Deficiencies (last 5 years)
Deficiencies (over 5 years)
0.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
80% better than California average
California average: 4 deficiencies/year
Deficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
71% occupied
Based on a May 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Complaint Investigation
Census: 40
Capacity: 56
Deficiencies: 0
Date: May 1, 2025
Visit Reason
An unannounced complaint investigation was conducted regarding an allegation that untrained staff administered medication to residents.
Complaint Details
The complaint alleged that an untrained staff member administered medications to a resident. The allegation was investigated through unannounced visits, record reviews, interviews, and observations. It was found that the staff member was qualified and trained, and the allegation was unfounded.
Findings
The investigation found that the staff member in question was qualified with adequate medication administration training from another state, and no medication errors occurred. The allegation was determined to be unfounded and dismissed.
Report Facts
Estimated Days of Completion: 90
Call-outs on day of incident: 3
Residents who refused medications: 2
NOC shift staff trained in medication administration: 2
Facility capacity: 56
Facility census: 40
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nacole Patterson | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Jennifer Lott | Licensing Program Manager | Named in the report as Licensing Program Manager |
| Chris Tharp | Executive Director | Facility representative met during the investigation and exit interview |
| Heather Myers | Administrator | Facility administrator named in the report |
Inspection Report
Census: 40
Capacity: 56
Deficiencies: 0
Date: May 1, 2025
Visit Reason
The visit was conducted in response to a self-report of an infectious disease outbreak at the facility.
Findings
The facility enacted its specific infection protocol including PPE placement, enhanced cleaning, notifications to authorities, communication with physicians and families, and accurate medication administration. No health or safety issues or deficiencies were identified during the visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Chris Tharp | Executive Director | Met with Licensing Program Analyst during the visit and involved in exit interview. |
Inspection Report
Annual Inspection
Census: 41
Capacity: 56
Deficiencies: 0
Date: Feb 4, 2025
Visit Reason
An unannounced required annual inspection was conducted to evaluate compliance with licensing requirements for the facility.
Findings
The facility was found to be clean, sanitary, and in good repair with no deficiencies cited. All required safety equipment, furnishings, and documentation were present and in order.
Report Facts
Capacity: 56
Census: 41
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Chris Tharp | Executive Director | Met with Licensing Program Analyst during inspection and participated in exit interview |
| Nacole Patterson | Licensing Program Analyst | Conducted the unannounced required annual inspection |
Inspection Report
Complaint Investigation
Census: 41
Capacity: 56
Deficiencies: 0
Date: Feb 4, 2025
Visit Reason
The visit was conducted in response to the self-reported fall of Resident 1, who suffered a fracture.
Complaint Details
The visit was complaint-related due to a reported fall incident involving Resident 1. No deficiencies or violations were found.
Findings
A wellness check was conducted at the facility with no health or safety issues identified. No deficiencies were cited or observed during this visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Chris Tharp | Executive Director | Met with Licensing Program Analyst during the visit and involved in exit interview. |
| Nacole Patterson | Licensing Program Analyst | Conducted the unannounced Case Management Visit. |
Inspection Report
Complaint Investigation
Census: 41
Capacity: 56
Deficiencies: 1
Date: Feb 4, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2025-01-03 regarding confidentiality breaches of resident private information, insufficient staffing, and facility entryway disrepair.
Complaint Details
The complaint investigation was substantiated for the allegation that the licensee did not ensure resident(s) private information remained confidential. The allegations regarding insufficient staffing and facility entryway disrepair were unsubstantiated.
Findings
The investigation substantiated that the licensee failed to ensure resident private information remained confidential, citing a violation of California Code of Regulations, Title 22. The allegations of insufficient staffing and facility entryway disrepair were unsubstantiated, with evidence showing adequate staffing levels and timely repair actions taken for the entryway.
Deficiencies (1)
Licensee did not ensure the personal information for Resident 1 (R1) remained confidential, posing a potential personal rights risk.
Report Facts
Census: 41
Total Capacity: 56
Overtime expenditure December 2024: 23792.04
Overtime expenditure January 1-15, 2025: 8352.35
Agency/Registry staff expenditure: 3053.04
Plan of Correction Due Date: Feb 21, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nacole Patterson | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Jennifer Lott | Licensing Program Manager | Oversaw the complaint investigation |
| Chris Tharp | Executive Director | Facility representative met during the investigation and exit interview |
| Heather Myers | Administrator | Facility administrator named in the report |
Inspection Report
Complaint Investigation
Census: 43
Capacity: 56
Deficiencies: 1
Date: Jan 21, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2024-10-08 regarding staff not ensuring a resident's oxygen tank was changed in a timely manner, among other complaints.
Complaint Details
The complaint investigation was substantiated for the allegation that staff did not ensure the resident's oxygen tank was changed timely, resulting in potential health risks. Other allegations about unlocked rooms, medication administration, and supervision were unsubstantiated. The investigation included interviews, record reviews, and direct observations.
Findings
The investigation substantiated that the facility failed to maintain a complete hospice care plan and ensure continuous oxygen administration for Resident 1 due to unclear communication and responsibilities among staff, hospice agency, and an Outside Individual. Other allegations regarding unlocked resident rooms, medication administration, and supervision were unsubstantiated.
Deficiencies (1)
Failure to maintain a current and complete hospice care plan including licensee's responsibilities, staff duties, and communication with hospice agency and physician.
Report Facts
Capacity: 56
Census: 43
Deficiency count: 1
Plan of Correction Due Date: Feb 21, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nacole Patterson | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Chris Tharp | Executive Director | Facility representative met during the investigation and exit interview |
| Heather Myers | Administrator | Facility administrator named in the report |
| Jennifer Lott | Licensing Program Manager | Oversaw the licensing program and signed the report |
Inspection Report
Census: 47
Capacity: 56
Deficiencies: 0
Date: Dec 11, 2024
Visit Reason
The visit was an unannounced Case Management visit to amend a report for a complaint investigation visit dated 2024-10-10.
Findings
No deficiencies were cited or observed during this visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Janelle Harris | Business Office Director | Met with Licensing Program Analyst during the visit and participated in the exit interview. |
Inspection Report
Complaint Investigation
Census: 51
Capacity: 56
Deficiencies: 0
Date: Jul 16, 2024
Visit Reason
The visit was conducted in response to a self-reported incident involving a staff member allegedly speaking to a resident in a raised tone.
Complaint Details
The visit was complaint-related due to a self-reported incident of staff allegedly speaking to a resident in a raised tone. No health or safety issues were identified during the investigation.
Findings
The Licensing Program Analyst conducted interviews and collected records, completing a wellness check that identified no health or safety issues. An exit interview was held with the Resident Services Director, and the facility was provided with a copy of the report and appeal rights.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Richard Mariona | Resident Services Director | Met with Licensing Program Analyst during the visit and exit interview. |
Inspection Report
Annual Inspection
Census: 50
Capacity: 56
Deficiencies: 0
Date: Jan 23, 2024
Visit Reason
An unannounced required one-year inspection was conducted to ensure substantial compliance with Title 22 regulations at the facility.
Findings
The facility was found to be in substantial compliance with regulations, with clean and sufficient linens, proper furnishings, sanitary bathrooms, compliant hot water temperatures, and proper fire safety measures. No deficiencies were issued, but technical violations were noted.
Report Facts
Residents approved for hospice: 20
Supply duration: 2
Supply duration: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amy Rodgers | Licensing Program Analyst | Conducted the inspection and authored the report |
| Janelle Harris | Business Officer Manager | Met with the Licensing Program Analyst during the inspection and exit interview |
| Heather Myers | Administrator | Facility administrator mentioned in the report |
| Denise Powell | Licensing Program Manager | Named as Licensing Program Manager overseeing the inspection |
| Claudia Miner | Community Relations Director | Granted entry to the Licensing Program Analyst at the start of the inspection |
Inspection Report
Complaint Investigation
Census: 46
Capacity: 56
Deficiencies: 0
Date: Oct 5, 2023
Visit Reason
The inspection was conducted as an unannounced complaint investigation following allegations received on 2023-08-30 regarding medication administration errors and denial of Responsible Party access to records at Summerfield of Encinitas facility.
Complaint Details
The complaint involved three main allegations: 1) Staff did not administer medication as prescribed; 2) Licensee did not maintain medication administration record; 3) Licensee did not provide Responsible Party access to records. After investigation including interviews, record reviews, and observations, all allegations were determined to be unsubstantiated or unfounded.
Findings
The investigation found no evidence to substantiate the allegations that staff failed to administer medication as prescribed or that the Licensee did not maintain medication administration records. Additionally, the allegation that the Licensee denied Responsible Party access to records was found to be unfounded.
Report Facts
Capacity: 56
Census: 46
Estimated Days of Completion: 0
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nacole Patterson | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Richard Mariona | Resident Services Director | Met with Licensing Program Analyst during inspection and involved in exit interview |
Inspection Report
Complaint Investigation
Census: 45
Capacity: 56
Deficiencies: 0
Date: Jun 22, 2023
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations that a resident was allowed to wander outside of their designated wing and that the facility failed to follow reporting requirements.
Complaint Details
The complaint involved allegations that a resident was allowed to wander outside their designated wing and that the facility failed to report the incident. The investigation included observation, records review, and interviews. The incident report was submitted to the licensing agency on December 14, 2021. The allegations were found unsubstantiated as the evidence did not meet the preponderance of the evidence standard.
Findings
The investigation found that the facility is a memory care community where residents are allowed to move throughout the building safely. An incident report regarding the wandering resident was submitted to the licensing agency. Based on the evidence, the allegations were unsubstantiated.
Report Facts
Complaint Control Number: 08-AS-20211216095955
Facility Capacity: 56
Census: 45
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ramon Serrano | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Janelle Harris | Business Office Manager | Met with Licensing Program Analyst during the investigation and exit interview |
| Brooke Rolfe | Administrator | Named as facility administrator |
| Denise Powell | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
| Simon Jacob | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 44
Capacity: 56
Deficiencies: 0
Date: Jun 16, 2023
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations received on 2023-02-13 regarding inadequate staffing, improper staff training, facility disrepair, and lack of access to personal care supplies for residents.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included inadequate staffing, improper staff training, facility disrepair, and lack of access to personal care supplies. The investigation included three unannounced visits, interviews with staff, residents, and outside sources, and records review. No evidence was found to support the allegations.
Findings
The investigation found that although there were staffing inconsistencies, residents' basic needs were met. Staff received proper training, the facility was not in disrepair affecting resident care, and personal care supplies were adequately provided to residents at no cost. The allegations were unsubstantiated based on interviews, observations, and records review.
Report Facts
Capacity: 56
Census: 44
Training hours: 40
Monthly training hours: 3
Estimated Days of Completion: 0
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nacole Patterson | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Heather Myers | Executive Director | Facility administrator interviewed during investigation |
| Janelle Harris | Business Office Manager | Participated in exit interview and received report copy |
Inspection Report
Complaint Investigation
Census: 44
Capacity: 56
Deficiencies: 0
Date: Jun 16, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2023-03-27 regarding staff not following a resident's care plan resulting in a fall, and a resident not being provided a prescribed modified diet.
Complaint Details
The complaint was unsubstantiated. Allegations included staff not following a resident's care plan resulting in a fall due to failure to perform a 2-person assist, and failure to provide a prescribed modified diet. Investigations included staff interviews, record reviews, direct observations, and outside source interviews, all supporting compliance with protocols.
Findings
The investigation found no preponderance of evidence to substantiate the allegations. Staff were trained and observed following 2-person assist protocols for transfers, and dietary restriction protocols were in place and followed. Resident interviews were unsuccessful due to cognitive state, and outside sources did not report concerns.
Report Facts
Capacity: 56
Census: 44
Complaint receipt date: Mar 27, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nacole Patterson | Licensing Program Analyst | Conducted the complaint investigation and unannounced visit |
| Heather Myers | Executive Director | Facility administrator met during the investigation |
| Janelle Harris | Business Office Manager | Received exit interview and report copy |
| Lizzette Tellez | Licensing Program Manager | Oversaw complaint investigation |
Inspection Report
Complaint Investigation
Census: 41
Capacity: 56
Deficiencies: 0
Date: Apr 27, 2023
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations that staff were aggressive with residents and under the influence on facility grounds.
Complaint Details
The complaint investigation was unsubstantiated based on interviews and evidence reviewed. The preponderance of evidence standard was not met, and the allegations were found invalid.
Findings
The investigation, including interviews with staff, residents, and records review, found no evidence to substantiate the allegations. The staff member in question was terminated for attendance issues, not for abuse or substance use. The allegations were determined to be unsubstantiated.
Report Facts
Facility capacity: 56
Census: 41
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Heather Myers | Executive Director | Met with Licensing Program Analyst during investigation and exit interview |
| Ramon Serrano | Licensing Program Analyst | Conducted the complaint investigation visit |
| Denise Powell | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 35
Capacity: 56
Deficiencies: 1
Date: Nov 23, 2022
Visit Reason
An unannounced case management visit was conducted to cite a deficiency noted during a complaint investigation visit at another licensed facility.
Complaint Details
The visit was triggered by a deficiency noted during a complaint investigation visit at another licensed facility. The cited deficiency involved restricting visitors contrary to updated COVID-19 visitation guidelines.
Findings
The facility was cited for not allowing residents to have their visitors, including ombudspersons and advocacy representatives, visit privately during reasonable hours and without prior notice, which infringed on residents' rights. A sign posted on January 27, 2022, prohibited visitors due to COVID-19, contrary to updated visitation requirements.
Deficiencies (1)
To have their visitors, including ombudspersons and advocacy representatives, permitted to visit privately during reasonable hours and without prior notice, provided that the rights of other residents are not infringed upon.
Report Facts
Census: 35
Total Capacity: 56
Deficiencies cited: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Richard Mariona | Resident Services Director | Met with Licensing Program Analyst during the visit and discussed the purpose of the visit |
| Ramon Serrano | Licensing Program Analyst | Conducted the unannounced case management visit and cited the deficiency |
| Denise Powell | Licensing Program Manager | Supervisor overseeing the inspection |
Inspection Report
Census: 33
Capacity: 56
Deficiencies: 0
Date: Sep 9, 2022
Visit Reason
An unannounced collateral visit was conducted to the facility to perform interviews with staff, residents, and outside sources.
Findings
No deficiencies were observed during the visit. Interviews and document reviews were completed without issue.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Heather Myers | Executive Director | Met with Licensing Program Analysts during the visit and participated in the exit interview. |
| Richard Mariona | Residence Service Director | Participated in the visit and exit interview. |
| Claudia Miner | Community Relations Director | Present during the visit. |
Inspection Report
Complaint Investigation
Census: 29
Capacity: 56
Deficiencies: 1
Date: May 12, 2022
Visit Reason
An unannounced complaint investigation visit was conducted due to an allegation that staff failed to provide a resident's records to an authorized representative.
Complaint Details
The complaint was substantiated based on interviews and record review. The allegation was that staff failed to produce Resident R1's records when requested by the authorized representative. The record request was submitted on June 5, 2020, but was never processed or provided.
Findings
The investigation substantiated the allegation that the facility staff did not provide requested resident records to an authorized party for 1 out of 37 residents in care, posing a potential risk to residents. The deficiency was cited under Title 22 Regulations.
Deficiencies (1)
Failure to provide resident records to authorized representative in a timely manner.
Report Facts
Residents in care: 37
Capacity: 56
Census: 29
Plan of Correction Due Date: Jun 9, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Heather Myers | Executive Director | Met during investigation and named in findings related to records management |
| Debbie Correia | Licensing Program Analyst | Conducted the complaint investigation |
| Simon Jacob | Licensing Program Manager | Oversaw the complaint investigation |
Inspection Report
Annual Inspection
Census: 31
Capacity: 56
Deficiencies: 0
Date: Feb 17, 2022
Visit Reason
An unannounced Required 1-Year Visit was conducted to evaluate the facility's compliance with regulations, including infection control measures.
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.
Report Facts
Capacity: 56
Census: 31
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kathie Way | Director of Sales and Marketing | Met with Licensing Program Analyst during the inspection |
| Ramon Serrano | Licensing Program Analyst | Conducted the inspection |
| Denise Powell | Licensing Program Manager | Named in the report |
Inspection Report
Capacity: 56
Deficiencies: 0
Date: Nov 29, 2021
Visit Reason
The visit was an office meeting conference conducted via teleconference to discuss the facility's change of name and new management operations.
Findings
The meeting covered issues including administrative organization, change of ownership/management company, and new application submission. The licensee submitted an abbreviated application to add the management company and will not assume operational control until approval.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Brooke Rolfe | Administrator | Named as facility administrator |
| Jennifer Francis | Licensee Representative | Met with during the office meeting |
| Icela Estrada | Licensing Program Manager | Named as Licensing Program Manager |
| John Rante | Licensing Program Analyst | Named as Licensing Program Analyst |
| Leslie Anderson | Administrator | Mentioned as Administrator present in meeting |
Inspection Report
Census: 32
Capacity: 56
Deficiencies: 0
Date: May 17, 2021
Visit Reason
Licensing Program Analyst Dawn Segura conducted a Case Management visit to investigate a client death at the facility.
Findings
During the visit, the analyst toured the facility, reviewed records, and spoke with staff. No deficiencies were cited during the visit.
Report Facts
Resident death date: May 9, 2021
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Santillian | Executive Director | Met with Licensing Program Analyst during the visit |
| Dawn Segura | Licensing Program Analyst | Conducted the Case Management visit |
| Rebecca Hedgecock | Licensing Program Manager | Named in report header |
Inspection Report
Census: 30
Capacity: 56
Deficiencies: 0
Date: Apr 2, 2021
Visit Reason
An unannounced case management visit was conducted to provide technical assistance and review the facility's COVID-19 mitigation plan via a virtual FaceTime visit due to COVID-19 restrictions.
Findings
During the visit, the Licensing Program Analyst toured the facility and interviewed the Administrator. No deficiencies were issued during this visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kristina Ryan | Licensing Program Analyst | Initiated and conducted the unannounced case management visit. |
| Brooke Rolfe | Administrator | Met with Licensing Program Analyst during the visit. |
Inspection Report
Census: 32
Capacity: 56
Deficiencies: 0
Date: Mar 10, 2021
Visit Reason
An unannounced case management visit was conducted to perform a health and safety check and review COVID-19 mitigation strategies with the facility Administrator.
Findings
During the virtual visit conducted via FaceTime, the Licensing Program Analyst toured the facility and interviewed the Administrator. No deficiencies were issued during this visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Y'Lonn Hudson | Administrator | Met with Licensing Program Analyst during the visit. |
| Kristina Ryan | Licensing Program Analyst | Conducted the unannounced case management visit. |
| Simon Jacob | Licensing Program Manager | Named in the report header. |
Inspection Report
Follow-Up
Census: 36
Capacity: 56
Deficiencies: 0
Date: Feb 26, 2021
Visit Reason
An unannounced case management visit was conducted to follow up on a health and safety check performed on February 23, 2021, related to new positive COVID-19 cases following facility-wide testing.
Findings
During the virtual visit conducted via FaceTime, the Licensing Program Analyst toured the facility and interviewed the administrator. No deficiencies were issued during this visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Y'Lonn Hudson | Administrator | Met with Licensing Program Analyst during the visit and notified Community Care Licensing of new positive COVID-19 cases. |
| Kristina Ryan | Licensing Program Analyst | Conducted the unannounced case management visit. |
| Simon Jacob | Licensing Program Manager | Named in the report as Licensing Program Manager. |
Inspection Report
Census: 35
Capacity: 56
Deficiencies: 0
Date: Feb 25, 2021
Visit Reason
Licensing Program Analyst Kristina Ryan initiated a case management investigation regarding a resident death reported to the San Diego Regional Office on February 22, 2021. The visit was conducted virtually via FaceTime due to COVID-19 restrictions.
Findings
During the visit, the analyst toured the facility, conducted interviews with staff, and requested documents. Further investigation is required regarding the resident's death. No deficiencies were issued during this visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kristina Ryan | Licensing Program Analyst | Initiated and conducted the case management investigation. |
| Y'Lonn Hudson | Administrator | Notified Community Care Licensing of the resident's accident and death. |
| Ashley Garcia | Resident Service Director | Met with Licensing Program Analyst during the virtual visit. |
| Simon Jacob | Licensing Program Manager | Named in the report header. |
Inspection Report
Census: 35
Capacity: 56
Deficiencies: 0
Date: Feb 23, 2021
Visit Reason
An unannounced case management visit was conducted to perform a health and safety check related to new positive COVID-19 cases following facility-wide testing.
Findings
During the virtual visit conducted via WhatsApp, the Licensing Program Analyst toured the facility, interviewed staff, and reviewed the Facility Mitigation Plan. No deficiencies were issued during this visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Y'lonn Hudson | Administrator | Notified Community Care Licensing of new positive COVID-19 cases. |
| Reika Marron | Business Office Manager | Met with Licensing Program Analyst during the virtual visit. |
| Kristina Ryan | Licensing Program Analyst | Conducted the unannounced case management visit. |
| Simon Jacob | Licensing Program Manager | Named in the report header. |
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