Most inspections found no deficiencies, with the facility consistently meeting health, safety, and regulatory standards over the past several years. The most recent report from January 14, 2025, was clean, with no deficiencies cited, though some administrative updates were requested. Earlier complaint investigations in June 2021 were unsubstantiated, indicating no verified issues with resident care or housekeeping. There were no fines, enforcement actions, or severe findings reported at any time. Overall, the facility’s record shows stable compliance and no concerning trends.
This was an unannounced required annual inspection visit to evaluate the facility's compliance with licensing regulations.
Findings
The inspection found no deficiencies. Several updates were requested to be submitted by the end of the month, including personnel schedule, emergency disaster plan, and designation of administrative responsibility.
Report Facts
Facility capacity: 150
Employees Mentioned
Name
Title
Context
Grayson Tynes
Executive Director
Met with during the inspection and mentioned in the narrative
The inspection was an unannounced Required-1 Year Inspection conducted to evaluate the health and safety conditions of the facility and ensure compliance with licensing requirements.
Findings
The inspection found the facility to be in compliance with all regulations, including clean and sanitary conditions, proper medication storage and administration, operable safety equipment, and appropriately trained staff. No deficiencies were cited during the inspection.
Report Facts
Resident files reviewed: 6Staff records reviewed: 4Fire extinguisher last serviced: Jan 25, 2024Fire drill last conducted: Jan 18, 2024Hot water temperature: 112
Employees Mentioned
Name
Title
Context
Grayson Tynes
Executive Director
Met with Licensing Program Analyst during inspection and named in report
An unannounced annual inspection was conducted to ensure the health and safety of residents in care at the facility.
Findings
The facility was found to be in substantial compliance with no immediate health, safety, or personal rights violations observed. No deficiencies were cited during this inspection.
Employees Mentioned
Name
Title
Context
Grayson Tynes
Administrator
Met with Licensing Program Analyst during the inspection and involved in infection control domain completion.
Bethany Mirlohi
Licensing Program Analyst
Conducted the annual inspection and infection control domain evaluation.
The visit was an unannounced case management visit to confirm orders for immediate exclusion of an individual from all facilities.
Findings
The facility was informed of an immediate exclusion effective 12/20/2022 for an individual (S1), who is not allowed to work, live in, or have contact with clients in any residential facility licensed by the California Department of Social Services.
Employees Mentioned
Name
Title
Context
Grayson Tynes
Administrator
Met with Licensing Program Analyst during the visit and acknowledged the immediate exclusion order.
The inspection was an unannounced required annual inspection combined with a 14-day follow-up regarding COVID-19 protocols.
Findings
The inspection found no deficiencies; the facility was in compliance with Title 22 Regulations, Division 6. COVID-19 protocols were followed, no positive residents were present, and safety equipment and supplies were adequate.
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2020-08-04 that staff were not meeting residents' needs and not cleaning resident rooms.
Findings
The investigation included interviews with the administrator, staff, and residents, and review of resident files and policies. The findings concluded that hydration and assistance with cleanliness were provided as required, and housekeeping services were maintained. The allegations were determined to be unsubstantiated due to lack of preponderance of evidence.
Complaint Details
The complaint alleged that staff were not meeting residents' needs, including hydration, and were not cleaning resident rooms. After investigation, including interviews and document review, the allegations were found unsubstantiated.
Report Facts
Facility capacity: 150
Employees Mentioned
Name
Title
Context
Grayson Tynes
Administrator
Met with during investigation and interviewed regarding allegations
An unannounced complaint investigation was conducted due to allegations that facility staff were not meeting the needs of a resident.
Findings
The investigation included interviews with the administrator, staff, and residents, and review of relevant documents. Although the allegations may have occurred or be valid, there was not a preponderance of evidence to prove the violation, and the findings were unsubstantiated.
Complaint Details
The complaint alleged that facility staff were not meeting the needs of a resident. The findings were unsubstantiated.
Report Facts
Complaint Control Number: 27Complaint Control Number Suffix: 20201231110109
Employees Mentioned
Name
Title
Context
Donna Gurriere
Licensing Program Analyst
Conducted the complaint investigation
Grayson Tynes
Administrator
Interviewed during the investigation
Rayna L Bryson
Licensing Program Manager
Named in report signature section
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