Inspection Reports for University Retirement Community
1515 Shasta Dr, Davis, CA 95616, United States, CA, 95616
Back to Facility ProfileInspection Report Summary
Most inspections found no deficiencies, with the facility generally clean, well-maintained, and compliant with regulations, including up-to-date safety systems and infection control plans. Several complaint investigations were unsubstantiated, including allegations about water access, hygiene supplies, and facility safety. However, there were two serious incidents involving lack of supervision that resulted in a resident’s serious injury in June 2024, which led to a $10,000 fine, and a more recent elopement in July 2025 posing immediate risk, cited as a deficiency in the September 26, 2025 report. The most recent inspection on September 26, 2025, did find this deficiency related to supervision but no new enforcement actions were listed. Overall, the facility shows a pattern of improvement in many areas, though supervision remains a concern.
Deficiencies per Year
4
3
2
1
0
High
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Complaint Investigation
Census: 52
Capacity: 500
Deficiencies: 1
Sep 26, 2025
Visit Reason
The visit was an unannounced Case Management - Incident inspection to follow up on a self-reported incident involving a resident who left the facility unattended.
Findings
The facility failed to provide adequate supervision to Resident 1, resulting in the resident leaving the facility unattended, which posed an immediate risk to the resident's health, safety, and rights. The resident's supervision status was not properly communicated to staff.
Complaint Details
The visit was complaint-related, following a self-reported incident where Resident 1 left the facility unattended on 07/13/2025. The resident was found off campus by a bystander and returned to the facility. The resident's physician initially stated the resident could not leave unattended but was later reassessed to allow leaving unattended. Staff were unaware of the restriction at the time of the incident.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility did not provide supervision to Resident 1 resulting in an elopement, posing an immediate risk to health, safety, and rights of resident in care. | Type A |
Report Facts
Deficiency count: 1
Plan of Correction due date: Sep 29, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maria Burton | Administrator | Met with Licensing Program Analyst during inspection. |
| Jill Nakagawa | Licensing Program Analyst | Conducted the inspection and signed the report. |
| Kimberley Mota | Licensing Program Manager | Named as Licensing Program Manager on report. |
Inspection Report
Complaint Investigation
Census: 52
Capacity: 500
Deficiencies: 0
Sep 26, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations that the facility did not have running water and staff were not providing residents with water.
Findings
The investigation found that the allegations were unsubstantiated. The facility experienced a water main break affecting the Independent Living units with low water pressure, but the Assisted Living and Memory Care units had water access. Bottled water was provided to residents during repairs, and no deficiencies were cited.
Complaint Details
The complaint alleged lack of running water and staff not providing water to residents. After interviews, observations, and investigation, the allegations were found to be unsubstantiated with no deficiencies cited.
Report Facts
Capacity: 500
Census: 52
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jill Nakagawa | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Maria Burton | Administrator | Facility administrator met with Licensing Program Analyst during investigation |
| Kimberley Mota | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
| Alika Cassilla | Executive Director | Reported that bottled water was provided to residents and communicated updates |
Inspection Report
Complaint Investigation
Census: 47
Capacity: 500
Deficiencies: 0
Mar 28, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2025-01-31 regarding inadequate hygiene supplies and failure to follow infection control practices at the facility.
Findings
The investigation found that all staff interviewed confirmed adequate hygiene supplies were available and infection control protocols were followed. The allegations were determined to be unsubstantiated due to lack of preponderance of evidence.
Complaint Details
The complaint alleged that staff did not ensure residents had adequate hygiene supplies and did not follow infection control practices. After inspection and interviews, these allegations were found unsubstantiated.
Report Facts
Staff interviewed: 9
Apartments inspected: 6
Apartments inspected: 3
Residents interviewed: 3
Staff interviewed: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jill Nakagawa | Licensing Program Analyst | Conducted the complaint investigation and inspection |
| Maria Burton | Administrator | Facility administrator met during inspection |
| Kimberley Mota | Licensing Program Manager | Oversaw the complaint investigation report |
Inspection Report
Enforcement
Census: 47
Capacity: 500
Deficiencies: 1
Mar 28, 2025
Visit Reason
Unannounced Case Management visit to follow up on a self-reported incident submitted on June 14, 2024, involving serious bodily injury to a resident.
Findings
The Department determined that a civil penalty is warranted due to serious bodily injury resulting from lack of supervision on June 11, 2024, when a resident was found injured outside the facility requiring hospitalization. A $10,000 civil penalty was issued.
Deficiencies (1)
| Description |
|---|
| Lack of supervision resulting in serious bodily injury to a resident found outside the facility with a pelvic fracture requiring hospitalization. |
Report Facts
Civil penalty amount: 10000
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jill Nakagawa | Licensing Program Analyst | Conducted the unannounced Case Management visit |
| Maria Burton | Administrator | Facility Administrator met during the visit and named in the report |
Inspection Report
Annual Inspection
Census: 48
Capacity: 500
Deficiencies: 0
Dec 10, 2024
Visit Reason
The inspection was an unannounced annual inspection conducted to evaluate compliance at University Retirement Community at Davis, a Continuing Care Retirement Community (CCRC).
Findings
The facility was found to be clean, well-maintained, and in compliance with regulations. No deficiencies or citations were issued. The facility has approved plans for dementia care and infection control, and all safety systems and drills were up to date.
Report Facts
Residents in Assisted Living: 35
Residents in Memory Care: 13
Residents in Independent Living: 260
Fire Sprinkler Inspection Date: Jun 25, 2024
Fire Extinguisher Service Date: Feb 15, 2024
Fire Drill Date: Nov 27, 2024
Elevator Inspection Date: Apr 10, 2024
Number of Resident Files Inspected: 5
Number of Staff Files Inspected: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maria Burton | Administrator | Met with Licensing Program Analyst during inspection and participated in exit interview |
| Jill Nakagawa | Licensing Program Analyst | Conducted the annual inspection |
| Kimberley Mota | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 33
Capacity: 500
Deficiencies: 0
Jul 1, 2024
Visit Reason
The inspection was conducted as a case management visit regarding an incident report submitted to Community Care Licensing received on 2024-06-14.
Findings
The inspection found that on 2024-06-11, a resident was found outside the building beside an overturned wheelchair and was transported to the hospital. Medical records and documentation were requested for follow-up. No citations were issued at the time of inspection.
Complaint Details
The visit was complaint-related due to an incident involving a resident found outside the building beside an overturned wheelchair. The complaint was not substantiated as no citations were issued.
Report Facts
Incident report submission date: Jun 14, 2024
Incident date: Jun 11, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jill Nakagawa | Licensing Program Analyst | Conducted the case management inspection |
| Christie Dewar | AL/MSU Resident Care Manager | Met with during the inspection |
| Maria Burton | Administrator/Director | Facility administrator referenced for follow-up |
Inspection Report
Complaint Investigation
Census: 45
Capacity: 500
Deficiencies: 0
Dec 19, 2023
Visit Reason
The inspection was an unannounced complaint investigation regarding the allegation that staff were not ensuring that facility grounds were maintained in a safe manner for residents in care.
Findings
The investigation found that the allegation was unfounded; no deficiencies were identified on the Assisted Living side of the facility where the Community Care Licensing Division has jurisdiction. The Independent Living portion was outside the agency's jurisdiction.
Complaint Details
The complaint allegation was that staff were not ensuring that facility grounds were maintained safely for residents. After interviews, observations, and investigation, the allegation was found to be unfounded.
Report Facts
Facility capacity: 500
Census: 45
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jill Nakagawa | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Maria Burton | Administrator | Facility administrator met during the investigation |
| Kimberley Mota | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Annual Inspection
Census: 45
Capacity: 500
Deficiencies: 0
Dec 1, 2023
Visit Reason
The inspection was an unannounced annual inspection conducted to evaluate compliance at University Retirement Community at Davis, a continuing care retirement community licensed for 500 residents.
Findings
The facility was toured including Memory Care, Assisted Living, and common areas. All areas were found clean and well-maintained with no deficiencies or citations issued. Fire safety systems were up to date and the facility had approved dementia and infection control plans.
Report Facts
Residents in Assisted Living: 35
Residents in Memory Care: 10
Residents in Independent Living: 260
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maria Rodriguez | RCFE Manager | Met with Licensing Program Analyst during inspection and facility tour |
| Christie Dewar | AL/MSU Resident Care Manager | Participated in exit interview |
Inspection Report
Complaint Investigation
Census: 305
Capacity: 500
Deficiencies: 0
Apr 21, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint alleging that the facility does not provide a safe environment for residents in care.
Findings
The investigation found the allegations unsubstantiated after reviewing documentation, inspecting the facility, and interviewing staff. No deficiencies or citations were issued.
Complaint Details
The complaint alleged unsafe environment due to bed rails causing injury to a resident and unpermitted construction work. The resident's fall and injury were documented but no new injuries were found after the bed malfunction. Construction work was general maintenance by a licensed contractor with no walls moved. Automatic fire doors were operational. The allegations were unsubstantiated due to lack of preponderance of evidence.
Report Facts
Facility capacity: 500
Census: 305
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jill Nakagawa | Licensing Program Analyst | Conducted the complaint investigation and inspection |
| Maria Burton | Administrator | Facility administrator met during inspection |
| Kimberley Mota | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Annual Inspection
Census: 294
Capacity: 500
Deficiencies: 0
Dec 1, 2022
Visit Reason
The inspection was an unannounced Annual Inspection focusing on Covid-19 Mitigation at University Retirement Community at Davis.
Findings
The facility was found to be in compliance with no deficiencies or citations issued. Covid-19 mitigation measures were in place, and the facility was clean and well-maintained with adequate signage and safety checks.
Report Facts
Residents in Assisted Living: 33
Residents in Memory Care: 11
Residents in Independent Living: 250
Fire Sprinkler System Inspection Date: Aug 12, 2022
Fire Extinguishers Check Date: Feb 25, 2022
Mitigation Plan Approval Date: Jul 16, 2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maria Burton | Administrator | Met with Licensing Program Analyst during inspection |
| Jill Nakagawa | Licensing Program Analyst | Conducted the Annual Inspection |
Inspection Report
Monitoring
Census: 48
Capacity: 500
Deficiencies: 0
Jun 17, 2022
Visit Reason
Unannounced case management visit focused on reviewing the facility's protocols for reporting Covid-19 cases to Community Care Licensing.
Findings
The facility was found to be practicing Covid-19 protocols including screening questions, temperature checks, and mask requirements at the entrance. No deficiencies or citations were issued during this visit.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Cecilia Binamira | Director of Nursing | Spoke with Licensing Program Analyst regarding Covid-19 case reporting protocols. |
Inspection Report
Capacity: 500
Deficiencies: 0
Jun 7, 2022
Visit Reason
The inspection visit was an unannounced case management inspection to follow up on an incident report submitted to Community Care Licensing regarding missing jewelry reported by a resident.
Findings
The Licensing Program Analyst met with the facility administrator and reviewed the incident report. No items were recorded on the resident's signed inventory list. The administration filed the required SOC 341 form, and the Ombudsman and Adult Protective Services were notified. Information from the police report had not yet been received, and family was notified.
Complaint Details
The visit was complaint-related due to an incident report of missing jewelry. The investigation is ongoing with follow-up requested from the resident, police department, and Ombudsman.
Report Facts
Facility capacity: 500
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maria Burton | Administrator | Met with Licensing Program Analyst during the inspection |
| Jill Nakagawa | Licensing Program Analyst | Conducted the unannounced case management inspection |
| Kimberley Mota | Licensing Program Manager | Named in the report header |
Inspection Report
Annual Inspection
Census: 47
Capacity: 500
Deficiencies: 0
Dec 9, 2021
Visit Reason
The inspection was an unannounced annual inspection focusing on Covid-19 mitigation at University Retirement Community at Davis.
Findings
The facility was found to have adequate Covid-19 signage and protocols, clean and comfortable resident rooms, and no deficiencies or citations were issued during the inspection.
Report Facts
Residents in Assisted Living: 36
Residents in Memory Care: 11
Residents in Independent Living: 256
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maria Burton | Administrator | Met with Licensing Program Analyst and toured facility |
| Jill Nakagawa | Licensing Program Analyst | Conducted the annual inspection |
Inspection Report
Complaint Investigation
Capacity: 500
Deficiencies: 0
Dec 3, 2021
Visit Reason
The visit was an unannounced investigation regarding an incident involving the unauthorized/illegal use of a resident's credit card information.
Findings
The administrator filed an SOC 341 report immediately after the incident was reported. The Davis Police, Ombudsman's Office of Yolo County, and Adult Protective Services were notified. The resident filed a police report with the Davis Police Department.
Complaint Details
Investigation was triggered by a complaint related to unauthorized use of a resident's credit card. The incident was substantiated by the filing of police and SOC 341 reports.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maria Burton | Administrator | Named in relation to filing SOC 341 report after incident. |
| Jill Nakagawa | Licensing Program Analyst | Conducted the unannounced investigation. |
| Kimberley Mota | Licensing Program Manager | Named in the report header. |
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