Inspection Report Summary
Most inspections found deficiencies related primarily to resident care, staff training, and reporting procedures, with several substantiated complaints involving missed medical assessments, improper incident reporting, and inadequate assistance with hygiene and diabetic care. The facility was fined $500 in December 2024 for failing to prevent a resident fall that resulted in hospitalization and for not safeguarding personal belongings. The most recent report from April 24, 2025, documented deficiencies again in resident hygiene, diabetic care, and incident reporting, though other complaint allegations were unsubstantiated. Several complaint investigations over time were unsubstantiated, including those related to medication management and staffing levels. There is no clear pattern of improvement or decline, as deficiencies have appeared intermittently throughout the reports.
Deficiencies (last 5 years)
Deficiencies (over 5 years)
5.2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
30% worse than California average
California average: 4 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
79% occupied
Based on a April 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Complaint Investigation
Census: 75
Capacity: 95
Deficiencies: 5
Date: Apr 24, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by multiple allegations received on 2024-07-29 regarding resident care issues including hygiene, grooming, incident reporting, diabetic care, feeding, hydration, food contamination, and resident aggression.
Complaint Details
The complaint investigation was substantiated for allegations related to inadequate resident hygiene, grooming, bedding cleanliness, incident reporting, and diabetic care. The investigation found evidence through interviews, observations, disciplinary records, and documentation. Other allegations related to feeding, hydration, food contamination, and resident aggression were unsubstantiated due to lack of evidence.
Findings
The investigation substantiated allegations that staff failed to consistently shower residents, assist with dressing, maintain clean bedding, properly report incidents, and meet diabetic needs. Unsubstantiated allegations included failure to feed residents, ensure adequate hydration, prevent food contamination by ants, and prevent resident-to-resident aggression. Deficiencies were documented with disciplinary actions and in-service trainings conducted.
Deficiencies (5)
Staff not properly reporting incidents which posed a potential safety and personal rights risk to residents in care.
Staff not following residents diabetic needs which posed a potential health and safety risk to residents in care.
Allowing residents to sleep in wet linens which posed a potential personal rights risk to residents in care.
Staff not providing showers to residents which posed a potential personal rights risk to residents in care.
Staff not assisting residents with dressing which posed a potential personal rights risk to residents in care.
Report Facts
Capacity: 95
Census: 75
Deficiency count: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Alona Gomez | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Yvonne Flores-Larios | Licensing Program Manager | Oversaw the complaint investigation |
| Kiel Stromgren | Executive Director | Facility representative met during the investigation |
| Nancy Harrison | Administrator | Facility administrator named in the report |
Inspection Report
Complaint Investigation
Census: 75
Capacity: 95
Deficiencies: 0
Date: Apr 10, 2025
Visit Reason
The visit occurred to amend and deliver a new complaint report previously issued on 12/30/2024, as the final report was missing information.
Complaint Details
The visit was complaint-related, involving the delivery of an amended complaint report due to missing information in the prior report dated 12/30/2024.
Findings
The Licensing Program Analyst delivered the amended complaint report and related documents, conducted an exit interview, and provided a copy of the reports to the facility representative.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Alona Gomez | Licensing Program Analyst | Delivered amended complaint report and conducted the visit. |
| Kiel Stromgren | Executive Director | Met with Licensing Program Analyst during the visit. |
| Nancy Harrison | Administrator/Director | Named as facility administrator/director. |
Inspection Report
Complaint Investigation
Census: 76
Capacity: 95
Deficiencies: 3
Date: Dec 30, 2024
Visit Reason
The inspection was an unannounced case management review related to complaint 15-AS-20240514173549 to investigate compliance with licensing standards.
Complaint Details
The visit was triggered by complaint 15-AS-20240514173549. The complaint was investigated through interviews and record reviews, confirming deficiencies related to staff training, record maintenance, and reporting procedures.
Findings
The investigation found that staff were not adequately trained to meet operational needs, the facility was not maintaining required resident or staff records, and was not following proper reporting procedures, including missing or incomplete incident reports.
Deficiencies (3)
Facility personnel were not sufficient to provide adequate services, posing potential safety and personal rights risks.
Original records or photographic reproductions were not retained for a minimum of three years following termination of service to the resident.
Written reports and disposition of cases were not submitted as required.
Report Facts
Capacity: 95
Census: 76
Deficiencies cited: 3
Plan of Correction Due Date: Jan 15, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kiel Stromgren | Executive Director | Met with Licensing Program Analyst during inspection |
| Nancy Harrison | Administrator/Director | Named as facility administrator/director |
| Alona Gomez | Licensing Program Analyst | Conducted the inspection and signed the report |
| Yvonne Flores-Larios | Licensing Program Manager | Supervisor and Licensing Program Manager overseeing the inspection |
Inspection Report
Complaint Investigation
Census: 76
Capacity: 95
Deficiencies: 3
Date: Dec 30, 2024
Visit Reason
This was an unannounced complaint investigation visit triggered by allegations including a resident suffering a fall resulting in hospitalization, staff not safeguarding a resident's personal items, and staff not following physician's instructions.
Complaint Details
The complaint investigation was substantiated. Allegations included a resident suffering a fall resulting in hospitalization, staff not safeguarding the resident's personal items, and staff not following physician's instructions. The investigation included interviews, record reviews, and observations confirming these issues.
Findings
The investigation substantiated all allegations: the resident experienced multiple falls leading to hospitalization due to inconsistent enforcement of fall prevention measures; staff failed to properly safeguard the resident's personal belongings due to procedural lapses and staffing issues; and staff did not consistently follow the physician's instructions regarding the resident's care plan, increasing fall risk. An immediate civil penalty of $500 was assessed.
Deficiencies (3)
Facility failed to take appropriate measures to safeguard resident resources and personal belongings.
Facility failed to ensure residents are free from neglect, including failure to follow physician's instructions resulting in resident falls and hospitalization.
Facility failed to provide care and supervision meeting individual needs, including failure to address fall risk and update care plans accordingly.
Report Facts
Civil penalty amount: 500
Plan of Correction due date: Jan 15, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Alona Gomez | Licensing Program Analyst | Conducted the complaint investigation and delivered amended findings. |
| Kiel Stromgren | Executive Director | Met with Licensing Program Analyst during investigation and exit interview. |
Inspection Report
Annual Inspection
Census: 76
Capacity: 95
Deficiencies: 0
Date: Sep 11, 2024
Visit Reason
The inspection was an unannounced 1-Year Annual Required visit to evaluate the facility's compliance with licensing requirements.
Findings
The Licensing Program Analyst toured the facility and reviewed staff and resident records. No deficiencies were cited during the visit.
Report Facts
Fire extinguisher last serviced date: Aug 23, 2024
Fire and Earthquake Drill last conducted date: Aug 24, 2024
Emergency Disaster Plan last posted date: May 1, 2024
Orkin maintenance last date: Jun 19, 2024
Room temperature: 72
Hot water temperature 1: 111.5
Hot water temperature 2: 116.1
Hot water temperature 3: 110.8
Refrigerator temperature: 34
Freezer temperature: 0
Staff records reviewed: 5
Resident records reviewed: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kiel Stromgren | Executive Director | Met with Licensing Program Analyst during inspection |
| Ashley Paris | Resident Care Director | Met with Licensing Program Analyst during inspection |
Inspection Report
Complaint Investigation
Census: 75
Capacity: 95
Deficiencies: 0
Date: Aug 13, 2024
Visit Reason
The visit was an unannounced case management visit relating to a complaint investigation conducted on 2024-08-08.
Complaint Details
The initial complaint investigation was conducted on 2024-08-08 under the wrong complaint number and was later amended to the correct complaint number 15-AS-20240729122132. The visit on 2024-08-13 was a follow-up case management visit related to this complaint.
Findings
No deficiencies were cited during the visit. The Licensing Program Analyst met with facility staff and provided copies of amended and correct complaint reports.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ashley Paris | Resident Care Director | Met with Licensing Program Analyst during the visit. |
| Kiel Stromgren | Executive Director | Met with Licensing Program Analyst during the initial complaint investigation. |
| Alona Gomez | Licensing Program Analyst | Conducted the complaint investigation and case management visit. |
| Yvonne Flores-Larios | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Complaint Investigation
Census: 75
Capacity: 95
Deficiencies: 1
Date: Aug 8, 2024
Visit Reason
An unannounced complaint investigation visit was conducted in response to a complaint received on 2024-03-27 alleging that staff did not provide medical attention to a resident.
Complaint Details
The complaint investigation was substantiated for the allegation that staff did not provide medical attention to a resident. The preponderance of evidence standard was met based on interviews and record review. Other allegations were unsubstantiated due to lack of evidence.
Findings
The investigation found the allegation that staff did not provide proper medical attention to a resident to be substantiated due to failure to complete a thorough assessment, resulting in missed minor injuries posing a potential safety risk. Other allegations regarding medication mismanagement, supervision, and prevention of residents entering other rooms were unsubstantiated.
Deficiencies (1)
Failure to complete a thorough assessment of resident resulting in missed minor injuries posing a potential safety risk.
Report Facts
Capacity: 95
Census: 75
Plan of Correction Due Date: Aug 15, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Alona Gomez | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Kiel Stromgren | Executive Director | Met with Licensing Program Analyst during investigation |
| Nancy Harrison | Administrator | Facility administrator named in report header |
Inspection Report
Census: 72
Capacity: 95
Deficiencies: 0
Date: Jun 3, 2024
Visit Reason
The visit was an unannounced health and safety check conducted as a result of the department receiving a phone call from the facility.
Findings
The facility was toured and observed to be clean and in good repair with residents appearing safe. No imminent health or safety concerns were noted and no deficiencies were cited during this visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ashley Paris | Resident Care Director | Met with Licensing Program Analyst during the health and safety check. |
| Kiel Stromgren | Executive Director | Accompanied Licensing Program Analyst during the facility tour. |
Inspection Report
Complaint Investigation
Census: 74
Capacity: 95
Deficiencies: 0
Date: May 30, 2024
Visit Reason
The inspection was conducted as a result of a priority 2 complaint to perform a Health & Safety inspection.
Complaint Details
The visit was triggered by a priority 2 complaint. No deficiencies were found, and the complaint was not substantiated.
Findings
The Licensing Program Analyst toured the facility including bedrooms, bathrooms, common areas, kitchen, and outdoor area. No deficiencies were cited during the visit; all safety and health measures such as temperature controls, medication storage, fire safety equipment, and food supplies were found to be adequate.
Report Facts
Hallway temperature: 72
Hot water temperature: 112.5
Refrigerator temperature: 39
Freezer temperature: 0
Food supply duration: 7
Food supply duration: 2
Fire extinguisher last serviced: May 1, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Laquisha Wong | Memory Care Director | Met with Licensing Program Analyst during inspection |
| Alona Gomez | Licensing Program Analyst | Conducted the Health & Safety inspection |
Inspection Report
Complaint Investigation
Capacity: 95
Deficiencies: 1
Date: Mar 5, 2024
Visit Reason
The visit was an unannounced case management investigation regarding a SOC 341 received on 2024-02-22 alleging financial abuse of resident R1 by staff member S1.
Complaint Details
The complaint was substantiated. Staff S1 was found to have financially abused resident R1 by accepting gifts and facilitating purchases for personal use.
Findings
The investigation found that staff S1 financially abused resident R1 by accepting gifts and facilitating purchases for personal benefit, including airline tickets and clothing items. The facility took disciplinary action against S1.
Deficiencies (1)
Based on interviews, S1 was found to have financially abused R1.
Report Facts
Capacity: 95
Purchase amount: 1400
Plan of Correction Due Date: Mar 31, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Alona Gomez | Licensing Program Analyst | Conducted the investigation and authored the report |
| Yvonne Flores-Larios | Licensing Program Manager | Supervised the investigation |
| Kiel Stromgren | Executive Director | Met with Licensing Program Analyst during the visit and provided information |
| Nancy Harrison | Administrator | Facility administrator named in the report header |
Inspection Report
Complaint Investigation
Census: 68
Capacity: 95
Deficiencies: 1
Date: Dec 5, 2023
Visit Reason
The visit was an unannounced Case Management inspection conducted as a result of a complaint (CN# 15-AS-20220817112257) regarding incomplete staff records.
Complaint Details
The visit was triggered by a complaint (CN# 15-AS-20220817112257).
Findings
The inspection found that personnel records for three staff members (S1, S2, and S3) were incomplete, lacking application and contact information, and missing termination date and reason for termination for one staff member (S2). This deficiency poses potential health, safety, and personal rights risks to persons in care.
Deficiencies (1)
Personnel records were incomplete for three staff members, missing application and contact information, and lacking termination details for one staff member.
Report Facts
Capacity: 95
Census: 68
Plan of Correction Due Date: Aug 1, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kiel Stromgren | Memory Care Director | Met with during the inspection. |
| Laquisha Wong | Memory Care Director | Met with during the inspection and explained the purpose of the visit. |
| Nancy Harrison | Administrator | Facility administrator named in the report header. |
Inspection Report
Complaint Investigation
Census: 71
Capacity: 95
Deficiencies: 3
Date: Dec 1, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 08/17/2022 concerning resident injuries, failure to meet reporting requirements, and inaccuracies in a resident's care plan.
Complaint Details
The complaint investigation was substantiated for allegations that the resident sustained a fracture while in care, the facility failed to meet reporting requirements, and the resident's care plan was inaccurate. Another complaint regarding multiple injuries and failure to follow physician orders was unsubstantiated.
Findings
The investigation substantiated that a resident sustained a fracture while in care and that the facility failed to report the incident as required. Additionally, the resident's care plan inaccurately indicated the use of an assistive device which the resident did not require. Another set of allegations regarding multiple injuries and failure to follow physician orders was unsubstantiated due to lack of preponderance of evidence.
Deficiencies (3)
Staff failed to have knowledge of resident's bruising on left shoulder prior to hospital visit on January 13, 2022, resulting in a distal clavicle displaced fracture and soft tissue swelling.
Resident's care plan inaccurately indicated use of an assistive device which the resident did not require or use.
Facility failed to submit an incident report to the licensing agency within seven days of the resident's fall resulting in injury.
Report Facts
Capacity: 95
Census: 71
Deficiencies cited: 3
Plan of Correction Due Dates: Dec 4, 2023
Plan of Correction Due Dates: Dec 8, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lizette Francisco | Evaluator / Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Kiel Stromgren | Executive Director | Met with during the investigation and exit interview |
| Nancy Harrison | Administrator | Facility administrator named in the report |
Inspection Report
Complaint Investigation
Census: 71
Capacity: 95
Deficiencies: 0
Date: Dec 1, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations including staff inappropriately kissing a resident, a resident sustaining multiple unexplained injuries, and insufficient staffing to meet resident needs.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included staff kissing a resident, unexplained injuries, and insufficient staffing. Interviews and record reviews did not provide sufficient evidence to prove or disprove the allegations.
Findings
The investigation included interviews with staff and a resident, review of records, and document collection. The allegation of inappropriate kissing was unsubstantiated due to conflicting interviews. The allegations of unexplained injuries and insufficient staffing were also unsubstantiated due to lack of preponderance of evidence.
Report Facts
Capacity: 95
Census: 71
Sample size: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lizette Francisco | Evaluator / Associate Governmental Program Analyst | Conducted the complaint investigation |
| Kiel Stromgren | Executive Director | Met with investigator during the visit |
| Nancy Harrison | Administrator | Facility administrator named in report header |
| Harpreet Humpal | Licensing Program Manager | Named in report signature section |
Inspection Report
Complaint Investigation
Census: 71
Capacity: 95
Deficiencies: 1
Date: Dec 1, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that staff did not administer a resident's medications.
Complaint Details
The complaint alleged staff did not administer resident's medications. The allegation was substantiated based on evidence that gabapentin was not administered to resident R1 on specified dates. Other allegations about safeguarding personal belongings, ADL needs, housekeeping, and linen changes were investigated and found unsubstantiated.
Findings
The investigation substantiated that staff failed to administer gabapentin to resident R1 on specific dates, posing a health and safety risk. Other allegations regarding safeguarding personal belongings, meeting residents' ADL needs, housekeeping, and linen changes were unsubstantiated.
Deficiencies (1)
Based on record review, Licensee did not comply with the regulation cited above by not administering gabapentin to R1 on 11/16/22, 12/15/22, and 12/27/22 which poses a health and safety risk to persons in care.
Report Facts
Capacity: 95
Census: 71
Deficiencies cited: 1
Plan of Correction Due Date: Dec 8, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lizette Francisco | Associate Governmental Program Analyst | Conducted the complaint investigation and authored the report |
| Kiel Stromgren | Executive Director | Met with investigator during the visit |
| Nancy Harrison | Administrator | Facility administrator named in the report |
Inspection Report
Annual Inspection
Capacity: 95
Deficiencies: 2
Date: Nov 8, 2023
Visit Reason
The visit was an unannounced 1-Year Annual Required inspection conducted to evaluate compliance with licensing regulations.
Findings
The inspection found deficiencies including staff not having received required first aid training and loose medication found in a resident's kitchen cabinet. The Executive Director agreed to provide training and removed the medication during the visit.
Deficiencies (2)
All RCFE staff who assist residents with personal activities of daily living had not received appropriate first aid training from qualified persons.
Loose Ibuprofen was found in resident R6's kitchen cabinet despite the resident being unable to manage their own medication.
Report Facts
Capacity: 95
Deficiencies cited: 2
Plan of Correction Due Date: First aid training due by 2023-11-20; medication removal due by 2023-11-09
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nancy Harrison | Administrator | Facility administrator named in report header |
| Kiel Stromgren | Executive Director | Met with licensing analysts during inspection and agreed to plan of correction |
| Ashley Paris | Resident Care Director | Met with licensing analysts during inspection |
Inspection Report
Complaint Investigation
Census: 53
Capacity: 95
Deficiencies: 0
Date: May 19, 2023
Visit Reason
An unannounced complaint investigation was conducted in response to allegations that staff were not providing key fobs for access to the facility and were retaliating against an authorized representative.
Complaint Details
The complaint was unsubstantiated as there was no preponderance of evidence to prove the alleged violations occurred.
Findings
The investigation found that key fobs were only provided to staff for access to memory care units, and families were instructed to call the front desk for after-hours access. There was no evidence of retaliation against any authorized representatives. The complaint was unsubstantiated.
Report Facts
Capacity: 95
Census: 53
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Gregory Clark | Licensing Program Analyst | Conducted the complaint investigation |
| Keil Stromgren | Executive Director | Met with Licensing Program Analyst during investigation |
Inspection Report
Complaint Investigation
Census: 49
Capacity: 95
Deficiencies: 2
Date: Feb 23, 2023
Visit Reason
An unannounced complaint investigation was conducted based on allegations that facility staff took down licensing and Ombudsman posters for filing a complaint and blocked door entrances with chairs to prevent residents from leaving the building.
Complaint Details
The complaint investigation was initiated based on allegations received on 02/16/2023 regarding removal of licensing and Ombudsman posters and blocking of door entrances with chairs. The allegations were substantiated after observations, interviews, and record reviews.
Findings
The investigation substantiated the allegations that the facility did not post the Ombudsman poster in the lobby as required and that two chairs were blocking an exit door in the Memory Care unit, posing potential health, safety, and personal rights risks to residents.
Deficiencies (2)
Two chairs were blocking the exit door in the Memory Care unit, posing a potential health, safety, and personal rights risk to persons in care.
Ombudsman poster was not posted visible to residents and their representatives, which poses a potential personal rights risk to persons in care.
Report Facts
Capacity: 95
Census: 49
Deficiencies cited: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lizette Francisco | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Harpreet Humpal | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
| Kiel Stromgren | Executive Director | Met with Licensing Program Analyst during the investigation |
| Sangeeta Devi | Resident Care Director | Met with Licensing Program Analyst during the investigation |
Inspection Report
Complaint Investigation
Census: 49
Capacity: 95
Deficiencies: 1
Date: Feb 23, 2023
Visit Reason
The inspection was conducted as a Case Management visit related to complaint #15-AS-20230216161224 to evaluate compliance with regulations.
Complaint Details
Visit was complaint-related for complaint #15-AS-20230216161224.
Findings
The facility was found to have a deficiency in posting complaint information; the complaint poster was not the required size of 20"x26", which poses a potential health, safety, and personal rights risk to persons in care.
Deficiencies (1)
Complaint poster is not 20"x26" as required, violating posting requirements for complaint information.
Report Facts
Capacity: 95
Census: 49
Deficiencies cited: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kiel Stromgren | Executive Director | Met with Licensing Program Analyst during the inspection. |
| Sangeeta Devi | Resident Care Director | Met with Licensing Program Analyst during the inspection. |
Inspection Report
Annual Inspection
Census: 38
Capacity: 95
Deficiencies: 3
Date: Sep 29, 2022
Visit Reason
The visit was an unannounced Infection Control Inspection conducted as part of the required 1-year annual inspection to assess compliance with infection control and safety regulations.
Findings
The inspection found that the facility generally maintained proper infection control practices including PPE use, hand hygiene, and screening procedures. However, two deficiencies were observed involving unlocked hazardous items accessible to a resident with dementia, which were corrected during the visit. Additionally, staff health screening documentation was incomplete for some employees.
Deficiencies (3)
Unlocked rubbing alcohol and cleaning spray accessible to resident R1 in bathroom sink cabinet.
Unlocked scissors accessible to resident R1 in bathroom drawer.
Health screening and TB test results missing for 5 of 7 staff prior to employment.
Report Facts
Staff records reviewed: 7
Staff without health screening and TB test: 5
Capacity: 95
Census: 38
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sangeeta Devi | Resident Care Director | Met with Licensing Program Analysts during inspection. |
| Nancy Harrison | Administrator | Named in plan of correction to conduct in-service training with staff. |
| Harpreet Humpal | Licensing Program Manager | Supervisor overseeing the inspection. |
| Lizette Francisco | Licensing Program Analyst | Conducted the inspection and authored the report. |
Inspection Report
Complaint Investigation
Census: 38
Capacity: 95
Deficiencies: 0
Date: Sep 29, 2022
Visit Reason
The inspection was conducted as a result of a priority 2 complaint to perform a Health & Safety inspection.
Complaint Details
Inspection was triggered by a priority 2 complaint. No imminent health or safety concerns were identified during the inspection.
Findings
The facility was toured and inspected including apartments, bathrooms, common areas, kitchen, and outdoor area. No imminent health or safety concerns were found; hot water temperature, food supplies, refrigerator temperature, medication storage, smoke detectors, carbon monoxide detector, and fire extinguisher were all found to be in compliance.
Report Facts
Hot water temperature: 110.6
Food supplies: 7
Food supplies: 2
Refrigerator temperature: 40
Fire extinguisher last serviced: Sep 1, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sangeeta Devi | Resident Care Director | Met with Licensing Program Analysts during inspection |
| Lizette Francisco | Licensing Program Analyst | Conducted the inspection |
| Harpreet Humpal | Licensing Program Manager | Named in report header |
Inspection Report
Complaint Investigation
Census: 33
Capacity: 95
Deficiencies: 0
Date: Aug 18, 2022
Visit Reason
The inspection was conducted as a result of a priority 1 complaint to perform a Health & Safety inspection at the facility.
Complaint Details
Inspection was triggered by a priority 1 complaint. No deficiencies were found and the complaint was not substantiated.
Findings
The facility was toured and inspected with no imminent health or safety concerns observed. Hot water temperature, food supplies, refrigerator temperature, medication security, smoke detectors, carbon monoxide detector, fire extinguisher, and passageways were all found to be in compliance. No deficiencies were cited during the visit.
Report Facts
Hot water temperature: 110
Non-perishable food supply duration: 7
Perishable food supply duration: 2
Refrigerator temperature: 38
Fire extinguisher last serviced: Apr 14, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sangeeta Devi | Resident Care Director | Met with Licensing Program Analysts during inspection |
| Lizette Francisco | Licensing Program Analyst | Conducted the inspection |
| K. Nguyen | Licensing Program Analyst | Conducted the inspection |
Inspection Report
Routine
Census: 31
Capacity: 95
Deficiencies: 0
Date: Oct 18, 2021
Visit Reason
Unannounced Infection Control Inspection conducted as a required 1-year visit.
Findings
The facility was toured including multiple areas and observed to have proper infection control measures in place such as PPE use, screening, and hygiene supplies. No deficiencies were cited during the visit.
Report Facts
PPE supply duration: 30
Food supply duration: 2
Food supply duration: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Angeles Sticka | Executive Director | Met with Licensing Program Analyst during inspection. |
| Edward Dewitt | Resident Care Director | Accompanied Licensing Program Analyst during facility tour. |
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