Most inspections found no deficiencies, with the facility generally maintaining a clean and safe environment. The most recent report from July 14, 2025, was free of deficiencies after investigating a complaint about missing personal belongings, which was unsubstantiated. Earlier reports cited some deficiencies related to medication administration and staff health screening documentation, but these issues were isolated and did not involve enforcement actions or fines. Several complaint investigations, including those about resident supervision and elopement, were unsubstantiated or found no fault with the facility. The record shows some improvement over time, with the latest inspections showing no deficiencies after earlier minor issues.
The inspection was conducted as a Case Management Incident investigation following a self-reported incident regarding missing personal belongings of Resident #1, including a gold cross necklace and gold ring.
Findings
The inspection found no deficiencies or violations of the California Code of Regulations. The facility was observed to be free of hazards, and relevant documents and interviews were reviewed without identifying any issues.
Complaint Details
The visit was triggered by a complaint related to a self-reported incident of missing personal belongings of Resident #1. The complaint was investigated and no deficiencies were substantiated.
Report Facts
Capacity: 115Census: 99
Employees Mentioned
Name
Title
Context
Benjamin Davis
Executive Director
Present and assisted Licensing Program Analyst during inspection
The inspection was an unannounced Case Management Incident visit conducted to follow up on an incident report received on May 15, 2025, regarding a medication error for Resident #1 dated March 10, 2025.
Findings
The facility was observed to be free of hazards and residents were engaged in activities. However, a deficiency was cited for failing to administer medication to Resident #1 as prescribed, posing a potential health and safety risk.
Complaint Details
The visit was complaint-related, following up on a medication error incident report for Resident #1. The deficiency was substantiated and cited.
Severity Breakdown
Type B: 1
Deficiencies (1)
Description
Severity
Failed to administer the medication to Resident #1 as prescribed, posing a potential health and safety risk.
Type B
Report Facts
Census: 97Total Capacity: 115Deficiencies cited: 1Plan of Correction Due Date: Jun 13, 2025
Employees Mentioned
Name
Title
Context
Benjamin Davis
Executive Director
Assisted Licensing Program Analyst during inspection and was present at exit interview
The inspection was an unannounced annual required visit conducted using the CARE Inspection Tool to evaluate compliance with licensing regulations.
Findings
The facility was found to be clean, sanitary, and appropriately furnished with no discrepancies in medication administration records. However, deficiencies were cited related to personnel health screening and tuberculosis (TB) testing documentation for two staff members. Facility annual fees were also noted as not current, and notice was provided to the administrator regarding fees.
Deficiencies (2)
Description
Licensee did not have TB tests on file for two staff members, posing a potential health, safety, or personal rights risk to persons in care.
Licensee did not have health screening documentation on file for two staff members, posing a potential health, safety, or personal rights risk to persons in care.
Report Facts
Residents' service files reviewed: 5Staff personnel files reviewed: 4Medication Administration Records reviewed: 3Bedrooms inspected: 7Bathrooms inspected: 7Plan of Correction Due Date: Dec 30, 2024
Employees Mentioned
Name
Title
Context
Alfonso Iniguez
Licensing Program Analyst
Conducted the inspection and cited deficiencies
Eva M Alvarez
Licensing Program Manager
Supervisor overseeing the inspection and deficiencies
Benjamin Davis
Administrator
Facility administrator involved in the inspection and tour
Debbie Marroquin
RRD
Facility representative met during inspection and exit interview
The inspection was an unannounced complaint investigation visit triggered by an allegation that staff did not provide adequate supervision resulting in a resident wandering away from the facility.
Findings
The investigation found that the resident was able to leave the facility unassisted and was found outside without injury after an exit door alarm triggered. Based on interviews and record review, the allegation was deemed unfounded.
Complaint Details
The complaint alleged inadequate supervision resulting in a resident wandering away. The allegation was investigated and found to be unfounded, meaning it was false or without reasonable basis.
Report Facts
Complaint Control Number: 22Complaint Control Number Suffix: 20230426155340
Employees Mentioned
Name
Title
Context
Kimberly Lyman
Licensing Program Analyst
Conducted the complaint investigation visit
Benjamin Davis
Administrator
Facility administrator interviewed during investigation
The visit was an unannounced case management incident follow-up related to a client who eloped from the facility on May 10, 2024 and was found by the police nearby.
Findings
The investigation found that the resident was able to walk unassisted but should not leave the facility unassisted. Staffing was adequate at the time of the incident. The facility is initiating a care plan to move the resident to Memory Care due to cognitive decline.
Complaint Details
The visit was triggered by a complaint incident where a resident eloped from the facility. The resident did not recall being found by police and had no prior exit-seeking behavior. The complaint was investigated through interviews and file reviews.
Report Facts
Staffing count: 6Incident date: May 10, 2024
Employees Mentioned
Name
Title
Context
Benjamin Davis
Administrator
Facility administrator
Christina Gonzalez
Assisted Living Director
Reported the incident and involved in follow-up
Debbie Marroquin
Resident Relations Director
Met with Licensing Program Analyst during visit and exit interview
An unannounced required annual inspection was conducted to evaluate compliance with licensing requirements and facility conditions.
Findings
The facility was found to be in good repair with no deficiencies noted. Resident rooms and restrooms were clean and safe, kitchen and food supplies met requirements, and safety equipment such as fire extinguishers and alarms were operational. COVID-19 mitigation and emergency plans were reviewed and found adequate.
Report Facts
Licensed capacity: 115Census: 100Non-ambulatory residents licensed: 73Ambulatory residents licensed: 36Hospice waiver residents: 8Bedridden residents allowed: 5Hot water temperature range (Fahrenheit): 111.5Hot water temperature range (Fahrenheit): 118.4Food supply days - perishable: 2Food supply days - non-perishable: 7Fire alarm last tested date: May 10, 2022
Employees Mentioned
Name
Title
Context
Benjamin Davis
Executive Director
Met with Licensing Program Analyst during inspection and participated in exit interview
Licensing Program Analyst Michelle Reed made an unannounced visit to the facility to conduct an Annual visit focusing on Infection Control.
Findings
The facility was found to have appropriate COVID-19 signage, sanitization stations, sufficient PPE supply, social distancing and mask compliance, and emergency plans in place. No deficiencies were noted during the visit.
Report Facts
PPE supply duration: 30Census: 89Total capacity: 115
Employees Mentioned
Name
Title
Context
Benjamin Davis
Administrator
Met with Licensing Program Analyst during inspection and discussed infection control.
Michelle Reed
Licensing Program Analyst
Conducted the unannounced annual inspection visit.
Sheila Santos
Licensing Program Manager
Named in report as Licensing Program Manager.
Loading inspection reports...
Need Help?
Let us help you or a loved one find the perfect senior home.