Inspection Reports for Stellar Care
4518 54th St, San Diego, CA 92115, United States, CA, 92115
Back to Facility ProfileInspection Report Summary
Most inspections and complaint investigations found no deficiencies, and several allegations were unsubstantiated, indicating generally good compliance with regulations. The most recent report from July 18, 2025, was an annual inspection with no deficiencies cited. Earlier complaint investigations occasionally identified minor issues, such as a substantiated medication management deficiency in November 2023 and a staffing-related neglect finding in March 2024, but no fines or enforcement actions were listed in the available reports. The facility appears to have improved since those findings, with recent inspections showing no deficiencies. Other complaints about resident care, supervision, and environment were investigated and found unsubstantiated.
Deficiencies (last 5 years)
Deficiencies (over 5 years)
0.4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
90% better than California average
California average: 4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
63% occupied
Based on a July 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Annual Inspection
Census: 94
Capacity: 150
Deficiencies: 0
Jul 18, 2025
Visit Reason
An unannounced required one-year inspection was conducted to evaluate compliance with licensing requirements at the facility.
Findings
The facility was found to be in full compliance with no deficiencies observed or cited. The environment, supplies, food storage, medication management, and records were all in proper order.
Report Facts
Facility capacity: 150
Census: 94
Bedridden residents approved: 10
Food supply duration: 2
Food supply duration: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Amy Rodgers | Licensing Program Analyst | Conducted the inspection and reviewed staff and client records |
| Brandon Cho | Administrator | Facility administrator who granted entry and participated in exit interview |
Inspection Report
Complaint Investigation
Census: 94
Capacity: 150
Deficiencies: 0
Jul 18, 2025
Visit Reason
An unannounced complaint investigation was conducted following allegations that staff did not communicate with a resident's responsible party regarding care and that staff were not properly supervising a resident who is a fall risk.
Findings
The investigation found that communication between staff and the resident's responsible party occurred frequently and appropriately, and staff were properly supervising the resident at fall risk with adequate training and care plans. The allegations were deemed unsubstantiated.
Complaint Details
The complaint involved two allegations: 1) staff not communicating with the responsible party regarding resident's care, and 2) staff not properly supervising a resident who is a fall risk. The investigation found no substantiation for these allegations.
Report Facts
Capacity: 150
Census: 94
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brandon Cho | Executive Director | Met during inspection and involved in exit interview |
| Amy Rodgers | Licensing Program Analyst | Conducted the complaint investigation |
| Simon Jacob | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Capacity: 150
Deficiencies: 0
May 29, 2025
Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation of lack of supervision resulting in resident eloping.
Findings
The investigation included file review and staff interviews, revealing that Resident #1 can leave the facility unassisted without restriction. The complaint was found to be unfounded.
Complaint Details
The complaint alleging lack of supervision resulting in resident eloping was investigated and found to be unfounded based on staff interviews and records review.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Amy Rodgers | Licensing Program Analyst | Conducted the complaint investigation and delivered findings. |
| Brandon Cho | Executive Director | Met with the Licensing Program Analyst during the investigation and received the report. |
Inspection Report
Complaint Investigation
Census: 98
Capacity: 150
Deficiencies: 0
May 13, 2025
Visit Reason
The inspection was conducted as an unannounced complaint investigation following an allegation received on 04/04/2025 that staff did not respond to residents' call light requests in a timely manner.
Findings
The investigation found the allegation unsubstantiated based on interviews with staff, residents' family members, an outside source, and direct observations. Staff were observed responding promptly to call light requests with average response times between 1.8 and 3.5 minutes.
Complaint Details
The complaint alleged that staff did not respond for thirty minutes to call light assistance and failed to return after initially responding. The investigation did not corroborate this allegation and deemed it unsubstantiated.
Report Facts
Call light requests: 6
Average response time (minutes): 1.8
Call light requests: 2
Average response time (minutes): 3.5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brandon Cho | Administrator | Met with during investigation and exit interview |
| Amy Rodgers | Licensing Program Analyst | Conducted the complaint investigation |
| Denise Powell | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 100
Capacity: 150
Deficiencies: 0
Apr 9, 2025
Visit Reason
The visit was conducted in response to an Incident Report submitted for Resident 1 who sustained a fall resulting in a femoral neck fracture and subsequent hospitalization.
Findings
The Licensing Program Analyst reviewed Resident 1's records and interviewed staff, identifying no health and safety concerns and citing no deficiencies during the visit.
Complaint Details
The visit was triggered by an incident involving Resident 1's fall on 2025-03-27, which resulted in a femoral neck fracture and hospitalization. The resident was transferred to a rehabilitation facility and will not return due to the need for a higher level of care. No deficiencies were cited and no health and safety concerns were found.
Report Facts
Capacity: 150
Census: 100
Incident date: Mar 27, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brandon Cho | Administrator | Met during inspection and provided information about Resident 1 |
| Amy Rodgers | Licensing Program Analyst | Conducted the unannounced case management visit |
Inspection Report
Complaint Investigation
Capacity: 150
Deficiencies: 0
Mar 3, 2025
Visit Reason
An unannounced complaint investigation was conducted due to an allegation that staff left a resident in a soiled diaper for a long period of time.
Findings
The investigation included a facility tour, record review, staff interviews, and outside source confirmation. The allegation was found to be unsubstantiated based on the preponderance of evidence.
Complaint Details
The complaint alleged that staff left Resident #1 in a soiled diaper for a long period. The investigation found that an incontinence schedule was followed, and outside sources confirmed no concerns. The allegation was deemed unsubstantiated.
Report Facts
Facility capacity: 150
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brandon Cho | Administrator | Met with Licensing Program Analyst during complaint investigation and exit interview |
| Amy Rodgers | Licensing Program Analyst | Conducted the complaint investigation visit |
| Denise Powell | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 100
Capacity: 120
Deficiencies: 0
Jan 14, 2025
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations that staff did not prevent residents from engaging in inappropriate interactions and did not prevent a resident from verbally harassing another resident in care.
Findings
The investigation included interviews, records review, and a facility tour. Staff were found to intervene appropriately to prevent inappropriate interactions and protect residents' rights. The allegations were determined to be unsubstantiated as the preponderance of evidence standard was not met.
Complaint Details
The complaint was unsubstantiated based on contradictory statements and evidence showing staff intervention to prevent inappropriate interactions and protect resident rights.
Report Facts
Capacity: 120
Census: 100
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brandon Cho | Administrator / Executive Director | Met with during the investigation and exit interview |
| Amy Rodgers | Licensing Program Analyst | Conducted the complaint investigation visit |
| Denise Powell | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Capacity: 120
Deficiencies: 0
Jan 7, 2025
Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that the licensee did not allow a resident to have visitors.
Findings
The investigation found that the resident does have a visitor restriction due to the visitor being disruptive and posing a threat. The licensee communicated visitation policies clearly and worked with the resident's responsible party to establish supervised visits. Telephone communication was not restricted. The allegation was deemed unsubstantiated based on interviews and records review.
Complaint Details
The complaint alleged that the licensee did not allow a resident to have visitors. The allegation was investigated and found unsubstantiated.
Report Facts
Capacity: 120
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Amy Rodgers | Licensing Program Analyst | Conducted the complaint investigation |
| Brandon Cho | Administrator | Met with investigators and participated in exit interview |
| Denise Powell | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Census: 102
Capacity: 120
Deficiencies: 0
Jan 7, 2025
Visit Reason
The unannounced visit was conducted to discuss the Executive Director Brandon Cho's request for a change in capacity from 120 to 150 non-ambulatory residents.
Findings
The inspection found the living accommodations and grounds to be in compliance with Title 22 regulations for an increase in capacity. The physical plant was consistent with the submitted facility sketch/floor plan.
Report Facts
Capacity change request: 150
Fire clearance date: Dec 5, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brandon Cho | Executive Director | Met with Licensing Program Analysts during the visit and discussed capacity change |
| Arian Golbakhsh | Licensing Program Analyst | Conducted the inspection visit |
| Amy Rodgers | Licensing Program Analyst | Conducted the inspection visit |
Inspection Report
Complaint Investigation
Census: 106
Capacity: 120
Deficiencies: 0
Nov 21, 2024
Visit Reason
An unannounced case management visit was conducted to follow up on an incident involving Resident 1 who experienced an unwitnessed fall and subsequent death.
Findings
The facility acted appropriately and in compliance with regulations regarding the incident. Staff followed emergency protocols, and no deficiencies were cited during the visit.
Complaint Details
The visit was triggered by an incident report concerning Resident 1's fall on October 30, 2024, and subsequent death on November 10, 2024. The complaint was investigated and found to be unsubstantiated as the facility complied with all applicable regulations.
Report Facts
Resident age: 99
Incident time: 442
Physical therapy frequency: 1
Physical therapy duration: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Renita Hall | Licensing Program Analyst | Conducted the unannounced case management visit and investigation |
| Brandon Cho | Executive Director | Met with Licensing Program Analyst and discussed the incident |
| Denise Powell | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 103
Capacity: 120
Deficiencies: 0
Oct 3, 2024
Visit Reason
An unannounced complaint investigation was conducted due to an allegation that staff do not ensure that residents' dietary needs are met.
Findings
The investigation included interviews, record reviews, and observations of meal service. It was found that the facility accommodates special and preferred diets for 31 of 103 residents, with no concerns noted in the last dietitian report. The allegation was deemed unsubstantiated based on the evidence.
Complaint Details
The complaint alleged that staff do not ensure residents' dietary needs are met. After investigation, including interviews with staff and outside sources, record reviews, and meal observations, the allegation was found unsubstantiated.
Report Facts
Residents with special or preferred diets: 31
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brandon Cho | Administrator | Met with Licensing Program Analyst during the complaint investigation and participated in exit interview. |
| Amy Rodgers | Licensing Program Analyst | Conducted the unannounced complaint investigation visit. |
| Denise Powell | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Complaint Investigation
Capacity: 120
Deficiencies: 0
Jul 23, 2024
Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that licensee staff handled a resident roughly.
Findings
The investigation included interviews with residents, staff, outside sources, and review of facility records. The allegation was determined to be unsubstantiated as no evidence of rough handling was found and the resident reported feeling safe and comfortable.
Complaint Details
The complaint alleged that licensee staff handled a resident roughly. The investigation found that the resident was combative and staff used non-threatening redirection. No injuries or rough handling were observed or reported. The allegation was unsubstantiated.
Report Facts
Capacity: 120
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Amy Rodgers | Licensing Program Analyst | Conducted the complaint investigation |
| Linda Cho | Executive Director | Met with investigator and participated in exit interview |
| Brandon Cho | Administrator | Met with investigator during the visit |
| Denise Powell | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 92
Capacity: 120
Deficiencies: 0
Jun 21, 2024
Visit Reason
The visit was conducted in response to a licensee self-submitted report involving Resident #1, concerning an x-ray revealing a fracture in the right foot of unknown origin.
Findings
No deficiencies were cited related to the incident or observed during the visit. The resident's latest medical x-ray showed no acute fracture, chip, or dislocations, and no safety concerns were found during the welfare check.
Complaint Details
The complaint was based on a licensee self-submitted report about Resident #1's foot fracture. The investigation found no substantiated deficiencies.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Amy Rodgers | Licensing Program Analyst | Conducted the unannounced Case Management - Incident visit. |
| Brandon Cho | Administrator | Met with Licensing Program Analyst during the visit and participated in the exit interview. |
Inspection Report
Census: 92
Capacity: 120
Deficiencies: 0
Jun 21, 2024
Visit Reason
The visit was a case management visit conducted due to a request to increase the facility waiver capacity for hospice care.
Findings
During the visit, the Licensing Program Analyst toured the facility and observed a client in care. No immediate health or safety concerns were observed.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Amy Rodgers | Licensing Program Analyst | Conducted the case management visit and provided information and guidance to the Administrator. |
| Brandon Cho | Administrator | Met with the Licensing Program Analyst during the visit and discussed the purpose of the visit. |
| Linda Cho | Administrator/Director | Named as the facility administrator/director in the report header. |
Inspection Report
Annual Inspection
Census: 81
Capacity: 120
Deficiencies: 0
Apr 29, 2024
Visit Reason
Licensing Program Analyst Amy Rodgers conducted an unannounced required One-Year Inspection of the facility.
Findings
The inspection found the facility to be in compliance with all licensing requirements. Resident rooms, bathrooms, and common areas were clean and properly equipped. Food and medication storage were appropriate, and staff interviews and record reviews revealed no significant concerns. No deficiencies were cited.
Report Facts
Bedridden residents approved: 10
Food supply duration: 2
Food supply duration: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Amy Rodgers | Licensing Program Analyst | Conducted the inspection and interviews |
| Linda Cho | Executive Director | Facility representative during inspection |
| Brandon Cho | Assistant Administrator | Accompanied the Licensing Program Analyst during the facility tour |
Inspection Report
Complaint Investigation
Census: 80
Capacity: 120
Deficiencies: 1
Mar 1, 2024
Visit Reason
An unannounced complaint investigation was conducted following a complaint alleging staff neglect resulted in wounds to a resident.
Findings
The investigation substantiated the allegation that staff neglect led to wounds on Resident 1, including shoulder and hip abscesses and cellulitis. The facility failed to provide sufficient competent personnel to meet the resident's needs, and there was a delay in notifying supervision of the wounds.
Complaint Details
The complaint was substantiated based on evidence gathered during record review and interviews. The allegation involved staff neglect causing wounds to Resident 1, who was found with lesions and later treated for MRSA. The preponderance of evidence standard was met.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility personnel were not sufficient in numbers and competent to provide the services necessary to meet residents’ needs. | Type B |
Report Facts
Census: 80
Total Capacity: 120
Plan of Correction Due Date: Apr 1, 2024
Persons in care affected: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Daniel Pena | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Simon Jacob | Licensing Program Manager | Oversaw the complaint investigation |
| Carrie Lopez | Community Relations Director | Facility representative met during investigation and exit interview |
| Linda Cho | Administrator | Facility administrator named in the report |
Inspection Report
Census: 76
Capacity: 120
Deficiencies: 0
Jan 9, 2024
Visit Reason
An unannounced Case Management visit was conducted to amend a prior complaint investigation report and discuss the changes with the licensee.
Findings
No deficiencies were observed or cited during the visit. The licensee agreed to remove any copies of the prior report and replace them with the amended report.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Linda Cho | Administrator | Met with Licensing Program Analyst during the visit and discussed the amended report. |
| Nacole Patterson | Licensing Program Analyst | Conducted the unannounced Case Management visit and amended the prior complaint investigation report. |
| Lizzette Tellez | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Complaint Investigation
Census: 77
Capacity: 120
Deficiencies: 1
Nov 29, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2023-11-22 regarding medication administration issues at the facility.
Findings
Two allegations were investigated: one regarding failure to administer medication as prescribed, which was unsubstantiated, and another regarding medication being accessible to a resident, which was substantiated. The facility conducted an internal investigation, initiated medication re-training for staff, and self-reported the incident.
Complaint Details
The complaint investigation was initiated due to allegations that the licensee did not administer medication as prescribed and did not ensure medication was inaccessible to a resident. The first allegation was unsubstantiated; the second was substantiated with deficiencies cited.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Licensee did not ensure prescribed medication was kept out of personal possession to a resident, posing a health and safety risk. | Type B |
Report Facts
Capacity: 120
Census: 77
Estimated Days of Completion: 0
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Nacole Patterson | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Linda Cho | Administrator | Facility administrator involved in interviews and exit interview |
| Lizzette Tellez | Licensing Program Manager | Oversaw the complaint investigation |
Inspection Report
Complaint Investigation
Census: 77
Capacity: 120
Deficiencies: 0
Nov 29, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2023-10-27 regarding fee increase notice, unlawful fees, resident assessment, shower cleanliness, and food service requirements.
Findings
The investigation found no substantiation for the allegations after staff interviews, records review, direct observations, and outside source interviews. The facility complied with notification requirements for fee increases, assessments were timely and appropriate, showers were clean according to schedule, and food service met quality and variety standards.
Complaint Details
The complaint included allegations that the licensee did not provide a 60 day notice of fee increase, charged unlawful additional fees, failed to assess a resident for a higher level of care, did not ensure a resident's shower was clean, and did not meet food service requirements. The investigation concluded these allegations were unsubstantiated.
Report Facts
Capacity: 120
Census: 77
Complaint received date: Oct 27, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Nacole Patterson | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Linda Cho | Administrator | Facility administrator involved in the investigation and exit interview |
Inspection Report
Complaint Investigation
Census: 75
Capacity: 120
Deficiencies: 0
Nov 21, 2023
Visit Reason
An unannounced complaint investigation was conducted in response to allegations that staff did not treat a resident with dignity and respect and did not meet the resident's dietary needs.
Findings
The investigation included observations, record reviews, and interviews with staff, residents, and outside sources. There was insufficient evidence to substantiate the allegations, and it was found that staff were aware of and took precautions to meet the resident's dietary needs.
Complaint Details
The complaint alleged that staff told a resident they needed to eat what was served or starve, and that the resident's dietary needs were not met due to allergies. The investigation found no evidence of mistreatment or failure to meet dietary needs; the resident's allergies were clearly communicated and accommodated, and alternative meal choices were offered. The resident's claim of diabetes was inaccurate according to medical records.
Report Facts
Capacity: 120
Census: 75
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Marisela Garcia-Centeno | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Linda Cho | Administrator | Facility administrator involved in the investigation and exit interview |
| Brandon Cho | Acting Administrator | Met with during the unannounced visit |
| Denise Powell | Licensing Program Manager | Oversaw the complaint investigation |
Inspection Report
Complaint Investigation
Census: 80
Capacity: 120
Deficiencies: 0
Oct 18, 2023
Visit Reason
The inspection was conducted as an unannounced complaint investigation following a complaint alleging that staff did not meet a resident's toileting needs.
Findings
The investigation included observations, record reviews, and interviews with residents, staff, and outside sources. The allegation was found to be unsubstantiated as residents and outside sources reported no issues, and records showed no lapse in incontinent care.
Complaint Details
The complaint alleged that a resident was not receiving timely toileting assistance from staff. The investigation failed to produce evidence to support the allegation, and it was deemed unsubstantiated.
Report Facts
Capacity: 120
Census: 80
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Daniel Pena | Licensing Program Analyst | Conducted the complaint investigation |
| Brandon Cho | Assistant Administrator | Met with Licensing Program Analyst during investigation |
| Simon Jacob | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 80
Capacity: 120
Deficiencies: 0
Sep 28, 2023
Visit Reason
The inspection was an unannounced complaint investigation triggered by an allegation of lack of supervision resulting in inappropriate behavior between residents.
Findings
The investigation included interviews with staff and residents, a facility tour, and record review. The allegation that Resident #2 entered Resident #1's bedroom and got into bed without consent was not substantiated due to inconsistent statements and lack of corroborating evidence.
Complaint Details
The complaint alleged lack of supervision leading to inappropriate behavior between residents. The allegation was found unsubstantiated after investigation.
Report Facts
Capacity: 120
Census: 80
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Natasha Persaud | Licensing Program Analyst | Conducted the complaint investigation |
| Lizzette Tellez | Licensing Program Manager | Named in report as Licensing Program Manager |
| Linda Cho | Administrator | Facility Administrator |
| Brandon Cho | Assistant Administrator | Met with Licensing Program Analyst during investigation |
| Mai Truong | Resident Service Coordinator | Met with Licensing Program Analyst and received report |
Inspection Report
Annual Inspection
Census: 87
Capacity: 120
Deficiencies: 0
Jul 13, 2022
Visit Reason
An unannounced required 1-year visit was conducted to evaluate the facility's compliance with licensing requirements and infection control protocols.
Findings
No deficiencies were cited or observed during the inspection. The Licensing Program Analyst provided technical assistance and evaluated the facility's infection control mitigation plan including disinfection, testing surveillance, screening protocols, and use of personal protective equipment.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Linda Cho | Administrator | Present during the visit and participated in the exit interview. |
| Margarita Castandea | Assisted Living Supervisor | Met with Licensing Program Analyst at the start of the visit. |
| Mai Truong | Resident Services Coordinator | Arrived during the visit and participated in the exit interview. |
| Kayla Hilario | Licensing Program Analyst | Conducted the unannounced required 1-year visit. |
| John Rante | Licensing Program Manager | Named in the report header. |
Inspection Report
Complaint Investigation
Census: 82
Capacity: 120
Deficiencies: 0
Dec 29, 2021
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations that a resident sustained a fracture due to lack of supervision and that the facility did not seek medical care for the resident.
Findings
The investigation found no corroborating evidence to substantiate the allegations. Although the resident had a fracture and bruising, there was no documentation or knowledge of a fall, and medical care was sought appropriately. The allegations were determined to be unsubstantiated due to lack of preponderance of evidence.
Complaint Details
The complaint involved allegations that Resident1 sustained a fracture from neglect and lack of supervision and that medical care was not sought. The investigation included interviews and record reviews. The findings were unsubstantiated.
Report Facts
Facility capacity: 120
Resident census: 82
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Linda Cho | Licensee | Met during the investigation and involved in the exit interview |
| Debbie Correia | Licensing Program Analyst | Conducted the complaint investigation visit |
| Simon Jacob | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 82
Capacity: 120
Deficiencies: 0
Dec 16, 2021
Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation that a resident sustained a fracture while in care due to lack of supervision.
Findings
The investigation found insufficient evidence to substantiate the allegation that the resident's fracture was caused by lack of supervision. Interviews, record reviews, and other evidence did not corroborate the claim, resulting in an unsubstantiated finding.
Complaint Details
The complaint alleged that Resident1 sustained a hip fracture from an unwitnessed fall due to lack of supervision. The investigation included interviews with staff and review of records. Resident1 reported being pushed down by Resident2, who denied it. No staff witnessed the fall or Resident2 entering Resident1's room. The facility camera footage was not reviewed. Resident1 required surgery and was discharged with new care orders. Resident2 was transferred for psychiatric evaluation and did not return. Due to lack of corroborating evidence, the allegation was unsubstantiated.
Report Facts
Complaint Control Number: 08-AS-20201103161000
Capacity: 120
Census: 82
Visit start time: 02:45 PM
Visit end time: 03:30 PM
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Debbie Correia | Licensing Program Analyst | Conducted the complaint investigation visit and authored the report |
| Rachel Robinson | Activities Director | Met with the Licensing Program Analyst during the investigation and received the exit interview |
| Linda Cho | Administrator | Facility administrator named in the report |
| Simon Jacob | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 76
Capacity: 120
Deficiencies: 0
Sep 29, 2021
Visit Reason
An unannounced complaint investigation was conducted due to allegations that the facility refused to accept residents back after hospitalization.
Findings
The investigation found insufficient evidence to substantiate the allegation that residents were refused re-admission after hospitalization. Records and interviews showed residents were either returned or safely relocated with proper communication with the Regional Office.
Complaint Details
The complaint alleged that Resident 1 and Resident 2 were not allowed to return to the facility after hospitalization with positive COVID-19 diagnoses. The investigation concluded the allegation was unsubstantiated due to lack of corroborating evidence.
Report Facts
Capacity: 120
Census: 76
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Linda Cho | Administrator | Met with Licensing Program Analyst during investigation and named in findings |
| Debbie Correia | Licensing Program Analyst | Conducted the complaint investigation |
| Simon Jacob | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Annual Inspection
Census: 67
Capacity: 120
Deficiencies: 0
Jul 9, 2021
Visit Reason
The inspection was an unannounced Required 1-Year Visit to evaluate the facility's compliance with licensing regulations and infection control measures.
Findings
The Licensing Program Analyst conducted a tour and review of the facility, including evaluation of the COVID-19 Mitigation Plan. No deficiencies were cited during this inspection.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dang Nguyen | Licensing Program Analyst | Conducted the inspection and evaluation of the facility. |
| Linda Cho | Administrator | Facility administrator mentioned in the report. |
| Rachel Robinson | Activities Director | Met with the Licensing Program Analyst during the inspection. |
| Mai Truong | Resident Services Coordinator | Met with the Licensing Program Analyst during the inspection. |
Inspection Report
Monitoring
Census: 63
Capacity: 120
Deficiencies: 0
Apr 19, 2021
Visit Reason
Licensing Program Analyst Dang Nguyen conducted a case management visit to provide technical assistance regarding COVID-19. The visit was conducted via video telephone call due to the pandemic.
Findings
During the visit, the analyst toured the facility and provided consultation regarding the facility’s COVID-19 Mitigation Plan. No deficiencies were cited during the visit.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dang Nguyen | Licensing Program Analyst | Conducted the case management visit and provided technical assistance regarding COVID-19. |
| Linda Cho | Administrator | Met with the Licensing Program Analyst during the visit. |
| Mai Truong | Resident Services Coordinator | Present during the visit and consultation. |
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