Deficiencies (last 5 years)
Deficiencies (over 5 years)
2.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
30% better than California average
California average: 4 deficiencies/yearDeficiencies per year
12
9
6
3
0
Occupancy
Latest occupancy rate
52% occupied
Based on a December 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Annual Inspection
Census: 13
Capacity: 25
Deficiencies: 2
Date: Dec 2, 2025
Visit Reason
The inspection was an unannounced annual required inspection conducted to evaluate compliance with licensing regulations and facility standards.
Findings
The facility was generally compliant with regulations, including proper temperature, lighting, and safety equipment maintenance. However, two Type B deficiencies were cited: lack of covered garbage cans in resident rooms and bathrooms, and two resident care plans not signed by responsible parties.
Deficiencies (2)
Garbage cans in resident bedrooms and bathrooms did not have well-fitted covers to prevent the spread of communicable disease.
Two out of seven resident care plans were not signed by their responsible parties as required.
Report Facts
Residents receiving hospice services: 3
Fire extinguishers inspected: 4
Resident files reviewed: 7
Staff files reviewed: 5
Care plans unsigned: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Aida Reznik | Licensee/Administrator | Administrator Certificate holder and facility licensee |
| Marisol Cuadra | Licensing Program Analyst | Conducted the inspection and authored the report |
| Bethany Moellers | Licensing Program Manager | Oversaw the licensing program and signed the report |
| Erica Campos | Lead Staff | Met with Licensing Program Analyst during inspection |
Inspection Report
Complaint Investigation
Census: 16
Capacity: 25
Deficiencies: 0
Date: Mar 4, 2025
Visit Reason
The inspection was an unannounced complaint investigation triggered by an allegation of lack of supervision after reports that residents fell and were left unattended for hours.
Complaint Details
The complaint alleged lack of supervision, including incidents where resident R1 fell out of bed and was left unattended for hours, and resident R2 waited a long time for assistance. The investigation concluded the allegation was unsubstantiated due to insufficient evidence.
Findings
The investigation found no preponderance of evidence to substantiate the allegation of lack of supervision. Staff protocols and documentation did not indicate failure to respond to resident calls, and the complaint was determined to be unsubstantiated.
Report Facts
Capacity: 25
Census: 16
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Marisol Cuadra | Licensing Evaluator | Conducted the complaint investigation and authored the report |
| Bethany Moellers | Supervisor | Supervisor overseeing the investigation |
| Maritza Pray | Back up Administrator | Facility representative met during the investigation |
Inspection Report
Annual Inspection
Census: 19
Capacity: 25
Deficiencies: 7
Date: Jan 14, 2025
Visit Reason
The inspection was an unannounced annual required inspection conducted to evaluate compliance with licensing regulations and facility safety standards.
Findings
The facility was generally well maintained with comfortable temperature, proper lighting, and unobstructed passageways. However, several technical violations were noted including unattended cleaning chemicals, improper storage of medications, lack of screen door on kitchen outside door, and uncovered bathroom garbage cans. Additionally, fire extinguishers were not serviced since December 21, 2023, and two caregivers were not properly associated with the facility in the Guardian system. Civil penalties were assessed and plans of correction were required.
Deficiencies (7)
Unattended cleaning cart with chemicals left in residents' hallway posing immediate health and safety risk.
Four fire extinguishers were not serviced since December 21, 2023, posing immediate health and safety risk.
Two caregivers were not associated with the facility in Guardian system, posing immediate health and safety risk.
Resident medications not stored in original containers; loose tablet found and prescription label missing on another medication.
Bathroom garbage cans lacked well-fitted covers to prevent spread of communicable disease.
Portable heater found in one resident room shared by two residents with different temperature preferences (technical violation).
Kitchen outside door lacked a screen door to prevent insects (technical violation).
Report Facts
Fire extinguishers not serviced: 4
Civil penalty amount: 200
Plan of Correction Due Date: Jan 15, 2025
Resident census: 19
Facility capacity: 25
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Aida Reznik | Licensee/Administrator | Named in relation to multiple findings including medication management and staff association. |
| Marisol Cuadra | Licensing Evaluator | Conducted the inspection and authored the report. |
| Bethany Moellers | Supervisor | Supervisor overseeing the licensing evaluation. |
Inspection Report
Complaint Investigation
Census: 24
Capacity: 25
Deficiencies: 0
Date: Dec 17, 2024
Visit Reason
An unannounced complaint investigation was conducted due to an allegation that the facility was not following a resident's special diet, potentially putting residents at risk of aspiration, choking, or death.
Complaint Details
The complaint alleged that the facility did not follow a resident's special diet, disregarded diet texture modifications, and lacked staff training on safe food preparation and supervision. The complaint was found unsubstantiated.
Findings
The investigation found that although there were concerns about adherence to special diet orders and staff training, the facility had posted menus and signs, provided appropriate food options, and staff reported following diet changes. Interviews with residents and staff did not reveal incidents of choking or food service problems. The allegation was determined to be unsubstantiated due to lack of preponderance of evidence.
Report Facts
Capacity: 25
Census: 24
Residents with special diets: 10
Investigation visit duration: 65
Days of prior observation: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Marisol Cuadra | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| German Sinitsyn | Licensee | Met with Licensing Program Analyst during investigation |
Inspection Report
Annual Inspection
Census: 16
Capacity: 21
Deficiencies: 1
Date: Jan 9, 2024
Visit Reason
The inspection was an unannounced annual required inspection conducted to evaluate compliance with regulations at Serenity Villa facility.
Findings
The facility was generally compliant with regulations including environmental safety, resident care, and staff training. However, medication count discrepancies were found in at least 4 medications, and medications were not administered according to physician orders in 4 out of 7 reviewed cases, posing an immediate health risk.
Deficiencies (1)
Medications were not given according to the physician's orders in 4 out of 7 medications reviewed, posing an immediate health, safety or personal rights risk to persons in care.
Report Facts
Medications with discrepancies: 4
Medications not given according to physician orders: 4
Staff files reviewed: 5
Resident files reviewed: 10
Residents receiving hospice services: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Aida Reznik | Administrator/Licensee | Named in relation to medication discrepancies and plan of correction. |
| Marisol Cuadra | Licensing Program Analyst | Conducted the inspection and documented findings. |
| Erica Campos | Lead Staff | Met with Licensing Program Analyst during inspection. |
Inspection Report
Complaint Investigation
Census: 21
Capacity: 21
Deficiencies: 2
Date: Dec 12, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to complaints alleging failure to seek timely medical attention and improper incident reporting involving a resident.
Complaint Details
The complaint investigation was substantiated for failure to seek timely medical attention and failure to properly report an incident involving a resident's pressure injury. The investigation found that the facility delayed medical care from 7/29/23 to 8/7/23 and did not notify the licensing agency of the incident. Other allegations about staff neglect, sleeping during care hours, and communication issues were unsubstantiated.
Findings
The investigation substantiated that the facility failed to seek timely medical attention for a resident's stage 2 pressure ulcer and did not properly report the incident to the licensing agency. Other allegations regarding staff neglect, sleeping during care hours, and ineffective communication were found unsubstantiated.
Deficiencies (2)
Facility did not observe change of condition in resident after blister popped out of right foot, posing immediate risk to health and safety.
Facility failed to submit required incident reports to the licensing agency regarding serious injury of resident's stage II pressure injury.
Report Facts
Civil penalty: 500
Capacity: 21
Census: 21
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Aida Reznik | Administrator | Facility administrator who was not present during inspection but authorized staff to sign report. |
| Marisol Cuadra | Licensing Program Analyst | Evaluator who conducted the complaint investigation. |
| Erica Campos | Staff | Staff member met during inspection and involved in investigation. |
| Bethany Moellers | Supervisor | Supervisor overseeing the licensing evaluation. |
Inspection Report
Complaint Investigation
Census: 17
Capacity: 21
Deficiencies: 1
Date: Oct 24, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2023-09-22 alleging that the facility was not ensuring the safety of residents in care.
Complaint Details
The complaint was substantiated. The allegation was that the facility was not ensuring safety of residents in care due to the front door being ajar without alarm, leading to a safety risk. The licensee was not aware of the safety issue. Repairs were attempted but the door problem may recur with seasonal changes.
Findings
The investigation found that the front entrance door was not operating properly, posing a potential risk to the health and safety of residents. Despite attempts to repair the door, the problem persists due to seasonal expansion and contraction of the door wood. The allegation was substantiated based on evidence and interviews.
Deficiencies (1)
The facility did not ensure that the front entrance was operating properly, posing a potential risk to the health and safety of residents in care.
Report Facts
Facility capacity: 21
Census: 17
Receipt number: 664164
Plan of Correction Due Date: Oct 25, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Marisol Cuadra | Licensing Evaluator | Conducted the complaint investigation and delivered findings |
| Bethany Moellers | Supervisor | Supervisor overseeing the complaint investigation |
| Aida Reznik | Administrator | Licensee and facility administrator involved in the investigation |
| Erica Campos | Staff | Facility staff met with during the investigation |
Inspection Report
Complaint Investigation
Census: 16
Capacity: 21
Deficiencies: 0
Date: Mar 28, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2023-02-09 regarding staff mismanagement of resident medication, inadequate medication storage, insufficient staff training, and failure to provide resident records to authorized persons.
Complaint Details
The complaint investigation addressed multiple allegations including staff mismanaging resident medication, inadequate medication storage, insufficient staff training, and failure to provide resident records to the authorized person. Each allegation was found unsubstantiated due to lack of sufficient evidence to prove violations.
Findings
All complaint allegations were found to be unsubstantiated after review of medication records, interviews, and facility documentation. There was no preponderance of evidence to prove violations regarding medication management, storage, staff training, or record provision. No deficiencies were cited during the visit.
Report Facts
Capacity: 21
Census: 16
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Marisol Cuadra | Licensing Evaluator | Conducted the complaint investigation and delivered findings |
| Maritza Pray | Administrator | Facility administrator met during the investigation |
| Bethany Moellers | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Follow-Up
Census: 16
Capacity: 21
Deficiencies: 0
Date: Dec 29, 2022
Visit Reason
The visit was an unannounced Case Management follow-up to verify correction of deficiencies observed during the Annual Inspection on 2022-12-20.
Findings
No deficiencies were observed during this follow-up visit. The previously cited issue regarding a locked patio exit gate was resolved, with no locks observed on the gate at the time of inspection.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Erika Campos | Administrator | Met with Licensing Program Analyst during the follow-up visit. |
Inspection Report
Annual Inspection
Census: 16
Capacity: 21
Deficiencies: 1
Date: Dec 20, 2022
Visit Reason
An unannounced Annual Required 1-year Infection Control inspection was conducted to evaluate compliance with health, safety, and fire regulations.
Findings
The facility was generally compliant with infection control and safety regulations, but was cited for a fire clearance violation due to a locked emergency exit gate. An immediate civil penalty of $500 was assessed.
Deficiencies (1)
One out of five emergency exits was locked with a combination lock, preventing exit in an emergency.
Report Facts
Immediate Civil Penalty: 500
Residents on hospice: 4
Fire extinguisher last charged date: Nov 24, 2021
Plan of Correction due date: Dec 21, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Maritza Garcia-Pray | Administrator | Met with Licensing Program Analyst during inspection and involved in facility tour |
| Aida Reznik | Licensee/Administrator | Named as licensee with certificate expiring 4/11/2023 |
| Shannan Hansen | Licensing Evaluator | Conducted the inspection |
Inspection Report
Annual Inspection
Census: 18
Capacity: 21
Deficiencies: 0
Date: Oct 18, 2021
Visit Reason
An unannounced Annual Required – 1 year Infection Control inspection was conducted to assess compliance with infection control protocols and overall facility conditions.
Findings
The facility was found to be in compliance with no deficiencies observed. Staff and residents were following COVID-19 safety protocols, including mask usage and vaccination. The facility maintained adequate PPE supplies and had an approved COVID Mitigation Plan.
Report Facts
Vaccination rate: 100
PPE supply duration: 30
Medication supply duration: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Aida Reznik | Licensee | Met during inspection and involved in infection control discussion |
| Maritza Garcia | Administrator | Met during inspection and involved in infection control discussion |
| Marisol Cuadra | Licensing Program Analyst | Conducted the inspection |
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