Inspection Reports for
Orchard Park Senior Living Community
14789 BURNS VALLEY ROAD, CLEARLAKE, CA, 95422
Back to Facility ProfileDeficiencies (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
Occupancy
Latest occupancy rate
46% occupied
Based on a December 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Complaint Investigation
Census: 26
Capacity: 56
Deficiencies: 1
Date: Dec 15, 2025
Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that staff did not respond to the resident council in a timely manner.
Complaint Details
The complaint was substantiated based on interviews, document reviews, and observations. The allegation that staff did not respond to the resident council in a timely manner was found valid by the preponderance of evidence standard.
Findings
The investigation substantiated the allegation that staff failed to respond to the resident council within the required 14-day timeframe. Meeting notes from multiple dates were either unsigned by the resident council president or the facility administrator and responses were delayed beyond the required period.
Deficiencies (1)
Health and Safety Code 1569.157(c) requires the facility to respond in writing to resident council concerns within 14 calendar days. Licensee did not ensure timely responses to the resident council, posing a potential health, safety, and personal rights risk to residents.
Report Facts
Capacity: 56
Census: 26
Plan of Correction Due Date: Dec 29, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Julie Florio | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Melissa Jones | Administrator | Facility administrator involved in findings and exit interview |
Inspection Report
Annual Inspection
Census: 29
Capacity: 56
Deficiencies: 0
Date: Sep 16, 2025
Visit Reason
The visit was an unannounced required 1-year annual inspection of the Orchard Park Senior Living Community facility.
Findings
The facility was found to be in compliance with regulations, with no deficiencies cited. Observations included proper environmental conditions, adequate emergency preparedness, and complete resident and staff records except for pending proof of staff training due to technical issues.
Report Facts
Hospice waiver capacity: 5
Bedridden resident approval: 5
Resident records reviewed: 4
Staff records reviewed: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Jones | Administrator | Met with Licensing Program Analyst during inspection and involved in compliance discussions. |
| Julie Florio | Licensing Program Analyst | Conducted the inspection and authored the report. |
| Bethany Moellers | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Complaint Investigation
Census: 33
Capacity: 56
Deficiencies: 0
Date: Apr 3, 2025
Visit Reason
The inspection was conducted as a case management follow-up on a self-reported SOC 341 regarding allegations of a former staff member taking inappropriate photos of residents.
Complaint Details
The visit was triggered by a complaint reported on 2025-03-13 involving allegations of a former staff member taking inappropriate photos of residents. The complaint is under review with further follow-up planned.
Findings
During the inspection, interviews were conducted, the facility was toured, and records were obtained. No citations were issued during this visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Jones | Administrator | Met during the inspection and involved in the case management inspection. |
| Shannan Hansen | Licensing Program Analyst | Conducted the inspection. |
| Bethany Moellers | Licensing Program Manager | Named in the report as Licensing Program Manager. |
Inspection Report
Follow-Up
Census: 30
Capacity: 56
Deficiencies: 0
Date: Mar 11, 2025
Visit Reason
The inspection was conducted as a case management follow-up on an SOC 341 report submitted to Community Care Licensing regarding financial abuse reported on 2025-02-10.
Complaint Details
The visit was triggered by a complaint of financial abuse reported on 2025-02-10. The complaint is under review with additional interviews and follow-up planned. No citation was issued at this time.
Findings
During the inspection, interviews and record reviews were conducted. No citations were issued during this visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Jones | Administrator | Met with Licensing Program Analyst during inspection |
| Shannan Hansen | Licensing Program Analyst | Conducted the case management inspection |
| Bethany Moellers | Supervisor | Supervisor of the licensing evaluation |
Inspection Report
Complaint Investigation
Census: 33
Capacity: 56
Deficiencies: 0
Date: Jan 31, 2025
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received on 2024-11-15 regarding resident care concerns at Orchard Park Senior Living Community.
Complaint Details
The complaint included allegations that staff allowed residents to be left in soiled clothing for extended periods, did not ensure adequate food portions or snacks, and handled residents roughly. The investigation concluded these allegations were unsubstantiated.
Findings
The investigation found no evidence to support the allegations that staff left residents in soiled clothing, failed to provide adequate food portions or snacks, or handled residents roughly. The allegations were deemed unsubstantiated due to lack of preponderance of evidence.
Report Facts
Facility Capacity: 56
Resident Census: 33
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Christopher Arnhold | Licensing Program Analyst | Conducted the complaint investigation |
| Melissa Jones | Executive Director | Met with Licensing Program Analyst during investigation |
| Danelle Santoni | Administrator | Facility administrator named in report header |
| Bethany Moellers | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Annual Inspection
Census: 35
Capacity: 56
Deficiencies: 0
Date: Sep 12, 2024
Visit Reason
The inspection was conducted as an annual inspection with a case management component to follow up on a self-reported Serious Incident Report (SIR) dated 2024-05-23 regarding water temperature.
Findings
Water temperature during the inspection was found to be in compliance. No citations were issued during the inspection.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Jones | Interim Administrator | Met with during the inspection. |
| Shannan Hansen | Licensing Program Analyst | Conducted the inspection and case management. |
| Bethany Moellers | Supervisor | Supervisor overseeing the inspection. |
Inspection Report
Annual Inspection
Census: 35
Capacity: 56
Deficiencies: 0
Date: Sep 12, 2024
Visit Reason
The inspection was an unannounced required annual 1-year inspection visit of the facility.
Findings
No deficiencies or citations were observed or issued during the inspection. The facility was found to be clean, in good repair, and compliant with regulations including fire safety, medication storage, and resident care documentation.
Report Facts
Residents with dementia diagnosis: 9
Fire extinguishers: 16
Staff records reviewed: 5
Resident records reviewed: 5
Residents interviewed: 3
Staff interviewed: 3
Disaster drill date: Aug 31, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Danelle Santoni | Administrator | Facility Administrator named in the inspection. |
| Melissa Jones | Interim Administrator | Interim Administrator met with Licensing Program Analyst during inspection. |
Inspection Report
Complaint Investigation
Census: 32
Capacity: 56
Deficiencies: 0
Date: Aug 1, 2024
Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that a resident sustained an unexplained injury.
Complaint Details
The complaint alleged that a resident sustained an unexplained injury, specifically a bruise of unknown origin. The investigation included interviews, observations, and document review. The allegation was found to be unsubstantiated.
Findings
The investigation found that the resident had a fall away from the facility resulting in a fracture and a bruise. The allegation was unsubstantiated due to insufficient evidence to prove or disprove the claim.
Report Facts
Facility Capacity: 56
Resident Census: 32
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Shannan Hansen | Licensing Evaluator | Conducted the complaint investigation |
| Danelle Santoni | Administrator | Met with the Licensing Evaluator during the investigation |
| Bethany Moellers | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 32
Capacity: 56
Deficiencies: 2
Date: Aug 1, 2024
Visit Reason
Unannounced complaint investigation visit conducted to investigate allegations including staff not responding timely to resident calls, inadequate staff training, staff arguing with residents, and failure to provide medications as prescribed.
Complaint Details
Complaint investigation was substantiated for allegations that staff did not respond timely to resident calls and staff were not properly trained. Allegations that staff argued and yelled at residents and failed to provide medications as prescribed were unsubstantiated.
Findings
Two allegations were substantiated: staff did not respond timely to resident calls and staff were not properly trained. Two allegations were unsubstantiated: staff arguing/yelling at residents and failure to provide medications as prescribed.
Deficiencies (2)
CCR 87411(a) Personnel Requirements – Facility personnel were not sufficient in numbers or competent to meet resident needs, evidenced by delayed call response for resident R6.
CCR 87411(d) Personnel Requirements – Staff member S2 was not given sufficient on-the-job training for caregiving on the assisted living floor, posing a potential health, safety, or personal rights risk to residents.
Report Facts
Capacity: 56
Census: 32
Call bell requests: 166
Delayed call responses 10-15 minutes: 8
Delayed call responses 15-30 minutes: 18
Delayed call responses over 30 minutes: 2
Medication refusals: 4
Inspection Report
Census: 42
Capacity: 56
Deficiencies: 0
Date: Feb 27, 2024
Visit Reason
The visit was an unannounced Health and Safety inspection conducted as part of Case Management - Health Checks.
Findings
The facility was observed to be clean, at a comfortable temperature, with plentiful food and adequate staffing. No health and safety risks or deficiencies were cited during the visit.
Inspection Report
Complaint Investigation
Capacity: 56
Deficiencies: 1
Date: Jan 30, 2024
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations of lack of supervision resulting in a resident being assaulted by another resident.
Complaint Details
The complaint was substantiated based on evidence that a resident in the memory care unit repeatedly assaulted others due to lack of supervision. Multiple incidents occurred from July 2023 through January 2024, including assaults on residents and staff. The facility failed to provide sufficient staffing despite attempts to hire and implement 1:1 care. The resident was relocated on 1/15/2024.
Findings
The investigation substantiated the allegation that due to insufficient supervision, a resident repeatedly assaulted others, causing injuries including a concussion to staff. Despite implementing a 1:1 caregiver, assaults continued until the resident was relocated.
Deficiencies (1)
HSC 1569.269 (a)(5)(6) Enumerated rights require residents to have safe, healthful, and comfortable accommodations and sufficient staff supervision. The facility failed to ensure adequate supervision and staffing to meet residents' needs, resulting in repeated assaults by a resident.
Report Facts
Facility Capacity: 56
Staffing: 3
Uncovered Shifts: 7
Facilities Contacted: 300
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Measha Edwards | Assistant Administrator | Met with Licensing Program Analyst during investigation |
| Shannan Hansen | Licensing Program Analyst | Conducted the complaint investigation |
| Bethany Moellers | Supervisor | Supervisor overseeing the investigation |
| Audreanna Verling | Administrator | Facility Administrator involved in relocation efforts and interviews |
Inspection Report
Census: 43
Capacity: 56
Deficiencies: 0
Date: Jan 9, 2024
Visit Reason
The visit was an unannounced Case Management - Health Checks inspection conducted to evaluate the health and safety conditions of the facility.
Findings
The facility was observed to be clean, at a comfortable temperature, with plentiful food, adequate staffing, and all utilities working. No health and safety risks or deficiencies were cited during the visit.
Inspection Report
Census: 43
Capacity: 56
Deficiencies: 0
Date: Dec 4, 2023
Visit Reason
The visit was an unannounced Case Management - Health Checks inspection conducted to evaluate the health and safety conditions of the facility.
Findings
The facility was observed to be clean, at a comfortable temperature, with plentiful food, adequate staffing, and all utilities working. No health and safety risks or deficiencies were cited during the visit.
Inspection Report
Capacity: 56
Deficiencies: 0
Date: Nov 6, 2023
Visit Reason
The visit was an unannounced office meeting to discuss possible financial concerns with the facility, including requests for current lease agreements, management/operating agreements, and staffing plans related to vacancies.
Findings
The report documents a meeting involving multiple regional managers and facility representatives to address financial concerns. No specific inspection findings or deficiencies are noted in the report.
Inspection Report
Census: 43
Capacity: 56
Deficiencies: 0
Date: Oct 30, 2023
Visit Reason
The visit was an unannounced Case Management - Health Checks inspection to evaluate health and safety conditions at the facility.
Findings
The facility was found clean and at a comfortable temperature with adequate food supplies and functioning utilities. Staffing levels were appropriate for assisted living and memory care residents, and the emergency generator was partially filled with plans to refill soon.
Inspection Report
Annual Inspection
Census: 33
Capacity: 56
Deficiencies: 0
Date: Sep 19, 2023
Visit Reason
The inspection was an unannounced annual required 1-year inspection visit of the Orchard Park Senior Living Community facility.
Findings
The facility was found to be clean, in good repair, and compliant with regulations including safety, food storage, and medication security. No deficiencies or citations were issued during the visit.
Report Facts
Residents with dementia diagnosis: 14
Residents on Hospice: 3
Staff records reviewed: 5
Resident records reviewed: 5
Residents interviewed: 3
Fire extinguisher last charged: Jul 18, 2023
Fire sprinkler last inspected: 202304
Disaster drill last conducted: Jul 12, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Audreanna Verling | Administrator | Facility Administrator; certificate pending renewal. |
| Jodie Niezgoda | Health Services Director / Resident Care Director (RCD) | Met with Licensing Program Analyst during inspection and provided facility information. |
| Shannan Hansen | Licensing Evaluator | Conducted the inspection visit. |
| Bethany Moellers | Supervisor | Supervisor of the Licensing Evaluator. |
Inspection Report
Complaint Investigation
Census: 44
Capacity: 56
Deficiencies: 0
Date: Jun 1, 2023
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations that the facility was not meeting residents' care needs, staff did not respond timely to residents' calls for assistance, and the facility lacked a call system.
Complaint Details
Complaint allegations included failure to meet residents' care needs, untimely staff response to calls for assistance, and lack of a call system. The complaint was found unsubstantiated.
Findings
The investigation found that the facility has pull cords in bathrooms and wrist call buttons in the Assisted Living section with a 10-minute response time. Memory Care residents have mandatory 15-minute checks and motion alarms. Observations and records indicated residents' needs were met and staffing was sufficient. The allegations were unsubstantiated due to lack of preponderance of evidence.
Report Facts
Capacity: 56
Census: 44
Response time: 10
Response time: 15
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Shannan Hansen | Licensing Program Analyst | Conducted the complaint investigation |
| Audreanna Verling | Administrator | Facility administrator mentioned in investigation |
| Measha Edwards | Assistant Administrator | Met with Licensing Program Analyst during investigation |
Inspection Report
Census: 45
Capacity: 56
Deficiencies: 0
Date: Jan 24, 2023
Visit Reason
The inspection was an unannounced Case Management visit following up on a self-reported incident involving a resident's fall and subsequent health decline.
Findings
No deficiencies were cited during this inspection. The Licensing Program Analyst reviewed internal documents related to the incident and requested additional documentation.
Inspection Report
Follow-Up
Census: 49
Capacity: 56
Deficiencies: 0
Date: Nov 10, 2022
Visit Reason
The visit was an unannounced follow-up on a self-reported incident involving a resident who was hospitalized for pulmonary embolism and diverticulitis.
Findings
The Licensing Program Analyst met with the facility administrator to review the incident report and confirmed the resident's hospitalization and expected return with new medications. The facility plans to update required records accordingly.
Inspection Report
Annual Inspection
Census: 40
Capacity: 56
Deficiencies: 0
Date: Sep 15, 2022
Visit Reason
An unannounced Annual Required 1-year Infection Control inspection was conducted to evaluate compliance with health and safety regulations at the facility.
Findings
The facility was found to be clean, well-maintained, and compliant with infection control and safety regulations. No deficiencies were cited during the inspection.
Report Facts
Hot water temperature readings: 114.4
Hot water temperature readings: 117.5
Hot water temperature readings: 118.2
Fire extinguisher last charged date: Aug 14, 2022
Sprinkler system last inspection date: Mar 14, 2022
Disaster drill last conducted: Aug 31, 2022
Administrator certificate expiration date: Jun 9, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jodie Niezgoda | Resident Care Director | Conducted annual inspection with Licensing Program Analyst |
| Audreanna Verling | Administrator | Facility administrator, absent during inspection |
| Shannan Hansen | Licensing Program Analyst | Conducted the inspection |
Inspection Report
Census: 43
Capacity: 56
Deficiencies: 0
Date: May 20, 2022
Visit Reason
The inspection was an unannounced Case Management visit to follow up on a self-reported incident involving a resident leaving the facility with an unauthorized person.
Findings
The Licensing Program Analyst reviewed records and conducted interviews, finding that the resident had a Power of Attorney but no dementia diagnosis and no legal document restricting visitors. A technical assistance was given for an incomplete medical report, and no citations were issued.
Inspection Report
Annual Inspection
Census: 40
Capacity: 56
Deficiencies: 1
Date: Sep 15, 2021
Visit Reason
An unannounced annual required one-year infection control inspection was conducted to assess compliance with health and safety regulations.
Findings
The facility was found to be clean, well-maintained, and compliant with infection control and safety regulations. However, two of four staff members did not have current first aid certification, posing a potential health and safety risk.
Deficiencies (1)
CCR 87411(c)(1) Personnel Requirements - General: Two of four staff members did not have proof of current first aid certification, which poses a potential health and safety risk to residents.
Report Facts
Deficiencies cited: 1
Plan of Correction Due Date: Sep 24, 2021
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