Inspection Report Summary
Most inspections found deficiencies related primarily to facility maintenance, emergency preparedness, and residents’ personal rights. Earlier reports from 2024 and early 2025 documented issues such as intermittent lack of hot water and heat, elevator malfunctions, failure to conduct required disaster drills, and unlawful evictions without proper notice. Several complaints about staff interfering with residents’ mail were substantiated, resulting in cited deficiencies and a civil penalty. The facility has taken steps to address many concerns, and the most recent report from September 16, 2025, was clean with no deficiencies and an unsubstantiated complaint about harmful chemical exposure. Several complaint investigations throughout the period were unsubstantiated, indicating that some concerns raised were not supported by evidence.
Deficiencies (last 4 years)
Deficiencies (over 4 years)
7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
75% worse than California average
California average: 4 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
53% occupied
Based on a September 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Complaint Investigation
Census: 79
Capacity: 150
Deficiencies: 0
Date: Sep 16, 2025
Visit Reason
The inspection was an unannounced complaint investigation triggered by an allegation that residents were exposed to harmful chemicals.
Complaint Details
The complaint alleged that residents were exposed to harmful chemicals. The allegation was investigated and found to be unsubstantiated.
Findings
The investigation included a facility tour, interviews, and record reviews. The allegation was found to be unsubstantiated as there was no preponderance of evidence to prove the alleged violation occurred, and no harmful smells or paint odors were observed during the visit.
Report Facts
Capacity: 150
Census: 79
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Vadim Gorban | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Jessica Sanchez | Administrator | Facility administrator notified and involved during the investigation |
| Jonathan Monroe | Sales Director | Met with during the investigation |
Inspection Report
Census: 75
Capacity: 150
Deficiencies: 0
Date: Aug 25, 2025
Visit Reason
Licensing Program Analyst conducted a Health and Safety check in response to a news article published on 08/20/2025 regarding a staff member at the Skilled Nursing Facility inside the facility being arrested on felony charges of sexual assault.
Findings
The Skilled Nursing Facility was confirmed to be a separate entity with a different main entrance, and there was no interaction between Skilled Nursing staff and the residents of the facility. It was confirmed that the individual arrested had never worked at or had contact with residents of the facility.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jessica Sanchez | Administrator | Met with Licensing Program Analyst during inspection and interviewed regarding news article and reporting. |
| Vadim Gorban | Licensing Program Analyst | Conducted the Health and Safety check inspection. |
| Brenda Chan | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Census: 75
Capacity: 150
Deficiencies: 1
Date: Jul 30, 2025
Visit Reason
The inspection was an unannounced case management visit conducted due to an incident on April 20, 2025, when the fire department responded to a fire alarm at the facility.
Findings
The Licensing Program Analyst observed that staff member S1 had missing training/education related to fire response and disaster response, which poses a potential health and safety risk to residents. A deficiency was cited per Title 22 and a plan of correction was developed by the administrator.
Deficiencies (1)
Staff (S1) records missing staff training regarding fire response / disaster response, posing potential health and safety risk to persons in care
Report Facts
Capacity: 150
Census: 75
Plan of Correction Due Date: Jul 28, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jessica Sanchez | Administrator | Met with Licensing Program Analyst during inspection and developed plan of correction |
| Vadim Gorban | Licensing Program Analyst | Conducted the unannounced case management visit and signed the report |
| Brenda Chan | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 75
Capacity: 150
Deficiencies: 0
Date: Jul 30, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2025-05-09 regarding allegations about the facility's administration and staffing during meal times.
Complaint Details
The complaint alleged that the licensee did not ensure a qualified administrator was present and did not have enough staff during meal times. Both allegations were investigated and found to be unsubstantiated.
Findings
The investigation found that when the Administrator is not present, a designated substitute manages the facility, and there are sufficient staff members available during meal times. Both allegations were unsubstantiated and no deficiencies were issued.
Report Facts
Capacity: 150
Census: 75
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jessica Sanchez | Administrator | Met with during the investigation and named in findings |
| Vadim Gorban | Licensing Program Analyst | Conducted the complaint investigation |
Inspection Report
Complaint Investigation
Census: 76
Capacity: 150
Deficiencies: 0
Date: Jul 10, 2025
Visit Reason
The inspection visit was an unannounced complaint investigation triggered by a complaint received on 2025-03-27 alleging that staff were not adhering to residents' contracts.
Complaint Details
The complaint alleged that staff were not adhering to residents' contracts. The allegation was investigated and found to be unsubstantiated.
Findings
The investigation included a facility tour, interviews, and record reviews. The allegation that staff were not adhering to residents' contracts was found to be unsubstantiated due to lack of preponderance of evidence. No deficiencies were issued.
Report Facts
Complaint Control Number: 24-AS-20250327101054
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Vadim Gorban | Licensing Program Analyst | Conducted the complaint investigation and delivered findings. |
| Jessica Sanchez | Administrator | Facility administrator met with the Licensing Program Analyst during the investigation. |
| Brenda Chan | Licensing Program Manager | Named in the report as Licensing Program Manager. |
Inspection Report
Complaint Investigation
Census: 76
Capacity: 150
Deficiencies: 1
Date: Jul 10, 2025
Visit Reason
An unannounced complaint investigation was conducted based on a complaint received on 2025-04-18 regarding allegations including the facility not employing a qualified food service consultant and failure to conduct disaster drills as required.
Complaint Details
The complaint investigation was triggered by allegations received on 2025-04-18. The allegation regarding lack of a qualified food service consultant was found to be unfounded. The allegation regarding failure to conduct disaster drills quarterly on each shift was substantiated based on the preponderance of evidence standard.
Findings
The allegation that the facility does not employ a qualified food service consultant was found to be unfounded. However, the allegation that disaster drills were not being conducted as required was substantiated, with the facility failing to conduct recent emergency disaster drills or maintain records, posing a potential health and safety risk.
Deficiencies (1)
Emergency Plans. A facility shall conduct a drill at least quarterly for each shift. Documentation of the drills shall include the date, the type of emergency covered by the drill. This requirement was not observed.
Report Facts
Capacity: 150
Census: 76
Deficiencies cited: 1
Plan of Correction Due Date: Jul 14, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jessica Sanchez | Administrator | Met with during investigation and named in findings |
| Vadim Gorban | Licensing Program Analyst | Conducted the complaint investigation |
| Brenda Chan | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 77
Capacity: 150
Deficiencies: 1
Date: Jun 5, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit conducted due to an allegation that facility staff interfered with residents receiving notification and watching an upcoming event.
Complaint Details
The complaint was substantiated based on interviews and observations. The allegation was that facility staff interfered with residents receiving notification and watching an upcoming event. The preponderance of evidence standard was met and a deficiency was cited with a civil penalty assessed.
Findings
The investigation substantiated the allegation that facility staff interfered with residents receiving memos in their mailboxes, although residents were allowed to watch the upcoming event. A deficiency was cited and a civil penalty assessed.
Deficiencies (1)
Facility failed to provide residents free from discrimination of their personal rights by refusing residents access to their personal mailboxes for distributing memos, which is a potential health and safety risk.
Report Facts
Capacity: 150
Census: 77
Plan of Correction Due Date: Jun 6, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jessica Sanchez | Administrator | Met with Licensing Program Analyst during complaint investigation |
| Vadim Gorban | Licensing Program Analyst | Conducted complaint investigation visit |
| Brenda Chan | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 76
Capacity: 150
Deficiencies: 2
Date: May 30, 2025
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations including unlawful eviction and unauthorized changes to the facility's Plan of Operation.
Complaint Details
The complaint investigation was substantiated based on evidence that the facility unlawfully evicted residents without notifying the Department and changed its Plan of Operation without approval.
Findings
The investigation substantiated that the facility failed to notify the Department of an eviction and operated under a Plan of Operation that was not approved by the Department, violating Title 22 Regulations.
Deficiencies (2)
Failure to notify the Department of eviction within five days as required by CCR 87224(f).
Changed the Plan of Operation without Department approval, violating CCR 87208(a).
Report Facts
Capacity: 150
Census: 76
Plan of Correction Due Date: Jun 13, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jacques Leffall | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Jessica Sanchez | Administrator | Facility administrator met during investigation and named in findings |
Inspection Report
Complaint Investigation
Census: 75
Capacity: 150
Deficiencies: 1
Date: May 28, 2025
Visit Reason
The inspection was an unannounced complaint investigation triggered by an allegation that facility staff were interfering with residents receiving facility notifications in their mailboxes.
Complaint Details
The complaint was substantiated based on interviews and records review, confirming that facility staff removed mail correspondence from resident mailboxes, interfering with residents receiving facility notifications.
Findings
The investigation substantiated that facility staff interfered by removing mail correspondence from resident mailboxes, including a notice about an activity scheduled for 05/19/2025. This was found to be a violation of residents' personal rights under CCR 87468.2(a)(3).
Deficiencies (1)
Facility failed to provide residents free from discrimination in exercising their personal rights, specifically interfering with residents receiving facility notifications in their mailboxes.
Report Facts
Capacity: 150
Census: 75
Deficiencies cited: 1
Plan of Correction Due Date: May 30, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Vadim Gorban | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Jonathan Monroe | Sales Director | Met with the Licensing Program Analyst during the investigation |
| Jessica Sanchez | Administrator | Facility administrator named in the report |
| Brenda Chan | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 77
Capacity: 150
Deficiencies: 7
Date: Apr 10, 2025
Visit Reason
An unannounced complaint investigation was conducted following multiple allegations received on 2025-02-20 regarding garbage not being picked up, inadequate emergency lighting, plumbing issues, construction disturbances, and failure to conduct quarterly fire drills.
Complaint Details
The complaint investigation was substantiated for allegations of garbage not being picked up, inadequate emergency lighting, plumbing issues, failure to conduct quarterly fire drills, and construction disturbances. Allegations of mold, delayed repairs due to staffing, and improper rate increases were unsubstantiated.
Findings
The investigation substantiated several allegations including garbage accumulation due to nonpayment of waste services, non-functioning emergency lighting, plumbing issues, failure to conduct quarterly fire drills, and construction disturbances involving early work hours and loud music. Other allegations such as mold presence, delayed repairs due to staffing, and improper rate increases were found unsubstantiated.
Deficiencies (7)
Garbage not being picked up due to nonpayment of waste services.
Inadequate emergency lighting in the hallways; emergency lights were non-operational.
Plumbing issues throughout the facility causing water damage on walls and ceilings.
Facility not conducting quarterly fire/emergency drills as required; last documented drill was 02/24/2025.
Construction crew began work prior to 7:00 AM playing loud music, posing an immediate health and safety risk.
Facility not clean, safe, sanitary, and in good repair; plumbing and maintenance issues noted.
Failure to conduct quarterly fire drills for each shift as required, posing potential health and safety risk.
Report Facts
Capacity: 150
Census: 77
Deficiency Type A count: 1
Deficiency Type B count: 2
Plan of Correction Due Dates: Type A due 04/11/2025; Type B due 04/15/2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jessica Sanchez | Administrator | Interviewed regarding garbage pickup and notified of visit |
| Jonathan Monroe | Sales Director | Met with during inspection and explained purpose of visit |
| Vadim Gorban | Licensing Program Analyst | Conducted the complaint investigation |
| Brenda Chan | Licensing Program Manager | Oversaw licensing program and signed report |
Inspection Report
Census: 77
Capacity: 150
Deficiencies: 1
Date: Apr 9, 2025
Visit Reason
The visit was conducted for Case Management - Health Checks to assess health and safety conditions of clients in care at the facility.
Findings
The assisted living section's call light system was found not to operate as required, with four out of nine residents unable to utilize the call system, posing a potential health and safety risk.
Deficiencies (1)
Facility call light system does not work as required, affecting four out of nine residents and posing potential health and safety risk.
Report Facts
Residents unable to utilize call system: 4
Total residents assessed for call system: 9
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jessica Sanchez | Administrator | Met with during inspection and interviewed regarding facility conditions |
| Vadim Gorban | Licensing Program Analyst | Conducted the inspection visit |
| Brenda Chan | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 77
Capacity: 150
Deficiencies: 1
Date: Apr 9, 2025
Visit Reason
The inspection was an unannounced complaint investigation conducted in response to complaints received on 2025-02-11 regarding the facility's automatic front door functionality and maintaining a comfortable temperature for residents.
Complaint Details
The complaint investigation was triggered by allegations that staff did not ensure the automatic front door was functioning properly and that the facility was not kept at a comfortable temperature for residents. The door issue was unsubstantiated, but the temperature issue was substantiated with a deficiency issued.
Findings
The allegation regarding the automatic front door was found to be unsubstantiated as the door was repaired and operational by 2025-03-03. The allegation regarding the facility temperature was substantiated; the facility failed to maintain a minimum temperature of 68 degrees F in the dining area, which was measured at 65.9 degrees F, posing a potential health and safety risk.
Deficiencies (1)
Failure to maintain a comfortable temperature for residents; the dining area temperature was 65.9 degrees F, below the required minimum of 68 degrees F.
Report Facts
Census: 77
Total Capacity: 150
Temperature measured: 65.9
Deficiency Type: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jessica Sanchez | Administrator | Met with Licensing Program Analyst during complaint investigation |
| Vadim Gorban | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Brenda Chan | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 77
Capacity: 150
Deficiencies: 2
Date: Apr 9, 2025
Visit Reason
The inspection was an unannounced complaint investigation conducted in response to allegations received on 2025-02-20 regarding elevator malfunction, lack of elevator servicing since 2022, and insufficient staff to respond to resident calls for assistance.
Complaint Details
The complaint investigation was substantiated based on evidence that the elevator malfunctioned trapping a resident, the elevator was not serviced since 2021 with an expired permit, and staff failed to respond timely to resident calls for assistance during the elevator emergency.
Findings
The investigation substantiated all three allegations: the elevator broke down trapping a resident inside on 2025-02-16; the elevator had not been serviced since 2021 and the permit expired in 2022; and staff did not respond to the elevator emergency call light for approximately 30 minutes. Deficiencies were cited under California Code of Regulations, Title 22.
Deficiencies (2)
Elevator was not maintained and serviced since 2021, with expired permit since 01/19/2022, posing potential health and safety risks.
Facility personnel were insufficient in number and competence to respond to resident calls for assistance, evidenced by a 30-minute delay in responding to an elevator emergency call.
Report Facts
Census: 77
Total Capacity: 150
Deficiencies cited: 2
Plan of Correction Due Date: Apr 14, 2025
Elevator emergency response delay: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jessica Sanchez | Administrator | Named in relation to the investigation and exit interview |
| Vadim Gorban | Licensing Program Analyst | Conducted the complaint investigation |
| Brenda Chan | Licensing Program Manager | Named in report and oversight |
Inspection Report
Census: 74
Capacity: 150
Deficiencies: 0
Date: Mar 21, 2025
Visit Reason
The visit was an unannounced case management inspection conducted to perform health and safety checks and provide an amended report.
Findings
During the visit, the Licensing Program Analyst conducted a facility tour, reviewed emergency lighting, and observed residents in care. No deficiencies were cited during this visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ramon Zepeda | Maintenance Director | Met with Licensing Program Analyst during the inspection and involved in facility tour and emergency lighting review. |
| Jessica Sanchez | Administrator | Notified of the visit but was not present at the facility during the inspection. |
Inspection Report
Census: 79
Capacity: 150
Deficiencies: 0
Date: Feb 25, 2025
Visit Reason
The visit was an unannounced Case Management visit to follow up on two self-reported incidents involving residents and to verify that contractors previously observed living on site were no longer present.
Findings
No deficiencies were cited during this Case Management visit. The Licensing Program Analyst gathered information related to two incidents and toured the facility, including testing the elevator emergency call button and verifying contractor residency status.
Report Facts
Number of self-reported incidents: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jessica Sanchez | Executive Director | Named as unavailable during the visit and involved in communication regarding elevator repair documentation |
| Melissa Arango | Business Office Manager | Met with Licensing Program Analyst to conduct visit and facility tour |
| Melinda Medina | Licensing Program Analyst | Conducted the unannounced Case Management visit |
| Alexandria Walton | Licensing Program Manager | Named in report signature section |
Inspection Report
Complaint Investigation
Census: 74
Capacity: 150
Deficiencies: 3
Date: Jan 21, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations including a non-working elevator, insufficient heating in parts of the facility, and an incomplete emergency disaster plan.
Complaint Details
The complaint investigation was substantiated based on the preponderance of evidence standard for all allegations: elevator malfunction, insufficient heating, and incomplete emergency disaster plan.
Findings
The investigation substantiated all three allegations: the elevator was non-operational from 11/20/24 to 12/13/24 with no residents trapped; space heaters were used in the dining room which lacked a heating unit, with observed temperature below required minimum; and the emergency disaster plan was incomplete, missing transportation and emergency drill details.
Deficiencies (3)
Elevator was not working properly on 11/20/24, requiring manual key use for residents.
Facility did not heat rooms to minimum required temperature; space heaters used in dining room.
Emergency disaster plan was incomplete, missing transportation and emergency drill information.
Report Facts
Capacity: 150
Census: 74
Temperature: 65.6
Deficiency count: 3
Plan of Correction Due Date: 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jessica Sanchez | Administrator | Interviewed regarding elevator and other allegations |
| Brenda Chan | Licensing Program Manager | Conducted complaint investigation and exit interview |
| Vadim Gorban | Licensing Program Analyst | Conducted complaint investigation and exit interview |
Inspection Report
Complaint Investigation
Census: 74
Capacity: 150
Deficiencies: 0
Date: Dec 30, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2024-12-26 alleging that staff did not prevent a resident from creating a hostile environment for other residents in care.
Complaint Details
Complaint was found to be unfounded after review of facility files and interview with the administrator. The resident involved was not under Licensing supervision and jurisdiction.
Findings
The investigation found that the resident involved was not under Licensing supervision and jurisdiction. Based on this, the complaint was determined to be unfounded, meaning the allegation was false, could not have happened, or was without reasonable basis.
Report Facts
Capacity: 150
Census: 74
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jessica Sanchez | Administrator | Met with during investigation and interviewed |
| Vadim Gorban | Licensing Program Analyst | Conducted the complaint investigation visit |
Inspection Report
Census: 74
Capacity: 150
Deficiencies: 0
Date: Dec 11, 2024
Visit Reason
The visit was conducted to amend the original report, collect the original report, and provide a copy of the amended report.
Findings
No tour of the facility was completed as the sole purpose of the visit was to provide the amended report. An exit interview was conducted, the original report was collected, and a copy of the amended report was emailed to the Administrator.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jessica Sanchez | Administrator | Met with Licensing Program Analyst during the visit |
| Brianna Miranda | Licensing Program Analyst | Conducted the visit to amend and collect the original report |
| Brenda Chan | Licensing Program Manager | Named in the report header |
Inspection Report
Complaint Investigation
Census: 74
Capacity: 150
Deficiencies: 0
Date: Dec 4, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint alleging that staff do not ensure the facility is free from pests.
Complaint Details
The complaint alleged that staff did not ensure the facility was free from pests. The allegation was unsubstantiated after investigation.
Findings
The investigation found that the facility had a problem with vermin but had increased pest control services to twice a week to address the issue. The allegation was unsubstantiated due to lack of preponderance of evidence.
Report Facts
Capacity: 150
Census: 74
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jessica Sanchez | Administrator | Met with during the inspection and involved in the investigation |
| Vadim Gorban | Licensing Program Analyst | Conducted the complaint investigation visit |
| Brenda Chan | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 73
Capacity: 150
Deficiencies: 0
Date: Dec 4, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations that the facility retaliates against residents for complaints made and serves food that is not of good quality.
Complaint Details
The complaint investigation was unsubstantiated as there was insufficient evidence to prove the alleged violations occurred.
Findings
The investigation found no preponderance of evidence to substantiate the allegations. Observations and interviews indicated no concerns from residents regarding retaliation, and food quality was found to be satisfactory with no expired food observed.
Report Facts
Capacity: 150
Census: 73
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Vadim Gorban | Licensing Program Analyst | Conducted the complaint investigation visit |
| Jessica Sanchez | Administrator | Facility administrator interviewed during the investigation |
| Brenda Chan | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 73
Capacity: 150
Deficiencies: 0
Date: Dec 4, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations that the facility heater and elevator were in disrepair and that staff were not available to assist residents.
Complaint Details
The complaint was investigated and found to be unfounded. Allegations included facility heater disrepair, elevator disrepair, and staff unavailability to assist residents. The resident involved was not under Licensing supervision and jurisdiction.
Findings
The investigation found the complaint to be unfounded, meaning the allegations were false, could not have happened, or were without a reasonable basis. The Licensing Program Analyst toured the facility, conducted safety checks, reviewed records, and interviewed the administrator.
Report Facts
Capacity: 150
Census: 73
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jessica Sanchez | Administrator | Met with during the investigation and interviewed |
| Vadim Gorban | Licensing Program Analyst | Conducted the complaint investigation visit |
Inspection Report
Complaint Investigation
Census: 73
Capacity: 150
Deficiencies: 0
Date: Dec 4, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint alleging that staff were not providing a comfortable environment for residents.
Complaint Details
Complaint was found to be unfounded after investigation; the allegation that staff were not providing a comfortable environment for residents was false or without reasonable basis.
Findings
The investigation found that the resident involved was not under Licensing supervision and jurisdiction, and the complaint was determined to be unfounded, meaning the allegation was false or without reasonable basis.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jessica Sanchez | Administrator | Met with during the investigation and named in relation to the complaint and findings. |
| Vadim Gorban | Licensing Program Analyst | Conducted the unannounced complaint investigation visit. |
Inspection Report
Complaint Investigation
Census: 73
Capacity: 150
Deficiencies: 0
Date: Dec 4, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to a complaint received on 2024-11-26 regarding allegations of non-adherence to resident's Admission Agreement, presence of mold, facility disrepair, and staff not according dignity to residents.
Complaint Details
The complaint was investigated and found to be unfounded.
Findings
The investigation found that the resident in question was not under Licensing supervision and jurisdiction, and the complaint was determined to be unfounded, meaning the allegations were false or without reasonable basis.
Report Facts
Capacity: 150
Census: 73
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jessica Sanchez | Administrator | Met with during the complaint investigation and named in the report |
| Vadim Gorban | Licensing Program Analyst | Conducted the complaint investigation visit |
| Brenda Chan | Licensing Program Manager | Named in the report |
Inspection Report
Annual Inspection
Census: 75
Capacity: 150
Deficiencies: 1
Date: Nov 12, 2024
Visit Reason
The inspection was an unannounced required annual inspection conducted to evaluate compliance with licensing regulations for the Pacific Grove Senior Living Facility.
Findings
The facility was found to be clean, in good repair, with no fire hazards or passageway obstructions. Food storage and temperatures were adequate, resident rooms were properly furnished, and medications were securely stored. A deficiency was cited for failure to maintain a current written plan of operation.
Deficiencies (1)
Failure to have and maintain a current, written definitive plan of operation as required by CCR 87208(a).
Report Facts
Capacity: 150
Census: 75
Refrigerator temperature: 42
Freezer temperature: -5
Hot water temperature: 110.6
Deficiency due date: Nov 15, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jessica Sanchez | Administrator | Met with Licensing Program Analyst during inspection and named in plan of correction |
| Vadim Gorban | Licensing Program Analyst | Conducted the inspection and authored the report |
| Brenda Chan | Licensing Program Manager | Supervisor named in the report |
Inspection Report
Follow-Up
Census: 72
Capacity: 150
Deficiencies: 0
Date: Oct 28, 2024
Visit Reason
The visit was conducted to follow up on the Plan of Correction, gather additional information, and observe the facility's water temperature regulations status.
Findings
During the visit, the Licensing Program Analyst toured the facility, performed safety checks, checked water temperature status, interviewed a resident and staff, and found no deficiencies cited.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jessica Sanchez | Administrator/Director | Named as facility administrator/director. |
| Melissa Arango | Business Office Director | Met with during the inspection and received the report copy. |
| Vadim Gorban | Licensing Program Analyst | Conducted the inspection visit. |
| Brenda Chan | Licensing Program Manager | Named in the report header. |
Inspection Report
Complaint Investigation
Census: 76
Capacity: 150
Deficiencies: 1
Date: Oct 24, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that staff made significant changes to the facility's plan of operation without proper approval.
Complaint Details
The complaint alleged that staff made significant changes to the facility's plan of operation without proper approval. The allegation was substantiated based on observations, interviews, and record reviews.
Findings
The allegation was substantiated. The investigation found that the facility changed its plan of operation affecting services to residents without approval from the licensing agency, posing potential health, safety, or personal rights risks.
Deficiencies (1)
Failure to maintain a current, written definitive plan of operation and to submit significant changes affecting services to residents to the licensing agency for approval.
Report Facts
Capacity: 150
Census: 76
Plan of Correction Due Date: Oct 31, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jessica Sanchez | Administrator | Met with Licensing Program Analyst to discuss findings and received report |
| Brianna Miranda | Licensing Program Analyst | Conducted the complaint investigation visit and authored the report |
| Brenda Chan | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 76
Capacity: 150
Deficiencies: 1
Date: Oct 18, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that the facility had no hot water or heat for the residents.
Complaint Details
The complaint was substantiated. The allegation that the facility had no hot water or heat for residents was confirmed based on evidence collected during the investigation.
Findings
The investigation found that residents did not have access to hot water on 10/14, 10/15, and 10/17 due to boiler issues causing intermittent lack of hot water in the South Wing Building. The allegation was substantiated based on observations, interviews, and records review.
Deficiencies (1)
Faucets used by residents for personal care such as shaving and grooming did not deliver hot water within the required temperature range of 105 to 120 degrees F. Hot water was not accessible for at least three days, posing an immediate health and safety risk.
Report Facts
Deficiencies cited: 1
Census: 76
Total Capacity: 150
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Brenda Chan | Licensing Program Manager | Conducted the complaint investigation and delivered findings |
| Vadim Gorban | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Melissa Arago | Business Office Manager | Met with investigators during the inspection |
Inspection Report
Complaint Investigation
Census: 75
Capacity: 150
Deficiencies: 2
Date: Oct 15, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2024-08-22 regarding unlawful eviction of a resident and staff not abiding by the admission agreement.
Complaint Details
The complaint investigation was substantiated based on the preponderance of evidence standard. The allegations included unlawful eviction and non-compliance with the admission agreement. The administrator refused to sign the report, but appeal rights were provided.
Findings
The investigation substantiated both allegations: staff unlawfully evicted a resident by issuing a three-day eviction notice without providing the required 30-day written notice, violating eviction procedures and admission agreement terms. The facility failed to comply with Title 22 regulations and Health and Safety Code section 1788(a)(31), posing potential health and safety risks to residents.
Deficiencies (2)
Failure to provide the required 30-day written notice of eviction as per CCR 87224(a)(1).
Issued a three-Day Notice to Pay or Quit to the resident on August 16, 2024, violating HSC 1788(a)(31).
Report Facts
Capacity: 150
Census: 75
Deficiency count: 2
Plan of Correction Due Date: 10
Plan of Correction Due Date: 11
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jessica Sanchez | Administrator | Met during investigation and named in findings related to eviction and admission agreement violations |
| Vadim Gorban | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Brenda Chan | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 73
Capacity: 150
Deficiencies: 2
Date: Jun 10, 2024
Visit Reason
An unannounced complaint investigation was conducted in response to allegations that the facility was without hot water and heat.
Complaint Details
The complaint was substantiated based on interviews, observations, and records review. The facility was found to have intermittent heating and hot water issues in the south wing since 05/25/2024.
Findings
The investigation found that the facility's boiler igniter was malfunctioning, causing intermittent lack of heat and hot water in the south wing since 05/25/2024. Water temperatures measured were below required levels, and the allegations were substantiated.
Deficiencies (2)
Faucets used by residents for personal care did not deliver hot water at the required temperature between 105 and 120 degrees Fahrenheit, with measured water temperature at 92 degrees in south wing bedrooms.
Facility was not clean, safe, sanitary, and in good repair at all times; heating and hot water systems were intermittently not working since 05/25/2024.
Report Facts
Census: 73
Total Capacity: 150
Water Temperature: 92
Water Temperature: 95
Plan of Correction Due Date: Jun 24, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jessica Sanchez | Executive Director | Met with Licensing Program Analyst during investigation and named in findings |
| Sarah Hurt | Licensing Program Analyst | Conducted the complaint investigation |
| Brenda Chan | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 76
Capacity: 150
Deficiencies: 0
Date: Apr 11, 2024
Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that a resident's ceiling was leaking water.
Complaint Details
The complaint was unsubstantiated as there was not a preponderance of evidence to prove the alleged violations did or did not occur.
Findings
The investigation found that the ceiling leak had been repaired by facility staff prior to the inspection, with no active leaks observed at the time. The allegations were unsubstantiated and no deficiencies were cited.
Report Facts
Complaint Control Number: 24
Capacity: 150
Census: 76
Employees mentioned
| Name | Title | Context |
|---|---|---|
| David Ayers | Licensing Program Analyst | Conducted the complaint investigation |
| Jessica Sanchez | Executive Director | Met with Licensing Program Analyst during inspection |
| Paul Harrison | Administrator | Facility administrator named in report header |
| Brenda Chan | Licensing Program Manager | Named in report |
Inspection Report
Complaint Investigation
Census: 75
Capacity: 150
Deficiencies: 0
Date: Mar 14, 2024
Visit Reason
An unannounced complaint investigation was conducted following a complaint received on 2023-09-07 regarding staff assistance with medications, mobility, and diet plan adherence for a resident.
Complaint Details
The complaint involved allegations that staff did not assist a resident with obtaining prescriptions for OTC medications, did not assist with mobility issues, and did not follow the resident's modified diet plan. All allegations were found unsubstantiated.
Findings
The investigation found all allegations to be unsubstantiated after inspection, interviews, and record reviews. No deficiencies were cited.
Report Facts
Capacity: 150
Census: 75
Employees mentioned
| Name | Title | Context |
|---|---|---|
| David Ayers | Licensing Program Analyst | Conducted the complaint investigation |
| Jessica Sanchez | Executive Director | Met with investigator during inspection |
| Brenda Chan | Licensing Program Manager | Named in report header and signature section |
Inspection Report
Census: 77
Capacity: 150
Deficiencies: 0
Date: Feb 21, 2024
Visit Reason
The visit was a Case Management - Incident visit conducted to follow up on an incident involving Staff 1 and Resident 1, including collection of related documents and evidence.
Findings
No deficiencies were cited during this visit per Title 22 Regulation. The Licensing Program Analyst collected various documents and information related to the incident and conducted an exit interview with the Executive Director.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jessica Sanchez | Executive Director | Met with Licensing Program Analyst during the incident follow-up visit. |
| Sarah Hurt | Licensing Program Analyst | Conducted the Case Management - Incident visit and collected evidence related to the incident. |
| Paul Harrison | Administrator | Named as facility administrator in the report. |
Inspection Report
Complaint Investigation
Census: 76
Capacity: 150
Deficiencies: 0
Date: Feb 15, 2024
Visit Reason
An unannounced complaint investigation was conducted following a complaint received on 08/24/2023 regarding allegations that facility staff were not providing services agreed to in the Admissions Agreement and were not adhering to food service requirements.
Complaint Details
The complaint investigation was unsubstantiated as there was no preponderance of evidence to prove the alleged violations occurred.
Findings
The investigation found the allegations to be unsubstantiated. Facility staff were providing the agreed services including 24-hour emergency response with nurse oversight, and food service met regulatory requirements with adequate quantity, quality, and proper storage.
Report Facts
Capacity: 150
Census: 76
Employees mentioned
| Name | Title | Context |
|---|---|---|
| David Ayers | Licensing Program Analyst | Conducted the complaint investigation |
| Jessica Sanchez | Executive Director | Met with Licensing Program Analyst during inspection |
| Brenda Chan | Licensing Program Manager | Named in report header and signature section |
Inspection Report
Complaint Investigation
Census: 76
Capacity: 150
Deficiencies: 0
Date: Feb 15, 2024
Visit Reason
An unannounced complaint investigation was conducted in response to a complaint received on 2023-12-06 alleging that the facility was without running water.
Complaint Details
The complaint alleged the facility was without running water. The investigation determined the allegation to be unsubstantiated.
Findings
The investigation found that although the facility was without running water in the independent cottages for approximately 10 hours, the issue was promptly fixed and residents in the assisted living section were not affected. The allegations were determined to be unsubstantiated due to insufficient evidence.
Report Facts
Complaint Control Number: 24
Complaint Received Date: Complaint received on 2023-12-06
Duration without running water: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jessica Sanchez | Executive Director | Met with Licensing Program Analyst during the investigation |
| David Ayers | Licensing Program Analyst | Conducted the complaint investigation |
| Brenda Chan | Licensing Program Manager | Named in report header |
Inspection Report
Census: 73
Capacity: 150
Deficiencies: 0
Date: Jan 18, 2024
Visit Reason
The inspection was an unannounced case management visit focused on health checks following an incident report about facility heaters stopping working.
Findings
The Licensing Program Analyst toured the facility and conducted safety checks. No deficiencies were observed or cited during the visit.
Report Facts
Resident rooms affected: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jessica Sanchez | Executive Director | Met with Licensing Program Analyst during inspection |
| Paul Harrison | Administrator | Named as facility administrator |
| Vadim Gorban | Licensing Program Analyst | Conducted the inspection |
| Brenda Chan | Licensing Program Manager | Named in report header |
Inspection Report
Annual Inspection
Census: 75
Capacity: 150
Deficiencies: 0
Date: Dec 21, 2023
Visit Reason
The inspection was an unannounced required annual inspection conducted by Licensing Program Analyst D. Ayers to evaluate compliance with licensing requirements.
Findings
The facility was found to be clean, well-maintained, and compliant with regulations. Resident rooms and bathrooms met requirements, food storage was proper, and staff files and emergency plans were reviewed. No deficiencies were cited during the inspection.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Billy Mitchell | Interim Executive Director | Met with Licensing Program Analyst during the inspection and agreed to send required documents. |
Inspection Report
Complaint Investigation
Census: 75
Capacity: 150
Deficiencies: 1
Date: Dec 21, 2023
Visit Reason
An unannounced complaint investigation was conducted following a complaint received on 2023-05-25 regarding facility disrepair.
Complaint Details
The complaint was substantiated. The facility was found to have an active leak from water pipes running along the ceiling of the underground resident parking garage, causing a puddle approximately 20 feet by 10 feet and over an inch deep, which was not marked or blocked off at the time of inspection.
Findings
The investigation substantiated that the facility was in disrepair due to an active water leak in the underground resident parking garage that created a large puddle not marked or blocked off, presenting a potential health and safety risk to residents. The leak was repaired by 2023-07-13 and the deficiency was cleared.
Deficiencies (1)
Facility was not clean, safe, sanitary, and in good repair due to an active water leak causing a large puddle in the underground parking garage.
Report Facts
Capacity: 150
Census: 75
Deficiency Type: 1
Plan of Correction Due Date: Dec 22, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| David Ayers | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Billy Mitchell | Interim Executive Director | Met with Licensing Program Analyst during inspection |
| Brenda Chan | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 75
Capacity: 150
Deficiencies: 0
Date: Dec 21, 2023
Visit Reason
An unannounced complaint investigation was conducted in response to a complaint received on 07/21/2023 regarding allegations of staff negligence and mistreatment of residents.
Complaint Details
The complaint included allegations that a resident developed pressure sores due to staff negligence, sustained skin lacerations due to staff negligence, was handled roughly causing bruising, and that staff spoke inappropriately to the resident. All allegations were determined to be unsubstantiated due to lack of sufficient evidence.
Findings
The investigation found all allegations unsubstantiated after facility inspection, interviews, and record reviews. No immediate or potential health and safety risks were identified during the visit.
Report Facts
Capacity: 150
Census: 75
Employees mentioned
| Name | Title | Context |
|---|---|---|
| David Ayers | Licensing Program Analyst | Conducted the complaint investigation |
| Billy Mitchell | Interim Executive Director | Met with Licensing Program Analyst during inspection |
| Brenda Chan | Licensing Program Manager | Named in report as Licensing Program Manager |
| Sharon Fay | Administrator | Facility Administrator |
Inspection Report
Census: 66
Capacity: 150
Deficiencies: 0
Date: Jun 20, 2023
Visit Reason
The visit was an unannounced case management inspection to amend a complaint and conduct a case management regarding stairway lighting reported during a prior complaint investigation.
Complaint Details
The visit was related to amending a complaint about stairway lighting. The issue was previously investigated and findings were delivered on complaint 24-AS-20230523092746.
Findings
The issue regarding stairway lighting was already investigated and findings were delivered on a previous complaint. The facility is following the emergency disaster plan.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Paul Harrison | Administrator | Met with Licensing Program Analyst during the visit and provided information about the complaint. |
Inspection Report
Complaint Investigation
Census: 64
Capacity: 150
Deficiencies: 0
Date: Jun 10, 2023
Visit Reason
An unannounced complaint investigation was conducted in response to multiple allegations including lack of hot water, inadequate cleaning services, staff sleeping during shifts, residents paying for unrendered services, eviction threats, and poor staff communication.
Complaint Details
The complaint was unsubstantiated. Allegations included lack of hot water, inadequate cleaning, staff sleeping on duty, residents paying for services not rendered, eviction threats, and poor communication. Some allegations were found untrue or undetermined due to lack of evidence.
Findings
The investigation found the facility was temporarily without hot water in one wing but provided alternatives and repaired the issue. Staff were observed on break, not sleeping during shifts. Cleaning services were provided weekly. Other allegations such as eviction threats, payment for unrendered services, and staff communication were undetermined due to insufficient evidence. The complaint was ultimately unsubstantiated.
Report Facts
Capacity: 150
Census: 64
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Shawna Doucette | Licensing Program Analyst | Conducted the complaint investigation |
| Paul Harrison | Administrator | Met with Licensing Program Analyst during investigation |
| Lucy Clem | Activities Director | Met with Licensing Program Analyst during investigation and received report |
Inspection Report
Complaint Investigation
Census: 63
Capacity: 150
Deficiencies: 0
Date: May 25, 2023
Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that emergency lights in the stairwell were in disrepair.
Complaint Details
The complaint investigation was unsubstantiated as no violations were found related to the emergency lights in the stairwell.
Findings
The allegations were found to be unsubstantiated. No deficiencies were cited during the inspection. The facility's emergency disaster plan and emergency lighting procedures were reviewed and found to be adequate.
Report Facts
Capacity: 150
Census: 63
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Paul Harrison | Executive Director | Met with Licensing Program Analyst during the complaint investigation |
| David Ayers | Licensing Program Analyst | Conducted the complaint investigation |
Inspection Report
Complaint Investigation
Census: 66
Capacity: 150
Deficiencies: 0
Date: Apr 25, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations related to resident injury due to insufficient lighting during a power outage and lack of an emergency plan during a county-wide power outage.
Complaint Details
The complaint was unsubstantiated after investigation. Allegations included a resident injury due to insufficient lighting during a power outage and lack of an emergency/contingency plan during a county-wide power outage.
Findings
The investigation found that the facility had an emergency disaster plan in place since November 2022, which was applied during recent storms and power outages. No residents were injured as a direct result of poor lighting, and the allegations were unsubstantiated. No deficiencies were cited.
Report Facts
Capacity: 150
Census: 66
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Paul Harrison | Executive Director | Met with Licensing Program Analyst during the complaint investigation |
| David Ayers | Licensing Program Analyst | Conducted the complaint investigation |
Inspection Report
Census: 56
Capacity: 150
Deficiencies: 0
Date: Feb 22, 2023
Visit Reason
An unannounced Case Management visit was conducted to assess health checks and compliance with COVID-19 screening protocols.
Findings
The facility was observed to have residents dining and relaxing, with one resident receiving hospice care. The facility had an adequate food supply and ongoing food deliveries. The dining area was undergoing remodeling without prior notice to the licensing agency.
Report Facts
Food delivery frequency: 3
Food delivery frequency: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| David Ayers | Licensing Program Analyst | Conducted the inspection and signed the report |
| Tracy Lundy | Office Manager | Met with Licensing Program Analysts during the visit and exit interview |
| Sharon Fay | Administrator | Facility administrator named in the report header |
Inspection Report
Census: 61
Capacity: 150
Deficiencies: 0
Date: Feb 6, 2023
Visit Reason
An unannounced Case Management visit was conducted to assess health checks and compliance with COVID-19 screening protocols at the facility.
Findings
No deficiencies were observed or cited during the visit. The facility was found to have adequate food supplies, residents engaged in activities, and staff following COVID-19 protocols.
Report Facts
Residents receiving hospice services: 4
Food delivery frequency: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melinda Medina | Licensing Program Analyst | Conducted the unannounced Case Management visit and observations |
| Beau Ayers | Regional Vice President of Operations | Met with Licensing Program Analyst to conduct exit interview |
Inspection Report
Census: 61
Capacity: 150
Deficiencies: 0
Date: Dec 15, 2022
Visit Reason
An unannounced Case Management visit was conducted to assess health checks and compliance with COVID-19 screening protocols.
Findings
No deficiencies were observed or cited during the visit. The facility maintained adequate food supplies and residents were observed participating in activities and meals.
Report Facts
Residents receiving hospice services: 2
Perishable food supply: 2
Non-perishable food supply: 7
Perishable food deliveries per week: 2.5
Non-perishable food deliveries per week: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Paul Harrison | Executive Director | Met with Licensing Program Analyst to conduct exit interview |
| Gilbert Chavez | Executive Chef | Toured kitchen with Licensing Program Analyst |
| Joey Garcia | Director of Operations | Toured facility with Licensing Program Analyst |
| Melinda Medina | Licensing Program Analyst | Conducted the unannounced Case Management visit |
Inspection Report
Original Licensing
Census: 62
Capacity: 150
Deficiencies: 0
Date: Sep 19, 2022
Visit Reason
The visit was conducted as part of a change of ownership application and pre-licensing readiness evaluation for the Residential Care Facility for the Elderly with Continuing Care Retirement Community.
Findings
The applicant and administrator participated in a COMP II telephone interview to verify identification and confirm understanding of California Code Title 22 regulations, including facility operation, admission policies, staffing, health conditions, emergency preparedness, complaints, and reporting.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sharon Fay | Administrator | Applicant/administrator who participated in COMP II and was interviewed. |
| Sarah Ehret | Participant in COMP II interview with the applicant/administrator. | |
| Jude De La Concepcion | Licensing Program Manager | Named as Licensing Program Manager on the report. |
| Bethany Hunter | Licensing Program Analyst | Named as Licensing Program Analyst on the report. |
Inspection Report
Original Licensing
Census: 62
Capacity: 150
Deficiencies: 0
Date: Sep 12, 2022
Visit Reason
An unannounced pre-licensing inspection was conducted due to the facility applying for a license under change of ownership.
Findings
The facility appeared clean and in good repair with no deficiencies noted. All required safety equipment and postings were observed, and the facility was adequately stocked and equipped for resident care.
Report Facts
Food delivery frequency: 4
Food delivery frequency: 2
Food delivery frequency: 2
Food delivery frequency: 4
Water temperature: 120
Fire extinguisher service date: Apr 18, 2022
Residents: 62
Licensed capacity: 150
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sarah Ehret | Executive Director | Met with Licensing Program Analyst during facility tour |
| Sharon Fay | BSN RN/Administrator | Met with Licensing Program Analyst during facility tour and Component III |
| Melinda Medina | Licensing Program Analyst | Conducted the pre-licensing inspection |
| Melinda Hoffmann | Licensing Program Manager | Named in report header |
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