Most inspections found no deficiencies, with several complaint investigations unsubstantiated, indicating the facility generally meets regulatory standards. The most recent report from October 3, 2025, had no deficiencies and focused on administrative updates related to a change in leadership. A single minor deficiency was noted in May 16, 2025, for unsecured light cleaning supplies, which was isolated and did not involve resident harm or safety risks. Earlier in 2023, the facility was cited once for failing to report COVID-19 outbreaks within the required timeframe, but no fines or enforcement actions were listed. Overall, the facility’s compliance appears stable with no recent serious issues and some improvement over time.
The visit was a Case Management visit regarding a Change in Administrator at the facility.
Findings
No deficiencies were cited during the visit. The Licensing Program Analyst collected and requested updated administrative documents related to the new administrator.
Report Facts
Capacity: 400Census: 318
Employees Mentioned
Name
Title
Context
John Calandra
Licensing Program Analyst
Conducted the Case Management visit and collected documents
Marc Shores
Chief Financial Officer
Met with Licensing Program Analyst during the visit
Tomas Mendez
Executive Director
Met with Licensing Program Analyst during the visit
An unannounced Annual Required – 1 year inspection was conducted to evaluate compliance with licensing requirements for the assisted living and memory care facility.
Findings
The facility was found to be clean, well-maintained, and compliant with regulations including medication management, food storage, and resident care. A technical violation was issued for unsecured light cleaning supplies observed during the inspection. No deficiencies were cited during the visit.
Severity Breakdown
Technical Violation: 1
Deficiencies (1)
Description
Severity
Light cleaning supplies were observed unsecured and potentially accessible outside the housekeeping closet in the assisted living portion of the facility.
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2024-10-29 regarding inadequate care in activities of daily living, social interaction, dietary restrictions, and incontinence care at the facility.
Findings
The investigation found no evidence to substantiate the complaints. Observations, interviews with residents and staff, and facility records indicated that residents received adequate care with daily living activities, social interaction, appropriate dietary provisions, and incontinence care. No deficiencies were cited.
Complaint Details
The complaint alleged that residents were not provided care with activities of daily living, social interaction and participation in activities, appropriate foods meeting dietary restrictions, and incontinence care needs. The investigation concluded these allegations were unsubstantiated due to lack of preponderance of evidence.
The inspection was conducted as an unannounced health and safety check following an incident report dated 11/5/2024 involving a resident hospitalized for ingesting an illegal substance.
Findings
The facility was found to have reported the incident in a timely manner with appropriate documentation submitted to relevant agencies. No deficiencies were cited during the visit.
Complaint Details
The visit was complaint-related, triggered by an incident involving a resident hospitalized for ingesting an illegal substance. The facility's reporting was timely and complete.
Employees Mentioned
Name
Title
Context
Glen Goddard
Executive Director
Interviewed during the inspection regarding the incident.
RoxAnn King
Director of Assisted Living and Memory Care
Interviewed during the inspection regarding the incident.
The visit was conducted to complete the Annual Inspection of the facility as part of the Case Management - Annual Continuation.
Findings
The inspection found that all reviewed staff files were complete, medications in the Memory Care unit were properly labeled and matched records, and no deficiencies were cited during the visit.
Report Facts
Staff files reviewed: 5Staff interviewed: 5
Employees Mentioned
Name
Title
Context
John Calandra
Licensing Program Analyst
Conducted the annual inspection and reviewed staff files
Steve Martinez
Human Resources Manager
Met with the Licensing Program Analyst during the inspection and reviewed the report
Casey Hobbs
Director of Nursing Services
Greeted the Licensing Program Analyst and was present during the inspection
The inspection was conducted as the Annual 1-year required inspection to evaluate compliance with licensing requirements.
Findings
The inspection found that the facility met all requirements with no deficiencies cited. The physical plant, safety equipment, medication storage, and resident files were all in compliance.
Report Facts
Rooms inspected: 4Resident files reviewed: 5Fire extinguisher last inspection date: Jan 16, 2024Hot water temperature range: 105
Employees Mentioned
Name
Title
Context
John Calandra
Licensing Program Analyst
Conducted the inspection and reviewed documents.
Terrence Tumbale
Administrator
Facility administrator who met with the Licensing Program Analyst and removed expired food.
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2023-05-22 regarding a resident sustaining serious injuries from a fall and concerns about the resident not receiving nutritious meals.
Findings
The investigation determined the allegations to be unfounded, meaning the allegations could not have happened or lacked reasonable basis. The resident's fall was attributed to house slippers, and the facility has a full-time registered dietician responsible for food service. Documentation showed the resident had extensive food preferences and allergies.
Complaint Details
The complaint involved allegations that a resident sustained serious injuries from a fall and was not receiving nutritious meals, leading to malnourishment and weakness. The investigation found these allegations to be unfounded.
The visit was an unannounced annual continuation inspection conducted to follow up on the annual required inspection from 05/17/2023.
Findings
During the visit, Licensing Program Analysts reviewed staff records including criminal clearance, first aid certificates, health screenings, and training hours. Two Assisted Living residents were interviewed. No deficiencies were cited during this inspection.
Report Facts
Staff training hours: 40Staff training hours: 20Residents interviewed: 2
Employees Mentioned
Name
Title
Context
Glen Goddard
Administrator
Met with Licensing Program Analysts during the inspection
Roxann King
Director of Memory Care/Assisted Living
Met with Licensing Program Analysts during the inspection and discussed the report
Janet Prado
Infection Control Preventionist
Met with Licensing Program Analysts during the inspection
The visit was an unannounced case management inspection to review deficiencies related to the facility's failure to report COVID-19 epidemic outbreaks in a timely manner.
Findings
The facility failed to report multiple confirmed COVID-19 cases among staff and residents within the required 24-hour timeframe, violating California Code of Regulations Title 22, CCR 87211. This deficiency was cited and discussed with the facility administrator.
Severity Breakdown
Type A: 1
Deficiencies (1)
Description
Severity
Facility failed to report COVID-19 epidemic outbreaks within 24 hours as required by Title 22, CCR 87211.
Type A
Report Facts
Facility staff diagnosed with COVID-19: 5Residents diagnosed with COVID-19: 1Capacity: 400
Employees Mentioned
Name
Title
Context
Glen Goddard
Administrator
Facility administrator who was met with and discussed the findings
An unannounced annual inspection was conducted to evaluate the facility's compliance with licensing requirements.
Findings
The facility was observed to be clean, tidy, and in good repair with appropriate furniture and safety equipment. Resident records were reviewed and found to have medical assessments signed by a medical professional. No deficiencies were cited during this inspection.
Report Facts
Days of perishables observed: 2Days of nonperishables observed: 7
An unannounced annual inspection was conducted to evaluate compliance with licensing requirements and infection control practices.
Findings
The inspection found no deficiencies. Infection control practices, PPE supplies, medication security, and environmental conditions were all adequate. The facility was compliant with COVID-19 protocols and safety standards.
Report Facts
Capacity: 400Census: 270
Employees Mentioned
Name
Title
Context
Laleen Datt
Health Administrator
Met with Licensing Program Analyst during inspection
Carol Blackwell
Facility Director
Accompanied Licensing Program Analyst on facility tour
An unannounced complaint investigation was conducted in response to an allegation that the facility does not maintain a comfortable temperature for residents.
Findings
The investigation found that room temperatures were comfortable across multiple floors and common areas, residents were aware of warm weather protocols, and the facility has taken steps such as installing portable air conditioning units and sending heat wave alerts. The allegation was unsubstantiated due to lack of preponderance of evidence.
Complaint Details
The complaint alleged that the facility does not maintain a comfortable temperature for residents. The allegation was investigated through interviews, temperature measurements in various rooms, and review of facility protocols. The complaint was found to be unsubstantiated.
The visit was conducted due to concerns received by the San Bruno Regional Licensing Office regarding the facility's management of COVID-19 protocols.
Findings
The Executive Director was interviewed and requested to provide the facility's roster report by 2/12/2021. The report was reviewed with the Executive Director and prepared for signature.
Employees Mentioned
Name
Title
Context
Glen Goddard
Executive Director
Spoke with Licensing Program Analyst regarding COVID-19 protocol concerns and facility roster.
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