Most inspections found no deficiencies, with routine and annual visits consistently showing compliance in areas like infection control, safety, and resident care. Several complaint investigations were unsubstantiated, including allegations about resident care, environmental comfort, and refunds. However, two complaint investigations substantiated serious issues related to financial exploitation by staff and failure to notify residents promptly, as well as a failure to obtain fingerprint clearance for a caregiver, which resulted in a $500 civil penalty assessed in October 2024. The most recent report from July 8, 2025, was clean with no deficiencies cited, indicating improvement since the last enforcement action. Other issues noted were isolated and minor, with no further fines or license actions listed in the available reports.
The inspection was an unannounced 1-Year Annual Required inspection conducted to evaluate compliance with licensing requirements.
Findings
The Licensing Program Analysts toured the facility and reviewed resident and staff records, finding all areas in compliance with no deficiencies cited during the visit.
Report Facts
Residents records reviewed: 5Staff records reviewed: 5Fire extinguisher last serviced: Jan 14, 2025Emergency Disaster Plan last posted: Oct 17, 2024Emergency disaster and fire drill last conducted: Jun 21, 2025Hot water temperature: 116.5Hallway temperature: 75
Employees Mentioned
Name
Title
Context
Connie Yuen
Executive Director
Met with Licensing Program Analysts during inspection
Unannounced complaint investigation visit conducted to investigate allegations of financial abuse by facility staff and failure to notify residents and their authorized representatives of the incident.
Findings
The investigation substantiated that facility staff financially abused residents by fraudulently cashing stolen checks and that the Executive Director failed to timely notify all residents and their representatives of the incidents. Multiple fraudulent incidents involving residents' checks were confirmed, and notification to residents was delayed until weeks after the incidents.
Complaint Details
The complaint investigation was substantiated. Allegations included facility staff financially abusing residents and failure to notify residents and their authorized representatives of the incident. Evidence included police reports, interviews, and documentation confirming fraudulent check cashing by staff and delayed notification to residents and responsible parties.
Severity Breakdown
Type B: 2
Deficiencies (2)
Description
Severity
Failure to protect residents from financial exploitation, including punishment, humiliation, intimidation, and verbal, mental, physical abuse as evidenced by staff financial abuse of residents.
Type B
Failure to report incidents threatening the welfare, safety, or health of residents to the licensing agency and responsible parties within seven days.
Type B
Report Facts
Capacity: 320Census: 198Plan of Correction Due Date: Feb 7, 2025
Employees Mentioned
Name
Title
Context
Cherry Marcelo
Nursing Home Administrator
Met with Licensing Program Analyst during investigation and named in findings
The visit was an unannounced case management inspection to amend a previously issued report and to assess a civil penalty related to a deficiency.
Findings
The Licensing Program Analyst amended the prior report issued on 10/2/2024 and assessed a civil penalty of $500 for a deficiency involving an individual who was not fingerprint cleared.
Deficiencies (1)
Description
Deficiency regarding an individual who was not fingerprint cleared
Report Facts
Civil penalty amount: 500
Employees Mentioned
Name
Title
Context
Cherry Marcelo
Healthcare Administrator
Met with Licensing Program Analyst during the inspection
Grace Luk
Licensing Program Analyst
Conducted the inspection and assessed civil penalty
An unannounced complaint investigation was conducted in response to an allegation that staff did not check the background of a caregiver prior to the caregiver providing care to residents.
Findings
The investigation substantiated the allegation that a private caregiver was not fingerprint cleared before providing care to a resident, posing an immediate health and safety risk. A civil penalty of $500 was assessed.
Complaint Details
The complaint was substantiated based on the preponderance of evidence standard. The allegation involved failure to check background of caregiver prior to providing care. A civil penalty of $500 was assessed.
Severity Breakdown
Type A: 1
Deficiencies (1)
Description
Severity
Failure to obtain fingerprint clearance for a private caregiver prior to providing care, violating Health and Safety Code 1569.17.
The visit was an unannounced 1-Year Annual Required inspection conducted by Licensing Program Analysts to assess compliance with regulatory standards.
Findings
The facility was toured and inspected, including resident apartments, common areas, and safety equipment. No deficiencies were cited during the visit, and all safety and emergency preparedness measures were found to be in place and operational.
Report Facts
Hot water temperature: 118.2Hallway temperature: 72Fire extinguisher last serviced: Jun 17, 2024Emergency Disaster Plan last posted: Jun 20, 2023Emergency disaster drill last conducted: Jun 20, 2024Resident records reviewed: 6Staff records reviewed: 5
Employees Mentioned
Name
Title
Context
Cherry Marcelo
Nursing Home Administrator
Met with Licensing Program Analysts during inspection
The inspection was an unannounced complaint investigation visit triggered by an allegation that staff did not issue a refund.
Findings
The investigation confirmed that the original refund check was issued within 14 days of re-occupancy but was never received by the complainant. The provider reissued the check and sent it overnight. The complainant confirmed receipt and requested the complaint be closed. No violations were identified.
Complaint Details
The complaint was unsubstantiated. The allegation was that staff did not issue a refund, but the investigation found the refund was issued and received after reissuance.
Report Facts
Capacity: 320
Employees Mentioned
Name
Title
Context
Jennifer Walden
Evaluator
Conducted the complaint investigation
Connie Yuen
Administrator
Facility administrator met during the investigation
The visit was an unannounced complaint investigation conducted in response to an allegation that a resident was left in depends for a long period of time.
Findings
The investigation found that facility staff denied leaving the resident in depends for a long period. Staff reported regular changes and efforts to meet the resident's needs despite some resistance. The resident was observed in good hygiene condition during the visits. The allegation was unsubstantiated and no deficiencies were cited.
Complaint Details
The complaint was unsubstantiated due to lack of preponderance of evidence that the alleged violation occurred.
Report Facts
Capacity: 320Census: 232
Employees Mentioned
Name
Title
Context
Catherine Lin
Licensing Program Analyst
Conducted the complaint investigation
Bennett Fong
Licensing Program Manager
Oversaw the complaint investigation
Cherry Marcelo
Health Care Administrator
Met with Licensing Program Analyst during the investigation
An unannounced case management visit was conducted to check on residents received from Grand Lake Gardens (GLG) and to assess their well-being at St. Paul's Towers.
Findings
The visit found that 15 residents from GLG were living at the facility, including some in Assisted Living and Memory Care. Residents reported feeling safe and having their needs met, with no imminent health or safety concerns observed. Supplies were adequate and staffing was stable.
Report Facts
Residents from Grand Lake Gardens: 15Residents met during visit: 3
Employees Mentioned
Name
Title
Context
Angela Zamarripa
Resident Health Services Director
Met with Licensing Program Analyst during the visit
The visit was an unannounced case management visit conducted as a result of receiving residents from Grand Lake Gardens and to check on residents.
Findings
The Licensing Program Analyst observed adequate food, paper, and PPE supplies, stable staffing, and no imminent health or safety concerns. Residents interviewed stated they felt safe and their needs were met.
Report Facts
Residents from Grand Lake Gardens currently living in facility: 15
An unannounced case management visit was conducted as a result of receiving residents from Grand Lake Gardens to check on their status and well-being at St. Paul's Towers.
Findings
The visit found that 15 residents from Grand Lake Gardens had moved in, including some in Assisted Living and Memory Care units. Residents interviewed reported feeling safe, well-fed, and having their needs met. Food, paper, and PPE supplies were adequate, and no imminent health or safety concerns were identified.
Report Facts
Residents moved in from Grand Lake Gardens: 15Residents interviewed: 2
Employees Mentioned
Name
Title
Context
Connie Yuen
Administrator
Met with Licensing Program Analyst during the visit
An unannounced complaint investigation was conducted in response to allegations regarding the facility's heating and air conditioner system being in disrepair and staff not providing a comfortable environment for residents.
Findings
The investigation found both allegations to be unsubstantiated. The air conditioner system was down briefly but was repaired promptly with ongoing communication from the administrator to residents. Residents confirmed the facility provided water, ice, and popsicles during hot days, and no evidence supported the claims of discomfort.
Complaint Details
The complaint investigation was unsubstantiated based on record review, interviews, and observations. The air conditioner system downtime was confirmed but managed appropriately, and no violations were proven.
Report Facts
Capacity: 320Census: 204
Employees Mentioned
Name
Title
Context
Connie Yuen
Administrator
Met during investigation and involved in communication regarding the air conditioner system issue
Unannounced case management visit to deliver the amended report dated 08/22/2022 and obtain the original report.
Findings
The Licensing Program Analyst delivered the amended report and conducted an exit interview with the facility administrator. No deficiencies or violations are mentioned in the report.
Employees Mentioned
Name
Title
Context
Connie Yuen
Administrator
Met with Licensing Program Analyst during the visit.
Catherine Lin
Licensing Program Analyst
Conducted the unannounced case management visit and delivered the amended report.
An unannounced complaint investigation was conducted in response to allegations that staff assaulted a resident and failed to provide resident's care needs.
Findings
Both allegations were investigated through records review and interviews, and both were found to be unsubstantiated due to lack of evidence. No deficiencies were cited.
Complaint Details
The complaint investigation was unsubstantiated. Allegation of staff assaulting a resident was not witnessed by residents or staff. Allegation of failure to provide care was not supported by hospice notes, physician orders, or resident and staff statements.
Unannounced infection control inspection conducted as a required 1-year visit to assess compliance with infection control protocols.
Findings
The facility was found to have proper infection control measures in place, including universal screening, PPE usage, and adequate food and PPE supplies. No deficiencies were cited during the visit.
An unannounced case management visit was conducted due to a self-report of a resident's death dated 05/25/22.
Findings
No deficiencies were cited during the visit. The administrator reported the resident was healthy and independent with no signs of suicide. Police and cause of death reports were not available at the time of the visit.
Employees Mentioned
Name
Title
Context
Connie Yuen
Administrator
Met with Licensing Program Analyst during the visit and provided information about the resident.
Unannounced infection control inspection conducted as a required 1-year visit.
Findings
The facility was toured including multiple areas and infection control measures were observed to be in place, including PPE use, screening procedures, and signage. No deficiencies were cited during the visit.