Inspection Reports for The Reutlinger Community
4000 Camino Tassajara, Danville, CA 94506, United States, CA, 94506
Back to Facility ProfileInspection Report Summary
Most inspections found no deficiencies, with several complaint investigations unsubstantiated, reflecting generally stable compliance. However, some complaint investigations did identify isolated deficiencies related mainly to medication management, resident safety, and personal rights. The most recent report from August 7, 2025, cited a deficiency for a staff member disabling a wander guard alarm, which allowed a resident to elope unassisted but was resolved without harm. Earlier substantiated issues included medication errors and a temporary restriction on visitor rights, both addressed with staff training and corrective actions. The facility’s record shows some fluctuations in compliance, but recent inspections indicate ongoing efforts to improve safety and care practices.
Deficiencies per Year
4
3
2
1
0
High
Moderate
Low
Census Over Time
Census
Capacity
Inspection Report
Complaint Investigation
Census: 74
Capacity: 120
Deficiencies: 1
Aug 7, 2025
Visit Reason
The visit was an unannounced case management inspection conducted in response to an incident report received on 2025-08-05 regarding a resident eloping from the facility.
Findings
The inspection found that a resident (R1) eloped from the facility unassisted after a staff member disabled the wander guard alarm, mistakenly believing the resident was being picked up by family. The resident was located unharmed and moved to memory care. A deficiency was cited for failure to maintain competent staffing and adequate safety measures.
Complaint Details
The visit was triggered by a complaint incident report about a resident eloping. The deficiency was substantiated and cited under California Code of Regulation, Title 22.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility personnel were not competent to provide necessary services as evidenced by staff disabling the wander guard alarm, allowing a resident to elope unassisted, posing an immediate safety risk. | Type A |
Report Facts
Census: 74
Total Capacity: 120
Plan of Correction Due Date: Aug 14, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Nelsa Alferos | Resident Care Director | Met with Licensing Program Analyst during inspection and provided information about the incident |
| Alona Gomez | Licensing Program Analyst | Conducted the inspection visit |
| Julie Mammad | Administrator/Director | Facility administrator named in report header |
Inspection Report
Complaint Investigation
Census: 75
Capacity: 120
Deficiencies: 1
Jun 25, 2025
Visit Reason
The visit was an unannounced case management inspection conducted in response to an incident report received on 2025-06-20 regarding a resident taking another resident's medications.
Findings
The investigation found that resident R1 took resident R2's medications, and the facility failed to administer the correct medications, posing a potential health and safety risk. The resident was monitored for three days with no ill effects observed. The facility provided additional training to the medication technician and held meetings with residents, family, and staff about medication administration and regulatory requirements.
Complaint Details
The visit was triggered by a complaint/incident report received on 2025-06-20 concerning a resident taking another resident's medications. The resident was monitored for adverse effects and none were observed. The medication technician received additional training. The deficiency was cited and a plan of correction was required.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to administer the correct medications to the resident, posing a potential health and safety risk. | Type B |
Report Facts
Capacity: 120
Census: 75
Plan of Correction Due Date: Jul 3, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Julie Mammad | Executive Director | Met with Licensing Program Analyst during inspection and named in findings related to medication administration |
| Dolores Prince | Assistant Resident Care Director | Met with Licensing Program Analyst during inspection |
| Grace Luk | Licensing Program Analyst | Conducted the inspection and signed the report |
| Harpreet Humpal | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Annual Inspection
Census: 75
Capacity: 120
Deficiencies: 0
Jun 16, 2025
Visit Reason
The inspection was an unannounced 1-Year Annual Required inspection conducted to evaluate compliance with licensing requirements.
Findings
The facility was toured and inspected with no deficiencies cited. All safety equipment was operational, environmental conditions were adequate, and records for residents and staff were reviewed and found compliant.
Report Facts
Residents records reviewed: 6
Staff records reviewed: 6
Staff with current first aid training: 5
Hot water temperature: 110.4
Hot water temperature: 107.7
Hot water temperature: 110.1
Freezer temperature: -15
Refrigerator temperature: 36
Fire extinguisher last serviced: Dec 5, 2024
Emergency Disaster Plan posted: Jan 2, 2025
Emergency disaster drill conducted: May 13, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Julie Mammad | Executive Director | Met with Licensing Program Analyst during inspection and toured facility |
| Alona Gomez | Licensing Program Analyst | Conducted the inspection visit |
| Yvonne Flores-Larios | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Census: 75
Capacity: 120
Deficiencies: 0
Jun 16, 2025
Visit Reason
The visit was an unannounced case management inspection conducted due to receiving an eviction notification for resident R1.
Findings
No deficiencies were cited during the visit. The Executive Director explained that the eviction notice was issued because the facility could not meet R1's needs without agreement from the responsible party on medication adjustments and care changes.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Julie Mammad | Executive Director | Met with Licensing Program Analyst during the visit and discussed resident R1's care and eviction notice. |
| Alona Gomez | Licensing Program Analyst | Conducted the unannounced case management visit. |
| Yvonne Flores-Larios | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Complaint Investigation
Census: 78
Capacity: 120
Deficiencies: 0
Apr 2, 2025
Visit Reason
The visit was conducted as a case management investigation due to a self-report of suspected verbal abuse of a resident by staff.
Findings
The facility and Licensing Program Analyst were unable to confirm any verbal abuse by staff towards the resident. The resident was hard of hearing and unable to identify the staff involved. No deficiencies were cited.
Complaint Details
The complaint involved a resident alleging verbal abuse by staff. The resident could not identify the staff member, and interviews with other residents and staff did not substantiate the claim. The resident has a history of making false claims against caregivers.
Report Facts
Capacity: 120
Census: 78
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Julie Mammad | Executive Director | Met with Licensing Program Analyst during the visit and provided information about the complaint investigation |
| Alona Gomez | Licensing Program Analyst | Conducted the unannounced case management visit and investigation |
| Yvonne Flores-Larios | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 82
Capacity: 120
Deficiencies: 0
Mar 12, 2025
Visit Reason
The visit was conducted due to a self-report of suspected abuse involving a resident who fell in their room and caregivers not appropriately assessing the situation.
Findings
The investigation found that staff member S1 promptly checked on the resident after the fall but failed to wake the resident for a full assessment. Both staff members S1 and S2 received verbal warnings and additional training. No deficiencies were cited at this time.
Complaint Details
The complaint involved a resident fall on 03/03/2025 with delayed injury discovery. Staff S1 and S2 were suspended pending investigation and received verbal warnings and in-service training. The resident is currently back at the facility and in physical therapy.
Report Facts
Capacity: 120
Census: 82
Incident date: Mar 3, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Julie Mammad | Executive Director | Met with Licensing Program Analyst during visit and involved in incident oversight |
| Alona Gomez | Licensing Program Analyst | Conducted the case management visit |
Inspection Report
Complaint Investigation
Census: 77
Capacity: 120
Deficiencies: 0
Nov 27, 2024
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received on 07/18/2024 regarding staff mistreatment of a resident and prevention of resident access to food.
Findings
The investigation found no substantiated evidence to support the allegations. Interviews with staff and review of records did not confirm the claims, and no deficiencies were cited during the visit.
Complaint Details
The complaint was unsubstantiated. Allegations included staff mistreating a resident and preventing access to food. Interviews with staff raised credibility concerns, and no evidence was found in resident charts or incident reports. Residents could not be interviewed due to dementia and memory care status.
Report Facts
Capacity: 120
Census: 77
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Julie Mammad | Executive Director | Met with Licensing Program Analyst during the investigation and provided information about staff interactions. |
| Alona Gomez | Licensing Program Analyst | Conducted the complaint investigation and authored the report. |
| Yvonne Flores-Larios | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Annual Inspection
Census: 67
Capacity: 120
Deficiencies: 0
Jul 18, 2024
Visit Reason
The inspection was an unannounced continuation of the 1-Year Annual Required inspection to assess compliance with licensing requirements.
Findings
The Licensing Program Analyst toured the facility with the Skilled Nursing Administrator and found adequate lighting, appropriate temperatures, proper food supplies, and secured medications. No deficiencies were cited during the visit.
Report Facts
Hot water temperature: 117.4
Hot water temperature: 106.2
Hot water temperature: 114
Freezer temperature: 0
Refrigerator temperature: 36
Fire extinguisher last serviced: Dec 4, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brian Kallio | Skilled Nursing Administrator | Met with Licensing Program Analyst during inspection and toured facility |
Inspection Report
Annual Inspection
Census: 69
Capacity: 120
Deficiencies: 0
Jul 11, 2024
Visit Reason
The inspection was an unannounced 1-Year Annual Required inspection conducted to evaluate compliance with licensing requirements.
Findings
No deficiencies were cited during the visit. The inspection was not complete and will be continued at a later date. Fire clearance was approved, smoke detectors and sprinklers were observed, and staff training was current.
Report Facts
Residents records reviewed: 7
Staff records reviewed: 5
Bedridden residents: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brian Kallio | Skilled Nursing Administrator | Met with Licensing Program Analyst during inspection |
| Julie Mammad | Administrator/Director | Facility Administrator/Director named in report header |
Inspection Report
Complaint Investigation
Census: 76
Capacity: 120
Deficiencies: 1
May 15, 2024
Visit Reason
An unannounced complaint investigation was conducted in response to allegations that staff violated residents' personal rights by not allowing visitors.
Findings
The investigation found the allegations substantiated based on interviews and documentation showing that the Executive Director temporarily suspended a visitor's visitation rights due to harassment, which posed a potential personal rights risk to residents.
Complaint Details
The complaint was substantiated. The allegation was that staff violated residents' personal rights by not allowing visitors. The Executive Director temporarily suspended a visitor's visitation rights due to harassment.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Residents in all residential care facilities for the elderly shall have personal rights to have their visitors, provided that the rights of other residents are not infringed upon. This requirement was not met as the Executive Director restricted visitations for residents, posing a potential personal rights risk. | Type B |
Report Facts
Capacity: 120
Census: 76
Plan of Correction Due Date: May 15, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Julie Mammad | Executive Director | Named in relation to the visitor restriction and investigation findings |
| Alona Gomez | Licensing Program Analyst | Conducted the complaint investigation |
| Yvonne Flores-Larios | Licensing Program Manager | Named in report header and signature |
Inspection Report
Complaint Investigation
Census: 77
Capacity: 120
Deficiencies: 1
Jan 17, 2024
Visit Reason
The visit was an unannounced case management inspection conducted in response to incident reports received on 11/17/2023, 11/29/2023, and 12/11/2023 involving medication errors and resident-staff interactions.
Findings
The inspection found that a resident was given incorrect medication due to a mix-up involving another resident's medication in food, resulting in a technical violation. Additional incidents involved staff yelling at a resident and a resident choking a visitor; appropriate staff training and reassignment were implemented, and no ill effects were noted for the residents involved.
Complaint Details
The visit was complaint-related based on incident reports involving medication errors and resident-staff interactions. The medication error incident was substantiated with corrective actions taken including staff training and labeling improvements. Staff yelling incident resulted in reassignment and training. The choking incident involved a resident on hospice with dementia and was managed with care plan review and visitor notification.
Severity Breakdown
Technical Violation: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Resident was given incorrect medications due to medication mix-up involving food. | Technical Violation |
Report Facts
Medication training hours: 8
Facility capacity: 120
Resident census: 77
Training frequency: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jetrey Inarda | Resident Care Coordinator | Met with Licensing Program Analyst during the visit and provided information about the medication error. |
| Olga Leynov | Director of Social Services | Attended the visit and involved in the inspection process. |
| Janelle Jones | Quality and Compliance Nurse | Attended the visit and conducts trainings and audits four times a month. |
Inspection Report
Complaint Investigation
Census: 83
Capacity: 120
Deficiencies: 0
Nov 1, 2023
Visit Reason
The inspection visit was an unannounced complaint investigation triggered by allegations received on 01/25/2022 concerning staffing levels, caregiver to resident ratios, administrator performance, and planned activities at the facility.
Findings
The investigation involved record reviews, interviews, and document collection. The allegations were found to be unsubstantiated due to lack of preponderance of evidence, with findings showing efforts to maintain staffing, communication during COVID-19, and activities delivered during isolation.
Complaint Details
The complaint involved multiple allegations including insufficient staffing levels, false claims about caregiver to resident ratios, inadequate administrator duties, and failure to carry out planned activities. The investigation concluded all allegations were unsubstantiated.
Report Facts
Capacity: 120
Census: 83
Caregiver count: 1
Resident records reviewed: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lizette Francisco | Associate Governmental Program Analyst | Conducted the complaint investigation and delivered findings |
| Julie Mammad | Executive Director | Met with investigator during the visit and named in findings |
| Ramandeep Kaur | Administrator | Named in allegations regarding performance of required duties |
Inspection Report
Complaint Investigation
Census: 77
Capacity: 120
Deficiencies: 0
Sep 15, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to multiple allegations received on 08/24/2022 regarding resident injury, medical attention delays, staffing issues, financial crisis, food service adequacy, and response to family council concerns.
Findings
The investigation found that the resident injury occurred but first aid was provided and the resident was hospitalized and later transferred to skilled nursing. Staffing was generally adequate according to resident interviews. The facility is experiencing a financial crisis linked to occupancy decline due to COVID-19 restrictions. Food service was reported adequate by most residents. The facility's response to family council concerns was timely. All allegations were ultimately unsubstantiated due to lack of preponderance of evidence.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included resident injury, failure to seek timely medical attention, insufficient staffing, financial crisis, inadequate food service, and delayed response to family council concerns. Evidence did not prove violations occurred.
Report Facts
Capacity: 120
Census: 77
Resident interviews: 6
Residents reporting no staffing issues: 5
Residents reporting adequate food service: 5
Skilled nursing beds: 60
Skilled nursing beds occupied: 40
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lizette Francisco | Evaluator / Licensing Program Analyst | Conducted the complaint investigation |
| Julie Mammad | Executive Director | Met with investigators during the visit |
| Caroline Allen | Social Services Director | Met with investigators during the visit |
| Harpreet Humpal | Licensing Program Manager | Named in report signature section |
| K. Nguyen | Licensing Program Analyst | Arrived unannounced with AGPA to deliver findings |
| Ramandeep Kaur | Administrator | Facility administrator named in report |
Inspection Report
Complaint Investigation
Census: 77
Capacity: 120
Deficiencies: 0
Sep 15, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2022-03-23 alleging improper incontinence care, unkempt facility conditions, inadequate meals, and questionable death.
Findings
The investigation found no substantiated violations. Staff interviews and observations confirmed residents received proper incontinence care, the facility was sanitary and well kept, residents were provided adequate meals, and the questionable death allegation was unfounded based on review of hospice care and death certificate.
Complaint Details
The complaint was unsubstantiated or unfounded for all allegations including improper incontinence care, unkempt facility, inadequate meals, and questionable death.
Report Facts
Capacity: 120
Census: 77
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lizette Francisco | Evaluator / Licensing Program Analyst | Conducted the complaint investigation |
| Harpreet Humpal | Licensing Program Manager | Named in report as Licensing Program Manager |
| Julie Mammad | Executive Director | Facility representative met during investigation |
| Caroline Allen | Social Services Director | Met with investigators during visit |
| K Nguyen | Licensing Program Analyst | Assisted in delivering findings |
| Ramandeep Kaur | Administrator | Facility administrator |
Inspection Report
Annual Inspection
Census: 77
Capacity: 120
Deficiencies: 0
Sep 15, 2023
Visit Reason
Unannounced 1-Year Annual Required visit to evaluate facility compliance with licensing regulations.
Findings
The facility was found to be in compliance with no deficiencies cited. Safety measures, staff training, resident records, and environmental conditions met regulatory standards.
Report Facts
Staff records reviewed: 5
Resident records reviewed: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Julie Mammad | Executive Director | Met with Licensing Program Analyst and Associate Governmental Program Analyst during inspection |
| Caroline Allen | Social Services Director | Accompanied Licensing Program Analyst on facility tour |
Inspection Report
Complaint Investigation
Census: 75
Capacity: 120
Deficiencies: 0
Aug 29, 2023
Visit Reason
The visit was an unannounced Case Management inspection conducted following multiple incident reports submitted to the Community Care Licensing Division (CCLD). The purpose was to investigate incidents involving resident care and staff conduct.
Findings
The investigation reviewed multiple incidents including a resident with low oxygen levels, allegations of rough handling by staff, and multiple reports concerning a staff member accused of causing bruising and skin tears to residents. An internal investigation was conducted, resulting in suspension and reassignment of staff. No deficiencies were cited during the visit.
Complaint Details
The visit was complaint-related, triggered by multiple incident reports involving resident injuries and staff conduct. The internal investigation of one staff member was terminated without determination of substantiation. The licensing analysts requested submission of the internal investigation report by 09/08/2023.
Report Facts
Capacity: 120
Census: 75
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Julie Mammad | Executive Director | Met during inspection and involved in discussion of incidents |
| Caroline Allen | Director of Social Services | Met during inspection and involved in discussion of incidents |
| Jetrey Inarda | Resident Care Coordinator | Met during inspection and involved in discussion of incidents |
Inspection Report
Complaint Investigation
Census: 63
Capacity: 120
Deficiencies: 0
Apr 4, 2023
Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that facility staff were interfering with resident sleeping by slamming doors in the middle of the night.
Findings
The investigation included interviews with staff and residents. Four residents stated that staff do not disturb residents during their sleep. There was insufficient evidence to prove the allegation, so it was determined to be unsubstantiated.
Complaint Details
The complaint alleged that facility staff were interfering with resident sleeping by slamming doors at night. The allegation was found to be unsubstantiated due to lack of preponderance of evidence.
Report Facts
Capacity: 120
Census: 63
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lizette Francisco | Licensing Program Analyst | Conducted the complaint investigation |
| Julie Mammad | Executive Director | Met with Licensing Program Analyst during investigation |
| Caroline Allen | Director of Social Service | Met with Licensing Program Analyst during investigation |
Inspection Report
Complaint Investigation
Census: 63
Capacity: 120
Deficiencies: 0
Apr 4, 2023
Visit Reason
The inspection was an unannounced complaint investigation conducted due to an allegation that the facility was not preventing the spread of COVID-19.
Findings
The investigation included interviews with staff and residents and a review of the facility's COVID-19 mitigation plan. Staff reported that COVID-19 positive residents were isolated in private rooms and redirected from common areas. The allegation was found to be unsubstantiated due to lack of preponderance of evidence.
Complaint Details
The complaint alleged that the facility was not preventing the spread of COVID-19. The allegation was unsubstantiated after investigation.
Report Facts
Residents interviewed: 2
Staff interviewed: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lizette Francisco | Licensing Program Analyst | Conducted the complaint investigation |
| Julie Mammad | Executive Director | Met with Licensing Program Analyst during investigation |
| Caroline Allen | Director of Social Service | Met with Licensing Program Analyst during investigation |
Inspection Report
Census: 64
Capacity: 120
Deficiencies: 0
Nov 18, 2022
Visit Reason
An unannounced case management visit was conducted as a result of receiving residents from Grand Lake Gardens (GLG) and to check on residents.
Findings
Adequate food, paper, and PPE supplies were observed, staffing was stable, and there were no imminent health or safety concerns on the date of the visit.
Report Facts
Residents from GLG currently living in facility: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Julie Mammad | Executive Director | Met with Licensing Program Analyst during the visit |
| Catherine Lin | Licensing Program Analyst | Conducted the unannounced case management visit |
| Bennett Fong | Licensing Program Manager | Named in report header |
Inspection Report
Census: 66
Capacity: 120
Deficiencies: 0
Nov 9, 2022
Visit Reason
The visit was an unannounced case management visit conducted as a result of receiving residents from Grand Lake Gardens and to check on residents.
Findings
During the visit, the Licensing Program Analyst met with residents and staff, observed adequate supplies and stable staffing, and found no imminent health or safety concerns.
Report Facts
Residents from Grand Lake Gardens: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Benjamin Laub | Executive Director | Met with Licensing Program Analyst during the visit |
| Catherine Lin | Licensing Program Analyst | Conducted the unannounced case management visit |
| Bennett Fong | Licensing Program Manager | Named in the report header |
Inspection Report
Complaint Investigation
Census: 60
Capacity: 120
Deficiencies: 0
Aug 18, 2022
Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that residents' care plans were increased without an updated plan.
Findings
The investigation found that although the allegation may have happened or is valid, there was not a preponderance of evidence to prove the alleged violation did or did not occur, resulting in the allegation being unsubstantiated.
Complaint Details
The complaint alleged that residents' care plans were increased without an updated plan. The investigation included interviews and record reviews, and concluded the allegation was unsubstantiated.
Report Facts
Capacity: 120
Census: 60
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Caroline Allen | Director of Social Services | Met with Licensing Program Analysts during the complaint investigation |
| Lizette Francisco | Licensing Program Analyst | Conducted the complaint investigation |
Inspection Report
Complaint Investigation
Census: 76
Capacity: 120
Deficiencies: 0
Nov 9, 2021
Visit Reason
An unannounced complaint investigation was conducted in response to allegations received on 10/02/2020 regarding rough handling of a resident during COVID testing and violation of resident's personal rights.
Findings
The investigation included interviews with residents and staff and review of resident files. Findings indicated that staff used a shorter swab to minimize discomfort and residents did not report bad experiences. There was no preponderance of evidence to substantiate the allegations, and the complaint was determined to be unsubstantiated.
Complaint Details
The complaint was unsubstantiated due to lack of sufficient evidence to prove the alleged violations occurred.
Report Facts
Resident files reviewed: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Grace Luk | Licensing Program Analyst | Conducted the complaint investigation |
| Clara Allen | Executive Director | Met with Licensing Program Analyst during investigation |
| Jay Zimmer | Administrator | Named as facility administrator |
| Harpreet Humpal | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 77
Capacity: 120
Deficiencies: 0
Oct 7, 2021
Visit Reason
The inspection was conducted as an unannounced complaint investigation following a complaint alleging that the facility was not taking precautions to mitigate risks of spreading COVID-19.
Findings
The investigation found that the complaint was unfounded; the facility was not responsible for the valet parking service infection control issues, and no evidence supported the allegation that the facility failed to mitigate COVID-19 risks.
Complaint Details
The complaint alleged that the facility was not taking precautions to mitigate risks of spreading COVID-19. The complaint was investigated and found to be unfounded, meaning the allegation was false or without reasonable basis.
Report Facts
Capacity: 120
Census: 77
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Clara Allen | Executive Director | Met with Licensing Program Analysts during the complaint investigation |
| Lizette Francisco | Licensing Program Analyst | Conducted the complaint investigation |
Inspection Report
Routine
Census: 74
Capacity: 120
Deficiencies: 0
Aug 31, 2021
Visit Reason
The visit was an unannounced Infection Control Inspection conducted as a required one-year routine inspection.
Findings
The facility was found to have adequate infection control measures including proper PPE use, sufficient food supply, visitor screening policies, and posted hygiene protocols. No deficiencies were cited during the visit.
Report Facts
PPE supply duration: 30
Food supply duration - perishable: 2
Food supply duration - non-perishable: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Clara Allen | Executive Director | Met with Licensing Program Analyst during inspection |
| Lizette Francisco | Licensing Program Analyst | Conducted the Infection Control Inspection |
| Harpreet Humpal | Licensing Program Manager | Named in report header |
Inspection Report
Capacity: 120
Deficiencies: 0
Nov 25, 2020
Visit Reason
The visit was a Case Management call conducted by telephone due to the State's shelter in place order, discussing an Incident Report involving two residents.
Findings
The Licensing Program Analyst learned that the facility appropriately intervened in the incident and separated the two residents involved.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jacob Williams | Licensing Program Analyst | Conducted the Case Management call and discussed the incident report. |
| Rammy Kaur | Administrator | Met with Licensing Program Analyst during the Case Management call. |
| Julio Montes | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Complaint Investigation
Census: 76
Capacity: 120
Deficiencies: 1
Nov 24, 2020
Visit Reason
The inspection was an unannounced complaint investigation visit conducted due to a complaint received on 2020-10-21 regarding failure to adhere to local infectious disease control and failure to report to the Responsible Party.
Findings
The complaint regarding failure to adhere to local infectious disease control was substantiated based on interviews and photographic evidence showing staff not properly wearing face coverings. The complaint regarding failure to report to the Responsible Party about COVID-positive individuals was found to be unfounded based on interviews and documentation provided by the facility.
Complaint Details
The complaint investigation was substantiated for failure to adhere to infectious disease control due to improper mask use by staff. The complaint regarding failure to report to the Responsible Party about COVID-positive individuals was unfounded.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Two staff persons had not properly worn face coverings while providing care and supervision, violating government orders and posing a health and safety threat to residents. | Type B |
Report Facts
Capacity: 120
Census: 76
Deficiencies cited: 1
Plan of Correction Due Date: Dec 1, 2020
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jacob Williams | Licensing Program Analyst | Conducted the complaint investigation and signed the report |
| Julio Montes | Licensing Program Manager | Oversaw the complaint investigation |
| Rammy Kaur | Facility representative met with during the investigation |
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