Most inspections found no deficiencies, and several complaint investigations were unsubstantiated, indicating the facility generally meets regulatory standards. The most recent report from April 17, 2024, was clean with no deficiencies noted during the annual inspection. In May 2022, a serious deficiency was cited for allowing a staff member to work without criminal record clearance, which posed an immediate health and safety risk, but no enforcement actions or fines were listed in the available reports. Since then, inspections have shown improvement with no further deficiencies reported. Other issues raised in complaints, including medication management and staffing concerns, were investigated and found unsubstantiated.
Deficiencies (last 4 years)
Deficiencies (over 4 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
43210
2021
2022
2023
2024
Census
Latest occupancy rate50% occupied
Based on a April 2024 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
The visit was an unannounced required comprehensive annual inspection conducted by the Licensing Program Analyst Mary Rico to evaluate the facility's compliance with regulations.
Findings
The facility was found to be operating safely and in good repair with no deficiencies cited. The inspection included review of physical plant conditions, food service, care and supervision, and record reviews.
An unannounced case management visit was conducted to follow-up on the death of resident #1 (R1). The Licensing Program Analyst met with the facility administrator to discuss the purpose of the visit and obtain pertinent documents related to the incident.
Findings
The facility is a certified vendor for Inland Regional Center. There was no official death certificate or cause of death available at the time of the visit. The administrator was requested to provide the death certificate to the Community Care Licensing Division when available. An exit interview was conducted and the report was provided to the administrator.
Employees Mentioned
Name
Title
Context
Helen Akopyan
Administrator
Met with Licensing Program Analyst during visit and discussed events leading up to resident's death
The Licensing Program Analyst conducted an unannounced visit to the facility to conduct a Health and Safety Check as part of case management and health checks.
Findings
No immediate health and safety concerns were observed during the visit. Two residents were attending a Day Program and one resident was with a family member at the time of the visit.
Employees Mentioned
Name
Title
Context
Helen Akopyan
Administrator
Met with Licensing Program Analyst during the visit.
Magda Malcore
Licensing Program Analyst
Conducted the unannounced Health and Safety Check visit.
An unannounced complaint investigation visit was conducted in response to a complaint received on 2023-04-27 alleging multiple issues including over medication, residents being left alone, hiding clients from guests, improper medication logging, language barriers, and failure to follow special diets.
Findings
All allegations investigated were found to be unsubstantiated with no evidence or witnesses to corroborate any of the claims. Interviews with staff, residents, and licensee consistently denied the allegations, and medication audits revealed no discrepancies.
Complaint Details
The complaint investigation was triggered by multiple allegations including over medication, residents left alone, hiding clients from guests, improper medication logging, language barriers, and failure to follow special diets. All allegations were found unsubstantiated.
Report Facts
Capacity: 6Census: 2
Employees Mentioned
Name
Title
Context
Rayshaun Nickolas
Licensing Program Analyst
Conducted the complaint investigation and interviews
Karen Clemons
Licensing Program Manager
Named as Licensing Program Manager overseeing the investigation
An unannounced complaint investigation visit was conducted in response to allegations received on 2022-11-22 regarding medication administration and reporting requirements at the facility.
Findings
The investigation found both allegations unsubstantiated due to lack of evidence or witnesses. The facility was alleged to have failed to administer medication as prescribed and to report medication errors, but interviews and file reviews did not corroborate these claims.
Complaint Details
The complaint investigation was unsubstantiated. Allegation #1 involved medication not given according to physician's directions; the facility stated the issue was with the physician's office and insurance approval. Allegation #2 involved failure to report medication errors; the facility claimed to have reported the incident, but no record was found by the agency.
Report Facts
Capacity: 6Census: 2
Employees Mentioned
Name
Title
Context
Rayshaun Nickolas
Licensing Program Analyst
Conducted the complaint investigation and interviews
The inspection was an unannounced complaint investigation visit triggered by multiple allegations received on 2023-04-27 regarding staffing, staff qualifications, meal quality, food supply, and medication security at the facility.
Findings
All allegations investigated were found to be unsubstantiated after a facility tour, file reviews, interviews, and audits. The facility was found to have adequate staffing, qualified employees with proper background clearances and training, sufficient nutritious food, and secure medication storage.
Complaint Details
The complaint investigation addressed nine allegations including insufficient staffing, staff working without background clearance, unqualified staff, inadequate meals, insufficient food supply, and unsecured medications. Each allegation was found unsubstantiated with no evidence or witnesses to corroborate the claims.
The Licensing Program Analyst conducted a case management visit related to the passing of resident #1 (R1), who passed away on 05/20/2022. The facility reported the incident within the required time frame and provided additional documentation during the visit.
Findings
The visit involved review and verification of incident reports and notification of all parties involved regarding the resident's passing and previous medical condition. No deficiencies or violations were noted in the report.
Employees Mentioned
Name
Title
Context
Helen Akopyan
Administrator
Met with Licensing Program Analyst during case management visit related to resident passing
Javier Prieto
Licensing Program Analyst
Conducted the case management visit and signed the report
The visit was an unannounced required annual inspection with an emphasis on infection control due to the COVID-19 pandemic.
Findings
The inspection found that the facility had appropriate infection control measures and supplies in place, including PPE and signage, and staff were wearing face coverings. However, one deficiency was cited for allowing a staff member to work without criminal record clearance, posing an immediate health and safety risk.
Deficiencies (1)
Description
Permitting staff member S2 to work at the facility without criminal record clearance, posing an immediate health and safety risk.
Report Facts
Civil penalty amount: 500Plan of Correction due date: May 17, 2022
Employees Mentioned
Name
Title
Context
Helen Akopyan
Administrator
Met with Licensing Program Analyst during inspection
An unannounced annual inspection was conducted to evaluate infection control measures at the facility.
Findings
The inspection found that the facility had implemented adequate infection control measures including PPE supply, hand hygiene, and regular cleaning. No deficiencies were cited during the visit.