Inspection Report Summary
Most inspections found some deficiencies, but none were severe or resulted in fines or enforcement actions. The most recent report from January 9, 2025, noted a single deficiency for failing to conduct quarterly emergency disaster drills, which was considered a health and safety risk but did not lead to further penalties. Earlier, on February 20, 2024, inspectors identified issues with staff training and incomplete medical assessments for residents with dementia. Several complaint investigations were not part of these reports, so their status is unknown. The facility shows some ongoing challenges with staff training and emergency preparedness, with no clear pattern of improvement or decline.
Deficiencies (last 2 years)
Deficiencies are regulatory violations found during state inspections.
Deficiencies per year
Census
Based on a January 2025 inspection.
Census over time
| Description | Severity |
|---|---|
| Failure to conduct quarterly emergency disaster drills with proper documentation including date, type of emergency, and staff participation. | Type B |
| Name | Title | Context |
|---|---|---|
| Jaime Vado | Licensing Program Analyst | Conducted the inspection and authored the report |
| Moddie Andaya | Administrator | Facility administrator met during inspection and involved in review of findings |
| April Cowan | Licensing Program Manager | Supervisor overseeing the inspection |
| Description |
|---|
| Licensee did not comply with required annual training on postural supports and restricted health conditions for 4 out of 5 staff records reviewed. |
| Two out of four clients diagnosed with dementia did not have current medical assessment and/or appraisal on file. |
| Name | Title | Context |
|---|---|---|
| Rafael Jison | Administrator | Certified RCFE administrator overseeing facility operations |
| Moddie Andaya | Certified RCFE administrator | Oversees facility operations |
| Wilhelm Ick | Assistant RCFE administrator | Assists in overseeing facility operations |
| Cara Smith | Licensing Program Manager | Supervisor for the inspection |
| Audrey Jeung | Licensing Program Analyst | Licensing evaluator who conducted the inspection |
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