Inspection Report Summary
Most inspections found no deficiencies, including the most recent annual inspection on August 25, 2025, which was clean and found the facility compliant in all areas such as the physical plant, medication storage, and safety systems. Earlier reports, including the initial licensing inspections in 2023 and the August 12, 2024 annual inspection, also showed no issues and confirmed the facility was well-prepared and properly maintained. One complaint investigation in October 2023 was substantiated regarding the facility’s failure to promptly issue a $2,500 refund to a resident, which was processed but not delivered at the time of inspection. Aside from this isolated issue related to resident financial rights, no other deficiencies or enforcement actions were noted. The overall record shows improvement with recent inspections free of deficiencies and several complaint investigations unsubstantiated.
Deficiencies per Year
4
3
2
1
0
Moderate
Census Over Time
Census
Capacity
Inspection Report
Annual Inspection
Census: 58
Capacity: 135
Deficiencies: 0
Aug 25, 2025
Visit Reason
The inspection was an unannounced required annual inspection conducted by Licensing Program Analysts to assess compliance with licensing requirements.
Findings
The facility was found to be in compliance with no deficiencies noted. The physical plant, resident rooms, medication storage, staff files, and safety systems were all inspected and found satisfactory.
Report Facts
Licensed capacity: 135
Current census: 58
Water temperature range: 115.7-118.5
Memory care resident rooms: 38
Assisted living resident rooms: 78
Hospice waiver: 25
Fire safety testing date: Jul 25, 2025
Resident files reviewed: 6
Staff files reviewed: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ashley Davidson | Resident Care Director | Met with Licensing Program Analysts during inspection and toured facility |
| Ruth Martinez | Licensing Program Analyst | Conducted the inspection and signed the report |
| Garlli Tat | Licensing Program Analyst | Conducted the inspection |
| Armando J Lucero | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Annual Inspection
Census: 42
Capacity: 135
Deficiencies: 0
Aug 12, 2024
Visit Reason
Licensing Program Analyst Joseph Alejandre made an unannounced visit to conduct the required annual inspection of the facility.
Findings
No deficiencies were observed during the inspection. The facility was found to be clean, organized, and compliant with all requirements including secured memory care, operational smoke detectors, proper food storage, and staff training.
Report Facts
Resident rooms: 78
Resident rooms: 38
Emergency drill date: Jul 9, 2024
Resident medications reviewed: 4
Resident files reviewed: 5
Staff files reviewed: 5
Hot water temperature: 112
Perishable food supply: 2
Non-perishable food supply: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Joseph Alejandre | Licensing Program Analyst | Conducted the annual inspection and made observations |
| Lee Kaufmann | Managing Director | Met with Licensing Program Analyst during the inspection and toured the facility |
Inspection Report
Complaint Investigation
Census: 3
Capacity: 135
Deficiencies: 1
Oct 6, 2023
Visit Reason
An unannounced complaint investigation visit was conducted following a complaint received on 2023-10-04 regarding the facility's failure to issue a refund to a resident.
Findings
The investigation substantiated that Resident 1 did not receive a refund of $2500 for their reservation fee despite a pre-appraisal and the resident being informed they would receive a full refund. Facility documents showed the refund was processed but not issued at the time of the visit.
Complaint Details
The complaint was substantiated based on the preponderance of evidence standard. Resident 1 did not receive the refund they were entitled to despite the facility processing it. The allegation was substantiated.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| A refund of at least 80 percent of the preadmission fee in excess of $500 shall be provided if the applicant does not enter the facility after a preadmission appraisal is conducted, or the resident leaves the facility during the first month of residency. This requirement was not met as a refund was not issued to Resident 1 for their reservation fee. | Type B |
Report Facts
Refund amount: 2500
Capacity: 135
Census: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Joseph Alejandre | Licensing Program Analyst | Conducted the complaint investigation visit and authored the report |
| Christopher Tharp | Executive Director | Met with Licensing Program Analyst during the investigation |
Inspection Report
Original Licensing
Capacity: 135
Deficiencies: 0
Aug 9, 2023
Visit Reason
The visit was an announced pre-licensing inspection conducted to evaluate the facility's readiness to operate as a Residential Care Facility for the Elderly with a capacity of 135 residents.
Findings
The facility was found to have appropriate accommodations including furnished apartments, secured storage for toxins and medications, operational fire extinguishers, approved fire clearance, working plumbing and hot water, posted emergency plans, sufficient food supply, operational smoke detectors and appliances. No deficiencies were noted in the report.
Report Facts
Facility capacity: 135
Fire extinguisher service date: Jan 6, 2023
Fire clearance date: Jul 28, 2023
Hot water temperature range: Measured between 105 and 120 degrees Fahrenheit
Non-perishable food supply duration: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Christopher Tharp | Administrator | Greeted Licensing Program Analyst and participated in inspection |
| Dwayne Mason Jr. | Licensing Program Analyst | Conducted the pre-licensing inspection |
| Armando J Lucero | Licensing Program Manager | Named as Licensing Program Manager in report |
Inspection Report
Original Licensing
Capacity: 135
Deficiencies: 0
Jul 26, 2023
Visit Reason
The visit was an initial licensing evaluation conducted via telephone interview to verify the applicant/administrator's understanding of California Code Title 22 regulations and readiness for licensing.
Findings
The applicant and administrator demonstrated understanding of facility operation, admission policies, staffing requirements, restricted health conditions, general provisions, emergency preparedness, complaints and reporting, and pre-licensing readiness. No clients were in care at the time of the visit.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Christopher Tharp | Administrator | Applicant/administrator who participated in the licensing evaluation and interview. |
| Michael Hughes | Participant in the COMP II telephone interview. | |
| Jude De La Concepcion | Licensing Program Manager | Named as Licensing Program Manager on the report. |
| Bethany Hunter | Licensing Program Analyst | Named as Licensing Program Analyst on the report. |
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