Inspection Report Summary
Most inspections found no deficiencies, with routine annual and complaint investigations consistently showing the facility to be clean, sanitary, and in good repair. The most recent report from July 30, 2025, was perfect with no deficiencies cited. Some earlier complaint investigations identified isolated issues, including a failure to provide timely medical attention after a resident’s fall in November 2024, inadequate observation contributing to a resident elopement in August 2023, and a medication administration error the same month; these were addressed without enforcement actions or fines. Several pest-related and care-related complaints were investigated and found unsubstantiated. The facility’s record shows improvement over time, with the latest inspections free of deficiencies after earlier isolated incidents.
Deficiencies (last 5 years)
Deficiencies (over 5 years)
0.6 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
85% better than California average
California average: 4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
76% occupied
Based on a July 2025 inspection.
Census over time
Inspection Report
Annual Inspection
Census: 70
Capacity: 92
Deficiencies: 0
Jul 30, 2025
Visit Reason
The inspection was an unannounced required annual inspection conducted to evaluate compliance with licensing requirements for the facility.
Findings
The facility was found to be sanitary and in good repair with no deficiencies cited. Resident rooms, equipment, and safety measures met regulatory standards, and all required documentation was complete.
Report Facts
Water temperature: 106.8
Water temperature: 107
Facility capacity: 92
Census: 70
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Emily Turner | Executive Director | Met with Licensing Program Analyst during inspection |
| Iby Strong | Licensing Program Analyst | Conducted the inspection |
Inspection Report
Complaint Investigation
Census: 70
Capacity: 92
Deficiencies: 0
Jul 30, 2025
Visit Reason
An unannounced complaint investigation visit was conducted following a complaint received on 2025-05-20 alleging the licensee did not ensure a resident received needed toenail care.
Findings
The investigation found no preponderance of evidence to prove the alleged violation occurred. Resident records, staff interviews, and outside source interviews indicated that the resident was receiving appropriate grooming assistance and end-of-life care, including regular toenail filing.
Complaint Details
The complaint alleged that the licensee did not ensure Resident 1 received needed toenail care. The allegation was found to be unsubstantiated after investigation.
Report Facts
Facility capacity: 92
Resident census: 70
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Iby Strong | Licensing Program Analyst | Conducted the complaint investigation visit |
| Emily Turner | Executive Director | Met with investigator and participated in interviews |
Inspection Report
Complaint Investigation
Census: 74
Capacity: 92
Deficiencies: 0
Jul 8, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations that staff did not ensure the facility was kept free of pests, specifically bed bugs, and that reporting requirements were not followed.
Findings
The investigation found that a bed bug infestation was confirmed and treated promptly by the facility with appropriate pest control measures and resident relocation. Reporting requirements were met with timely notification to the licensing agency and responsible parties. The allegations were ultimately deemed unsubstantiated or unfounded due to lack of evidence supporting the claims.
Complaint Details
The complaint alleged staff did not ensure the facility was free of pests and did not follow reporting requirements. The investigation revealed the infestation was treated promptly and reported appropriately. The complaint was unsubstantiated for the pest allegation and unfounded for the reporting allegation.
Report Facts
Capacity: 92
Census: 74
Date of first bed bug observation: Jun 14, 2025
Date of inspection visit: Jul 8, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Natasha Persaud | Licensing Program Analyst | Conducted the complaint investigation |
| Emily Turner | Executive Director | Met with Licensing Program Analyst during investigation |
| Caroline Senteno | Administrator | Facility administrator named in report |
| Lizzette Tellez | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 72
Capacity: 92
Deficiencies: 1
Nov 26, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to allegations that the facility did not provide medical attention and that facility staff did not meet a client's needs or provide supervision resulting in injuries.
Findings
The investigation substantiated that the facility failed to initiate 911 services promptly after a resident suffered a fall with a head injury, posing an immediate health risk. However, allegations that staff did not meet the client's needs or provide supervision resulting in multiple falls were unsubstantiated based on interviews and record reviews.
Complaint Details
The complaint investigation was substantiated regarding failure to provide timely medical attention after a resident's fall with head injury. The allegation that staff did not meet the client's needs or provide supervision resulting in injuries was unsubstantiated.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| The licensee did not arrange or assist in arranging medical care appropriate to the conditions and needs of residents, specifically failing to initiate 911 services after a resident's fall with head injury. | Type B |
Report Facts
Resident falls alleged: 7
Resident falls alleged: 10
Resident falls confirmed: 1
Capacity: 92
Census: 72
Plan of Correction Due Date: Dec 6, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Nacole Patterson | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Jennifer Lott | Licensing Program Manager | Oversaw the complaint investigation |
| Kathleen Olson | Interim Executive Director | Facility representative met during the investigation and exit interview |
| Shawn Amirhoushmand | Administrator | Facility administrator named in the report |
Inspection Report
Census: 77
Capacity: 92
Deficiencies: 0
Aug 27, 2024
Visit Reason
The visit was an unannounced Case Management - Incident inspection in response to the licensee’s self-reported death of Resident #1 on 08/14/2024.
Findings
No deficiencies were observed or cited during the visit. A brief facility tour and welfare check on remaining clients found no safety concerns.
Report Facts
Capacity: 92
Census: 77
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Caroline Senteno | Executive Director | Met with Licensing Program Analyst during the visit and participated in exit interview |
| Juliana Barfield | Licensing Program Analyst | Conducted the unannounced Case Management - Incident visit |
| Lizzette Tellez | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Annual Inspection
Census: 71
Capacity: 92
Deficiencies: 0
Jul 22, 2024
Visit Reason
An unannounced required annual inspection was conducted to evaluate the facility's compliance with licensing regulations.
Findings
The facility was found to be clean, sanitary, and in good repair with no deficiencies observed or cited. All required safety equipment, furnishings, and documentation were in place and compliant.
Report Facts
Hospice waiver approved residents: 8
Bedridden residents allowed: 8
Hot water temperature: 116
Ambient temperature: 72
Perishable food supply: 2
Non-perishable food supply: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Caroline Senteno | Executive Director | Met with Licensing Program Analyst during inspection and exit interview |
| Ramon Serrano | Licensing Program Analyst | Conducted the unannounced required annual inspection |
| Simon Jacob | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 69
Capacity: 92
Deficiencies: 0
Apr 15, 2024
Visit Reason
The visit was conducted as a Case Management - Incident investigation following a self-reported incident involving the death of Resident #1 on 04/07/2024.
Findings
No deficiencies were cited during the visit. The Licensing Program Analyst reviewed records and conducted staff interviews related to the incident.
Complaint Details
The investigation was triggered by a self-reported incident of a resident's death. Resident #1 was found ill in bed with an opened bottle of body wash in their room and later passed away at the hospital. The resident had a diagnosis of Major Neurocognitive Disorder and was allowed access to personal grooming items without risk.
Report Facts
Facility capacity: 92
Resident census: 69
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Caroline Senteno | Executive Director | Met with Licensing Program Analyst during the visit and acknowledged receipt of report and licensing rights |
| Natasha Persaud | Licensing Program Analyst | Conducted the Case Management - Incident visit and interviews |
| Lizzette Tellez | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Capacity: 92
Deficiencies: 0
Feb 9, 2024
Visit Reason
The visit was conducted in response to the licensee’s self-reported death of Resident #1, which was received by the licensing office on 2024-02-06. The visit was an unannounced Case Management - Incident inspection.
Findings
During the visit, a brief facility tour and welfare check on remaining residents were performed with no safety concerns found. Additional care records were collected and staff interviewed. No deficiencies were cited during the visit.
Complaint Details
The visit was triggered by a self-reported death of a resident (Resident #1) on 2024-02-05. No deficiencies or safety concerns were identified during the investigation.
Report Facts
Facility capacity: 92
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Caroline Senteno | Executive Director | Met with Licensing Program Analysts during the visit |
| Freida Long | Health Service Director | Met with Licensing Program Analysts and participated in exit interview |
| Amy Rodgers | Licensing Program Analyst | Conducted the unannounced Case Management - Incident visit |
| Julianna Barfield | Licensing Program Analyst | Conducted the unannounced Case Management - Incident visit |
Inspection Report
Follow-Up
Census: 74
Capacity: 92
Deficiencies: 0
Feb 1, 2024
Visit Reason
The visit was a follow-up Case Management - Incident inspection conducted in response to the licensee’s self-reported death of Resident #1, originally reported on 10/05/2023, with the initial visit on 10/06/2023.
Findings
During the visit, no safety concerns were found after a brief facility tour and welfare check of remaining residents. Additional care records were collected and staff interviewed. No deficiencies were cited during this visit.
Report Facts
Capacity: 92
Census: 74
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Caroline Senteno | Executive Director | Met with Licensing Program Analyst during the visit |
| Norma Munoz | Assisted Living Coordinator | Met with Licensing Program Analyst during the visit and participated in exit interview |
| Dang Nguyen | Licensing Program Analyst | Conducted the unannounced Case Management - Incident visit |
| Lizzette Tellez | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 77
Capacity: 92
Deficiencies: 0
Jan 17, 2024
Visit Reason
The visit was a case management investigation to review the circumstances surrounding a Death Report received on January 16, 2024.
Findings
No deficiencies were issued during the visit after reviewing facility records, conducting interviews, and requesting the Death Certificate.
Complaint Details
Investigation was triggered by a Death Report received on January 16, 2024. No deficiencies were found.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Caroline Senteno | Executive Director | Met with Licensing Program Analyst during the case management visit and participated in the exit interview. |
| Daniel Pena | Licensing Program Analyst | Conducted the case management visit and investigation. |
| Simon Jacob | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Complaint Investigation
Census: 71
Capacity: 92
Deficiencies: 0
Oct 6, 2023
Visit Reason
The visit was conducted in response to the licensee’s self-reported death of Client #1, which occurred on 2023-09-25.
Findings
The Licensing Program Analyst conducted an unannounced case management incident visit, performed a brief facility tour and welfare check on remaining clients with no safety concerns found, reviewed pertinent records, and interviewed staff. No deficiencies were cited during the visit.
Complaint Details
The visit was triggered by a self-reported death of a client (Client #1) on 2023-09-25. No deficiencies or safety concerns were found during the investigation.
Report Facts
Capacity: 92
Census: 71
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Caroline Senteno | Executive Director | Met with Licensing Program Analyst during the visit and participated in exit interview |
| Dang Nguyen | Licensing Program Analyst | Conducted the unannounced case management incident visit |
| Lizzette Tellez | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 77
Capacity: 92
Deficiencies: 0
Aug 14, 2023
Visit Reason
The visit was initiated due to a self-reported incident (SOC341) involving a resident and an unidentified individual, requiring further investigation.
Findings
During the unannounced case management visit, no immediate health or safety concerns were observed, and no deficiencies were cited. The incident requires further investigation and possible additional follow-up visits.
Complaint Details
The visit was triggered by a self-reported incident (SOC341) involving Resident 1 and an unidentified individual. The incident required further investigation.
Report Facts
Capacity: 92
Census: 77
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Caroline Senteno | Executive Director | Met with Licensing Program Analyst during the visit and involved in the exit interview |
| Rebecca A Ruiz | Licensing Program Analyst | Conducted the unannounced case management visit |
| Lizzette Tellez | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 76
Capacity: 92
Deficiencies: 1
Aug 7, 2023
Visit Reason
An unannounced Case Management visit was conducted following an incident self-reported by the licensee involving a resident (R1) who eloped from the secured memory care unit on 08/01/2023.
Findings
The investigation found that the facility staff did not provide needed observation to Resident #1, which was material to the elopement incident. Door alarms functioned as designed but staff failed to timely respond to alarms, and staff shift changes contributed to lapses in supervision.
Complaint Details
The visit was triggered by a complaint/self-report of a resident elopement incident on 08/01/2023. The complaint was substantiated based on evidence that staff failed to provide adequate observation and timely response to door alarms.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| The licensee did not ensure that 1 of 76 residents (R1) was regularly observed, posing a potential safety risk. | Type B |
Report Facts
Resident census: 76
Total capacity: 92
Deficiency count: 1
Plan of Correction due date: Sep 6, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Caroline Senteno | Executive Director | Met with Licensing Program Analyst during visit and participated in exit interview |
| Dang Nguyen | Licensing Program Analyst | Conducted the inspection and authored the report |
| Lizzette Tellez | Licensing Program Manager | Supervisor overseeing the inspection |
Inspection Report
Complaint Investigation
Census: 76
Capacity: 92
Deficiencies: 0
Aug 3, 2023
Visit Reason
The visit was conducted in response to an LIC624 Incident Report regarding a resident who eloped from the facility without staff supervision on 08/01/2023.
Findings
During the visit, the Licensing Program Analyst verified the resident was unharmed, tested the facility's delayed-egress exit doors which were found operational and compliant, reviewed care and administrative records, and interviewed relevant staff. No deficiencies were observed or cited during the visit.
Complaint Details
The visit was triggered by a complaint incident report of a resident eloping from the facility. The incident requires further investigation with possible follow-up calls or visits. No substantiation status was stated.
Report Facts
Capacity: 92
Census: 76
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Caroline Senteno | Executive Director | Met with Licensing Program Analyst during the visit and involved in the exit interview |
| Dang Nguyen | Licensing Program Analyst | Conducted the unannounced Case Management - Incident visit |
| Lizzette Tellez | Licensing Program Manager | Named in the report header |
Inspection Report
Complaint Investigation
Census: 76
Capacity: 92
Deficiencies: 1
Jul 17, 2023
Visit Reason
The inspection visit was conducted in response to a self-submitted LIC624 Incident Report regarding a medication error where a resident ingested a topical cream instead of having it applied as prescribed.
Findings
The investigation found that staff did not assist one resident with self-administered medication as prescribed, resulting in the resident ingesting a topical cream and experiencing temporary abdominal pain. The resident was evaluated at a hospital but not admitted overnight and had no lasting injury. The facility disciplined involved staff and retrained the medication technician team.
Complaint Details
The visit was complaint-related, triggered by a medication error incident reported by the licensee. The complaint was substantiated as staff failed to administer medication correctly, causing temporary harm to the resident.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| The licensee did not assist 1 of 76 residents with self-administered medications as needed/prescribed, posing a potential health risk. | Type B |
Report Facts
Deficiencies cited: 1
Technical Violations issued: 1
Residents present: 76
Facility capacity: 92
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Caroline Senteno | Executive Director | Met during visit and participated in exit interview |
| William Lopeman | Business Office Director | Met during visit and discussed purpose of visit |
| Dang Nguyen | Licensing Program Analyst | Conducted the inspection visit and authored the report |
| Lizzette Tellez | Licensing Program Manager | Supervisor overseeing the inspection |
Inspection Report
Complaint Investigation
Census: 76
Capacity: 92
Deficiencies: 0
Feb 10, 2023
Visit Reason
The inspection was conducted as an unannounced complaint investigation following allegations received on 01/06/2023 regarding untreated insect infestation and staff yelling at a resident.
Findings
The investigation found no evidence to support the allegations of untreated insect infestation or staff yelling at the resident. Facility inspections and pest control records showed no signs of infestation, and staff interviews and records indicated no incidents of yelling. Both allegations were deemed unsubstantiated due to lack of evidence.
Complaint Details
The complaint alleged that the facility did not treat insect infestation and that staff yelled at a resident. The investigation included a facility tour, interviews, and records review. The allegations were found unsubstantiated due to insufficient evidence.
Report Facts
Capacity: 92
Census: 76
Pest control contract dates: 2017
Pest control contract lapse: 1
Inspection duration (minutes): 40
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Caroline Senteno | Executive Director | Met with Licensing Program Analyst during investigation and named in report |
| Marisela Garcia-Centeno | Licensing Program Analyst | Conducted the complaint investigation |
| John Rante | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Census: 75
Capacity: 92
Deficiencies: 0
Sep 19, 2022
Visit Reason
The visit was an unannounced Case Management visit conducted in response to a self-reported AWOL incident involving a resident on September 13, 2022.
Findings
No immediate health or safety issues were identified during the visit, and no deficiencies were cited or observed.
Report Facts
Capacity: 92
Census: 75
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| John Rante | Licensing Program Manager | Conducted the unannounced Case Management visit |
| Riza Gloria Alvarez | Licensing Program Analyst | Conducted the unannounced Case Management visit |
| Caroline Senteno | Administrator | Facility administrator who met with inspectors |
Inspection Report
Annual Inspection
Census: 79
Capacity: 92
Deficiencies: 0
Jul 25, 2022
Visit Reason
Licensing Program Analyst Daniel Pena conducted an annual required licensing inspection focusing on infection control at the facility.
Findings
The inspection verified compliance with infection control practices including symptom screening, use of PPE, and availability of cleaning supplies. No deficiencies were cited during the visit.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Caroline Senteno | Executive Director | Met with Licensing Program Analyst during inspection |
| Rebecca Casella | Health Services Director | Met with Licensing Program Analyst during inspection and participated in exit interview |
| Daniel Pena | Licensing Program Analyst | Conducted the annual inspection |
| Simon Jacob | Licensing Program Manager | Named in report header |
Inspection Report
Follow-Up
Census: 73
Capacity: 92
Deficiencies: 0
Jul 6, 2022
Visit Reason
Unannounced case management visit to follow up on an incident report regarding a resident sent to the hospital.
Findings
No deficiencies were cited or observed during the visit. The Licensing Program Analyst toured the facility, interviewed staff and residents, and reviewed facility records.
Report Facts
Incident report date: Jun 14, 2022
Incident date: Jun 7, 2022
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Caroline Senteno | Executive Director | Facility representative met during the visit and involved in exit interview |
| Rebecca A Ruiz | Licensing Program Analyst | Conducted the unannounced case management visit |
| Lizzette Tellez | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Census: 77
Capacity: 92
Deficiencies: 0
Nov 5, 2021
Visit Reason
The visit was conducted as a case management and other type visit to provide technical assistance and evaluate the facility's infection control mitigation plan including disinfection, testing, vaccination, screening protocols, and PPE use.
Findings
During the visit, no deficiencies were cited. The team interviewed the Executive Director and conducted a walkthrough of the facility, concluding with a debriefing and exit interview.
Inspection Report
Census: 75
Capacity: 92
Deficiencies: 0
Sep 1, 2021
Visit Reason
An unannounced case management visit was conducted to perform a health and safety check and review COVID-19 mitigation strategies via a virtual FaceTime visit.
Findings
The Licensing Program Analyst toured the facility and interviewed the Executive Director. No deficiencies were issued during this visit.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Caroline Senteno | Executive Director | Met with Licensing Program Analyst during the visit and participated in the exit interview. |
| Rebecca A Ruiz | Licensing Program Analyst | Conducted the unannounced case management visit. |
| Alexandre Vo | Licensing Program Manager | Named in the report as Licensing Program Manager. |
Inspection Report
Annual Inspection
Census: 78
Capacity: 92
Deficiencies: 0
Jul 26, 2021
Visit Reason
The inspection was an unannounced required 1-year visit to evaluate the facility's compliance with licensing regulations, including review of the COVID-19 Mitigation Plan.
Findings
No deficiencies were cited or observed during the visit. The facility was found to be in compliance with infection control measures and other regulatory requirements.
Report Facts
Capacity: 92
Census: 78
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Rebecca Casella | Health Service Director | Met with Licensing Program Analysts during the inspection |
| Caroline Senteno | Executive Director | Met with Licensing Program Analysts and participated in exit interview |
Loading inspection reports...
