Inspection Report Summary
Most inspections found no deficiencies, showing the facility generally maintained compliance with health and safety regulations. The most recent report from October 7, 2025, was clean with only a minor issue of expired cereal boxes noted but no formal deficiencies. Earlier reports included some medication management problems, such as missing documentation and doses, and staff training gaps identified in January and July 2025. Several complaint investigations were unsubstantiated, though a few substantiated issues involved use of expired COVID test kits, improper medication recordkeeping, and a staff member under the influence while working, resulting in termination and a civil penalty. The facility’s record shows some improvement over time, with the latest inspection free of deficiencies after previous isolated concerns.
Deficiencies (last 5 years)
Deficiencies (over 5 years)
4.2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
5% worse than California average
California average: 4 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
92% occupied
Based on a October 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Census: 101
Capacity: 110
Deficiencies: 0
Oct 7, 2025
Visit Reason
The visit was an unannounced case management legal/non-compliance inspection to ensure the facility is maintaining substantial compliance with licensing requirements.
Findings
The facility was toured to check for health and safety hazards and compliance with Title 22 Regulations. Resident bedrooms, common areas, fire safety equipment, and food service areas were inspected. Some expired cereal boxes were noted, but the facility had sufficient food supplies and planned to order more non-perishable items.
Report Facts
Fire extinguisher service date: Jan 7, 2025
Alarm system test date: Jan 15, 2025
Resident bedrooms inspected: 9
Hot water temperature range (Assisted Living): 105.2-113.1
Hot water temperature range (Memory Care): 107.2-109.7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Melon Rivera | Interim Executive Director | Met with Licensing Program Analyst during the inspection |
| Martha Arroyo | Licensing Program Analyst | Conducted the unannounced case management legal/non-compliance visit |
| Desaree Perera | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Census: 100
Capacity: 110
Deficiencies: 2
Jul 24, 2025
Visit Reason
An unannounced case management – legal/non-compliance visit was conducted to ensure the facility is maintaining substantial compliance, focusing on medications and Centrally Stored Medications and Destruction Records (CSMDR) compliance with Title 22 Regulations.
Findings
The medication review revealed that 3 out of 5 residents had routine medications started but not documented on the CSMDR, and 2 out of 5 residents had medications missing start dates on both the CSMDR and medication labels. Additionally, Resident #1 had prescribed bedtime medications missing one dosage each without documented staff observation notes.
Severity Breakdown
Type A: 1
Type B: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Resident #1's medications Melatonin 3mg and Carbamazepine 200 mg each missing one extra dose, posing an immediate health and safety risk. | Type A |
| Medications for 3 out of 5 residents were not documented on the CSMDR and medications for 2 out of 5 residents were missing start dates, posing a potential health and safety risk. | Type B |
Report Facts
Residents' medications reviewed: 5
Residents with undocumented routine medications: 3
Residents with medications missing start dates: 2
Facility census: 100
Facility capacity: 110
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Margie Veis | Executive Director | Met with Licensing Program Analyst during inspection |
| Martha Arroyo | Licensing Program Analyst | Conducted the inspection and authored the report |
| Desaree Perera | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Census: 100
Capacity: 110
Deficiencies: 0
Apr 28, 2025
Visit Reason
The visit was an unannounced case management – legal/non-compliance inspection to ensure the facility is maintaining substantial compliance, focusing on records being in order and compliant with Title 22 Regulations.
Findings
The Licensing Program Analyst reviewed ten resident files and ten personnel files, finding all files complete with no deficiencies issued. An exit interview was conducted and a report copy was issued.
Report Facts
Resident files reviewed: 10
Personnel files reviewed: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Margie Veis | Executive Director | Met with Licensing Program Analyst during inspection |
| Martha Arroyo | Licensing Program Analyst | Conducted the unannounced case management – legal/non-compliance visit |
Inspection Report
Annual Inspection
Census: 97
Capacity: 110
Deficiencies: 2
Jan 27, 2025
Visit Reason
An unannounced annual inspection was conducted to evaluate compliance with Title 22 regulations, infection control policies, emergency disaster plans, and other regulatory requirements.
Findings
The facility was generally found to be in compliance with infection control, fire safety, kitchen, common areas, and medication storage regulations. However, deficiencies were cited related to staff criminal record clearance and incomplete annual training for some staff members.
Severity Breakdown
Type A: 1
Type B: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Staff 1 (S1) was hired on 04/29/2023 but had not been associated with the facility since 02/21/2024, violating criminal record clearance requirements. | Type A |
| Three out of ten staff members did not have the required annual training completed, including dementia care and other mandated training. | Type B |
Report Facts
Residents present: 97
Total licensed capacity: 110
Staff files reviewed: 10
Resident files reviewed: 10
Residents medication reviewed: 5
Hot water temperature range: 113.4-118.4
Plan of Correction Due Date: Jan 27, 2025
Plan of Correction Due Date: Feb 28, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Margie Veis | Executive Director | Met with LPAs during inspection and involved in facility tour |
| Martha Arroyo | Licensing Program Analyst | Conducted inspection and authored report |
| Desaree Perera | Licensing Program Manager | Supervisor and named in deficiency section |
Inspection Report
Census: 99
Capacity: 110
Deficiencies: 0
Sep 17, 2024
Visit Reason
The visit was an unannounced case management – legal/non-compliance inspection to ensure the facility is maintaining substantial compliance and there are no health and safety hazards.
Findings
The inspection found that resident rooms and bathrooms were appropriately furnished and stocked, hot water temperatures were within required ranges, fire extinguishers were fully charged, and there were no obstructions or hazards observed. The facility's new resident Admissions Agreement and Assessment Tool need updating to meet Title 22 Regulations. No deficiencies were issued.
Report Facts
Resident bedrooms observed: 5
Bedrooms with hot water temperature measured: 5
Fire extinguisher charge date: Jan 16, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Margie Veis | Executive Director | Met with Licensing Program Analyst during inspection and discussed visit |
| Martha Arroyo | Licensing Program Analyst | Conducted the unannounced case management – legal/non-compliance visit |
Inspection Report
Complaint Investigation
Census: 106
Capacity: 110
Deficiencies: 0
Aug 29, 2024
Visit Reason
The inspection was an unannounced complaint investigation triggered by allegations received on 07/24/2024 regarding mishandling of residents' incontinence needs, unmet dental needs, and unmet hygiene needs at the facility.
Findings
The investigation found no sufficient evidence to substantiate the allegations. Interviews with staff and families, as well as physical plant observations, indicated that residents' incontinence, dental, and hygiene needs were being met appropriately. Therefore, all allegations were deemed unsubstantiated.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included mishandling of residents' incontinence needs, failure to meet dental needs, and failure to meet hygiene needs. Interviews with eleven staff members and five families revealed no concerns or evidence supporting the allegations.
Report Facts
Staff interviewed: 11
Families interviewed: 5
Complaint received date: Jul 24, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brian Balisi | Licensing Program Analyst | Conducted the complaint investigation |
| Margie Veis | Administrator | Facility administrator met during the investigation |
Inspection Report
Complaint Investigation
Census: 106
Capacity: 110
Deficiencies: 1
Aug 29, 2024
Visit Reason
The inspection was an unannounced complaint investigation conducted in response to allegations received on 07/29/2024 regarding inadequate supplies, unmet residents' diapering needs, and use of expired COVID tests.
Findings
The investigation found the allegations of inadequate supplies and unmet diapering needs to be unsubstantiated due to insufficient evidence. However, the allegation that staff used expired COVID test kits was substantiated, with evidence confirming expired test kits were used on August 9, 2024.
Complaint Details
The complaint investigation was unannounced and initiated due to allegations of inadequate supplies, unmet diapering needs, and use of expired COVID tests. The first two allegations were unsubstantiated, while the use of expired COVID tests was substantiated based on interviews, document reviews, and confirmation from the test kit manufacturer and FDA records.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Use of expired COVID test kits to test residents, posing a potential personal rights risk. | Type B |
Report Facts
Capacity: 110
Census: 106
Deficiency due date: Sep 6, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brian Balisi | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Margie Veis | Administrator / Executive Director | Facility administrator interviewed during investigation |
| Desaree Perera | Licensing Program Manager | Oversaw the complaint investigation |
Inspection Report
Complaint Investigation
Census: 100
Capacity: 110
Deficiencies: 0
Jun 28, 2024
Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that staff were not following physician's orders for a resident, specifically not using a waist belt on the resident's wheelchair as prescribed.
Findings
The investigation found insufficient evidence to substantiate the allegation. Although the resident's POA obtained a physician's order for use of a waist belt at a Skilled Nursing Facility, the facility did not use it due to non-compliance with Title 22 and lack of a physician's order for use at this facility. Therefore, the allegation was deemed unsubstantiated.
Complaint Details
The complaint alleged that staff were not following physician's orders by not using a waist belt on Resident #1's wheelchair. The investigation included interviews, record reviews, and a physical plant inspection. The allegation was found unsubstantiated due to insufficient evidence.
Report Facts
Capacity: 110
Census: 100
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brian Balisi | Licensing Program Analyst | Conducted the complaint investigation visit |
| Margie Veis | Executive Director | Met with the Licensing Program Analyst during the investigation |
| Desaree Perera | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 100
Capacity: 110
Deficiencies: 1
Mar 22, 2024
Visit Reason
The inspection visit was conducted as a complaint investigation regarding allegations that staff increased resident fees without providing new additional services.
Findings
The allegation that staff increased resident fees without providing new additional services was substantiated. Records showed residents were charged increased fees without updated admission agreements reflecting the changes, and no additional services were provided to justify the fee increase.
Complaint Details
The complaint alleged that staff increased resident fees without providing new additional services. The allegation was substantiated based on document review and interviews.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to provide residents with updated admissions agreements or addendums reflecting new fee structures and level of care changes as required by Health & Safety Code 1569.655(a). | Type B |
Report Facts
Capacity: 110
Census: 100
Deficiency count: 1
Plan of Correction Due Date: Mar 27, 2024
Days prior notice required: 60
Admission agreements reviewed: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Martha Arroyo | Licensing Program Analyst | Conducted the complaint investigation and subsequent visit |
| Desaree Perera | Licensing Program Manager | Oversaw the complaint investigation |
| Margie Veis | Executive Director | Facility representative met during the investigation and named in findings |
Inspection Report
Census: 100
Capacity: 110
Deficiencies: 0
Mar 14, 2024
Visit Reason
The visit was an unannounced case management - other visit conducted to obtain pertinent information regarding an incident that occurred on 01/01/2024.
Findings
During the visit, the Licensing Program Analyst met with staff, conducted a record review, and obtained copies of pertinent documents. An exit interview was conducted and the report was reviewed and issued.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Margie Veis | Executive Director | Arrived during the visit and met with Licensing Program Analyst. |
| Martha Arroyo | Licensing Program Analyst | Conducted the unannounced case management visit. |
| Desaree Perera | Licensing Program Manager | Named in the report header. |
Inspection Report
Annual Inspection
Census: 100
Capacity: 110
Deficiencies: 1
Jan 18, 2024
Visit Reason
The inspection was an unannounced required annual visit to evaluate compliance with Title 22 Regulations and ensure the facility meets health and safety standards.
Findings
The facility was generally found to be in compliance with regulations including kitchen safety, common areas, bedrooms, restrooms, medication storage, and infection control. However, a deficiency was noted regarding expired non-perishable food items which were discarded and replaced during the inspection.
Deficiencies (1)
| Description |
|---|
| A substantial amount of non-perishable food items were in poor condition as they were past their expiration date, posing a potential health, safety, or personal rights risk to persons in care. |
Report Facts
Capacity: 110
Census: 100
Hot water temperature range: 112.5
Hot water temperature range: 115.3
Number of resident bedrooms observed: 10
Number of resident restrooms observed: 10
Number of resident files reviewed: 9
Number of personnel files reviewed: 9
Number of staff interviewed: 6
Number of residents interviewed: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Margie Veis | Executive Director | Met with Licensing Program Analysts during inspection |
| Martha Arroyo | Licensing Program Analyst | Conducted inspection and signed report |
| Desaree Perera | Licensing Program Manager | Supervised inspection and named in report |
Inspection Report
Complaint Investigation
Census: 100
Capacity: 110
Deficiencies: 1
Jan 18, 2024
Visit Reason
The visit was an unannounced case management investigation to conclude an incident that occurred on 2024-01-01 involving staff and a resident.
Findings
The investigation found that Staff #1 slapped Resident #1 while providing care after being slapped by the resident, which violated residents' personal rights and posed an immediate safety risk.
Complaint Details
The visit was complaint-related, investigating an incident where Resident #1 slapped Staff #1, who then slapped the resident back. The incident was substantiated based on evidence obtained.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Violation of personal rights of residents due to Staff #1 slapping Resident #1 while providing care. | Type A |
Report Facts
Census: 100
Total Capacity: 110
Deficiencies cited: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Margie Veis | Executive Director | Met with Licensing Program Analysts during the visit and involved in the incident investigation |
| Martha Arroyo | Licensing Program Analyst | Conducted the investigation and authored the report |
| Desaree Perera | Licensing Program Manager | Supervisor overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 100
Capacity: 110
Deficiencies: 7
Jan 18, 2024
Visit Reason
The visit was an unannounced complaint investigation triggered by multiple allegations received on 2023-05-22 regarding staff behavior and care at the facility.
Findings
The investigation found all allegations except one to be unsubstantiated, including inappropriate staff communication, unsafe environment, improper medication training, causing resident to bleed, eating resident food, and improper cleaning. One allegation that a staff member was under the influence at work was substantiated.
Complaint Details
The complaint investigation was unannounced and involved multiple allegations against staff behavior and care. After interviews with staff, residents, family members, and review of records, all allegations except the one regarding staff under the influence at work were deemed unsubstantiated. The allegation of staff under the influence was substantiated based on admission by the staff member and evidence provided.
Deficiencies (7)
| Description |
|---|
| Staff speak to residents in an inappropriate manner. |
| Staff does not provide a safe environment for residents. |
| Staff are not properly trained to administer residents’ medications. |
| Staff caused a resident to bleed. |
| Staff eats resident's food. |
| Staff inappropriately cleaned the dining room tables at the facility. |
| Staff is under the influence at work. |
Report Facts
Capacity: 110
Census: 100
Training completion: 65
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Margie Veis | Executive Director | Met with during inspection and mentioned in findings |
| Martha Arroyo | Licensing Program Analyst | Conducted the complaint investigation |
| Desaree Perera | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 100
Capacity: 110
Deficiencies: 0
Jan 5, 2024
Visit Reason
The visit was an unannounced Case Management – Incident inspection to investigate a self-reported incident involving staff and a resident that occurred on 2024-01-01.
Findings
During the visit, the Licensing Program Analyst conducted interviews, toured the Memory Care Unit, and reviewed relevant documents. Further investigation was deemed necessary and a follow-up visit will be conducted.
Complaint Details
The complaint involved an incident where Resident #1 slapped Staff #1, who then responded by slapping the resident. Staff #2 witnessed the event. The investigation is ongoing.
Report Facts
Capacity: 110
Census: 100
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Margie Veis | Executive Director | Met with Licensing Program Analyst during the investigation |
| Martha Arroyo | Licensing Program Analyst | Conducted the unannounced Case Management – Incident visit |
Inspection Report
Complaint Investigation
Census: 96
Capacity: 110
Deficiencies: 1
Dec 4, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation received on 2023-05-30 that a staff member was using illegal drugs at the facility.
Findings
The investigation substantiated the allegation that Staff #1 was under the influence of marijuana (THC crystals) while on duty, posing an immediate health and safety risk to residents. Staff #1 was terminated and a civil penalty was issued.
Complaint Details
The complaint alleged that Staff #1 was using illegal drugs (suspected crystal methamphetamine or cocaine) on the premises. The investigation found Staff #1 admitted to being under the influence of marijuana while working. The allegation was substantiated.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| The Licensee failed to prohibit employment of a person under the influence of drugs while working, posing an immediate health and safety risk to residents. | Type A |
Report Facts
Capacity: 110
Census: 96
Civil Penalty: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Martha Arroyo | Licensing Program Analyst | Conducted the complaint investigation visit and delivered final findings |
| Margie Veis | Executive Director | Met with Licensing Program Analyst during the visit |
| Desaree Perera | Licensing Program Manager | Named in report as Licensing Program Manager |
| Dennis Seng | Investigator | Conducted interviews during the investigation |
| Vivian Reyes | Health Services Director | Met with Licensing Program Analyst during initial complaint visit |
Inspection Report
Complaint Investigation
Census: 87
Capacity: 110
Deficiencies: 1
Aug 14, 2023
Visit Reason
The visit was conducted as an unannounced complaint investigation following allegations that the facility was unsanitary, staff did not provide a safe and comfortable environment for residents, and that the facility was malodorous.
Findings
The investigation found the allegations that the facility was unsanitary and staff did not provide a safe and comfortable environment for residents to be unsubstantiated based on observations and interviews. However, the allegation that the facility was malodorous was substantiated due to a lingering smell of pet urine in a resident's bedroom, resulting in a cited deficiency.
Complaint Details
The complaint investigation was triggered by allegations received on 07/31/2023 regarding unsanitary conditions, unsafe and uncomfortable environment, and malodor in the facility. The allegation of malodor was substantiated, while the others were unsubstantiated.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. Floor surfaces shall be maintained in a clean and odorless condition. The licensee did not comply as a resident's bedroom had a lingering smell of pet urine, posing a potential health and safety risk. | Type B |
Report Facts
Capacity: 110
Census: 87
Deficiency count: 1
Plan of Correction Due Date: Aug 31, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Martha Arroyo | Licensing Program Analyst | Conducted the complaint investigation and issued findings |
| Desaree Perera | Licensing Program Manager | Oversaw the complaint investigation |
| Margie Veis | Executive Director | Met with Licensing Program Analyst during the investigation |
Inspection Report
Complaint Investigation
Census: 87
Capacity: 110
Deficiencies: 1
Aug 14, 2023
Visit Reason
The visit was an unannounced complaint investigation conducted due to allegations that staff do not ensure residents are receiving their medications as prescribed and that staff are not properly managing residents' medications.
Findings
The allegation that staff do not ensure residents receive medications as prescribed was found unsubstantiated based on record review and interviews. However, the allegation that staff are not properly managing residents' medications was substantiated due to missing narcotics from inventory, posing an immediate health and safety risk.
Complaint Details
The complaint investigation was triggered by allegations that staff do not ensure residents receive their medications as prescribed and that staff are not properly managing residents' medications. The first allegation was unsubstantiated, while the second was substantiated due to missing narcotics. The investigation included interviews, record reviews, and audits of narcotic inventory.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. This requirement is not met as evidenced by missing narcotics posing an immediate health and safety risk. | Type A |
Report Facts
Capacity: 110
Census: 87
Deficiencies cited: 1
Plan of Correction Due Date: Aug 14, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Martha Arroyo | Licensing Program Analyst | Conducted the complaint investigation and issued findings |
| Margie Veis | Executive Director | Met with Licensing Program Analyst during investigation |
| Desaree Perera | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 87
Capacity: 110
Deficiencies: 1
Aug 14, 2023
Visit Reason
The visit was conducted as a Case Management - Deficiencies inspection in conjunction with a complaint investigation (Complaint Control # 29-AS-20230801143754) to issue a citation for a deficiency observed during the complaint investigation.
Findings
During the complaint investigation, it was found that Resident #1's centrally stored medication and destruction record was not updated with medication expiration and start dates. Staff interviews confirmed that these records were not being completely filled out for all residents' centrally stored medication.
Complaint Details
The visit was triggered by complaint # 29-AS-20230801143754. The deficiency was substantiated as the centrally stored medication records were incomplete and not updated as required.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Resident #1's centrally stored medication and destruction record is missing medication expiration and start dates, and records are not completely filled out for all residents' centrally stored medication. | Type B |
Report Facts
Census: 87
Total Capacity: 110
Plan of Correction Due Date: Aug 31, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Martha Arroyo | Licensing Program Analyst | Conducted the Case Management - Deficiencies visit and complaint investigation |
| Desaree Perera | Licensing Program Manager | Supervisor and Licensing Program Manager named in the report |
| Margie Veis | Administrator | Facility Administrator met during the visit |
Inspection Report
Complaint Investigation
Census: 86
Capacity: 110
Deficiencies: 0
Jun 27, 2023
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received on 08/31/2022 regarding resident care concerns including residents being left soiled, incontinence needs not addressed, improper monitoring of medical condition changes, and unmet hygiene needs.
Findings
Based on interviews, observations, and records review, there was insufficient evidence to substantiate the allegations. The resident's condition changes were communicated appropriately, care was provided according to observed needs, and no residents were purposely left in soiled clothing. The allegations were deemed unsubstantiated.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included a resident being left soiled, staff not addressing incontinence needs, failure to monitor a resident's medical condition change, and unmet hygiene needs. Investigations included interviews with staff and residents, record reviews, and observations. No evidence supported the allegations.
Report Facts
Facility capacity: 110
Resident census: 86
Complaint receipt date: Aug 31, 2022
Resident admission date: Jan 31, 2022
Hospital stay duration: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Zabel Chochian | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Desaree Perera | Licensing Program Manager | Oversaw the complaint investigation |
| Margie Veis | Administrator | Facility administrator met during investigation and named in report |
Inspection Report
Complaint Investigation
Census: 81
Capacity: 110
Deficiencies: 0
Jun 16, 2023
Visit Reason
The inspection was conducted as an unannounced complaint investigation following a report received on 2023-05-30 alleging that the licensee was not addressing a flea outbreak at the facility.
Findings
The investigation found that the facility had promptly engaged a pest control company to inspect and treat the facility. Staff interviews and pest control records showed no evidence of fleas, and the allegation was deemed unsubstantiated due to insufficient evidence.
Complaint Details
The complaint alleged that a staff member entered the facility with fleas on their clothes, and some staff and residents had flea bites or fleas on their clothes. The facility responded with pest control measures. Interviews and inspections found no fleas present, leading to the complaint being unsubstantiated.
Report Facts
Capacity: 110
Census: 81
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Martha Arroyo | Licensing Program Analyst | Conducted the complaint investigation and visits |
| Margie Veis | Executive Director | Met with during investigation and interview |
| Desaree Perera | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 86
Capacity: 110
Deficiencies: 1
Apr 22, 2023
Visit Reason
An unannounced complaint investigation visit was conducted following a complaint received on 08/31/2022 regarding the failure to update a resident's care plan.
Findings
The investigation found that the care plan for resident #1 was not updated or signed by the responsible person during a period of change in the resident's condition from 02/2022 to 03/2022. This deficiency was substantiated and cited under CCR 87463(c).
Complaint Details
The complaint alleged that the resident care plan was not updated. The investigation substantiated this allegation based on interviews and record reviews. The failure to update the care plan posed a potential health, safety, and personal rights risk to residents in care.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| The licensee did not arrange a meeting with the resident or responsible person to update the care plan when there was a significant change in the resident's condition, as required by CCR 87463(c). | Type B |
Report Facts
Capacity: 110
Census: 86
Deficiencies cited: 1
Plan of Correction Due Date: Apr 25, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Zabel Chochian | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Desaree Perera | Licensing Program Manager | Oversaw the complaint investigation |
| Julia Scarpa | Activities Director | Met with the Licensing Program Analyst during the investigation |
Inspection Report
Annual Inspection
Census: 80
Capacity: 110
Deficiencies: 0
Jan 24, 2023
Visit Reason
The inspection was an unannounced Required Annual inspection with a specific emphasis on infection control practices and procedures.
Findings
The facility was found to be in compliance with Title 22 Regulations, with adequate infection control practices including symptom screening, PPE supply, and cleaning protocols. Fire extinguishers were recently serviced and smoke and carbon monoxide detectors were tested and cleared.
Report Facts
Facility capacity: 110
Census: 80
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Margie Veis | Administrator | Met with Licensing Program Analyst during inspection |
| Zabel Chochian | Licensing Program Analyst | Conducted the inspection |
| Desaree Perera | Licensing Program Manager | Named in report header |
Inspection Report
Complaint Investigation
Census: 71
Capacity: 110
Deficiencies: 1
Sep 26, 2022
Visit Reason
An unannounced complaint investigation visit was conducted due to an allegation that the facility was not following COVID-19 protocols.
Findings
The investigation found that staff and residents were not properly wearing face masks during a COVID-19 outbreak, with staff observed wearing masks on their chins. The allegation that the facility was not following COVID-19 protocols was substantiated.
Complaint Details
The complaint was substantiated. The facility was found not to be following COVID-19 protocols during an outbreak, with improper mask usage by staff and residents.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility staff were observed not wearing masks/face coverings properly (on their chin) while inside the facility during an outbreak, posing an immediate health, safety, and personal rights risk to persons in care. | Type A |
Report Facts
Residents not wearing face masks: 5
Facility capacity: 110
Census: 71
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Martha Arroyo | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Vida Gonzales | Health & Wellness Director | Interviewed during the investigation and reported on outbreak and protocols |
| Margie Veis | Administrator | Facility administrator noted as not present during the visit |
| Desaree Perera | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Original Licensing
Capacity: 110
Deficiencies: 0
Jan 20, 2022
Visit Reason
A pre-licensing unannounced visit was conducted to evaluate the facility's readiness for licensure and compliance with applicable regulations.
Findings
The facility was inspected for fire safety, personal accommodations, services, and food service. All areas including bedrooms, memory care rooms, kitchen, common areas, and outdoor areas were found to be clean, properly furnished, and compliant with regulations. No corrections were needed at this time.
Report Facts
Apartments: 102
Rooms inspected: 10
Memory care rooms inspected: 3
Hot water temperature range: 107
Hot water temperature range: 113
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Margie Veis | Executive Director | Met with Licensing Program Analyst during inspection and provided information about facility operations |
| Victor Ruelas | Maintenance Director | Accompanied Licensing Program Analyst during physical plant inspection |
| Brian Balisi | Licensing Program Analyst | Conducted the pre-licensing visit and inspection |
| Desaree Perera | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Original Licensing
Capacity: 110
Deficiencies: 0
Apr 21, 2021
Visit Reason
Initial licensing evaluation for a new construction Residential Care Facility for the Elderly with dementia care.
Findings
The applicant and administrator successfully completed the Component II evaluation, demonstrating understanding of Title 22 regulations, facility operations, staff qualifications, program policies, and application document requirements.
Report Facts
Capacity: 110
Census: 0
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dana Anderson | Administrator | Facility administrator identified in the report |
| Jude De La Concepcion | Licensing Program Manager | Named as Licensing Program Manager |
| Bethany Hunter | Licensing Program Analyst | Named as Licensing Program Analyst |
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