Inspection Report Summary
Most inspections found some deficiencies, with the latest annual inspection on February 20, 2025, identifying issues including improper storage of cleaning chemicals in a resident’s room, a staff member lacking criminal record clearance, and missed quarterly emergency drills. Earlier annual inspections also noted missing health screenings for staff and incomplete hospice training, while complaint investigations from 2023 and 2024 mostly found allegations unsubstantiated except for one substantiated complaint in February 2023 related to failure to provide resident records to an authorized person. None of the reports indicated fines, license suspensions, or immediate jeopardy, and the deficiencies were generally isolated rather than severe. The facility showed some ongoing challenges with staff compliance and emergency preparedness, but the most recent report suggests these issues continue to require attention. Several complaint investigations were unsubstantiated, indicating that many concerns raised were not confirmed upon review.
Deficiencies (last 3 years)
Deficiencies (over 3 years)
2.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
43% better than California average
California average: 4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
88% occupied
Based on a February 2025 inspection.
Census over time
Inspection Report
Annual Inspection
Census: 21
Capacity: 24
Deficiencies: 3
Feb 20, 2025
Visit Reason
The inspection was a required unannounced 1-year annual inspection to evaluate compliance with California Code of Regulations, Title 22, for the Sterling Court assisted living facility.
Findings
The inspection found several deficiencies including improper storage of cleaning chemicals in a resident's room, lack of criminal record clearance for one staff member, and failure to conduct quarterly emergency disaster drills. Plans of correction were submitted with due dates and some deficiencies were corrected during the visit.
Severity Breakdown
Type A: 2
Type B: 1
Deficiencies (3)
| Description | Severity |
|---|---|
| Cleaning liquid Resolve was stored in room 114 occupied by client #2, posing an immediate health and safety risk. | Type A |
| One staff member (Staff #2) lacked criminal record clearance and association with the facility, posing an immediate health and safety risk. | Type A |
| Emergency disaster drills were not conducted quarterly as required; staff received training only in May, August, and November 2024. | Type B |
Report Facts
Civil penalty amount: 500
Capacity: 24
Census: 21
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sarah St. Charles | Executive Director | Oversees entire building including licensed facility |
| Novie Villafuerte | Certified RCFE Administrator | Oversees facility operations |
| Audrey Jeung | Licensing Program Analyst / Evaluator | Conducted inspection and signed report |
| April Cowan | Licensing Program Manager / Supervisor | Supervisor for the inspection and cited deficiencies |
Inspection Report
Annual Inspection
Census: 17
Capacity: 24
Deficiencies: 3
Mar 11, 2024
Visit Reason
The inspection was a required unannounced 1-year annual visit to evaluate compliance with regulations for the assisted living facility Sterling Court.
Findings
The facility was toured and found generally safe with proper emergency systems and staff certifications; however, deficiencies were cited related to missing health screenings for staff, lack of hospice training, and admission agreements printed on both sides of paper.
Deficiencies (3)
| Description |
|---|
| No health screenings on file for all staff, posing a potential health, safety or personal rights risk. |
| Staff have not received required hospice training, posing a potential health, safety or personal rights risk. |
| Admission agreements are printed on both sides of paper for 5 out of 5 resident files reviewed, which does not comply with regulation. |
Report Facts
Deficiencies cited: 3
Census: 17
Total Capacity: 24
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sarah St. Charles | Administrator | Certified RCFE administrator overseeing facility operations. |
| Novie Villafuerte | Administrator | Certified RCFE administrator overseeing facility operations. |
| Cara Smith | Licensing Program Manager | Named in relation to supervision and deficiency enforcement. |
| Audrey Jeung | Licensing Program Analyst/Evaluator | Conducted the inspection and signed the report. |
Inspection Report
Complaint Investigation
Census: 23
Capacity: 24
Deficiencies: 0
Nov 15, 2023
Visit Reason
Unannounced complaint investigation visit conducted due to allegations including failure to seek timely medical attention, non-adherence to residents' admission agreements, failure to observe residents for changes in condition, and delayed response to residents' calls for assistance.
Findings
Based on review of facility records, client records, text messages, medical records, and staff interviews, the allegations were determined to be unsubstantiated. Some delays in emergency call responses were noted but were rare and not indicative of systemic failure.
Complaint Details
The complaint was unsubstantiated after investigation. Allegations included staff not seeking timely medical attention, failure to adhere to admission agreements, failure to observe residents' condition changes, and delayed response to calls for assistance. Evidence did not prove violations occurred.
Report Facts
Capacity: 24
Census: 23
Call response times: 16
Call response times: 25
Call response times: 21
EMT arrival time: 25
Hospitalization duration: 4.5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Audrey Jeung | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Cara Smith | Licensing Program Manager | Oversaw the complaint investigation |
Inspection Report
Complaint Investigation
Census: 17
Capacity: 24
Deficiencies: 1
Feb 3, 2023
Visit Reason
An unannounced complaint investigation visit was conducted in response to a complaint received on 2023-01-31 alleging that staff were not providing resident records to the resident's authorized person.
Findings
The investigation found that the facility staff did not provide copies of resident records to the authorized person because they wanted to seek legal counsel before releasing confidential records. The allegation was substantiated based on interviews and record review.
Complaint Details
The complaint was substantiated. The allegation that staff were not providing resident records to the resident's authorized person was confirmed based on evidence and interviews.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to provide resident records to resident's authorized person in violation of CCR 87506(c)(1) regarding confidentiality and release of records only upon written consent or designated representative. | Type B |
Report Facts
Capacity: 24
Census: 17
Plan of Correction Due Date: Feb 10, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sarah St. Charles | Executive Director | Met with Licensing Program Analyst during investigation and acknowledged facility's failure to provide records |
| Novie-Ann Villafuerte | Director of Assisted Living | Met with Licensing Program Analyst during investigation |
| Komal Charitra | Licensing Program Analyst | Conducted the complaint investigation visit |
| Cara Smith | Licensing Program Manager | Reviewed report and responsible for licensing oversight |
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