Inspection Report Summary
Most inspections found no deficiencies, and several complaint investigations were unsubstantiated, including recent ones in May 2025. The most recent report from May 18, 2025, was a complaint investigation with no deficiencies found. Earlier reports showed isolated issues such as a pest infestation substantiated in April 2025 and medication administration errors substantiated in August 2024, but no fines or enforcement actions were listed in the available reports. Other deficiencies involved staff providing care outside their licensed scope and personal rights concerns related to call button response and mail delivery, all of which were addressed without severe consequences. The facility’s record shows improvement over time, with the latest inspections indicating compliance and no new deficiencies.
Deficiencies per Year
4
3
2
1
0
High
Moderate
Census Over Time
Census
Capacity
Inspection Report
Complaint Investigation
Census: 58
Capacity: 74
Deficiencies: 0
May 18, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by multiple allegations regarding staff not providing prescribed modified diet, inadequate room cleaning, lack of assistance with personal hygiene care, improper medication dispensing, and untimely medication refills for a resident.
Findings
The investigation found that the allegations were unsubstantiated. Staff provided thickened liquids as prescribed, rooms were regularly cleaned, personal hygiene care was provided with some duties handled by hospice staff, medications were administered as prescribed, and medication refills were the responsibility of the family or responsible party with no missed medications noted.
Complaint Details
The complaint investigation was unsubstantiated based on interviews, record reviews, and observations. Allegations included failure to provide modified diet, inadequate room cleaning, lack of personal hygiene assistance, improper medication dispensing, and delayed medication refills. All were found unsubstantiated after review.
Report Facts
Capacity: 74
Census: 58
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jose Gary Tan | Licensing Program Analyst | Conducted the complaint investigation visit |
| Diane Domingo | Administrator | Facility administrator mentioned in report header |
| Brenda Sanchez | Resident Services Director | Met with Licensing Program Analyst during investigation |
| Troy Agard | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 58
Capacity: 74
Deficiencies: 0
May 17, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that the facility was retaining a resident who requires a higher level of care.
Findings
The investigation found that the resident in question was initially capable of self-care but later required a social worker and Power of Attorney for financial and medical affairs. The facility worked with Adult Protective Services and the resident's family to appoint a responsible party. The resident now resides in the facility's memory care unit and is well cared for. The allegation was deemed unsubstantiated due to insufficient evidence.
Complaint Details
The complaint alleged that the facility was retaining a resident requiring a higher level of care. The investigation included interviews, record reviews, and observations. The complaint was found unsubstantiated.
Report Facts
Facility capacity: 74
Resident census: 58
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jose Gary Tan | Licensing Program Analyst | Conducted the complaint investigation visit |
| Brenda Sanchez | Resident Service Director | Met with the Licensing Program Analyst during the investigation |
| Robyn Rebollar | Administrator | Facility administrator named in the report |
| Troy Agard | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Census: 59
Capacity: 74
Deficiencies: 1
Apr 30, 2025
Visit Reason
An unannounced case management visit was conducted to check on the health, safety, and welfare of clients in care at the facility.
Findings
One deficiency was issued related to facility staff providing care outside of their scope, specifically med techs administering insulin injections without a skilled professional license. No immediate health and safety concerns were observed during the visit.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Med Techs were administering insulin injections to three residents without maintaining a skilled professional license, posing a potential health and safety risk. | Type B |
Report Facts
Residents receiving insulin injections from unlicensed staff: 3
Staff on duty: 7
Residents in Assisted Living: 44
Residents in Memory Care: 15
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Yolanda Delgado | Licensing Program Analyst | Conducted the unannounced case management visit and issued the deficiency |
| Georgianna Mendez | Administrator | Facility administrator met with during the visit and reviewed the report |
| Anthony Perez | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 59
Capacity: 74
Deficiencies: 0
Apr 29, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that a resident sustained unexplained injuries while in care.
Findings
The investigation involved interviews with staff and review of records, including hospice notes and interviews with hospice nurses. The bruises observed on the resident could not be conclusively explained or attributed to any cause. The allegation was determined to be unsubstantiated due to lack of corroborating evidence.
Complaint Details
The complaint alleged that a resident sustained unexplained injuries while in care. The investigation found no corroborating evidence to determine the cause or source of the bruises, resulting in an unsubstantiated finding.
Report Facts
Facility capacity: 74
Resident census: 59
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Seo Jeon | Licensing Program Analyst | Conducted the complaint investigation visit and authored the report |
| Georgianna Mendez | Executive Director | Met with Licensing Program Analyst during the investigation |
| Rikesha Stamps | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 60
Capacity: 74
Deficiencies: 0
Apr 24, 2025
Visit Reason
An unannounced complaint investigation was conducted due to an allegation that a resident sustained pressure injuries due to neglect while in care.
Findings
The investigation included interviews and record reviews which found no documentation or staff recollection supporting the allegation that the resident sustained pressure injuries while at the facility. The complaint was determined to be unsubstantiated.
Complaint Details
The complaint alleged neglect resulting in pressure injuries to a resident. After review of records and staff interviews, the allegation was found unsubstantiated due to lack of evidence.
Report Facts
Facility capacity: 74
Resident census: 60
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Seo Jeon | Licensing Program Analyst | Conducted the complaint investigation and unannounced visit |
| Rikesha Stamps | Licensing Program Manager | Named in report signature and management |
| Georgianna Mendez | Executive Director | Met with Licensing Program Analyst during investigation |
| Diane Domingo | Administrator | Facility administrator named in report |
Inspection Report
Complaint Investigation
Census: 43
Capacity: 74
Deficiencies: 1
Apr 12, 2025
Visit Reason
An unannounced complaint investigation visit was conducted to investigate allegations that facility staff failed to keep the facility free of pests including gnats, bed bugs, and maggots.
Findings
The investigation found evidence of dead bed bugs and insects in certain rooms, corroborated by some residents and staff acknowledging the pest issue. The facility has an ongoing pest control contract and is actively treating the infestation. The allegation was substantiated based on observations, interviews, and records reviewed.
Complaint Details
The complaint was substantiated. The investigation included interviews with six staff members and eight residents, review of pest control service reports, and a tour of affected rooms and common areas. Evidence supported the allegation of pest infestation.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Maintenance and Operation (a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement is not met as evidenced by pest infestation including dead bed bugs and insects in rooms 251 and 275, posing a potential health and safety risk. | Type B |
Report Facts
Capacity: 74
Census: 43
Deficiency due date: Apr 26, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Alberto Lopez | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Lisa Hicks | Licensing Program Manager | Oversaw the complaint investigation |
| Barbara Guzman | Business Manager | Facility representative met during investigation and exit interview |
| Diane Domingo | Administrator | Facility administrator named in report header |
Inspection Report
Complaint Investigation
Census: 62
Capacity: 74
Deficiencies: 0
Feb 19, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint alleging that staff did not timely replace a light bulb in a resident's room, which affected the resident's ability to see to get to the restroom.
Findings
The investigation found that the resident's room had two lamps with working light bulbs and the hallway light illuminated the pathway to the restroom. There was no service request for light bulb replacement, and a family member reportedly replaced the bulb. The allegation was determined to be unsubstantiated due to lack of evidence.
Complaint Details
The complaint alleged staff did not replace a light bulb in Resident #1’s bedroom due to an outage, impacting the resident's ability to see to get to the restroom. The allegation was unsubstantiated after investigation.
Report Facts
Facility capacity: 74
Census: 62
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Yolanda Delgado | Licensing Program Analyst | Conducted the complaint investigation |
| Joey Collado | Executive Director | Met with Licensing Program Analyst during investigation |
| Barbara Guzman | Business Office Manager | Met with Licensing Program Analyst during investigation |
Inspection Report
Complaint Investigation
Census: 59
Capacity: 74
Deficiencies: 0
Jan 16, 2025
Visit Reason
An unannounced complaint investigation was conducted regarding allegations of wrongful eviction and staff retaliation against a resident for complaining.
Findings
The investigation found that the resident in question does not reside in the regulated assisted living or memory care areas but in the independent living area, which is not under the jurisdiction of the licensing agency. The complaint was determined to be unfounded.
Complaint Details
The complaint alleged wrongful eviction and staff retaliation against a resident for complaining. The complaint was investigated and found to be unfounded.
Report Facts
Capacity: 74
Census: 59
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Yolanda Delgado | Licensing Program Analyst | Conducted the complaint investigation |
| Jazmond D Harris | Licensing Program Manager | Oversaw the complaint investigation |
| Jose Collado | Executive Director | Interviewed during the investigation |
| Barbara Guzman | Business Office Director | Interviewed during the investigation |
Inspection Report
Annual Inspection
Census: 59
Capacity: 74
Deficiencies: 0
Jan 16, 2025
Visit Reason
An unannounced annual inspection was conducted by Licensing Program Analyst Yolanda Delgado to evaluate compliance with state regulations and facility requirements.
Findings
The facility was found to be in compliance with all reviewed areas including resident records, physical plant safety, food service, and employee records. No deficiencies were cited during this inspection.
Report Facts
Employee records reviewed: 7
Resident records reviewed: 6
Facility capacity: 74
Facility census: 59
Water temperature: 112
Fire extinguisher last tested: Mar 24, 2024
Last disaster drill: Dec 15, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Yolanda Delgado | Licensing Program Analyst | Conducted the annual inspection and authored the report |
| Joey Collado | Executive Director | Met with Licensing Program Analyst during inspection |
| Barabra Guzman | Business Office Director | Met with Licensing Program Analyst during inspection |
| Diane Domingo | Administrator | Facility Administrator with certification renewed and pending in database |
| Jazmond D Harris | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 61
Capacity: 74
Deficiencies: 0
Oct 21, 2024
Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that facility staff did not provide adequate supervision to a resident who eloped multiple times, including being found on the freeway.
Findings
The investigation found that the resident in question resided in an independent living unit, which is outside the department's jurisdiction. Therefore, the allegation of inadequate supervision was determined to be unfounded.
Complaint Details
The complaint alleged that Resident #1 eloped multiple times due to lack of adequate supervision and absence of a security guard during night hours. The allegation was investigated through observations, interviews, and records review and was found to be unfounded.
Report Facts
Facility capacity: 74
Census: 61
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Diane Domingo | Administrator | Met with Licensing Program Analyst during complaint investigation |
| Javina George | Licensing Program Analyst | Conducted the complaint investigation |
| Tricia Danielson | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 63
Capacity: 74
Deficiencies: 1
Aug 29, 2024
Visit Reason
The inspection visit was an unannounced complaint investigation triggered by an allegation that facility staff did not dispense medications as prescribed.
Findings
The investigation found that Resident One (R1) had not been receiving their prescribed medication for months due to staff only administering medications listed on the MAR, which did not include the updated dosage. The allegation was substantiated based on interviews, observations, and records review.
Complaint Details
The complaint investigation was substantiated. The allegation was that facility staff did not dispense medications as prescribed. Evidence showed Resident One did not receive the prescribed medication with the correct dosage for months.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Licensee did not comply with regulations requiring assistance with self-administered medications; medications for Resident One were not administered as prescribed, posing a potential health and safety risk. | Type B |
Report Facts
Capacity: 74
Census: 63
Deficiency Type B: 1
Plan of Correction Due Date: Sep 13, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sara Martinez | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Diana Domingo | Executive Director | Met with Licensing Program Analyst during investigation |
| Bituin Garcia | Resident Service Director | Met with Licensing Program Analyst during investigation and received report copy |
Inspection Report
Complaint Investigation
Census: 60
Capacity: 74
Deficiencies: 0
Jul 17, 2024
Visit Reason
An unannounced complaint investigation was conducted due to an allegation that a resident sustained pressure injuries and bruises due to neglect.
Findings
The investigation found that the resident was admitted with wounds and bruises present, and the allegation of neglect causing these injuries was determined to be unfounded.
Complaint Details
The complaint alleged neglect resulting in pressure injuries and bruises to a resident. The investigation concluded the complaint was unfounded as the resident had the wounds upon admission.
Report Facts
Facility capacity: 74
Census: 60
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Javina George | Licensing Program Analyst | Conducted the complaint investigation |
| Elizabeth Domingo | Executive Director | Met with Licensing Program Analyst during investigation |
| Bituin Garcia | Resident Services Director | Conducted physical assessment of resident upon admission |
| Tricia Danielson | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Capacity: 74
Deficiencies: 1
May 22, 2024
Visit Reason
An unannounced visit was conducted regarding an open complaint currently under investigation related to deficiencies in care for residents with dementia.
Findings
The inspection found that Resident One's Physician Report was last dated 08/10/2020, and an updated annual Physician's Report was not available as required for residents diagnosed with dementia, constituting a deficiency under Title 22 Regulation 87705(c)(5).
Complaint Details
The visit was complaint-related and is currently under investigation.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to have an updated annual Physician's Report for Resident One diagnosed with dementia. | Type B |
Report Facts
Capacity: 74
Deficiency count: 1
Plan of Correction Due Date: Jun 14, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sara Martinez | Licensing Program Analyst | Conducted the unannounced visit and evaluation |
| Bituin Garcia | Resident Services Director | Met with Licensing Program Analyst during the visit |
| Diane Domingo | Administrator | Facility administrator named in the report |
Inspection Report
Complaint Investigation
Census: 66
Capacity: 74
Deficiencies: 0
May 1, 2024
Visit Reason
An unannounced complaint investigation visit was conducted regarding allegations that staff did not ensure a resident's room was free of rodents and that staff were not providing a healthful environment for the resident.
Findings
The investigation found that the resident in question lives in the facility's independent living units, which are not licensed by the Department and Community Care Licensing does not have jurisdiction over them. Therefore, the allegations were deemed unfounded.
Complaint Details
The complaint was investigated and deemed unfounded, meaning the allegations were false, could not have happened, or were without a reasonable basis.
Report Facts
Capacity: 74
Census: 66
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sara Martinez | Licensing Program Analyst | Conducted the complaint investigation visit |
| Diane Domingo | Executive Director | Met with Licensing Program Analyst during the investigation |
Inspection Report
Complaint Investigation
Census: 64
Capacity: 74
Deficiencies: 0
Apr 15, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations that staff did not seek medical attention for a resident and that a resident was exposed to hazardous gas while in care.
Findings
The investigation found that the resident involved lives in the independent living section of the facility, which is outside the jurisdiction of the Community Care Licensing Division. Therefore, the complaint was determined to be unfounded, meaning the allegations were false or without reasonable basis.
Complaint Details
The complaint was received on 2024-02-26 alleging staff did not seek medical attention for a resident and that the resident was exposed to hazardous gas. The complaint was investigated and found to be unfounded due to jurisdictional limitations.
Report Facts
Facility capacity: 74
Census: 64
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jacqueline Shaw Ross | Licensing Program Analyst | Conducted the complaint investigation and unannounced visit |
| Barbara Guzman | Business Office Manager | Met with the Licensing Program Analyst during the investigation and received the report |
| Diane Domingo | Administrator | Named as facility administrator |
| Jazmond D Harris | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Annual Inspection
Census: 69
Capacity: 74
Deficiencies: 0
Feb 7, 2024
Visit Reason
The visit was an unannounced required annual inspection conducted by the Licensing Program Analyst to evaluate the facility's compliance with regulations.
Findings
The facility was found to be in good condition with no regulation violations observed. The physical plant was neat and orderly, safety equipment was functional, and required documentation and procedures were in place and reviewed.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Bituin Garcia | Administrator | Met with Licensing Program Analyst during inspection and participated in facility tour and interviews. |
| Venus Mixson | Licensing Program Analyst | Conducted the annual inspection and authored the report. |
| Jazmond D Harris | Licensing Program Manager | Named in the report as Licensing Program Manager. |
Inspection Report
Complaint Investigation
Census: 64
Capacity: 74
Deficiencies: 0
Jul 5, 2023
Visit Reason
An unannounced complaint investigation was conducted following a complaint alleging the facility did not provide the responsible party of a resident a 60-day written notice of a new charge and did not include new charges in the resident's admission agreement.
Findings
The investigation found that the resident in question was not residing in the licensed facility but in an independent living unit not licensed by the Department. Therefore, the complaint was deemed unfounded as the Department did not have jurisdiction over the unit.
Complaint Details
The complaint was unsubstantiated and deemed unfounded because the resident was not listed as residing in the licensed facility, and the Department does not have jurisdiction over the independent living unit where the resident lived.
Report Facts
Facility capacity: 74
Census: 64
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Martinez | Licensing Program Analyst | Conducted the complaint investigation |
| Diane Domingo | Administrator | Met with Licensing Program Analyst during investigation |
Inspection Report
Complaint Investigation
Census: 66
Capacity: 74
Deficiencies: 0
Jun 7, 2023
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations including an uncleared adult providing care to residents and financial abuse of a resident by staff.
Findings
The investigation found that the alleged uncleared adult was not working in the licensed facility but was a private caregiver contracted by a resident in the independent living unit, which is not licensed by the Department. The financial abuse allegation was also unfounded as the resident resides in the independent living unit outside the Department's jurisdiction. Therefore, all allegations were deemed unfounded.
Complaint Details
The complaint investigation was triggered by allegations that an uncleared adult was providing care to residents and that a resident was being financially abused by staff. Both allegations were investigated and found to be unfounded due to jurisdictional and staffing clarifications.
Report Facts
Facility capacity: 74
Census: 66
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Martinez | Licensing Program Analyst | Conducted the complaint investigation visit |
| Jazmond D Harris | Licensing Program Manager | Named in report as Licensing Program Manager |
| Robyn Rebollar | Administrator | Facility Administrator named in report |
| Bituin Garcia | Administrator | Met with Licensing Program Analyst during investigation |
| Tierre Thornton | Interim-Administrator | Met with Licensing Program Analyst during investigation |
Inspection Report
Complaint Investigation
Census: 66
Capacity: 74
Deficiencies: 2
May 4, 2023
Visit Reason
An unannounced complaint investigation was conducted due to allegations including staff not responding to resident call buttons and not safeguarding residents' personal property.
Findings
The investigation substantiated that there were insufficient working pagers for staff to respond timely to residents' calls, and mail delivery to residents was inconsistent, posing personal rights risks. Other allegations regarding toilet support, bathroom accessibility, and answering the facility phone were found unsubstantiated.
Complaint Details
The complaint was substantiated based on the preponderance of evidence for allegations related to call button response and mail delivery. Other allegations regarding toilet support, bathroom entry, and phone answering were unsubstantiated.
Severity Breakdown
Type A: 1
Type B: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Insufficient working pagers to adequately respond to residents' requests in a timely manner, posing an immediate personal rights risk. | Type A |
| Failure to send and receive unopened correspondence in a prompt manner, posing a potential personal rights violation. | Type B |
Report Facts
Staff on 24-hour shifts: 17
Working pagers found: 1
New working pagers provided: 5
Facility capacity: 74
Resident census: 66
Plan of Correction due dates: 5
Plan of Correction due dates: 11
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jesse Gardner | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Robyn Rebollar | Administrator | Facility administrator met during investigation and involved in findings |
| Deborah Mullen | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Original Licensing
Census: 39
Capacity: 74
Deficiencies: 0
Nov 15, 2022
Visit Reason
The inspection was conducted as a pre-licensing visit to evaluate the facility for initial licensing approval.
Findings
The facility was found to be clean, well-maintained, and compliant with safety regulations including operable smoke alarms, fire extinguishers, and carbon monoxide detectors. The signal system was operable and staffing levels were deemed sufficient for resident needs.
Report Facts
Number of caregivers: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Bituin Garcia | Administrator | Met with Licensing Program Analyst during the pre-licensing inspection |
| Venus Mixson | Licensing Program Analyst | Conducted the pre-licensing inspection |
| Jazmond D Harris | Licensing Program Manager | Named as Licensing Program Manager on the report |
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