Inspection Reports for Quail Park Memory Care Residences in Visalia
CA, 93277
Back to Facility ProfileInspection Report Summary
Most inspections found no deficiencies, and several complaint investigations were unsubstantiated, indicating generally good compliance with regulations. However, earlier reports from 2022 through 2024 showed recurring issues with medication management, including missed doses, incomplete documentation, and medication discrepancies. The facility was also cited for safety risks such as chemicals stored improperly and an expired fire extinguisher, resulting in a $500 civil penalty in December 2022 related to staff neglect causing a resident injury. The most recent inspection on August 19, 2025, was clean with no deficiencies observed, showing improvement from previous years. Overall, while there were some serious concerns in the past, recent inspections suggest the facility has addressed many of these issues.
Deficiencies per Year
4
3
2
1
0
High
Moderate
Census Over Time
Census
Capacity
Inspection Report
Annual Inspection
Census: 26
Capacity: 44
Deficiencies: 0
Aug 19, 2025
Visit Reason
An unannounced annual inspection was conducted by Licensing Program Analyst M. Medina to evaluate the facility's compliance with licensing requirements.
Findings
The facility was observed to be clean, odor free, and comfortable with residents participating in activities. Safety features such as grab bars, fire pull stations, and operational carbon monoxide detectors were noted. No deficiencies were observed during the inspection.
Report Facts
Food supply duration: 2
Food supply duration: 7
Water temperature range: 108
Water temperature range: 119
Fire extinguisher service date: Dec 17, 2024
Last fire drill date: Jul 23, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Melinda Medina | Licensing Program Analyst | Conducted the unannounced annual inspection |
| Lauri Aguilar | Executive Director/Administrator | Met with Licensing Program Analyst during facility tour |
Inspection Report
Complaint Investigation
Census: 26
Capacity: 44
Deficiencies: 0
Dec 2, 2024
Visit Reason
An unannounced complaint investigation visit was conducted following a complaint received on 2024-08-05 alleging insufficient staffing and resident falls due to lack of supervision.
Findings
The investigation found that the facility had sufficient staffing to provide care despite changing staff needs due to census, and no major increase in falls was found. The allegations were determined to be unsubstantiated due to lack of preponderance of evidence.
Complaint Details
The complaint alleged insufficient staffing to meet resident needs and residents sustaining falls due to lack of staff supervision. The allegations were found unsubstantiated.
Report Facts
Capacity: 44
Census: 26
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lauri Aguilar | Executive Director | Met with Licensing Program Analyst during complaint investigation |
| Kamaldeep Kaur | Licensing Program Analyst | Conducted the complaint investigation |
Inspection Report
Complaint Investigation
Census: 25
Capacity: 44
Deficiencies: 1
Oct 17, 2024
Visit Reason
An unannounced complaint investigation was conducted following a complaint received on 2024-10-16 regarding residents missing medications.
Findings
The investigation found that residents were missing medications; a medication audit revealed that medications were not logged in the MARs or Medication narcotics Log as given, and the pill count was short by 3. The allegation was substantiated.
Complaint Details
The complaint was substantiated based on interviews and records review. Residents were missing medications, and the medication audit confirmed discrepancies.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| The licensee failed to assist residents with self-administered medications as needed, evidenced by a medication audit revealing a resident's medication pill count was short by 3 pills and not documented as administered. | Type A |
Report Facts
Deficiencies cited: 1
Pill count discrepancy: 3
Capacity: 44
Census: 25
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kamaldeep Kaur | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Lauri Aguilar | Executive Director | Met with Licensing Program Analyst during investigation and exit interview |
| Kassandra Hernandez | Health and Wellness Director | Joined the investigation meeting shortly after it began |
Inspection Report
Annual Inspection
Census: 29
Capacity: 44
Deficiencies: 4
Aug 8, 2024
Visit Reason
The inspection was an unannounced annual inspection conducted to evaluate compliance with licensing regulations at Quail Park Memory Care Residences.
Findings
The inspection found several deficiencies including chemicals stored in a resident room posing a safety risk, missed medication dosages for residents, incomplete documentation of PRN medications, and missing tuberculosis documentation in one staff file. The facility was also cited for repeat violations and a civil penalty was assessed.
Severity Breakdown
Type A: 3
Type B: 1
Deficiencies (4)
| Description | Severity |
|---|---|
| Chemicals were found in 1 out of 6 resident rooms, posing an immediate health, safety, or personal rights risk. | Type A |
| Three missed medication dosages were observed for two residents, posing an immediate health, safety, or personal rights risk. | Type A |
| PRN medications were not logged with required information, posing a potential health, safety, or personal rights risk. | Type B |
| One out of five staff files was missing tuberculosis documentation, posing an immediate health, safety, or personal rights risk. | Type A |
Report Facts
Missed medication dosages: 3
Resident rooms with chemicals observed: 1
Staff files missing tuberculosis documentation: 1
Capacity: 44
Census: 29
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lauri Aguilar | Executive Director | Met with Licensing Program Analyst during inspection |
| Kassandra Hernandez | Health and Wellness Director | Met with Licensing Program Analyst and conducted facility tour |
| Kamaldeep Kaur | Licensing Program Analyst | Conducted the inspection and authored the report |
Inspection Report
Complaint Investigation
Census: 32
Capacity: 44
Deficiencies: 2
Jul 2, 2024
Visit Reason
Unannounced complaint investigation visit conducted due to a complaint received on 2024-03-12 alleging staff did not administer resident’s medications as prescribed and other related allegations.
Findings
The investigation substantiated that staff did not administer resident medications as prescribed, with medication audits revealing incomplete records and extra pills found. Other allegations regarding visitation, clothing, decision-making, and access to personal records were found unsubstantiated.
Complaint Details
The complaint was substantiated regarding medication administration errors, including incomplete medication logs and extra pills found. Other allegations about visitation, clothing, resident decision-making, and access to personal records were unsubstantiated.
Severity Breakdown
Type A: 1
Type B: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| The licensee shall assist residents with self-administered medications as needed. This requirement was not met as evidenced by medication audit revealing a resident’s medication pill count had an extra 28 pills in a packet that should have been given. | Type A |
| The licensee shall assure that a record of centrally stored prescription medications for each resident is maintained. This requirement was not met as evidenced by medication audit revealing resident’s medication was not logged in the centrally stored list or was incomplete. | Type B |
Report Facts
Extra pills found: 28
Facility capacity: 44
Resident census: 32
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kamaldeep Kaur | Licensing Program Analyst | Conducted the complaint investigation and delivered findings. |
| Lennette Otero-Gross | Administrator | Facility administrator involved in exit interview and findings. |
| Lauri Aguilar | Executive Director | Met with Licensing Program Analyst during investigation. |
Inspection Report
Monitoring
Census: 31
Capacity: 44
Deficiencies: 0
Apr 24, 2024
Visit Reason
Licensing Program Analyst conducted a Case Management visit to follow up on a SOC 341 submitted by the facility.
Findings
The Licensing Program Analyst interviewed staff regarding an incident and will return at a later date to follow up once paperwork has been reviewed. An exit interview was conducted with the Administrator.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Megan Mike | Administrator | Met with Licensing Program Analyst during the visit. |
| Kamaldeep Kaur | Licensing Program Analyst | Conducted the Case Management visit. |
Inspection Report
Annual Inspection
Census: 26
Capacity: 44
Deficiencies: 4
Aug 15, 2023
Visit Reason
The inspection was an unannounced annual inspection conducted to evaluate compliance with licensing regulations at the facility.
Findings
The inspection identified deficiencies including medication administration errors, an expired fire extinguisher, an ice machine with buildup needing cleaning, and incomplete centrally stored medication dosage records. Some deficiencies were corrected during the inspection, such as servicing the fire extinguishers and cleaning the ice machine.
Severity Breakdown
Type A: 2
Type B: 2
Deficiencies (4)
| Description | Severity |
|---|---|
| Licensee did not assist residents with self-administered medications as needed, with errors in 2 out of 2 medication reviews posing immediate health and safety risks. | Type A |
| Fire extinguisher was expired with a service date of 7/20/2022, posing immediate health and safety risks. | Type A |
| Ice machine had brown buildup underneath the door lift area, requiring cleaning. | Type B |
| Centrally stored medication dosage records were incomplete in 2 out of 2 reviews, posing potential health and safety risks. | Type B |
Report Facts
Deficiencies cited: 4
Capacity: 44
Census: 26
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Megan Mike | Executive Director, Acting Administrator | Met with Licensing Program Analyst during inspection. |
| Melissa Segura | Resident Care Manager | Met with Licensing Program Analyst during inspection. |
Inspection Report
Complaint Investigation
Census: 25
Capacity: 44
Deficiencies: 0
Jul 17, 2023
Visit Reason
An unannounced visit/investigation was conducted in response to a complaint received on 2023-06-30 alleging that staff did not treat a resident in care with dignity and respect.
Findings
The Department investigated the allegation based on interviews and review of the facility's internal investigation and found the allegation unsubstantiated due to lack of preponderance of evidence.
Complaint Details
The allegation that staff did not treat a resident in care with dignity and respect was investigated and found unsubstantiated.
Report Facts
Complaint Control Number: 24-AS-20230630163629
Facility Capacity: 44
Census: 25
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kamaldeep Kaur | Evaluator | Conducted the complaint investigation |
| Megan Mike | Executive Director | Met with during the investigation and exit interview |
| Lenette Otero-Gross | Administrator | Facility administrator who signed receipt of the report |
Inspection Report
Complaint Investigation
Census: 26
Capacity: 44
Deficiencies: 0
Mar 27, 2023
Visit Reason
An unannounced complaint investigation was conducted following a complaint received on 03/23/2023 regarding an incident where a resident hit another resident while in care.
Findings
The investigation found that an altercation did occur between two residents, but the facility immediately separated the residents and took steps to prevent further incidents. The allegations were determined to be unsubstantiated due to lack of preponderance of evidence.
Complaint Details
The complaint alleged that a resident hit another resident while in care. The investigation was unsubstantiated as there was insufficient evidence to prove the alleged violations occurred.
Report Facts
Complaint Control Number: 24-AS-20230323151259
Capacity: 44
Census: 26
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kamaldeep Kaur | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Lenette Otero-Gross | Administrator | Met with Licensing Program Analyst during investigation |
| Megan Mike | Health and Wellness Director | Met with Licensing Program Analyst during investigation |
Inspection Report
Complaint Investigation
Census: 25
Capacity: 44
Deficiencies: 0
Jan 26, 2023
Visit Reason
An unannounced complaint investigation was conducted following a complaint received on 2022-11-18 regarding medication records, physician's orders, incident reporting, and facility condition.
Findings
The investigation found no discrepancies or issues with medication records, physician's orders were followed, incidents were properly reported, and the facility was clean with no fire clearance issues. The allegations were determined to be unsubstantiated due to lack of preponderance of evidence.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included inaccurate medication records, failure to follow physician's orders, improper incident reporting, and facility disrepair. Interviews and record reviews did not support these allegations.
Report Facts
Capacity: 44
Census: 25
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lenette Otero-Gross | Administrator | Met with Licensing Program Analyst during complaint investigation |
| Megan Mike | Health and Wellness Director | Interviewed during complaint investigation |
| Kamaldeep Kaur | Licensing Program Analyst | Conducted the complaint investigation |
| See Moua | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 25
Capacity: 44
Deficiencies: 0
Jan 26, 2023
Visit Reason
An unannounced complaint investigation was conducted based on a complaint received on 2022-11-21 regarding allegations that facility staff left a resident unsupervised causing the resident to AWOL.
Findings
The investigation found that although the resident did try to vacate the facility, staff and nurse were present and stayed with the resident until they returned indoors. The allegations were determined to be unsubstantiated due to lack of preponderance of evidence.
Complaint Details
The complaint alleged that facility staff left a resident unsupervised causing the resident to AWOL. The investigation concluded the allegations were unsubstantiated.
Report Facts
Capacity: 44
Census: 25
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lenette Otero-Gross | Administrator | Met with Licensing Program Analyst during investigation |
| Kamaldeep Kaur | Licensing Program Analyst | Conducted the complaint investigation |
| Megan Mike | Health and Wellness Director | Interviewed during investigation |
Inspection Report
Complaint Investigation
Census: 25
Capacity: 44
Deficiencies: 1
Dec 21, 2022
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2022-10-07 alleging that a resident sustained a fracture and was hospitalized due to staff neglect, and that the facility increased a resident's admission rate without reason.
Findings
The investigation substantiated that Resident 1 sustained a fracture and was hospitalized due to staff neglect, resulting in an immediate civil penalty of $500. The allegation regarding the increase in resident admission rate was found to be unsubstantiated.
Complaint Details
The complaint investigation was substantiated for the allegation that Resident 1 sustained a fracture and was hospitalized due to staff neglect. The allegation that the facility increased the resident's admission rate without reason was unsubstantiated.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility personnel shall at all times be competent to provide the services necessary to meet resident needs; staff shall be employed to ensure provision of personal assistance and care as required, including additional staff as needed for adequate services. This requirement was not met as residents' change of condition was not reported immediately, posing an immediate health and safety risk. | Type A |
Report Facts
Civil penalty amount: 500
Deficiency count: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lenette Otero-Gross | Administrator | Met during investigation and named in findings |
| Megan Mike | Health and Wellness Director | Met during investigation and named in findings |
| Mai Yang | Licensing Program Analyst | Conducted the complaint investigation |
| Melinda Hoffmann | Licensing Program Manager | Named in report |
Inspection Report
Annual Inspection
Census: 26
Capacity: 44
Deficiencies: 0
May 31, 2022
Visit Reason
The visit was an unannounced annual inspection focused on infection control conducted by the Licensing Program Analyst.
Findings
The facility was observed to be compliant with infection control measures including use of facial coverings, social distancing, and adequate PPE supplies. No deficiencies were issued during the inspection.
Report Facts
PPE supply duration: 30
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Theresa Egurrola | Administrator | Met with Licensing Program Analyst during inspection |
| Mai Yang | Licensing Program Analyst | Conducted the annual inspection |
| Melinda Hoffmann | Licensing Program Manager | Named in report header |
Inspection Report
Follow-Up
Census: 26
Capacity: 44
Deficiencies: 1
May 31, 2022
Visit Reason
The visit was an unannounced case management inspection to follow up on an incident report submitted on 2022-04-07 regarding staff not administering medications to five residents on 2022-04-04 at 8:00 p.m.
Findings
A deficiency was cited for failure to ensure staff administered medications to five residents as required, posing immediate health and safety risks. Staff signed off on the electronic medication log falsely indicating medications were administered.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to ensure staff administered medication at 8:00 p.m. to five residents on 04/04/22, posing immediate health and safety risks. | Type A |
Report Facts
Residents missed medication: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Theresa Egurrola | Administrator | Met during inspection and named in report |
| Mai Yang | Licensing Program Analyst | Conducted the inspection |
| Melinda Hoffmann | Licensing Program Manager | Supervisor named in report |
Inspection Report
Annual Inspection
Census: 29
Capacity: 44
Deficiencies: 0
Jul 19, 2021
Visit Reason
Licensing Program Analyst Shawna Doucette conducted an Annual Inspection as a required unannounced 1-year visit to evaluate the facility's compliance with regulations.
Findings
No deficiencies were observed during the inspection. The facility maintained proper infection control measures including visitor screening, PPE availability, and staff training.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Segura | Resident Care Coordinator | Met with Licensing Program Analyst during the inspection and discussed the purpose of the visit. |
| Shawna Doucette | Licensing Program Analyst | Conducted the annual inspection and authored the report. |
| Sergiy Pidgirny | Licensing Program Manager | Named as Licensing Program Manager on the report. |
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