Most inspections found no deficiencies, with routine annual visits consistently showing the facility to be clean, well-maintained, and compliant with safety and record-keeping standards. Several complaint investigations were unsubstantiated, including allegations of poor food quality, unlawful eviction, financial exploitation, and inadequate staffing or supervision. Some deficiencies were cited in 2025 related to cleanliness, specifically mold found in one resident’s shower area, and failures in communication such as providing incorrect resident information to emergency personnel and not delivering agreed language services; these issues posed potential health and safety risks but were isolated. The most recent report from September 23, 2025, was an annual inspection with no deficiencies noted, indicating improvement since earlier findings. Overall, the facility’s record shows mostly compliance with occasional minor issues that have been addressed over time.
An unannounced complaint investigation visit was conducted in response to allegations that the facility did not assist a resident in seeking medical attention timely, the resident was not being adequately fed, and the resident was not being assisted with showering.
Findings
The investigation found the allegations to be unfounded after reviewing records and conducting interviews. The resident did not require medical attention after a fall, was offered three meals a day with snacks and maintained stable weight, and was independent in showering without requiring assistance.
Complaint Details
The complaint was investigated and found to be unfounded, meaning the allegations were false, could not have happened, or lacked reasonable basis.
Report Facts
Capacity: 200Census: 150Meals offered: 3Dates of documented meal refusal: 2
Employees Mentioned
Name
Title
Context
Valerie Flores
Licensing Program Analyst
Conducted the complaint investigation visit
Austin Irwin
Administrator
Facility administrator met during the investigation and named in report
An unannounced 1-year required annual visit was conducted to evaluate the facility's compliance with licensing requirements.
Findings
The facility was observed to be clean, in good repair, and compliant with safety and emergency preparedness standards. Resident and staff records were reviewed and found to be complete. No health or safety concerns were observed during the visit.
The inspection was an unannounced complaint investigation visit conducted to address allegations that the licensee did not ensure that a resident's shower area was kept free from mold and that staff did not respond to a resident's requests for assistance in a timely manner.
Findings
The allegation regarding mold in the resident's shower area was substantiated based on interviews, records review, and observations, with evidence of mold found on the shower curtain and shower chair. The allegation that staff did not respond timely to a resident's requests for assistance was found to be unfounded based on record review and interviews.
Complaint Details
The complaint was substantiated for the allegation that the licensee did not ensure the resident's shower area was kept free from mold. The allegation that staff did not respond to resident's requests for assistance in a timely manner was unfounded.
Severity Breakdown
Type B: 1
Deficiencies (1)
Description
Severity
The facility shall be clean, safe, sanitary and in good repair at all times. One out of 143 residents' shower area was not kept free of mold, posing a potential health and safety risk.
Type B
Report Facts
Resident count: 145Total capacity: 200Deficiency count: 1Plan of Correction Due Date: Aug 8, 2025
Employees Mentioned
Name
Title
Context
Austin Irwin
Administrator
Met with Licensing Program Analyst during inspection and named in findings
The visit was an unannounced complaint investigation triggered by an allegation of financial exploitation of one resident by another.
Findings
The investigation found no evidence of financial exploitation; the allegation was determined to be unfounded based on interviews, records review, and lack of corroborating evidence.
Complaint Details
The complaint alleged that Resident #1 was financially exploited by Resident #2 related to a computer transaction. The investigation revealed Resident #1 was gifted the computer by Resident #3 with no exchange of money, and the allegation was a miscommunication. The complaint was substantiated as unfounded.
Report Facts
Capacity: 200Census: 145
Employees Mentioned
Name
Title
Context
Austin Irwin
Administrator
Met with Licensing Program Analyst during the investigation and named in the report
The visit was an unannounced Case Management Incident inspection conducted to assess the facility following an incident.
Findings
No imminent health or safety concerns were observed during the visit. The facility was found to have sufficient staff, adequate food and medication supplies, and no deficiencies were cited.
Report Facts
Census: 141Total Capacity: 200
Employees Mentioned
Name
Title
Context
Austin Irwin
Executive Director
Met with Licensing Program Analyst during the inspection
The inspection was an unannounced complaint investigation visit triggered by multiple allegations received on 2024-06-02 regarding resident care issues including unexplained injuries, delayed medical attention, failure to prevent resident altercations, failure to provide records to authorized persons, incorrect information given to emergency personnel, and lack of language services.
Findings
The investigation substantiated that staff failed to provide emergency personnel with correct resident information and did not provide agreed language services, posing health and safety risks. However, allegations that the resident sustained unexplained injuries, staff delayed medical attention, and failed to prevent altercations were unsubstantiated due to insufficient evidence.
Complaint Details
The complaint investigation was triggered by allegations that Resident 1 sustained unexplained injuries, staff did not seek timely medical attention, staff failed to prevent resident altercations, staff did not provide records to the resident's authorized person, staff gave incorrect information to emergency personnel causing wrong hospital admission, and staff failed to provide agreed language services. The investigation found the latter two allegations substantiated and the others unsubstantiated.
Severity Breakdown
Type B: 3
Deficiencies (3)
Description
Severity
Facility staff did not provide all requested records to Resident 1's Power of Attorney, violating confidentiality requirements.
Type B
Facility staff did not provide the correct resident name to emergency personnel, resulting in incorrect hospital admission.
Type B
Staff did not use language cards or provide adequate language services for Resident 1 whose primary language was not English.
Type B
Report Facts
Capacity: 200Census: 140Plan of Correction Due Date: Apr 16, 2025
Employees Mentioned
Name
Title
Context
Austin Irwin
Executive Director
Met with Licensing Program Analyst during investigation and named in findings related to deficiencies and corrective actions
Kathleen Banrasavong
Licensing Program Analyst
Conducted the complaint investigation and authored the report
Jazmond D Harris
Licensing Program Manager
Named as Licensing Program Manager overseeing the investigation
Staff 2
Identified as providing incorrect resident name to paramedics
An unannounced complaint investigation visit was conducted in response to allegations that facility staff failed to properly supervise residents and that the facility has insufficient staff.
Findings
The investigation included observations, interviews with staff and residents, and record reviews. The allegations were found to be unsubstantiated due to lack of sufficient evidence and inability to interview all pertinent parties. Staff and residents reported adequate supervision and staffing.
Complaint Details
The complaint was received on 2025-03-10 alleging failure to properly supervise residents and insufficient staffing. The complaint was unsubstantiated after investigation, including multiple unsuccessful attempts to interview the alleged victim and the reporting party not providing additional information.
Report Facts
Capacity: 200Census: 140
Employees Mentioned
Name
Title
Context
Kathleen Banrasavong
Licensing Program Analyst
Conducted the complaint investigation and unannounced visit
Austin Irwin
Executive Director
Interviewed during investigation; provided information on staffing and supervision
The visit was an unannounced case management inspection focused on the health, safety, and welfare of residents, including a review of an incident report alleging staff misconduct.
Findings
The inspection found no deficiencies or civil penalties. The incident involving alleged staff punching a resident was investigated, but the resident retracted the statement and the staff member resigned prior to the visit.
Complaint Details
The visit included investigation of a complaint alleging that Staff 1 punched Resident 1 on 03/24/2025. The resident retracted the statement and no deficiencies were cited.
Report Facts
Residents present: 140Facility capacity: 200
Employees Mentioned
Name
Title
Context
Austin Irwin
Executive Director
Met with Licensing Program Analyst during inspection and provided information about the incident and staff
The inspection was an unannounced complaint investigation visit triggered by an allegation that the facility unlawfully evicted a resident.
Findings
The investigation found that the allegation of unlawful eviction was unfounded. The resident was not served with an eviction notice, and the facility determined the resident needed a higher level of care due to medication assistance needs.
Complaint Details
The complaint alleged that Resident 1 was illegally evicted because the Administrator told the resident and their responsible party they could not return due to a change in condition. The investigation found no eviction notice was served and the allegation was deemed unfounded.
An unannounced complaint investigation was conducted regarding an allegation that staff took away a resident's call button.
Findings
The investigation found no evidence to support the allegation. Interviews and observations confirmed the resident had the call light device, which was operable and returned the same day. The complaint was determined to be unfounded.
Complaint Details
The complaint alleged that staff took Resident 1's call button pendant and that there was video evidence. The investigation found no evidence to support this allegation and concluded the complaint was unfounded.
Report Facts
Capacity: 200Census: 129
Employees Mentioned
Name
Title
Context
Kathleen Banrasavong
Licensing Program Analyst
Conducted the complaint investigation
Austin Irwin
Executive Director
Met with Licensing Program Analyst during investigation
David Alspach
Administrator
Facility administrator named in the report
Jazmond D Harris
Licensing Program Manager
Named as Licensing Program Manager overseeing the investigation
The inspection was conducted as an unannounced complaint investigation regarding allegations that the facility staff did not maintain the kitchen dishwasher in good repair and did not ensure a resident received correspondence in a prompt manner.
Findings
The investigation found the complaint about the dishwasher being inoperable to be unfounded after observations and interviews confirmed the dishwasher was working. The complaint regarding untimely resident correspondence was unsubstantiated due to insufficient evidence, although some issues with mailbox access and labeling were noted.
Complaint Details
Two complaints were investigated: 1) Facility staff did not maintain the kitchen dishwasher in good repair, which was found to be unfounded. 2) Facility staff did not ensure a resident received correspondence promptly, which was unsubstantiated due to lack of preponderance of evidence.
Report Facts
Complaint Control Number: 18-AS-20241025131653Capacity: 200Census: 129
Employees Mentioned
Name
Title
Context
Kathleen Banrasavong
Licensing Program Analyst
Conducted the complaint investigation and delivered findings
Austin Irwin
Executive Director
Met with Licensing Program Analyst during investigation and provided information
David Alspach
Administrator
Provided statements regarding dishwasher and mail handling
The inspection was an unannounced annual inspection conducted to evaluate the facility's compliance with regulatory requirements.
Findings
The facility was found to be clean, well-maintained, and in good repair with no deficiencies observed. All reviewed records, including client, personnel, medication, and infection control, met regulatory standards.
Report Facts
Client records reviewed: 10Employee records reviewed: 10Food supply duration: 1Food supply duration: 2Fire extinguisher charge date: Feb 28, 2024Fire department inspection date: Jul 25, 2024Water temperature: 108
The visit was an unannounced required annual inspection to ensure the facility's compliance with California Code of Regulations, Title 22, Division 6.
Findings
The facility was found to be clean, well-maintained, and in good repair with no cited deficiencies. Staff records and resident records were reviewed and found compliant. Fire safety equipment and medication logs were inspected and found in order.
An unannounced annual inspection was conducted focused on infection control measures at the facility.
Findings
The facility was found to have adequate infection control measures including Covid-19 postings, hand hygiene supplies, secured pool, PPE supplies, and a plan to monitor residents for COVID-19 related illnesses. No deficiencies were noted at the time of the visit.
Employees Mentioned
Name
Title
Context
Ricardo Gomez
Executive Director
Met with Licensing Program Analyst during inspection and was informed of the visit purpose.
The inspection was an unannounced complaint investigation visit triggered by an allegation that the facility refused to provide a refund to a potential resident.
Findings
The investigation found that the facility had issued three refund checks totaling $1000 to the prospective resident, with the third check successfully received. The complaint was determined to be unfounded.
Complaint Details
The complaint alleged that the facility refused to provide a refund to a potential resident. The allegation was investigated and found to be unfounded, meaning the complaint was false or without reasonable basis.
Report Facts
Refund amount: 1000Refund checks issued: 3
Employees Mentioned
Name
Title
Context
Chinwe Nwogene
Licensing Program Analyst
Conducted the complaint investigation visit
Ricardo Gomez
Executive Director
Met with Licensing Program Analyst during investigation and provided documentation
An unannounced Required 1-Year Visit was conducted to evaluate the facility's compliance with licensing requirements and infection control protocols.
Findings
The Licensing Program Analyst conducted a tour and observed staff and residents, evaluated the COVID-19 Mitigation Plan implementation, and found no deficiencies on this date.
Report Facts
Census: 153Total Capacity: 200
Employees Mentioned
Name
Title
Context
Karen Davis
Executive Director
Met with Licensing Program Analyst during inspection and exit interview
The inspection was conducted as an unannounced complaint investigation following a complaint received on 2020-05-06 regarding the quality of food served at the facility.
Findings
The investigation found that the facility had a menu in place with food ordered from two vendors, meals appeared to be of good quality, and interviews with residents and responsible parties did not support the allegation of poor quality food. The complaint was found to be unsubstantiated.
Complaint Details
The complaint alleged that all food served at the facility was of poor quality. The investigation included a virtual visit, record review, and interviews. The allegation was found to be unsubstantiated due to insufficient evidence.
Report Facts
Complaint Control Number: 8Capacity: 200Census: 143
Employees Mentioned
Name
Title
Context
Evangelica Torres
Licensing Program Analyst
Conducted the virtual complaint investigation visit
Karen Davis
Executive Director
Interviewed during the investigation and received exit interview
Patrick Frazier
Administrator
Named as facility administrator
Denise Powell
Licensing Program Manager
Named in report header
Loading inspection reports...
Need Help?
Let us help you or a loved one find the perfect senior home.