Inspection Report Summary
Most inspections found no deficiencies, with the facility generally maintaining compliance and a safe environment. Several complaint investigations were unsubstantiated, including recent ones in October 2025 and January 2025, indicating that many concerns raised were not supported by evidence. However, there were isolated deficiencies related mainly to medication management and resident rights, such as duplicate medication administration in July 2024 and failure to credit a resident’s account in August 2023. The most recent report from October 14, 2025, had no deficiencies and was triggered by a fall incident that was properly managed. Overall, the facility appears to have addressed past issues, showing improvement over time without any fines or enforcement actions listed in the available reports.
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/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
49% occupied
Based on a October 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Complaint Investigation
Census: 79
Capacity: 162
Deficiencies: 0
Oct 14, 2025
Visit Reason
The inspection was conducted as a case management visit following an incident report received by the Department on October 13, 2025.
Findings
The Licensing Program Analyst found that resident R1 had fallen after pressing their wall cord. R1 was independent except for medication management and was currently hospitalized, with plans for reassessment before returning to the facility. No deficiencies were cited during the visit.
Complaint Details
The visit was triggered by an incident report regarding resident R1's fall on October 11, 2025. The complaint was investigated and no deficiencies were cited.
Report Facts
Capacity: 162
Census: 79
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Parks | Licensing Program Analyst | Conducted the case management visit and investigation |
| Shalon Morris | Resident Services Director | Met with Licensing Program Analyst during the visit |
Inspection Report
Complaint Investigation
Census: 95
Capacity: 162
Deficiencies: 0
Jan 28, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to allegations received on 2024-10-04 regarding insufficient staffing leading to severe falls and call buttons not being answered timely.
Findings
The investigation found both allegations to be unsubstantiated. Evidence showed that staff responded timely to call buttons and that falls were not due to lack of care or supervision by staff.
Complaint Details
The complaint investigation addressed two allegations: 1) insufficient staffing led to severe falls, and 2) call buttons are not answered timely. Both allegations were found unsubstantiated after interviews, record reviews, and observations. The department concluded there was not a preponderance of evidence to prove the alleged violations occurred.
Report Facts
Number of unwitnessed falls: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Megan Gallagher | Administrator | Met with the Licensing Program Analyst during the investigation. |
| Lavinia Muscan | Licensing Program Analyst | Conducted the complaint investigation and delivered findings. |
| Laura Munoz | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation. |
Inspection Report
Annual Inspection
Census: 94
Capacity: 162
Deficiencies: 0
Jan 21, 2025
Visit Reason
The inspection was an unannounced required 1-year annual inspection conducted by Licensing Program Analysts to evaluate the facility's compliance with regulations.
Findings
The facility was found to be clean, safe, sanitary, and in good condition. All required documents were present in resident and staff files, and no deficiencies were cited during the inspection.
Report Facts
Resident files reviewed: 10
Staff files reviewed: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Megan Gallagher | Executive Director | Met with Licensing Program Analysts during inspection and involved in facility tour |
| Graham Gunby | Licensing Program Analyst | Conducted the inspection |
| Cheyenne Ratajczak | Licensing Program Analyst | Conducted the inspection |
| Troy Ordonez | Licensing Program Manager | Named in report header |
Inspection Report
Complaint Investigation
Census: 95
Capacity: 162
Deficiencies: 0
Oct 31, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations that staff did not ensure residents' medication was administered as prescribed and that staff were falsifying medication administration records.
Findings
The investigation determined that the client did not reside at the facility and the complaint was made against the wrong facility. Therefore, the complaint was unfounded, and no deficiencies were cited during the visit.
Complaint Details
The complaint was found to be unfounded after investigation. The allegation was false, could not have happened, and/or was without a reasonable basis.
Report Facts
Capacity: 162
Census: 95
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Graham Gunby | Licensing Program Analyst | Conducted the complaint investigation |
| Cheyenne Ratajczak | Licensing Program Analyst | Assisted in the complaint investigation |
| Megan Gallagher | Administrator | Met with investigators to deliver investigation findings |
| Troy Ordonez | Licensing Program Manager | Named in report header |
Inspection Report
Complaint Investigation
Census: 100
Capacity: 162
Deficiencies: 1
Jul 29, 2024
Visit Reason
Unannounced complaint investigation visit conducted in response to a complaint received on 2024-07-19 alleging staff mismanagement of a resident's medication.
Findings
The investigation substantiated the allegation that a resident received duplicate morning medications due to miscommunication between two medication technicians. The facility contacted poison control and relevant parties, monitored the resident hourly, and terminated the responsible staff member.
Complaint Details
The complaint alleging staff mismanagement of resident's medication was substantiated based on evidence including interviews, medication lists, incident reports, and wellness checks. The facility was found responsible for administering duplicate medications to a resident.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Incidental Medical and Dental Care: The licensee shall assist residents with self-administered medications as needed. This requirement was not met as evidenced by duplicate medications given to a resident posing a direct threat to health and safety. | Type A |
Report Facts
Capacity: 162
Census: 100
Deficiencies cited: 1
Plan of Correction Due Date: Jul 30, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Parks | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Rouzbeh Moradhasel | Administrator | Facility administrator interviewed during investigation |
Inspection Report
Complaint Investigation
Census: 94
Capacity: 162
Deficiencies: 0
Jun 27, 2024
Visit Reason
The inspection visit was conducted as an unannounced complaint investigation following a complaint received on 2024-05-08 regarding allegations of medication dispensing and assistance with dressing at the facility.
Findings
The investigation found no evidence to support the allegations. Staff interviews and record reviews indicated that the resident was not refused pain medication or assistance with dressing. The allegations were determined to be unfounded.
Complaint Details
The complaint alleged that facility staff did not dispense medications as prescribed and did not assist a resident with dressing. The investigation concluded these allegations were unfounded based on the preponderance of evidence standard.
Report Facts
Facility capacity: 162
Resident census: 94
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Parks | Licensing Program Analyst | Conducted the complaint investigation |
| Rouzbeh Moradhasel | Administrator | Facility administrator met during the investigation |
| Maribeth Senty | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 98
Capacity: 162
Deficiencies: 0
Mar 11, 2024
Visit Reason
An unannounced complaint investigation was conducted regarding an allegation that staff did not follow their emergency disaster plan during a city-wide power outage.
Findings
The investigation found that although the facility's portable generator was not functioning properly during the power outage, the facility took immediate corrective actions including renting a generator and following their Emergency and Disaster Plan. The allegation was determined to be unsubstantiated due to lack of preponderance of evidence.
Complaint Details
The complaint alleged that staff did not follow their emergency disaster plan. The investigation concluded the allegation was unsubstantiated.
Report Facts
Facility capacity: 162
Census: 98
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Rouzbeh Moradhasel | Administrator | Met with during the investigation and named in the report |
| Melissa Parks | Licensing Program Analyst | Conducted the complaint investigation |
| Maribeth Senty | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Annual Inspection
Census: 99
Capacity: 162
Deficiencies: 0
Jan 4, 2024
Visit Reason
The inspection was an unannounced annual inspection conducted to evaluate compliance with regulatory requirements for the assisted living facility.
Findings
The inspection found that all resident and staff files contained the required paperwork and training. The facility tour revealed no health or safety violations. No deficiencies were cited during this inspection.
Inspection Report
Complaint Investigation
Census: 95
Capacity: 162
Deficiencies: 1
Sep 28, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to complaints received on 09/11/2023 and 09/15/2023 regarding staff mismanagement of resident medication and delayed food delivery due to lack of staff.
Findings
The investigation substantiated the allegation that staff mismanaged a resident's medication, resulting in missed doses for several days. Another complaint regarding delayed food delivery was found to be unfounded as meal delivery times were not guaranteed and delays were temporary.
Complaint Details
The complaint investigation was substantiated for medication mismanagement, with evidence showing a resident was out of medication for 3 to 5 days due to delayed reordering and missing physician signature. The complaint regarding delayed meal delivery was found to be unfounded.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| The licensee failed to assist residents with self-administered medications as needed, resulting in a resident not receiving medication as prescribed, posing a direct risk to health and safety. | Type A |
Report Facts
Capacity: 162
Census: 95
Deficiencies cited: 1
Medication out of stock days: 3
Medication out of stock days: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Parks | Licensing Program Analyst | Conducted the complaint investigation |
| Maribeth Senty | Licensing Program Manager | Oversaw the complaint investigation |
| Jeff Doolittle | Met with Licensing Program Analyst during investigation | |
| Shalon Morris | Administrator | Facility administrator involved in investigation |
Inspection Report
Complaint Investigation
Census: 94
Capacity: 162
Deficiencies: 1
Aug 31, 2023
Visit Reason
The inspection visit was conducted to investigate a complaint alleging that a resident was charged for services not rendered.
Findings
The investigation substantiated that the facility did not credit the resident's account for three care days as required by the admission agreement, posing a potential health, safety, or personal rights risk. Other allegations regarding untimely light repair, cold food, call bell response, and billing issues were found unsubstantiated.
Complaint Details
The complaint investigation was substantiated regarding the allegation that a resident was charged for services not rendered. Other allegations about light repair, food temperature, call bell response, and billing were unsubstantiated.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| The licensee did not comply with the admission agreement by failing to credit the resident's account for 3 care days, posing a potential health, safety, or personal rights risk. | Type B |
Report Facts
Care days not credited: 3
Facility capacity: 162
Resident census: 94
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Parks | Licensing Program Analyst | Conducted the complaint investigation. |
| Maribeth Senty | Licensing Program Manager | Oversaw the complaint investigation. |
| Jeff Doolittle | Met with the Licensing Program Analyst during the investigation. | |
| Shalon Morris | Administrator | Facility administrator involved in the investigation. |
Inspection Report
Complaint Investigation
Census: 95
Capacity: 162
Deficiencies: 0
Aug 1, 2023
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received on 2023-01-20 regarding staff response times to call buttons, supervision of fall-risk residents, assistance with transfers, and a resident being left on the floor for an extended time.
Findings
The investigation included interviews with staff, residents, and review of resident records. The allegations were found to be unsubstantiated as there was insufficient evidence to prove the violations occurred. Staff were found to respond timely to call buttons and provide appropriate supervision and assistance.
Complaint Details
The complaint was unsubstantiated, meaning there was not a preponderance of evidence to prove the alleged violations occurred despite the allegations possibly being valid.
Report Facts
Capacity: 162
Census: 95
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Parks | Licensing Program Analyst | Conducted the complaint investigation |
| Maribeth Senty | Licensing Program Manager | Named as Licensing Program Manager on report |
| Jeff Dolittle | Facility representative met during investigation | |
| Shalon Morris | Administrator | Facility Administrator during investigation |
Inspection Report
Annual Inspection
Census: 99
Capacity: 162
Deficiencies: 0
Jan 17, 2023
Visit Reason
The visit was conducted as the required annual unannounced inspection of the SummerSet Lincoln Assisted Living Facility.
Findings
The facility was found to be in substantial compliance with infection control protocols and no immediate health, safety, or personal rights violations were observed. No deficiencies were cited during this inspection.
Report Facts
PPE supply duration: 30
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Shalon Morris | Administrator | Met with Licensing Program Analyst during inspection and completed infection control domain. |
| Melissa Parks | Licensing Program Analyst | Conducted the annual inspection and infection control review. |
| Maribeth Senty | Licensing Program Manager | Named in report header and narrative. |
Inspection Report
Complaint Investigation
Capacity: 162
Deficiencies: 0
Jul 22, 2022
Visit Reason
An unannounced complaint investigation was conducted in response to allegations received on 07/15/2022 regarding odor in a resident's room, disturbing noise, flies in the dining room, locked facility door restricting resident entry, and delays in unlocking the door.
Findings
The investigation found no evidence to substantiate the allegations. No odor was present in the resident's room, no disturbing noise was detected, the dining room was clean with no flies observed, and the facility door locking procedures were explained as appropriate. The complaint was determined to be unsubstantiated.
Complaint Details
The complaint was unsubstantiated, meaning there was not a preponderance of evidence to prove the alleged violations occurred.
Report Facts
Facility capacity: 162
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jacob Williams | Licensing Program Analyst | Conducted the complaint investigation |
| Anthony Perez | Licensing Program Manager | Named in report signature and management |
| Shalon Morris | Administrator | Facility administrator named in report |
| Denise Carrillo | Temporary Business Office Manager | Met with Licensing Program Analyst during investigation |
Inspection Report
Complaint Investigation
Census: 91
Capacity: 162
Deficiencies: 1
Jul 22, 2022
Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that staff were not wearing masks at the facility.
Findings
The investigation found that five staff members were not wearing masks, substantiating the complaint. Another allegation regarding inconsistent care was found unsubstantiated due to insufficient evidence.
Complaint Details
The complaint investigation was substantiated for the allegation that staff were not wearing masks, meaning the allegation was valid based on the preponderance of evidence. Another complaint regarding inconsistent care was unsubstantiated due to lack of sufficient evidence.
Deficiencies (1)
| Description |
|---|
| Personal Rights. Staff not wearing masks in the facility on 7/22/2022, posing an immediate health and safety risk to residents. |
Report Facts
Staff not wearing masks: 5
Staff wearing masks: 1
Deficiency Plan of Correction due date: Aug 5, 2022
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jacob Williams | Licensing Program Analyst | Conducted the complaint investigation and authored the report. |
| Anthony Perez | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation. |
| Denise Carrillo | Business Office Director (filling in) | Met with the Licensing Program Analyst during the investigation. |
| Sabrina Boyle | Administrator | Facility Administrator named in the report. |
Inspection Report
Annual Inspection
Census: 82
Capacity: 162
Deficiencies: 0
Mar 23, 2022
Visit Reason
The Licensing Program Analyst conducted an unannounced Required-1 Year Inspection focusing on the infection control domain as part of the annual inspection process.
Findings
The facility was found to be in substantial compliance with infection control requirements, with no immediate health, safety, or personal rights violations observed and no deficiencies cited.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sabrina Boyle | Executive Director | Met with Licensing Program Analyst during inspection and involved in infection control domain completion. |
| Andy Dahlar | Director of Systems Operations | Accompanied Licensing Program Analyst during facility tour to ensure health and safety of residents. |
| Sarena Keosavang | Licensing Program Analyst | Conducted the inspection and infection control domain evaluation. |
| Anthony Perez | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Annual Inspection
Census: 67
Capacity: 162
Deficiencies: 0
Sep 8, 2021
Visit Reason
The visit was conducted as a required annual unannounced inspection to evaluate the health and safety compliance of the assisted living facility.
Findings
The facility was found to be in substantial compliance with no immediate health, safety, or personal rights violations observed. No deficiencies were cited during this inspection.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Shalon Morris | Resident Services Director | Completed the infection control domain with the Licensing Program Analyst. |
| Tony Michael | Marketing Director | Toured the facility with the Licensing Program Analyst to ensure health and safety of residents. |
Inspection Report
Complaint Investigation
Census: 64
Capacity: 162
Deficiencies: 0
Jul 19, 2021
Visit Reason
The visit was an unannounced complaint investigation conducted in response to a complaint received on 2021-02-16 alleging insufficient staffing, unqualified staff dispensing medication, and medications not being reordered on time.
Findings
The investigation found all allegations to be unfounded after reviewing resident records, staff training, and conducting interviews with residents and staff. No deficiencies were cited.
Complaint Details
The complaint alleged insufficient staffing to care for resident R1, unqualified staff dispensing medication, and medications not being reordered on time. The investigation found that R1 was appropriately monitored and cared for, staff were properly trained and certified to dispense medication, and residents reported no issues with medication delivery. The allegations were determined to be unfounded.
Report Facts
Capacity: 162
Census: 64
Staff interviewed: 3
Residents interviewed: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Melana Llopis | Licensing Program Analyst | Conducted the complaint investigation |
| Sabrina Boyle | Administrator | Facility administrator met during investigation and provided information |
| Kevin Mknelly | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 56
Capacity: 162
Deficiencies: 0
Feb 16, 2021
Visit Reason
Unannounced complaint investigation visit conducted due to an allegation that a resident was left unattended by staff during an emergency.
Findings
The investigation found the allegation to be unsubstantiated, meaning there was not a preponderance of evidence to prove the alleged violation occurred. No deficiencies were cited.
Complaint Details
Allegation: Resident left unattended by staff during an emergency. The complaint was found unsubstantiated after review of staff interviews, training, and resident records.
Report Facts
Estimated Days of Completion: 0
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Lusby | Licensing Program Analyst | Conducted the complaint investigation and interviews |
| Sabrina Boyle | Administrator | Interviewed during the complaint investigation |
| Anthony Perez | Licensing Program Manager | Named as Licensing Program Manager on the report |
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