Deficiencies (last 6 years)

Deficiencies (over 6 years) 0.3 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

93% better than California average
California average: 4 deficiencies/year

Deficiencies per year

4 3 2 1 0
2021
2022
2023
2024
2025
2026

Census

Latest occupancy rate 66% occupied

Based on a March 2026 inspection.

This facility has shown a steady increase in demand based on occupancy rates.

Occupancy over time

30 60 90 120 150 180 Jul 2021 May 2023 Apr 2024 Sep 2024 Jan 2025 Jul 2025 Mar 2026

Inspection Report

Census: 84 Capacity: 127 Deficiencies: 0 Date: Mar 27, 2026

Visit Reason
An unannounced Case Management visit was conducted to serve an Order to Licensee/Facility of Immediate Exclusion from Facility for staff #1 due to violation of California Code of Regulations Title 22.

Findings
Staff #1 violated licensing regulations and was immediately excluded from the facility. The Administrator acknowledged the exclusion order and confirmed that the excluded staff was not present at the facility during the visit.

Employees mentioned
NameTitleContext
James HowlandExecutive DirectorMet with Licensing Program Analyst and acknowledged the immediate exclusion order for staff #1.
Alfonso IniguezLicensing Program AnalystConducted the unannounced Case Management visit and served the immediate exclusion order.

Inspection Report

Follow-Up
Census: 80 Capacity: 127 Deficiencies: 0 Date: Aug 15, 2025

Visit Reason
The visit was a Case Management follow-up to a prior complaint investigation regarding the facility's elevator disrepair, to verify protocols ensuring resident safety.

Complaint Details
The prior complaint investigation concerned the facility's elevator being in disrepair since June 26, 2025. This visit served as a follow-up to assess safety protocols and repair progress.
Findings
Two of the three elevators were repaired and operational with the third expected to be completed the day of the visit. No safety concerns or deficiencies were cited during this visit.

Report Facts
Elevators operational: 2 Total elevators: 3

Employees mentioned
NameTitleContext
Jim HowlandExecutive DirectorMet with Licensing Program Analyst and provided information about elevator repairs
Deborah LeeLicensing Program AnalystConducted the Case Management follow-up visit

Inspection Report

Follow-Up
Census: 80 Capacity: 127 Deficiencies: 0 Date: Aug 15, 2025

Visit Reason
The visit was a Case Management follow-up to a prior complaint investigation regarding the facility's elevator being in disrepair since June 26, 2025, to verify if protocols are in place to ensure resident safety.

Complaint Details
The prior complaint investigation concerned the facility's elevator being in disrepair since June 26, 2025. This visit served as a follow-up to assess safety protocols and repair progress.
Findings
Two of the three elevators were operational with the third expected to be repaired the same day. No safety concerns or deficiencies were cited during the visit, and the facility was following safety procedures.

Report Facts
Elevators operational: 2 Total elevators: 3

Employees mentioned
NameTitleContext
Jim HowlandExecutive DirectorMet with Licensing Program Analyst during the visit and provided information about elevator repairs
Deborah LeeLicensing Program AnalystConducted the Case Management visit

Inspection Report

Annual Inspection
Census: 70 Capacity: 127 Deficiencies: 0 Date: Jul 30, 2025

Visit Reason
An unannounced annual required visit was conducted using the CARE Inspection Tool to evaluate compliance with licensing requirements for the facility.

Findings
The facility was found to be clean, sanitary, and appropriately furnished with no observed deficiencies. All inspected areas including bedrooms, bathrooms, kitchen, and safety equipment were in good condition and compliant with regulations. No citations were issued at this time.

Report Facts
Units inspected: 10 Units inspected: 10 Water temperature range: 113.5 Water temperature range: 115.2 Room temperature range: 75 Room temperature range: 76 Residents bedridden capacity: 9 Hospice waiver capacity: 20 Facility units: 80 Bathrooms: 86

Employees mentioned
NameTitleContext
James HowlandExecutive DirectorMet with Licensing Program Analysts during inspection and received the Facility Evaluation Report

Inspection Report

Complaint Investigation
Census: 70 Capacity: 127 Deficiencies: 0 Date: Jul 30, 2025

Visit Reason
An unannounced complaint investigation was conducted due to an allegation that facility staff does not ensure elevators are in good repair.

Complaint Details
The complaint alleged that the elevator that works in the facility closes for residents without stopping. After investigation, including interviews and inspection, there was insufficient evidence to support the allegation, and it was deemed unsubstantiated.
Findings
The investigation found that one elevator had been out of service for over 30 days and was being repaired, while the other elevator was functioning properly without closing abruptly on residents. Interviews with residents, witnesses, and the elevator technician confirmed no safety hazards. The allegation was found to be unsubstantiated.

Report Facts
Facility capacity: 127 Census: 70 Elevator out of service duration (days): 30 Number of residents interviewed: 5 Number of witnesses interviewed: 2

Employees mentioned
NameTitleContext
Jim HowlandExecutive DirectorMet with Licensing Program Analyst and provided information about elevator status
Alfonso IniguezLicensing Program AnalystConducted the complaint investigation

Inspection Report

Annual Inspection
Census: 70 Capacity: 127 Deficiencies: 0 Date: Jul 30, 2025

Visit Reason
An unannounced annual required visit was conducted using the CARE Inspection Tool to evaluate compliance with licensing requirements for the facility serving non-ambulatory elderly adults.

Findings
The facility was found to be clean, sanitary, and appropriately furnished with no observed deficiencies. All inspected areas, including bedrooms, bathrooms, kitchen, and safety equipment, met regulatory standards. No citations were issued.

Report Facts
Units inspected: 10 Units inspected: 10 Residents bedridden capacity: 9 Hospice waiver capacity: 20 Fire/Disaster Drill date: Jul 28, 2025

Employees mentioned
NameTitleContext
James HowlandExecutive DirectorMet with Licensing Program Analysts during inspection and received the Facility Evaluation Report
Alfonso IniguezLicensing Program AnalystConducted inspection and reviewed infection control practices
Eva M AlvarezLicensing Program ManagerNamed as Licensing Program Manager on report
VillegasLicensing Program AnalystConducted review of residents' service files and staff personnel files

Inspection Report

Complaint Investigation
Census: 70 Capacity: 127 Deficiencies: 0 Date: Jul 30, 2025

Visit Reason
An unannounced complaint investigation was conducted due to an allegation that facility staff does not ensure elevators are in good repair, specifically that the elevator closes for residents without stopping.

Complaint Details
The complaint alleged that the elevator closes for residents without stopping. After investigation including interviews and inspection, there was insufficient evidence to substantiate the allegation. The allegation was found to be unsubstantiated.
Findings
The investigation found that one elevator had been out of service for over 30 days and was being repaired, while the other elevator was functioning properly without closing abruptly on residents. Interviews with residents, staff, witnesses, and an elevator technician confirmed no safety hazards. The allegation was found to be unsubstantiated.

Report Facts
Facility capacity: 127 Census: 70 Elevator out of service duration: 30 Residents interviewed: 5 Witnesses interviewed: 2

Employees mentioned
NameTitleContext
Jim HowlandExecutive DirectorMet with Licensing Program Analyst and provided information about elevator status
Alfonso IniguezLicensing Program AnalystConducted the complaint investigation and interviews

Inspection Report

Complaint Investigation
Census: 79 Capacity: 127 Deficiencies: 0 Date: Jul 23, 2025

Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that staff do not ensure the elevator is in good repair.

Complaint Details
The complaint alleged that the facility was doing nothing to fix the elevator in disrepair. The investigation revealed ongoing repair efforts and communication with the repair company. The allegation was determined to be unsubstantiated.
Findings
The investigation found that one elevator broke down on June 26, 2025, due to an overheated valve requiring replacement. The facility communicated regularly with the elevator repair company OTIS Elevators and is awaiting parts. The allegation was found to be unsubstantiated due to insufficient evidence of neglect.

Report Facts
Facility capacity: 127 Census: 79 Dates of communication: 9

Employees mentioned
NameTitleContext
Melon RiveraExecutive DirectorInterviewed during investigation and named in elevator repair discussion
Alfonso IniguezLicensing Program AnalystConducted the complaint investigation
Eva M AlvarezLicensing Program ManagerNamed as Licensing Program Manager on report

Inspection Report

Complaint Investigation
Census: 71 Capacity: 127 Deficiencies: 1 Date: Jul 23, 2025

Visit Reason
The visit was a case management inspection conducted as part of a complaint investigation regarding the facility's elevator being in disrepair since June 26, 2025, which had not been reported to the department.

Complaint Details
The visit was triggered by a complaint investigation (11-AS-20250716110807) related to the elevator disrepair issue.
Findings
The facility was found to have failed to report the elevator disrepair issue to the licensing agency, which poses a potential health and safety risk to residents. A Type B deficiency citation was issued under California Code of Regulations, Title 22, Division 6, Chapter 8.

Deficiencies (1)
Facility staff failed to report to the department that one of the elevators was in disrepair since 6/26/25, posing a potential health and safety risk to residents.
Report Facts
Fine amount: 100 Plan of Correction Due Date: 2

Employees mentioned
NameTitleContext
Melon RiveraExecutive DirectorMet with Licensing Program Analyst during inspection and received the Facility Evaluation Report
Alfonso IniguezLicensing Program AnalystConducted the case management visit and authored the report
Eva M AlvarezLicensing Program ManagerNamed as Licensing Program Manager on the report

Inspection Report

Complaint Investigation
Census: 79 Capacity: 127 Deficiencies: 0 Date: Jul 23, 2025

Visit Reason
The visit was conducted as a case management incident investigation following an anonymous report of alleged physical abuse that occurred about a month prior involving resident R#1. The Department received an Unusual Incident Report and a Report of Suspected Dependent Adult/Elder Abuse related to the incident.

Complaint Details
The complaint involved an allegation of physical abuse where staff member S#1 used additional force to complete peri-care on resident R#1, who resisted by locking their legs. Another staff member S#2 witnessed the incident and noted a nonverbal response from R#1. The complaint was submitted via an Unusual Incident Report and a Report of Suspected Dependent Adult/Elder Abuse.
Findings
The Licensing Program Analyst did not observe any deficiencies during the visit, and no citations were issued at this time according to the California Code of Regulations (Title 22, Division 6, Chapter 8).

Employees mentioned
NameTitleContext
Melon RiveraExecutive DirectorMet with Licensing Program Analyst during the visit and named in the report.
Alfonso IniguezLicensing Program AnalystConducted the case management visit and investigation.
Eva M AlvarezLicensing Program ManagerNamed as Licensing Program Manager on the report.

Inspection Report

Complaint Investigation
Census: 79 Capacity: 127 Deficiencies: 0 Date: Jul 23, 2025

Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that staff do not ensure the elevator is in good repair.

Complaint Details
The complaint alleged that the facility was doing nothing to fix the elevator that was in disrepair. The investigation revealed ongoing repair efforts and communication with the elevator company. The allegation was found to be unsubstantiated.
Findings
The investigation found that one elevator broke down on June 26, 2025, due to an overheated valve requiring replacement. The facility has an open contract with OTIS Elevators and is awaiting parts to repair the elevator. Communication with the repair company was documented. The allegation was found to be unsubstantiated due to insufficient evidence of violation.

Report Facts
Census: 79 Total Capacity: 127

Employees mentioned
NameTitleContext
Melon RiveraExecutive DirectorInterviewed during investigation and named in elevator repair discussion
Alfonso IniguezLicensing Program AnalystConducted the complaint investigation

Inspection Report

Complaint Investigation
Census: 71 Capacity: 127 Deficiencies: 1 Date: Jul 23, 2025

Visit Reason
The visit was a case management visit conducted as part of a complaint investigation regarding the facility's failure to report an elevator that had been in disrepair since June 26, 2025.

Complaint Details
The visit was part of a complaint investigation (11-AS-20250716110807). The deficiency was substantiated as the facility did not report the elevator disrepair.
Findings
The facility failed to report the elevator disrepair issue to the department, which poses a potential health and safety risk to residents. A Type B deficiency citation was issued for failure to meet reporting requirements under California Code of Regulations, Title 22, Division 6, Chapter 8.

Deficiencies (1)
Facility staff failed to report to the department that one of the elevators was in disrepair since 6/26/25, posing a potential health and safety risk to residents.
Report Facts
Fine amount: 100 Deficiency count: 1

Employees mentioned
NameTitleContext
Melon RiveraExecutive DirectorMet during inspection and named in relation to the deficiency
Alfonso IniguezLicensing Program AnalystConducted the inspection and authored the report
Eva M AlvarezLicensing Program ManagerNamed in the report as Licensing Program Manager

Inspection Report

Complaint Investigation
Census: 79 Capacity: 127 Deficiencies: 0 Date: Jul 23, 2025

Visit Reason
The visit was conducted as a case management visit following receipt of an Unusual Incident Report regarding an allegation of physical abuse reported anonymously and a prior Report of Suspected Dependent Adult/Elder Abuse related to an incident involving resident R#1 and staff S#1.

Complaint Details
The complaint involved an allegation of physical abuse reported anonymously on 7/15/25 concerning an incident on 6/4/2025 where staff S#1 used additional force to complete peri-care on resident R#1 who resisted by locking their legs. Another staff member S#2 witnessed the incident and noted a nonverbal response from the resident.
Findings
No deficiencies were observed during the visit, and therefore no citations were issued at this time according to the California Code of Regulations (Title 22, Division 6, Chapter 8).

Report Facts
Facility capacity: 127 Census: 79

Employees mentioned
NameTitleContext
Melon RiveraExecutive DirectorMet with Licensing Program Analyst during the visit
Alfonso IniguezLicensing Program AnalystConducted the case management visit and gathered documentation
Eva M AlvarezLicensing Program ManagerNamed in the report as Licensing Program Manager

Inspection Report

Census: 84 Capacity: 127 Deficiencies: 0 Date: Jan 31, 2025

Visit Reason
The visit was a case management visit conducted following receipt of an Unusual Incident/Injury Report and a Report of Suspected Dependent Adult/Elder Abuse regarding a resident and a friend found in bed together, which was investigated by police.

Complaint Details
The visit was triggered by a complaint involving an unusual incident and suspected elder abuse report. The police investigation found the encounter to be consensual.
Findings
No deficiencies were observed during the visit, and no citations were issued. The police investigation concluded the encounter was consensual.

Employees mentioned
NameTitleContext
Zachary Michael HowellExecutive DirectorMet with Licensing Program Analyst during the visit and received the Facility Evaluation Report.
Alfonso IniguezLicensing Program AnalystConducted the case management visit and health and safety check.

Inspection Report

Census: 84 Capacity: 127 Deficiencies: 0 Date: Jan 31, 2025

Visit Reason
The visit was a case management visit conducted following receipt of an Unusual Incident/Injury Report and a Report of Suspected Dependent Adult/Elder Abuse regarding a resident and a friend found in bed together, which was investigated by police.

Findings
No deficiencies were observed during the visit, and no citations were issued. The police investigation concluded the encounter was consensual.

Report Facts
Case Number: 254314

Employees mentioned
NameTitleContext
Zachary Michael HowellExecutive DirectorMet with Licensing Program Analyst during the visit and received the Facility Evaluation Report
Alfonso IniguezLicensing Program AnalystConducted the case management visit and evaluation
Eva M AlvarezSupervisorSupervisor named on the report

Inspection Report

Complaint Investigation
Census: 77 Capacity: 127 Deficiencies: 0 Date: Jan 14, 2025

Visit Reason
The inspection was an unannounced complaint investigation visit conducted to investigate allegations received on 2025-01-02 regarding cleanliness of residents' rooms, shower assistance to residents, and quality of food provided.

Complaint Details
The complaint included three allegations: 1) Staff did not ensure residents' rooms were kept clean, 2) Staff did not provide shower assistance to residents in care, and 3) Resident was not provided good quality food. After investigation, all allegations were deemed unsubstantiated due to lack of evidence.
Findings
The investigation included interviews with staff and residents, facility tours, and document reviews. All allegations were found to be unsubstantiated due to insufficient evidence. Residents and staff refuted the complaints, and facility records supported compliance with housekeeping, bathing assistance, and food quality standards.

Report Facts
Capacity: 127 Census: 77 Meal Service rating: 100 Nutritional Assessment score: 83 Quality Control Compliance rating: 97 Number of residents interviewed: 7 Number of staff interviewed: 6

Employees mentioned
NameTitleContext
Zachary Michael HowellSenior General ManagerMet with during inspection and involved in exit interview
Ernand DabuetLicensing Program AnalystConducted the complaint investigation
Janae HammondLicensing Program ManagerOversaw the complaint investigation

Inspection Report

Complaint Investigation
Census: 77 Capacity: 127 Deficiencies: 0 Date: Jan 14, 2025

Visit Reason
The inspection was an unannounced complaint investigation visit conducted to investigate allegations received on 01/02/2025 regarding cleanliness of residents' rooms, shower assistance, and food quality at the facility.

Complaint Details
The complaint included three allegations: 1) Staff did not ensure residents' rooms were kept clean, 2) Staff did not provide shower assistance to residents in care, and 3) Resident was not provided good quality food. After interviews with staff and residents, document reviews, and inspections, all allegations were deemed unsubstantiated due to insufficient evidence.
Findings
The investigation found insufficient evidence to substantiate the allegations. Residents' rooms and refrigerators were maintained clean, residents received appropriate shower assistance according to care plans, and the food provided met health standards with no complaints from residents.

Report Facts
Capacity: 127 Census: 77 Meal Service rating: 100 Nutritional Assessment score: 83 Quality Control Compliance rating: 97

Employees mentioned
NameTitleContext
Zachary Michael HowellSenior General ManagerMet with during inspection and participated in exit interview
Ernand DabuetLicensing EvaluatorConducted the complaint investigation

Inspection Report

Census: 70 Capacity: 127 Deficiencies: 0 Date: Nov 7, 2024

Visit Reason
The visit was a Case Management visit conducted by Licensing Program Analyst Alfonso Iniguez to review compliance issues related to surveillance camera audio capabilities and admission of new residents.

Findings
No deficiencies were observed during the visit. The facility was found to be in compliance with the Health and Safety Code regarding surveillance camera audio capabilities and admission of new residents.

Report Facts
Residents' files reviewed: 7

Employees mentioned
NameTitleContext
Alfonso IniguezLicensing Program AnalystConducted the Case Management visit and reviewed compliance issues
Zachary Michael HowellExecutive DirectorMet with Licensing Program Analyst during the visit and reviewed surveillance system and residents' files

Inspection Report

Census: 70 Capacity: 127 Deficiencies: 0 Date: Nov 7, 2024

Visit Reason
The visit was a Case Management visit conducted by Licensing Program Analyst Alfonso Iniguez to review compliance with privacy regulations and admission requirements following a complaint investigation at another facility.

Findings
No deficiencies were observed during this visit. The facility was found to be in compliance with privacy regulations regarding surveillance cameras and with Health and Safety Code Section 1569.153 concerning admission of new residents.

Report Facts
Residents' files reviewed: 7

Employees mentioned
NameTitleContext
Zachary Michael HowellExecutive DirectorMet with Licensing Program Analyst during the Case Management visit and reviewed video surveillance and residents' files
Alfonso IniguezLicensing Program AnalystConducted the Case Management visit and reviewed compliance with regulations

Inspection Report

Complaint Investigation
Census: 73 Capacity: 127 Deficiencies: 0 Date: Oct 3, 2024

Visit Reason
An unannounced complaint investigation visit was conducted following a complaint received on 09/25/2024 regarding allegations that staff did not meet a resident's incontinence needs, did not answer a resident's call button timely, and did not monitor a resident for changes in condition.

Complaint Details
The complaint investigation was unsubstantiated. Allegations included failure to meet a resident's incontinence needs, untimely response to call buttons, and failure to monitor changes in condition. Interviews with staff and residents, record reviews, and observations did not support the allegations.
Findings
The investigation found no evidence to substantiate the allegations. Staff and residents denied the claims, and records showed no indication of neglect or abuse. The facility was cleared of COVID-19 infection, and no deficiencies were cited.

Report Facts
Capacity: 127 Census: 73 Response time: 10 Date complaint received: Sep 25, 2024

Employees mentioned
NameTitleContext
Pamela BunkerLicensing Program AnalystConducted the complaint investigation visit
Stephanie CifuentesLicensing Program ManagerNamed in report as Licensing Program Manager
Liza BondFacility NurseMet with Licensing Program Analyst during investigation
Zachary Michael HowellAdministratorFacility Administrator named in report

Inspection Report

Complaint Investigation
Census: 73 Capacity: 127 Deficiencies: 0 Date: Oct 3, 2024

Visit Reason
An unannounced complaint investigation was conducted based on a complaint received on 2024-09-25 regarding allegations that staff did not meet a resident's incontinence needs, did not answer a resident's call button in a timely manner, and did not monitor a resident for changes in condition.

Complaint Details
The complaint involved three allegations: 1) staff did not ensure a resident's incontinence needs were met, 2) staff did not answer a resident's call button timely, and 3) staff did not monitor a resident for changes in condition. After investigation, including interviews and record reviews, all allegations were denied and found unsubstantiated.
Findings
The investigation included interviews with staff and residents, review of records, and facility observations. All allegations were denied by staff and residents, and no evidence of neglect or abuse was found. The complaint was deemed unsubstantiated due to insufficient evidence to prove the alleged violations.

Report Facts
Capacity: 127 Census: 73 Response time: 10 Date complaint received: Sep 25, 2024

Employees mentioned
NameTitleContext
Pamela BunkerLicensing Program AnalystConducted the complaint investigation
Liza BondFacility NurseMet with evaluator during investigation
Zachary Michael HowellAdministratorFacility administrator named in report

Inspection Report

Complaint Investigation
Census: 77 Capacity: 127 Deficiencies: 0 Date: Sep 10, 2024

Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations that staff did not ensure the facility air conditioning was not in disrepair and that staff were not providing a comfortable environment for residents.

Complaint Details
The complaint alleged that the facility's air conditioning unit in the common areas was not working and that staff were not providing a comfortable environment for residents. After interviews with the administrator, residents, and staff, and a health and safety check including temperature measurements, the allegations were found to be unsubstantiated.
Findings
The investigation found that the air conditioning unit was functioning with some minor issues in the Bistro area but did not exceed 85°F, and residents and staff confirmed the AC was working. The facility was providing a comfortable environment for residents. The allegations were found to be unsubstantiated due to insufficient evidence.

Report Facts
Facility temperature readings: 78.1 Facility temperature readings: 73.1 Facility temperature readings: 77 Facility temperature readings: 75.3 Facility temperature readings: 73.4 Facility temperature readings: 69.9 Facility temperature readings: 69.8 Facility temperature readings: 74.3 Facility overall temperature: 74.5

Employees mentioned
NameTitleContext
Zachary Michael HowellAdministratorMet with during investigation and provided statements regarding air conditioning and facility environment
Alfonso IniguezLicensing Program AnalystConducted the complaint investigation visit and interviews
Eva M AlvarezLicensing Program ManagerNamed as Licensing Program Manager on the report

Inspection Report

Annual Inspection
Census: 70 Capacity: 127 Deficiencies: 0 Date: Jul 10, 2024

Visit Reason
An unannounced annual required visit was conducted using the CARE Inspection Tool to evaluate compliance with licensing regulations for the facility.

Findings
The facility was found to be clean, sanitary, and appropriately furnished with no observed deficiencies. All safety equipment was operable, infection control practices were followed, and no discrepancies were found in medication administration records.

Report Facts
Residents' service files reviewed: 5 Staff personnel files reviewed: 6 Medication Administration Records reviewed: 5 Fire/Disaster Drills date: Jun 28, 2024

Employees mentioned
NameTitleContext
Alfonso IniguezLicensing Program AnalystConducted the inspection and evaluation
Zachary Michael HowellExecutive DirectorFacility representative met during inspection and received report

Inspection Report

Annual Inspection
Census: 70 Capacity: 127 Deficiencies: 0 Date: Jul 10, 2024

Visit Reason
An unannounced annual required visit was conducted using the CARE Inspection Tool to evaluate compliance with licensing regulations.

Findings
The facility was found to be clean, sanitary, and appropriately furnished with no observed deficiencies. All safety equipment was operable, infection control practices were followed, and no discrepancies were found in medication administration records.

Report Facts
Residents' service files reviewed: 5 Staff personnel files reviewed: 6 Medication Administration Records reviewed: 5 Fire/Disaster Drills date: Jun 28, 2024

Employees mentioned
NameTitleContext
Zachary Michael HowellExecutive DirectorMet with Licensing Program Analyst during inspection and received the Facility Evaluation Report
Alfonso IniguezLicensing Program AnalystConducted the inspection visit
Eva M AlvarezLicensing Program ManagerNamed in the report as Licensing Program Manager

Inspection Report

Complaint Investigation
Census: 70 Capacity: 127 Deficiencies: 0 Date: May 9, 2024

Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations that staff did not properly manage residents' medical conditions, assist with hygiene needs, and ensure residents' dietary needs were met.

Complaint Details
The complaint investigation was unsubstantiated. Allegations included improper management of residents' medical conditions, lack of assistance with hygiene, and failure to meet dietary needs. Interviews with staff, residents, and review of records did not support these allegations.
Findings
The investigation found insufficient evidence to substantiate the allegations. Staff and records showed that medical conditions, hygiene assistance, and dietary needs were managed according to physician orders and facility policies. No deficiencies were cited.

Report Facts
Facility capacity: 127 Resident census: 70 Number of residents interviewed: 5 Number of staff interviewed: 5 Number of allegations: 3

Employees mentioned
NameTitleContext
Antonine RichardLicensing Program AnalystConducted the complaint investigation
Liza BondResident Care DirectorInterviewed regarding allegations and investigation
Nancy MayaAssisted Living CoordinatorReceived copy of the report during exit interview
Eva M AlvarezLicensing Program ManagerNamed in report header and signature

Inspection Report

Complaint Investigation
Census: 70 Capacity: 127 Deficiencies: 0 Date: May 9, 2024

Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to allegations that staff did not properly manage residents' medical conditions, assist with hygiene needs, and ensure residents' dietary needs were met.

Complaint Details
The complaint investigation was unsubstantiated. Allegations included improper management of residents' medical conditions, lack of assistance with hygiene needs, and failure to meet dietary needs. The investigation included interviews with staff and residents, review of medical and service records, and observation. No violations were found.
Findings
The investigation found insufficient evidence to substantiate any of the allegations. Staff and resident interviews, record reviews, and observations indicated that medical conditions were managed according to physician orders, hygiene assistance was provided as scheduled with some resident refusals, and dietary needs including special diets were met with proper meal service.

Report Facts
Capacity: 127 Census: 70 Number of allegations: 3 Number of residents interviewed: 5 Number of staff interviewed: 5

Employees mentioned
NameTitleContext
Antonine RichardLicensing Program AnalystConducted the complaint investigation visit
Liza BondResident Care DirectorInterviewed during the investigation regarding medical condition management
Hawell ZacharyAdministratorJoined the investigation visit
Nancy MayaAssisted Living CoordinatorReceived a copy of the report during exit interview

Inspection Report

Complaint Investigation
Census: 76 Capacity: 127 Deficiencies: 0 Date: Apr 9, 2024

Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received on 2023-04-18 regarding staff behavior and care practices at the facility.

Complaint Details
The complaint investigation addressed four allegations: staff yelling at residents, untimely assistance leading to resident urination, forcing residents to eat in their bedrooms, and insufficient staffing to escort residents to the dining room. All allegations were found unsubstantiated due to lack of evidence.
Findings
The investigation found no evidence to substantiate the allegations that staff yelled at residents, failed to provide timely assistance resulting in resident urination, forced residents to eat in their bedrooms, or had insufficient staffing to escort residents to the dining room. Interviews with residents and staff, observations, and record reviews did not support the complaints, and no deficiencies were cited.

Report Facts
Residents interviewed: 7 Staff interviewed: 5 Staff on duty: 4 Staff on duty: 4 Call button response time: 8

Employees mentioned
NameTitleContext
Antonine RichardLicensing Program AnalystConducted the complaint investigation and authored the report
Eva M AlvarezLicensing Program ManagerOversaw the complaint investigation
Theresa MackDirector SalesMet with Licensing Program Analyst during investigation
Liza BondResident Care DirectorMet with Licensing Program Analyst during investigation
Nancy MayaAssisted Living CoordinatorParticipated in investigation and received copy of report

Inspection Report

Complaint Investigation
Census: 76 Capacity: 127 Deficiencies: 0 Date: Apr 9, 2024

Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to allegations received on 2023-04-18 regarding staff behavior and care practices at the facility.

Complaint Details
The complaint investigation was unsubstantiated. Allegations included staff yelling at residents, untimely assistance leading to resident urination, forcing residents to eat in bedrooms, and insufficient staffing to escort residents. Interviews with residents and staff, observations, and document reviews did not support these allegations.
Findings
The investigation found no evidence to substantiate the allegations that staff yelled at residents, failed to provide timely assistance resulting in resident urination, forced residents to eat in their bedrooms, or had insufficient staffing to escort residents to the dining room. All allegations were determined to be unsubstantiated based on interviews, observations, and records review.

Report Facts
Facility capacity: 127 Census: 76 Staff on duty: 4 Staff on duty: 4 Resident interviews: 7 Staff interviews: 5 Call button response time: 8 Call button response time: 10

Employees mentioned
NameTitleContext
Antonine RichardLicensing Program AnalystConducted the complaint investigation and authored the report
Theresa MackDirector SalesMet with Licensing Program Analyst during investigation and provided information
Liza BondResident Care DirectorMet with Licensing Program Analyst during investigation
Nancy MayaAssisted Living CoordinatorJoined investigation meetings and received a copy of the report
Eva M AlvarezSupervisorSupervisor overseeing the licensing evaluation

Inspection Report

Annual Inspection
Census: 67 Capacity: 127 Deficiencies: 0 Date: Jul 26, 2023

Visit Reason
The visit was an unannounced annual inspection conducted to evaluate compliance with regulatory standards at Sunrise of Beverly Hills.

Findings
No deficiencies were observed during the inspection. The facility met all regulatory requirements including operational smoke detectors, fire inspection, appliance functionality, water temperature, and proper storage of files and first aid supplies.

Report Facts
Resident files reviewed: 5 Staff files reviewed: 5 Capacity: 127 Non-ambulatory capacity: 118 Bed-ridden capacity: 9

Employees mentioned
NameTitleContext
Rita MeldonianAdministratorMet during inspection and exit interview
David EspañaLicensing Program AnalystConducted the inspection
Elizabeth BondMet during inspection
Ulysses CoronelSupervisorSupervisor of the inspection

Inspection Report

Annual Inspection
Census: 67 Capacity: 127 Deficiencies: 0 Date: Jul 26, 2023

Visit Reason
The visit was an unannounced annual inspection conducted by Licensing Program Analyst David España to evaluate compliance with regulations at Sunrise of Beverly Hills.

Findings
No deficiencies were observed during the inspection, and no citations were issued. The facility met all regulatory requirements including operational smoke detectors, fire inspection, appliance functionality, water temperature, first aid supplies, and secure storage of files.

Report Facts
Resident files reviewed: 5 Staff files reviewed: 5 Non-ambulatory capacity: 118 Bed-ridden capacity: 9

Employees mentioned
NameTitleContext
Rita MeldonianAdministratorMet with Licensing Program Analyst during inspection and exit interview
David EspañaLicensing Program AnalystConducted the inspection visit
Elizabeth BondMet with Licensing Program Analyst during inspection

Inspection Report

Annual Inspection
Census: 68 Capacity: 127 Deficiencies: 0 Date: Jul 24, 2023

Visit Reason
The visit was an unannounced annual inspection conducted to evaluate the facility's compliance with regulatory standards.

Findings
The Licensing Program Analyst toured the facility with the Administrator and found the facility well-maintained with no observed deficiencies. All areas were clear of hazards, and food storage and kitchen conditions met regulatory requirements. No citations were issued at this time.

Report Facts
Units: 80 Bathrooms: 86 Floors: 5 Perishable food supply days: 4 Non-perishable food supply days: 7

Employees mentioned
NameTitleContext
Rita MeldonianAdministratorMet with Licensing Program Analyst during inspection and involved in facility tour
David EspañaLicensing Program AnalystConducted the unannounced annual inspection visit

Inspection Report

Annual Inspection
Census: 68 Capacity: 127 Deficiencies: 0 Date: Jul 24, 2023

Visit Reason
The visit was an unannounced annual inspection conducted to evaluate the facility's compliance with regulations.

Findings
The Licensing Program Analyst toured the facility and observed that all areas were clear of hazards and all appliances and food storage practices in the kitchen were in good condition. No deficiencies or citations were issued at this time.

Report Facts
Units in facility: 80 Bathrooms in facility: 86 Floors in facility: 5 Perishable food supply: 4 Non-perishable food supply: 7

Employees mentioned
NameTitleContext
Rita MeldonianAdministratorMet with Licensing Program Analyst during inspection and participated in facility tour
David EspañaLicensing Program AnalystConducted the unannounced annual inspection

Inspection Report

Complaint Investigation
Census: 70 Capacity: 127 Deficiencies: 0 Date: May 12, 2023

Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations received on 2023-05-04 regarding staff not following COVID-19 protocol, not meeting residents' dietary needs, allowing unauthorized persons to enter the facility, and not communicating with residents or their authorized representatives about care.

Complaint Details
The complaint investigation was unsubstantiated. Allegations included failure to follow COVID-19 protocols, failure to meet dietary needs, failure to prevent unauthorized entry, and failure to communicate with residents or representatives. Interviews with staff and residents, observations, and document reviews did not support the allegations.
Findings
The investigation found that the facility was following COVID-19 protocols, meeting residents' dietary needs including special diets, preventing unauthorized persons from entering, and communicating appropriately with residents and their representatives. All allegations were denied by staff and residents and deemed unsubstantiated due to insufficient evidence.

Report Facts
Residents present during inspection: 70 Total licensed capacity: 127 COVID-19 cases: 1 COVID-19 cases: 2 Residents not contracting COVID-19 after incident: 12 Caregiver staffing on Easter Holiday: 1

Employees mentioned
NameTitleContext
Rita MeldonianExecutive DirectorMet with Licensing Program Analyst and provided statements regarding COVID-19 protocols and facility operations
Pamela BunkerLicensing Program AnalystConducted the complaint investigation visit and interviews
Stephanie CifuentesLicensing Program ManagerNamed as Licensing Program Manager on the report
Erica JuarezMemory Care CoordinatorMentioned as handling the Memory Care Unit and staff decisions

Inspection Report

Complaint Investigation
Census: 70 Capacity: 127 Deficiencies: 0 Date: May 12, 2023

Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations received on 2023-05-04 regarding staff not following COVID-19 protocol, not meeting residents' dietary needs, allowing unauthorized persons to enter the facility, and not communicating with residents or their authorized representatives about care.

Complaint Details
The complaint investigation was unsubstantiated. Allegations included failure to follow COVID-19 protocols, failure to meet dietary needs, failure to prevent unauthorized entry, and failure to communicate with residents or their representatives. Interviews and observations did not support these allegations.
Findings
The investigation found that staff followed COVID-19 protocols, met residents' dietary needs including special diets, prevented unauthorized persons from entering the facility, and communicated appropriately with residents and their authorized representatives. All allegations were denied by staff and residents and deemed unsubstantiated due to insufficient evidence.

Report Facts
Residents present: 70 Licensed capacity: 127 COVID-19 cases in January 2023: 1 COVID-19 cases in March 2023: 2 Residents not contracting COVID-19 from incident: 12 Residents cared for by one caregiver on Easter: 85

Employees mentioned
NameTitleContext
Pamela BunkerLicensing Program AnalystConducted the complaint investigation
Rita MeldonianExecutive DirectorFacility administrator met during investigation and provided statements
Stephanie CifuentesSupervisorSupervisor overseeing the investigation
Erica JuarezMemory Care CoordinatorMentioned in relation to dietary needs and memory care unit staffing

Inspection Report

Census: 72 Capacity: 127 Deficiencies: 0 Date: Sep 7, 2022

Visit Reason
The visit was a Case Management – Incident visit conducted to follow-up on a fire incident that occurred on 09/07/2022 in one of the suites at the facility.

Findings
The Licensing Program Analyst conducted an interview and toured the facility to assess damages. The facility followed its emergency disaster plan as described, with Servpro onsite providing cleanup and air quality services. Eight residents will be relocated to vacant suites within the facility. A subsequent visit may be conducted regarding the incident.

Employees mentioned
NameTitleContext
Jason MaloneAdministratorMet with Licensing Program Analyst during the incident visit and involved in the interview regarding the fire incident.
Troy AgardLicensing Program AnalystConducted the Case Management – Incident visit and assessment.
Ulysses CoronelSupervisorNamed as supervisor overseeing the licensing evaluation.

Inspection Report

Census: 72 Capacity: 127 Deficiencies: 0 Date: Sep 7, 2022

Visit Reason
The visit was a Case Management - Incident visit conducted to follow up on a fire incident that occurred on 09/07/2022 in one of the suites at the facility.

Findings
The Licensing Program Analyst conducted an interview, toured the facility to assess damages, reviewed the emergency disaster plan, and confirmed the facility followed their plan. The facility has vacant suites and will relocate 8 residents to these suites. Servpro was onsite providing cleanup and air quality services.

Report Facts
Residents relocated: 8

Employees mentioned
NameTitleContext
Jason MaloneAdministratorMet with Licensing Program Analyst during the incident visit and involved in the incident follow-up
Troy AgardLicensing Program AnalystConducted the Case Management - Incident visit and assessment
Ulysses CoronelLicensing Program ManagerNamed as Licensing Program Manager on the report

Inspection Report

Complaint Investigation
Census: 66 Capacity: 127 Deficiencies: 0 Date: Mar 30, 2022

Visit Reason
The visit was an unannounced complaint investigation conducted to address an allegation that a resident received unexplained bruises while in care.

Complaint Details
The complaint alleged that a resident sustained unexplained bruises while in care. The investigation found no substantiation of the allegation based on interviews, record reviews, and observations.
Findings
The investigation included interviews with staff and residents, a facility tour, and record reviews. The preponderance of evidence standard was not met to substantiate the allegation; staff and most residents denied the allegation, and bruising was attributed to hospital restraint during a prior hospital visit.

Report Facts
Capacity: 127 Census: 66

Employees mentioned
NameTitleContext
Jason MaloneExecutive DirectorMet with Licensing Program Analyst during investigation and involved in the complaint investigation
Troy AgardLicensing Program AnalystConducted the complaint investigation
Angela J KendrickLicensing Program ManagerNamed as Licensing Program Manager on the report

Inspection Report

Complaint Investigation
Census: 66 Capacity: 127 Deficiencies: 0 Date: Mar 30, 2022

Visit Reason
The visit was an unannounced complaint investigation conducted to address an allegation that a resident received unexplained bruises while in care.

Complaint Details
The complaint alleged that a resident sustained bruising while in care. Staff and residents denied the allegation. Records showed the resident was on medication that could cause easier bruising, and bruising was noted only after a hospital visit. The family and a witness stated the bruises came from hospital restraining. The allegation was unsubstantiated.
Findings
The investigation included interviews with staff and residents, a facility tour, and record reviews. The preponderance of evidence standard was not met to prove the alleged violation occurred, and the allegation was determined to be unsubstantiated.

Report Facts
Capacity: 127 Census: 66

Employees mentioned
NameTitleContext
Jason MaloneExecutive DirectorMet with Licensing Program Analyst during complaint investigation
Troy AgardLicensing Program AnalystConducted the complaint investigation
Angela J KendrickSupervisorSupervisor overseeing the investigation

Inspection Report

Original Licensing
Census: 57 Capacity: 127 Deficiencies: 0 Date: Jul 16, 2021

Visit Reason
The visit was conducted as a Change in Ownership pre-licensing evaluation for a Residential Care Facility for the Elderly to serve individuals aged 60 years and older.

Findings
The facility was found to be in substantial compliance with licensing requirements, with adequate structure, bedrooms, bathrooms, emergency equipment, food service, smoke detectors, appliances, and safety measures. The facility was approved for a capacity of 127 residents, including 118 non-ambulatory and 9 bedridden, and 20 hospice residents.

Report Facts
Facility capacity: 127 Current census: 57 Fire inspection date: Apr 13, 2021 Water temperature: 113

Employees mentioned
NameTitleContext
Jason MaloneAdministratorFacility administrator met during the visit
Troy AgardLicensing Program AnalystConducted the pre-licensing evaluation visit
Angela J KendrickLicensing Program ManagerNamed as Licensing Program Manager on report

Inspection Report

Original Licensing
Census: 57 Capacity: 127 Deficiencies: 0 Date: Jul 16, 2021

Visit Reason
The visit was an unannounced pre-licensing evaluation conducted for a change in ownership application for a Residential Care Facility for the Elderly to serve individuals aged 60 years and older.

Findings
The facility was found to be in substantial compliance with licensing requirements, including adequate structure, safety features, food service, and emergency preparedness. The facility was approved for a capacity of 127 residents, including 118 non-ambulatory and 9 bedridden residents, with 20 hospice residents allowed.

Report Facts
Facility capacity: 127 Current census: 57 Hospice residents approved: 20 Fire inspection date: Apr 13, 2021 Water temperature: 113

Employees mentioned
NameTitleContext
Jason MaloneAdministratorFacility administrator met during the pre-licensing evaluation
Troy AgardLicensing Program AnalystLicensing evaluator who conducted the inspection
Angela J KendrickSupervisorSupervisor overseeing the licensing evaluation

Inspection Report

Original Licensing
Capacity: 127 Deficiencies: 0 Date: Jun 29, 2021

Visit Reason
The visit was an office evaluation related to a change of ownership (CHOW) application for the facility Sunrise of Beverly Hills.

Findings
The applicant and administrator successfully completed Component II (COMP II) via telephone call, confirming understanding of Title 22 regulations including facility operation, staff qualifications, program policies, and application document review. No deficiencies or violations were noted in the report.

Inspection Report

Capacity: 127 Deficiencies: 0 Date: Jun 29, 2021

Visit Reason
The visit was an office type evaluation related to a Change of Ownership (CHOW) application, including a telephone call to complete Component II (COMP II) with the applicant and administrator to confirm understanding of Title 22 and various regulatory requirements.

Findings
The applicant and administrator successfully completed COMP II via telephone, confirming understanding of facility operation, staff qualifications, program policies, and application document review including criminal record clearance, health screening, fire clearance, and other licensing requirements.

Employees mentioned
NameTitleContext
Jason MaloneAdministratorParticipant in COMP II telephone call confirming understanding of Title 22 and regulatory requirements.
Carla SanchezParticipant in COMP II telephone call confirming understanding of Title 22 and regulatory requirements.
Mirella QuarantaLicensing Program ManagerNamed as Licensing Program Manager on the report.
Stefania FontenoLicensing Program AnalystNamed as Licensing Program Analyst on the report.

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