Inspection Reports for
Point Loma Elder Care
3941 Liggett Dr, San Diego, CA 92106, United States, CA, 92106
Back to Facility ProfileDeficiencies (last 6 years)
Deficiencies (over 6 years)
2.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
33% better than California average
California average: 4 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
100% occupied
Based on a February 2026 inspection.
Occupancy over time
Inspection Report
Complaint Investigation
Census: 6
Capacity: 6
Deficiencies: 0
Date: Feb 10, 2026
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2025-11-12 regarding physical abuse resulting in serious bodily injury and staff not safeguarding a resident's personal items.
Complaint Details
The complaint involved allegations of physical abuse causing serious bodily injury and failure to safeguard a resident's personal items. The investigation found no corroborating evidence, and the allegations were determined to be unsubstantiated.
Findings
Based on interviews, direct observations, and records review, the allegations were found to be unsubstantiated. Staff and residents reported no witnessing of abuse or theft, and the resident in question has a history of making inconsistent allegations. The facility was found to be clean, orderly, and compliant with safety regulations.
Report Facts
Capacity: 6
Census: 6
Property items: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Janet Ngallo | Licensing Program Analyst | Conducted the complaint investigation and unannounced visit |
| Nikki Mundhada | Administrator | Facility administrator interviewed during the investigation and exit interview |
Inspection Report
Complaint Investigation
Census: 6
Capacity: 6
Deficiencies: 0
Date: Jan 13, 2026
Visit Reason
An unannounced complaint investigation was conducted following an allegation that staff physically abused a resident at the facility.
Complaint Details
The complaint alleged staff physically abused Resident 1. After interviews, observations, and records review, the allegation was found to be unsubstantiated.
Findings
The investigation found no corroborating evidence of physical abuse. Staff and residents denied witnessing abuse, and facility records indicated the resident has a history of making unsubstantiated abuse allegations. The allegation was determined to be unsubstantiated.
Report Facts
Capacity: 6
Census: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Janet Ngallo | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Vinny Rathi | Facility Manager | Met with the Licensing Program Analyst during the investigation and received the report |
| Gaurav Rathi | Administrator | Named as facility administrator |
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 0
Date: Oct 8, 2025
Visit Reason
An unannounced required annual inspection was conducted to evaluate compliance with licensing requirements for the Point Loma Elder Care Facility.
Findings
The facility was found to be in compliance with all licensing requirements. No deficiencies were issued during the visit. The facility was well-maintained with no immediate risks to residents, and all required safety equipment and documentation were present and up to date.
Report Facts
Capacity: 6
Census: 6
Water temperature: 107
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Vinit Rathi | Facility Manager | Met with Licensing Program Analyst during inspection |
| Niki Mudhada | Administrator | Present during inspection and exit interview |
| Iby Strong | Licensing Program Analyst | Conducted the inspection |
Inspection Report
Census: 6
Capacity: 6
Deficiencies: 0
Date: Oct 8, 2025
Visit Reason
An unannounced quarterly Case Management/Legal Non-Compliance visit was conducted to evaluate the licensee's ongoing compliance with the requirements described in LIC9111 and the terms of the compliance conference agreed upon on January 22, 2025.
Findings
The facility was found to be clean, safe, and in good repair with current and complete records. No immediate health or safety concerns were observed, and no deficiencies were issued during this compliance visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nikita Mundhada | Administrator | Met with during inspection and exit interview. |
| Iby Strong | Licensing Program Analyst | Conducted the inspection visit. |
| Simon Jacob | Licensing Program Manager | Named in report header. |
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 0
Date: Oct 8, 2025
Visit Reason
An unannounced required annual inspection was conducted to evaluate compliance with licensing requirements for the facility.
Findings
The facility was found to be in compliance with all licensing requirements. No deficiencies were issued during the inspection. The facility was clean, safe, and well-maintained with all required equipment and documentation in place.
Report Facts
Facility capacity: 6
Census: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Iby Strong | Licensing Program Analyst | Conducted the inspection |
| Simon Jacob | Licensing Program Manager | Named as Licensing Program Manager on report |
| Vinit Rathi | Facility Manager | Met with Licensing Program Analyst during inspection |
| Niki Mudhada | Administrator | Present during inspection and exit interview |
Inspection Report
Census: 6
Capacity: 6
Deficiencies: 0
Date: Oct 8, 2025
Visit Reason
Licensing Program Analyst Iby Strong conducted an unannounced quarterly Case Management/Legal Non-Compliance visit to evaluate the licensee's ongoing compliance with the requirements described in LIC9111 and the terms of a compliance plan agreed upon on January 22, 2025.
Findings
The facility was clean, safe, and in good repair with current and complete records. No immediate health or safety concerns were observed, and no deficiencies were issued during this compliance visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Iby Strong | Licensing Program Analyst | Conducted the unannounced quarterly Case Management/Legal Non-Compliance visit. |
| Nikita Mundhada | Administrator | Met with Licensing Program Analyst during the inspection and participated in the exit interview. |
Inspection Report
Complaint Investigation
Census: 6
Capacity: 6
Deficiencies: 0
Date: Aug 26, 2025
Visit Reason
An unannounced complaint investigation was conducted in response to an allegation of neglect/lack of supervision resulting in resident abuse at Point Loma Elder Care Facility.
Complaint Details
The complaint alleged neglect/lack of supervision resulting in resident abuse. The investigation found the allegation unsubstantiated based on interviews and record reviews.
Findings
The investigation included interviews and record reviews which revealed no preponderance of evidence to substantiate the abuse allegation. The resident referenced past childhood abuse unrelated to the facility, and staff reported behavioral disturbances but no current abuse was found. The allegation was determined to be unsubstantiated.
Report Facts
Facility capacity: 6
Census: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Iby Strong | Licensing Evaluator | Conducted the complaint investigation |
| Janet Ngallo | Licensing Program Analyst | Assisted in conducting the complaint investigation |
| Gaurav Rathi | Administrator | Facility administrator named in report header |
| Nikita Mundhada | Administrator | Met with investigators during the visit and participated in exit interview |
| Vinit Rathi | Co Administrator | Arrived during the investigation visit |
| Hugo Duran | Caregiver | Met with investigators during the visit |
| Simon Jacob | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 6
Capacity: 6
Deficiencies: 0
Date: May 23, 2025
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations that staff did not assist a resident with dental care and dressing.
Complaint Details
The complaint involved two allegations: staff did not assist a resident with dental care and staff did not assist a resident with dressing. The investigation included interviews with staff, residents, and external sources, as well as record reviews. The resident was diagnosed with Parkinson’s disease, tremors, and Mild Cognitive Impairment. The evidence did not prove the allegations by a preponderance of evidence, resulting in an unsubstantiated finding.
Findings
The investigation found that staff generally assisted the resident with dental implant care and dressing, with some isolated occasions where assistance may have been missed. However, there was insufficient evidence to substantiate the allegations, and the complaint was determined to be unsubstantiated.
Report Facts
Capacity: 6
Census: 6
Complaint Control Number: 08-AS-20250117155139
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sabel Martinez | Licensing Program Analyst | Conducted the complaint investigation visit and delivered findings |
| Gaurav Rathi | Administrator | Facility administrator met during the investigation and exit interview |
Inspection Report
Census: 6
Capacity: 6
Deficiencies: 0
Date: Jan 21, 2025
Visit Reason
Licensing Program Analyst Sabel Martinez conducted an unannounced Case Management visit to the facility to conduct a tour, obtain Plan of Correction documents, and secure signatures.
Findings
No immediate health or safety concerns were observed during the visit. An exit interview was conducted with the Administrator, and relevant documents were provided and acknowledged.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Gaurav Rathi | Administrator | Met with during the visit and involved in the exit interview. |
| Sabel Martinez | Licensing Program Analyst | Conducted the unannounced Case Management visit. |
Inspection Report
Census: 6
Capacity: 6
Deficiencies: 0
Date: Jan 21, 2025
Visit Reason
An unannounced Case Management visit was conducted by Licensing Program Analyst Sabel Martinez to tour the facility, obtain Plan of Correction documents, and secure signatures.
Findings
No immediate health or safety concerns were observed during the visit. The administrator received a copy of the report and licensee rights via email.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Gaurav Rathi | Administrator | Met with Licensing Program Analyst during the visit and received report and licensee rights. |
| Sabel Martinez | Licensing Program Analyst | Conducted the unannounced Case Management visit. |
Inspection Report
Census: 6
Capacity: 6
Deficiencies: 0
Date: Oct 25, 2024
Visit Reason
An unannounced Case Management visit was conducted by Licensing Program Analyst Sabel Martinez to review the facility and request staff training records.
Findings
The Licensing Program Analyst toured the facility, secured report signatures, delivered amended reports, and conducted an exit interview with the administrator. No deficiencies or violations were explicitly stated.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Gaurav Rathi | Administrator | Administrator who assisted the Licensing Program Analyst during the visit and participated in the exit interview. |
| Sabel Martinez | Licensing Program Analyst | Conducted the unannounced Case Management visit. |
Inspection Report
Census: 6
Capacity: 6
Deficiencies: 0
Date: Oct 25, 2024
Visit Reason
An unannounced Case Management visit was conducted by Licensing Program Analyst Sabel Martinez to review facility operations and request staff training records.
Findings
The Licensing Program Analyst toured the facility, secured report signatures, delivered amended reports, and conducted an exit interview with the Administrator. No deficiencies or violations were explicitly stated in the report.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Gaurav Rathi | Administrator | Administrator who assisted the Licensing Program Analyst during the visit and participated in the exit interview. |
| Sabel Martinez | Licensing Program Analyst | Conducted the unannounced Case Management visit. |
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 0
Date: Oct 4, 2024
Visit Reason
The inspection was an unannounced required annual inspection conducted to evaluate compliance with licensing regulations for the Point Loma Elder Care facility.
Findings
The facility was found to be clean, sanitary, and in good repair with no deficiencies cited. All required safety equipment, furnishings, and supplies were present and in working order. Staff and client records contained required documents.
Report Facts
Licensed capacity: 6
Current census: 6
Hospice waiver capacity: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Gaurav Rathi | Licensee and Administrator | Assisted Licensing Program Analyst during inspection |
| Travonna Washington | Administrator | Assisted Licensing Program Analyst during inspection |
| Sabel Martinez | Licensing Program Analyst | Conducted the inspection |
| Lizzette Tellez | Supervisor | Supervisor overseeing the inspection |
Inspection Report
Complaint Investigation
Census: 6
Capacity: 6
Deficiencies: 1
Date: Oct 4, 2024
Visit Reason
An unannounced Case Management visit was conducted in response to a previously substantiated complaint alleging neglect resulting in a resident sustaining a stage 4 pressure injury.
Complaint Details
The complaint (Complaint # 08-AS-20190809110049) was substantiated on September 30, 2020, regarding neglect causing a stage 4 pressure injury to a resident.
Findings
During the visit, an immediate $500 civil penalty was assessed related to the substantiated complaint of neglect. The civil penalty assessment is under review by the Program Administrator of the Community Care Licensing Division.
Deficiencies (1)
Neglect resulting in a resident sustaining a stage 4 pressure injury
Report Facts
Civil penalty amount: 500
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Gaurav Rathi | Licensee / Administrator | Met with during the visit and involved in exit interview |
| Sabel Martinez | Licensing Program Analyst | Conducted the unannounced Case Management visit |
| Lizzette Tellez | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Census: 6
Capacity: 6
Deficiencies: 1
Date: Oct 4, 2024
Visit Reason
An unannounced Case Management visit was conducted to assess compliance and address a previously substantiated complaint allegation regarding resident care.
Complaint Details
The visit was in response to a substantiated complaint (Complaint # 08-AS-20191231162534) reported on December 31, 2019, and substantiated on June 18, 2021, regarding staff leaving a resident in soiled clothing.
Findings
During the visit, an immediate $500 civil penalty was assessed related to a previously substantiated complaint about a resident being left in soiled clothing. The deficiency was amended from a Type B to a Type A deficiency.
Deficiencies (1)
Resident left in soiled clothing
Report Facts
Civil penalty amount: 500
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Gaurav Rathi | Administrator | Met with during the visit and involved in exit interview |
| Sabel Martinez | Licensing Program Analyst | Conducted the unannounced Case Management visit |
Inspection Report
Complaint Investigation
Census: 6
Capacity: 6
Deficiencies: 1
Date: Oct 4, 2024
Visit Reason
The visit was an unannounced Case Management inspection conducted in response to a previously substantiated complaint regarding lack of supervision of a resident.
Complaint Details
Complaint # 08-AS-20220912085344 was substantiated on October 12, 2023, regarding lack of supervision of a resident.
Findings
During the visit, an immediate $500 civil penalty was assessed related to the substantiated complaint. The deficiency was amended from a Type B to a Type A deficiency.
Deficiencies (1)
Lack of supervision of a resident
Report Facts
Civil penalty amount: 500
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Gaurav Rathi | Administrator | Met with during the inspection and involved in exit interview |
| Sabel Martinez | Licensing Program Analyst | Conducted the unannounced Case Management visit |
| Lizzette Tellez | Licensing Program Manager | Named in the report header |
Inspection Report
Census: 6
Capacity: 6
Deficiencies: 1
Date: Oct 4, 2024
Visit Reason
An unannounced Case Management visit was conducted by Licensing Program Analyst Sabel Martinez to assess a previously substantiated complaint allegation regarding neglect resulting in a a resident sustaining a stage 4 pressure injury.
Complaint Details
The visit was in response to a previously substantiated complaint (Complaint # 08-AS-20190809110049) regarding neglect that caused a stage 4 pressure injury to a resident. The allegation was substantiated on September 30, 2020.
Findings
During the visit, an immediate $500 civil penalty was assessed in response to the substantiated complaint. The civil penalty assessment is under review by the Program Administrator of the Community Care Licensing Division.
Deficiencies (1)
Neglect resulting in a resident sustaining a stage 4 pressure injury
Report Facts
Civil penalty amount: 500
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sabel Martinez | Licensing Program Analyst | Conducted the unannounced Case Management visit and assessed the civil penalty |
| Gaurav Rathi | Licensee / Administrator | Facility representative present during the visit and exit interview |
Inspection Report
Complaint Investigation
Census: 6
Capacity: 6
Deficiencies: 1
Date: Oct 4, 2024
Visit Reason
An unannounced Case Management visit was conducted to assess a previously substantiated complaint allegation regarding a resident being left in soiled clothing.
Complaint Details
The complaint was substantiated regarding staff leaving a resident in soiled clothing, originally reported on December 31, 2019, and substantiated on June 18, 2021.
Findings
During the visit, an immediate $500 civil penalty was assessed related to the substantiated complaint. The deficiency was amended from a Type B to a Type A Deficiency.
Deficiencies (1)
Resident left in soiled clothing
Report Facts
Civil penalty amount: 500
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Gaurav Rathi | Administrator | Met during visit and involved in exit interview |
| Sabel Martinez | Licensing Program Analyst | Conducted the unannounced Case Management visit |
Inspection Report
Complaint Investigation
Census: 6
Capacity: 6
Deficiencies: 1
Date: Oct 4, 2024
Visit Reason
The visit was an unannounced Case Management inspection conducted in response to a previously substantiated complaint alleging lack of supervision of a resident.
Complaint Details
Complaint # 08-AS-20220912085344 was substantiated on October 12, 2023, regarding lack of supervision of a resident.
Findings
During the visit, an immediate $500 civil penalty was assessed related to the substantiated complaint. The deficiency was amended from a Type B to a Type A deficiency.
Deficiencies (1)
Lack of supervision of a resident
Report Facts
Civil penalty amount: 500
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Gaurav Rathi | Administrator | Met with during the inspection and named in the report |
| Sabel Martinez | Licensing Program Analyst | Conducted the unannounced Case Management visit |
| Lizzette Tellez | Supervisor | Supervisor named in the report |
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 0
Date: Oct 4, 2024
Visit Reason
The inspection was an unannounced required annual inspection conducted to evaluate compliance with licensing requirements for the Point Loma Elder Care Facility.
Findings
The facility was found to be clean, sanitary, and in good repair with no deficiencies cited. All required safety equipment, furnishings, and supplies were present and in working order. Staff and client records contained the required documents.
Report Facts
Licensed capacity: 6
Current census: 6
Hospice waiver capacity: 3
Perishable food supply: 2
Non-perishable food supply: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Gaurav Rathi | Licensee and Administrator | Assisted Licensing Program Analyst during inspection and exit interview |
| Travonna Washington | Administrator | Assisted Licensing Program Analyst during inspection |
| Sabel Martinez | Licensing Program Analyst | Conducted the unannounced annual inspection |
Inspection Report
Complaint Investigation
Census: 6
Capacity: 6
Deficiencies: 1
Date: Nov 13, 2023
Visit Reason
An unannounced complaint investigation was conducted regarding allegations that staff did not treat a resident with dignity, physically assaulted a resident resulting in injuries, and destroyed the resident's personal belongings.
Complaint Details
The complaint investigation was substantiated for the allegation that staff did not treat a resident with dignity. The investigation found that a former employee was involved in a physical confrontation with the resident. The allegations of physical assault resulting in injuries and destruction of personal belongings were unsubstantiated due to lack of corroborating evidence.
Findings
The allegation that staff did not treat a resident with dignity was substantiated based on interviews and evidence. However, allegations that staff physically assaulted the resident causing injuries and destroyed the resident's personal belongings were unsubstantiated due to conflicting statements and insufficient corroboration.
Deficiencies (1)
Personal Rights - To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature was not met.
Report Facts
Capacity: 6
Census: 6
Plan of Correction Due Date: Nov 15, 2023
Plan of Correction Completion Date: Dec 13, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Daniel Pena | Licensing Program Analyst | Conducted the complaint investigation |
| Gaurav Rathi | Administrator | Facility administrator involved in exit interview |
| Hugo Duran | Caregiver | Met with Licensing Program Analyst during investigation |
| Simon Jacob | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 6
Capacity: 6
Deficiencies: 1
Date: Nov 13, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit conducted to investigate allegations that staff did not treat a resident with dignity, physically assaulted a resident resulting in injuries, and destroyed the resident's personal belongings.
Complaint Details
The complaint investigation was substantiated for the allegation that staff did not treat a resident with dignity. The allegation that staff physically assaulted the resident resulting in injuries and destroyed personal belongings was unsubstantiated due to insufficient evidence and conflicting statements.
Findings
The investigation substantiated that a former employee did not treat a resident with dignity, citing a physical confrontation with the resident. However, allegations that staff assaulted the resident causing injuries and destroyed personal belongings were unsubstantiated due to conflicting statements and lack of corroboration.
Deficiencies (1)
Personal Rights - To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature was not met.
Report Facts
Capacity: 6
Census: 6
Deficiency count: 1
Plan of Correction Due Date: Nov 15, 2023
Plan of Correction Completion Date: Dec 13, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Daniel Pena | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Simon Jacob | Licensing Program Manager | Oversaw the complaint investigation |
| Gaurav Rathi | Administrator | Facility administrator involved in exit interview and report receipt |
| Hugo Duran | Caregiver | Facility staff member met during the unannounced visit |
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 0
Date: Oct 20, 2023
Visit Reason
An unannounced Required Annual Inspection was conducted to evaluate compliance with licensing requirements for the facility.
Findings
The facility was found to be organized, clean, and in good repair with no safety hazards observed. All required furnishings, equipment, and supplies were present and properly maintained. No residents were bedridden or receiving hospice care, and no deficiencies or violations were noted.
Report Facts
Non-ambulatory residents present: 5
Hospice waiver approved residents: 3
Bedridden residents allowed: 1
Days of perishable food present: 2
Days of non-perishable food present: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Daniel Pena | Licensing Program Analyst | Conducted the inspection and authored the report |
| Gaurav Rathi | Administrator | Facility administrator who met with the Licensing Program Analyst during the inspection |
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 0
Date: Oct 20, 2023
Visit Reason
The inspection was an unannounced Required Annual Inspection conducted to evaluate compliance with licensing requirements for the facility.
Findings
The facility was found to be organized, clean, and in good repair with no safety hazards observed. Resident rooms were properly furnished, medications were stored correctly, and emergency equipment was present and functional. No residents were bedridden or receiving hospice care at the time of inspection.
Report Facts
Non-ambulatory residents: 5
Hospice waiver capacity: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Daniel Pena | Licensing Program Analyst | Conducted the inspection |
| Gary Rathi | Administrator | Facility administrator met with the Licensing Program Analyst during the inspection |
Inspection Report
Complaint Investigation
Census: 6
Capacity: 6
Deficiencies: 1
Date: Oct 12, 2023
Visit Reason
An unannounced complaint investigation visit was conducted following a complaint received on 2022-09-12 alleging neglect and lack of supervision of a resident.
Complaint Details
The complaint alleged neglect/lack of supervision resulting in a resident fall and minor injuries. The allegation was substantiated based on interviews, observations, and records review.
Findings
The investigation substantiated that facility staff failed to provide required assistance to one resident, resulting in a fall and minor injuries. A plan of correction was developed with the administrator.
Deficiencies (1)
Facility staff did not provide required assistance to 1 out of 6 residents, posing a potential safety risk.
Report Facts
Residents present: 6
Licensed capacity: 6
Deficiencies cited: 1
Plan of Correction Due Date: Nov 13, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Gaurav Rathi | Administrator | Named in relation to the complaint investigation and exit interview |
| Riza Gloria Alvarez | Licensing Program Analyst | Conducted the complaint investigation |
| Denise Powell | Supervisor | Supervisor overseeing the investigation |
| Sabel Martinez | Licensing Evaluator | Evaluator signing deficiency information |
| Lizzette Tellez | Supervisor | Supervisor named in deficiency section |
Inspection Report
Complaint Investigation
Census: 6
Capacity: 6
Deficiencies: 1
Date: Oct 12, 2023
Visit Reason
The inspection was conducted as an unannounced complaint investigation visit following a complaint received on 2022-09-12 alleging neglect and lack of supervision of a resident.
Complaint Details
The complaint alleged neglect/lack of supervision of a resident who fell and sustained minor injuries. The allegation was substantiated based on interviews, observations, and records review.
Findings
The investigation substantiated that facility staff failed to provide required assistance to one resident, resulting in a fall and minor injuries. The staff member omitted pertinent facts in the incident report, and immediate corrective action was taken by the administrator.
Deficiencies (1)
Facility staff did not provide required assistance to 1 out of 6 residents, posing a potential safety risk.
Report Facts
Deficiencies cited: 1
Plan of Correction Due Date: Nov 13, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Gary Rathi | Administrator | Administrator involved in the investigation and exit interview |
| Riza Gloria Alvarez | Licensing Program Analyst | Conducted the complaint investigation visit |
Inspection Report
Census: 6
Capacity: 6
Deficiencies: 0
Date: Mar 30, 2023
Visit Reason
The Licensing Program Analyst conducted a visit to deliver findings for an investigation and to conduct a case management visit.
Findings
No deficiencies were cited during the visit. Technical advisories were provided to the Co-Administrator.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Carmen Lopez | Licensing Program Analyst | Conducted the visit and delivered findings. |
| Gaurav Rathi | Administrator | Named as facility administrator and Co-Administrator present during exit interview. |
| Travonna Washington | Facility Manager | Met with Licensing Program Analyst during the visit. |
| Niki Mundhada Rathi | Co-Administrator | Joined the visit and participated in the exit interview. |
Inspection Report
Census: 6
Capacity: 6
Deficiencies: 0
Date: Mar 30, 2023
Visit Reason
Licensing Program Analyst Carmen Lopez conducted a visit to deliver findings for an investigation and to conduct a case management visit.
Findings
No deficiencies were cited during the visit. Technical advisories were given per Title 22, Division 6, Chapter 8 of the California Code of Regulations.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Carmen Lopez | Licensing Program Analyst | Conducted the visit and delivered findings. |
| Gaurav Rathi | Administrator | Named as facility administrator and Co-Administrator present during exit interview. |
| Travonna Washington | Facility Manager | Met with Licensing Program Analyst during the visit. |
| Niki Mundhada Rathi | Co-Administrator | Joined the visit and exit interview. |
Inspection Report
Complaint Investigation
Census: 6
Capacity: 6
Deficiencies: 0
Date: Mar 30, 2023
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations that staff did not afford residents dignity, yelled at residents, and did not afford residents to be free from intimidation.
Complaint Details
The complaint investigation was unsubstantiated based on insufficient evidence to support allegations that staff did not afford residents dignity, yelled at residents, or intimidated residents.
Findings
The investigation included interviews with staff, residents, and outside sources, as well as observations and records review. There was insufficient evidence to substantiate the allegations of staff denying dignity, yelling at residents, or intimidating residents. The allegations were deemed unsubstantiated.
Report Facts
Capacity: 6
Census: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Carmen Lopez | Licensing Program Analyst | Conducted the complaint investigation visit |
| Travonna Washington | Facility Manager/Co-Administrator | Met with Licensing Program Analyst during the investigation and exit interview |
Inspection Report
Complaint Investigation
Census: 6
Capacity: 6
Deficiencies: 0
Date: Mar 30, 2023
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations that staff did not afford residents dignity, yelled at residents, and did not afford residents to be free from intimidation.
Complaint Details
The complaint alleged that staff did not afford residents dignity, yelled at residents, and intimidated residents. The investigation found no evidence to support these allegations, and they were deemed unsubstantiated.
Findings
The investigation included interviews with staff, residents, and outside sources, as well as observations and records review. The allegations were found to be unsubstantiated due to insufficient evidence supporting claims of staff misconduct regarding dignity, yelling, or intimidation.
Report Facts
Capacity: 6
Census: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Carmen Lopez | Licensing Program Analyst | Conducted the complaint investigation visit |
| Rebecca Hedgecock | Licensing Program Manager | Oversaw the complaint investigation |
| Travonna Washington | Facility Manager/Co-Administrator | Met with Licensing Program Analyst during exit interview |
Inspection Report
Complaint Investigation
Census: 6
Capacity: 6
Deficiencies: 0
Date: Mar 23, 2023
Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation that meals did not meet residents' needs at Point Loma Elder Care Facility.
Complaint Details
The complaint alleged that meals did not meet resident's needs. The investigation found no evidence supporting the allegation, and it was unsubstantiated.
Findings
The investigation included interviews, records review, and a facility tour. It was found that resident 1 required a mechanical soft diet and assistance with all activities of daily living. The resident's decline in meal intake was related to their medical condition and hospice care, with no evidence of denial of food or water. The allegation was deemed unsubstantiated.
Report Facts
Capacity: 6
Census: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rebecca A Ruiz | Licensing Program Analyst | Conducted the complaint investigation visit |
| Travonna Washington | Administrator | Met with during the investigation and exit interview |
Inspection Report
Complaint Investigation
Census: 6
Capacity: 6
Deficiencies: 0
Date: Mar 23, 2023
Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that meals did not meet a resident's needs.
Complaint Details
The complaint alleged that meals did not meet the resident's needs. The allegation was investigated and found unsubstantiated based on interviews and records review.
Findings
The investigation included interviews, record reviews, and a facility tour. It was found that the resident required a mechanical soft diet and assistance with all activities of daily living. The resident's medical condition declined and they were admitted to hospice care, where poor meal intake was noted. There was no evidence of denial of food or water, and the allegation was deemed unsubstantiated.
Report Facts
Facility capacity: 6
Census: 6
Complaint control number: 08-AS-20220309105309
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rebecca A Ruiz | Licensing Program Analyst | Conducted the complaint investigation visit |
| Travonna Washington | Administrator | Met with during the investigation and exit interview |
| Lizzette Tellez | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 0
Date: Oct 31, 2022
Visit Reason
An unannounced Required 1-Year Visit was conducted to evaluate the facility's compliance with licensing requirements and infection control protocols.
Findings
No deficiencies were cited or observed during the inspection. The facility demonstrated compliance with infection control measures including disinfection, testing surveillance, screening protocols, and use of personal protective equipment.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Gaurav Rathi | Administrator | Met with Licensing Program Analyst during the inspection and received a copy of the report and appeal rights. |
| Tiffany Holmes | Licensing Program Analyst | Conducted the unannounced Required 1-Year Visit and evaluation. |
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 0
Date: Oct 31, 2022
Visit Reason
An unannounced required 1-year visit was conducted to evaluate the facility's compliance with licensing requirements and infection control protocols.
Findings
No deficiencies were cited or observed during the inspection. The facility's infection control mitigation plan, including disinfection, testing surveillance, screening protocols, and use of personal protective equipment, was evaluated and found satisfactory.
Report Facts
Capacity: 6
Census: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Gary Rathi | Administrator | Met with Licensing Program Analyst during inspection |
| Tiffany Holmes | Licensing Program Analyst | Conducted the unannounced required 1-year visit |
| Simon Jacob | Licensing Program Manager | Named in report header |
Inspection Report
Complaint Investigation
Census: 6
Capacity: 6
Deficiencies: 0
Date: Aug 22, 2022
Visit Reason
An unannounced complaint investigation was conducted regarding an allegation that staff failed to follow the admission agreement and increased rent for Resident 1 without proper notification.
Complaint Details
The complaint alleged failure to follow the admission agreement and improper rent increase for Resident 1. The complaint was determined to be unsubstantiated.
Findings
The investigation found that although the allegation may have happened or is valid, there was not a preponderance of evidence to prove the violation occurred. The rent increase was delayed and proper written notice was eventually provided as required.
Report Facts
Capacity: 6
Census: 6
Resident 1 basic rate: 5750
Resident 1 rent increase: 6250
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Daniel Pena | Licensing Program Analyst | Conducted the complaint investigation |
| Joseph Buda | Caregiver | Met with the investigator and discussed the purpose of the visit |
Inspection Report
Complaint Investigation
Census: 6
Capacity: 6
Deficiencies: 0
Date: Aug 22, 2022
Visit Reason
An unannounced complaint investigation visit was conducted regarding an allegation that staff failed to follow the admission agreement and increased rent for Resident 1 improperly.
Complaint Details
The complaint alleged failure to follow the admission agreement and improper rent increase for Resident 1. The investigation determined the complaint to be unsubstantiated.
Findings
The investigation found that although the allegation may have occurred, there was insufficient evidence to substantiate the violation. The facility did not increase Resident 1's rent until over a year after the complaint was filed, and proper written notice was provided as required.
Report Facts
Resident rent amount: 5750
Resident rent amount: 6250
Complaint received date: Oct 19, 2020
Facility capacity: 6
Facility census: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Daniel Pena | Licensing Program Analyst | Conducted the complaint investigation visit and delivered findings |
| Joseph Buda | Caregiver | Met with Licensing Program Analyst during the investigation |
| Simon Jacob | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Census: 6
Capacity: 6
Deficiencies: 0
Date: Apr 21, 2022
Visit Reason
Licensing Program Analyst Rebecca Ruiz conducted an unannounced case management visit to follow up on a self-reported incident received by the Regional Office on 12/3/2021.
Findings
No deficiencies were observed or cited during the visit. The Licensing Program Analyst observed residents and reviewed facility records.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rebecca Ruiz | Licensing Program Analyst | Conducted the unannounced case management visit. |
| Gary Rathi | Administrator | Administrator present during the visit and participated in the exit interview. |
Inspection Report
Census: 6
Capacity: 6
Deficiencies: 0
Date: Apr 21, 2022
Visit Reason
An unannounced case management visit was conducted to follow up on a self-reported incident received by the Regional Office on 12/3/2021.
Findings
No deficiencies were observed or cited during the visit. The Licensing Program Analyst observed residents and reviewed facility records.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Gaurav Rathi | Administrator | Administrator present during the visit and participated in the exit interview. |
| Rebecca A Ruiz | Licensing Program Analyst | Conducted the unannounced case management visit. |
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 0
Date: Sep 14, 2021
Visit Reason
Licensing Program Analyst Rebecca Ruiz conducted an unannounced Required 1 - Year Visit to evaluate the facility's compliance with licensing requirements and infection control measures.
Findings
The facility was evaluated for compliance with the Department’s Infection Control policies including COVID-19 mitigation measures such as disinfection, testing surveillance, screening protocols, and use of personal protective equipment. No deficiencies were cited or observed during this visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rebecca Ruiz | Licensing Program Analyst | Conducted the unannounced Required 1 - Year Visit and evaluation |
| Gaurav Rathi | Administrator | Facility administrator present during the visit and exit interview |
| Joseph Taylor | Live-In Caregiver | Met with Licensing Program Analyst during the visit |
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 0
Date: Sep 14, 2021
Visit Reason
An unannounced Required 1-Year Visit was conducted to evaluate the facility's compliance with licensing requirements and COVID-19 mitigation protocols.
Findings
The Licensing Program Analyst conducted a tour and observed the clients in care, providing technical assistance on infection control. No deficiencies were cited or observed during this inspection.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Gaurav Rathi | Administrator | Administrator present during the visit and participated in the exit interview. |
| Joseph Taylor | Live-In Caregiver | Met with Licensing Program Analyst during the inspection. |
| Rebecca Ruiz | Licensing Program Analyst | Conducted the inspection and evaluation. |
Inspection Report
Census: 5
Capacity: 6
Deficiencies: 0
Date: Jun 30, 2021
Visit Reason
A virtual case management visit was conducted via FaceTime to deliver an amended report to the facility administrator.
Findings
The Licensing Program Analyst informed the licensee of the reasons for the amended report and provided the updated report for their records. An exit interview was conducted via video-call.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Daniel Pena | Licensing Program Analyst | Conducted the virtual case management visit and delivered the amended report. |
| Gaurav Rathi | Administrator | Facility administrator who participated in the visit and exit interview. |
| John Rante | Licensing Program Manager | Named in the report header. |
Inspection Report
Census: 5
Capacity: 6
Deficiencies: 0
Date: Jun 30, 2021
Visit Reason
A virtual case management visit was conducted via FaceTime to deliver an amended report to the facility administrator and inform the licensee of the reasons for the amended report.
Findings
The licensing program analyst conducted a virtual visit, provided the updated report to the administrator, and confirmed receipt of the documents via electronic response. No deficiencies or violations were noted in the report.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Daniel Pena | Licensing Program Analyst | Conducted the virtual case management visit and delivered the amended report. |
| Gaurav Rathi | Administrator | Facility administrator who received the amended report and participated in the exit interview. |
Inspection Report
Complaint Investigation
Census: 5
Capacity: 6
Deficiencies: 3
Date: Jun 18, 2021
Visit Reason
The inspection was an unannounced complaint investigation triggered by allegations that staff left a resident in soiled clothing, failed to provide proper care, and that the resident's signal system was not operating.
Complaint Details
The complaint investigation was substantiated based on evidence including resident records, staff and outside source interviews, and observations that confirmed the allegations of neglect and failure to provide proper care.
Findings
The investigation substantiated the allegations, finding that a resident had been left in urine-soaked clothing and soiled bed covers, had skin breakdown, and that staff did not provide adequate incontinence care or respond properly to bed and chair alarms. Staffing shortages, especially during night shifts, contributed to these deficiencies. The facility implemented schedule changes and policies to address these issues.
Deficiencies (3)
Ensuring that incontinent residents are kept clean and dry was not met due to staff shortages on night shift resulting in residents not receiving incontinence care.
Adequate number of direct care staff to support residents' physical, social, emotional, safety and health care needs was not met due to night shift staff shortage.
Facility personnel were not sufficient in numbers and competent to provide necessary services; staff did not check if bed and chair alarms were operational.
Report Facts
Capacity: 6
Census: 5
Deficiencies cited: 3
Plan of Correction Due Dates: Jan 8, 2020
Plan of Correction Due Date: Jul 18, 2021
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Daniel Pena | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Gaurav Rathi | Administrator | Facility administrator involved in the investigation and exit interview |
Inspection Report
Complaint Investigation
Census: 5
Capacity: 6
Deficiencies: 3
Date: Jun 18, 2021
Visit Reason
Unannounced complaint investigation visit conducted due to allegations that staff left a resident in soiled clothing, failed to provide proper care, and that the resident's signal system was not operating.
Complaint Details
The complaint investigation was substantiated based on evidence that staff left a resident in soiled clothing, failed to provide proper care, and did not maintain the resident's signal system. The preponderance of evidence standard was met, validating the allegations.
Findings
The investigation substantiated the allegations that due to staffing shortages, residents, including Resident 1, did not receive adequate incontinence care during night shifts, and staff failed to ensure bed and chair alarms were operational, posing potential health and safety risks. The facility implemented schedule changes and policies to address these issues.
Deficiencies (3)
Managed Incontinence: Licensee failed to ensure incontinent residents were kept clean and dry due to staff shortages on night shift.
Care of Persons with Dementia: Facility did not have adequate direct care staff to support residents' needs, including awake night supervision for residents with dementia.
Personnel Requirements–General: Facility personnel were not sufficient in numbers and competent to provide necessary services, including checking bed and chair alarms.
Report Facts
Capacity: 6
Census: 5
Plan of Correction Due Date: Jan 8, 2020
Plan of Correction Due Date: Jul 18, 2021
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Daniel Pena | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Gaurav Rathi | Administrator | Facility administrator involved in the investigation and exit interview |
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