Deficiencies per Year
4
3
2
1
0
Severe
High
Moderate
Low
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Complaint Investigation
Census: 36
Capacity: 65
Deficiencies: 0
Apr 1, 2025
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations received on 2025-02-20 regarding staff not following special dietary plans and use of medication restraint on residents.
Findings
The investigation found that staff do follow special dietary plans based on observations, interviews, and record reviews. The allegation of medication restraint use was denied by staff and not substantiated due to lack of evidence.
Complaint Details
The complaint investigation was unsubstantiated, meaning there was not a preponderance of evidence to prove the alleged violations occurred.
Report Facts
Capacity: 65
Census: 36
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Becky Mann | Licensing Program Analyst | Conducted the complaint investigation |
| Gabriel Aguilar | Administrator | Met with Licensing Program Analyst during investigation |
| Nedra Brown | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Original Licensing
Census: 33
Capacity: 65
Deficiencies: 0
Jan 10, 2025
Visit Reason
An announced pre-licensing visit was conducted for a change of ownership (CHOW) to operate a Residential Care for the Elderly Facility (RCFE). The visit was to evaluate the facility's readiness for licensure following the application submitted on 2024-11-10.
Findings
The facility was found to be well-maintained with no obstructions, appropriate furniture and equipment, proper food supply, and sufficient care staff coverage 24/7. The facility appears ready for licensure with compliance to health and safety regulations.
Report Facts
Fire clearance capacity: 65
Hot water temperature readings: Measured temperatures were 107, 112, 114, and 120 degrees Fahrenheit
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Gabriel Aguilar | Administrator | Met during the inspection and received the exit interview and report |
| Becky Mann | Licensing Program Analyst | Conducted the pre-licensing visit and authored the report |
| Nedra Brown | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Census: 33
Capacity: 65
Deficiencies: 0
Dec 18, 2024
Visit Reason
The visit was an office type inspection conducted on 12/18/2024 involving a telephone interview with the applicant/administrator to verify identification and confirm understanding of community care facility licensing laws and regulations.
Findings
The applicant and administrator demonstrated understanding of licensing laws, facility operation, admission policies, staffing requirements, restrictive health conditions, general provisions, emergency preparedness, complaints and reporting, and pre-licensing readiness during the COMP II process.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Jordan | Administrator | Facility administrator participating in the COMP II interview and verification process. |
| Shlomo Aron | Met with during the inspection visit. | |
| Tracy Thompson | Licensing Program Manager | Named as Licensing Program Manager on the report. |
| Nicole Rouse | Licensing Program Analyst | Named as Licensing Program Analyst on the report. |
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