Most inspections found no deficiencies, including the most recent annual inspection on July 24, 2025, which reported the facility as clean, safe, and well-maintained with all records in order. A notable event was a resident fall in February 2025 that required surgery and rehabilitation, which was properly reported and investigated without further issues cited. Earlier visits, including pre-licensing inspections in July 2024, found the facility ready and compliant with no corrections needed. There were no complaints or enforcement actions reported in any of the inspections. Several complaint investigations were not applicable as no complaints were filed during the period.
The visit was an unannounced one-year inspection to evaluate compliance with licensing requirements for the facility.
Findings
The inspection found all resident, medication, and staff records to be in order and complete. The facility was toured and found to be clean, safe, and well-maintained with no observed deficiencies during the visit.
Report Facts
Residents receiving hospice services: 1Residents receiving home health services: 11Resident bedrooms: 137
Employees Mentioned
Name
Title
Context
Marielena Cardenas
Business Office Director
Met with Licensing Program Analyst during inspection and participated in exit interview
Mario Carrillo
Maintenance Director
Toured the facility with Licensing Program Analyst
The visit was a case management - other visit conducted to gather information surrounding the fall of Resident #1 that occurred on 2025-02-09 in the Memory Care Unit's activity area.
Findings
The report details the circumstances of Resident #1's fall, including staff attempts to assist the resident and the resulting injury requiring surgery. The resident is currently in rehabilitation. The facility reported the incident and staff interviews and record reviews were conducted.
Report Facts
Morse Fall Scale score: 25
Employees Mentioned
Name
Title
Context
Dawn Smith
Executive Director
Met with during visit and named in report regarding fall incident
Larianna Logan
Memory Care Director
Met with during visit and involved in explanation of fall incident
Inspection Report Original LicensingCapacity: 160Deficiencies: 0Jul 19, 2024
Visit Reason
This was a pre-licensing evaluation conducted to assess the facility's readiness for licensing as an RCFE facility to serve elderly residents.
Findings
The facility was found to be clean, sanitary, and in good repair with all required safety and operational features in place. No corrections were needed during this pre-licensing inspection.
Report Facts
Licensed capacity: 160Hospice waiver capacity: 20Toilet and washbasin count: 137Shower or bathtub count: 137Food supply days: 7Food storage days: 2
Employees Mentioned
Name
Title
Context
Tracey Flaherty
Executive Director
Authorized administrator present during the pre-licensing evaluation and exit interview
Alfonso Iniguez
Licensing Program Analyst
Conducted the pre-licensing evaluation and Component III Orientation
Deborah Lee
Licensing Program Analyst
Participated in the pre-licensing evaluation
Yolanda Rosser
Licensing Program Analyst
Participated in the pre-licensing evaluation
Eva M Alvarez
Licensing Program Manager
Named as Licensing Program Manager overseeing the evaluation
Inspection Report Original LicensingCapacity: 160Deficiencies: 0Jul 3, 2024
Visit Reason
The visit was conducted as an initial licensing evaluation for the facility to verify the applicant and administrator's understanding of community care facility licensing laws and readiness for pre-licensing inspection.
Findings
The applicant and administrator participated in a telephone interview confirming their knowledge of licensing laws, staffing requirements, and facility operation. Identification was verified and documentation was obtained. No clients were in care at the time of the visit.
Employees Mentioned
Name
Title
Context
Diane Navarro
Administrator
Named as facility administrator
Tracy Flaherty
Participant in COMP II interview
Dawn Smith
Participant in COMP II interview
Julia Kim
Licensing Program Manager
Named in report
Dianne Ramos
Licensing Program Analyst
Named in report
Loading inspection reports...
Need Help?
Let us help you or a loved one find the perfect senior home.