Most inspections found no deficiencies, with several complaint investigations unsubstantiated, indicating generally good compliance over time. However, the facility had a serious issue substantiated in August 2025 involving falsified physician reports, unauthorized fee changes, and falsification of resident records that posed an immediate health risk. Earlier in 2024, the facility faced fire safety deficiencies related to a non-functional emergency generator, which resulted in civil penalties and warnings; these issues were being addressed but not fully resolved as of April 2024. The most recent report from September 23, 2025, was clean with no deficiencies cited, showing improvement since the serious findings earlier that year. Other minor or isolated issues involved missing fire safety plates and documentation advisories, but no further enforcement actions or fines were listed in the available reports.
Deficiencies (last 5 years)
Deficiencies (over 5 years)2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
50% better than California average
California average: 4 deficiencies/year
Deficiencies per year
43210
2021
2022
2023
2024
2025
Census
Latest occupancy rate73% occupied
Based on a August 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
The regional office conducted an informal meeting with the facility to discuss citations given, specifically regarding allegations and an appeal related to reappraisals, plan of operations, and conduct inimical.
Findings
No deficiencies were cited during this visit. The facility agreed to provide tracking for all physician's reports faxed into the facility and to fix the fax machine to stamp actual date and times. The regional office will continue to monitor the facility for compliance and ensure resident health and safety.
Report Facts
Capacity: 80
Employees Mentioned
Name
Title
Context
Lizeth Guerrero
Administrator
Facility Administrator present during the meeting
Lisa Rios
Licensing Program Manager
Licensing Program Manager involved in the inspection
Albert Johnson
Licensing Program Analyst
Licensing Program Analyst involved in the inspection
Zachary Rothenberg
Attorney
Attorney for the facility present during the meeting
Tish Pickett
Attorney
Attorney for the facility present during the meeting
An unannounced complaint investigation was conducted based on allegations received on 2025-06-16 regarding overcharging residents, failure to ensure annual health assessments, and falsification of resident records.
Findings
The investigation substantiated that the facility implemented new levels of care and fees without licensing approval, used falsified physician reports to determine resident care levels, and falsified resident records, posing an immediate health risk to residents.
Complaint Details
The complaint investigation was substantiated. Allegations included charging residents for a higher level of care than received, failure to ensure annual health assessments, and falsification of resident records. The facility used falsified physician reports and implemented unauthorized fee changes, jeopardizing resident health and safety.
Severity Breakdown
Type A: 3Type B: 1
Deficiencies (4)
Description
Severity
Facility did not operate according to the approved plan of operation; implemented new level of care descriptions and fees without prior licensing agency approval.
Type B
Facility used information from a falsified physician's report to determine the level of care needed for a resident, failing to ensure annual health assessments.
Type A
Facility falsified resident records by using questionable physician reports with questionable authenticity of signatures and information.
Type A
Facility conduct was inimical to the health, morals, welfare, or safety of residents by utilizing false information to assess and charge for services, posing an immediate health risk.
Type A
Report Facts
Capacity: 80Census: 58Plan of Correction Due Date: Aug 22, 2025Plan of Correction Due Date: Aug 13, 2025
Employees Mentioned
Name
Title
Context
Albert Johnson
Licensing Program Analyst
Conducted the complaint investigation and authored the report
Lisa Rios
Licensing Program Manager
Oversaw the complaint investigation
Lizeth Guerrero
Administrator
Facility administrator involved in the investigation
The inspection was an unannounced annual continuation visit conducted to assess compliance and address advisories at the facility.
Findings
The facility has addressed previous advisories, completed work on kitchen equipment, and completed the five-year fire sprinkler inspection. A missing Hydraulic Calc plate was noted but deemed non-critical and not impairing the fire sprinkler system.
Severity Breakdown
NON-CRITICAL: 1
Deficiencies (1)
Description
Severity
Missing Hydraulic Calc plates from the risers
NON-CRITICAL
Employees Mentioned
Name
Title
Context
Albert Johnson
Licensing Program Analyst
Conducted the inspection and noted findings
Lizeth Guerrero
Administrator
Met with Licensing Program Analyst during inspection
The inspection was an unannounced annual inspection conducted by Licensing Program Analyst Albert Johnson to evaluate compliance with regulatory requirements.
Findings
The facility was found to be clean, odor-free, and compliant with safety regulations including fire safety and carbon monoxide detectors. Resident and staff files were reviewed and found to be in order, medications were properly stored and documented, and all staff were cleared and associated with the facility. The inspection will continue with follow-up on advisories and permits.
Report Facts
Client files reviewed: 10Staff files reviewed: 5
Employees Mentioned
Name
Title
Context
Albert Johnson
Licensing Program Analyst
Conducted the annual inspection
Lizeth Guerrero
Administrator
Met with Licensing Program Analyst during inspection
The inspection was an unannounced complaint investigation visit triggered by an allegation that facility staff were not dispensing medication as prescribed.
Findings
The investigation found that the facility has an established check and balance system for medications, including random inspections of medication carts and logs. No evidence was found to support the allegation, and the complaint was unsubstantiated.
Complaint Details
The complaint alleged that facility staff were not dispensing medication as prescribed. The allegation was investigated and found to be unsubstantiated.
The inspection was conducted as an unannounced complaint investigation following a complaint received on 2024-04-24 alleging that facility staff were not assisting a resident with bathing.
Findings
Based on records review, interviews with staff, residents, and the responsible party, it was determined that residents did receive their scheduled showers. The allegation that staff were not assisting a resident with bathing was unsubstantiated due to lack of evidence and the staff in question no longer working at the facility.
Complaint Details
The complaint alleged that facility staff were not assisting a resident with bathing. The investigation found that the resident had refused showers in the past and that residents generally received showers twice a week or as necessary. The allegation was unsubstantiated.
Report Facts
Capacity: 80Census: 59Estimated Days of Completion: 0
Employees Mentioned
Name
Title
Context
Albert Johnson
Evaluator / Licensing Program Analyst
Conducted the complaint investigation and delivered findings
Lizeth Guerrero
Administrator
Facility administrator met during the investigation
Lisa Rios
Licensing Program Manager
Named as Licensing Program Manager overseeing the investigation
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2024-04-12 regarding staff behavior and care practices at the facility.
Findings
The investigation included interviews with staff and residents and review of records. All allegations including inappropriate staff speech, forcing residents to take medications, leaving residents in soiled clothing, and not according privacy to residents were found to be unsubstantiated based on the evidence gathered.
Complaint Details
The complaint investigation addressed four allegations: staff speaking inappropriately to residents, forcing residents to take medications, leaving residents in soiled clothing, and not according privacy to residents. After interviews and record reviews, all allegations were deemed unsubstantiated.
The visit was conducted to determine if the plan of correction for a citation given on 2024-01-31 has been completed.
Findings
The plan of correction regarding the temporary generator installation is still in progress with plans approved for express review and installation scheduled for April 17, 2024. The non-working generator has not been removed and a fire extinguisher in the area is outdated, though other extinguishers are current. The facility was advised and warned about potential civil penalties if the plan of correction is not completed or submitted by the close of business on April 11, 2024.
Deficiencies (2)
Description
Non-working generator has not been removed.
Fire extinguisher in the area is outdated (service date 9/9/2022).
Report Facts
Capacity: 80Census: 61Plan of correction due date: Apr 9, 2024Scheduled installation date: Apr 17, 2024
Employees Mentioned
Name
Title
Context
Lizeth Guerrero
Administrator
Met with Licensing Program Analyst during inspection
Albert Johnson
Licensing Program Analyst
Conducted the inspection visit
Lisa Rios
Licensing Program Manager
Named in report header
Inspection Report Plan of CorrectionCensus: 61Capacity: 80Deficiencies: 1Apr 2, 2024
Visit Reason
The visit was conducted to determine if the plan of correction for a citation given on 2024-01-31 had been completed.
Findings
The facility has not met the fire clearance requirement for a generator as required by the Fire Marshal. The facility is working to obtain a temporary generator within 5 business days as an extension of the original plan of correction.
Severity Breakdown
Level 1: 1
Deficiencies (1)
Description
Severity
Facility does not have a generator that meets the fire clearance requirement as required by the Fire Marshal.
Level 1
Report Facts
Plan of correction extension timeframe: 5Fire clearance permit expiration month/year: 102024
The visit was an unannounced complaint investigation conducted in response to an allegation that facility staff did not follow the needs and services plan.
Findings
The investigation found that although there were concerns about the facility staff not following the needs and services plan, there was insufficient evidence to substantiate the allegation. No deficiencies were observed or cited during the investigation.
Complaint Details
The complaint alleged that facility staff did not follow the needs and services plan. The investigation included interviews and record reviews. The allegation was found to be unsubstantiated due to lack of preponderance of evidence.
Report Facts
Capacity: 80Census: 60
Employees Mentioned
Name
Title
Context
Lizeth Guerrero
Facility Designated Administrator
Met with Licensing Program Analyst during complaint investigation
The visit was a case management inspection initiated by fire services due to violations related to fire safety, specifically concerning the emergency generator being completely down.
Findings
The facility was found out of compliance with California Code of Regulations Title 22, section 87202 Fire Clearance, due to the emergency generator being completely non-functional, posing an immediate safety risk to residents. Civil penalties were assessed.
Severity Breakdown
Type A: 1
Deficiencies (1)
Description
Severity
Failure to maintain a fire clearance as required; emergency generator completely down, posing immediate safety risk to residents.
Type A
Report Facts
Civil penalty assessed: 1
Employees Mentioned
Name
Title
Context
Albert Johnson
Licensing Program Analyst
Conducted the case management visit and authored the report
Lizeth Guerrero
Administrator
Facility administrator met with Licensing Program Analyst during the visit
The Licensing Program Analyst conducted an unannounced annual inspection to evaluate compliance with regulatory requirements and ensure the health and safety of clients in care.
Findings
The facility was found to be clean, odor-free, and compliant with fire safety and regulatory requirements including carbon monoxide detectors, fire extinguishers, and smoke detectors. Resident and staff files were reviewed with all staff cleared. Medications were centrally stored and locked, with an advisory given for documentation in the medication room. No citations were issued.
Unannounced complaint investigation visit conducted in response to allegations that the licensee did not ensure the facility was free from roaches and that the facility was not in good repair.
Findings
The investigation found no evidence of pest or rodent activity, confirmed by pest control service records and observations. The facility experienced an elevator motor damage due to an automobile accident on October 10, 2023, but provided accommodations and maintained power with a backup generator. The complaint was unsubstantiated and no deficiencies were cited.
Complaint Details
The complaint was unsubstantiated. Although the elevator was damaged and the facility was without power for approximately 2 hours on October 10, 2023, accommodations were provided and power was maintained by a backup generator. No pest activity was found. No deficiencies were cited.
Report Facts
Capacity: 80Census: 59Estimated Days of Completion: 0
Employees Mentioned
Name
Title
Context
Albert Johnson
Licensing Program Analyst
Conducted the complaint investigation and delivered findings
The visit was an unannounced case management inspection regarding a reported death incident, specifically to review an LIC 624A form related to a death reported on 12/31/23.
Findings
The Licensing Program Analyst determined through interviews and record review that the resident actually passed away on 1/31/23 and the date on the LIC 624A was a typing error. The reporting time frames were met and there were no compliance concerns at the facility at this time.
Employees Mentioned
Name
Title
Context
Maja Jensen
Licensing Program Analyst
Conducted the case management visit and interviews related to the death incident.
Lizeth Guerrero
Executive Director
Met with Licensing Program Analyst during the visit and involved in interviews.
Jennifer Almendarez
Resident Care Coordinator
Met with Licensing Program Analyst during the visit and involved in interviews.
The inspection was an unannounced complaint investigation visit conducted in response to a complaint received on 2023-01-18 regarding facility elevator disrepair and facility malodor.
Findings
The investigation found the elevator complaint unsubstantiated with evidence of timely repair calls and no deficiencies cited. The malodor complaint was found unfounded as the facility was observed to be clean, odor-free, and in good repair with no deficiencies cited.
Complaint Details
The complaint involved allegations that the facility elevator was in disrepair and that the facility was malodorous. The elevator complaint was unsubstantiated, meaning there was insufficient evidence to prove the violation. The malodor complaint was unfounded, meaning the allegation was false or without reasonable basis.
An unannounced complaint investigation was conducted to investigate the allegation that the licensee did not provide a resident with an admissions agreement.
Findings
The investigation found the complaint to be unfounded, meaning the allegation was false, could not have happened, or was without reasonable basis. The facility provided two admissions agreements for the resident from different years and living arrangements.
Complaint Details
The complaint alleged that the licensee did not provide a resident with an admissions agreement. The complaint was investigated and found to be unfounded.
The inspection was an unannounced required 1 year annual visit focusing on the assisted living community of the facility.
Findings
The facility was found to be in substantial compliance with no deficiencies issued. The environment was sanitary, safe, and well-maintained with all required signage posted and emergency systems in compliance. Medication management and resident files reviewed were also in compliance.
Report Facts
Water temperature in resident rooms: 118Facility temperature range: 72Facility temperature range: 76Refrigerator temperature: 36Medication carts: 2Resident files reviewed: 3
Employees Mentioned
Name
Title
Context
Lizette Guerrero
Executive Director
Met with Licensing Program Analyst and present during narcotic medication count
The inspection visit was conducted as a case management visit related to an incident report received for a theft of resident funds.
Findings
The facility did not adequately safeguard resident cash or provide receipts for valuables entrusted to staff, posing a potential health, safety, and personal rights risk. The facility met regulatory reporting requirements by notifying police, Community Care Licensing, the resident's family, and the Ombudsman. The investigation is ongoing and the responsible party has not been identified.
Complaint Details
The visit was complaint-related due to a reported theft of resident funds. The investigation is ongoing and the party responsible has not yet been identified.
Severity Breakdown
Type B: 1
Deficiencies (1)
Description
Severity
Failure to adequately safeguard resident cash or furnish a receipt for valuables in the Licensee's/facility's care.
Type B
Report Facts
Capacity: 80Census: 59Plan of Correction Due Date: Jan 16, 2023
Employees Mentioned
Name
Title
Context
Lizette Guerrero
Executive Director
Met with Licensing Program Analyst during the visit and involved in investigation
Maja Jensen
Licensing Program Analyst
Conducted the case management visit and investigation
Liza King
Licensing Program Manager
Named as Licensing Program Manager overseeing the visit
The inspection was an unannounced required 1-year annual visit to evaluate compliance with licensing and fire clearance regulations.
Findings
The facility was found to be in compliance with licensure and fire clearance. Observations included resident engagement in communal activities, safety of the physical plant, proper medication storage, and a compliant first aid kit.
Report Facts
Hospice residents: 9Staff observed cleared: 6Temperature inside facility: 76Hot water temperature: 118Administrator certificate expiration: Jun 19, 2022
Employees Mentioned
Name
Title
Context
Lizeth Guerrero
Administrator
Met with Licensing Program Analysts during the inspection
The visit was a required one-year unannounced annual inspection to evaluate compliance with licensing and safety regulations.
Findings
No deficiencies were observed or cited during the inspection. The facility was found to be in compliance with licensure, fire clearance, and COVID-19 protocols. Minor facility repairs were requested related to floor leveling.
Report Facts
Facility capacity: 80Census: 134Hospice residents: 10Staff clearance: 7Temperature range: 74Temperature range: 78Refrigerator temperature range: 35Refrigerator temperature range: 41Dishwashing temperature: 160Kitchen fire suppression inspection date: Sep 21, 2022Fire drill date: Feb 28, 2022
Employees Mentioned
Name
Title
Context
Lizeth Guerrero
Administrator
Facility administrator met during inspection and advised on facility repairs
Maja Jensen
Licensing Program Analyst
Conducted inspection and requested evidence of repair
The visit was an unannounced case management inspection to follow up on an incident report and abuse report involving an altercation between two residents.
Findings
The inspection found no deficiencies or citations. The incident involved an altercation between two residents, with one resident sustaining a minor injury and declining hospital treatment. Proactive measures were reviewed to prevent further incidents.
Complaint Details
The visit was triggered by a complaint related to an altercation between Resident one (R1) and Resident two (R2). The complaint was investigated through record review and staff interviews. No deficiencies were substantiated.
Report Facts
Census: 60Total Capacity: 80
Employees Mentioned
Name
Title
Context
Lizeth Guerrero
Administrator
Met with Licensing Program Analyst during inspection
Ashley Boothe
Licensing Program Analyst
Conducted the case management visit and inspection
The inspection was an unannounced complaint investigation visit triggered by allegations that staff did not meet residents' needs, did not provide a copy of the admissions agreement, did not itemize fees on the admissions agreement, were overcharging residents, and were threatening residents.
Findings
The investigation found all allegations to be unfounded based on record reviews, interviews, and on-site inspection. Admissions agreements were properly signed and provided, billing statements were accurate and explained, and residents' care needs were met according to care plans. No deficiencies were observed or cited.
Complaint Details
The complaint investigation was initiated based on multiple allegations including unmet resident needs, failure to provide admissions agreements and itemized fees, overcharging, and staff threats. The investigation concluded the allegations were false and unfounded.
Report Facts
Capacity: 80Census: 63Notices of Outstanding Balance: 3
Employees Mentioned
Name
Title
Context
Ashley Boothe
Licensing Program Analyst
Conducted the complaint investigation and authored the report
Lizeth Guerrero
Administrator
Facility administrator involved in interviews and investigation
The visit was an unannounced required 1-year annual inspection to evaluate compliance with licensing and safety regulations.
Findings
No deficiencies were observed or cited during the inspection. The facility was found to be in compliance with all applicable regulations including safety, medication storage, food supplies, and COVID precautions.
Report Facts
Hospice residents: 9Staff observed cleared: 6Fire extinguisher inspection date: Sep 11, 2020Fire suppression system inspection date: Mar 12, 2021Elevator inspection date: Oct 21, 2020Disaster drill date: Jun 30, 2021Administrator certificate expiration date: Jun 19, 2022Facility temperature: 76Hot water temperature: 118
Employees Mentioned
Name
Title
Context
Lizeth Guerrero
Administrator
Met with Licensing Program Analyst during inspection and confirmed no staff or clients experienced symptoms
Ashley Boothe
Licensing Program Analyst
Conducted the inspection and authored the report
Liza King
Licensing Program Manager
Named as Licensing Program Manager on the report
Loading inspection reports...
Need Help?
Let us help you or a loved one find the perfect senior home.