Most inspections found no deficiencies, with the facility consistently clean, well-maintained, and in compliance with safety and infection control standards. Several complaint investigations were unsubstantiated, as the individuals involved were not residents of this facility. The most recent report from January 27, 2025, was perfect with no deficiencies noted. There were no fines, enforcement actions, or severe issues reported in any of the inspections. This record shows a stable compliance history with no concerning trends or violations.
The inspection was an unannounced subsequent annual visit conducted using the CARE Inspection Tool to evaluate compliance with licensing regulations.
Findings
The facility was found to be clean, sanitary, and appropriately furnished with no bodies of water or obstructions on the premises. Safety equipment such as smoke/carbon monoxide detectors and fire extinguishers were operable. Bathrooms and water temperatures met regulatory standards. Infection control practices were observed and all required postings were present.
Report Facts
Rooms inspected: 8Water temperature range (°F): 111.8Water temperature range (°F): 114
Employees Mentioned
Name
Title
Context
Troy Watson
Licensing Program Analyst
Conducted the inspection and authored the report
Ophelia Cruz
Patient Care Coordinator
Met with the Licensing Program Analyst during the inspection
The visit was an annual inspection conducted by the Licensing Program Analyst (LPA) to review compliance with licensing requirements.
Findings
The annual inspection included review of staff and resident rosters, face sheets, physician reports, preplacement appraisals, needs and service plans, and personal rights. Due to insufficient time, the inspection was not completed and will continue at a later date.
Employees Mentioned
Name
Title
Context
Arjene Aguirre
Administrator
Met with during the inspection and exit interview.
An unannounced annual required visit was conducted to evaluate compliance with licensing regulations and facility standards.
Findings
The facility was found to be in compliance with all applicable regulations, including physical plant conditions, safety equipment, infection control practices, and medication storage. No deficiencies were observed during the inspection.
Report Facts
Residents with hospice waiver: 3Resident bedrooms: 33Water temperature measurements: 112.8Water temperature measurements: 112.3Water temperature measurements: 113.1Water temperature measurements: 113.2
Employees Mentioned
Name
Title
Context
Elvira Gonzalez
Licensing Program Analyst
Conducted the inspection and authored the report
Arjene Aguirre
Assistant Administrator
Met with Licensing Program Analyst during inspection and participated in exit interview
An unannounced annual required visit was conducted with a primary focus on infection control measures.
Findings
The facility was found to be clean, well-maintained, and in compliance with regulations. Infection control practices were observed to be in place, including screening protocols, sanitizing stations, and PPE supply. No deficiencies were observed during the visit.
Report Facts
PPE supply duration: 30Water temperature: 115.3Capacity: 40Census: 24
Employees Mentioned
Name
Title
Context
Ulysses Coronel
Licensing Program Manager
Conducted the inspection and mentioned in findings.
Antonine Richard
Licensing Program Analyst
Conducted the inspection and mentioned in findings.
The inspection was conducted as an annual inspection with an emphasis on infection control.
Findings
The facility was found to be clean, odor-free, and well-maintained with required furnishings and safety features in resident rooms. Staff files, resident files, and medication records were up to date, and staff were observed wearing masks with adequate PPE supply. No citations were issued during this visit.
The visit was an unannounced complaint investigation regarding allegations that a resident sustained an injury while in care, staff did not prevent the resident from getting pneumonia, and staff did not timely inform the resident's authorized person of the injury.
Findings
The investigation found that the resident mentioned in the complaint does not reside at the licensed facility but at a skilled nursing facility overseen by another department. The complaint was determined to be unfounded with no citations issued.
Complaint Details
The complaint was investigated and found to be unfounded, meaning the allegations were false, could not have happened, or lacked reasonable basis.
Report Facts
Capacity: 40Census: 75
Employees Mentioned
Name
Title
Context
Jade Jordan
Licensing Program Analyst
Conducted the complaint investigation
Michael Cava
Licensing Program Manager
Named in report as Licensing Program Manager
Edgar Galang
Facility representative met during the investigation
The inspection was a required, unannounced annual inspection with an emphasis on infection control conducted by the Licensing Program Analyst.
Findings
The facility was found to be clean, odor-free, and well-maintained with required furnishings and safety features in resident rooms. Staff files, resident files, and medication records were up to date, and staff were observed wearing masks with adequate PPE supply. No citations were issued during the visit.
An unannounced complaint investigation was conducted due to an allegation that a resident sustained a fracture while in care.
Findings
The investigation determined that the named individual does not reside in a licensed community care facility overseen by the Community Care Licensing Department. The complaint was found to be unfounded, meaning the allegation was false or without reasonable basis. No citations were issued.
Complaint Details
The complaint alleging that a resident sustained a fracture while in care was investigated and found to be unfounded.
Report Facts
Capacity: 40Census: 12
Employees Mentioned
Name
Title
Context
Jade Jordan
Licensing Program Analyst
Conducted the complaint investigation
Michael Cava
Licensing Program Manager
Named as Licensing Program Manager on the report
Sabrina Tucker
Administrator
Facility administrator
Alma Amonzon
Patient Care Coordinator
Met with during the investigation
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