Inspection Report Summary
Most inspections found no deficiencies, including the most recent routine annual inspection on September 5, 2025, which cited one deficiency related to physical abuse by a staff member who was suspended and terminated. Earlier complaint investigations often found allegations unsubstantiated, with isolated issues such as missing signage on secured unit doors and failure to post licensing reports properly. The main concerns involved resident safety and abuse prevention, with no fines or enforcement actions listed in the available reports. The facility showed improvement over time, with no deficiencies in the latest reports aside from the substantiated abuse incident. Several complaint investigations were unsubstantiated, indicating that many concerns raised did not result in findings against the facility.
Deficiencies (last 5 years)
Deficiencies (over 5 years)
0.6 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
85% better than California average
California average: 4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
74% occupied
Based on a September 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Complaint Investigation
Census: 89
Capacity: 120
Deficiencies: 1
Date: Sep 5, 2025
Visit Reason
An unannounced case management visit was conducted following a self-reported incident involving alleged rough handling and physical abuse by a staff member towards two residents on June 1 and June 2, 2025.
Complaint Details
The visit was complaint-related due to a self-reported incident involving Staff #1 allegedly being rough with two residents. Staff #1 was suspended and terminated. The complaint was substantiated based on interviews and record reviews.
Findings
The investigation found that Staff #1 was rough with two residents during transfers, including grabbing and pulling wrists and pushing a walker into a resident's knees. Staff #1 was suspended and subsequently terminated. One deficiency was cited for failure to protect residents from neglect and physical abuse.
Deficiencies (1)
Failure to ensure residents were free from neglect, punishment, humiliation, intimidation, and verbal, mental, physical, or sexual abuse as two residents were subjected to physical abuse by Staff #1.
Report Facts
Residents involved: 2
Staff involved: 1
Deficiencies cited: 1
Facility census: 89
Facility capacity: 120
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jennifer Ortega | Executive Director | Met during inspection and exit interview. |
| Hannah Rodgers | Licensing Program Analyst | Conducted the unannounced case management visit and authored the report. |
| Marlen Hernandez | Administrator/Director | Facility administrator listed in report header. |
Inspection Report
Census: 89
Capacity: 120
Deficiencies: 0
Date: Sep 5, 2025
Visit Reason
An unannounced case management visit was conducted following a self-reported incident involving a missing $900 from a resident's bedroom.
Findings
No deficiencies were cited during the visit. The Licensing Program Analyst toured the facility, observed residents, reviewed records, and interviewed staff and residents. The incident may require further follow-up visits.
Report Facts
Missing amount: 900
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jennifer Ortega | Executive Director | Met with Licensing Program Analyst during the visit and participated in exit interview |
| Hannah Rodgers | Licensing Program Analyst | Conducted the unannounced case management visit |
| Marlen Hernandez | Administrator/Director | Named as facility administrator/director |
Inspection Report
Complaint Investigation
Census: 90
Capacity: 120
Deficiencies: 0
Date: Mar 12, 2025
Visit Reason
The inspection was conducted as a Case Management - Incident visit following a self-reported incident involving allegations of rough care by a staff member towards four residents on February 18, 2025.
Complaint Details
The complaint involved allegations that Staff #1 was rough with Residents #1, #2, #3, and #4 while providing care. Staff #1 was suspended and later resigned. Interviews with staff provided conflicting information, and residents were unable to reliably report due to memory loss. The allegation was not substantiated.
Findings
Based on interviews and records review, there was no preponderance of evidence to conclude that the staff member was rough with residents. Conflicting staff interviews and inability to obtain reliable resident statements were noted. No deficiencies were cited during the visit.
Report Facts
Residents involved: 4
Staff involved: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jennifer Ortega | Executive Director | Met with Licensing Program Analyst during inspection and exit interview |
| Hannah Rodgers | Licensing Program Analyst | Conducted the Case Management - Incident visit |
| Marlen Hernandez | Administrator/Director | Named as facility administrator/director |
Inspection Report
Complaint Investigation
Census: 90
Capacity: 120
Deficiencies: 0
Date: Mar 12, 2025
Visit Reason
An unannounced complaint investigation was conducted due to an allegation that neglect or lack of supervision resulted in a resident-on-resident altercation at the facility.
Complaint Details
The complaint alleged neglect/lack of supervision resulting in a resident-on-resident altercation. The allegation was unsubstantiated after investigation including interviews, record reviews, and staff observations.
Findings
The investigation found that Resident #1 hit Resident #2 twice while exiting the elevator, but staff intervened immediately and separated the residents. Both residents attended the subsequent activity with supervision and did not interact further. The allegation was unsubstantiated as there was insufficient evidence to prove neglect or lack of supervision caused the altercation.
Report Facts
Capacity: 120
Census: 90
Time of incident: 1420
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Hannah Rodgers | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Jennifer Ortega | Executive Director | Facility representative met during the investigation and involved in the incident report |
Inspection Report
Annual Inspection
Census: 87
Capacity: 120
Deficiencies: 0
Date: Oct 30, 2024
Visit Reason
The inspection was an unannounced required One-Year Inspection to ensure substantial compliance with Title 22 regulations at the facility.
Findings
The facility was found to be in substantial compliance with regulations, with operational safety systems, sanitary conditions, proper medication storage and administration, adequate staffing, and compliant resident and staff records. No deficiencies or violations were noted in the report.
Report Facts
Resident age and mobility: 120
Food supply duration: 2
Food supply duration: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jennifer Ortega | Interim Executive Director | Accompanied LPAs during inspection and participated in exit interview |
| Amy Rodgers | Licensing Program Analyst | Conducted inspection and signed report |
| Angelica Boyles | Licensing Program Analyst | Conducted inspection |
| Evelyn Franco | Wellness Nurse | Granted entry to LPAs during inspection |
Inspection Report
Complaint Investigation
Census: 92
Capacity: 120
Deficiencies: 0
Date: Sep 27, 2024
Visit Reason
An unannounced complaint investigation was conducted following an allegation that the licensee did not issue a timely refund to a resident’s authorized representative.
Complaint Details
The complaint alleged that the licensee did not provide Resident 1’s responsible party a full refund after the resident's death. The investigation included observations, records review, and interviews, concluding the allegation was unsubstantiated.
Findings
The investigation found that the facility issued a full refund to the resident’s responsible party within the required timeframe and an additional refund due to an accounting oversight. The allegation was unsubstantiated based on the evidence.
Report Facts
Capacity: 120
Census: 92
Dates: 15
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amy Rodgers | Licensing Program Analyst | Conducted the complaint investigation and unannounced visit |
| Marlen Arguero Hernandez | Executive Director | Met with Licensing Program Analyst during investigation and exit interview |
| Denise Powell | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 92
Capacity: 120
Deficiencies: 0
Date: Sep 27, 2024
Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that staff did not safeguard a resident's personal belongings.
Complaint Details
The complaint alleged that staff did not safeguard a resident's personal belongings. The investigation found that the required inventory document was incomplete and not presented at move-in, but no evidence of theft or loss was found. The allegation was unsubstantiated.
Findings
The investigation included observations, records review, and interviews, and found no corroborating evidence that the facility failed to safeguard the resident's belongings. The allegation was determined to be unsubstantiated.
Report Facts
Capacity: 120
Census: 92
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amy Rodgers | Licensing Program Analyst | Conducted the complaint investigation and unannounced visit |
| Marlen Arguero Hernandez | Executive Director | Met with Licensing Program Analyst during investigation and exit interview |
| Denise Powell | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 91
Capacity: 120
Deficiencies: 1
Date: Mar 29, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2023-07-10 regarding multiple allegations including failure to make licensing reports available for public viewing and other resident care concerns.
Complaint Details
The complaint investigation was substantiated for the allegation that the licensee did not make available for public viewing a licensing report from the preceding 12 months. Other allegations were unsubstantiated. The investigation included unannounced visits, staff interviews, records review, and observations. A Plan of Correction was developed and the deficiency was cited under California Code of Regulations, Title 22.
Findings
The investigation substantiated that the licensee did not make available for public viewing a licensing report from the preceding 12 months. Other allegations related to resident furniture, laundry service, activities director employment, incident reporting, and records provision were found unsubstantiated based on interviews, observations, and records review.
Deficiencies (1)
Licensee did not place copies of all licensing reports within the preceding 12 months in a conspicuous location.
Report Facts
Capacity: 120
Census: 91
Deficiencies cited: 1
Plan of Correction due date: 2024
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 report |
| Marlen Arguero-Hernandez | Executive Director | Facility representative met during the investigation and exit interview |
| Erika Castile | Administrator | Facility administrator named in the report |
Inspection Report
Annual Inspection
Census: 84
Capacity: 120
Deficiencies: 0
Date: Nov 27, 2023
Visit Reason
An unannounced required one-year inspection was conducted to ensure substantial compliance with Title 22 regulations at the facility.
Findings
The inspection found the facility to be in substantial compliance with regulations, including proper operation of safety systems, sanitary conditions, adequate food and medication storage, compliant staff and resident records, and sufficient staffing to meet residents' needs.
Report Facts
Resident age and condition: 120
Food supply duration: 2
Food supply duration: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amy Rodgers | Licensing Program Analyst | Conducted the inspection and authored the report |
| Thais Andrade Souza | Interim Executive Director | Facility representative during inspection and exit interview |
Inspection Report
Census: 65
Capacity: 120
Deficiencies: 0
Date: Jun 26, 2023
Visit Reason
Licensing Program Manager Simon Jacob conducted a case management visit to investigate the circumstances surrounding a Death Report received on June 23, 2023.
Findings
No deficiencies were issued during the visit. Relevant records were reviewed and interviews conducted, including a request for the Death Certificate and Coroner's Report.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Erika Castile | Executive Director | Met with Licensing Program Manager during the visit and participated in exit interview. |
| Simon Jacob | Licensing Program Analyst | Conducted the case management visit to investigate the Death Report. |
| Kimberly Lyon | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Complaint Investigation
Census: 62
Capacity: 120
Deficiencies: 1
Date: Jun 7, 2023
Visit Reason
The visit was conducted in response to an LIC624 Incident Report regarding Resident #1 who briefly eloped from the facility's secured memory care unit on 06/03/2023.
Complaint Details
The visit was complaint-related, triggered by an incident report of a resident eloping from the secured memory care unit. Resident was unharmed and the incident was investigated.
Findings
The resident was quickly recovered unharmed. The inspection found that delayed egress doors and courtyard gates were functioning properly but lacked required signage as per California Health and Safety Code, resulting in one cited deficiency.
Deficiencies (1)
Failure to provide required signs on delayed-egress doors within the secured memory care unit, posing a potential safety risk.
Report Facts
Residents present: 62
Total licensed capacity: 120
Deficiency count: 1
Residents in affected area: 20
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mikhail Grant | Resident Care Director, LVN | Met during visit and involved in exit interview |
| Dang Nguyen | Licensing Program Analyst | Conducted the unannounced case management visit and authored the report |
| Lizzette Tellez | Licensing Program Manager | Supervisor overseeing the inspection |
Inspection Report
Complaint Investigation
Census: 67
Capacity: 120
Deficiencies: 0
Date: May 25, 2023
Visit Reason
An unannounced complaint investigation was conducted in response to allegations that staff did not administer a resident's medication as prescribed and that the facility charged a resident for services not rendered.
Complaint Details
The complaint was unsubstantiated based on interviews, direct observations, and records review. Allegations included failure to administer medication as prescribed and charging for services not provided. Evidence showed medications were given appropriately and services were declined by the resident, who exhibited disruptive behaviors affecting participation in activities.
Findings
The investigation found no evidence to support the allegations. Records, staff, resident, and outside source interviews confirmed that medications were administered within prescribed timeframes and that services were offered but sometimes declined by the resident. Observations showed no resident was denied assistance or services.
Report Facts
Capacity: 120
Census: 67
Documented refusals: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nacole Patterson | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Erika Castile | Executive Director | Facility administrator involved in the investigation |
| Mikhail Grant | Resident Care Director | Facility staff involved in the investigation |
| Misha Alvarez | Assisted Living Coordinator | Facility staff involved in the investigation |
| Jose Cardenas | Maintenance Director | Participated in exit interview |
Inspection Report
Complaint Investigation
Census: 67
Capacity: 120
Deficiencies: 0
Date: May 25, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that the licensee did not safeguard resident belongings.
Complaint Details
The complaint alleged that a staff member stole from a resident. The investigation included interviews with staff, residents, and outside sources, facility tours, and records review. The allegation was found to be unsubstantiated due to lack of evidence and corroboration.
Findings
The investigation found no substantiation for the allegation. Interviews, record reviews, and direct observations showed no evidence that staff stole resident property, and the resident's property was secured with a private lock. Police investigations also found no proof of theft.
Report Facts
Capacity: 120
Census: 67
Police visits: 3
Police investigation date: Apr 19, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nacole Patterson | Licensing Program Analyst | Conducted the complaint investigation visit |
| Erika Castile | Executive Director | Facility administrator present during investigation |
| Mikhail Grant | Resident Care Director | Facility staff present during investigation |
| Misha Alvarez | Assisted Living Coordinator | Facility staff present during investigation |
| Jose Cardenas | Maintenance Director | Participated in exit interview |
Inspection Report
Complaint Investigation
Census: 73
Capacity: 120
Deficiencies: 0
Date: Jan 27, 2023
Visit Reason
An unannounced complaint investigation was conducted due to an allegation that the facility was not following its infection control plan.
Complaint Details
The complaint alleged that Resident 2 was not separated from Resident 1, who tested positive for COVID-19, to prevent exposure. The investigation found that Resident 2 was moved to an unoccupied apartment on the same day Resident 1 tested positive, and all exposed residents were response tested as required. The complaint was unfounded.
Findings
The investigation found that the facility was following infection control protocols, including proper use of PPE and appropriate resident isolation. The complaint was determined to be unfounded and dismissed.
Report Facts
Capacity: 120
Census: 73
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Iby Strong | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Mikhail Grant | Resident Care Director | Interviewed during the investigation and recipient of the exit interview |
| John Rante | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 79
Capacity: 120
Deficiencies: 0
Date: Jul 28, 2022
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations that the admission agreement was not signed by the resident who was their own responsible party and that the resident was not provided with a copy of the admission agreement.
Complaint Details
The complaint was unsubstantiated, meaning there was not sufficient evidence to prove the alleged violations occurred.
Findings
The investigation found that the admission agreement was signed by the resident on 12/24/19 and that it was standard facility procedure to provide a copy of the signed agreement to residents. However, there was uncertainty whether the resident received a copy at admission. The allegations were determined to be unsubstantiated due to lack of preponderance of evidence.
Report Facts
Capacity: 120
Census: 79
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Liliana Silveira | Licensing Program Analyst | Conducted the complaint investigation visit and shared findings |
| Erica Castille | Executive Director | Met with Licensing Program Analyst during the investigation and received report |
| Wesley D Lavender | Administrator | Named as facility administrator |
| Denise Powell | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Annual Inspection
Census: 79
Capacity: 120
Deficiencies: 0
Date: Nov 29, 2021
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.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Wesley Lavender | Executive Director | Met with Licensing Program Analyst during the inspection and participated in the exit interview. |
| Ramon Serrano | Licensing Program Analyst | Conducted the unannounced Required 1-Year Visit and evaluation. |
| Denise Powell | Licensing Program Manager | Named in the report header. |
Inspection Report
Census: 73
Capacity: 120
Deficiencies: 0
Date: May 5, 2021
Visit Reason
An unannounced case management virtual visit was conducted due to the COVID-19 pandemic following a self-reported resident death.
Findings
The Licensing Program Analyst conducted a virtual health and safety check, interviewed facility leadership, and reviewed records. No deficiencies were cited during this visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Wesley D Lavender | Executive Director | Met with Licensing Program Analyst during the visit. |
| Elizabeth Smith | Resident Care Director | Met with Licensing Program Analyst during the visit. |
| Liliana Silveira | Licensing Program Analyst | Conducted the unannounced case management virtual visit. |
| Denise Powell | Licensing Program Manager | Named in the report header. |
Inspection Report
Census: 73
Capacity: 120
Deficiencies: 0
Date: Apr 30, 2021
Visit Reason
An unannounced case management virtual visit was conducted due to the COVID-19 pandemic following a self-reported incident involving a resident injured by a staff member.
Findings
No deficiencies were cited during the visit after reviewing facility records and interviewing the administrator.
Report Facts
Capacity: 120
Census: 73
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Wesley Lavender | Administrator | Interviewed during the visit and involved in the incident report |
| Kristina Ryan | Licensing Program Analyst | Conducted the unannounced case management virtual visit |
| Simon Jacob | Licensing Program Manager | Named in the report header |
Inspection Report
Complaint Investigation
Census: 67
Capacity: 120
Deficiencies: 0
Date: Apr 13, 2021
Visit Reason
The visit was an unannounced case management virtual visit triggered by a self-reported incident involving Resident 1 who was hospitalized with an injury and later passed away.
Complaint Details
The visit was conducted due to a self-reported incident regarding Resident 1, who was hospitalized on February 15, 2021, and passed away on February 27, 2021.
Findings
The Licensing Program Analyst and Manager toured the facility, reviewed records, and interviewed staff. No deficiencies were cited during this visit.
Report Facts
Capacity: 120
Census: 67
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Wesley Lavender | Executive Director | Met with during the visit and involved in exit interview |
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