Inspection Report Summary
Most inspections at Olive Branch Assisted Living found no deficiencies, including the most recent annual inspection on May 20, 2025, which was perfect with no citations issued. Several complaint investigations over the past two years were unsubstantiated, covering allegations such as unlawful eviction, mistreatment, and inadequate care. The facility had isolated deficiencies in the past, notably a broken elevator in February 2024 that posed safety risks and a damaged ceiling cited in July 2023 as an immediate health and safety concern; both issues were addressed subsequently. Earlier inspections in 2022 and 2023 included a substantiated failure to safeguard resident property and a serious infection control deficiency related to COVID-19 precautions in May 2022, but these were not recent problems. Overall, the facility’s record shows improvement over time, with recent reports demonstrating compliance and no new deficiencies.
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
58% occupied
Based on a July 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Complaint Investigation
Census: 84
Capacity: 146
Deficiencies: 0
Date: Jul 8, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit conducted to investigate an allegation that staff changed a resident's doctor without resident consent.
Complaint Details
The allegation was that staff changed a resident's doctor without consent, causing issues contacting the previous or new doctor and medication changes. The allegation was unsubstantiated based on staff and resident interviews.
Findings
The investigation found the allegation to be unsubstantiated after interviewing five staff and eight residents, who confirmed no staff changes to residents' doctors or medical insurance. One resident confirmed changing their medical insurance independently.
Report Facts
Staff interviewed: 5
Residents interviewed: 8
Facility capacity: 146
Facility census: 84
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Charles Arrieta | Administrator | Met with Licensing Program Analyst during complaint investigation |
| Gina Saucedo | Licensing Program Analyst | Conducted the complaint investigation |
| Troy Agard | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Annual Inspection
Census: 82
Capacity: 146
Deficiencies: 0
Date: May 20, 2025
Visit Reason
An unannounced annual inspection was conducted to evaluate compliance with licensing requirements at Olive Branch Assisted Living.
Findings
The facility was toured and observed to have appropriate furnishings, safety equipment, and clean common areas. No citations were issued during the inspection.
Report Facts
Beds: 73
Fire drill dates: Last fire drills conducted on 04/28/25, 03/22/25, 02/23/25, and 01/25/25
Insurance plan date: Insurance plan dated 09/07/2025
Medication technicians: 2
Food supply days: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Charles Arrieta | Administrator | Met with Licensing Program Analyst during inspection |
| Gina Saucedo | Licensing Program Analyst | Conducted the inspection |
| Troy Agard | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 85
Capacity: 146
Deficiencies: 0
Date: Jan 21, 2025
Visit Reason
The visit was an unannounced complaint investigation conducted in response to an allegation that the facility was unlawfully evicting a resident.
Complaint Details
The complaint alleged that the facility was unlawfully evicting a resident who had refused medication and exhibited aggressive behavior. The resident was placed on a 51/50 hold after an incident. Interviews and documentation supported the facility's actions, and the allegation was unsubstantiated.
Findings
The investigation found that the resident was aggressive and had violated house rules, leading to a 30-day eviction notice. Based on staff and resident interviews and records review, the allegation of unlawful eviction was unsubstantiated.
Report Facts
Eviction notice days: 30
Resident count confirming no eviction notice: 7
Resident count confirming aggression: 2
Staff count confirming aggression: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Gina Saucedo | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Charles Arrieta | Administrator | Facility administrator met with the Licensing Program Analyst during the investigation |
| Troy Agard | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 87
Capacity: 146
Deficiencies: 0
Date: Aug 28, 2024
Visit Reason
The inspection visit was an unannounced complaint investigation triggered by a complaint received on 07/19/2023 regarding allegations including illegal eviction, rough handling of residents by staff, inappropriate staff speech, and staff yelling at residents.
Complaint Details
The complaint included allegations of illegal eviction, staff handling residents roughly, staff speaking inappropriately to residents, and staff yelling at residents. All allegations were found to be unsubstantiated after interviews with residents and staff, observations, and document review.
Findings
The investigation found all allegations to be unsubstantiated based on staff and resident interviews, observations during the visit, and review of documentation. No citations were issued and no evidence supported the allegations.
Report Facts
Residents interviewed: 8
Staff interviewed: 3
Capacity: 146
Census: 87
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Charles Arrieta | Administrator | Met with Licensing Program Analyst during the investigation |
| Gina Saucedo | Licensing Program Analyst | Conducted the complaint investigation visit |
| Melissa Spaeth | Licensing Program Analyst | Initiated the complaint investigation on 07/25/2023 |
| Troy Agard | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Annual Inspection
Census: 85
Capacity: 146
Deficiencies: 0
Date: May 28, 2024
Visit Reason
An unannounced annual inspection was conducted at the Olive Branch Assisted Living facility to evaluate compliance with licensing requirements.
Findings
The facility was toured and observed to have appropriate furnishings, safety equipment, and adequate supplies. Common areas, kitchen, and laundry facilities were clean and properly maintained. No citations were issued during the exit interview.
Report Facts
Beds: 73
Hot water temperature: 115
Hot water temperature: 119
Med-tech staff: 2
Food supply days: 7
Facility temperature: 75
Facility temperature: 76
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Charles Arrieta | Administrator | Met with Licensing Program Analyst during inspection |
| Gina Saucedo | Licensing Program Analyst | Conducted the inspection and signed the report |
| Troy Agard | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 81
Capacity: 146
Deficiencies: 0
Date: Apr 24, 2024
Visit Reason
An unannounced complaint investigation visit was conducted to investigate allegations that staff leave residents soiled for extended periods and do not answer call buttons in a timely manner.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included residents being left in soiled diapers for up to five hours and delayed response to call buttons. Interviews and observations did not verify these claims.
Findings
The investigation included interviews with staff and residents, physical plant tours, and call button response tests. No malodor or unclean residents were observed, and response times averaged three minutes. Based on observations and interviews, there was insufficient evidence to substantiate the allegations, which were deemed unsubstantiated.
Report Facts
Resident census: 81
Facility capacity: 146
Call button response time (minutes): 3
Number of staff interviewed: 4
Number of residents interviewed: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Abeye Duguma | Licensing Program Analyst | Conducted the complaint investigation visit |
| Charles Arrieta | Executive Director | Facility administrator met during the investigation |
| Naira Margaryan | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 84
Capacity: 146
Deficiencies: 0
Date: Apr 17, 2024
Visit Reason
An unannounced complaint investigation was conducted regarding an allegation that staff did not ensure a resident's air conditioning unit was not in disrepair and did not sufficiently cool the resident's room.
Complaint Details
The complaint alleged that the cooling unit for Resident #1's room did not sufficiently cool the room. After interviews, record reviews, and temperature measurements, the allegation was unsubstantiated.
Findings
The investigation found that the air conditioning units were working and maintained resident rooms within regulatory temperature limits. The allegation was deemed unsubstantiated with no immediate health or safety risks observed.
Report Facts
Room temperature: 71
Room temperature: 75
Room temperature: 79
Facility capacity: 146
Census: 84
Number of rooms per air conditioning unit: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nicholas Reed | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Charles Arrieta | Administrator | Facility administrator interviewed during the investigation |
Inspection Report
Complaint Investigation
Census: 85
Capacity: 146
Deficiencies: 0
Date: Mar 26, 2024
Visit Reason
The visit was an unannounced complaint investigation conducted to gather additional information, conduct interviews, and deliver findings related to multiple allegations against the facility.
Complaint Details
The complaint investigation was triggered by multiple allegations including mishandling of a resident's personal funds, failure to keep rooms free from odor, lack of laundry services, improper bathroom maintenance, inappropriate locking of sliding doors, unmet hygiene needs, improper feeding, and poor facility grounds maintenance. The investigation found all allegations unsubstantiated.
Findings
All allegations including mishandling of resident's personal funds, failure to keep rooms odor-free, inadequate laundry services, improper bathroom maintenance, inappropriate locking of sliding doors, unmet hygiene needs, improper feeding, and poor maintenance of facility grounds were found to be unsubstantiated based on interviews, observations, and record reviews.
Report Facts
Capacity: 146
Census: 85
Number of allegations: 8
Resident confirmations: 6
Staff confirmations: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Gina Saucedo | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Charles Arrieta | Administrator | Facility administrator present during the investigation |
| Troy Agard | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 83
Capacity: 146
Deficiencies: 1
Date: Feb 14, 2024
Visit Reason
The inspection was an unannounced complaint investigation conducted to address the allegation that the facility is in disrepair, specifically concerning a broken elevator.
Complaint Details
The complaint was substantiated. The allegation was that the elevator had been broken for over ten days. Interviews with four staff members and eight residents confirmed the elevator was not working. The administrator confirmed delays due to maintenance parts being ordered.
Findings
The investigation substantiated the allegation that the elevator has been broken for over ten days, confirmed by observations, staff, residents, and the administrator. The facility was found not to have ensured the elevator was in repair, posing potential health and safety risks.
Deficiencies (1)
The facility failed to ensure one out of one elevator was in repair at all times, violating the requirement for the facility to be clean, safe, sanitary, and in good repair.
Report Facts
Capacity: 146
Census: 83
Deficiency due date: Mar 14, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Gina Saucedo | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Charles Arrieta | Administrator | Facility administrator who confirmed elevator repair delays and was present during the investigation |
| Troy Agard | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 83
Capacity: 146
Deficiencies: 0
Date: Feb 6, 2024
Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that staff abandoned a resident.
Complaint Details
The complaint alleged that staff abandoned a resident who was left at West LA Medical Center without an eviction notice. The investigation revealed the resident had signed a 30-day eviction notice due to violent behavior and was transferred to another facility. The allegation was unsubstantiated.
Findings
The investigation found that the allegation of staff abandoning the resident was unsubstantiated. The resident had been given a 30-day eviction notice due to serious violations of house rules, and was transferred to another facility with appropriate care.
Report Facts
Capacity: 146
Census: 83
Eviction notice date: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Gina Saucedo | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Charles Arrieta | Administrator | Facility administrator who met with the Licensing Program Analyst during the investigation |
| Troy Agard | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 85
Capacity: 146
Deficiencies: 0
Date: Jan 24, 2024
Visit Reason
The visit was conducted as a complaint investigation following an allegation that facility staff did not safeguard a resident's personal belongings.
Complaint Details
The complaint alleged that facility staff did not safeguard a resident's personal belongings. The allegation was unsubstantiated after investigation.
Findings
The investigation found the allegation unsubstantiated based on staff and resident interviews, review of the resident's admission agreement, and records indicating the resident had no money and had directed donation of belongings while hospitalized. No citations were issued.
Report Facts
Capacity: 146
Census: 85
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Gina Saucedo | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Charles Arrieta | Administrator | Facility administrator met during the investigation |
| Troy Agard | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 85
Capacity: 146
Deficiencies: 0
Date: Jan 24, 2024
Visit Reason
The visit was an unannounced complaint investigation conducted to gather information, conduct interviews, and deliver findings regarding allegations of staff screaming at residents and mistreating a resident while in care.
Complaint Details
The complaint alleged that staff were screaming at residents and mistreating a resident. The investigation determined these allegations were unsubstantiated after interviews and record reviews.
Findings
The investigation found the allegations unsubstantiated based on staff and resident interviews and record reviews. Eight residents confirmed they were treated well and respectfully, and no citations were issued.
Report Facts
Residents interviewed: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Charles Arrieta | Administrator | Met with Licensing Program Analyst during complaint investigation |
| Gina Saucedo | Licensing Program Analyst | Conducted the complaint investigation visit |
| Troy Agard | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Annual Inspection
Census: 83
Capacity: 146
Deficiencies: 0
Date: Jan 13, 2024
Visit Reason
An unannounced annual inspection was conducted at the Olive Branch Assisted Living facility to evaluate compliance with licensing requirements.
Findings
The facility was toured including resident rooms, common areas, kitchen, and laundry areas. All areas were found to be clean, properly furnished, and maintained with appropriate safety measures such as fire extinguishers, alarms, and medication storage. No citations were issued during the exit interview.
Report Facts
Beds on second floor: 43
Beds on first floor: 30
Hot water temperature: 112
Hot water temperature: 118
Food supply duration: 7
Facility temperature range: 72
Facility temperature range: 76
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Gina Saucedo | Licensing Program Analyst | Conducted the inspection and authored the report |
| Rolly Ongkiko | Assistant Administrator | Met with Licensing Program Analyst during the inspection |
| Yolanda Lopez | MedTech | Met with Licensing Program Analyst upon arrival |
Inspection Report
Complaint Investigation
Census: 83
Capacity: 146
Deficiencies: 0
Date: Jan 3, 2024
Visit Reason
The inspection was conducted as an unannounced complaint investigation visit following a complaint received on 2023-12-15 alleging that facility staff were not seeking medical attention for a resident with a fungus on the tongue.
Complaint Details
The complaint alleged that facility staff were not seeking medical attention for a resident with a fungus on the tongue who had been asking for assistance for two months. The complaint was unsubstantiated based on interviews, observations, and record reviews.
Findings
The investigation found no reports of residents not receiving medical attention. Documentation showed several appointments for the resident were cancelled or missed by the resident. The allegation was unsubstantiated and no citations were issued.
Report Facts
Capacity: 146
Census: 83
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Gina Saucedo | Licensing Program Analyst | Conducted the complaint investigation |
| Charles Arrieta | Administrator | Facility administrator mentioned in report |
| Rolly Ongkiko | Assistant Administrator | Met with Licensing Program Analyst during inspection |
Inspection Report
Complaint Investigation
Capacity: 146
Deficiencies: 1
Date: Jul 25, 2023
Visit Reason
The inspection visit was initiated as a complaint investigation for Complaint #31-AS-20230719132921 regarding a damaged ceiling in a resident's room.
Complaint Details
Complaint #31-AS-20230719132921 was investigated. The deficiency related to the damaged ceiling was substantiated and cited.
Findings
The Licensing Program Analyst observed a small hole with a water mark in the ceiling of a resident's room. The maintenance staff had begun repair work due to water leaks caused by heavy rains, but the repair was not completed. A deficiency was cited for the damaged ceiling posing an immediate health, safety, or personal rights risk to residents.
Deficiencies (1)
Damaged ceiling in a resident's room which has not been repaired and poses an immediate health, safety or personal rights risk to person in care.
Report Facts
Facility capacity: 146
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Spaeth | Licensing Program Analyst | Conducted the complaint investigation and cited the deficiency |
| Charles Arrieta | Administrator | Facility administrator present during the inspection |
| Rolando Ongkiko | Met with during the visit | |
| Troy Agard | Licensing Program Manager | Supervisor of the Licensing Program Analyst |
Inspection Report
Complaint Investigation
Census: 75
Capacity: 146
Deficiencies: 0
Date: Mar 14, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to a complaint received on 2023-02-02 regarding multiple allegations about staff practices at Olive Branch Assisted Living.
Complaint Details
The complaint included allegations that staff were not properly assessing residents before admissions, not ensuring residents attend scheduled medical appointments, not ensuring residents had adequate medications, not ensuring residents had adequate clothing, and that staff were not properly trained. All allegations were investigated and deemed unsubstantiated.
Findings
All five allegations investigated, including improper resident assessments before admission, failure to ensure residents attend medical appointments, inadequate medications, insufficient clothing, and improper staff training, were found to be unsubstantiated based on interviews, observations, and record reviews.
Report Facts
Capacity: 146
Census: 75
Staff records reviewed: 6
Residents interviewed: 8
Residents confirming clothing provided: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Charles Arrieta | Administrator | Interviewed regarding medical appointments and facility operations |
| Tihesha Smith | Licensing Program Analyst | Conducted the complaint investigation and site visits |
| Naira Margaryan | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 77
Capacity: 146
Deficiencies: 0
Date: Feb 7, 2023
Visit Reason
An unannounced complaint investigation visit was conducted to investigate the allegation that staff are not properly assessing residents before admissions.
Complaint Details
The complaint alleged that staff were not properly assessing residents before admissions. The investigation included interviews with five staff members, three residents, and review of resident records. The allegation was found to be unsubstantiated.
Findings
Based on interviews with administrators, staff, and residents, as well as a review of eight resident records, there was insufficient pertinent information to support the allegation. The complaint was determined to be unsubstantiated.
Report Facts
Resident records reviewed: 8
Staff interviewed: 5
Residents interviewed: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tihesha Smith | Licensing Program Analyst | Conducted the complaint investigation visit. |
| Charles Arrieta | Administrator | Facility administrator met during the investigation. |
| Naira Margaryan | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Complaint Investigation
Census: 77
Capacity: 146
Deficiencies: 0
Date: Oct 31, 2022
Visit Reason
The visit was an unannounced complaint investigation conducted in response to an allegation that staff opened residents' mail.
Complaint Details
The complaint alleged that staff opened residents' mail. Interviews with three staff members and eleven residents revealed no evidence of mail being opened by staff. The allegation was unsubstantiated.
Findings
The investigation found that staff do not open residents' mail. Interviews with staff and residents confirmed that mail is either hand delivered or placed in locked mailboxes unopened. The allegation was deemed unsubstantiated.
Report Facts
Complaint control number: 31-AS-20221021102352
Number of staff interviewed: 3
Number of residents interviewed: 11
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Joscelyn Martinez | Licensing Program Analyst | Conducted the complaint investigation |
| Charles Arrieta | Administrator | Facility administrator met during investigation |
| Nichelle Gillyard | Licensing Program Manager | Named in report header |
Inspection Report
Complaint Investigation
Census: 78
Capacity: 146
Deficiencies: 0
Date: Aug 17, 2022
Visit Reason
The visit was an unannounced Case Management Incident visit to obtain more information regarding documents previously emailed to the Licensing Program Analyst related to an incident report of a missing resident.
Complaint Details
The visit was triggered by a complaint involving a missing resident (R1) who was found missing during night medication rounds on 07/12/22. The facility reported the incident to the police. The Licensing Program Analyst requested medical and appraisal reports and was awaiting further details from the resident's physician.
Findings
The Licensing Program Analyst arrived to investigate the incident of a missing resident reported on 07/13/22. The resident was found missing during night medication rounds on 07/12/22, and the facility contacted the police. Additional information was pending from the resident's physician, and a subsequent visit was planned once that information was obtained.
Report Facts
Facility capacity: 146
Resident census: 78
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Charles Arrieta | Administrator | Met with Licensing Program Analyst during the visit |
| Joscelyn Martinez | Licensing Program Analyst | Conducted the unannounced Case Management Incident visit |
| Nichelle Gillyard | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Plan of Correction
Census: 79
Capacity: 146
Deficiencies: 1
Date: May 26, 2022
Visit Reason
An unannounced Plan of Correction (POC) visit was conducted to verify correction of deficiencies cited during a prior unannounced annual visit on 05/18/22.
Findings
The Plan of Correction was cleared during the visit. Licensing Program Analysts observed designated staff taking visitor temperatures and confirmed compliance with prior cited regulation 87470(c)(1)(f).
Deficiencies (1)
Facility was cited under Regulation 87470(c)(1)(f) during the prior annual visit.
Report Facts
Capacity: 146
Census: 79
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Charles Arrieta | Administrator | Facility administrator met during the inspection |
| Densie Ortiz | Designated staff observed taking visitor temperatures | |
| Joscelyn Martinez | Licensing Program Analyst | Conducted the prior annual visit and the Plan of Correction visit |
| Melissa Ruiz | Licensing Program Analyst | Conducted the Plan of Correction visit |
Inspection Report
Complaint Investigation
Census: 79
Capacity: 146
Deficiencies: 1
Date: May 26, 2022
Visit Reason
An unannounced complaint investigation was conducted based on a complaint received on 05/20/2022 regarding staff not safeguarding resident's personal belongings and withholding resident's mail.
Complaint Details
The complaint investigation was substantiated for staff not safeguarding resident's personal belongings, specifically missing clothing and two medical pillows, with no LIC 9060 filed. The allegation that staff withheld resident's mail was unsubstantiated.
Findings
The investigation substantiated that staff failed to safeguard a resident's personal belongings by not completing the required Resident Theft and Lost Record (LIC 9060) after items were reported missing. Another allegation that staff withheld resident's mail was unsubstantiated due to insufficient evidence.
Deficiencies (1)
Failure to make reasonable efforts to safeguard resident property by not filling out a LIC 9060 after a resident reported missing personal belongings.
Report Facts
Capacity: 146
Census: 79
Deficiencies cited: 1
Plan of Correction Due Date: Jun 2, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Charles Arrieta | Administrator | Met with during inspection and named in findings related to safeguarding resident property |
| Joscelyn Martinez | Licensing Program Analyst | Conducted complaint investigation |
| Melissa Ruiz | Licensing Program Analyst | Conducted complaint investigation |
| Nichelle Gillyard | Licensing Program Manager | Oversaw complaint investigation |
Inspection Report
Annual Inspection
Census: 76
Capacity: 146
Deficiencies: 1
Date: May 18, 2022
Visit Reason
An unannounced annual inspection was conducted to evaluate compliance with licensing requirements and infection control measures at the assisted living facility.
Findings
The inspection found deficiencies related to infection control, specifically failure to screen for COVID-19 symptoms upon entry and staff not wearing masks, posing immediate health and safety risks. Other areas such as fire safety, common areas, kitchen, bedrooms, bathrooms, and outdoor areas were observed to be in compliance.
Deficiencies (1)
Failure to comply with infection control requirements by not screening LPA's for COVID-19 symptoms upon entry and staff not wearing masks, posing immediate health and safety and personal rights risk to persons in care.
Report Facts
Hot water temperature: 114
PPE supply duration: 30
Fire alarm service date: Nov 10, 2021
Fire extinguisher service date: Nov 9, 2021
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Charles Arrieta | Administrator | Met with Licensing Program Analyst during inspection |
| Joscelyn Martinez | Licensing Program Analyst | Conducted the inspection and authored the report |
| Nichelle Gillyard | Licensing Program Manager | Supervisor of the inspection |
Inspection Report
Routine
Capacity: 146
Deficiencies: 0
Date: May 26, 2021
Visit Reason
An unannounced infection control visit was conducted as part of a required 1-year routine inspection to verify compliance with the facility's approved COVID-19 mitigation plan.
Findings
The Licensing Program Analyst confirmed the facility was in compliance with various aspects of the mitigation plan, including visitor screening, availability of handwashing and sanitizing supplies, adequate PPE, and posted signage. No concerns were noted at the time of the visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Charles Arrieta | Administrator | Facility administrator met with Licensing Program Analyst during the visit. |
| Alexander Pitz | Licensing Program Analyst | Conducted the unannounced infection control visit. |
| Cassandra Harris | Licensing Program Manager | Named as Licensing Program Manager on the report. |
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