Most inspections found no deficiencies, with the facility generally clean, well-maintained, and compliant with safety and care standards. The most recent report from August 27, 2025, showed full compliance with no deficiencies. One earlier annual inspection in August 2024 noted a minor issue where three residents’ Needs & Service Plans were not updated as required, but this was isolated and posed only potential risks. Several complaint investigations, including one in August 2021, were unsubstantiated, finding no evidence of neglect or improper restrictions. Overall, the facility’s record shows consistent compliance with occasional minor documentation issues that appear to have been addressed.
The inspection was conducted as the Annual 1-year required inspection to evaluate compliance with licensing requirements.
Findings
The facility was found to be in full compliance with no deficiencies cited. The physical plant, resident and staff files, medication records, and safety equipment were all observed to meet required standards.
An unannounced Annual Required – 1 year inspection was conducted to evaluate the facility's compliance with licensing regulations and overall care standards.
Findings
The facility was found to be clean, well-maintained, and compliant with fire safety and food storage regulations. Staff training was mostly up to date, except for dementia care training which was scheduled to be completed by 09/08/2024. Three residents' Needs & Service Plans required updates.
Severity Breakdown
Type B: 1
Deficiencies (1)
Description
Severity
Three residents (R1-R3) had Needs & Service Plans that were not updated as required, posing potential health, safety, or personal rights risks.
Type B
Report Facts
Residents reviewed for Needs & Service Plans: 10Residents with outdated Needs & Service Plans: 3Staff files spot checked: 7Fire extinguisher last charged date: Jun 6, 2024Fire safety inspection date: Jul 23, 2024
Employees Mentioned
Name
Title
Context
Galina Knop
Administrator
Named with active Administrator Certificate
Dominic Tobola
Licensing Program Analyst
Conducted the inspection
Andrea Medlin
Licensing Program Manager
Supervisor of the inspection
Catherine Villegas
Wellness Director
Met during inspection
Joy Bautista
Caregiver Staff
Greeted Licensing Program Analyst at inspection start
An unannounced annual inspection was conducted by Licensing Program Analyst Murial Han to evaluate compliance with licensing requirements.
Findings
The facility was found to be clean and tidy with no accessible bodies of water or fire safety hazards. Infection control practices, including COVID-19 testing and PPE supply, were adequate. Medications, toxins, and sharps were stored properly, and no deficiencies were cited.
Employees Mentioned
Name
Title
Context
Murial Han
Licensing Program Analyst
Conducted the unannounced annual inspection and authored the report.
Jackie Jin
Licensing Program Manager
Named as Licensing Program Manager on the report.
Catherine Villegas
Health and Wellness Director
Met with the Licensing Program Analyst during the inspection.
An unannounced annual inspection was conducted to evaluate compliance with licensing requirements and infection control practices.
Findings
The inspection found no deficiencies. Infection control practices, medication storage, environmental cleaning, and safety measures were all adequate. Recommendations were made to post additional hand washing signs and to have a foot-operated trash can lid in the kitchen.
Report Facts
Capacity: 34Census: 23
Employees Mentioned
Name
Title
Context
Murial Han
Licensing Program Analyst
Conducted the annual inspection and made recommendations
Catherine Villegas
Health and Wellness Director
Assisted with the annual inspection and reviewed the report
An unannounced complaint investigation was conducted following allegations received on 07/07/2021 regarding inadequate resident care including incontinence assistance, hygiene, clothing, family visit restrictions, and outing restrictions.
Findings
The investigation found no preponderance of evidence to substantiate the allegations. Observations and interviews with staff, residents' responsible parties, and review of visitor logs indicated residents were well cared for, with no evidence of neglect or improper restrictions.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included staff not assisting residents with incontinence and hygiene, leaving residents unclothed in bed, restricting family visits, and not allowing outings. Interviews and observations did not support these claims.
Report Facts
Facility capacity: 34Census: 23
Employees Mentioned
Name
Title
Context
Murial Han
Licensing Program Analyst
Conducted the complaint investigation and authored the report
Julio Montes
Licensing Program Manager
Oversaw the complaint investigation
Yvette Arevalo
Caregiver
Interviewed during the investigation regarding resident care
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