Inspection Reports for Safe Harbor Elder Care
3301 Lomas Serenas Dr, Escondido, CA 92029, United States, CA, 92029
Back to Facility ProfileInspection Report Summary
Most inspections found no deficiencies, with several complaint investigations unsubstantiated, indicating generally good compliance with regulations. The most recent reports from March 14, 2025, each cited a deficiency involving a staff member working without the required criminal record clearance, resulting in a civil penalty and the staff member being removed from the facility. Earlier complaint investigations in November 2024 substantiated a violation of residents’ personal rights due to unauthorized photography, while other allegations such as neglect and abuse were unsubstantiated. No fines beyond the civil penalty or enforcement actions like license suspensions were noted in the available reports. The facility’s record shows improvement in most areas, though the recent staffing clearance issues highlight a specific compliance concern.
Deficiencies (last 4 years)
Deficiencies (over 4 years)
0.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
80% better than California average
California average: 4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
100% occupied
Based on a March 2025 inspection.
Census over time
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 1
Date: Mar 14, 2025
Visit Reason
An unannounced annual required visit was conducted to evaluate the facility's compliance with licensing requirements.
Findings
The facility was generally found to be clean, well-maintained, and compliant with infection control, physical plant, food service, care and supervision, and record-keeping requirements. However, a deficiency was cited for one staff member who worked without receiving a required criminal record clearance prior to employment, resulting in a civil penalty.
Deficiencies (1)
One staff member was not cleared prior to working at the facility, violating criminal record clearance requirements.
Report Facts
Staff present: 3
Residents present: 4
Client files reviewed: 4
Staff files reviewed: 4
Clients with medication reviewed: 2
Hot water temperature: 115.3
Plan of Correction Due Date: Mar 15, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nikita Mundhada | Administrator | Met with Licensing Program Analyst during inspection |
| Janira Arreola | Licensing Program Analyst | Conducted the inspection and authored the report |
| Tricia Danielson | Licensing Program Manager | Supervisor of the Licensing Program Analyst |
| Gaurav Rathi | Administrator/Director | Facility Administrator/Director listed in report |
Inspection Report
Census: 6
Capacity: 6
Deficiencies: 1
Date: Mar 14, 2025
Visit Reason
An unannounced Case Management Visit was conducted to perform health checks and assess compliance with licensing requirements.
Findings
One staff member was found working without a criminal record clearance and was escorted off the premises. A deficiency was issued related to this finding. No other health or safety issues were observed during the visit.
Deficiencies (1)
Staff member present during the visit did not have a criminal record clearance and had been working for more than 5 days.
Report Facts
Residents present: 4
Staff present: 3
Days staff worked without clearance: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Gaurav Rathi | Administrator | Named as facility administrator |
| Nikita Mundhada | Administrator | Met with Licensing Program Analyst during the visit |
| Janira Arreola | Licensing Program Analyst | Conducted the unannounced Case Management Visit |
Inspection Report
Complaint Investigation
Census: 6
Capacity: 6
Deficiencies: 1
Date: Nov 22, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit conducted to investigate allegations including that facility staff recorded a resident without consent and that staff did not assist a resident after a fall.
Complaint Details
The complaint investigation was substantiated for the allegation that facility staff recorded a resident without consent. The allegation that staff did not assist a resident after a fall was unsubstantiated.
Findings
The investigation substantiated that staff took photographs and videos of Resident One without their consent, violating personal rights. Another allegation that staff did not assist the resident after a fall was unsubstantiated due to lack of evidence. The facility was cited for failure to ensure personal rights related to unauthorized photography.
Deficiencies (1)
87468.1 Personal Rights of Residents in All Facilities (a)(1) To be accorded dignity in their personal relationships with staff, residents, and other persons. Licensee did not ensure Resident One's personal rights when taking photographs or recordings without consent.
Report Facts
Capacity: 6
Census: 6
Plan of Correction Due Date: Nov 29, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sara Martinez | Licensing Program Analyst | Conducted the complaint investigation |
| Nikita Mundhada | Administrator | Facility administrator met during investigation and involved in findings |
| Gaurav Rathi | Administrator | Named as facility administrator in report header |
Inspection Report
Complaint Investigation
Census: 6
Capacity: 6
Deficiencies: 0
Date: Nov 22, 2024
Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation that a staff member hit a resident.
Complaint Details
The complaint alleged that a staff member (S1) hit Resident One (R1) on the left hip. Interviews with the resident and staff did not confirm the allegation. Residents reported feeling safe and no witnesses confirmed the incident. The allegation was deemed unsubstantiated.
Findings
The investigation included interviews, observations, and records review. The allegation that a staff member smacked a resident was unsubstantiated due to lack of preponderance of evidence.
Report Facts
Capacity: 6
Census: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sara Martinez | Licensing Program Analyst | Conducted the complaint investigation |
| Nikita Mundhada | Administrator | Met with Licensing Program Analyst during the investigation |
| Tricia Danielson | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 6
Capacity: 6
Deficiencies: 0
Date: Mar 21, 2024
Visit Reason
An unannounced complaint investigation was conducted in response to a complaint received on 2020-09-25 alleging multiple violations including failure to follow physician's orders, violation of residents' personal rights, inadequate staff training and supervision, improper resident assessments, and poor food quality.
Complaint Details
The complaint was unsubstantiated after investigation. Allegations included failure to follow physician's orders, violation of residents' personal rights, inadequate staff training and supervision, improper resident assessments, and poor food quality. No credible evidence was found to support these claims.
Findings
The investigation found no evidence to substantiate the allegations. Medication administration records, staff interviews, and resident feedback indicated compliance with physician orders, proper staff training, adequate supervision, proper resident assessments, and good quality food. No incidents or violations were confirmed.
Report Facts
Residents present: 6
Licensed capacity: 6
Staff scheduled: 3
Staff scheduled: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Marisela Garcia-Centeno | Licensing Program Analyst | Conducted the complaint investigation |
| Nikita Mundhada | Administrator | Facility representative met during investigation and exit interview |
| Denise Powell | Licensing Program Manager | Named in report as Licensing Program Manager |
| Gaurav Rathi | Administrator | Named as facility administrator |
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 0
Date: Mar 12, 2024
Visit Reason
The visit was an unannounced Required Annual Inspection conducted to evaluate the facility's compliance with regulations.
Findings
The facility was inspected inside and outside with no obstructions found. All physical plant requirements, safety equipment, medication storage, food supply, and care supervision met regulatory standards. No Title 22, Division 6 Regulation violations were observed or cited during the visit.
Report Facts
Capacity: 6
Census: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Gaurav Rathi | Administrator | Facility Administrator present during inspection |
| Nikita Mundhada | Administrator | Administrator met with Licensing Program Analyst during inspection |
| Venus Mixson | Licensing Program Analyst | Conducted the inspection |
| Jazmond D Harris | Licensing Program Manager | Named in report header |
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 0
Date: May 12, 2022
Visit Reason
Licensing Program Analyst Chinwe Nwogene made an unannounced visit to conduct an annual inspection focused on infection control at the facility.
Findings
The facility was found to have adequate infection control measures including Covid-19 postings, hand hygiene supplies, PPE supplies, and a plan to monitor residents for changes in condition. No deficiencies were noted at the time of the visit.
Report Facts
Staff present: 2
Restrooms: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nikita Mundhada | Administrator | Met with Licensing Program Analyst during the inspection |
| Chinwe Nwogene | Licensing Program Analyst | Conducted the inspection |
| Deborah Mullen | Licensing Program Manager | Named in report header |
Inspection Report
Complaint Investigation
Census: 6
Capacity: 6
Deficiencies: 0
Date: Mar 30, 2022
Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that staff provided unprescribed medication to a resident.
Complaint Details
The complaint alleged that staff provided unprescribed medication to a resident for pain. The investigation did not produce substantial evidence to meet the preponderance of evidence standard; therefore, the allegation was found unsubstantiated.
Findings
The investigation included a tour, observations, records review, and interviews. No evidence was found to support the allegation; medications were administered as prescribed and no unprescribed medications were observed or reported. The allegation was found unsubstantiated.
Report Facts
Capacity: 6
Census: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kayla Hilario | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| John Rante | Licensing Program Manager | Oversaw the complaint investigation |
| Molly Hernandez | Caregiver | Interviewed during the investigation and participated in exit interview |
| Gaurav Rathi | Administrator | Facility administrator named in the report |
Inspection Report
Census: 5
Capacity: 6
Deficiencies: 0
Date: Jul 26, 2021
Visit Reason
Licensing Program Analyst Eva Torres conducted a case management visit to amend a report that was created on 06/09/21.
Findings
During the visit, the Licensing Program Analyst met with the administrator, informed them of the purpose of the visit, obtained their signature on the amended report, and conducted an exit interview providing Licensee Rights and a copy of the report.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Gauravi Rathi | Administrator | Met with Licensing Program Analyst during the case management visit. |
| Eva Torres | Licensing Program Analyst | Conducted the case management visit and obtained signatures on the amended report. |
| Denise Powell | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Complaint Investigation
Census: 6
Capacity: 6
Deficiencies: 0
Date: Jun 9, 2021
Visit Reason
An unannounced complaint investigation visit was conducted due to an allegation that staff administered resident medication without a physician's order.
Complaint Details
The complaint alleged that staff administered medication M1 to Resident #1 without a physician's order from June through September 2020. Interviews and record reviews showed the medication was listed as PRN and not discontinued by the physician until September 10, 2020. Staff interviews did not support the allegation, and evidence was inconsistent, resulting in an unsubstantiated finding.
Findings
The investigation found insufficient evidence to prove or disprove the allegation that the licensee administered a discontinued medication to Resident #1 without a physician's order; therefore, the complaint was unsubstantiated.
Report Facts
Capacity: 6
Census: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Gaurav Rathi | Administrator | Met with during investigation and exit interview |
| Evangelica Torres | Licensing Program Analyst | Conducted the complaint investigation visit |
| Rebecca Hedgecock | Licensing Program Manager | Named as Licensing Program Manager on report |
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