Deficiencies per Year
4
3
2
1
0
Severe
High
Moderate
Low
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 1
Jun 27, 2025
Visit Reason
The inspection was an unannounced required 1-year annual inspection conducted by Licensing Program Manager Troy Ordonez and Licensing Program Analyst Graham Gunby.
Findings
The facility was found to be clean, safe, sanitary, and in good condition with required posters and fire extinguishers maintained. However, a deficiency was cited because one caregiver was working without a fingerprint clearance, posing an immediate risk to residents.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Caregiver working at the facility without a fingerprint clearance, violating Health and Safety Code Section 87355. | Type A |
Report Facts
Residents present: 5
Total licensed capacity: 6
Deficiencies cited: 1
Plan of Correction due date: Jun 30, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kaydian Pryce | Administrator | Met with Licensing Program Manager and Analyst during inspection; provided information about caregiver fingerprint clearance |
| Troy Ordonez | Licensing Program Manager | Conducted the inspection and cited deficiencies |
| Graham Gunby | Licensing Program Analyst | Conducted the inspection and cited deficiencies |
Inspection Report
Original Licensing
Census: 5
Capacity: 6
Deficiencies: 1
Apr 17, 2025
Visit Reason
The inspection was a required post licensing inspection conducted unannounced to evaluate the facility's compliance with licensing requirements.
Findings
The facility was found to be clean, safe, sanitary, and in good condition with appropriate staff and supplies. However, two fire doors were observed propped open with door stoppers, posing a potential safety risk. Deficiencies were cited related to fire safety.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Fire doors were propped open with door stoppers, posing a potential health, safety, or personal rights risk to persons in care. | Type B |
Report Facts
Civil penalty amount: 500
Resident files reviewed: 5
Staff files reviewed: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Christopher Chu | Administrator | Met with Licensing Program Analyst during inspection |
| Graham Gunby | Licensing Program Analyst | Conducted the inspection and authored the report |
| Troy Ordonez | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Original Licensing
Census: 6
Capacity: 6
Deficiencies: 0
Jun 20, 2024
Visit Reason
The inspection was an announced prelicensing visit conducted to evaluate the facility's compliance and readiness for licensure.
Findings
The facility was found to be in substantial compliance with all inspected areas including kitchen, backyard, resident rooms, bathrooms, staff rooms, and common areas. The facility has required fire clearance, proper medication storage, and safety measures in place.
Report Facts
Capacity: 6
Census: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Christopher Chu | Administrator | Met with Licensing Program Analyst during inspection |
| Patricia Chu | Met with Licensing Program Analyst during inspection | |
| Melissa Parks | Licensing Program Analyst | Conducted the prelicensing inspection |
| Maribeth Senty | Licensing Program Manager | Responsible for final review and approval of licensure |
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