Most inspections found no deficiencies, showing the facility was generally clean, well-maintained, and compliant with safety, health, and infection control standards. Several annual visits between 2021 and 2025 were free of any citations, reflecting a strong record over time. The most recent report from October 7, 2025, did cite two deficiencies related to construction work done without the required building permit and inadequate maintenance procedures during that construction, which posed potential health and safety risks. These issues were isolated to the construction area and did not involve resident care or infection control. Overall, the facility’s condition appears stable with a recent minor setback linked to building compliance rather than ongoing operational problems.
Deficiencies (last 4 years)
Deficiencies (over 4 years)0.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
88% better than California average
California average: 4 deficiencies/year
Deficiencies per year
43210
2021
2022
2024
2025
Census
Latest occupancy rate68% occupied
Based on a October 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
The inspection was an unannounced Case Management Annual Continuation visit conducted to complete the required 1-year inspection initiated on 2025-05-07.
Findings
The facility was generally found to be clean, sanitary, and safe with proper storage of food, medications, and cleaning supplies. Resident bedrooms and bathrooms were clean and properly furnished. However, deficiencies were cited related to construction alterations without a required building permit and lack of maintenance provisions during construction, posing potential health and safety risks.
Severity Breakdown
Type B: 2
Deficiencies (2)
Description
Severity
Main lobby area closed with a temporary wall due to alterations including drywalling, electrical work, flooring and wall removal without providing a required building permit.
Type B
Failure to provide maintenance services and procedures for safety and well-being of residents, employees, and visitors during construction.
Type B
Report Facts
Perishable food storage duration: 2Non-perishable food storage duration: 7Hot water temperature range: 110.3Hot water temperature range: 118Number of residents interviewed: 9Plan of Correction due date: Oct 21, 2025
Employees Mentioned
Name
Title
Context
Antonia Alvizar-Ettima
Licensing Program Analyst
Conducted the inspection and authored the report
Naira Margaryan
Licensing Program Manager
Oversaw the licensing program related to this inspection
Samuel Oden
Chief Executive Officer (CEO)
Interviewed during the inspection and referenced in deficiency observation
Mike Gonzalez
Assistant Administrator
Interviewed during the inspection and referenced in deficiency observation
An unannounced annual inspection was conducted to evaluate compliance with licensing requirements at the facility.
Findings
The facility was found to be well-maintained with no deficiencies cited during the inspection. Safety equipment such as fire extinguishers and smoke detectors were properly maintained, and resident and staff files were complete and up to date. The inspection was not fully completed due to time constraints and will be continued at a later date.
Report Facts
Fire extinguishers service date: Jan 17, 2025Hospice waiver capacity: 7Resident files reviewed: 6Staff files reviewed: 7Elevators: 2Patio areas: 3
Employees Mentioned
Name
Title
Context
Marie Garnett
Director of Nursing
Met with Licensing Program Analyst during inspection
Mike Gonzalez
Director Residential Health & Wellness
Met with Licensing Program Analyst during inspection
The inspection was an unannounced one-year required infection control visit to evaluate compliance with infection control and facility safety standards.
Findings
The facility was found to be clean, well-maintained, and compliant with infection control and safety requirements. No deficiencies were cited during the inspection.
Report Facts
Fire clearance capacity: 126Hospice waiver capacity: 7Food supply duration: 7Food supply duration: 2Number of bedrooms inspected: 11Number of bathrooms inspected: 11Water temperature range: 110.3Water temperature range: 120Number of nursing stations observed: 2
Employees Mentioned
Name
Title
Context
Meg Pierce
Executive Director
Met with Licensing Program Analysts during inspection
Licensing Program Analyst Martina Berry conducted a required annual visit at the facility to evaluate compliance and infection control measures.
Findings
The facility was found to have no deficiencies cited. All residents and staff were fully vaccinated, infection control procedures were in place and followed, and the facility maintained proper sanitation and PPE protocols.