Inspection Report Summary
Most inspections found deficiencies related primarily to medication management, resident safety, and staff training, with several complaint investigations substantiated. The facility faced immediate health and safety risks in memory care due to unsecured windows and doors, and insufficient trained staff, with these serious issues noted in late 2024. More recent reports from August 27, 2025, continued to cite deficiencies involving late incident reporting and failure to report a resident’s elopement promptly, but no new immediate jeopardy findings or fines were listed. Several complaints about pest control were unsubstantiated, and the facility has taken corrective actions such as staff termination and additional training in response to incidents. The most recent inspection on August 27, 2025, still found some deficiencies, indicating ongoing challenges, though there is no clear pattern of worsening or improvement over time.
Deficiencies (last 3 years)
Deficiencies (over 3 years)
7.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
93% worse than California average
California average: 4 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
78% occupied
Based on a August 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Complaint Investigation
Census: 156
Capacity: 200
Deficiencies: 1
Aug 27, 2025
Visit Reason
The visit was an unannounced case management inspection conducted in response to incident reports received by the Community Care Licensing Division on 01/02/2025, concerning late reporting of unusual incidents occurring between November and December 2024.
Findings
The inspection found deficiencies related to failure to submit written incident reports within the required seven-day timeframe, posing a potential risk to the health, safety, or personal rights of persons in care. Deficiencies were cited under California Code of Regulation, Title 22.
Complaint Details
The visit was triggered by complaint-related incident reports (Unusual Incident Reports) received late by the licensing agency, with substantiation implied by the citation of deficiencies.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to submit written reports within seven days of occurrence of incidents as required by Section 87211 Reporting Requirements. | Type B |
Report Facts
Deficiency count: 1
Plan of Correction Due Date: Sep 2, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lori Alexander-Washington | Licensing Program Analyst | Conducted the inspection and signed the report |
| Deborah Bradley | Assistant Executive Director | Met with Licensing Program Analyst during inspection |
| Ricardo Romero | Interim Executive Director | Met with Licensing Program Analyst during inspection |
| Bennett Fong | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 156
Capacity: 200
Deficiencies: 1
Aug 27, 2025
Visit Reason
The visit was an unannounced case management inspection conducted in response to incident reports received regarding a resident's elopement incidents on 06/16/2025 and 06/18/2025.
Findings
The inspection found that the facility failed to report the resident's elopement within the required timeframe, posing a potential risk to health, safety, or personal rights. The resident was noted to have dementia and was not able to leave the facility unassisted. A plan of correction was issued with a due date of 09/03/2025.
Complaint Details
The visit was triggered by two Unusual Incident Reports received on 06/23/2025 regarding resident R1 leaving the community unassisted on 06/16/2025 and 06/18/2025. The resident's Wander Guard did not activate on the first incident but did on the second. The family started a 1:1 companion on 06/18/2025 following these incidents. The resident has a diagnosis of dementia and is not able to leave unassisted.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to report resident R1's elopement within the next day to Licensing, posing a potential health, safety or personal rights risk to persons in care. | Type B |
Report Facts
Plan of Correction Due Date: Sep 3, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lori Alexander-Washington | Licensing Program Analyst | Conducted the inspection and authored the report |
| Bennett Fong | Licensing Program Manager | Named as Licensing Program Manager on the report |
| Deborah Bradley | Assistant Executive Director | Met with Licensing Program Analyst during inspection |
| Ricardo Romero | Interim Executive Director | Met with Licensing Program Analyst during inspection |
| Joseph Villanueva | Administrator/Director | Facility Administrator/Director |
| S1 | Interviewed regarding conversations with resident's family about elopements |
Inspection Report
Complaint Investigation
Census: 156
Capacity: 200
Deficiencies: 1
Aug 27, 2025
Visit Reason
The visit was an unannounced case management inspection conducted in response to incident reports received regarding a medication error that occurred on 12/01/2024.
Findings
The inspection found that the facility did not comply with medication administration requirements, specifically failing to administer medication for resident R1 according to the physician's directions, posing a potential health and safety risk. Deficiencies were cited under California Code of Regulation, Title 22.
Complaint Details
The visit was triggered by a complaint involving an unusual incident report received on 01/02/2025 concerning a medication error on 12/01/2024 where R1 was assisted with the wrong medication by a Med Tech. The Med Tech no longer works at the facility. The complaint was investigated during the visit.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to administer medication for R1 ordered by the physician and given according to the physician's directions. | Type B |
Report Facts
Capacity: 200
Census: 156
Deficiencies cited: 1
Plan of Correction Due Date: Sep 26, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Joseph Villanueva | Administrator/Director | Named as facility administrator |
| Deborah Bradley | Assistant Executive Director | Met with Licensing Program Analyst during inspection |
| Ricardo Romero | Interim Executive Director | Met with Licensing Program Analyst during inspection |
| Lori Alexander-Washington | Licensing Program Analyst | Conducted the inspection and authored the report |
| Bennett Fong | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 156
Capacity: 200
Deficiencies: 1
Aug 27, 2025
Visit Reason
An unannounced complaint investigation was conducted in response to an allegation of unlawful eviction received on 2025-08-22.
Findings
The investigation substantiated the allegation that the eviction notice given to a resident did not include the correct contact information for the local ombudsman, violating California Code of Regulations. The facility did not rescind the eviction notice promptly but was working on a revision and notified the resident's responsible party.
Complaint Details
The complaint investigation was substantiated. The allegation of unlawful eviction was confirmed based on interviews and document reviews. The eviction notice lacked appropriate ombudsman contact information and was not rescinded timely.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to include correct contact information for the local Ombudsman in the eviction notice sent to a resident, violating HSC 1569.683(a)(3). | Type B |
Report Facts
Capacity: 200
Census: 156
Deficiency Type: 1
Plan of Correction Due Date: Sep 2, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lori Alexander-Washington | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Bennett Fong | Licensing Program Manager | Oversaw the complaint investigation |
| Deborah Bradley | Assistant Executive Director | Met with Licensing Program Analyst during investigation |
| Ricardo Romero | Interim Executive Director | Met with Licensing Program Analyst during investigation |
Inspection Report
Complaint Investigation
Census: 156
Capacity: 200
Deficiencies: 0
Aug 27, 2025
Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that staff does not ensure the facility is free of pests.
Findings
The investigation found no preponderance of evidence to substantiate the allegation. Interviews with staff and review of exterminator service records showed ongoing pest control measures, and no pests were observed during the visit.
Complaint Details
The complaint alleging that staff does not ensure the facility is free of pests was unsubstantiated after investigation.
Report Facts
Service dates: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lori Alexander-Washington | Licensing Program Analyst | Conducted the complaint investigation |
| Deborah Bradley | Assistant Executive Director | Met with Licensing Program Analyst during investigation |
| Ricardo Romero | Interim Executive Director | Met with Licensing Program Analyst during investigation |
| Bennett Fong | Licensing Program Manager | Named in report signature |
Inspection Report
Annual Inspection
Census: 154
Capacity: 200
Deficiencies: 5
Aug 14, 2025
Visit Reason
The inspection was an unannounced 1-Year Annual Required inspection conducted to evaluate compliance with licensing requirements.
Findings
The inspection found multiple deficiencies including unsafe hot water temperatures exceeding regulatory limits, unsecured prescription medications accessible to a resident, incomplete staff training records, and missing required postings. Plans of correction were requested with specific due dates.
Severity Breakdown
Type A: 2
Type B: 3
Deficiencies (5)
| Description | Severity |
|---|---|
| Hot water temperature in residents' bathrooms measured above 130 degrees Fahrenheit, exceeding the allowed range of 105-120 degrees. | Type A |
| Unlocked prescription medications including syringes, injection medications, Ibuprofen 200mg, and an expired medication were found accessible in a resident's apartment. | Type A |
| Staff members S2 and S6 did not have updated CPR/First Aid training certificates. | Type B |
| Staff members S1, S2, S4, S5, S6, and S7 lacked the required annual 20 hours of training including dementia care and hospice care. | Type B |
| The required PUB 475 complaint poster was not posted as a 20" x 26" poster in the main entryway. | Type B |
Report Facts
Capacity: 200
Census: 154
Deficiencies cited: 5
Civil penalty: 250
POC due date: Aug 15, 2025
POC due date: Sep 4, 2025
POC due date: Sep 15, 2025
POC due date: Aug 28, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ricardo Romero | Interim Executive Director | Met with Licensing Program Analysts during inspection |
| Deborah Bradley | Assistant Executive Director | Accompanied Licensing Program Analysts during facility tour |
| Kelley Jeffries | Care Specialist | Met with Licensing Program Analysts and explained purpose of visit |
Inspection Report
Complaint Investigation
Census: 164
Capacity: 200
Deficiencies: 1
Nov 19, 2024
Visit Reason
The visit was an unannounced case management inspection conducted during a complaint investigation (#15-AS-20241029121159) to review compliance with fingerprinting requirements for staff.
Findings
Two staff members (S2 and S5) were found not fingerprinted and associated with the facility, violating Title 22 California Code of Regulations, posing a potential health and safety risk to persons in care.
Complaint Details
Complaint investigation #15-AS-20241029121159 was conducted. The deficiency was substantiated based on observation and record review.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to have two staff members fingerprinted and associated to the facility as required by criminal record review regulations. | Type A |
Report Facts
Staff fingerprinting deficiency count: 2
Facility capacity: 200
Resident census: 164
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Joseph Villanueva | Administrator | Met with Licensing Program Analysts during the inspection. |
| Lori Alexander-Washington | Licensing Program Analyst | Conducted the inspection and signed the report. |
| Bennett Fong | Licensing Program Manager | Supervisor overseeing the inspection. |
Inspection Report
Complaint Investigation
Census: 164
Capacity: 200
Deficiencies: 2
Nov 6, 2024
Visit Reason
An unannounced Case Management visit was conducted regarding an Unusual Incident Report (UIR) about a resident (R1) eloping from the Memory Care unit on 10/19/2024.
Findings
The facility failed to maintain egress doors properly and did not have sufficient trained staff to prevent resident elopement, posing an immediate health and safety risk. Two Type B deficiencies were cited related to maintenance and staff supervision.
Complaint Details
The visit was triggered by a complaint regarding a resident eloping from the Memory Care unit on 10/19/2024. The complaint was substantiated by observations and interviews confirming the incident and deficiencies.
Severity Breakdown
Type B: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Egress doors in Memory Care were not working properly, allowing resident (R1) to elope, posing an immediate health and safety risk. | Type B |
| Lack of trained staff to meet care and supervision needs for residents in Memory Care, contributing to resident (R1) eloping and posing an immediate health and safety risk. | Type B |
Report Facts
Civil penalty: 250
Plan of Correction due date: Nov 22, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Joseph Villanueva | Executive Director | Met with Licensing Program Analysts during the inspection and named in findings related to facility management. |
| Lori Alexander-Washington | Licensing Program Analyst | Conducted the inspection and signed the report. |
| Bennett Fong | Licensing Program Manager | Named as supervisor and licensing program manager in the report. |
Inspection Report
Follow-Up
Census: 144
Capacity: 200
Deficiencies: 2
Sep 10, 2024
Visit Reason
Unannounced Case Management - Deficiency visit to review the status of previously cited deficiencies from an Annual Inspection conducted on 2024-08-07 and to evaluate the Plan of Correction submissions.
Findings
The facility had not cleared two deficiencies related to annual medical assessments for residents with dementia and required staff annual training. The Plan of Correction submissions were incomplete, and the facility requested additional time to complete staff training by the end of the year.
Severity Breakdown
Type B: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to have current annual medical assessments for residents with dementia as required by CCR 87707(c)(5). | Type B |
| Failure to have current annual staff training including dementia care and specific health condition training as required by HSC 1569.625(b)(2). | Type B |
Report Facts
Plan of Correction Due Date: Oct 11, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Joseph Villanueva | Executive Director | Met during inspection and discussed Plan of Correction status. |
| Lori Alexander-Washington | Licensing Program Analyst | Conducted the inspection and communicated with facility regarding deficiencies and Plan of Correction. |
| Bennett Fong | Licensing Program Manager | Named as supervisor in the report. |
Inspection Report
Annual Inspection
Census: 143
Capacity: 200
Deficiencies: 5
Aug 7, 2024
Visit Reason
The inspection was an unannounced Required - 1 Year annual inspection conducted to evaluate compliance with licensing regulations and facility standards.
Findings
The inspection identified multiple deficiencies including missing current medical assessments for residents, lack of TB tests, incomplete health screenings and annual training for staff, and failure to conduct quarterly disaster drills. Plans of correction were agreed upon to address these issues by 08/30/2024.
Deficiencies (5)
| Description |
|---|
| Personnel did not have health screening and TB test for staff member S6. |
| Staff members S6 and S7 did not have current annual training completed. |
| Resident R4 did not have a current TB test on file. |
| Residents R4, R6, and R8 did not have current medical assessments on file. |
| Facility did not complete quarterly disaster drills; last drill was conducted on 3/5/2024. |
Report Facts
Deficiencies cited: 5
Plan of Correction Due Date: Aug 30, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Joseph Villanueva | Executive Director | Met with Licensing Program Analysts during inspection and agreed to plans of correction. |
| Grace Luk | Licensing Program Analyst | Conducted the inspection and authored the report. |
| Harpreet Humpal | Licensing Program Manager | Supervisor overseeing the inspection. |
Inspection Report
Complaint Investigation
Census: 143
Capacity: 200
Deficiencies: 1
Aug 7, 2024
Visit Reason
An unannounced Case Management inspection was conducted as part of a complaint investigation to assess compliance with regulations regarding medication administration.
Findings
A deficiency was found where a non-skilled staff member administered insulin to a resident who was unable to self-administer injections, violating California Code of Regulation, Title 22.
Complaint Details
The visit was complaint-related and substantiated by the observation that a non-skilled staff member administered insulin to a resident unable to self-inject, posing a health and safety risk.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Injections. Ensuring that injections are administered by an appropriately skilled professional should the resident require assistance. This requirement is not met as evidenced by a staff member injecting insulin for a resident which poses a potential health and safety risk. | Type B |
Report Facts
Capacity: 200
Census: 143
Plan of Correction Due Date: Aug 26, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Joseph Villanueva | Executive Director | Met with Licensing Program Analysts during inspection |
| Lori Alexander-Washington | Licensing Program Analyst | Conducted inspection and cited deficiency |
| Bennett Fong | Licensing Program Manager | Supervisor overseeing inspection |
Inspection Report
Complaint Investigation
Census: 143
Capacity: 200
Deficiencies: 1
Aug 7, 2024
Visit Reason
The inspection was an unannounced complaint investigation conducted in response to allegations received on 2024-01-09 regarding staff mismanagement of residents' medication and inaccurate medication logs.
Findings
The investigation substantiated the allegation that staff mismanaged residents' medication, including failure to administer insulin Lispro injections as prescribed, posing a potential health and safety risk. The allegation regarding inaccurate medication logs was unsubstantiated as records were found to be complete and accurate.
Complaint Details
The complaint investigation was substantiated for staff mismanagement of residents' medication, specifically failure to administer insulin Lispro injections for multiple days without documentation. The allegation that staff did not keep an accurate medication log was unsubstantiated.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to administer medication according to doctor's orders, posing a potential health and safety risk to persons in care. | Type B |
Report Facts
Capacity: 200
Census: 143
Deficiency count: 1
Plan of Correction Due Date: Aug 26, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Joseph Villanueva | Executive Director | Met with Licensing Program Analysts during investigation |
| Lori Alexander-Washington | Licensing Program Analyst | Conducted complaint investigation and authored report |
| Bennett Fong | Licensing Program Manager | Oversaw complaint investigation |
Inspection Report
Complaint Investigation
Census: 144
Capacity: 200
Deficiencies: 0
Apr 24, 2024
Visit Reason
An unannounced Case Management visit was conducted regarding an Unusual Incident Report (UIR) about suspected elder abuse reported on 2024-01-27.
Findings
The investigation found allegations that a caregiver threatened a resident with harm. The caregiver was placed on paid administrative leave and subsequently terminated. No deficiencies were issued during the visit.
Complaint Details
The complaint involved suspected elder abuse where a caregiver allegedly told a resident that if she fell, she would be sent to the hospital and have her leg cut off. The caregiver was terminated following the investigation.
Report Facts
Census: 144
Total Capacity: 200
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Joseph Villanueva | Executive Director | Met with Licensing Program Analyst during the visit and involved in the investigation |
| Lori Alexander | Licensing Program Analyst | Conducted the unannounced Case Management visit |
Inspection Report
Complaint Investigation
Census: 144
Capacity: 200
Deficiencies: 1
Apr 24, 2024
Visit Reason
An unannounced Case Management visit was conducted regarding an Unusual Incident Report (UIR) reported on 03/03/2024 involving a medication error during staff training.
Findings
The incident involved a staff member giving another resident's medication to a resident in error. The care staff notified the resident's physician and family, and the resident was placed on 72 hours monitoring. Additional training was provided to the staff member on the same day. Deficiencies were cited related to residents' personal rights and competency to meet their needs.
Complaint Details
The visit was complaint-related due to an Unusual Incident Report involving a medication error. The report indicated the error was addressed with notification to physician and family, monitoring of the resident, and additional staff training.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| 87468.2 Additional Personal Rights of Residents in Privately Operated Facilities (a) In addition to the rights listed in Section 87468.1,...(4) To care, supervision, and services...competency to meet their needs. | Type A |
Report Facts
Census: 144
Total Capacity: 200
Plan of Correction Due Date: Apr 25, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Joseph Villanueva | Executive Director | Met with Licensing Program Analyst during inspection and provided information about the incident and training |
| Lori Alexander | Licensing Program Analyst | Conducted the unannounced Case Management visit and evaluation |
Inspection Report
Complaint Investigation
Census: 144
Capacity: 200
Deficiencies: 0
Apr 24, 2024
Visit Reason
The visit was an unannounced Case Management inspection regarding an incident of Suspected Elder Abuse reported to the Community Care Licensing Division from Adult Protective Services.
Findings
The investigation substantiated that a caregiver yelled at a resident in memory care and used threatening language, resulting in the caregiver's termination. No deficiencies were issued during the visit.
Complaint Details
The complaint involved an incident on 01/23/2024 where a caregiver yelled at a resident to be quiet and threatened a cold shower, also roughly placing the resident's walker in front of them. The allegation was substantiated after corroboration from other caregivers and witnesses. The caregiver was placed on paid administrative leave and subsequently terminated on 02/02/2024.
Report Facts
Incident report date: Jan 23, 2024
Complaint report date: Feb 23, 2023
Termination date: Feb 2, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Joseph Villanueva | Executive Director | Met with Licensing Program Analyst during the visit |
| Lori Alexander | Licensing Program Analyst | Conducted the unannounced Case Management visit |
| Bennett Fong | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 144
Capacity: 200
Deficiencies: 1
Apr 24, 2024
Visit Reason
An unannounced Case Management visit was conducted regarding an Unusual Incident Report filed on 01/31/2024 about a memory care resident (R1) who was seen entering the community through the front lobby at around 10:30 PM, with concerns about unsecured windows and window screens.
Findings
The licensee failed to secure the windows and window screens in memory care, posing an immediate health and safety risk to residents. The resident was able to force open a window and remove the screen, which was confirmed by observation and interview.
Complaint Details
The visit was complaint-related based on an Unusual Incident Report regarding a resident leaving memory care unsupervised. The complaint was substantiated by observations and interviews confirming the resident could force open windows and remove screens.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to secure the windows and window screens in memory care which posed an immediate Health & Safety risk to residents in care. | Type B |
Report Facts
Census: 144
Total Capacity: 200
Deficiencies cited: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Joseph Villanueva | Executive Director | Met with Licensing Program Analyst during inspection and discussed incident |
| Lori Alexander-Washington | Licensing Program Analyst | Conducted the inspection and authored the report |
| Bennett Fong | Licensing Program Manager | Supervisor overseeing the inspection |
Inspection Report
Capacity: 200
Deficiencies: 0
Oct 26, 2023
Visit Reason
The visit was an unannounced Case Management visit to follow-up on a death report received by Community Care Licensing regarding a resident's death.
Findings
No deficiencies were cited during this visit. The Licensing Program Analyst obtained additional information related to the resident's death and requested a copy of the death certificate and police report.
Report Facts
Facility capacity: 200
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Joseph Villanueva | Executive Director | Met with Licensing Program Analyst during the visit |
| Deborah Bradley | Assistant Executive Director | Met with Licensing Program Analyst to discuss the incident |
Inspection Report
Original Licensing
Census: 148
Capacity: 200
Deficiencies: 0
Jul 24, 2023
Visit Reason
An unannounced pre-licensing inspection was conducted because the facility is in operation and changing ownership.
Findings
The inspection found no issues; the facility was inspected inside and out, including apartments, common areas, and safety features. The facility is ready to be licensed, subject to final approval by the Central Applications Unit.
Report Facts
Staff files reviewed: 10
Resident files reviewed: 10
Fire extinguisher last serviced: Jan 26, 2023
Food supply duration: 7
Food supply duration: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Deborah Bradley | Interim Executive Director | Met with Licensing Program Analysts during inspection |
Inspection Report
Original Licensing
Census: 148
Capacity: 200
Deficiencies: 0
Jul 24, 2023
Visit Reason
The inspection was conducted as a Component III Review for the Pre-licensing Inspection of the facility.
Findings
Licensing Program Analysts presented a Component III power point and discussed regulations with the Interim Executive Director, who demonstrated knowledge about running and maintaining the facility in accordance with regulations. An exit interview was conducted and a copy of the report was provided.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Deborah Bradley | Interim Executive Director | Participated in the pre-licensing inspection and demonstrated knowledge of regulations. |
| Lori Alexander-Washington | Licensing Program Analyst | Conducted the Component III Review during the pre-licensing inspection. |
| Bennett Fong | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Original Licensing
Census: 143
Capacity: 200
Deficiencies: 0
Jun 14, 2023
Visit Reason
The visit was conducted as part of the Component II completion for a Change in Ownership (CHOW) application for a Residential Care Facility for Elderly (RCFE).
Findings
The Component II completion was successful, confirming that the Applicant and Administrator understand community care facility licensing laws and regulations, including facility operation, admission policies, staffing, health conditions, general provisions, emergency preparedness, complaints and reporting, and pre-licensing readiness.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Deborah Bradley | Administrator | Administrator who participated in the Component II interview and exit interview. |
| Andrew Kohlberg | Applicant | Applicant who participated in the Component II interview. |
| Darla Neeley | Licensing Program Manager | Named as Licensing Program Manager on the report. |
| Celia Phomphachanh | Licensing Program Analyst | Named as Licensing Program Analyst on the report. |
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