Inspection Report Summary
Most inspections found no deficiencies, with the facility consistently meeting infection control, emergency preparedness, and safety standards. The most recent report from August 21, 2025, was clean and showed no deficiencies. One complaint investigation in August 2021 substantiated a failure to safeguard resident confidential information, but other allegations at that time were unsubstantiated. Since then, complaint investigations have found no issues, and annual inspections have remained free of deficiencies, indicating improvement. Overall, the facility has maintained a mostly clean record with only one isolated issue related to confidentiality several years ago.
Deficiencies per Year
4
3
2
1
0
Moderate
Census Over Time
Census
Capacity
Inspection Report
Annual Inspection
Census: 2
Capacity: 3
Deficiencies: 0
Aug 21, 2025
Visit Reason
The visit was an unannounced annual required inspection conducted by the Licensing Program Analyst to evaluate compliance with licensing requirements.
Findings
No deficiencies were observed during the visit. The facility was found to have proper infection control measures, emergency plans, adequate supplies, and operational safety equipment.
Report Facts
Facility capacity: 3
Census: 2
Hot water temperature: 116
Facility temperature: 74
PPE supply duration: 30
Perishable food supply duration: 2
Non-perishable food supply duration: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Manjula Michaelson | Administrator | Met with Licensing Program Analyst during inspection and identified as infection control leader |
| Daisy Panlilio | Licensing Program Analyst | Conducted the inspection visit |
| Bennett Fong | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Annual Inspection
Census: 2
Capacity: 3
Deficiencies: 0
Aug 6, 2024
Visit Reason
The visit was an unannounced annual required inspection conducted to evaluate compliance with licensing requirements for the assisted living facility.
Findings
No deficiencies were observed during the inspection. The facility was found to have proper infection control measures, emergency plans, sufficient food and PPE supplies, and operational safety equipment.
Report Facts
Hot water temperature: 117
Facility temperature: 75
PPE supply duration: 30
Perishable food supply duration: 2
Non-perishable food supply duration: 7
Facility capacity: 3
Census: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Manjula Michaelson | Administrator | Met with Licensing Program Analyst during inspection and identified as infection control leader |
| Daisy Panlilio | Licensing Program Analyst | Conducted the inspection visit |
| Bennett Fong | Licensing Program Manager | Named in report header |
Inspection Report
Complaint Investigation
Census: 2
Capacity: 3
Deficiencies: 0
Oct 10, 2023
Visit Reason
An unannounced complaint investigation visit was conducted due to an allegation that staff mismanaged a resident's medication.
Findings
The investigation found the allegation to be unsubstantiated after reviewing medication logs, administration records, and interviewing the administrator, who denied replacing prescribed medications with herbal supplements or stopping medication administration.
Complaint Details
Allegation: Staff mismanaged resident's medication. Investigation Finding: Unsubstantiated. The department found no preponderance of evidence to prove the alleged violation occurred.
Report Facts
Capacity: 3
Census: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Manjula Michaelson | Administrator | Interviewed during investigation and named in medication management allegation |
| Daisy Panlilio | Licensing Program Analyst | Conducted the complaint investigation visit |
| Bennett Fong | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Census: 2
Capacity: 3
Deficiencies: 0
Oct 4, 2023
Visit Reason
An unannounced case management visit was conducted to investigate an allegation that staff stopped administering prescribed medications to residents and replaced them with herbal supplements.
Findings
The allegation was found to be unsubstantiated based on records review, interviews, and observations. Staff assist residents with medications as prescribed, and no deficiencies were cited during the visit.
Complaint Details
The visit was complaint-related to an allegation that staff stopped administering prescribed medications and replaced them with herbal supplements. The allegation was unsubstantiated.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Manjula Michaelson | Administrator | Named in medication administration and allegation investigation |
Inspection Report
Annual Inspection
Census: 2
Capacity: 3
Deficiencies: 0
Jul 19, 2023
Visit Reason
An unannounced annual required inspection was conducted to evaluate compliance with licensing regulations at the assisted living facility.
Findings
The inspection found no deficiencies. The facility was observed to have proper infection control measures, emergency plans, and safety equipment in place. Staff and resident files and interviews were reviewed without issue.
Report Facts
PPE supply duration: 30
Food supply duration - perishable: 2
Food supply duration - non-perishable: 7
Hot water temperature: 113
Facility capacity: 3
Census: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Manjula Michaelson | Administrator | Met with Licensing Program Analyst during inspection and identified as infection control leader |
| Daisy Panlilio | Licensing Program Analyst | Conducted the inspection visit |
| Bennett Fong | Licensing Program Manager | Named in report header |
Inspection Report
Annual Inspection
Census: 1
Capacity: 3
Deficiencies: 0
Jul 20, 2022
Visit Reason
The inspection was an unannounced infection control inspection conducted as part of the required 1-year visit to evaluate compliance with infection control and related regulations.
Findings
The facility was found to be in compliance with no deficiencies cited. The inspection included a tour of the facility and review of infection control measures such as screening, PPE supply, signage, and staff practices.
Report Facts
PPE supply duration: 30
Food supply duration - perishable: 2
Food supply duration - non-perishable: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Manjula Michaelson | Administrator | Met with Licensing Program Analyst during inspection |
| Daisy Panlilio | Licensing Program Analyst | Conducted the infection control inspection |
| Bennett Fong | Licensing Program Manager | Named in report header |
Inspection Report
Annual Inspection
Census: 1
Capacity: 3
Deficiencies: 0
Aug 23, 2021
Visit Reason
The visit was a required unannounced 1-year annual infection control inspection to evaluate compliance with COVID-19 infection control practices and overall facility safety.
Findings
No deficiencies were cited during this visit. The facility demonstrated compliance with infection control measures including use of PPE, symptom screening, vaccination status, and emergency preparedness. Fire safety equipment and environmental safety were also verified.
Report Facts
Emergency food supplies: 7
Emergency food supplies: 2
Administrator onsite hours: 20
Facility room temperature: 73
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Manjula Michaelson | Administrator | Met with Licensing Program Analyst during inspection and identified as infection control designated leader |
| Daisy Panlilio | Licensing Program Analyst | Conducted the infection control annual inspection |
| Bennett Fong | Licensing Program Manager | Named in report header and narrative |
Inspection Report
Complaint Investigation
Census: 1
Capacity: 3
Deficiencies: 1
Aug 17, 2021
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations including failure to safeguard resident confidential information, inappropriate discipline of residents, and failure to provide adequate care.
Findings
The investigation substantiated the allegation that the licensee failed to safeguard resident confidential information, citing a violation of California Code of Regulations, Title 22. Other allegations regarding inappropriate discipline and inadequate care were unsubstantiated due to lack of sufficient evidence.
Complaint Details
The complaint investigation was substantiated for failure to safeguard resident confidential information. Other allegations of inappropriate discipline and inadequate care were unsubstantiated due to insufficient evidence.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Licensee did not comply with confidentiality requirements by keeping resident's record confidential, imposing a potential health and safety risk. | Type B |
Report Facts
Capacity: 3
Census: 1
Deficiencies cited: 1
Plan of Correction Due Date: Due date is 08/24/2021 (date extracted but not numeric only, so not included as number)
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Manjula Michaelson | Administrator | Met with Licensing Program Analyst during investigation and named in findings |
| Laura Hall | Licensing Program Analyst | Conducted the complaint investigation |
| Harpreet Humpal | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
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