Most inspections found no deficiencies, including the most recent report on August 6, 2025, which was a complaint investigation that found all allegations of staff neglect, feeding issues, and failure to report incidents to be unfounded. Earlier complaint investigations substantiated two isolated issues: a failure to obtain prior consent before cutting a resident’s hair in May 2025, and kitchen uncleanliness with pest presence in July 2024. Other complaints about resident care, supervision, and medication management were unsubstantiated. The facility’s annual inspection in November 2024 and several licensing visits showed no deficiencies, indicating improvement over time. No fines, enforcement actions, or severe findings were noted in the available reports.
Deficiencies (last 3 years)
Deficiencies (over 3 years)1.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
The inspection was an unannounced complaint investigation visit triggered by allegations of staff neglect resulting in a resident's death, failure to properly feed a resident, and failure to report incidents involving a resident.
Findings
The investigation found all allegations to be unfounded based on record reviews and staff interviews. There was no evidence of staff neglect causing the resident's death, the resident was properly fed, and incidents were reported to the responsible party as required.
Complaint Details
The complaint investigation was conducted following allegations of staff neglect resulting in a resident's death, failure to ensure proper feeding, and failure to report incidents. The findings determined all allegations to be unfounded.
Report Facts
Capacity: 35Census: 28
Employees Mentioned
Name
Title
Context
Cassandra Mikkelson
Licensed Program Analyst
Conducted the complaint investigation and delivered findings
Unannounced complaint investigation visit conducted in response to a complaint received on 2024-10-07 regarding multiple allegations including unauthorized haircut, call button accessibility, medication log accuracy, and meal preparation.
Findings
The investigation substantiated that staff cut a resident's hair without prior consent from the authorized representative, violating the resident's personal rights, though no harm was found. Allegations regarding call button accessibility and medication log accuracy were unsubstantiated, and the allegation about improper meal preparation was found to be unfounded.
Complaint Details
The complaint investigation was substantiated for the allegation that staff cut a resident's hair without consent from the authorized representative. Other allegations regarding call button accessibility and medication log accuracy were unsubstantiated, and the allegation about meal preparation was unfounded.
Severity Breakdown
Type B: 1
Deficiencies (1)
Description
Severity
Failure to obtain prior consent from authorized representatives before providing grooming services, including haircuts.
Type B
Report Facts
Capacity: 35Census: 27Deficiency count: 1Plan of Correction Due Date: May 19, 2025
Employees Mentioned
Name
Title
Context
Graham Gunby
Licensing Program Analyst
Conducted the complaint investigation and authored the report
Ilona Corpus
Administrator
Facility administrator involved in the investigation
Christina Brown
Resident Care Coordinator
Met with Licensing Program Analyst during the investigation
The inspection was an unannounced complaint investigation visit triggered by allegations received on 11/20/2024 regarding resident care concerns at Senior Care Villa of Loomis.
Findings
The investigation found the allegations unsubstantiated. The resident did not have pressure injuries but had irritation and redness consistent with frequent repositioning and care. The allegation that staff left the resident in soiled clothing for an extended period could not be corroborated based on interviews and record reviews.
Complaint Details
The complaint alleged that a resident developed a pressure injury due to staff not repositioning the resident and that staff left the resident in soiled clothing for an extended period. Both allegations were found unsubstantiated due to lack of preponderance of evidence.
Report Facts
Capacity: 35Census: 27
Employees Mentioned
Name
Title
Context
Graham Gunby
Licensing Program Analyst
Conducted the complaint investigation
Christina Brown
Resident Care Director
Met with Licensing Program Analyst during investigation
The visit was an unannounced complaint investigation conducted in response to a complaint received on 2024-10-14 alleging that staff did not ensure that a resident's care needs were met.
Findings
The investigation determined that staff acted within appropriate care protocols. Licensed skilled professionals were responsible for wound care, and staff were instructed not to replace the patch as it was outside their scope of practice. Licensed staff were promptly notified to address the issue, and there was no evidence of delay or neglect.
Complaint Details
The complaint alleged that staff did not ensure that a resident's care needs were met. The investigation found the allegation to be unfounded, meaning it was false, could not have happened, or was without reasonable basis.
Report Facts
Facility capacity: 27Census: 20
Employees Mentioned
Name
Title
Context
Ilona Corpus
Executive Director
Met with Licensing Program Analyst during the investigation
The visit was an unannounced annual inspection conducted to evaluate the facility's compliance with regulatory requirements.
Findings
During the inspection, all resident and staff files were reviewed and found to contain the required paperwork and training. The facility was toured and no health or safety violations were observed. No deficiencies were cited.
Report Facts
Resident files reviewed: 7Staff files reviewed: 5
Employees Mentioned
Name
Title
Context
Ilona Corpus
Executive Director
Met with Licensing Program Analysts during inspection and involved in facility tour
The inspection was an unannounced complaint investigation visit conducted in response to a complaint received on 2024-07-22 alleging failure of facility staff to seek medical attention timely, assist a resident in distress, and interference with a hospice agency agent.
Findings
The investigation included interviews with the administrator and staff, and review of resident records. The resident exhibited behaviors including refusing assistance and medications. Hospice and first responders assisted the resident back to bed. The allegations were found to be unfounded as the evidence did not meet the preponderance of evidence standard.
Complaint Details
The complaint involved allegations that facility staff failed to seek medical attention in a timely manner, failed to assist a resident in distress, and interfered with a hospice agency agent. The investigation found these allegations to be unfounded.
Report Facts
Facility capacity: 27Resident census: 16
Employees Mentioned
Name
Title
Context
Melissa Parks
Licensing Program Analyst
Conducted the complaint investigation and authored the report
Ilona Corpus
Administrator
Met with Licensing Program Analyst during investigation and provided information
Unannounced complaint investigation visit conducted in response to complaints received on 2024-06-19 regarding pest control and kitchen sanitation, as well as allegations about supervision, food service, staffing, and training.
Findings
The investigation substantiated allegations of pests and uncleanliness in the kitchen posing an indirect threat to resident health and safety. Other allegations regarding supervision, food service, staffing, and training were found to be unfounded based on evidence and staff interviews.
Complaint Details
The complaint investigation was substantiated for pest presence and kitchen uncleanliness. Other allegations including inadequate supervision, food service, staffing, and training were found to be unfounded.
Deficiencies (1)
Description
Kitchen areas were not kept clean and free of litter, rodents, vermin and insects.
Report Facts
Facility capacity: 27Census: 15Plan of Correction due date: Jul 25, 2024
Employees Mentioned
Name
Title
Context
Melissa Parks
Licensing Program Analyst
Conducted the complaint investigation and authored the report
Ilona Corpus
Administrator
Facility administrator met during investigation and involved in findings
Maribeth Senty
Licensing Program Manager
Named as Licensing Program Manager overseeing the investigation
Inspection Report Original LicensingCensus: 16Capacity: 27Deficiencies: 0Mar 12, 2024
Visit Reason
An unannounced post licensing inspection was conducted to evaluate the facility following its licensing.
Findings
No deficiencies were cited during the inspection. The Licensing Program Analyst reviewed resident and staff files and toured the facility with the Administrator. The inspection was not fully completed due to a planned power outage, and a return visit will be scheduled.
Report Facts
Resident files reviewed: 4Staff files reviewed: 2
Employees Mentioned
Name
Title
Context
Ilona Corpus
Administrator
Met with Licensing Program Analyst during the inspection and toured the facility
Melissa Parks
Licensing Program Analyst
Conducted the unannounced post licensing inspection
Maribeth Senty
Licensing Program Manager
Named in the report as Licensing Program Manager
Inspection Report Original LicensingCensus: 17Capacity: 27Deficiencies: 0Dec 11, 2023
Visit Reason
An unannounced prelicensing visit was conducted to evaluate the facility's readiness for licensure.
Findings
The facility was found to be in substantial compliance with no health or safety violations observed and has been approved for a secured perimeter by the local fire protection district.
Employees Mentioned
Name
Title
Context
Joseph Dunham
Administrator
Facility Administrator present during the prelicensing visit.
Melissa Parks
Licensing Program Analyst
Conducted the unannounced prelicensing visit.
Maribeth Senty
Licensing Program Manager
Responsible for final review and approval of the license.
Inspection Report Original LicensingCensus: 21Capacity: 27Deficiencies: 0Oct 26, 2023
Visit Reason
The inspection was a prelicensing visit conducted as part of a change in ownership with residents in care to evaluate compliance with licensing requirements.
Findings
The applicant corrected previous issues including non-skid mats in showers, a complete first aid kit, and safety measures such as locks on bathroom cabinets. However, the facility did not meet all pre-licensing components, including approval for a secured perimeter pending fire inspection clearance.
Employees Mentioned
Name
Title
Context
Melissa Parks
Licensing Program Analyst
Conducted the prelicensing inspection and observed compliance with previous issues.
Joseph Dunham
Administrator
Provided waiver letter for secured perimeter and involved in the inspection process.
Inspection Report Original LicensingCensus: 22Capacity: 27Deficiencies: 3Oct 19, 2023
Visit Reason
The inspection was conducted as a prelicensing visit for a change in ownership with residents in care to ensure compliance with Title 22 regulations.
Findings
The facility did not satisfy all pre-licensing requirements due to missing non-skid mats in all resident showers, an incomplete first aid kit, and lack of safety measures in resident apartments to address behaviors such as ingestion of toxic materials. A follow-up visit will be conducted to verify compliance.
Deficiencies (3)
Description
Non-skid mats were not observed in all resident showers
Incomplete first aid kit
No safety measures in resident apartments to address behaviors such as ingestion of toxic materials
Employees Mentioned
Name
Title
Context
Melissa Parks
Licensing Program Analyst
Conducted the prelicensing inspection and authored the report
Joseph Dunham
Administrator
Facility administrator who stated the facility will be in full compliance by 10/26/2023
The visit was an office type evaluation involving a telephone interview with the applicant and administrator to verify identification and confirm understanding of community care facility licensing laws.
Findings
The applicant and administrator participated in COMP II, confirming their knowledge of licensing laws and providing required documentation including signed LIC 809 and photo ID.
Employees Mentioned
Name
Title
Context
Joe Dunham
Administrator
Participated in COMP II and interview confirming licensing law understanding.
Aaron Whitfield
Participated in COMP II and interview confirming licensing law understanding.
Julia Kim
Licensing Program Manager
Named in report header.
Dianne Ramos
Licensing Program Analyst
Named in report header.
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