanagement and insufficient staffing unsubstantiated. The facility had one substantiated complaint in May 2024 involving a staff member hitting a resident, resulting in that staff member being placed on leave and not returning. An earlier annual inspection in January 2023 cited a hot water temperature issue posing a health risk, but subsequent inspections showed no similar problems, indicating improvement in safety compliance. Several complaint investigations were unsubstantiated, and no fines, license suspensions, or enforcement actions were listed in the available reports. Overall, the facility’s record shows mostly compliance with isolated issues that have been addressed.
The visit was an unannounced complaint investigation triggered by allegations received on 09/23/2024 regarding mismanagement of residents' medication and insufficient staffing to meet residents' needs.
Findings
The investigation found insufficient evidence to substantiate the allegations. Records and staff interviews confirmed that medication, including morphine for Resident 1, was administered according to physician and hospice instructions, and staffing levels were adequate to meet residents' needs.
Complaint Details
The complaint alleged that facility staff mismanaged residents' medication and that the licensee did not have enough staff to meet residents' needs. The allegations were deemed unsubstantiated due to lack of sufficient evidence.
The visit was an unannounced required annual inspection conducted to ensure compliance with Title 22 Regulations and to check for health and safety hazards.
Findings
The facility was found to be in compliance with regulations, with no obstructions or hazards observed, clean and well-maintained common areas, bedrooms, and restrooms. Medications were properly stored and administered, records were in order, and emergency preparedness was adequate. No citations were issued during the visit.
Report Facts
Rooms toured: 7Resident records reviewed: 7Personnel files reviewed: 5Fire drill dates: 3Hot water temperature range: 107.5-120
Employees Mentioned
Name
Title
Context
Jeannette Ruggiero
Executive Director
Met with Licensing Program Analyst during inspection
James Mackay
Assistant
Met with Licensing Program Analyst during inspection
Shaulett Dela Cruz
Assisted Living Director
Met with Licensing Program Analyst during inspection
The inspection was conducted as a complaint investigation following an allegation that facility staff handled a resident in a rough manner.
Findings
The investigation found insufficient evidence to support the allegation. Interviews with the resident, staff, and review of police reports indicated no rough handling occurred. No bruising was noted and the allegation was deemed unsubstantiated.
Complaint Details
The complaint alleged that facility staff handled resident #1 in a rough manner, based on a statement by the resident. The allegation was investigated through interviews, record reviews, and police report examination and was found to be unsubstantiated.
Report Facts
Facility capacity: 63Resident census: 47
Employees Mentioned
Name
Title
Context
Kelly Dulek
Licensing Program Analyst
Conducted the complaint investigation visit and interviews
Jeannette Ruggiero
Administrator
Met with Licensing Program Analyst during the investigation
Kristin Heffernan
Licensing Program Manager
Named as Licensing Program Manager overseeing the investigation
An unannounced complaint investigation was conducted following an allegation that a staff member hit a resident at the facility.
Findings
The investigation substantiated the allegation that Staff #1 hit Resident #1 on the back with an open hand. Staff #1 was placed on leave and will not return to employment. No other reports of physical abuse were found.
Complaint Details
The complaint was substantiated. Staff #1 was alleged and found to have hit Resident #1. Staff #1 admitted to grabbing the resident's hand after the resident squeezed it. Staff #1 was described as 'very stubborn' and had been previously counseled. Staff #1 was placed on leave and will not return to the facility.
Severity Breakdown
Type A: 1
Deficiencies (1)
Description
Severity
87468.1 Personal Rights of Residents in All Facilities (a)(3) To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature interfering with daily living functions such as eating, sleeping, or elimination.
Licensing Program Analysts conducted a required annual unannounced visit to evaluate the facility's compliance with Title 22 Regulations and ensure health and safety standards are met.
Findings
The facility was found to be in compliance with regulations, with no health or safety hazards observed. Food supplies, common areas, bedrooms, restrooms, outdoor areas, records, medications, and emergency preparedness were all satisfactory. No deficiencies were cited during the inspection.
Report Facts
Resident files reviewed: 5Personnel files reviewed: 5Residents interviewed: 3Staff interviewed: 3Fire extinguishers last serviced: Jan 13, 2024Fire inspection date: Dec 27, 2023Emergency drill date: Jan 26, 2024
Employees Mentioned
Name
Title
Context
Jeannette Ruggiero
Executive Director
Met with Licensing Program Analysts during entrance interview.
The Licensing Program Analyst Ashley Smith conducted an unannounced required annual inspection to ensure the facility's compliance with Title 22 Regulations and to check for health and safety hazards.
Findings
The facility was generally found to be clean, well-maintained, and in compliance with infection control and safety protocols. However, a deficiency was cited for hot water temperature exceeding the allowed maximum in one resident room, posing an immediate health and safety risk.
Severity Breakdown
Type A: 1
Deficiencies (1)
Description
Severity
Hot water temperature measured above 120 degrees F in 1 out of 1 resident rooms, exceeding the allowed maximum and posing an immediate health and safety risk.
Type A
Report Facts
Water temperature rooms monitored: 4
Employees Mentioned
Name
Title
Context
Ashley Smith
Licensing Program Analyst
Conducted the annual inspection and signed the report
Jeannette Ruggiero
Administrator
Facility administrator met with the Licensing Program Analyst and agreed to plan of correction
The inspection was a required unannounced annual visit with an emphasis on infection control practices and procedures.
Findings
The facility was found to be in compliance with Title 22 Regulations, with adequate infection control practices, sufficient PPE supplies, proper cleaning protocols, and up-to-date staff and resident vaccinations. No deficiencies were cited during the visit.
Employees Mentioned
Name
Title
Context
Jeannette Ruggiero
Executive Director
Met with Licensing Program Analyst during the inspection and discussed infection control practices.
Ashley Smith
Licensing Program Analyst
Conducted the unannounced annual inspection visit.
Loading inspection reports...
Need Help?
Let us help you or a loved one find the perfect senior home.