Deficiencies (last 5 years)
Deficiencies (over 5 years)
1.4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
65% better than California average
California average: 4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
79% occupied
Based on a October 2025 inspection.
Occupancy over time
Inspection Report
Complaint Investigation
Census: 73
Capacity: 92
Deficiencies: 1
Date: Oct 16, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations that facility staff did not meet the needs of a resident with dementia and that the facility's egress alert system was unreliable.
Complaint Details
The complaint was substantiated regarding failure to meet the needs of a resident with dementia. The allegation about the egress alert system being unreliable was unsubstantiated. The investigation included multiple unannounced tours, interviews, record reviews, and video evidence. The resident's Roam Alert Bracelet had been removed for an unknown duration, and the facility's front door was found unlocked at night during the allegation period, delaying staff response to alarms.
Findings
The investigation substantiated that facility staff did not meet the safety needs of a resident with dementia, citing one deficiency related to insufficient care and supervision. The allegation regarding the unreliability of the facility's egress alert system was unsubstantiated after testing showed the system was functioning properly.
Deficiencies (1)
Facility staff did not meet the care and supervision needs of a resident with dementia, posing a potential safety risk.
Report Facts
Deficiencies cited: 1
Capacity: 92
Census: 73
POC Due Date: Nov 16, 2025
Response time: 25
Number of passes per door during testing: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dang Nguyen | Licensing Program Analyst | Conducted the complaint investigation and unannounced visits |
| Keisha Bean | Health Services Director | Facility representative met during investigation and exit interviews |
| Simon Jacob | Supervisor | Supervisor overseeing the investigation |
| Shawn Amirhoushmand | Administrator | Facility administrator named in the report |
| Staff #1 | Facility manager interviewed regarding the removal of the Roam Alert Bracelet | |
| Staff #2 | Facility manager interviewed regarding the removal and reattachment of the Roam Alert Bracelet |
Inspection Report
Annual Inspection
Census: 70
Capacity: 92
Deficiencies: 0
Date: 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
Date: 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.
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.
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.
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
Annual Inspection
Census: 70
Capacity: 92
Deficiencies: 0
Date: Jul 30, 2025
Visit Reason
Licensing Program Analyst Iby Strong conducted an unannounced Required Annual Inspection to evaluate compliance with licensing requirements and facility conditions.
Findings
The facility was found to be sanitary, in good repair, and compliant with all licensing requirements. No deficiencies were cited during the visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Emily Turner | Executive Director | Met with during inspection and discussed purpose of visit. |
| Iby Strong | Licensing Program Analyst | Conducted the unannounced Required Annual Inspection. |
| Caroline Senteno | Administrator/Director | Named as facility administrator/director. |
Inspection Report
Complaint Investigation
Census: 70
Capacity: 92
Deficiencies: 0
Date: 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.
Complaint Details
The complaint alleging failure to provide needed toenail care was unsubstantiated based on record reviews, staff and outside source interviews.
Findings
The investigation found that the resident required assistance with grooming but nail trimming was excluded from care. Staff provided regular toenail filing and outside sources confirmed the resident was receiving end of life care and regular nail care. There was no preponderance of evidence to prove the alleged violation, so the complaint was unsubstantiated.
Report Facts
Capacity: 92
Census: 70
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Iby Strong | Licensing Program Analyst | Conducted the complaint investigation |
| Emily Turner | Executive Director | Met with Licensing Program Analyst during investigation and exit interview |
| Caroline Senteno | Administrator | Named as facility administrator |
Inspection Report
Complaint Investigation
Census: 74
Capacity: 92
Deficiencies: 0
Date: 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.
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.
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.
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: 74
Capacity: 92
Deficiencies: 0
Date: 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 for residents in care and that reporting requirements were not followed.
Complaint Details
The complaint alleged staff did not ensure the facility was kept free of pests and did not follow reporting requirements. The investigation revealed inconsistent statements and no preponderance of evidence to support the pest allegation, deeming it unsubstantiated. The reporting allegation was found unfounded as the facility reported the infestation to the licensing agency and responsible parties the same day it was discovered.
Findings
The investigation found that the facility had a bed bug infestation in a resident's apartment which was treated promptly and appropriately by the facility with pest control companies and resident relocation. The allegations regarding pest control and reporting requirements were determined to be unsubstantiated or unfounded due to lack of evidence and confirmation that reporting was done timely.
Report Facts
Capacity: 92
Census: 74
Date of complaint received: Jul 2, 2025
Date of inspection visit: Jul 8, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Natasha Persaud | Licensing Program Analyst | Conducted the complaint investigation visit |
| Emily Turner | Executive Director | Met with Licensing Program Analyst during investigation and received report |
| Caroline Senteno | Administrator | Facility administrator named in the report |
| Lizzette Tellez | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 72
Capacity: 92
Deficiencies: 1
Date: 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.
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.
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.
Deficiencies (1)
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.
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
Complaint Investigation
Census: 72
Capacity: 92
Deficiencies: 1
Date: Nov 26, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations that the facility did not provide medical attention to a resident and that facility staff did not meet a client's needs or provide adequate supervision resulting in injuries.
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 resident's needs or provide supervision resulting in injuries was unsubstantiated.
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 resident's needs or failed to provide supervision resulting in multiple falls were unsubstantiated based on interviews and records.
Deficiencies (1)
The licensee did not assist in arranging medical care appropriate to the conditions and needs for 1 out of 60 residents (R1), posing an immediate health risk.
Report Facts
Resident falls alleged: 7
Resident falls confirmed: 1
Residents affected: 1
Capacity: 92
Census: 72
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nacole Patterson | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Kathleen Olson | Interim Executive Director | Facility representative met during the investigation and exit interview |
| Jennifer Lott | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Census: 77
Capacity: 92
Deficiencies: 0
Date: 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
Complaint Investigation
Census: 77
Capacity: 92
Deficiencies: 0
Date: Aug 27, 2024
Visit Reason
The visit was an unannounced Case Management - Incident inspection conducted in response to the licensee’s self-reported death of Resident #1 on 08/14/2024.
Complaint Details
The visit was triggered by a self-reported death of Resident #1, received on 08/23/2024. No deficiencies or safety concerns were found during the investigation.
Findings
During the visit, a brief facility tour and welfare check on remaining clients found no safety concerns. No deficiencies were observed or cited during the visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Caroline Senteno | Executive Director | Met with during the inspection and named in the report. |
| Juliana Barfield | Licensing Program Analyst | Conducted the unannounced Case Management - Incident visit. |
Inspection Report
Annual Inspection
Census: 71
Capacity: 92
Deficiencies: 0
Date: 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
Annual Inspection
Census: 71
Capacity: 92
Deficiencies: 0
Date: Jul 22, 2024
Visit Reason
An unannounced required annual inspection was conducted to evaluate the facility's compliance with licensing regulations and standards.
Findings
The facility was found to be clean, sanitary, and in good repair with no deficiencies observed or cited. All required documents were reviewed and found complete, and interviews did not raise any licensing concerns.
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 participated in exit interview |
| Ramon Serrano | Licensing Program Analyst | Conducted the unannounced required annual inspection |
| Simon Jacob | Supervisor | Supervisor overseeing the licensing evaluation |
Inspection Report
Complaint Investigation
Census: 69
Capacity: 92
Deficiencies: 0
Date: 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.
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.
Findings
No deficiencies were cited during the visit. The Licensing Program Analyst reviewed records and conducted staff interviews related to the incident.
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
Census: 69
Capacity: 92
Deficiencies: 0
Date: Apr 15, 2024
Visit Reason
The visit was a Case Management - Incident investigation triggered by a self-reported incident involving the death of Resident #1 on 04/07/2024.
Complaint Details
The complaint involved the death of Resident #1, who was found in bed with signs of illness and an opened bottle of body wash. The resident had a diagnosis of Major Neurocognitive Disorder and was allowed access to personal grooming items. The resident was transported to the hospital and passed away on 04/07/2024.
Findings
The Licensing Program Analyst conducted interviews and reviewed records related to the incident. No deficiencies were cited during the visit.
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 | Supervisor | Named as supervisor overseeing the licensing evaluation. |
Inspection Report
Complaint Investigation
Capacity: 92
Deficiencies: 0
Date: 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.
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.
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.
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
Complaint Investigation
Capacity: 92
Deficiencies: 0
Date: Feb 9, 2024
Visit Reason
The visit was conducted as an unannounced Case Management - Incident inspection in response to the licensee’s self-reported death of Resident #1 on 02/05/2024.
Complaint Details
The visit was triggered by a complaint related to the self-reported death of Resident #1, which was received by the licensing office on 02/06/2024. No deficiencies or substantiation status were noted.
Findings
During the visit, a brief facility tour and welfare check on remaining residents found no safety concerns. Additional care records were collected and staff interviewed. No deficiencies were cited during the visit.
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
Date: 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
Follow-Up
Census: 74
Capacity: 92
Deficiencies: 0
Date: Feb 1, 2024
Visit Reason
The visit was an unannounced subsequent Case Management - Incident follow-up to a previous visit on 10/06/2023, both in response to the licensee’s self-reported death of Resident #1 on 09/25/2023.
Findings
During the visit, a brief facility tour and welfare check on remaining residents found no safety concerns. Additional care records were collected and staff interviewed. No deficiencies were cited during this visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Caroline Senteno | Executive Director | Met with Licensing Program Analyst during the visit and discussed the purpose of the visit. |
| Norma Munoz | Assisted Living Coordinator | Met with Licensing Program Analyst during the visit and participated in the exit interview. |
| Dang Nguyen | Licensing Program Analyst | Conducted the unannounced subsequent Case Management - Incident visit. |
| Lizzette Tellez | Supervisor | Supervisor overseeing the licensing evaluation. |
Inspection Report
Complaint Investigation
Census: 77
Capacity: 92
Deficiencies: 0
Date: 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.
Complaint Details
Investigation was triggered by a Death Report received on January 16, 2024. No deficiencies were found.
Findings
No deficiencies were issued during the visit after reviewing facility records, conducting interviews, and requesting the Death Certificate.
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
Census: 77
Capacity: 92
Deficiencies: 0
Date: Jan 17, 2024
Visit Reason
Licensing Program Analyst Daniel Pena conducted a case management visit to investigate the circumstances surrounding a Death Report received on January 16, 2024.
Findings
No deficiencies were issued during the visit. The analyst reviewed facility files, requested relevant records including the Death Certificate, and conducted interviews.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Daniel Pena | Licensing Program Analyst | Conducted the case management visit and investigation. |
| Caroline Senteno | Executive Director | Met with Licensing Program Analyst during the visit. |
Inspection Report
Complaint Investigation
Census: 71
Capacity: 92
Deficiencies: 0
Date: 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.
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.
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.
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
Census: 71
Capacity: 92
Deficiencies: 0
Date: Oct 6, 2023
Visit Reason
The visit was an unannounced Case Management - Incident inspection in response to the licensee’s self-reported death of Client #1 on 2023-09-25.
Findings
During the visit, a brief facility tour and welfare check on remaining clients found no safety concerns. No deficiencies were cited during the visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dang Nguyen | Licensing Program Analyst | Conducted the unannounced Case Management - Incident visit. |
| Caroline Senteno | Executive Director | Met with the Licensing Program Analyst during the visit. |
Inspection Report
Complaint Investigation
Census: 77
Capacity: 92
Deficiencies: 0
Date: 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.
Complaint Details
The visit was triggered by a self-reported incident (SOC341) involving Resident 1 and an unidentified individual. The incident required 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.
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: 77
Capacity: 92
Deficiencies: 0
Date: Aug 14, 2023
Visit Reason
The visit was initiated due to a SOC341 incident self-reported by the Licensee to the Department on 2023-08-10, describing an incident between Resident 1 and an unidentified individual.
Complaint Details
The visit was complaint-related due to a self-reported incident (SOC341) involving Resident 1 and an unidentified individual. The complaint is under 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 additional follow-up visits may be necessary.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Caroline Senteno | Executive Director | Met during the visit and named in the report as the facility representative. |
| Rebecca Ruiz | Licensing Program Analyst | Conducted the unannounced case management visit. |
Inspection Report
Complaint Investigation
Census: 76
Capacity: 92
Deficiencies: 1
Date: 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.
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.
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.
Deficiencies (1)
The licensee did not ensure that 1 of 76 residents (R1) was regularly observed, posing a potential safety risk.
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: 1
Date: Aug 7, 2023
Visit Reason
An unannounced Case Management visit was conducted following an incident self-reported by the licensee involving Resident #1 eloping from the secured memory care unit on 08/01/2023.
Complaint Details
The visit was complaint-related due to an incident of elopement reported by the licensee. The investigation substantiated that staff did not provide needed observation to Resident #1, contributing to the elopement.
Findings
The investigation found that Resident #1 eloped from the facility's secured memory care unit due to insufficient observation by staff during shift changes and staff tardiness. One deficiency was cited for failure to ensure residents were regularly observed, posing a potential safety risk.
Deficiencies (1)
Failure to ensure that residents are regularly observed, resulting in Resident #1 eloping from the secured memory care unit.
Report Facts
Deficiencies cited: 1
Resident count: 76
Facility capacity: 92
Plan of Correction due date: Sep 6, 2023
Staff clock-in/out times: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Caroline Senteno | Executive Director | Met during visit and participated in exit interview |
| Dang Nguyen | Licensing Program Analyst | Conducted the unannounced Case Management visit and investigation |
| Lizzette Tellez | Supervisor | Supervisor overseeing the licensing evaluation |
Inspection Report
Complaint Investigation
Census: 76
Capacity: 92
Deficiencies: 0
Date: 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.
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.
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.
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: 0
Date: 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.
Complaint Details
The visit was triggered by a self-submitted incident report concerning a resident elopement. The incident requires further investigation with possible follow-up calls or visits. No substantiation status was provided.
Findings
The Licensing Program Analyst verified the resident was unharmed, tested the facility's delayed-egress exit doors which were found operational and compliant, and collected relevant records and interviews. No deficiencies were observed or cited during the visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dang Nguyen | Licensing Program Analyst | Conducted the unannounced Case Management - Incident visit and performed facility tour, welfare check, and interviews. |
| Caroline Senteno | Executive Director | Met with the Licensing Program Analyst and participated in the exit interview. |
Inspection Report
Complaint Investigation
Census: 76
Capacity: 92
Deficiencies: 1
Date: 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.
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.
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.
Deficiencies (1)
The licensee did not assist 1 of 76 residents with self-administered medications as needed/prescribed, posing a potential health risk.
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: 1
Date: Jul 17, 2023
Visit Reason
The 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 to their skin as prescribed.
Complaint Details
The visit was complaint-related, triggered by a self-submitted LIC624 Incident Report received on 07/03/2023. The complaint was substantiated as the medication error was confirmed by investigation and records.
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 suffered no lasting injury. The licensee disciplined involved staff and retrained the medication technician team.
Deficiencies (1)
The licensee did not assist 1 of 76 residents with self-administered medications as needed/prescribed, posing a potential health risk.
Report Facts
Deficiencies cited: 1
Plan of Correction due date: Aug 16, 2023
Resident count: 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 |
Inspection Report
Complaint Investigation
Census: 76
Capacity: 92
Deficiencies: 0
Date: 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.
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.
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.
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
Complaint Investigation
Census: 76
Capacity: 92
Deficiencies: 0
Date: Feb 10, 2023
Visit Reason
An unannounced complaint investigation was conducted following allegations that the facility did not treat insect infestation and that staff yelled at a resident.
Complaint Details
The complaint was unsubstantiated. Allegations included failure to treat insect infestation and staff yelling at a resident. Investigations included facility tours, interviews, and records review. No credible evidence was found to support the allegations.
Findings
The investigation found no evidence to support the allegations. The facility had a pest control contract with a brief lapse, but inspections and treatments were conducted. Staff and outside sources did not corroborate the claim of staff yelling at the resident. Both allegations were deemed unsubstantiated due to lack of evidence.
Report Facts
Capacity: 92
Census: 76
Pest control contract duration: 5
Pest control service lapse: 1
Inspection duration: 40
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Marisela Garcia-Centeno | Licensing Program Analyst | Conducted the complaint investigation and unannounced visit |
| Caroline Senteno | Executive Director | Facility representative met during the investigation and exit interview |
| John Rante | Supervisor | Supervisor overseeing the licensing evaluation |
Inspection Report
Census: 75
Capacity: 92
Deficiencies: 0
Date: 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
Census: 75
Capacity: 92
Deficiencies: 0
Date: Sep 19, 2022
Visit Reason
The visit was an unannounced Case Management visit in response to a self-reported AWOL incident of 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.
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 met with evaluators and received the report. |
Inspection Report
Annual Inspection
Census: 79
Capacity: 92
Deficiencies: 0
Date: 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
Annual Inspection
Census: 79
Capacity: 92
Deficiencies: 0
Date: Jul 25, 2022
Visit Reason
Licensing Program Analyst Daniel Pena visited the facility to conduct an annual required licensing inspection which focused on infection control.
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 |
|---|---|---|
| Daniel Pena | Licensing Program Analyst | Conducted the annual required licensing inspection focused on infection control. |
| Caroline Senteno | Executive Director | Met with Licensing Program Analyst during the inspection. |
| Rebecca Casella | Health Services Director | Met with Licensing Program Analyst during the inspection. |
Inspection Report
Follow-Up
Census: 73
Capacity: 92
Deficiencies: 0
Date: 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
Follow-Up
Census: 73
Capacity: 92
Deficiencies: 0
Date: Jul 6, 2022
Visit Reason
An unannounced case management visit was conducted 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.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Caroline Senteno | Executive Director | Met during the visit and involved in the exit interview. |
| Rebecca Ruiz | Licensing Program Analyst | Conducted the unannounced case management visit. |
Inspection Report
Census: 77
Capacity: 92
Deficiencies: 0
Date: 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: 77
Capacity: 92
Deficiencies: 0
Date: Nov 5, 2021
Visit Reason
The Department conducted an on-site visit to provide technical assistance and to evaluate the facility's mitigation plan including disinfection, testing, vaccination, screening protocols, and use of personal protective equipment (PPE).
Findings
During the visit, no deficiencies were cited. The team interviewed the Executive Director and conducted a walk-through of the facility, concluding with a debriefing.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rebecca Ruiz | Licensing Program Analyst | Conducted the on-site HAI assessment visit |
| Elizar Perez | Nurse Contractor | Conducted the on-site HAI assessment visit |
| Jennifer West | Nurse Contractor | Conducted the on-site HAI assessment visit |
| Caroline Senteno | Executive Director | Interviewed during the visit and participated in the debriefing |
Inspection Report
Census: 75
Capacity: 92
Deficiencies: 0
Date: 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
Census: 75
Capacity: 92
Deficiencies: 0
Date: Sep 1, 2021
Visit Reason
Licensing Program Analyst Rebecca Ruiz conducted an unannounced case management visit to conduct a health and safety check and review COVID-19 mitigation strategies via a virtual FaceTime visit due to COVID-19 restrictions.
Findings
During the visit, the Licensing Program Analyst toured the facility and interviewed the Executive Director. No deficiencies were issued during this visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rebecca Ruiz | Licensing Program Analyst | Conducted the unannounced case management visit |
| Caroline Senteno | Executive Director | Interviewed during the visit |
Inspection Report
Annual Inspection
Census: 78
Capacity: 92
Deficiencies: 0
Date: 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 |
Inspection Report
Annual Inspection
Census: 78
Capacity: 92
Deficiencies: 0
Date: Jul 26, 2021
Visit Reason
Licensing Program Analysts conducted an unannounced Required 1-Year Visit to evaluate the facility's compliance with licensing requirements and COVID-19 mitigation plan implementation.
Findings
No deficiencies were cited or observed during the inspection. The facility was found to be in compliance with infection control protocols including disinfection, testing surveillance, screening, and use of personal protective equipment.
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 |
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