Most inspections found no deficiencies, with the facility consistently clean, sanitary, and in good repair. Several complaint investigations were unsubstantiated, including allegations of financial abuse, sexual assault, and failure to address a resident’s condition. One complaint investigation in February 2024 did identify a minor deficiency related to medication assistance, which was addressed with a plan of correction and technical assistance. The most recent report from May 7, 2025, showed no deficiencies, indicating improvement and ongoing compliance with licensing standards. No fines, enforcement actions, or severe issues were listed in the available reports.
Deficiencies (last 5 years)
Deficiencies (over 5 years)0.2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
95% better than California average
California average: 4 deficiencies/year
Deficiencies per year
43210
2021
2022
2023
2024
2025
Census
Latest occupancy rate100% occupied
Based on a May 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Licensing Program Analyst conducted an unannounced Required Annual Inspection to evaluate compliance with licensing requirements for the facility.
Findings
The facility was found to be clean, sanitary, and in good repair with no deficiencies cited. All required safety equipment, furnishings, and records were in order, and the facility met all licensing standards.
Report Facts
Hospice waiver residents: 10
Employees Mentioned
Name
Title
Context
Stefanie Ancheta
Resident Services Director
Met with Licensing Program Analyst during inspection and exit interview
Nacole Patterson
Licensing Program Analyst
Conducted the unannounced Required Annual Inspection
The visit was conducted in response to a self-reported incident of possible financial abuse of a resident.
Findings
The Licensing Program Analyst conducted an unannounced case management visit, interviewed staff and residents, and completed a wellness check. No health or safety issues were identified, and no deficiencies were cited or observed.
Complaint Details
The visit was complaint-related due to a self-reported incident of possible financial abuse of a resident. No deficiencies or substantiated issues were found.
Employees Mentioned
Name
Title
Context
Donelle Williams
Executive Director
Met with during the inspection and involved in exit interview.
An unannounced complaint investigation visit was conducted in response to an allegation that a resident was sexually assaulted while in care.
Findings
The investigation included interviews with staff, residents, and review of records. The allegation was found to be unsubstantiated due to inconsistent statements from the resident, lack of evidence, no witnesses, and no corroborating reports.
Complaint Details
The complaint alleged a resident was sexually assaulted by Staff #1. The resident provided inconsistent statements and could not specify dates or times. The Sheriff's investigation found no evidence or witnesses, and no Sexual Assault Response Team exam was conducted. Staff denied the allegations. The allegation was unsubstantiated.
Report Facts
Capacity: 101Census: 80
Employees Mentioned
Name
Title
Context
Sabel Martinez
Licensing Program Analyst
Conducted the complaint investigation visit and delivered findings
Benjie Doctolero
Operation Specialist
Met with during the investigation and exit interview
An unannounced complaint investigation visit was conducted in response to an allegation that the licensee did not address a resident's change in condition, resulting in multiple falls.
Findings
The investigation found that the licensee updated the resident's care plan, communicated with the family and responsible party, monitored the resident's condition, and assisted with the transition to Hospice care. There was insufficient evidence to substantiate the allegation, and the complaint was unsubstantiated.
Complaint Details
The complaint alleged failure to address a resident's change in condition leading to numerous falls. The allegation was unsubstantiated based on interviews, observations, and records review.
Report Facts
Capacity: 101Census: 80Complaint control number: 08-AS-20240205151341
Employees Mentioned
Name
Title
Context
Nacole Patterson
Licensing Program Analyst
Conducted the complaint investigation visit
Steven Harms
Senior Regional VP of Operations
Present during the investigation and exit interview
Angie De Asis
Business Office Director
Met with Licensing Program Analyst during the visit
An unannounced required annual inspection was conducted to evaluate compliance with licensing requirements for the facility.
Findings
The facility was found to be clean, sanitary, and in good repair with no deficiencies cited. All required safety equipment, furnishings, and supplies were present and in working order.
Report Facts
Capacity: 101Census: 80
Employees Mentioned
Name
Title
Context
Steven Harms
Senior Regional VP of Operations
Met with Licensing Program Analyst during inspection and participated in exit interview
The visit was conducted in response to an LIC624 Incident Report submitted on 01/17/2024 regarding a medication error where Resident #1 received double doses of eight prescribed medications.
Findings
The investigation found that a documentation error by staff led to Resident #1 receiving double doses of medications, but no adverse health effects occurred. One deficiency was cited related to failure to assist the resident with self-administered medications as needed. A Plan of Correction was developed and technical violations and assistance were issued.
Complaint Details
The visit was complaint-related, triggered by a self-submitted incident report about a medication error involving Resident #1. The incident was substantiated with one deficiency cited.
Severity Breakdown
Type B: 1
Deficiencies (1)
Description
Severity
Licensee did not assist 1 of 80 residents (R1) with self-administered medications as needed/prescribed, posing a potential health risk.
Type B
Report Facts
Medications involved: 8Deficiencies cited: 1Observation period: 72Plan of Correction due date: Mar 5, 2024
Employees Mentioned
Name
Title
Context
Dang Nguyen
Licensing Program Analyst
Conducted the inspection and authored the report
Lizzette Tellez
Licensing Program Manager
Supervisor of the inspection
Randal Newton
Executive Director
Facility administrator involved in the exit interview
An unannounced complaint investigation was conducted in response to an allegation that the facility did not protect a resident from financial abuse.
Findings
The investigation included interviews with staff and residents and a review of relevant documents. It was found that the facility does not handle residents' personal finances but only business services for billing. The allegation of financial abuse was unsubstantiated due to insufficient evidence.
Complaint Details
The complaint alleged that resident #1 purchased and withdrew excessive funds due to prompting by resident #2. The investigation found that resident #1 has mild cognitive impairment but has assigned a power of attorney to assist with finances. The allegation was deemed unsubstantiated.
Report Facts
Capacity: 101Census: 83
Employees Mentioned
Name
Title
Context
Carmen Lopez
Licensing Program Analyst
Conducted the complaint investigation and authored the report
Katie Ferguson
Resident Service Director
Interviewed during the investigation and received the report
The visit was an unannounced Case Management visit regarding an Incident Report submitted to the San Diego Regional Office by the Licensee.
Findings
During the visit, the Licensing Program Analyst toured the facility, conducted a resident interview, completed a Health and Safety check, and collected facility records. No deficiencies were cited during this visit.
Employees Mentioned
Name
Title
Context
Randal Newton
Executive Director
Met during the visit and participated in the exit interview.
An unannounced Required 1-Year Visit was conducted to evaluate the facility's compliance with licensing requirements, including infection control measures.
Findings
No deficiencies were cited or observed during the inspection. The facility demonstrated compliance with infection control protocols and staff had current criminal record clearances.
Employees Mentioned
Name
Title
Context
Charles Bloom
Executive Director
Met with Licensing Program Analyst during inspection and received report copy.
Claire Molina
Resident Services Director
Met with Licensing Program Analyst during inspection.
The Department conducted an on-site visit to provide technical assistance and to evaluate the facility's mitigation plan including disinfection, testing, vaccination, screening protocols, and use of personal protective equipment (PPE).
Findings
No deficiencies were cited during the visit. A walk-through of the facility was conducted and a debriefing was held with the Regional Director of Operations.
Employees Mentioned
Name
Title
Context
Ramon Serrano
Licensing Program Analyst
Conducted the on-site HAI assessment visit and evaluation.
Jennifer West
Public Health Nurse
Participated in the on-site HAI assessment visit.
Robert Montillano
Public Health Nurse
Participated in the on-site HAI assessment visit.
Maria Rossi
Regional Director of Operations
Met with the inspection team and participated in the debriefing.
Inspection Report Original LicensingCapacity: 101Deficiencies: 0Jun 22, 2021
Visit Reason
An announced pre-licensing visit was conducted to observe the facility's compliance with Title 22, Division 6 regulations and the California health and safety code as part of the initial licensing process.
Findings
The facility was found to have proper furnishings, adequate linens, appropriate water temperatures, working fire extinguishers, operational smoke and carbon monoxide alarms, and sufficient space for activities. The facility met safety requirements including fire department clearance and secure storage for medications and records.
Report Facts
Facility capacity: 101Census: 0
Employees Mentioned
Name
Title
Context
Charles Bloom
Administrator
Met with Licensing Program Analysts during the pre-licensing visit
Maria Rossi
Regional Director of Operations
Met with Licensing Program Analysts during the pre-licensing visit
Inspection Report Original LicensingCapacity: 101Deficiencies: 0Jun 3, 2021
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 facility operation.
Findings
The applicant/administrator successfully completed the Component II evaluation, confirming understanding of licensing requirements including facility operation, admission policies, staffing, emergency preparedness, and complaint reporting.
Employees Mentioned
Name
Title
Context
Charles Bloom
Administrator
Participant in the Component II telephone interview verifying licensing readiness.
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