Deficiencies per Year
4
3
2
1
0
Severe
High
Moderate
Low
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Annual Inspection
Census: 86
Capacity: 126
Deficiencies: 2
Oct 7, 2025
Visit Reason
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: 2
Non-perishable food storage duration: 7
Hot water temperature range: 110.3
Hot water temperature range: 118
Number of residents interviewed: 9
Plan 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 |
| Shelia Lucas | Wellness Manager | Interviewed during the inspection |
Inspection Report
Annual Inspection
Census: 86
Capacity: 126
Deficiencies: 0
May 7, 2025
Visit Reason
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, 2025
Hospice waiver capacity: 7
Resident files reviewed: 6
Staff files reviewed: 7
Elevators: 2
Patio 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 |
| Antonia Alvizar-Ettima | Licensing Program Analyst | Conducted the inspection |
Inspection Report
Annual Inspection
Census: 82
Capacity: 126
Deficiencies: 0
Jul 23, 2024
Visit Reason
An unannounced annual inspection was conducted to evaluate compliance with licensing requirements and facility conditions.
Findings
The facility was found to be clean, well-maintained, and compliant with safety and health standards. No deficiencies were cited during the inspection.
Report Facts
Resident records reviewed: 9
Staff records reviewed: 6
Fire clearance capacity: 126
Hospice waiver capacity: 7
Hot water temperature: 118.4
Inspection start time: 945
Inspection end time: 1510
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Meg Pierce | Administrator | Met with Licensing Program Analyst during inspection |
| Huma Rahimi | Licensing Program Analyst | Conducted the inspection |
| Nichelle Gillyard | Licensing Program Manager | Named in report header and signature section |
Inspection Report
Annual Inspection
Capacity: 126
Deficiencies: 0
Jun 9, 2022
Visit Reason
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: 126
Hospice waiver capacity: 7
Food supply duration: 7
Food supply duration: 2
Number of bedrooms inspected: 11
Number of bathrooms inspected: 11
Water temperature range: 110.3
Water temperature range: 120
Number of nursing stations observed: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Meg Pierce | Executive Director | Met with Licensing Program Analysts during inspection |
| LaQueena Lacy | Licensing Program Analyst | Conducted inspection and signed report |
| Gary Tan | Licensing Program Analyst | Conducted inspection |
| Naira Margaryan | Licensing Program Manager | Named in report header |
Inspection Report
Annual Inspection
Census: 33
Capacity: 126
Deficiencies: 0
Jun 15, 2021
Visit Reason
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.
Report Facts
Resident census: 33
Total capacity: 126
Inspection duration: 2.25
Medication supply duration: 30
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Meg Pierce | Administrator | Met during entrance and exit interviews |
| Marie Garnett | Wellness Director | Met during entrance and exit interviews |
| Martina Berry | Licensing Program Analyst | Conducted the inspection |
| Cassandra Harris | Licensing Program Manager | Named in report header and signature |
Loading inspection reports...
