Most inspections found no deficiencies, with routine annual visits consistently showing the facility met regulatory requirements and maintained a safe, clean environment. Several complaint investigations were unsubstantiated, including allegations about staffing levels, resident activities, feeding, and cleanliness. However, two complaint investigations substantiated medication management issues, including untimely refills and medication not being available when needed, with one incident in 2022 resulting in a resident being sent to the hospital. The most recent report from September 23, 2025, did find a deficiency related to medication availability but did not substantiate staffing concerns. This indicates some ongoing challenges with medication management, while other areas appear well maintained.
Deficiencies (last 5 years)
Deficiencies (over 5 years)0.4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
90% better than California average
California average: 4 deficiencies/year
Deficiencies per year
43210
2021
2022
2023
2024
2025
Census
Latest occupancy rate87% occupied
Based on a September 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
The inspection was conducted as a complaint investigation following allegations that staff did not re-order resident's medication timely and that there was insufficient staffing at the facility.
Findings
The investigation substantiated the allegation that medication was not available when needed for some residents, posing an immediate risk to health and safety. The allegation of insufficient staffing was found to be unsubstantiated based on interviews and document reviews.
Complaint Details
The complaint investigation was substantiated regarding medication availability issues, specifically that Resident #1 was sent to the hospital due to lack of lorazepam medication on 4/24/22, and residents R2, R3, and R4 lacked certain medications during the visit. The insufficient staffing allegation was unsubstantiated after interviews with residents and staff and review of staffing documents.
Severity Breakdown
Type A: 1
Deficiencies (1)
Description
Severity
Licensee did not ensure that residents R2, R3, and R4 had their routine or as needed medication available at the facility.
Type A
Report Facts
Capacity: 151Census: 131Medication review residents: 10Staff interviewed: 6Residents interviewed: 10Plan of Correction due date: Sep 24, 2025
Employees Mentioned
Name
Title
Context
Mary G Flores
Licensing Program Analyst
Conducted the complaint investigation visits and interviews
Tony Vasallo
Licensing Program Manager
Named as Licensing Program Manager overseeing the investigation
Janice Dayag
Business Office Director
Met with Licensing Program Analyst during the investigation
Jonetta Eads
Administrator
Facility Administrator providing information during investigation
The inspection was an unannounced required 1-year visit conducted to evaluate the facility's compliance with licensing requirements.
Findings
The facility was found to be in compliance with no deficiencies observed. The inspection included a tour of the facility, review of resident and staff files, and verification of safety and operational standards.
Report Facts
Bedridden residents: 1Hospice residents: 12Fire extinguisher last service date: Nov 29, 2024Water temperature range: 108.6-113.5Administrator certificate expiration: Aug 16, 2026Liability insurance expiration: May 1, 2026Annual licensing fees due date: Jun 30, 2025
Employees Mentioned
Name
Title
Context
Jonetta Eads
Executive Director
Met with Licensing Program Analyst during inspection and holds valid administrator certificate
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2022-11-01 regarding medication mismanagement, resident falls, inadequate feeding, and cleanliness issues at the facility.
Findings
The investigation substantiated that facility staff mismanaged resident medications, including incorrect medication intervals and failure to refill medications timely. Allegations that the resident was inadequately fed and that the facility was unclean were unsubstantiated. The resident sustained multiple falls, but staff took appropriate fall risk mitigation measures and the allegation of neglect was unsubstantiated.
Complaint Details
The complaint investigation was substantiated for medication mismanagement based on evidence that medications were given at incorrect intervals and not given due to medication running out. The allegations regarding inadequate feeding and unclean facility conditions were unsubstantiated. The allegation of multiple falls due to inadequate care was unsubstantiated as the facility implemented fall risk mitigation measures.
Severity Breakdown
Type B: 1
Deficiencies (1)
Description
Severity
The licensee failed to assist residents with self-administered medications as needed, evidenced by medication not being administered due to untimely refills and incorrect intervals.
Type B
Report Facts
Medication refill days prior to run out: 7Number of staff interviewed regarding medication: 5Number of staff interviewed regarding feeding: 7Number of staff interviewed regarding falls: 7Number of unwitnessed falls in July 2022: 3Number of unwitnessed falls after memory care admission: 2Medication administration interval hours: 9Medication missed days: 4
Employees Mentioned
Name
Title
Context
Janira Arreola
Licensing Program Analyst
Conducted the complaint investigation and authored the report
An unannounced visit was conducted on 06/10/2024 to perform a required annual inspection of the assisted living and memory care facility.
Findings
The Licensing Program Analyst toured the facility, conducted staff and resident interviews, and reviewed records. No issues or concerns were observed during the visit, and the facility met departmental requirements for food storage, medication security, and staff certifications.
The inspection visit was conducted as a case management visit initiated by the licensee due to a request to increase the facility's capacity from 140 to 151 residents.
Findings
No health and safety issues were observed during the visit. The physical plant was found ready for the increase in capacity, with sufficient square footage and staffing coverage verified. Final approval of the capacity increase is pending manager's final review.
The visit was an unannounced required annual inspection conducted by the Licensing Program Analyst to evaluate the facility's compliance with regulations.
Findings
The facility was found to be in good condition with no regulation violations observed. The physical plant was neat and orderly, safety equipment was properly maintained, and required documentation and procedures were in place.
Report Facts
Capacity: 140Census: 127
Employees Mentioned
Name
Title
Context
Jonetta Eads
Administrator
Met with Licensing Program Analyst during the inspection
An unannounced visit was conducted to investigate complaints alleging that facility staff did not provide activities for residents and did not post accurate information regarding complaint or emergency reporting.
Findings
The investigation found that the allegations were unsubstantiated. Evidence showed that residents had activities to participate in and that accurate complaint and emergency reporting information was posted and operational.
Complaint Details
The complaint investigation was unsubstantiated, meaning the preponderance of evidence standard was not met for the allegations regarding lack of activities and inaccurate complaint/emergency information.
An unannounced annual inspection was conducted focusing on infection control measures at the facility.
Findings
The facility was found to have implemented adequate infection control measures including symptom screenings, hand hygiene supplies, social distancing, masking policies, isolation rooms, and sufficient PPE supply. No deficiencies were noted during the visit.
Met with Licensing Program Analyst during the inspection
Janira Arreola
Licensing Program Analyst
Conducted the inspection visit
Joel Esquivel
Licensing Program Manager
Named in the report header
Inspection Report Original LicensingCapacity: 140Deficiencies: 0Jun 29, 2021
Visit Reason
The inspection was a pre-licensing visit conducted to evaluate the facility's readiness for licensing.
Findings
The facility was inspected and found to have appropriate furnishings, fire clearance for 140 non-ambulatory residents, and required public postings. The facility was deemed ready to be licensed.
Employees Mentioned
Name
Title
Context
Jonetta Eads
Executive Director
Met with Licensing Program Analysts during the pre-licensing inspection.
Inspection Report Original LicensingCapacity: 140Deficiencies: 0Jun 10, 2021
Visit Reason
Initial licensing evaluation of the facility to verify compliance with regulatory requirements and applicant/administrator understanding of Title 22 regulations.
Findings
The applicant/administrator successfully completed the Component II telephone call confirming understanding of facility operation, staff qualifications, program policies, and application document requirements. No deficiencies or violations were noted in the report.
Employees Mentioned
Name
Title
Context
Jonetta Eads
Administrator
Applicant/administrator who participated in the Component II telephone call and was met during the visit.
Mirella Quaranta
Licensing Program Manager
Named as Licensing Program Manager on the report.
Stefania Fonteno
Licensing Program Analyst
Named as Licensing Program Analyst on the report.
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