Deficiencies (last 5 years)
Deficiencies (over 5 years)
7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
75% worse than California average
California average: 4 deficiencies/yearDeficiencies per year
24
18
12
6
0
Occupancy
Latest occupancy rate
85% occupied
Based on a December 2025 inspection.
Occupancy rate over time
Inspection Report
Annual Inspection
Census: 76
Capacity: 89
Deficiencies: 4
Date: Dec 16, 2025
Visit Reason
The inspection was an unannounced Annual Continuation visit conducted by the Licensing Program Analyst to evaluate compliance with licensing requirements.
Findings
Several deficiencies were observed including medications not stored in original containers, soiled bedding with odor, presence of dangerous items in a resident's room, and improper storage of PRN and prescription medications. Plans of correction were provided for all deficiencies.
Deficiencies (4)
Medications not stored in their original container for residents R1 and R9
Soiled bedding with an odor in resident R6's room
PRN medication in memory care in resident R8's room and prescription and PRN medications in resident R7's room not stored properly
Dangerous items (2 knives, windex) found in resident R10's room
Report Facts
Residents' records reviewed: 6
Staff records reviewed: 5
Staff with current first aid training: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kimari Pinkney | Resident Care Director | Met with Licensing Program Analyst during inspection |
| Kirsten Korfhage | Administrator/Director | Facility Administrator/Director named in report header |
| Alona Gomez | Licensing Program Analyst | Conducted the inspection and signed the report |
| Yvonne Flores-Larios | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Annual Inspection
Census: 75
Capacity: 89
Deficiencies: 4
Date: Dec 8, 2025
Visit Reason
The inspection was an unannounced 1-Year Annual Required inspection conducted by the Licensing Program Analyst to evaluate compliance with licensing requirements.
Findings
The facility was toured and found to have adequate safety measures including fire clearance, smoke detectors, and proper food and medication storage. Several potential deficiencies were observed such as medications not stored in original containers, soiled bedding with odor, presence of PRN medications in memory care, and dangerous items in a resident's room, but no deficiencies were cited at this time pending further review.
Deficiencies (4)
Medications not stored in their original container for residents R1 and R9
Soiled bedding with an odor in resident R6's room
PRN medication in memory care in resident R8's room and prescription and PRN medications in resident R7's room
Dangerous items observed in resident R10's room (e.g., 2 knives, Windex)
Report Facts
Fire extinguisher last serviced: Aug 12, 2025
Fire drill last conducted: Nov 27, 2025
Hot water temperatures: Measured at 109.3, 113.6, 111.9, and 107.8 degrees Fahrenheit in random residents' bathrooms
Refrigerator temperature: 34
Freezer temperature: 0
Facility capacity: 89
Census: 75
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Abbie Apolinario | Sr General Manager | Met with Licensing Program Analyst during inspection |
| Kirsten Korfhage | Administrator/Director | Named as facility administrator/director |
| Alona Gomez | Licensing Program Analyst | Conducted the inspection |
| Yvonne Flores-Larios | Licensing Program Manager | Named in report header and narrative |
Inspection Report
Census: 76
Capacity: 89
Deficiencies: 0
Date: Dec 2, 2025
Visit Reason
The visit was an unannounced case management visit to deliver an immediate exclusion letter to the facility.
Findings
During the visit, the immediate exclusion letter was delivered to the Resident Care Director, who stated that the individual named no longer works at the facility. No deficiencies were cited on this date.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kimari Pinkney | Resident Care Director | Met with during the visit and recipient of the immediate exclusion letter. |
Inspection Report
Complaint Investigation
Census: 77
Capacity: 89
Deficiencies: 0
Date: Sep 4, 2025
Visit Reason
Unannounced complaint investigation visit conducted in response to allegations received on 2025-07-01 regarding inadequate food service, kitchen cleanliness, infection control procedures, and communication with residents.
Complaint Details
The complaint was unsubstantiated after investigation. Allegations included inadequate food service, unclean kitchen, failure to follow infection control procedures, and poor communication with residents. Evidence did not support these claims.
Findings
The investigation found no substantiated evidence supporting the allegations. The kitchen was observed clean, food quality was satisfactory, infection control procedures were followed appropriately, and residents expressed satisfaction with food quality. No deficiencies were cited.
Report Facts
Capacity: 89
Census: 77
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Alona Gomez | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Sonya Currie | Assisted Living Coordinator | Met with Licensing Program Analyst during investigation |
| Kirsten Korfhage | Administrator | Facility administrator named in report header |
| Abbie Apolinario | Sr General Manager | Spoke with Licensing Program Analyst during investigation |
Inspection Report
Complaint Investigation
Census: 77
Capacity: 89
Deficiencies: 0
Date: Sep 4, 2025
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received on 2025-07-01 regarding inadequate food service, kitchen cleanliness, infection control procedures, and communication with residents.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included inadequate food service, unclean kitchen, failure to follow infection control procedures, and poor communication with residents. The facility followed infection control procedures during a potential outbreak, notified appropriate parties timely, and residents confirmed satisfaction with food quality.
Findings
The investigation found no substantiated evidence to support the allegations. The kitchen was observed to be clean, food quality was satisfactory, infection control procedures were followed, and residents expressed satisfaction with the food. Therefore, the allegations were unsubstantiated and no deficiencies were cited.
Report Facts
Complaint Control Number: 15-AS-20250701091409
Capacity: 89
Census: 77
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Alona Gomez | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Sonya Currie | Assisted Living Coordinator | Met with Licensing Program Analyst during investigation |
| Abbie Apolinario | Sr General Manager | Spoke to Licensing Program Analyst regarding outbreak correspondence |
| Kirsten Korfhage | Administrator | Facility administrator named in report header |
Inspection Report
Complaint Investigation
Census: 74
Capacity: 89
Deficiencies: 0
Date: Aug 8, 2025
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations received on 2025-01-30 regarding improper care, billing invoice issues, and refund concerns at Sunrise Assisted Living of Danville.
Complaint Details
The complaint involved three allegations: staff did not provide proper care to a resident, did not provide detailed monthly billing invoices to the resident's responsible party, and did not give a refund to the resident's responsible party. The investigation found these allegations unsubstantiated due to lack of evidence.
Findings
The investigation included interviews, facility tour, and file reviews. The allegations were found to be unsubstantiated as there was no preponderance of evidence proving improper care or billing violations. Billing statements showed a remaining balance owed, indicating no refund was due.
Report Facts
Capacity: 89
Census: 74
Remaining balance owed: 9288
Daily room rate: 189
Daily medication level 1 charge: 25
Daily level 2 care charge: 72
Daily room rate: 207
Daily medication level 1 charge: 27
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Leslie Guerrero | Memory Care Director | Met with Licensing Program Analyst during investigation |
| Alona Gomez | Licensing Program Analyst | Conducted the complaint investigation |
| Kirsten Korfhage | Administrator | Facility administrator named in report header |
Inspection Report
Complaint Investigation
Census: 74
Capacity: 89
Deficiencies: 0
Date: Aug 8, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to allegations received on 2025-01-30 regarding improper care, billing invoice issues, and refund concerns at Sunrise Assisted Living of Danville.
Complaint Details
The complaint involved allegations that staff did not provide proper care to a resident, did not provide detailed monthly billing invoices to the resident's responsible party, and did not give a refund to the resident's responsible party. The investigation found no preponderance of evidence to substantiate these allegations, resulting in an unsubstantiated determination.
Findings
The investigation included interviews, facility tour, and file reviews. The allegations were found to be unsubstantiated as staff were knowledgeable and care plans were complete, billing statements were detailed though no confirmation of delivery to the family was available, and no refund was due due to an outstanding balance.
Report Facts
Capacity: 89
Census: 74
Daily room rate: 189
Medication level 1 rate: 25
Level 2 care rate: 72
Daily room rate increase: 207
Medication level 1 rate increase: 27
Outstanding balance: 9288
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Alona Gomez | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Leslie Guerrero | Memory Care Director | Met with Licensing Program Analyst during investigation |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Jun 11, 2025
Visit Reason
The inspection was conducted due to a complaint investigation regarding alleged abuse of a resident by a family representative.
Complaint Details
The complaint investigation substantiated that Resident 1 was abused by their Family Representative who slapped the resident's face during feeding. The resident showed physical signs of abuse including redness and swelling. The incident was confirmed by staff interviews and record reviews.
Findings
The facility failed to protect Resident 1 from abuse when the resident's Family Representative slapped them on the face while attempting to feed them, resulting in redness and slight swelling on the resident's left cheek. Interviews and record reviews confirmed the incident and the facility's policy on elder abuse.
Deficiencies (1)
F 0600: The facility failed to protect Resident 1 from abuse when the resident's Family Representative slapped them on the left cheek while feeding, causing redness and slight swelling. This violated the resident's right to a safe environment.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practice Nurse (LVN) 1 | Charge nurse on the day of the incident who observed redness on Resident 1's cheek and reported on the incident. |
Inspection Report
Complaint Investigation
Census: 69
Capacity: 89
Deficiencies: 0
Date: Apr 8, 2025
Visit Reason
The inspection was conducted as a result of a priority 1 complaint to perform a Health & Safety inspection at the facility.
Complaint Details
The visit was triggered by a priority 1 complaint. No deficiencies were cited during the inspection.
Findings
The Licensing Program Analyst toured the facility and found no deficiencies. All safety measures including hot water temperature, food supplies, medication storage, smoke detectors, carbon monoxide detector, first-aid kit, and fire extinguisher were in compliance. Indoor and outdoor passageways were free of obstruction.
Report Facts
Hot water temperature: 115
Hot water temperature: 117.1
Hot water temperature: 110.8
Non-perishable food supply duration: 7
Perishable food supply duration: 2
Refrigerator temperature: 40
Freezer temperature: 0
Fire extinguisher last serviced: Mar 14, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Abbie Apolinario | Sr General Manager | Met with Licensing Program Analyst during inspection |
| Alona Gomez | Licensing Program Analyst | Conducted the Health & Safety inspection |
| Yvonne Flores-Larios | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 69
Capacity: 89
Deficiencies: 0
Date: Apr 8, 2025
Visit Reason
The inspection was conducted as a result of a priority 1 complaint to perform a Health & Safety inspection at the facility.
Complaint Details
The visit was triggered by a priority 1 complaint. No deficiencies were cited during the visit.
Findings
The Licensing Program Analyst toured the facility and found no deficiencies. Hot water temperatures, food supplies, refrigerator and freezer temperatures, medication storage, smoke detectors, carbon monoxide detector, first-aid kit, fire extinguisher, and passageways were all in compliance with regulations.
Report Facts
Hot water temperature readings: 115
Hot water temperature readings: 117.1
Hot water temperature readings: 110.8
Food supply duration: 7
Food supply duration: 2
Refrigerator temperature: 40
Freezer temperature: 0
Fire extinguisher last serviced: Mar 14, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Abbie Apolinario | Sr General Manager | Met with Licensing Program Analyst during inspection |
| Kirsten Korfhage | Administrator/Director | Named as facility administrator/director |
| Alona Gomez | Licensing Program Analyst | Conducted the Health & Safety inspection |
| Yvonne Flores-Larios | Licensing Program Manager | Named in report |
Inspection Report
Annual Inspection
Census: 67
Capacity: 89
Deficiencies: 0
Date: Jan 29, 2025
Visit Reason
The inspection was a required 1-Year Annual inspection conducted unannounced to evaluate compliance with licensing regulations.
Findings
The facility was found to be in compliance with no deficiencies cited. The inspection included a tour of the facility, review of resident and staff records, and verification of safety measures such as fire clearance, emergency plans, and environmental conditions.
Report Facts
Residents records reviewed: 6
Staff records reviewed: 6
Staff fingerprint clearance: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jeffery Jackson | Resident Care Director | Met with Licensing Program Analyst during inspection and facility tour |
Inspection Report
Annual Inspection
Census: 67
Capacity: 89
Deficiencies: 0
Date: Jan 29, 2025
Visit Reason
The inspection was a required 1-Year Annual inspection conducted by the Licensing Program Analyst to evaluate compliance with licensing regulations.
Findings
The facility was found to be in compliance with no deficiencies cited. The inspection included a tour of the facility, review of resident and staff records, and verification of safety and environmental conditions.
Report Facts
Residents records reviewed: 6
Staff records reviewed: 6
Staff fingerprint clearance: 6
Fire extinguisher last serviced: Jan 25, 2025
Emergency Disaster Plan last posted: Feb 1, 2024
Fire drill last conducted: Nov 29, 2024
Hot water temperatures: Measured at 117.6, 115.8, 116.4 and 109.8 degrees Fahrenheit
Refrigerator temperature: 35
Freezer temperature: -15
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jeffery Jackson | Resident Care Director | Met with Licensing Program Analyst during inspection and toured facility |
Inspection Report
Complaint Investigation
Census: 66
Capacity: 89
Deficiencies: 0
Date: Jan 8, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that staff were not meeting a resident's showering needs while in care.
Complaint Details
The complaint alleged that staff were not meeting a resident's showering needs. The allegation was unsubstantiated after investigation.
Findings
The investigation included interviews with staff and the resident, and review of care plans and bath logs. The resident's bath schedule was changed from five times a week to once a week per their preference. The allegation was found to be unsubstantiated due to lack of preponderance of evidence.
Report Facts
Documented baths: 90
Bath refusals: 7
Bath unavailability: 3
Capacity: 89
Census: 66
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Alona Gomez | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Maria Salonga | Assisted Living Coordinator | Interviewed during the investigation and provided information on resident bath schedule |
| Kirsten Korfhage | Administrator | Facility administrator named in the report |
Inspection Report
Complaint Investigation
Census: 66
Capacity: 89
Deficiencies: 0
Date: Jan 8, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that staff were not meeting a resident's showering needs while in care.
Complaint Details
The complaint alleged that staff were not meeting a resident's showering needs. The allegation was found to be unsubstantiated after investigation.
Findings
The investigation included interviews with staff and the resident, and review of care plans and bath logs. The resident's bath schedule was changed from daily to once a week in December 2023, and documented refusals and unavailability were noted. The allegation was determined to be unsubstantiated due to lack of preponderance of evidence.
Report Facts
Capacity: 89
Census: 66
Documented baths: 90
Bath refusals: 7
Bath unavailability: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Alona Gomez | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Maria Salonga | Assisted Living Coordinator | Interviewed during investigation and provided information on resident bath schedule |
| Kirsten Korfhage | Administrator | Named as facility administrator |
| Yvonne Flores-Larios | Supervisor | Supervisor overseeing the complaint investigation |
Inspection Report
Plan of Correction
Deficiencies: 1
Date: Dec 30, 2024
Visit Reason
The document is a statement of deficiencies and plan of correction related to the facility's failure to provide complete medical records to a resident's designated legal representative as required by HIPAA.
Findings
The facility failed to provide all requested medical records, including nursing progress notes, social services notes, assessments, and medication administration records, to the designated legal representative of Resident 1, resulting in a violation of the resident's rights.
Deficiencies (1)
F 0573: The facility failed to ensure copies of all medical records were provided to Resident 1's designated legal representative, including nursing progress notes, social services notes, assessments, and medication administration records.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Medical Records Supervisor | Interviewed regarding failure to provide all requested medical records |
Inspection Report
Routine
Deficiencies: 13
Date: Oct 11, 2024
Visit Reason
Routine state inspection of Danville Post-Acute Rehab to assess compliance with healthcare regulations and standards.
Findings
The facility had multiple deficiencies including failure to maintain resident privacy, inaccurate resident assessments, inadequate care and hygiene, medication administration errors, improper medication storage and labeling, food safety violations, infection control lapses, and inaccurate medication record keeping.
Deficiencies (13)
F 0583: The facility failed to maintain privacy and confidentiality for Resident 31 by leaving diet and aspiration precaution information uncovered and visible to others.
F 0641: The facility failed to accurately assess two residents (Resident 7 and Resident 18) in quarterly Minimum Data Set assessments, resulting in inaccurate clinical status reflection.
F 0677: The facility failed to provide nail care and hygiene to Resident 11, who had long toenails causing risk of infection and discomfort.
F 0684: The facility failed to assess and treat edema in Resident 5's feet for at least 24 hours, causing discomfort and risk of complications.
F 0690: The facility failed to provide appropriate indwelling catheter care for Residents 242 and 4, with catheter bags and tubes touching the floor, risking urinary tract infections.
F 0694: Resident 240 did not receive IV antibiotics on time and the facility failed to document arm circumference during PICC line dressing change, risking ineffective treatment and complications.
F 0755: The facility failed to remove lidocaine patches after 12 hours for Residents 27 and 194 and had discrepancies in controlled drug records for multiple residents, risking overdose and diversion.
F 0758: The facility failed to monitor and document side effects of haloperidol for Resident 11, who exhibited involuntary jaw movements indicative of tardive dyskinesia.
F 0759: The facility had a medication error rate of 6.67% with errors including wrong dose and medication form administered to Residents 27 and 33.
F 0761: The facility failed to properly label and store opened eye drops, with an unlabeled bottle found in medication cart, risking medication errors.
F 0812: The facility failed to store perishable food past use-by dates and had an unclean floor under a refrigerator in the kitchen, risking foodborne illness.
F 0842: The facility failed to maintain accurate medication administration records for controlled substances, with MARs altered during the survey, risking inaccurate documentation and diversion.
F 0880: The facility failed to implement infection control practices when a nurse did not wear gloves handling medication and did not change gloves or wash hands before touching a resident and nasal cannula.
Report Facts
Medication error rate: 6.67
Residents affected by food safety issues: 38
Residents affected by privacy breach: 1
Residents affected by inaccurate assessments: 2
Residents affected by catheter care failure: 2
Residents affected by medication administration delays: 1
Residents affected by medication record discrepancies: 4
Residents affected by infection control lapses: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LVN 3 | Licensed Vocational Nurse | Named in findings related to catheter care, medication record alterations, and infection control lapses |
| LVN 4 | Licensed Vocational Nurse | Named in medication administration errors including wrong dose and lidocaine patch handling |
| RN 1 | Registered Nurse | Named in delayed IV antibiotic administration for Resident 240 |
| DON | Director of Nursing | Provided multiple interviews regarding facility policies and deficiencies |
| ADON | Assistant Director of Nursing | Interviewed regarding medication monitoring and record keeping |
| Consultant 1 | Consultant Pharmacist | Interviewed regarding medication administration and record keeping |
| CNA 1 | Certified Nursing Assistant | Reported observing Resident 11's involuntary jaw movements |
| LVN 2 | Licensed Vocational Nurse | Observed not wearing gloves during medication preparation |
| Environmental Services | Environmental Services Staff | Reported grease stain on kitchen floor |
| Medical Records supervisor | Medical Records Supervisor | Interviewed about medication documentation practices |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: May 20, 2024
Visit Reason
The inspection was conducted due to a complaint investigation regarding a resident fall and injury at the facility.
Complaint Details
The investigation was triggered by a complaint regarding Resident 1's fall on the patio. The complaint was substantiated as the facility failed to prevent the fall and injury.
Findings
The facility failed to ensure one of three sampled residents was free from accidents, resulting in Resident 1 sustaining a hip fracture, pain, and hospitalization. The investigation revealed inadequate supervision and communication among staff leading to the fall.
Deficiencies (1)
F 0689: The facility failed to ensure a nursing home area was free from accident hazards and did not provide adequate supervision to prevent accidents. Resident 1 fell on the patio, resulting in a hip fracture, pain, and hospitalization.
Report Facts
Fall Risk Assessment Score: 13
Pain Level: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rehabilitation Director | Interviewed regarding Resident 1's fall and supervision | |
| Physical Therapy Aid | Interviewed regarding Resident 1's fall and failure to inform nursing staff | |
| Certified Nurse Assistant | Reported Resident 1's fall to nursing station |
Inspection Report
Annual Inspection
Census: 80
Capacity: 89
Deficiencies: 3
Date: Jan 11, 2024
Visit Reason
The inspection was an unannounced 1-Year Annual Required inspection conducted to evaluate compliance with licensing regulations at Sunrise Assisted Living of Danville.
Findings
The inspection found unlocked sharps disposal containers and dangerous items accessible to residents with dementia, as well as a staff member lacking a required health screening and TB test on file. The Executive Director promptly removed hazardous items during the visit and plans to ensure compliance with health screening requirements.
Deficiencies (3)
Unlocked full sharps disposal container found in resident R5's room.
Dangerous items including Virex cleaner, scissors, prescription powder, scissors, and whiskey found in residents R1 and R3's apartments.
Staff member S4 does not have a health screening or TB test on file.
Report Facts
Capacity: 89
Census: 80
Deficiencies cited: 2
POC Due Date: Jan 12, 2024
POC Due Date: Feb 1, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kirsten Korfhage | Executive Director | Met with Licensing Program Analyst during inspection and responsible for corrective actions |
| Alona Gomez | Licensing Program Analyst | Conducted the inspection and authored the report |
| Yvonne Flores-Larios | Licensing Program Manager | Supervisor overseeing the inspection |
Inspection Report
Annual Inspection
Census: 80
Capacity: 89
Deficiencies: 3
Date: Jan 11, 2024
Visit Reason
Licensing Program Analyst A Gomez arrived unannounced to conduct a 1-Year Annual Required inspection to evaluate compliance with licensing regulations at Sunrise Assisted Living of Danville.
Findings
The inspection found the facility generally compliant with safety and environmental standards, including fire clearance, temperature controls, and medication storage. However, deficiencies were noted related to unsecured dangerous items in residents' rooms and missing health screening documentation for a staff member.
Deficiencies (3)
Unlocked full sharps disposal container found in resident R5's room closet on the floor; deficiency cleared after disposal.
Dangerous items including Virex cleaner, scissors, prescription powder, scissors, and whiskey found in residents R1 and R3 apartments; deficiency cleared after removal.
Staff member S4 does not have a health screening or TB test on file.
Report Facts
Capacity: 89
Census: 80
POC Due Date: Jan 12, 2024
POC Due Date: Feb 1, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kirsten Korfhage | Executive Director | Met with Licensing Program Analyst during inspection and responsible for removing dangerous items and ensuring staff compliance |
| Alona Gomez | Licensing Program Analyst | Conducted the inspection and documented findings |
| Yvonne Flores-Larios | Supervisor | Supervisor overseeing the inspection process |
Inspection Report
Census: 78
Capacity: 89
Deficiencies: 1
Date: Oct 19, 2023
Visit Reason
The visit was an unannounced Case Management inspection regarding an AWOL incident report for Resident 1 that occurred on 2023-09-20.
Findings
The facility was found deficient for failing to comply with regulations requiring care and supervision to meet individual resident needs, as Resident 1 left the facility unassisted contrary to physician orders. A deficiency was cited under California Code of Regulation, Title 22.
Deficiencies (1)
Failure to provide care, supervision, and services sufficient to meet individual resident needs, evidenced by Resident 1 leaving the facility unassisted contrary to physician's report.
Report Facts
Capacity: 89
Census: 78
Plan of Correction Due Date: Oct 26, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kirsten Korfhage | Executive Director | Met with Licensing Program Analysts during inspection and discussed deficiencies |
| Alona Gomez | Licensing Program Analyst | Conducted the inspection and signed the report |
| Yvonne Flores-Larios | Licensing Program Manager | Supervised the inspection and signed the report |
Inspection Report
Complaint Investigation
Census: 78
Capacity: 89
Deficiencies: 1
Date: Oct 19, 2023
Visit Reason
The visit was an unannounced case management inspection conducted due to an AWOL incident report for Resident 1 on 9/27/2023.
Complaint Details
The complaint was substantiated based on the AWOL incident involving Resident 1 who left the facility unassisted against physician's orders.
Findings
The facility was found deficient for allowing Resident 1 to leave the facility unassisted despite a physician's report stating the resident could not leave unassisted, posing a potential health and safety risk.
Deficiencies (1)
Failure to provide care, supervision, and services that meet individual needs as Resident 1 left the facility unassisted contrary to physician's report.
Report Facts
Capacity: 89
Census: 78
Plan of Correction Due Date: Oct 26, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kirsten Korfhage | Executive Director | Met with Licensing Program Analysts during inspection and discussed deficiencies |
| Alona Gomez | Licensing Evaluator | Conducted the inspection and signed the report |
| Yvonne Flores-Larios | Supervisor | Supervisor overseeing the inspection |
Inspection Report
Deficiencies: 0
Date: Nov 4, 2022
Visit Reason
The document is a statement of deficiencies and plan of correction for Danville Post-Acute Rehab, documenting the results of a regulatory survey completed on November 4, 2022.
Findings
No health deficiencies were found during the survey.
Inspection Report
Routine
Census: 72
Capacity: 89
Deficiencies: 1
Date: May 23, 2022
Visit Reason
Unannounced Infection Control Inspection conducted by Licensing Program Analysts to assess compliance with infection control and personnel health screening requirements.
Findings
The facility generally maintained proper infection control practices including PPE use, sanitation, and food supply. However, a deficiency was found where two staff members (S1 and S2) did not have health screening and TB test records on file, posing a potential health and safety risk.
Deficiencies (1)
S1 and S2 do not have health screening and TB test on file.
Report Facts
Staff records reviewed: 6
Staff with health screening and TB test on file: 4
POC Due Date: Jun 8, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kirsten Korfhage | Executive Director | Met with Licensing Program Analysts during inspection |
| Harpreet Humpal | Licensing Program Manager | Named in report as Licensing Program Manager |
| Lizette Francisco | Licensing Program Analyst | Conducted inspection and authored report |
Inspection Report
Routine
Census: 72
Capacity: 89
Deficiencies: 1
Date: May 23, 2022
Visit Reason
The visit was an unannounced Infection Control Inspection conducted as a required 1-year routine inspection to assess compliance with health and safety regulations.
Findings
The inspection found that the facility generally maintained proper infection control practices including PPE use, sanitation, and food supply. However, a deficiency was noted where two staff members (S1 and S2) did not have health screening and TB test records on file.
Deficiencies (1)
Two staff members (S1 and S2) did not have health screening and TB test on file, posing a potential health and safety risk.
Report Facts
Capacity: 89
Census: 72
Staff records reviewed: 6
Staff with health screening and TB test on file: 4
Plan of Correction Due Date: Jun 8, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kirsten Korfhage | Executive Director | Met with Licensing Program Analysts during inspection |
| Lizette Francisco | Licensing Evaluator | Conducted the inspection and signed the report |
| Harpreet Humpal | Supervisor | Supervisor overseeing the inspection |
Inspection Report
Deficiencies: 1
Date: Feb 13, 2019
Visit Reason
The inspection was conducted to evaluate the facility's compliance with food storage and safety standards, specifically regarding the proper labeling and condition of refrigerated food items.
Findings
The facility failed to store food under sanitary conditions as multiple refrigerated food items were expired, unlabeled, or lacked use-by dates, posing a potential risk for foodborne illness.
Deficiencies (1)
F0812: The facility failed to store food under sanitary conditions when multiple refrigerated food items were expired, unlabeled, or lacked use-by dates, risking foodborne illness.
Report Facts
Expired food items: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Dietary Manager | Present during observation and interview regarding food storage practices |
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