Inspection Report Summary
Most inspections found no deficiencies, and several complaint investigations were unsubstantiated, indicating that concerns raised were generally not supported by evidence. The facility maintained clean, sanitary conditions and complied with infection control and safety requirements throughout the period. The most recent report from October 2, 2025, following a small fire in the laundry room, cited no deficiencies and confirmed appropriate staff response and remediation. The only cited deficiency occurred in August 2025, when unsecured accessible water fountains posed an immediate health and safety risk, resulting in a $500 civil penalty. Since then, inspections have been clean, showing improvement after that isolated issue.
Deficiencies (last 6 years)
Deficiencies (over 6 years)
0.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
93% better than California average
California average: 4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
66% occupied
Based on a October 2025 inspection.
Occupancy over time
Inspection Report
Census: 520
Capacity: 783
Deficiencies: 0
Date: Oct 2, 2025
Visit Reason
The visit was an unannounced Case Management visit to follow up on an incident reported to Community Care Licensing involving a small fire in the facility's laundry room.
Findings
The fire was contained to the laundry room with no impact on residents. Facility staff reacted appropriately, the area was remediated and in good repair, and no deficiencies were cited during the visit.
Report Facts
Facility capacity: 783
Resident census: 520
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Boudreau | Executive Director | Informed of the purpose of the visit |
| Amy Patterson | Associate Executive Director | Met with Licensing Program Analyst and received exit interview |
| Arian Golbakhsh | Licensing Program Analyst | Conducted the unannounced Case Management visit |
| Sabel Martinez | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Census: 484
Capacity: 783
Deficiencies: 0
Date: Sep 12, 2025
Visit Reason
Licensing Program Analyst conducted an unannounced Case Management visit to the facility to deliver an Immediate Exclusion letter for a staff member and discuss the purpose of the visit with the Associate Executive Director.
Findings
No deficiencies were cited during the visit. An Immediate Exclusion letter was delivered to Staff 1, and the facility representative acknowledged receipt of the documents.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amy Patterson | Associate Executive Director | Met with Licensing Program Analyst during the visit and acknowledged receipt of Immediate Exclusion letter. |
| Arian Golbakhsh | Licensing Program Analyst | Conducted the unannounced Case Management visit and delivered the Immediate Exclusion letter. |
Inspection Report
Annual Inspection
Census: 522
Capacity: 783
Deficiencies: 1
Date: Aug 14, 2025
Visit Reason
The inspection was an unannounced annual inspection visit to complete the annual survey partially conducted on July 31, 2025, to assess compliance with licensing requirements.
Findings
The facility was generally found to be clean, sanitary, and in good repair with no obstructions or slip hazards. However, one deficiency was cited for accessible water fountains that posed an immediate health and safety risk, resulting in a civil penalty of $500.
Deficiencies (1)
Accessible bodies of water (two fountains) were not secured, posing an immediate health and safety risk to residents.
Report Facts
Civil Penalty Amount: 500
Residents in Care: 522
Facility Capacity: 783
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Boudreau | Executive Director | Met during inspection and participated in exit interview. |
| Amy Patterson | Associate Executive Director | Met during inspection. |
| Arian Golbakhsh | Licensing Program Analyst | Conducted the inspection visit. |
| Sabel Martinez | Licensing Program Manager | Named in report as Licensing Program Manager. |
Inspection Report
Annual Inspection
Census: 523
Capacity: 783
Deficiencies: 0
Date: Jul 31, 2025
Visit Reason
An unannounced, required annual inspection was conducted to evaluate compliance with licensing requirements and assess the facility's condition and operations.
Findings
The facility was found to be clean, sanitary, and in good repair with no deficiencies cited during the visit. Safety measures, proper storage, and adequate supplies were observed, and interviews with staff and clients revealed no regulatory concerns.
Report Facts
Hospice waivers approved: 25
Hot water temperature: 108.3
Number of staff interviewed: 2
Number of clients interviewed: 3
Number of secured pool entryways: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Boudreau | Executive Director | Met with during inspection and named in report. |
| Sabel Martinez | Licensing Program Manager | Conducted the inspection. |
| Arian Golbakhsh | Licensing Program Analyst | Conducted the inspection. |
Inspection Report
Census: 523
Capacity: 783
Deficiencies: 0
Date: Jul 31, 2025
Visit Reason
An unannounced Case Management visit was conducted by Licensing Program Manager and Analyst to review facility compliance and deliver an amended report.
Findings
The visit included securing report signatures, delivering an amended report, and conducting an exit interview with the Executive Director. No specific deficiencies or violations are detailed in the report.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Boudreau | Executive Director | Met during the inspection and participated in the exit interview. |
Inspection Report
Complaint Investigation
Census: 513
Capacity: 783
Deficiencies: 0
Date: Jun 4, 2025
Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation of unlawful eviction of a resident who was discharged from the hospital back to the facility.
Complaint Details
The complaint alleged unlawful eviction of a resident who was discharged from the hospital on April 27, 2025, and initially not accepted back into their independent living apartment. The investigation included interviews, record reviews, and observations, concluding the allegation was unsubstantiated due to lack of evidence.
Findings
The investigation found insufficient evidence to support the allegation of unlawful eviction. The resident returned to their apartment under 24/7 care and supervision, and the facility staff continued to monitor the resident's condition as required.
Report Facts
Facility capacity: 783
Census: 513
Complaint received date: May 5, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Marisela Garcia-Centeno | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Jennifer Lott | Licensing Program Manager | Oversaw the complaint investigation |
| Amy Patterson | Associate Executive Director | Facility representative who met with the Licensing Program Analyst during the investigation |
Inspection Report
Complaint Investigation
Census: 513
Capacity: 783
Deficiencies: 0
Date: Jun 4, 2025
Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that staff violated a resident's privacy by entering the resident's apartment without knowledge or consent.
Complaint Details
The complaint alleged that on May 16, 2025, staff entered resident R1's apartment without consent after knocking and receiving no answer, and that on May 19, 2025, staff called 911 leading to a wellness check. The allegation was unsubstantiated after investigation.
Findings
The investigation found insufficient evidence to support the allegation that staff violated the resident's privacy. Staff entered the resident's apartment only after knocking and announcing themselves, with the resident's awareness and permission for wellness checks.
Report Facts
Facility capacity: 783
Resident census: 513
Complaint receipt date: May 22, 2025
Inspection visit date: Jun 4, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Marisela Garcia-Centeno | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Jennifer Lott | Licensing Program Manager | Oversaw the complaint investigation |
| Amy Patterson | Associate Executive Director | Facility representative who met with the investigator and received the report |
Inspection Report
Census: 524
Capacity: 783
Deficiencies: 0
Date: Mar 3, 2025
Visit Reason
The visit was a case management visit to deliver an amended report from a complaint visit conducted on 2025-02-28.
Complaint Details
The visit was related to a complaint investigation conducted on 2025-02-28; the amended report was delivered during this visit.
Findings
The amended report was reviewed with the Executive Director, Stephanie Boudreau, and signatures were obtained. An exit interview was conducted and appeal rights were provided.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Boudreau | Executive Director | Met with Licensing Program Analyst during the visit and reviewed the amended report. |
| Marisela Garcia-Centeno | Licensing Program Analyst | Conducted the case management visit and delivered the amended report. |
| Jennifer Lott | Licensing Program Manager | Named in the report as Licensing Program Manager. |
Inspection Report
Complaint Investigation
Census: 524
Capacity: 783
Deficiencies: 0
Date: Feb 28, 2025
Visit Reason
The inspection was conducted as an unannounced complaint investigation following an allegation that facility staff threatened a resident with eviction.
Complaint Details
The complaint alleged that staff repeatedly threatened Resident 1 with eviction if they continued to complain about the cold temperature in their room. Interviews and record reviews did not support the allegation, and multiple sources denied witnessing or hearing of any such threats.
Findings
The investigation included interviews, facility tour, and record review, and found insufficient evidence to substantiate the allegation that staff threatened the resident with eviction. The allegation was determined to be unsubstantiated.
Report Facts
Facility capacity: 783
Resident census: 524
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Boudreau | Executive Director | Met with Licensing Program Analyst during investigation and exit interview |
| Marisela Garcia-Centeno | Licensing Program Analyst | Conducted the complaint investigation |
| Jennifer Lott | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 524
Capacity: 783
Deficiencies: 0
Date: Feb 28, 2025
Visit Reason
An unannounced complaint investigation was conducted due to an allegation that staff did not provide a comfortable room temperature for a resident, resulting in injury.
Complaint Details
The complaint alleged that on January 18, 2025, the resident experienced an unwitnessed fall due to cold temperatures causing sleep deprivation, resulting in injury. The allegation was unsubstantiated after investigation.
Findings
The investigation included a facility tour, interviews, and record reviews. It was found that the resident's apartment temperature was within regulatory standards and that multiple factors including medical conditions contributed to the resident's symptoms. There was insufficient evidence to substantiate the allegation.
Report Facts
Facility capacity: 783
Resident census: 524
Temperature range: 68
Temperature range: 85
Apartment thermostat temperature: 81
Apartment thermostat set temperature: 75
Living room thermostat temperature: 76
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Boudreau | Executive Director | Met during investigation and exit interview |
| Marisela Garcia-Centeno | Licensing Program Analyst | Conducted the complaint investigation |
| Jennifer Lott | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 515
Capacity: 783
Deficiencies: 0
Date: Dec 13, 2024
Visit Reason
An unannounced complaint investigation was conducted in response to allegations that staff did not meet the needs of residents, did not accord dignity to residents, and did not maintain the facility in good sanitary condition.
Complaint Details
The complaint was investigated based on allegations received on 2024-12-11 regarding staff conduct and facility conditions. The complaint was found to be unfounded after interviews and records review.
Findings
The investigation found the complaint to be unfounded, determining that the allegations were false, could not have happened, and/or were without reasonable basis. The allegations were not pertinent to the licensed facility.
Report Facts
Capacity: 783
Census: 515
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Boudreau | Executive Director | Met with Licensing Program Analyst during complaint investigation and exit interview |
| Marisela Garcia-Centeno | Licensing Program Analyst | Conducted the complaint investigation visit |
| Jennifer Lott | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 510
Capacity: 783
Deficiencies: 0
Date: Aug 27, 2024
Visit Reason
The inspection was conducted as an unannounced complaint investigation visit triggered by allegations received on 2024-04-16 regarding temperature discomfort in a resident's apartment, unmet dietary needs, and being charged for services not rendered.
Complaint Details
The complaint included allegations that staff did not maintain a comfortable temperature in resident R1's apartment, did not meet dietary needs, and charged R1 for services not rendered. The investigation was unsubstantiated based on observations, interviews, and record reviews.
Findings
The investigation found insufficient evidence to substantiate the allegations. Temperature in the resident's apartment was within regulatory limits, dietary needs were met according to medical records and resident interviews, and billing statements showed correct meal credits with no evidence of overcharging.
Report Facts
Facility capacity: 783
Census: 510
Meal choices: 4
Main entrée choices: 9
Meal cost per meal: 25
Alleged overcharge amount: 30000
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Boudreau | Executive Director | Met with Licensing Program Analyst during the investigation and participated in exit interview |
| Marisela Garcia-Centeno | Licensing Program Analyst | Conducted the complaint investigation visit |
| Jennifer Lott | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Annual Inspection
Census: 500
Capacity: 783
Deficiencies: 0
Date: May 21, 2024
Visit Reason
The inspection was an unannounced annual visit conducted to assess compliance with safety, maintenance, and operational requirements at the facility.
Findings
The inspection found no violations. The facility was clean, sanitary, and in good operating condition with all safety equipment functioning properly. Staff interviews and record reviews did not raise any licensing concerns.
Report Facts
Fire extinguishers inspected: 11
Delayed egress exit doors: 4
Dining areas: 5
Dementia approved beds: 23
Hospice waiver beds: 25
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Boudreau | Executive Director | Certified administrator for the facility |
| Syril Nelson | Director of Resident Services | Met with Licensing Program Analyst during inspection and exit interview |
| Marisela Garcia-Centeno | Licensing Program Analyst | Conducted the inspection |
| Jennifer Lott | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 512
Capacity: 783
Deficiencies: 0
Date: Nov 30, 2023
Visit Reason
The inspection was conducted as an unannounced complaint investigation following a complaint received on 2023-11-16 alleging that the facility did not follow the terms of the admission agreement, specifically that a resident was not allowed back into their independent living apartment after hospital discharge.
Complaint Details
The complaint alleged that the facility did not follow the terms of the admission agreement by not allowing a resident to return to their independent living apartment after hospital discharge. The investigation found no evidence to support this allegation, and the complaint was unfounded.
Findings
The investigation included a tour, interviews, and records review. It was found that the resident was informed of care requirements and options, and the facility held the apartment for the resident during their stay in the care center. No evidence was found to support the allegation, and the complaint was determined to be unfounded.
Report Facts
Complaint Control Number: 08-AS-20231116081523
Capacity: 783
Census: 512
Visit start time: 03:30 PM on 2023-11-30
Visit end time: 04:25 PM on 2023-11-30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Boudreau | Executive Director | Met with during investigation and exit interview |
| Marisela Garcia-Centeno | Licensing Program Analyst | Conducted the complaint investigation |
| Denise Powell | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 561
Capacity: 783
Deficiencies: 0
Date: Oct 12, 2023
Visit Reason
The inspection visit was conducted as an unannounced complaint investigation regarding an allegation that facility staff overmedicated a resident.
Complaint Details
The complaint alleged that facility staff overmedicated a resident. After review of records and interviews, the allegation was unsubstantiated.
Findings
The investigation found no evidence that the medication was administered outside of the prescription or when not needed. Staff were in communication with the resident's physician, Hospice agency, and DPOA. The allegation was determined to be unsubstantiated.
Report Facts
Facility capacity: 783
Census: 561
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nacole Patterson | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Amy Patterson | Associate Executive Director | Facility representative met during the investigation and exit interview |
Inspection Report
Complaint Investigation
Census: 524
Capacity: 783
Deficiencies: 0
Date: Aug 18, 2023
Visit Reason
The visit was initiated in response to a self-reported incident involving a resident that occurred on August 12, 2023, which was reported to Community Care Licensing on August 16, 2023.
Complaint Details
The visit was complaint-related due to a self-reported incident involving Resident #1, with reports submitted including a Special Incident Report and a Report of Suspected Dependent Adult/Elder Abuse.
Findings
During the unannounced visit, no immediate health or safety concerns were observed, and no deficiencies were cited.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Boudreau | Executive Director | Met with Licensing Program Analyst during the visit and acknowledged receipt of the report. |
| Dawn Segura | Licensing Program Analyst | Conducted the unannounced visit and authored the report. |
Inspection Report
Complaint Investigation
Census: 523
Capacity: 783
Deficiencies: 1
Date: Jul 17, 2023
Visit Reason
The visit was conducted in response to an LIC624 Incident Report self-submitted by the licensee involving Resident #1, to investigate the incident and verify resident safety.
Complaint Details
The visit was triggered by an LIC624 Incident Report involving Resident #1, received on 06/29/2023. The resident's welfare was checked and care records reviewed. No substantiation status was explicitly stated.
Findings
No deficiencies were observed or cited during the visit; however, one Technical Violation was issued regarding reporting requirements.
Deficiencies (1)
Technical Violation regarding reporting requirements
Report Facts
Capacity: 783
Census: 523
Technical Violations: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dang Nguyen | Licensing Program Analyst | Conducted the unannounced Case Management - Incident visit |
| Syril Nelson | Director of Resident Services | Met with Licensing Program Analyst during the visit and participated in exit interview |
Inspection Report
Complaint Investigation
Census: 525
Capacity: 783
Deficiencies: 0
Date: Jan 23, 2023
Visit Reason
The inspection visit was conducted as an unannounced complaint investigation following a complaint received on 11/22/2022 alleging that the facility did not keep indoor passageways free from obstruction, specifically that the South Tower hallways were too narrow posing a safety risk.
Complaint Details
Complaint allegation was unfounded, meaning the allegation was false, could not have happened, and/or was without a reasonable basis.
Findings
The investigation, which included observations, interviews, and records review, found no evidence to support the complaint allegation. The passageways were built to approved plans and complied with building and fire codes. The complaint was determined to be unfounded.
Report Facts
Complaint Control Number: 8
Complaint Allegations Count: 9
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Boudreau | Administrator / Executive Director | Met with Licensing Program Analyst during the investigation and exit interview |
| Marisela Garcia-Centeno | Licensing Program Analyst | Conducted the complaint investigation visit |
| John Rante | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 518
Capacity: 783
Deficiencies: 0
Date: Dec 15, 2022
Visit Reason
The inspection was conducted in response to a complaint alleging that facility staff did not address a mold issue under a resident's bathroom sink due to a leaking faucet.
Complaint Details
The complaint alleging unaddressed mold under a resident's bathroom sink was found to be unfounded after investigation, including observations, interviews, and record reviews.
Findings
The investigation found no evidence to support the complaint allegation. Maintenance records, staff interviews, and an independent inspection confirmed that repairs were completed and no mold or moisture was present under the sink at the time of the visit.
Report Facts
Facility capacity: 783
Census: 518
Complaint control number: 08-AS-20221201145429
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Boudreau | Executive Director | Met with Licensing Program Analyst during investigation and exit interview |
| Marisela Garcia-Centeno | Licensing Program Analyst | Conducted the complaint investigation |
| John Rante | Licensing Program Manager | Oversaw the complaint investigation |
Inspection Report
Census: 521
Capacity: 783
Deficiencies: 0
Date: Dec 5, 2022
Visit Reason
A virtual office meeting was conducted to discuss roles, responsibilities, and promote collaborative communication between the facility and the Department of Social Services.
Findings
The meeting focused on sharing perspectives on communication styles and identifying mutual goals to ensure quality care and services to residents. Supportive measures were agreed upon to foster continued collaboration.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Boudreau | Administrator | Facility administrator who participated in the virtual office meeting. |
| Icela Estrada | Regional Manager | Conducted the virtual office meeting with the facility administrator. |
| Denise Powell | Licensing Program Manager | Conducted the virtual office meeting with the facility administrator. |
Inspection Report
Complaint Investigation
Census: 518
Capacity: 783
Deficiencies: 0
Date: Nov 10, 2022
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by multiple allegations received on 08/08/2022 regarding staff conduct and facility conditions at VI At La Jolla Village.
Complaint Details
The complaint investigation addressed allegations including staff disrespect, failure to meet dietary needs, unsafe environment due to a light fixture, and failure to meet resident needs such as cleaning the light fixture and providing transportation without prior notice. All allegations were either unsubstantiated or unfounded based on the investigation.
Findings
The investigation found insufficient evidence to substantiate the allegations that staff did not treat residents with respect or meet dietary needs. Additionally, allegations regarding unsafe conditions related to a light fixture and unmet resident needs were found to be unfounded after observations, interviews, and record reviews.
Report Facts
Capacity: 783
Census: 518
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Boudreau | Executive Director | Met with during the investigation and exit interview |
| Marisela Garcia-Centeno | Licensing Program Analyst | Conducted the complaint investigation |
| John Rante | Licensing Program Manager | Oversaw the complaint investigation |
Inspection Report
Census: 489
Capacity: 783
Deficiencies: 0
Date: Oct 25, 2022
Visit Reason
Licensing Program Analyst Marisela Garcia-Centeno conducted a case management visit to review a self-reported death of Resident 1 received by CCL on October 24, 2022.
Findings
No deficiencies were cited during the visit. The analyst reviewed the resident's file, toured the facility, and interviewed staff about events leading up to the death.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Boudreau | Executive Director | Met with Licensing Program Analyst during case management visit. |
| Milos Blagojezic | Associate Executive Director | Participated in exit interview and received copy of report. |
| Marisela Garcia-Centeno | Licensing Program Analyst | Conducted the case management visit and review. |
| John Rante | Licensing Program Manager | Named in report header. |
Inspection Report
Census: 505
Capacity: 783
Deficiencies: 0
Date: Sep 19, 2022
Visit Reason
A case management visit was conducted to review a self-reported death of a resident that occurred prior to the visit.
Findings
No deficiencies were cited during the visit. The Licensing Program Analyst reviewed the resident's file, toured the facility, and interviewed staff regarding the events leading to the resident's death.
Report Facts
Capacity: 783
Census: 505
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Boudreau | Executive Director | Met with Licensing Program Analyst during the case management visit |
| Marisela Garcia-Centeno | Licensing Program Analyst | Conducted the case management visit and reviewed the resident's file |
| John Rante | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Annual Inspection
Census: 492
Capacity: 783
Deficiencies: 0
Date: Jul 28, 2022
Visit Reason
An unannounced Required 1-Year Visit was conducted to evaluate the facility's compliance with licensing and infection control requirements.
Findings
The facility was found to be in compliance with infection control practices as outlined in its COVID-19 Mitigation Plan. No deficiencies were observed during the visit.
Report Facts
Capacity: 783
Census: 492
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Milos Blagojevic | Associate Executive Director | Met with Licensing Program Analyst during the inspection and participated in the exit interview |
| Marisela Garcia-Centeno | Licensing Program Analyst | Conducted the unannounced Required 1-Year Visit and evaluation |
Inspection Report
Census: 520
Capacity: 783
Deficiencies: 0
Date: Jul 28, 2021
Visit Reason
The Department conducted an on-site visit to provide technical assistance and to evaluate the facility's disinfection, testing surveillance, screening protocols, as well as the use of personal protective equipment during the COVID-19 pandemic.
Findings
No deficiencies were issued during the visit. The team conducted interviews and a walkthrough of the facility, concluding with a debriefing and exit interview with facility staff.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Boudreau | Executive Director | Met with during the visit and participated in interviews and exit interview. |
| Sheila Caldito | Wellness Center Manager | Interviewed during the visit and participated in exit interview. |
| Laarni Santiago | Licensing Program Analyst | Part of the visiting team conducting the inspection. |
| Simon Jacob | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Annual Inspection
Census: 520
Capacity: 783
Deficiencies: 0
Date: Jul 22, 2021
Visit Reason
Licensing Program Analyst Laarni Santiago visited the facility to conduct an annual required licensing inspection.
Findings
The inspection verified compliance with infection control practices including COVID-19 mitigation measures. No deficiencies were cited during the visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Milos Blagojevic | Associate Executive Director | Met with Licensing Program Analyst during inspection and participated in exit interview. |
Inspection Report
Census: 518
Capacity: 783
Deficiencies: 0
Date: May 26, 2021
Visit Reason
Unannounced Case Management visit to verify that Staff #1 is no longer working at the facility following a Decision and Order prohibiting their employment or presence.
Findings
The Licensing Program Analyst verified through staff interview that Staff #1 has never been employed by the facility. No deficiencies were cited during the visit.
Report Facts
Capacity: 783
Census: 518
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Boudreau | Administrator | Met with Licensing Program Analyst during the visit and participated in exit interview |
| Laarni Santiago | Licensing Program Analyst | Conducted the unannounced Case Management visit |
| Simon Jacob | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Census: 540
Capacity: 783
Deficiencies: 0
Date: Nov 2, 2020
Visit Reason
The visit was an unannounced Case Management virtual visit conducted due to notification of the death of a resident and related incident investigation.
Findings
No deficiencies were issued during the visit. Further investigation is required and future visits may be necessary.
Report Facts
Capacity: 783
Census: 540
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Boudreau | Administrator | Met with Licensing Program Analyst during the virtual visit and involved in the incident investigation |
| Laarni Santiago | Licensing Program Analyst | Conducted the unannounced Case Management virtual visit |
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