Inspection Report Summary
Most inspections over the past few years found the facility clean, safe, and in compliance with regulations, with no deficiencies cited. Several complaint investigations were substantiated, primarily involving medication mismanagement and delayed staff response to resident calls, with one incident resulting in a $250 fine for repeated medication errors. The facility also failed to report multiple resident falls as required and did not consistently ensure staff completed annual training. The most recent report from April 23, 2025, confirmed medication mismanagement that posed an immediate health risk and included the assessed penalty. While some issues have recurred, the facility’s environment and general safety measures have remained satisfactory.
Deficiencies per Year
4
3
2
1
0
High
Moderate
Census Over Time
Census
Capacity
Inspection Report
Complaint Investigation
Census: 55
Capacity: 74
Deficiencies: 1
Apr 23, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that staff mismanage medication, as well as allegations that the facility has a foul odor and that staff do not ensure the facility is clean.
Findings
The investigation substantiated the allegation of medication mismanagement, finding that residents R1 and R3 did not receive medications as prescribed, posing an immediate health and safety risk. A civil penalty of $250 was assessed for a repeated violation. The allegations regarding foul odor and uncleanliness were found to be unsubstantiated based on interviews and observations.
Complaint Details
The complaint investigation was substantiated for medication mismanagement. The allegation that staff mismanage medication was supported by evidence including medication counts and record reviews. The allegations that the facility has a foul odor and that staff do not ensure the facility is clean were unsubstantiated based on interviews and observations.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility did not ensure that residents R1 and R3 received medications as prescribed, posing an immediate health, safety, and personal rights risk. | Type A |
Report Facts
Civil penalty amount: 250
Facility capacity: 74
Resident census: 55
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Michael Hood | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Anthony Perez | Licensing Program Manager | Named in relation to the investigation and report |
| Lydia Gravelyn | Executive Director | Met with Licensing Program Analyst during the investigation and exit interview |
Inspection Report
Annual Inspection
Census: 55
Capacity: 74
Deficiencies: 1
Mar 26, 2025
Visit Reason
The inspection was a Required-1 Year unannounced visit conducted to ensure compliance with Title 22 regulations for the assisted living facility.
Findings
The inspection found the facility generally compliant with regulations, including proper furnishing, sanitary conditions, and safety measures. However, one deficiency was cited related to staff annual training requirements not being met.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility did not ensure that staff completed annual training per health and safety code, posing a potential health, safety or personal rights risk to persons in care. | Type B |
Report Facts
Food supply: 2
Food supply: 7
Deficiency correction due date: Apr 11, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Michael Hood | Licensing Program Analyst | Conducted the inspection and signed the report |
| Anthony Perez | Licensing Program Manager | Named as Licensing Program Manager on report |
| Laurie Spurlock | Administrator/Director | Facility Administrator named in report |
| Lydia Gravelyn | Executive Director | Met with Licensing Program Analyst during inspection |
Inspection Report
Complaint Investigation
Census: 55
Capacity: 74
Deficiencies: 1
Oct 16, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that staff do not respond to residents' calls for assistance in a timely manner.
Findings
The investigation found the allegation that staff did not respond timely to residents' call buttons to be substantiated, with response times exceeding 10 minutes and reaching as long as 419 minutes. However, a second allegation that staff were not following residents' needs and services plans was found to be unsubstantiated.
Complaint Details
The complaint investigation was substantiated for the allegation that staff did not respond to residents' calls for assistance in a timely manner, based on interviews with residents and staff, review of call logs showing delays up to 419 minutes, and observation of staffing shortages. The allegation that staff were not following residents' needs and services plans was unsubstantiated.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility personnel were not sufficient in numbers and competent to provide necessary services, resulting in delayed response to resident call buttons with times up to 419 minutes. | Type B |
Report Facts
Response time to call buttons: 419
Census: 55
Total capacity: 74
Plan of Correction due date: Oct 31, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Michael Hood | Licensing Program Analyst | Conducted the complaint investigation |
| Anthony Perez | Licensing Program Manager | Oversaw the complaint investigation |
| Cortez Jordan | Senior Executive Director | Facility representative met during investigation and exit interview |
| Jonathon Moore | Administrator | Facility administrator named in report header |
Inspection Report
Census: 55
Capacity: 74
Deficiencies: 1
Oct 16, 2024
Visit Reason
The inspection visit was conducted as a Case Management - Deficiencies unannounced visit to issue a citation related to a separate inspection regarding reporting requirements.
Findings
The facility failed to produce Unusual Incident Reports for a resident who sustained multiple falls, including two resulting in injury. A deficiency was cited for not reporting these falls to the licensing agency as required by California regulations.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to report multiple falls for resident R1 to the licensing agency within the required timeframe, posing a potential health, safety, and personal rights risk. | Type B |
Report Facts
Deficiency Plan of Correction Due Date: Oct 31, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Cortez Jordan | Senior Executive Director | Met with Licensing Program Analysts during inspection and exit interview |
| Michael Hood | Licensing Program Analyst | Conducted inspection and signed report |
| Anthony Perez | Licensing Program Manager | Supervisor named in report |
Inspection Report
Complaint Investigation
Census: 57
Capacity: 74
Deficiencies: 2
Sep 25, 2024
Visit Reason
An unannounced complaint investigation was conducted due to an allegation that staff mismanaged resident medication.
Findings
The investigation found that a resident received injectable medication via mailed cold box which was not centrally stored as required. The resident self-administered the medication without proper assistance, contrary to their Physician's Report. The allegation was substantiated and deficiencies were cited related to medication administration and storage.
Complaint Details
The complaint was substantiated. The allegation was that staff mismanaged resident medication, specifically that medication delivered to the facility was not properly stored and the resident self-administered without required assistance.
Severity Breakdown
Type A: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Facility did not ensure that resident R1 received assistance with medication administration in accordance with their Physician's Report, posing an immediate health, safety, and personal rights risk. | Type A |
| Facility did not ensure that R1's medication was centrally stored in a safe and locked place, posing an immediate health, safety, and personal rights risk. | Type A |
Report Facts
Capacity: 74
Census: 57
Deficiencies cited: 2
Plan of Correction Due Date: Sep 26, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jonathon Moore | Executive Director | Met with during investigation and named in findings |
| Michael Hood | Licensing Program Analyst | Conducted the complaint investigation |
| Anthony Perez | Licensing Program Manager | Oversaw complaint investigation |
Inspection Report
Annual Inspection
Census: 60
Capacity: 74
Deficiencies: 0
Jan 31, 2024
Visit Reason
The inspection was an unannounced annual continuation visit conducted to ensure compliance with Title 22 regulations following the required 1-year inspection conducted on 1/25/2024.
Findings
The inspection found that the first aid kit was maintained and ready for emergency use, medication storage was secure and inaccessible to residents, and resident and staff files were reviewed. No deficiencies were cited during this visit.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Michael Hood | Licensing Program Analyst | Conducted the inspection and cited findings related to medication storage and file reviews. |
| Jonathon Moore | Executive Director | Met with the Licensing Program Analyst during the inspection. |
Inspection Report
Annual Inspection
Census: 60
Capacity: 74
Deficiencies: 0
Jan 25, 2024
Visit Reason
The inspection was an unannounced Required-1 Year Inspection conducted to ensure compliance with Title 22 regulations at the assisted living facility.
Findings
The inspection found the facility to be in compliance with no deficiencies cited. Apartments and common areas were properly maintained and sanitary, safety equipment was operational, and food supplies met requirements.
Report Facts
Food supply: 2
Food supply: 7
Apartments observed: 4
Apartments observed: 2
Bathrooms observed: 3
Staff files reviewed: 3
Hot water temperature: 116.6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Michael Hood | Licensing Program Analyst | Conducted the inspection and authored the report |
| Anthony Perez | Licensing Program Manager | Named in the report header |
| Jonathon Moore | Executive Director | Met with during inspection |
Inspection Report
Annual Inspection
Census: 60
Capacity: 74
Deficiencies: 0
Jan 20, 2023
Visit Reason
The inspection was an unannounced Required-1 Year Inspection focused on the infection control domain to ensure the health and safety of residents in care.
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 the inspection.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lyndee Whaley | Executive Director | Met with Licensing Program Analyst during inspection and involved in infection control domain completion. |
| Michael Hood | Licensing Program Analyst | Conducted the Required-1 Year Inspection and infection control domain evaluation. |
| Anthony Perez | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Annual Inspection
Census: 56
Capacity: 74
Deficiencies: 0
Mar 28, 2022
Visit Reason
The inspection was an unannounced required annual visit conducted by the Licensing Program Analyst to evaluate the facility's compliance with regulations.
Findings
The facility was observed to be clean, safe, and in good repair with no health and safety risks or personal rights violations. No deficiencies were found during the inspection.
Report Facts
Hospice waiver capacity: 14
Residents on hospice: 7
Trash cans with lids to arrive: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sabrina Calzada | Licensing Program Analyst | Conducted the inspection and signed the report |
| Joli Defazio | Marketing Director | Met with Licensing Program Analyst during inspection |
| Katie Nelson | Resident Care Coordinator | Met with Licensing Program Analyst during inspection |
Inspection Report
Annual Inspection
Census: 57
Capacity: 74
Deficiencies: 0
Dec 31, 2021
Visit Reason
The inspection was an unannounced annual/random visit conducted to evaluate the facility's compliance with licensing requirements and COVID-19 protocols.
Findings
The facility was observed to be clean, safe, and in good repair with no health or safety risks or personal rights violations. COVID-19 protocols were followed, and no deficiencies were found during the inspection.
Report Facts
Hospice waiver capacity: 14
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lyndee Whaley | Administrator | Met with Licensing Program Analysts during inspection |
| Sabrina Calzada | Licensing Program Analyst | Conducted the inspection |
| Cassie Yang | Licensing Program Analyst | Conducted the inspection |
| Maribeth Senty | Licensing Program Manager | Named in report |
Inspection Report
Annual Inspection
Census: 56
Capacity: 74
Deficiencies: 0
Dec 10, 2021
Visit Reason
Licensing Program Analysts conducted an unannounced annual continuation inspection to evaluate compliance with regulatory requirements and COVID-19 protocols at the facility.
Findings
The facility was found to be clean, safe, and in good repair with no health or safety risks or personal rights violations observed. COVID-19 precautions and vaccination status were reviewed, and no deficiencies were cited during the inspection.
Report Facts
Hospice waiver capacity: 14
Food storage duration: 2
Food storage duration: 7
Fire extinguisher last serviced: Sep 23, 2021
Inspection time began: 955
Inspection time completed: 1150
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lyndee Whaley | Administrator | Met with Licensing Program Analysts during inspection |
| Sabrina Calzada | Licensing Program Analyst | Conducted the inspection |
| Cassie Yang | Licensing Program Analyst | Conducted the inspection |
| Maribeth Senty | Licensing Program Manager | Named in report header |
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