Most inspections found deficiencies related primarily to the facility’s call system and medication storage. The most serious issue occurred in July 2025, when the call system was non-functional for several days, posing an immediate health and safety risk; this complaint was substantiated and corrective actions were planned. Other findings included improper medication storage and water damage noted in the September 30, 2025 pre-licensing inspection, which also cited issues with call system cords in the memory care unit. Several complaint investigations were unsubstantiated, and no fines or enforcement actions were listed in the available reports. The most recent report from September 30, 2025 included deficiencies, indicating ongoing areas needing attention.
Deficiencies per Year
43210
2025
HighModerate
Census Over Time
CensusCapacity
Inspection Report Original LicensingCensus: 53Capacity: 99Deficiencies: 2Sep 30, 2025
Visit Reason
The inspection was a scheduled pre-licensing visit to evaluate the facility for licensing approval.
Findings
The inspection found deficiencies including improper storage of medications in a resident's room and water damage in the dining area ceiling. The facility also had issues with call system cords in the memory care unit. Plans of correction were requested to address these issues.
Severity Breakdown
Type A: 1Type B: 1
Deficiencies (2)
Description
Severity
Thirteen medications were found in a resident's room, violating safe and locked storage requirements.
Type A
Two resident rooms in memory care had no call system cords or cords that were too short, and the dining room had a 20x20 foot hole in the ceiling covered with plastic sheeting.
Type B
Report Facts
Medications found in resident room: 13Facility capacity: 99Current census: 53Dining room ceiling damage area: 400Fire extinguishers: 21Memory care bedrooms: 7Memory care bathrooms: 7Assisted living bedrooms: 58Assisted living bathrooms: 58
Employees Mentioned
Name
Title
Context
Sarah Benson
Licensing Program Analyst
Conducted the inspection and signed the report
Lauren Crocker
Licensing Program Manager
Named in report as Licensing Program Manager
Cindy Conley Pacheco
Administrator
Facility administrator met during inspection and named in findings
The visit occurred to deliver complaint findings related to previously licensed facility Siskiyou Springs Senior Living Community and to investigate complaints reported in April 2025.
Findings
The investigation found one complaint substantiated and two complaints unsubstantiated based on observations, record reviews, and interviews. Licensing deficiencies were cited according to California Code of Regulations (Title 22).
Complaint Details
Two complaints reported on 4-02-25 were unsubstantiated. One complaint reported on 4-15-25 was substantiated based on the preponderance of evidence standard.
Report Facts
Complaints reported: 3
Employees Mentioned
Name
Title
Context
Sarah Benson
Licensing Program Analyst
Arrived unannounced to deliver complaint findings and conducted the investigation
Cindy Pacheco
Administrator
Met with Licensing Program Analyst and toured the facility
The visit was an unannounced complaint investigation triggered by a complaint received on 2025-07-28 regarding the facility pager system being in disrepair.
Findings
The investigation found that the facility's call system was non-functional from 2025-07-16 to 2025-07-21, posing an immediate health and safety risk to residents. Staff and administrator reported measures taken during the outage, and the call system was observed working at the time of inspection. The allegation was substantiated.
Complaint Details
The complaint was substantiated. The investigation included staff interviews, record reviews, and observations. The call system outage was confirmed, and corrective actions were planned with a due date of 2025-08-29.
Severity Breakdown
Type B: 1
Deficiencies (1)
Description
Severity
The facility had no signal system in working order from 7-16-25 until 7-21-25, posing an immediate health and safety risk to residents in care.
Type B
Report Facts
Capacity: 99Census: 56Deficiency count: 1Plan of Correction Due Date: Aug 29, 2025
Employees Mentioned
Name
Title
Context
Cindy Pacheco
Administrator
Met with Licensing Program Analyst during investigation and reported on call system outage and resident care
The visit occurred as an unannounced case management inspection to deliver complaint findings for a previously licensed facility.
Findings
The Licensing Program Analyst arrived unannounced to deliver complaint findings and met with the Office Manager. No specific deficiencies or findings are detailed in the report.
Complaint Details
The visit was related to delivering complaint findings for a previously licensed facility (475002711).
Employees Mentioned
Name
Title
Context
Sarah Benson
Licensing Program Analyst
Arrived unannounced to deliver complaint findings.
Carey Eppler
Office Manager
Met with Licensing Program Analyst during the visit.
The visit occurred as an unannounced case management inspection to amend complaint findings for a previously licensed facility.
Findings
The Licensing Program Analyst arrived unannounced and met with the Office Manager to address amendments to prior complaint findings. No specific deficiencies or severity levels were detailed in the report.
Complaint Details
The visit was complaint-related, aiming to amend findings from a previous license (475002711).
Employees Mentioned
Name
Title
Context
Sarah Benson
Licensing Program Analyst
Conducted the unannounced visit to amend complaint findings.
Carey Eppler
Office Manager
Met with Licensing Program Analyst during the inspection.
Alma Peralta
Administrator/Director
Named as facility administrator/director.
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