Inspection Reports for Rialto Assisted Living
1441 S Riverside Ave, Rialto, CA 92376, CA, 92376
Back to Facility ProfileInspection Report Summary
Most inspections found no deficiencies, and the majority of complaint investigations were unsubstantiated. The facility’s most recent report from October 13, 2025, involved a case management visit with no deficiencies noted. Past deficiencies primarily involved medication administration, hospice care waiver compliance, staff training, and pest control issues, including bed bug infestations that were substantiated and cited in earlier years. Some complaints related to resident rights and care were substantiated in late 2021, including failure to provide timely medical attention and maintaining a safe environment, but these issues have not recurred in recent inspections. Overall, the facility appears to have addressed many prior concerns, with recent reports showing improvement and no new deficiencies.
Deficiencies per Year
4
3
2
1
0
High
Moderate
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Capacity: 94
Deficiencies: 0
Oct 13, 2025
Visit Reason
An unannounced case management visit was conducted to amend a report and gather signatures related to complaint #56-AS-20241114215838.
Findings
The visit involved discussion and provision of report LIC809 to the facility administrator. No specific deficiencies or findings are detailed in the report.
Complaint Details
The visit was in reference to complaint #56-AS-20241114215838; no substantiation status is provided.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Tae Kim | Administrator | Met with during the visit and involved in the exit interview. |
| Lavette Farlow | Licensing Program Analyst | Conducted the unannounced case management visit. |
| Nedra Brown | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Annual Inspection
Census: 63
Capacity: 94
Deficiencies: 2
Feb 28, 2025
Visit Reason
The visit was an unannounced annual inspection conducted by the Licensing Program Analyst to evaluate compliance with regulations at the Rialto Assisted Living Facility.
Findings
The inspection found that the facility generally met regulatory requirements with comfortable physical conditions, adequate food service, and sufficient care staff. However, two deficiencies were cited related to medication administration and hospice care waiver compliance, along with one technical violation regarding incomplete staff health screening documentation.
Severity Breakdown
Type A: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| One resident's Medication Administration Record (MAR) was missing two prescribed medications, failing to ensure current and accurate medication information. | Type A |
| The facility did not complete the required steps to increase the hospice care waiver from 4 to 8 residents receiving hospice services. | Type A |
Report Facts
Residents on hospice services: 8
Hospice waiver limit: 4
Resident files reviewed: 6
Staff files reviewed: 7
Staff files with current CPR/First Aid Certification: 6
Staff files missing health screening or TB test: 3
Resident MARs reviewed: 5
Resident MARs with deficiencies: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Tae Kim | Administrator | Met with Licensing Program Analyst during inspection and received exit interview |
| Lavette Farlow | Licensing Program Analyst | Conducted the annual inspection and authored the report |
| Nedra Brown | Licensing Program Manager | Supervisor of the Licensing Program Analyst and named in the report |
| Irene Silva | Marketing Director | Accompanied Licensing Program Analyst during facility walk-through |
Inspection Report
Complaint Investigation
Census: 63
Capacity: 94
Deficiencies: 0
Feb 28, 2025
Visit Reason
The visit was a Case Management Visit conducted in response to a Special Incident Report (SIR) submitted on 2024-02-01, to check health and safety and conduct interviews related to a complaint.
Findings
No deficiencies were observed during the visit. A health and safety check and interviews with staff and clients were conducted, and the report was reviewed with the Administrator.
Complaint Details
The visit was triggered by a complaint and a Special Incident Report submitted to the Community Care Licensing Office on 2024-02-01. The case management visit included interviews and health and safety checks. No deficiencies were found.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Tae Kim | Administrator | Met with during the inspection and received the report. |
| Lavette Farlow | Licensing Program Analyst | Conducted the case management visit and inspection. |
| Rayleen Moya | Med-Tech | Greeted the Licensing Program Analyst and escorted to the library. |
Inspection Report
Census: 72
Capacity: 94
Deficiencies: 0
Nov 14, 2024
Visit Reason
Licensing Program Analyst LaVette Farlow conducted a case management visit to the facility and met with Administrator Tae Kim. The visit included obtaining signatures on an amended complaint report.
Findings
An exit interview was conducted where the amended complaint report was discussed and a copy was provided to the Administrator at the conclusion of the visit.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Tae Kim | Administrator | Met with Licensing Program Analyst during case management visit |
| LaVette Farlow | Licensing Program Analyst | Conducted case management visit and obtained signatures on amended complaint report |
| Nedra Brown | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 72
Capacity: 94
Deficiencies: 0
Oct 10, 2024
Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that staff were not properly maintaining a resident's bathroom.
Findings
The investigation included observations, record reviews, and interviews with staff and residents. It was found that housekeeping conducted daily spot checks and weekly deep cleanings, and the specific issue with a shower curtain was addressed and resolved. The allegation was deemed unsubstantiated due to lack of preponderance of evidence.
Complaint Details
The complaint alleged improper maintenance of a resident's bathroom. Interviews revealed housekeeping protocols and that the shower curtain was replaced as of 10/09/2024. The allegation was found unsubstantiated.
Report Facts
Residents' rooms observed clean: 5
Residents interviewed about housekeeping: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lavette Farlow | Evaluator / Licensing Program Analyst | Conducted the complaint investigation and authored the report. |
| Magda Malcore | Licensed Program Analyst | Participated in the complaint investigation. |
| Tae Kim | Administrator | Met with LPAs during the investigation and received the report. |
Inspection Report
Complaint Investigation
Census: 71
Capacity: 94
Deficiencies: 0
Sep 17, 2024
Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that staff did not maintain a comfortable temperature for residents in care.
Findings
The investigation found that the facility has a functioning air conditioning unit and has not experienced any problems with temperature control. The facility temperature was observed at 72 degrees and staff and residents stated the temperature is adjusted as needed. The allegation was unsubstantiated.
Complaint Details
The complaint alleged that staff did not maintain a comfortable temperature for residents. The allegation was found to be unsubstantiated based on interviews, document review, and facility observation.
Report Facts
Capacity: 94
Census: 71
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lavette Farlow | Evaluator / Licensing Program Analyst | Conducted the complaint investigation |
| Bernardette Allen | Licensed Program Analyst | Conducted the complaint investigation |
| Kyong Suk Lee | Administrator | Facility administrator present during investigation |
| Irene Silva | Marketing Director | Facility staff member who granted entrance and was interviewed |
| Tae Kim | Administrator | Facility administrator who received exit interview and report |
| Nedra Brown | Licensing Program Manager | Named in report as licensing program manager |
Inspection Report
Complaint Investigation
Census: 71
Capacity: 94
Deficiencies: 0
Sep 17, 2024
Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that staff unlawfully evicted a resident.
Findings
The investigation included interviews, file reviews, and a facility walkthrough. The allegation was found to be unsubstantiated as evidence showed the resident was not in compliance with admission agreements and house rules, and had incidents involving verbal threats and appearing under the influence.
Complaint Details
The complaint alleged that staff unlawfully evicted a resident. The investigation found the allegation to be unfounded and without reasonable basis, resulting in an unsubstantiated determination.
Report Facts
Capacity: 94
Census: 71
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lavette Farlow | Evaluator / Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Bernardette Allen | Licensing Program Analyst | Assisted in conducting the complaint investigation |
| Kyong Suk Lee | Administrator | Facility administrator named in the report |
| Irene Silva | Marketing Director | Met with investigators during the visit |
| Tae Kim | Administrator | Received the exit interview and report |
| Nedra Brown | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 64
Capacity: 94
Deficiencies: 0
Jul 12, 2024
Visit Reason
Unannounced complaint investigation visit conducted due to allegations that staff were not addressing a resident's fall risk and that a resident sustained an unwitnessed fall due to lack of staff supervision.
Findings
The investigation found that the facility had implemented a treatment plan including hourly routine checks and alarm sensor pads to minimize fall risks. Interviews and record reviews indicated sufficient staff coverage and that residents' needs were being met. The allegations were determined to be unsubstantiated due to lack of preponderance of evidence.
Complaint Details
The complaint involved allegations that staff were not addressing a resident's fall risk and that a resident sustained an unwitnessed fall due to lack of staff supervision. The investigation concluded these allegations were unsubstantiated.
Report Facts
Capacity: 94
Census: 64
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Paola Guerrero | Licensing Program Analyst | Conducted the complaint investigation and unannounced visit |
| Efren Malagon | Licensing Program Manager | Named in report as Licensing Program Manager |
| Tae Kim | Administrator | Facility Administrator met during the investigation and exit interview |
Inspection Report
Complaint Investigation
Capacity: 94
Deficiencies: 0
Jan 25, 2024
Visit Reason
The inspection visit was an unannounced complaint investigation triggered by an allegation that staff did not seek medical attention for a resident in a timely manner.
Findings
The investigation found that the resident had a history of falls and sometimes refused assistance. Both staff and the resident denied any delay in seeking medical attention, and the allegation was determined to be unsubstantiated due to lack of preponderance of evidence.
Complaint Details
The complaint alleged that staff did not seek medical attention for a resident in a timely manner. The allegation was unsubstantiated after investigation, with staff and resident interviews indicating no delay in medical care.
Report Facts
Facility capacity: 94
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Amber Coleman | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Tae Kim | Administrator | Met with Licensing Program Analyst during investigation and exit interview |
| Nedra Brown | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Annual Inspection
Census: 55
Capacity: 94
Deficiencies: 1
Jan 25, 2024
Visit Reason
The Licensing Program Analyst conducted an unannounced Annual Inspection of the Rialto Assisted Living Facility to evaluate compliance with regulatory requirements.
Findings
The facility was generally well maintained with adequate physical plant conditions, food service, care and supervision, and medication management. However, two resident records were found out of compliance due to missing updated Physician's Reports, resulting in a cited deficiency.
Deficiencies (1)
| Description |
|---|
| Failure to ensure each resident had an updated Physician's Report completed and included in each resident file for two residents. |
Report Facts
Residents with missing updated Physician's Report: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Amber Coleman | Licensing Program Analyst | Conducted the annual inspection and authored the report. |
| Tae Kim | Administrator | Facility Administrator who accompanied the Licensing Program Analyst during the inspection and received the exit interview. |
| Nedra Brown | Licensing Program Manager | Supervisor overseeing the inspection. |
Inspection Report
Census: 54
Capacity: 94
Deficiencies: 0
Oct 10, 2023
Visit Reason
The visit was an unannounced Case Management visit conducted in response to a Special/Unusual Incident Report (SIR) submitted on 2023-10-05 regarding a resident's fall and delayed staff response.
Findings
No imminent health and safety concerns were observed during the visit. The resident was unavailable for interview due to hospitalization. Staff interviews and document reviews were compliant. No deficiencies were cited.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Amber Coleman | Licensing Program Analyst | Conducted the Case Management visit and authored the report. |
| Bernie Escueta | Nurse/Caregiver | Met with Licensing Program Analyst during the visit and involved in the incident report. |
| Kyong Suk Lee | Administrator | Facility administrator named in the report header. |
| Nedra Brown | Licensing Program Manager | Named in the report as Licensing Program Manager. |
Inspection Report
Complaint Investigation
Census: 54
Capacity: 94
Deficiencies: 0
Oct 10, 2023
Visit Reason
The visit was conducted as a Case Management Visit in response to a Special/Unusual Incident Report submitted on 2023-09-27 regarding a physical altercation between two residents on 2023-09-25.
Findings
The Licensing Program Analyst observed no imminent health and safety concerns during the visit. No deficiencies were cited per Title 22, Division 6, of the California Code or Regulations.
Complaint Details
The complaint involved a physical altercation between two residents, R1 and R2, observed by dietary staff. Paramedics were called for medical evaluations. R1 had relocated to another facility and R2 was out with family during the visit. The complaint was investigated with staff interviews and chart reviews.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Amber Coleman | Licensing Program Analyst | Conducted the Case Management Visit and authored the report. |
| Bernie Escueta | Nurse | Met with the Licensing Program Analyst during the visit. |
| Martha Garcia | Dietary Staff | Observed the physical altercation between residents. |
| Kyong Suk Lee | Administrator | Facility administrator named in the report header. |
Inspection Report
Complaint Investigation
Census: 52
Capacity: 94
Deficiencies: 0
Aug 16, 2023
Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that staff was under the influence while providing care and supervision to residents.
Findings
The investigation found the allegation unsubstantiated as the staff member in question had not worked at the facility for over a year and there was no evidence of substance use at work.
Complaint Details
The complaint alleged that a staff member was under the influence and smoked marijuana on the job. Interviews and records review confirmed the staff member was no longer associated with the facility, resulting in an unsubstantiated finding.
Report Facts
Capacity: 94
Census: 52
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Anna Bueno | Licensing Program Analyst | Conducted the complaint investigation |
| Irene Silva | Office Assistant | Met with Licensing Program Analyst during investigation |
| Kyong Suk Lee | Administrator | Facility administrator named in report header |
Inspection Report
Complaint Investigation
Census: 51
Capacity: 94
Deficiencies: 0
Aug 7, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2020-12-08 regarding a questionable death at the facility.
Findings
The investigation found that Resident 1, who passed away on 2020-12-08, had preexisting conditions and was in isolation due to a diagnosis. Based on interviews and records reviewed, the allegation of questionable death was unsubstantiated due to lack of preponderance of evidence.
Complaint Details
The complaint alleged a questionable death of Resident 1 on 2020-12-08. The allegation was investigated through witness and resident interviews and records review. The allegation was found unsubstantiated.
Report Facts
Facility capacity: 94
Census: 51
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Anna Bueno | Licensing Program Analyst | Conducted the complaint investigation and subsequent visit |
| Tae Kim | Administrator | Met with the Licensing Program Analyst during the investigation |
Inspection Report
Complaint Investigation
Census: 51
Capacity: 94
Deficiencies: 0
Aug 7, 2023
Visit Reason
An unannounced visit was conducted to continue the investigation of multiple complaints and to deliver amended allegation findings for complaint number 18-AS-20201203110823.
Findings
The complaint allegations investigated during the visit were found to be unsubstantiated, including the amended complaint number 18-AS-20201203110823.
Complaint Details
Complaint allegations for complaint numbers 18-AS-20201210082804, 18-AS-20201208165511, and amended complaint 18-AS-20201203110823 were found to be unsubstantiated.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Anna Bueno | Licensing Program Analyst | Conducted the unannounced visit and investigation. |
| Tae Kim | Administrator | Met with Licensing Program Analyst during the visit and signed reports. |
| Nedra Brown | Licensing Program Manager | Named in the report header. |
Inspection Report
Complaint Investigation
Census: 50
Capacity: 94
Deficiencies: 0
Jul 25, 2023
Visit Reason
The inspection was an unannounced complaint investigation triggered by an allegation that a resident sustained multiple falls while in care at the Rialto Assisted Living Facility.
Findings
The investigation found that the resident had one recent fall which was self-reported and led to hospital evaluation, but there was no history of multiple falls while admitted to the facility. The complaint allegation was determined to be unsubstantiated due to insufficient evidence.
Complaint Details
The complaint alleged that a resident sustained multiple falls while in care. The investigation revealed the resident had one fall recently but no history of multiple falls during admission. The allegation was unsubstantiated as there was not a preponderance of evidence to prove the violation occurred.
Report Facts
Capacity: 94
Census: 50
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Amber Coleman | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Bernie Escueta | Medication Technician Supervisor | Met with Licensing Program Analyst during investigation |
| Kyong Suk Lee | Administrator | Facility administrator not available during investigation |
| Nedra Brown | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 51
Capacity: 94
Deficiencies: 0
Jul 13, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations that staff were not meeting residents' toileting needs and were not assisting residents.
Findings
The investigation found the allegations to be unsubstantiated after interviews with residents, staff, and administrators, observations, and record reviews. Residents did not smell of urine and reported being changed regularly, and no evidence was found to support neglect or lack of assistance by staff.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included staff not meeting residents' toileting needs and neglecting residents in room #48. Interviews and observations did not corroborate these claims, and the preponderance of evidence standard was not met.
Report Facts
Capacity: 94
Census: 51
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Janira Arreola | Licensing Program Analyst | Conducted the complaint investigation visit |
| Joel Esquivel | Licensing Program Manager | Named in report header and signature |
| Tae Kim | Administrator | Met with Licensing Program Analyst during the visit and participated in interviews |
| Kyong Suk Lee | Administrator | Named as facility administrator |
Inspection Report
Complaint Investigation
Census: 51
Capacity: 94
Deficiencies: 0
Jul 13, 2023
Visit Reason
An unannounced complaint investigation was conducted in response to allegations that staff were stealing and selling residents' medication.
Findings
The investigation found all medications accounted for during a random inventory and interviews with staff and residents did not substantiate the allegations. The complaint was determined to be unsubstantiated.
Complaint Details
The complaint alleged staff stealing and selling resident medication involving Staff #1. The investigation included interviews, observations, and records review. The allegations were unsubstantiated based on medication inventory and statements from staff and residents.
Report Facts
Resident medications inventoried: 4
Staff write-up date: Apr 16, 2020
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Janira Arreola | Licensing Program Analyst | Conducted the complaint investigation visit |
| Joel Esquivel | Licensing Program Manager | Named as Licensing Program Manager on report |
| Tae Kim | Administrator | Facility administrator met during investigation and exit interview |
| Kyong Suk Lee | Administrator | Facility administrator named in report header |
Inspection Report
Annual Inspection
Census: 54
Capacity: 94
Deficiencies: 1
Jun 20, 2023
Visit Reason
The visit was an unannounced annual inspection conducted by the Licensing Program Analyst to evaluate compliance with regulatory requirements at the Rialto Assisted Living Facility.
Findings
The inspection found the facility to be generally compliant with regulations regarding physical plant conditions, food service, care and supervision, and record keeping. However, a deficiency was cited related to staff training, specifically that not all staff had current documented CPR/First Aid certification.
Deficiencies (1)
| Description |
|---|
| Failure to ensure all staff had required documented training in CPR/First Aid as specified by Health and Safety Code sections 1569.625 and 1569.69. |
Report Facts
Staff records with current CPR/First Aid Certification: 4
Residents' records reviewed: 5
Staff records reviewed: 5
Plan of Correction Due Date: Jul 20, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Tae Kim | Administrator | Met with Licensing Program Analyst during inspection and discussed findings |
| Amber Coleman | Licensing Program Analyst | Conducted the annual inspection and authored the report |
| Nedra Brown | Licensing Program Manager | Supervisor overseeing the inspection |
Inspection Report
Complaint Investigation
Census: 50
Capacity: 94
Deficiencies: 1
May 11, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to a complaint received on 07/07/2020 alleging a bug infestation and failure to provide reasonable accommodation to a resident.
Findings
The investigation substantiated the allegation of a bed bug infestation in the facility, particularly in rooms #33 and #35, posing an immediate health risk. The allegation that a resident was not provided reasonable accommodation was unsubstantiated due to lack of supporting evidence.
Complaint Details
The complaint investigation was substantiated for the allegation of bug infestation, with evidence of bed bugs found in rooms and mop buckets, and previous extermination efforts noted. The allegation that a resident was not provided reasonable accommodation was unsubstantiated.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Maintenance and Operation: The facility failed to ensure that at least 1 out of 48 rooms were kept clean and sanitary at all times, posing an immediate health risk to residents. | Type A |
Report Facts
Capacity: 94
Census: 50
Deficiencies cited: 1
Rooms inspected: 48
Plan of Correction due date: May 12, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Javina George | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Joel Esquivel | Licensing Program Manager | Oversaw the complaint investigation |
| Tae Kim | Administrator | Facility administrator met during the investigation and received findings |
| Kyong Suk Lee | Previous Administrator | Admitted to previous bed bug problem and treatment |
Inspection Report
Complaint Investigation
Capacity: 94
Deficiencies: 0
Mar 30, 2023
Visit Reason
An unannounced complaint investigation was conducted regarding an allegation that facility staff denied resident food.
Findings
Based on staff and resident interviews, observations, and review of resident records, the allegation was found to be unsubstantiated. No deficiencies were observed during the visit.
Complaint Details
The complaint alleged that facility staff denied resident food. The investigation found no preponderance of evidence to prove the alleged violation occurred, and the allegation was unsubstantiated.
Report Facts
Facility capacity: 94
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Amber Coleman | Licensing Program Analyst | Conducted the complaint investigation |
| Tae Kim | Administrator | Met with Licensing Program Analyst during the investigation |
| Nedra Brown | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 51
Capacity: 94
Deficiencies: 0
Feb 1, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that facility staff were providing residents with illegal drugs.
Findings
The investigation found that the allegations were unfounded; staff did not provide residents with illegal drugs, and the complaint was dismissed.
Complaint Details
The complaint alleged that facility staff were providing residents with illegal drugs. The investigation determined the complaint was unfounded, meaning the allegations were false or without reasonable basis.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Javier Prieto | Licensing Program Analyst | Conducted the unannounced complaint investigation visit. |
| Kyong Suk Lee | Administrator | Named as facility administrator. |
Inspection Report
Complaint Investigation
Capacity: 94
Deficiencies: 0
Jan 26, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that staff do not prevent a resident from smoking in the facility.
Findings
The investigation found that the allegation was unsubstantiated. Staff had a no smoking policy inside the building, issued a written warning to the resident, and observed no tobacco smell inside. The resident was observed smoking outside on the patio with the door partially open.
Complaint Details
The complaint alleged that staff do not prevent a resident from smoking in the facility. The allegation was found unsubstantiated after investigation including interviews, observations, and record review.
Report Facts
Facility capacity: 94
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Anna Bueno | Evaluator / Licensing Program Analyst | Conducted the complaint investigation |
| Michelle Echeverria | Licensing Program Analyst | Conducted the complaint investigation |
| Tae Kim | Administrator | Met with investigators during the visit |
| Rosalie Arreola | Marketing Director | Participated in exit interview |
Inspection Report
Complaint Investigation
Census: 48
Capacity: 94
Deficiencies: 0
Jan 5, 2023
Visit Reason
The inspection was conducted as an unannounced complaint investigation following a complaint received on 2022-12-19 alleging that staff do not prevent residents from smoking in the facility.
Findings
The investigation found that the facility enforces a no smoking indoors policy, with residents observed smoking only in designated outdoor areas. Staff remind residents of the policy and issue eviction notices if needed. The complaint was determined to be unsubstantiated due to lack of evidence of violation.
Complaint Details
Complaint allegation that staff do not prevent residents from smoking in the facility was investigated and found unsubstantiated.
Report Facts
Capacity: 94
Census: 48
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Anna Bueno | Licensing Program Analyst | Conducted the complaint investigation |
| Rosalie Arreola | Marketing Director | Met with investigator during inspection |
| Bernie Escueta | Supervising Medication Technician | Informed of the investigation visit |
Inspection Report
Complaint Investigation
Census: 48
Capacity: 94
Deficiencies: 0
Jan 5, 2023
Visit Reason
An unannounced visit was conducted to investigate a complaint alleging that facility staff used inappropriate language toward a resident.
Findings
The investigation included interviews with the resident, staff, and witnesses. The allegation was found to be unsubstantiated due to lack of preponderance of evidence to prove the violation occurred.
Complaint Details
The complaint alleged that facility staff used inappropriate language toward resident R1. Interviews with the resident indicated inappropriate language was used once, but staff and witnesses denied this. The complaint was unsubstantiated.
Report Facts
Facility capacity: 94
Census: 48
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Anna Bueno | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Nedra Brown | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 47
Capacity: 94
Deficiencies: 0
Dec 28, 2022
Visit Reason
The inspection visit was an unannounced complaint investigation conducted in response to an allegation that facility staff did not safeguard a resident's personal belongings.
Findings
The investigation found that the allegation was unfounded; staff did not remove the resident's personal property as alleged, and the complaint was dismissed.
Complaint Details
The complaint alleged that staff removed a side table from resident R1's bedroom. The investigation included an interview with R1, who confirmed that staff did not remove the item after learning it was personal property. The complaint was determined to be unfounded.
Report Facts
Complaint Control Number: 56
Capacity: 94
Census: 47
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Amy Goldenberg | Licensing Program Analyst | Conducted the complaint investigation |
| Tae Kim | Administrator | Facility representative met during the investigation |
Inspection Report
Complaint Investigation
Capacity: 94
Deficiencies: 0
Sep 19, 2022
Visit Reason
An unannounced complaint investigation was conducted in response to allegations that staff did not safeguard residents' belongings and that staff threatened a resident in care.
Findings
The investigation found that the allegations were unsubstantiated due to lack of sufficient evidence. Interviews and record reviews did not confirm that staff broke the resident's Playstation 3 or threatened the resident. No deficiencies were cited during the visit.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included staff not safeguarding residents' belongings and threatening a resident. Interviews with staff and residents, as well as review of incident and police reports, did not support the allegations.
Report Facts
Facility capacity: 94
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Natalie Ibarra | Licensing Program Analyst | Conducted the complaint investigation |
| Efren Malagon | Licensing Program Manager | Named in report as Licensing Program Manager |
| Tae Kim | Administrator met during investigation |
Inspection Report
Complaint Investigation
Census: 44
Capacity: 94
Deficiencies: 0
Aug 11, 2022
Visit Reason
An unannounced visit was conducted to investigate a complaint alleging that a resident was not being provided adequate meal service while in care.
Findings
The investigation found that food service was never denied to residents, including those arriving late, and tray service was provided upon request. The allegation was determined to be unsubstantiated due to lack of preponderance of evidence.
Complaint Details
The complaint alleged that a resident was denied adequate meal service because he was denied food service when arriving late. Interviews with the Administrator, staff, and residents indicated that food service was always provided, and the allegation was found unsubstantiated.
Report Facts
Capacity: 94
Census: 44
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Rohit Lama | Licensing Program Analyst | Conducted the complaint investigation and exit interview |
| Kyong Suk Lee | Administrator | Facility administrator interviewed during investigation |
| Nedra Brown | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 45
Capacity: 94
Deficiencies: 2
Aug 2, 2022
Visit Reason
An unannounced visit was conducted to investigate complaints alleging that a resident was not treated with dignity and respect and that staff interrupted a residential council meeting.
Findings
The investigation substantiated the allegations that a staff member interrupted a resident council meeting without invitation and voiced unwarranted opinions, failing to treat residents with dignity and respect. Two deficiencies were cited related to these findings.
Complaint Details
The complaint investigation was substantiated based on interviews and evidence, confirming that the allegations of lack of dignity and respect and interruption of a resident council meeting by staff were valid.
Severity Breakdown
Type B: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Licensee did not comply with regulation 1569.157 by allowing a staff member to be present in a resident council meeting without an invitation. | Type B |
| Licensee did not comply with regulation 87468.1(a)(1) by allowing a staff member to voice unwarranted opinions on a resident manor during a resident council meeting, violating residents' personal rights to dignity. | Type B |
Report Facts
Deficiencies cited: 2
Capacity: 94
Census: 45
Plan of Correction Due Date: Aug 9, 2022
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ryan Gardner | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Kyongsuk Lee | Administrator | Facility administrator met during investigation and recipient of report |
| Karen Clemons | Licensing Program Manager | Oversaw the complaint investigation process |
Inspection Report
Census: 45
Capacity: 94
Deficiencies: 0
Jul 13, 2022
Visit Reason
The visit was an unannounced case management visit to follow up on a special incident report received on July 6, 2022, regarding an allegation of inappropriate touching between clients.
Findings
No deficiencies were cited during the visit. The licensing analysts reviewed video footage, obtained the police report number, and interviewed the administrator. The facility staff reported no inappropriate touching was captured on video, and no arrests were made.
Report Facts
Capacity: 94
Census: 45
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kyong Suk Lee | Administrator | Met with Licensing Program Analysts during the visit |
| Rayshaun Nickolas | Licensing Program Analyst | Conducted the unannounced visit and case management follow-up |
| Javier Prieto | Licensing Program Analyst | Conducted the unannounced visit and case management follow-up |
| Karen Clemons | Licensing Program Manager | Named in the report header |
Inspection Report
Complaint Investigation
Census: 45
Capacity: 94
Deficiencies: 0
Jul 13, 2022
Visit Reason
The inspection was conducted as an unannounced complaint investigation regarding allegations that the facility does not have sufficient staff to meet residents' needs and is not following the resident's admission agreement.
Findings
The investigation found that the facility has sufficient staff to meet residents' needs and is following the resident's admission agreement, including cleaning linens weekly as agreed. The allegations were deemed unsubstantiated.
Complaint Details
The complaint was unsubstantiated based on interviews, review of staffing and cleaning schedules, and observations of the resident's living quarters.
Report Facts
Capacity: 94
Census: 45
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Javier Prieto | Licensing Program Analyst | Conducted the complaint investigation |
| Kyong Suk Lee | Administrator | Met with Licensing Program Analyst during investigation |
Inspection Report
Complaint Investigation
Census: 44
Capacity: 94
Deficiencies: 0
Jun 24, 2022
Visit Reason
This unannounced visit was conducted to investigate multiple complaint allegations received on 06/23/2022 regarding food access, food storage, expired food service, dignity of residents by the kitchen supervisor, and administrative response to resident complaints.
Findings
The investigation found no substantiated evidence supporting the complaints. Interviews and inspections revealed that residents did receive food, frozen foods were properly stored, no expired foods were served, and complaints were addressed by management. The allegations were determined to be unsubstantiated or unfounded.
Complaint Details
The complaint investigation was unsubstantiated for allegations related to denial of food access, improper food storage, serving expired food, and dignity issues by the kitchen supervisor. Another complaint alleging the administrator was not addressing resident complaints was found unfounded.
Report Facts
Number of staff interviewed: 6
Number of residents interviewed: 6
Complaint control number: 56
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Amy Goldenberg | Licensing Program Analyst | Conducted the complaint investigation visit |
| Kyong Suk Lee | Administrator | Facility administrator met during investigation |
| Clara Kyong Suk Lee | Administrator | Facility administrator met during investigation |
| Nedra Brown | Licensing Program Manager | Named in report as licensing program manager |
Inspection Report
Complaint Investigation
Census: 19
Capacity: 94
Deficiencies: 0
Jun 24, 2022
Visit Reason
This unannounced visit was conducted to investigate a complaint alleging that facility staff threatened a resident with eviction, inappropriately touched a resident, and made inappropriate remarks to a resident.
Findings
The investigation included interviews with five employees and ten residents and a review of resident records. The complaint allegations were found to be unsubstantiated as residents did not report being pushed, hit, or spoken to inappropriately, and there was insufficient evidence to prove the alleged violations occurred.
Complaint Details
The complaint was unsubstantiated based on interviews and record review. Although the allegation may have happened or is valid, there was not a preponderance of evidence to prove the alleged violation occurred.
Report Facts
Residents interviewed: 10
Employees interviewed: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Amy Goldenberg | Licensing Program Analyst | Conducted the complaint investigation |
| Nedra Brown | Licensing Program Manager | Named as Licensing Program Manager on the report |
| Clara Lee | Administrator | Met with during the investigation |
| Kyong Suk Lee | Administrator | Facility Administrator named in the report |
Inspection Report
Complaint Investigation
Census: 45
Capacity: 94
Deficiencies: 0
Jun 2, 2022
Visit Reason
An unannounced visit was conducted to investigate a complaint alleging that resident's fees were increased without proper notice.
Findings
The investigation found conflicting information regarding the allegation. The resident reported not receiving written notice of a rate increase, while staff stated notification letters were sent. The allegation was determined to be unsubstantiated due to lack of preponderance of evidence.
Complaint Details
The complaint alleged that resident's fees were increased without proper notice. The allegation was found to be unsubstantiated after investigation.
Report Facts
Capacity: 94
Census: 45
Additional monthly charge: 20
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Amy Goldenberg | Licensing Program Analyst | Conducted the complaint investigation |
| Nedra Brown | Licensing Program Manager | Named in report as Licensing Program Manager |
| Clara Suk Lee | Administrator | Facility administrator interviewed during investigation |
Inspection Report
Complaint Investigation
Census: 45
Capacity: 94
Deficiencies: 1
Jun 2, 2022
Visit Reason
An unannounced complaint investigation visit was conducted to investigate allegations that the facility has insects, rodents, and that the kitchen is in disrepair.
Findings
The investigation substantiated the allegation that the facility has insects, specifically cockroaches in the kitchen and insects in residents' bedrooms. The allegations of rodents and kitchen disrepair were found unsubstantiated based on the preponderance of evidence.
Complaint Details
The complaint investigation was substantiated for the presence of insects but unsubstantiated for rodents and kitchen disrepair. The pest control company manages only the outside of the facility, and kitchen staff provide pest control inside the kitchen.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| General Food Service: All kitchen areas shall be kept clean and free of litter, rodents, vermin and insects. The facility kitchen has cockroaches, and residents' bedrooms have ants and earwigs. | Type B |
Report Facts
Capacity: 94
Census: 45
Deficiency Type: 1
Plan of Correction Due Date: Jun 13, 2022
Staff interviewed: 3
Residents interviewed: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Amy Goldenberg | Licensing Program Analyst | Conducted the complaint investigation |
| Nedra Brown | Licensing Program Manager | Oversaw the complaint investigation |
| Clara Suk Lee | Administrator | Facility representative met during investigation |
Inspection Report
Complaint Investigation
Census: 47
Capacity: 94
Deficiencies: 0
Feb 13, 2022
Visit Reason
An unannounced visit was conducted to investigate a complaint alleging that staff spoke inappropriately to a resident.
Findings
The investigation, which included file reviews and interviews with residents and staff, found no preponderance of evidence to substantiate the allegation. Multiple residents and staff denied that inappropriate speech occurred, and the administrator reported no prior complaints.
Complaint Details
The complaint alleged that staff spoke inappropriately to a resident. The allegation was found to be unsubstantiated after investigation.
Report Facts
Facility capacity: 94
Resident census: 47
Inspection Report
Annual Inspection
Census: 47
Capacity: 94
Deficiencies: 0
Feb 11, 2022
Visit Reason
An unannounced annual inspection was conducted with an emphasis on infection control at the Rialto Assisted Living Facility.
Findings
No deficiencies were observed or cited during the inspection. The facility demonstrated compliance with infection control practices, including COVID-19 mitigation measures and adequate supplies of PPE and hygiene materials.
Report Facts
Capacity: 94
Census: 47
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kyong Suk Lee | Administrator | Met with Licensing Program Analyst during inspection |
| Shaunte Henry | Licensing Program Analyst | Conducted the inspection |
| Nedra Brown | Licensing Program Manager | Named in report header |
Inspection Report
Complaint Investigation
Census: 48
Capacity: 94
Deficiencies: 0
Dec 17, 2021
Visit Reason
The inspection visit was an unannounced follow-up to multiple complaints, specifically reviewing concerns related to meal service policies noted in Resident Council meeting notes.
Findings
The Licensing Program Analyst found that residents should not be denied meals for arriving late, issuing a Technical Violation Advisory Note instead of a deficiency, as it was unknown if any resident had actually been denied food service.
Complaint Details
The visit was complaint-related, following up on multiple complaints. The issue involved a policy noted in Resident Council meeting notes stating residents may not be served if late to meals. The violation was issued as a Technical Violation Advisory Note, not a deficiency, with no confirmation that residents were denied food.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kyong Suk Lee | Administrator | Met during inspection and involved in exit interview regarding meal service policy. |
| Crystal Colvin | Licensing Program Analyst | Conducted the inspection and issued the Technical Violation Advisory Note. |
| Joel Esquivel | Licensing Program Manager | Named in the report as Licensing Program Manager. |
Inspection Report
Complaint Investigation
Census: 48
Capacity: 94
Deficiencies: 2
Dec 17, 2021
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that the facility did not seek medical attention timely for a client in care.
Findings
The investigation substantiated that the facility failed to provide adequate observation and care for resident R1, resulting in R1 being admitted to the hospital for an infected rash. The facility staff did not report the rash timely to R1's Power of Attorney or seek medical assistance promptly. Additionally, the facility had not updated R1's assessment since 2015 despite observed decline in condition. Another complaint alleging illegal eviction was found to be unfounded.
Complaint Details
The complaint investigation was substantiated for the allegation that the facility did not seek medical attention timely for a client in care. The allegation of illegal eviction was investigated and found to be unfounded.
Severity Breakdown
Type A: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to ensure residents are regularly observed for changes and to provide appropriate assistance, including documenting changes and notifying the resident's physician and responsible person. | Type A |
| Administrator observed resident to have a significant change in condition and did not re-evaluate for level of care, resulting in infected wound, posing immediate risk to resident. | Type A |
Report Facts
Facility capacity: 94
Census: 48
Plan of Correction due date: Dec 20, 2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Crystal Colvin | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Janet Oliver | Marketing Director | Facility representative met during investigation and exit interview |
| Kyong Suk Lee | Administrator | Facility administrator named in relation to findings about resident care |
| Joel Esquivel | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 48
Capacity: 94
Deficiencies: 2
Dec 17, 2021
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations including staff failing to provide a safe environment, lack of care and supervision, and failure to provide a comfortable environment for residents.
Findings
The investigation substantiated allegations that staff failed to provide a safe environment by not intervening in a resident's repeated reckless use of an electric scooter that endangered others, and lack of care and supervision related to failure to update a resident's care plan and delayed life-saving measures. The allegation regarding failure to provide a comfortable environment was unsubstantiated due to lack of evidence.
Complaint Details
The complaint was substantiated based on evidence that staff failed to provide a safe environment and adequate care and supervision. The allegation regarding failure to provide a comfortable environment was unsubstantiated.
Severity Breakdown
Type A: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to provide safe, healthful and comfortable accommodations, furnishings and equipment as evidenced by a resident repeatedly hitting others with an electric scooter without adequate facility intervention. | Type A |
| Failure to provide care, supervision, and services that meet individual needs, including failure to update a resident's care plan and failure to immediately provide life-saving measures. | Type A |
Report Facts
Facility capacity: 94
Census: 48
Plan of Correction due date: Dec 20, 2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Crystal Colvin | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Joel Esquivel | Licensing Program Manager | Named in report as Licensing Program Manager |
| Kyong Suk Lee | Administrator | Facility Administrator met during investigation and exit interview |
Inspection Report
Complaint Investigation
Census: 48
Capacity: 94
Deficiencies: 1
Dec 17, 2021
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to allegations received on 03/24/2020 regarding unsanitary storage of facility supplies and lack of hot water.
Findings
The allegation that the facility's supplies were stored in an unsanitary manner was substantiated due to paper towels being left on the bathroom counter instead of in the dispenser, posing a contamination risk. The allegation that the facility did not have hot water was unsubstantiated as the lack of hot water on 03/24/2020 was due to plumbing repairs completed the same day.
Complaint Details
The complaint investigation was substantiated for the allegation of unsanitary storage of supplies and unsubstantiated for the allegation of no hot water. The substantiated finding was based on visual inspection and observation of paper towel storage. The unsubstantiated finding was based on interviews and review of maintenance records confirming plumbing repairs resolved the hot water issue.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Maintenance and Operation: The facility was not clean, safe, sanitary and in good repair at all times due to paper towels being stored on the counter instead of in the dispenser, creating a potential health risk. | Type B |
Report Facts
Capacity: 94
Census: 48
Deficiencies cited: 1
Plan of Correction Due Date: Dec 31, 2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Crystal Colvin | Licensing Program Analyst | Conducted the complaint investigation and made findings |
| Kyong Suk Lee | Administrator | Facility administrator met during investigation and exit interview |
| Joel Esquivel | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 48
Capacity: 94
Deficiencies: 2
Dec 17, 2021
Visit Reason
Unannounced complaint investigation visit conducted to investigate allegations that the facility was not providing residents with timely access to their money and that the facility was not maintained in a healthful manner.
Findings
The investigation substantiated that the facility delayed cashing residents' Social Security checks in April 2020, causing some residents to be without access to their funds for almost one week. Additionally, the facility was found to have a strong cigarette smoke odor near the smoking area wing, affecting residents including those on oxygen, and there was a lack of eviction notice despite repeated warnings for indoor smoking.
Complaint Details
The complaint was substantiated based on evidence that residents did not have timely access to their money due to delayed cashing of Social Security checks, and that the facility was not maintained in a healthful manner due to cigarette smoke odor affecting residents.
Severity Breakdown
Type B: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Facility did not ensure residents had timely access to their funds, with at least 4 residents affected by delayed cashing of Social Security checks in April 2020. | Type B |
| Facility was not maintained in a healthful manner due to cigarette smoke odor in the wing near the smoking area, affecting residents including those on oxygen. | Type B |
Report Facts
Residents affected by delayed funds access: 4
Facility capacity: 94
Resident census: 48
Plan of Correction due date: Dec 31, 2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Crystal Colvin | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Joel Esquivel | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
| Kyong Suk Lee | Administrator | Facility administrator met during investigation and named in findings |
Inspection Report
Complaint Investigation
Census: 48
Capacity: 94
Deficiencies: 1
Dec 17, 2021
Visit Reason
The inspection visit was an unannounced complaint investigation triggered by an allegation that the facility was in disrepair, specifically regarding a reported ceiling collapse in Room #32.
Findings
The investigation substantiated the complaint that Room #32 was in disrepair due to a ceiling collapse that occurred on 11/23/2020. The occupant was displaced for over three weeks while repairs were ongoing but incomplete as of 12/15/2020, constituting a potential personal rights violation.
Complaint Details
The complaint was substantiated based on interviews and record review. The allegation that the facility was in disrepair was found valid because the preponderance of the evidence standard was met.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Personal Accommodations and Services: The premises were not maintained in a state of good repair and did not provide a safe and healthful environment, specifically Room #32 was in disrepair for over three weeks, displacing the occupant. | Type B |
Report Facts
Capacity: 94
Census: 48
Deficiency Type: 1
Plan of Correction Due Date: Dec 31, 2021
Displacement Duration: 21
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Crystal Colvin | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Joel Esquivel | Licensing Program Manager | Named as Licensing Program Manager on the report |
| Janet Oliver | Marketing Director | Met with Licensing Program Analyst during the investigation and exit interview |
Inspection Report
Complaint Investigation
Census: 48
Capacity: 94
Deficiencies: 1
Dec 17, 2021
Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that facility staff did not ensure that residents have towels.
Findings
The allegation was found to be unsubstantiated after resident interviews and review of laundry services. The facility provides linens and towels, residents may also purchase and clean their own items. However, a deficiency was cited due to insufficient supply of towels, with only one clean towel found in the laundry room during a prior visit.
Complaint Details
The complaint was unsubstantiated. The allegation was that facility staff did not ensure residents had towels. Investigation found laundry services are provided weekly and as needed, residents may have their own towels, but the facility was cited for insufficient supply of towels posing a potential health risk.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to provide a sufficient quantity of bath towels, hand towels, and wash cloths as required by regulation. | Type B |
Report Facts
Capacity: 94
Census: 48
Deficiency count: 1
Plan of Correction Due Date: Dec 31, 2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kyong Suk Lee | Administrator | Met during the investigation and exit interview |
| Anna Bueno | Licensing Program Analyst | Conducted subsequent visit and delivered findings |
| Crystal Colvin | Licensing Program Analyst | Conducted initial complaint investigation visit |
| Joel Esquivel | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 48
Capacity: 94
Deficiencies: 0
Dec 17, 2021
Visit Reason
The visit was an unannounced complaint investigation conducted in response to a complaint alleging that the facility was in disrepair.
Findings
The investigation found no evidence to substantiate the allegation of disrepair. Interviews and maintenance logs did not support the claim, and the resident involved reported having fixed the issue themselves. The allegation was determined to be unsubstantiated.
Complaint Details
The complaint alleged that the facility was in disrepair. The allegation was investigated through interviews and review of maintenance logs but was found to be unsubstantiated due to lack of evidence.
Report Facts
Capacity: 94
Census: 48
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kyong Suk Lee | Administrator | Met with Licensing Program Analyst during the complaint investigation |
| Crystal Colvin | Licensing Program Analyst | Conducted the complaint investigation |
| Joel Esquivel | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 45
Capacity: 94
Deficiencies: 0
Aug 13, 2021
Visit Reason
The inspection was an unannounced complaint investigation visit conducted to follow up on complaints alleging that the facility denied a resident a refund and that staff did not administer a resident's medication.
Findings
The complaint alleging denial of a resident refund was found to be unfounded after review of records and interviews, confirming the resident was properly refunded. The complaint alleging staff did not administer medication was unsubstantiated due to insufficient evidence, with documentation showing the resident frequently refused medication and staff documented refusals separately.
Complaint Details
Two allegations were investigated: 1) Facility denied resident a refund, which was found to be unfounded. 2) Staff did not administer resident's medication, which was found to be unsubstantiated.
Report Facts
Refund amount: 801.3
Monthly charge: 1080
Daily charge: 36
Days stayed in May 2020: 8
Amount charged for 8 days: 278.7
Facility capacity: 94
Census: 45
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Crystal Colvin | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Tae Kim | Assistant Administrator | Met with Licensing Program Analyst during the investigation and exit interview |
| Joel Esquivel | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 45
Capacity: 94
Deficiencies: 1
Aug 13, 2021
Visit Reason
The visit was an unannounced case management investigation to address recent concerns regarding facility operations, specifically handling of residents' mail and stimulus checks, and to investigate a reported bed bug infestation in Room #35.
Findings
The facility was found to be properly handling residents' mail and stimulus checks for those they serve as Representative Payee. However, a bed bug infestation was observed in Room #35, with insufficient treatment measures taken by the facility, resulting in a cited deficiency.
Complaint Details
The investigation was triggered by complaints about residents' mail handling and stimulus check processing, as well as a bed bug infestation in Room #35. The complaint regarding mail and stimulus checks was not substantiated, but the bed bug issue was substantiated and cited as a deficiency.
Deficiencies (1)
| Description |
|---|
| Bed bug infestation in Room #35 with inadequate treatment and ongoing pest presence. |
Report Facts
Census: 45
Total Capacity: 94
Deficiency Type: Type B deficiency cited for bed bug infestation
Plan of Correction Due Date: 08/20/2021 due date for plan of correction
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Crystal Colvin | Licensing Program Analyst | Conducted the inspection and investigation, cited deficiency |
| Tae Kim | Assistant Administrator | Facility representative during inspection and discussions |
| Joel Esquivel | Licensing Program Manager | Supervisor overseeing the inspection |
Inspection Report
Census: 47
Capacity: 94
Deficiencies: 1
Jul 2, 2021
Visit Reason
The Licensing Program Analyst arrived unannounced to investigate recent concerns regarding facility operations including bed bugs, roommate issues, smoking in rooms, sale of postal stamps, and broken laundry machines.
Findings
The facility had resolved issues related to bed bugs and roommate/smoking concerns. A technical violation was issued regarding the sale of postal stamps. A deficiency was cited for one of two washing machines being broken since 6/16/21 and not expected to be repaired until 7/8/21, posing a potential personal rights and health risk.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| One of the two facility washing machines has been out of order since 6/16/21 and will not be fixed until at least 7/8/21, resulting in inadequate equipment for washing resident clothing and necessary items. | Type B |
Report Facts
Deficiency due date: Jul 6, 2021
Facility capacity: 94
Census: 47
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Tae Kim | Assistant Administrator | Met with Licensing Program Analyst and discussed facility issues |
| Kyong Suk Lee | Administrator | Currently on medical leave; mentioned in relation to facility administration |
| Crystal Colvin | Licensing Program Analyst | Conducted the inspection and authored the report |
| Joel Esquivel | Licensing Program Manager | Supervisor of the Licensing Program Analyst |
Inspection Report
Complaint Investigation
Census: 47
Capacity: 94
Deficiencies: 0
Jul 2, 2021
Visit Reason
The visit was an unannounced complaint investigation following a complaint received on 02/17/2021 alleging that the facility has pests.
Findings
The investigation included interviews, document review, and inspection of the kitchen area. No pests or evidence of pests were observed, and the facility demonstrated regular pest control measures. The complaint was found to be unsubstantiated due to lack of evidence.
Complaint Details
The complaint alleging that the facility has pests was investigated and found to be unsubstantiated based on interviews, record review, and observations.
Report Facts
Facility capacity: 94
Census: 47
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Crystal Colvin | Licensing Program Analyst | Conducted the complaint investigation and inspection |
| Tae Kim | Assistant Administrator | Met with the Licensing Program Analyst during the inspection |
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