Deficiencies (last 4 years)

Deficiencies (over 4 years) 1.5 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

63% better than California average
California average: 4 deficiencies/year

Deficiencies per year

8 6 4 2 0
2022
2023
2024
2025

Census

Latest occupancy rate 83% occupied

Based on a May 2025 inspection.

This facility has shown a decline in demand based on occupancy rates.

Occupancy over time

0 3 6 9 12 Jun 2022 Apr 2023 Nov 2023 May 2024 Dec 2024 May 2025

Inspection Report

Annual Inspection
Census: 5 Capacity: 6 Deficiencies: 0 Date: May 30, 2025

Visit Reason
An unannounced annual visit was conducted as a required one-year inspection of the adult residential facility for the elderly.

Findings
The Licensing Program Analyst observed the facility's living areas, kitchen, bathrooms, bedrooms, staff and laundry rooms, and safety equipment. The facility was found to be in compliance with licensing requirements with no deficiencies noted in the report.

Report Facts
Water temperature: 106.1 Number of residents: 5 Facility capacity: 6

Employees mentioned
NameTitleContext
Rey MedelAdministratorMet during inspection and involved in facility tour
Melissa SpaethLicensing Program AnalystConducted the inspection visit
Troy AgardLicensing Program ManagerNamed in report header

Inspection Report

Annual Inspection
Census: 5 Capacity: 6 Deficiencies: 0 Date: May 30, 2025

Visit Reason
The inspection was an unannounced annual visit conducted as a required one-year licensing inspection of the adult residential facility for the elderly.

Findings
The facility was observed to have appropriate living conditions, including comfortable seating, adequate food supplies, safety measures such as locked knives and cleaning solutions, functioning smoke and carbon monoxide detectors, and proper water temperature. Resident and staff records were reviewed, and no specific deficiencies were detailed in the report.

Report Facts
Water temperature: 106.1 Number of residents: 5 Facility capacity: 6

Employees mentioned
NameTitleContext
Rey MedelAdministratorAdministrator present during inspection and named in the report
Melissa SpaethLicensing Program AnalystConducted the inspection and authored the report
Troy AgardLicensing Program ManagerNamed as Licensing Program Manager on the report

Inspection Report

Complaint Investigation
Census: 6 Capacity: 6 Deficiencies: 0 Date: Dec 6, 2024

Visit Reason
The visit was an unannounced complaint investigation conducted to address an allegation that staff do not ensure that residents' hygiene needs are being met while in care.

Complaint Details
The complaint alleged that staff do not ensure residents' hygiene needs are met. After investigation, including interviews and record reviews, the allegation was determined to be unsubstantiated.
Findings
Based on interviews with five residents and three staff, as well as a review of residents' records and a physical plant tour, the allegation was found to be unsubstantiated. Residents confirmed they receive assistance with daily needs and staff reported no complaints.

Report Facts
Capacity: 6 Census: 6

Employees mentioned
NameTitleContext
Melissa SpaethLicensing Program AnalystConducted the complaint investigation
Rey MedelAdministratorFacility administrator met during the investigation

Inspection Report

Complaint Investigation
Census: 6 Capacity: 6 Deficiencies: 0 Date: Dec 6, 2024

Visit Reason
The visit was an unannounced complaint investigation conducted to address an allegation that staff do not ensure that residents' hygiene needs are being met while in care.

Complaint Details
The complaint alleged that staff do not ensure residents' hygiene needs are met. After investigation including interviews and document review, the allegation was unsubstantiated.
Findings
Based on interviews with five residents and three staff members, the allegation was found to be unsubstantiated as residents confirmed they receive assistance with their daily needs and staff reported no complaints.

Report Facts
Residents interviewed: 5 Staff interviewed: 3 Total staff: 8

Employees mentioned
NameTitleContext
Melissa SpaethLicensing Program AnalystConducted the complaint investigation.
Rey MedelAdministratorFacility administrator who met with the Licensing Program Analyst and confirmed census.
Troy AgardLicensing Program ManagerNamed as Licensing Program Manager on the report.

Inspection Report

Annual Inspection
Census: 6 Capacity: 6 Deficiencies: 3 Date: May 8, 2024

Visit Reason
An unannounced annual visit was conducted by Licensing Program Analyst Melissa Spaeth to evaluate compliance with licensing requirements for an adult residential facility for the elderly.

Findings
The inspection found deficiencies including unsecured medications in the laundry room, water temperature exceeding the allowed maximum, and use of a designated office as a resident bedroom. The administrator took immediate corrective actions such as locking the laundry room and adjusting the water heater temperature.

Deficiencies (3)
Laundry room was not locked and staff member's medication was unsecured, posing a health and safety risk.
Water temperature was 126 degrees F, exceeding the maximum allowed of 120 degrees F.
Designated office was used as a resident room for a non-ambulatory resident, which is not permitted.
Report Facts
Capacity: 6 Census: 6 Water temperature: 126 Water temperature after correction: 120 Plan of Correction Due Dates: 2

Employees mentioned
NameTitleContext
Melissa SpaethLicensing Program AnalystConducted the inspection and identified deficiencies
Rex RetoladoAdministrator/DirectorFacility administrator involved in inspection and corrective actions

Inspection Report

Annual Inspection
Census: 6 Capacity: 6 Deficiencies: 3 Date: May 8, 2024

Visit Reason
An unannounced annual visit was conducted as a required one-year inspection to evaluate compliance with licensing regulations for an adult residential facility for the elderly.

Findings
The inspection found several deficiencies including unsecured medications in the laundry room, water temperature exceeding the allowed maximum, and use of a designated office as a resident bedroom. The administrator took immediate corrective actions such as locking the laundry room and adjusting water temperature.

Deficiencies (3)
Laundry room was not locked and a staff member's medication was unsecured, posing an immediate health and safety risk.
Water temperature tested at 126 degrees F, exceeding the maximum allowed 120 degrees F, posing an immediate health and safety risk.
Designated office was being used as a resident room for a non-ambulatory resident, which is not permitted.
Report Facts
Capacity: 6 Census: 6 Water temperature: 126 Water temperature: 120 Deficiency count: 3

Employees mentioned
NameTitleContext
Melissa SpaethLicensing Program AnalystConducted the inspection and documented findings
Troy AgardLicensing Program ManagerSupervisor overseeing the inspection
Rex RetoladoAdministratorFacility Administrator involved in inspection and corrective actions
Rey MedelMet with Licensing Program Analyst during inspection

Inspection Report

Annual Inspection
Census: 6 Capacity: 6 Deficiencies: 0 Date: Nov 2, 2023

Visit Reason
Licensing Program Analyst Melissa Spaeth conducted an unannounced annual visit to evaluate the adult residential facility for the elderly.

Findings
The facility was found to be in compliance with no deficiencies noted. Observations included adequate living conditions, food supplies, safety measures, and operational smoke/carbon monoxide detectors.

Report Facts
Water temperature: 107 Fire extinguisher location: Fire extinguisher located in kitchen

Employees mentioned
NameTitleContext
Melissa SpaethLicensing Program AnalystConducted the inspection and observations
Rex RetoladoAdministratorFacility administrator present during inspection

Inspection Report

Annual Inspection
Census: 6 Capacity: 6 Deficiencies: 0 Date: Nov 2, 2023

Visit Reason
An unannounced annual visit was conducted as a required one-year inspection of the adult residential facility for the elderly.

Findings
The Licensing Program Analyst observed the facility's environment, including living areas, kitchen, bathrooms, bedrooms, staff room, laundry room, hallway closet, garage, backyard, and smoke/carbon monoxide detectors. No deficiencies were found during the inspection.

Report Facts
Water temperature: 107 Capacity: 6 Census: 6

Employees mentioned
NameTitleContext
Melissa SpaethLicensing Program AnalystConducted the inspection and authored the report
Rex RetoladoAdministratorFacility administrator present during inspection
Troy AgardLicensing Program ManagerNamed in report header

Inspection Report

Complaint Investigation
Census: 6 Capacity: 6 Deficiencies: 0 Date: Apr 25, 2023

Visit Reason
The visit was conducted regarding an incident report dated 2023-04-15 involving a resident fall and subsequent hospital visit.

Complaint Details
The visit was complaint-related due to an incident report about a resident who fell on 2023-04-12 and went to the hospital on 2023-04-15. The incident report initially had an incorrect date which was corrected during the visit.
Findings
No health or safety issues were observed during the facility tour, and there were no deficiencies reported. The incident report was corrected during the visit.

Employees mentioned
NameTitleContext
Melissa SpaethLicensing EvaluatorConducted the inspection and confirmed details of the incident report.
Rex RetoladoAdministratorFacility administrator who confirmed census and incident report details.

Inspection Report

Census: 6 Capacity: 6 Deficiencies: 0 Date: Apr 25, 2023

Visit Reason
The visit was conducted regarding an incident report dated 04/15/2023 involving a resident fall and subsequent hospital visit.

Findings
No health or safety issues were observed during the facility tour. The incident report was corrected during the visit. There are no deficiencies to report at this time.

Report Facts
Residents present: 6 Facility capacity: 6

Inspection Report

Annual Inspection
Census: 6 Capacity: 6 Deficiencies: 0 Date: Jun 10, 2022

Visit Reason
The inspection was a required unannounced annual visit to evaluate the facility's compliance with licensing regulations.

Findings
The inspection found the facility to be clean, well-maintained, and compliant with all regulations. All safety equipment was functional, and no deficiencies were reported.

Inspection Report

Annual Inspection
Census: 6 Capacity: 6 Deficiencies: 0 Date: Jun 10, 2022

Visit Reason
The inspection was a required unannounced 1-year visit to evaluate the facility's compliance with licensing regulations.

Findings
The facility was found to be clean, well-maintained, and compliant with all regulations. No deficiencies were reported during the inspection.

Employees mentioned
NameTitleContext
Rex RetoladoAdministratorMet with the Licensing Program Analyst during the inspection and confirmed census.

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