Inspection Report Summary
Most inspections found no deficiencies, including the most recent report dated September 16, 2025, which was perfect with no cited issues. A few earlier reports identified isolated deficiencies related primarily to failure to submit required written reports to the licensing agency for incidents such as thefts and 911 calls, as well as one citation in May 2023 for inadequate care and supervision involving medication during a resident shopping trip. Several complaint investigations were unsubstantiated, including allegations about medication mishandling, theft, and notification of price increases. The facility has shown improvement over time, with recent inspections consistently free of deficiencies. Overall, the issues were limited and administrative in nature, with no fines, enforcement actions, or severe harm-level findings listed in the available reports.
Deficiencies per Year
4
3
2
1
0
High
Moderate
Census Over Time
Census
Capacity
Inspection Report
Census: 98
Capacity: 110
Deficiencies: 0
Sep 16, 2025
Visit Reason
The inspection was a case management incident inspection conducted regarding incident reports received dated 09/01/2025 involving a resident with suicidal ideology.
Findings
No deficiencies were observed or cited during the case management inspection. All incident reporting was timely and compliant, and the resident was cleared by medical professionals with an updated service plan.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kesha Lewis | Licensing Program Analyst | Conducted the case management incident inspection. |
| Marie Arbios | Administrator/Director | Met with the Licensing Program Analyst during the inspection. |
| Liza King | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Annual Inspection
Census: 105
Capacity: 110
Deficiencies: 0
Jun 4, 2025
Visit Reason
The inspection was an unannounced Required 1 Year Annual Inspection Visit conducted by the Licensing Program Analyst to ensure compliance with licensing requirements.
Findings
The facility was found to be in compliance with adequate food supply, current fire extinguisher inspections, functioning smoke and carbon monoxide detectors, proper hot water temperature, and all necessary documents and certifications in place. No deficiencies were explicitly cited in the report.
Report Facts
Food supply duration: 7
Food supply duration: 2
Fire extinguisher inspection date: Feb 18, 2025
Hot water temperature: 109
Elevator inspection expiration: Nov 19, 2025
Staff files reviewed: 15
Resident files reviewed: 20
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kesha Lewis | Licensing Program Analyst | Conducted the annual inspection visit |
| Marie Arbios | Administrator/Director | Facility administrator met with Licensing Program Analyst during inspection |
| Liza King | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 105
Capacity: 110
Deficiencies: 0
Jun 4, 2025
Visit Reason
The inspection was an unannounced case management incident inspection regarding incident reports received dated 2025-05-16 involving un-witnessed falls for Resident 1 and bed bugs in the room of Resident 2.
Findings
No deficiencies were observed or cited during the case management inspection. All incident reporting was timely and treatment for bed bugs was completed and re-treatment conducted as required.
Complaint Details
The visit was complaint-related based on incident reports of un-witnessed falls and bed bugs. The complaint was not substantiated as no deficiencies were found.
Report Facts
Incident report date: May 16, 2025
Inspection start time: 1500
Inspection end time: 1530
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kesha Lewis | Licensing Program Analyst | Conducted the case management incident inspection |
| Marie Arbios | Administrator | Facility administrator met during inspection |
| Liza King | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 99
Capacity: 110
Deficiencies: 0
Apr 21, 2025
Visit Reason
The inspection was an unannounced case management incident inspection regarding incident reports received dated 3/27/2025 for un-witnessed falls involving two residents in March.
Findings
No deficiencies were observed or cited during the case management inspection. All incident reporting was done on time and to the required departments.
Complaint Details
The visit was complaint-related due to incident reports of un-witnessed falls for two residents. The complaint was not substantiated as no deficiencies were found.
Report Facts
Incident reports: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kesha Lewis | Licensing Program Analyst | Conducted the case management incident inspection |
| Marie Arbios | Administrator/Director | Facility administrator met during inspection |
| Liza King | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 98
Capacity: 110
Deficiencies: 0
Oct 18, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations that the licensee did not provide residents with a general description of additional costs related to a general price increase and did not inform residents of changes in level of care resulting in increased monthly fees.
Findings
The facility provided detailed information and written policy regarding price increases and notification procedures. The Licensing Program Analyst found that the facility followed its policy in notifying residents about the price increase, resulting in the complaint being unsubstantiated.
Complaint Details
The complaint was unsubstantiated as the evidence did not prove that the alleged violations occurred.
Report Facts
Capacity: 110
Census: 98
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kesha Lewis | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Marie Arbios | Administrator | Met with Licensing Program Analyst during the investigation |
Inspection Report
Annual Inspection
Census: 105
Capacity: 110
Deficiencies: 0
Jul 12, 2024
Visit Reason
The inspection visit was an unannounced continuation of the required 1 Year Annual Inspection to ensure compliance with Title 22 regulations.
Findings
The inspection included a physical plant review of the kitchen, dining room, resident bedrooms, bathrooms, laundry, living areas, and common areas. Hot water temperature was within the required range, chemicals and medications were locked, and all necessary documents and postings were in place. The facility submitted and received approval for a LIC 808 mitigation plan.
Report Facts
Hot water temperature: 110
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kesha Lewis | Licensing Program Analyst | Conducted the inspection and explained the purpose of the visit |
| Marie Arbios | Administrator | Met with Licensing Program Analyst during inspection |
| Liza King | Licensing Program Manager | Named in report header |
Inspection Report
Annual Inspection
Census: 94
Capacity: 110
Deficiencies: 0
Jul 5, 2024
Visit Reason
The inspection was an unannounced Required 1 Year Annual Inspection Visit conducted by Licensing Program Analyst Kesha Lewis to evaluate the facility's compliance with licensing requirements.
Findings
The facility was found to have adequate food supplies, current fire extinguishers, smoke and carbon monoxide detectors, and a compliant first aid kit. Staff files showed fingerprint clearance and current First Aid or CPR certifications. Resident files and required documents were reviewed and found in order. The visit was not completed due to time restraints and will be resumed later.
Report Facts
Food supply duration: 7
Food supply duration: 2
Staff files reviewed: 8
Resident files reviewed: 8
Memory care resident files: 4
Assisted living resident files: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kesha Lewis | Licensing Program Analyst | Conducted the inspection visit |
| Marie Arbios | Administrator/Director | Met with Licensing Program Analyst during inspection |
| Liza King | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 95
Capacity: 110
Deficiencies: 1
Mar 15, 2024
Visit Reason
The inspection was an unannounced case management incident inspection regarding multiple incident reports of 911 calls for residents, received on 01/18/2024, related to incidents occurring in late December and early January.
Findings
Deficiencies were observed related to failure to provide timely written reports to the licensing agency for multiple incidents, which is a potential safety risk to residents. Follow-up training was provided to staff on reporting requirements.
Complaint Details
The visit was complaint-related, triggered by incident reports of multiple 911 calls for residents. The deficiency was substantiated as the facility failed to submit required written reports to the licensing agency.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to ensure the facility provided a written report to licensing for multiple incidents as required by California Code of Regulations, Title 22, Section 87211 Reporting Requirements. | Type B |
Report Facts
Deficiency count: 1
Plan of Correction Due Date: 3
Census: 95
Total Capacity: 110
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Marie Arbios | Administrator | Interviewed regarding the deficiency related to reporting requirements. |
| Kesha Lewis | Licensing Program Analyst | Conducted the inspection and signed the report. |
| Liza King | Licensing Program Manager | Supervisor overseeing the inspection. |
Inspection Report
Census: 74
Capacity: 110
Deficiencies: 0
Feb 8, 2024
Visit Reason
The inspection visit was conducted for case management purposes, specifically to participate in the resident council meeting and explain the purpose of the visit to staff.
Findings
No deficiencies were observed or cited during the case management inspection as per California Code of Regulations, Title 22.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kesha Lewis | Licensing Program Analyst | Arrived at the facility for the inspection and explained the purpose of the visit. |
| Liza King | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Census: 102
Capacity: 110
Deficiencies: 0
Nov 27, 2023
Visit Reason
The visit was an unannounced case management inspection conducted following up on an email sent to the administrator regarding thefts at the facility.
Findings
No deficiencies were observed or cited during the case management inspection as per California Code of Regulations, Title 22.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kesha Lewis | Licensing Program Analyst | Conducted the case management visit and explained the purpose of the visit to the administrator. |
| Marie Arbios | Administrator | Facility administrator met with the Licensing Program Analyst during the visit. |
Inspection Report
Complaint Investigation
Census: 101
Capacity: 110
Deficiencies: 0
Nov 13, 2023
Visit Reason
The inspection visit was conducted as a case management incident inspection regarding an incident report received on 2023-11-07 concerning charges on a resident's bank card.
Findings
No deficiencies were observed or cited during the case management inspection. The facility's theft policy and incident reporting procedures were reviewed and found to be compliant.
Complaint Details
The complaint involved charges on a resident's bank card. The investigation found all incidents were reported on time and to the correct departments, and the facility provides locking cabinets in residents' rooms to deter theft.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kesha Lewis | Licensing Program Analyst | Conducted the case management incident inspection. |
| Marie Arbios | Administrator | Facility administrator met with Licensing Program Analyst during inspection. |
Inspection Report
Complaint Investigation
Census: 97
Capacity: 110
Deficiencies: 0
Oct 11, 2023
Visit Reason
The inspection visit was conducted as a case management incident inspection regarding an incident report received dated 09/11/2023.
Findings
No deficiencies were observed or cited during the case management inspection. The facility's theft policy and incident reporting procedures were reviewed and found compliant.
Complaint Details
The visit was complaint-related based on an incident report received on 09/11/2023. All incidents were reported on time and to the correct departments.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kesha Lewis | Licensing Program Analyst | Conducted the case management incident inspection. |
| Marie Arbios | Administrator | Facility administrator met with the Licensing Program Analyst during the inspection. |
| Liza King | Licensing Program Manager | Named in the report as Licensing Program Manager. |
Inspection Report
Complaint Investigation
Census: 95
Capacity: 110
Deficiencies: 0
Jul 20, 2023
Visit Reason
The inspection was an unannounced case management incident inspection conducted regarding an incident report received dated 07/07/2023.
Findings
No deficiencies were observed or cited during the case management inspection conducted in accordance with California Code of Regulations, Title 22.
Complaint Details
The visit was triggered by an incident report received on 07/07/2023. No deficiencies were found during the investigation.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kesha Lewis | Licensing Program Analyst | Conducted the case management incident inspection. |
| Marie Arbios | Administrator | Facility administrator met with Licensing Program Analyst during the inspection. |
| Liza King | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Complaint Investigation
Census: 91
Capacity: 110
Deficiencies: 1
Jun 14, 2023
Visit Reason
The visit was an unannounced case management inspection stemming from a complaint regarding thefts at the facility.
Findings
The investigation found that reports of thefts were verbally reported but not submitted in writing to the licensing department, violating reporting requirements and posing a potential risk to residents.
Complaint Details
The visit was triggered by complaint number 27-AS-20230215120903. The complaint was investigated and deficiencies were cited related to failure to submit required written reports of thefts.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to submit a written report to the licensing agency for multiple thefts at the facility as required by regulations. | Type B |
Report Facts
Capacity: 110
Census: 91
Deficiency count: 1
Plan of Correction Due Date: Jun 15, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kesha Lewis | Licensing Program Analyst | Conducted the inspection and cited deficiencies |
| Marie Arbios | Administrator | Facility administrator met with the Licensing Program Analyst during the visit |
| Liza King | Licensing Program Manager | Supervisor overseeing the licensing evaluation |
Inspection Report
Complaint Investigation
Census: 91
Capacity: 110
Deficiencies: 0
Jun 14, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2023-05-19 regarding staff mishandling residents' medication and staff behavior posing a risk to residents.
Findings
The Licensing Program Analyst found the allegations to be unfounded based on information gathered from resident files, doctors' reports, and interviews indicating residents were able to administer their own medication. No substantiated deficiencies were identified.
Complaint Details
The complaint investigation was conducted due to allegations of staff mishandling residents' medication and staff behavior posing a risk to residents. The allegations were found to be unfounded.
Report Facts
Capacity: 110
Census: 91
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kesha Lewis | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Marie Arbios | Administrator | Met with Licensing Program Analyst during the investigation |
Inspection Report
Census: 64
Capacity: 110
Deficiencies: 1
May 17, 2023
Visit Reason
The inspection was an unannounced case management visit conducted due to an incident involving a resident (R1) that occurred on 2023-05-08.
Findings
The inspection found that facility staff took resident R1 on a shopping trip during which R1 purchased medication (Advil). The medication bottle had fewer pills than expected, and staff could not confirm when the pills were taken, posing an immediate health and safety risk. Deficiencies related to care and supervision were cited under California Code of Regulations, Title 22.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to provide adequate care and supervision as facility staff took resident on a shopping trip where medication was purchased, posing an immediate health and safety risk. | Type A |
Report Facts
Medication pills count: 28
Medication pills total: 40
Census: 64
Total capacity: 110
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Marie Arbios | Administrator / Executive Director | Interviewed regarding the incident and medication purchase during shopping trip |
| Kesha Lewis | Licensing Program Analyst | Conducted the case management visit and inspection |
| Liza King | Licensing Program Manager / Supervisor | Supervisor of the inspection and licensing program |
Inspection Report
Annual Inspection
Census: 88
Capacity: 110
Deficiencies: 0
May 17, 2023
Visit Reason
The Licensing Program Analyst conducted a required unannounced 1 Year Annual Inspection Visit to evaluate compliance with Title 22 regulations at the facility.
Findings
The facility was inspected for physical plant conditions, infection control measures, food supply, safety equipment, and posted regulatory information. The facility was found to have adequate food supplies, proper hot water temperature, locked toxins and medications, and compliant fire safety equipment. A mitigation plan was submitted and approved. The inspection was not completed due to time restraints and will be continued at a later date.
Report Facts
Food supply duration: 7
Food supply duration: 2
Hot water temperature: 108
Fire extinguisher inspection date: Mar 7, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kesha Lewis | Licensing Program Analyst | Conducted the inspection visit |
| Marie Arbios | Administrator | Met with Licensing Program Analyst during inspection |
| Liza King | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 64
Capacity: 110
Deficiencies: 1
May 17, 2023
Visit Reason
The inspection was an unannounced complaint investigation triggered by an allegation that staff were not safeguarding residents' personal items.
Findings
After reviewing documentation and interviewing residents and staff, the complaint was found to be unsubstantiated. The facility provided detailed information and written policy regarding theft incidents and was found to have followed the policy.
Complaint Details
The complaint alleged that staff were not safeguarding residents' personal items. The complaint was investigated and found to be unsubstantiated.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to ensure that the facility provided a written report to licensing for multiple thefts at the facility, posing a potential risk to residents in care. | Type B |
Report Facts
Capacity: 110
Census: 64
Deficiency count: 1
Plan of Correction Due Date: May 29, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kesha Lewis | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Marie Arbios | Administrator | Facility administrator met with the Licensing Program Analyst during the investigation |
| Liza King | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Complaint Investigation
Capacity: 110
Deficiencies: 0
Apr 13, 2023
Visit Reason
The inspection was conducted as a case management incident inspection regarding an incident report received on 2023-04-10.
Findings
No deficiencies were observed or cited during the case management incident inspection conducted on 2023-04-13.
Complaint Details
The visit was triggered by an incident report received on 2023-04-10. The needs and services plan for resident R1 was reviewed and updated on 2023-04-11. No deficiencies were found.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kesha Lewis | Licensing Program Analyst | Conducted the case management incident inspection. |
| Marie Arbios | Administrator | Facility administrator met with the Licensing Program Analyst during the inspection. |
| Liza King | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Census: 97
Capacity: 110
Deficiencies: 0
Jan 30, 2023
Visit Reason
The inspection visit was conducted as a case management incident inspection regarding an incident report received on 01/27/23.
Findings
No deficiencies were observed or cited during the case management inspection conducted on 01/30/23.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kesha Lewis | Licensing Program Analyst | Conducted the case management incident inspection and reviewed resident file. |
| Marie Arbios | Administrator | Facility administrator met with Licensing Program Analyst during inspection. |
| Liza King | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Complaint Investigation
Census: 100
Capacity: 110
Deficiencies: 0
Dec 12, 2022
Visit Reason
The inspection was conducted as a case management incident inspection regarding multiple incident reports received in November 2022.
Findings
No deficiencies were observed or cited during the inspection. The facility has a loss prevention program in place and addresses falls in the needs and services plan.
Complaint Details
The inspection was triggered by incident reports dated 11/02/22, 11/15/22, 11/15/22, and 11/23/22. Resident R1 had multiple falls before and after a fall risk assessment, and the responsible party is seeking a higher level of care.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kesha Lewis | Licensing Program Analyst | Conducted the case management incident inspection. |
| Albert Johnson | Licensing Program Analyst | Conducted the case management incident inspection. |
| Marie Arbios | Administrator | Facility administrator met with inspectors and was informed of the visit purpose. |
| Liza King | Licensing Program Manager | Named in the report as Licensing Program Manager. |
Inspection Report
Annual Inspection
Census: 102
Capacity: 110
Deficiencies: 0
May 12, 2022
Visit Reason
An unannounced annual inspection visit was conducted to evaluate compliance with Title 22 regulations and assess the facility's physical plant, infection control, and safety measures.
Findings
The facility was found to be in compliance with no deficiencies observed. The physical plant, infection control measures, emergency supplies, and safety equipment were all adequate and operational. COVID-19 precautions and symptom screening were in place.
Report Facts
Food supply duration: 7
Food supply duration: 2
Fire extinguisher service date: 2022
Sprinkler system test date: 2022
Water temperature range: 110
Water temperature range: 114
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Marie Arbios | Executive Director | Met with Licensing Program Analyst during inspection and received report |
| Bruce Jacobs | Licensing Program Analyst | Conducted the annual inspection visit |
| Liza King | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Capacity: 110
Deficiencies: 0
Mar 8, 2022
Visit Reason
Licensing Program Analyst Bruce Jacobs conducted a case management visit regarding a reported change in the Executive Director Facility Administrator position.
Findings
No deficiencies were identified during this visit. Documentation related to the new Administrator was reviewed and requested for submission by March 16, 2022.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Marie Arbios | Executive Director | Met with Licensing Program Analyst during case management visit regarding change in Facility Administrator. |
| Bruce Jacobs | Licensing Program Analyst | Conducted the case management visit and requested documentation. |
| Liza King | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Census: 93
Capacity: 110
Deficiencies: 0
Dec 15, 2021
Visit Reason
The visit was a case management incident review conducted in response to two incident reports submitted to the Department regarding residents with Stage 2 pressure injuries.
Findings
No deficiencies were identified during the visit. Both residents with pressure injuries were receiving Home Health wound care services, and the Licensing Program Analyst agreed to provide the facility with the Hospice Guide.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Bruce Jacobs | Licensing Program Analyst | Conducted the case management visit and discussed incident reports with the Executive Director. |
| Carol Miller | Executive Director | Met with Licensing Program Analyst to discuss incident reports. |
Inspection Report
Census: 100
Capacity: 110
Deficiencies: 0
Oct 14, 2021
Visit Reason
The visit was a Case Management - Other type conducted to discuss recommendations provided by the Health Care Associated Infections (HAI) team following an onsite visit on 09/22/21, focusing on ensuring the facility is following appropriate infection control protocols.
Findings
The report reviews infection control recommendations including response testing protocols, quarantine procedures, PPE use, environmental cleaning, staff screening, and adherence monitoring. The facility was not aware of some protocols and was advised on improvements such as cohorting staff, signage for isolation rooms, and use of appropriate disinfectants.
Report Facts
Capacity: 110
Census: 100
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Carol Miller | Executive Director | Facility Administrator met during the visit |
| Bruce Jacobs | Licensing Program Analyst | Conducted the office visit and authored the report |
| Liza King | Licensing Program Manager | Involved in the visit and report |
| Stephanie Doub | Licensing Program Manager | Involved in the visit |
| Krystall Moore | Regional Manager | Involved in the visit |
| Hosniyeh Bagheri | Infection Preventionist, CDPH | Health Care Associated Infections representative involved in the visit |
| Debbie Warren | Signed the Facility Evaluation Report provided to the Facility Administrator |
Inspection Report
Routine
Census: 100
Capacity: 110
Deficiencies: 0
Sep 22, 2021
Visit Reason
The visit was a Case Management - COVID-19 unannounced inspection focused on infection control training and mitigation.
Findings
The facility was found to be clean and in good repair with proper infection control practices in place, including PPE availability, staff screening, and isolation procedures. Dining and activities were closed until the facility was cleared.
Report Facts
Residents on hospice: 9
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Carol Miller | Administrator | Met with licensing staff during infection control training and mitigation visit |
| Bruce Jacobs | Licensing Program Analyst | Conducted the inspection and infection control training |
| Hosniyeh Bagheri | CDPH HAI | Provided infection control training and mitigation |
| Liza King | Licensing Program Manager | Named in report header |
Inspection Report
Annual Inspection
Census: 94
Capacity: 110
Deficiencies: 0
May 19, 2021
Visit Reason
The inspection was a required unannounced 1-year annual inspection to evaluate the facility's compliance with licensing regulations.
Findings
The facility was toured and inspected, including apartments, common areas, and safety features. No deficiencies were cited during the inspection, and all safety equipment and emergency plans were found to be current and complete.
Report Facts
Capacity: 110
Census: 94
Fire extinguisher service date: May 5, 2021
Emergency Disaster Plan posting date: May 4, 2021
Fire drill date: Apr 20, 2021
Hot water temperature: 117
Hot water temperature: 114
Nonperishable food supply days: 7
Perishable food supply days: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Carol Miller | Executive Director | Met with Licensing Program Analyst during inspection and exit interview |
| Deborah Warren | Business Office Manager | Spoke with Licensing Program Analyst regarding facility risk assessment questions |
| Treana White | Licensing Program Analyst | Conducted the inspection |
| Liza King | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 94
Capacity: 110
Deficiencies: 0
May 19, 2021
Visit Reason
An unannounced complaint investigation was conducted in response to allegations that the facility was not kept clean and was malodorous.
Findings
The Licensing Program Analyst toured the facility and observed it to be generally clean and odor free, except for one apartment which had an odor of animal urine and feces. There was insufficient evidence to substantiate the allegations, and no citations were issued.
Complaint Details
The complaint was unsubstantiated, meaning there was not a preponderance of evidence to prove the alleged violations occurred.
Report Facts
Capacity: 110
Census: 94
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Carol Miller | Executive Director | Met with Licensing Program Analyst during investigation |
| Treana White | Licensing Program Analyst | Conducted the complaint investigation |
| Liza King | Licensing Program Manager | Named in report as Licensing Program Manager |
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