Inspection Report Summary
Most inspections found no deficiencies, including the most recent annual inspection on December 12, 2024, which was clean. One inspection in September 2024 cited a deficiency for failing to adequately monitor residents, resulting in multiple residents leaving without permission, posing a potential safety risk. Several complaint investigations were unsubstantiated, including allegations about overmedication, staff intervention in altercations, and maintenance issues. Other minor concerns involved isolated incidents of resident elopement, but the facility followed protocols and increased supervision as needed. The overall trend shows mostly compliance with a single noted deficiency in late 2024, indicating generally stable performance with room for improved resident monitoring.
Deficiencies per Year
4
3
2
1
0
Moderate
Census Over Time
Census
Capacity
Inspection Report
Annual Inspection
Census: 59
Capacity: 60
Deficiencies: 0
Dec 12, 2024
Visit Reason
This was an unannounced annual inspection visit conducted by LPA Hiratsuka to evaluate the Willow Glen Care Center facility.
Findings
The inspection included a tour of the facility with the Administrator Angie Karis. Multiple topics were discussed and no deficiencies were cited during this visit.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Angie Karis | Administrator | Met with during the inspection and involved in the facility tour. |
| Kerry Hiratsuka | Licensing Program Analyst | Conducted the unannounced annual visit. |
| Troy Ordonez | Licensing Program Manager | Named in the report header. |
Inspection Report
Census: 59
Capacity: 60
Deficiencies: 1
Sep 11, 2024
Visit Reason
This unannounced case management visit was conducted in response to several residents leaving the facility without supervision on multiple occasions.
Findings
The facility failed to monitor residents adequately, resulting in multiple residents leaving without permission or notice, posing a potential health and safety risk. A deficiency was cited for failure to monitor residents as required by California Health and Safety Code 1569.312(e).
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Licensee failed because multiple residents have left the facility without permission and without notice, posing a potential health and safety risk. | Type B |
Report Facts
Deficiency Plan of Correction Due Date: Sep 27, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kerry Hiratsuka | Licensing Program Analyst | Conducted the unannounced case management visit and authored the report |
| Troy Ordonez | Licensing Program Manager | Supervisor and Licensing Program Manager named in the report |
| Cindy Lujen | Facility representative met during the inspection |
Inspection Report
Complaint Investigation
Census: 59
Capacity: 60
Deficiencies: 0
Jun 28, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that the facility air conditioner was in disrepair and not being addressed.
Findings
The investigation found that the air conditioner broke on June 24, 2024, and repair efforts were promptly initiated with a part ordered and installation expected within five to ten days. Fans and other accommodations were provided, resident areas were unaffected, and medication storage was properly maintained. The allegation was determined to be unfounded.
Complaint Details
The complaint alleged that the facility air conditioner was in disrepair and not being addressed. The allegation was found to be unfounded because the facility responded promptly to the air conditioner failure, provided accommodations, and maintained proper medication storage.
Report Facts
Facility capacity: 60
Census: 59
Date of air conditioner failure: 24
Estimated repair time: 5
Estimated repair time: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Angie Karis | Administrator | Interviewed during the complaint investigation |
| Kerry Hiratsuka | Licensing Program Analyst | Conducted the complaint investigation visit |
| Troy Ordonez | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 60
Capacity: 60
Deficiencies: 0
Jun 20, 2024
Visit Reason
This unannounced case management visit was conducted in response to an incident where one resident physically attacked another resident and staff on duty on 2024-06-15.
Findings
The resident and staff who were assaulted had minor injuries and are doing well. The resident who attacked others was removed by police and discharged by the conservator. No lack of staff supervision was observed and no deficiencies were cited.
Complaint Details
The visit was complaint-related due to a physical attack incident. The complaint was investigated and no deficiencies or supervision issues were found.
Report Facts
Capacity: 60
Census: 60
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Angie Karis | Administrator | Interviewed regarding the incident and staff supervision |
Inspection Report
Complaint Investigation
Census: 59
Capacity: 60
Deficiencies: 0
May 20, 2024
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received on 2024-01-30 regarding overmedication of a resident and confiscation of a resident's inhaler.
Findings
The investigation found that the medication increase was prescribed by a physician and appropriately administered, and the allegation of overmedication was unfounded. The inhaler was discontinued by the doctor due to misuse concerns but was later reinstated after a follow-up appointment; therefore, the allegation of confiscation was also unfounded. No deficiencies were cited during the visit.
Complaint Details
The complaint involved allegations that staff were overmedicating a resident and had confiscated the resident's inhaler. Both allegations were investigated and found to be unfounded.
Report Facts
Capacity: 60
Census: 59
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Todd Tryon | Licensing Program Analyst | Conducted the complaint investigation |
| Troy Ordonez | Licensing Program Manager | Named in report as Licensing Program Manager |
| Angie Karis | Administrator | Facility administrator met during investigation |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 0
May 16, 2024
Visit Reason
This unannounced case management visit was conducted in response to a resident who left the facility twice despite being deemed by a physician as unable to leave without assistance.
Findings
The facility followed their protocol for elopements both times the resident left. The resident is now on one-on-one staff supervision. No deficiencies were cited during this visit.
Complaint Details
Visit was complaint-related due to a resident elopement incident. Further investigation is required. No deficiencies cited.
Report Facts
Capacity: 60
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Angie Karis | Administrator | Met during the inspection and involved in the case management visit |
| Troy Ordonez | Licensing Program Manager | Named in the report as Licensing Program Manager |
| Kerry Hiratsuka | Licensing Program Analyst | Conducted the unannounced case management visit |
Inspection Report
Annual Inspection
Census: 58
Capacity: 60
Deficiencies: 0
Dec 14, 2023
Visit Reason
This was an unannounced annual inspection visit conducted to evaluate the facility's compliance with licensing requirements.
Findings
The inspection found no deficiencies cited during the visit. The facility was toured and multiple topics were discussed with the administrators.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Angie Karis | Administrator | Met with during the inspection and participated in the facility tour. |
Inspection Report
Complaint Investigation
Census: 57
Capacity: 60
Deficiencies: 0
Sep 20, 2023
Visit Reason
The visit was an unannounced case management inspection conducted in response to an incident on August 23, 2023, where a resident left the facility without permission.
Findings
The licensing program analyst reviewed the resident's physician's report which stated the resident may leave without assistance and obtained additional information about the resident during the visit. No deficiencies were cited.
Complaint Details
The visit was triggered by a complaint/incident involving a resident leaving the facility without permission. The resident's physician's report indicated the resident may leave without assistance.
Report Facts
Capacity: 60
Census: 57
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Angie Karis | Administrator | Facility administrator met during the visit |
| Kerry Hiratsuka | Licensing Program Analyst | Conducted the unannounced case management visit |
| Troy Ordonez | Licensing Program Manager | Named in the report |
Inspection Report
Annual Inspection
Census: 57
Capacity: 60
Deficiencies: 0
Jan 19, 2023
Visit Reason
This was an unannounced annual inspection visit required by the licensing authority.
Findings
The Licensing Program Analyst conducted a tour of the facility with the Administrator and observed compliance with mask-wearing protocols. No deficiencies were cited during this visit.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Angie Karis | Administrator | Met with during the inspection and toured the facility. |
Inspection Report
Complaint Investigation
Census: 59
Capacity: 60
Deficiencies: 0
Aug 18, 2022
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that staff did not intervene in a resident's physical altercation.
Findings
The investigation found the complaint to be unfounded. Interviews with residents and staff, as well as observations, indicated that staff did intervene as soon as possible during the incident, and the allegation was determined to be false or without reasonable basis.
Complaint Details
The complaint alleged that staff did not intervene in a resident's physical altercation. The investigation concluded the complaint was unfounded.
Report Facts
Capacity: 60
Census: 59
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kerry Hiratsuka | Licensing Program Analyst | Conducted the complaint investigation visit |
| David Gilbert | Administrator | Facility administrator named in the report header |
| Angie Karis | Facility Manager | Met with the Licensing Program Analyst during the investigation |
| Troy Ordonez | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Annual Inspection
Census: 60
Capacity: 60
Deficiencies: 0
Dec 30, 2021
Visit Reason
The inspection was an unannounced Required-1 Year Inspection focusing on the infection control domain to ensure health and safety compliance at the facility.
Findings
The facility was found to be in substantial compliance with no immediate health, safety, or personal rights violations observed. No deficiencies were cited as a result of the inspection.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dawn Keane | Licensing Program Analyst | Conducted the inspection and met with the Administrator. |
| Angie Karis | Administrator | Met with Licensing Program Analyst during the inspection. |
Inspection Report
Census: 59
Capacity: 60
Deficiencies: 0
Aug 20, 2021
Visit Reason
The visit was an unannounced Health and Safety check conducted on six clients relocated from Alpine House due to an evacuation order issued by Trinity County.
Findings
No deficiencies or concerns were noted. The facility was found to be following COVID-19 procedures with sufficient supplies and proper medication storage.
Report Facts
Clients relocated from Alpine House: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Angie Karris | Administrator | Met with Licensing Program Analyst during the visit |
| Pheej Cheng | Licensing Program Analyst | Conducted the unannounced Health and Safety visit |
| Maribeth Senty | Licensing Program Manager | Named in the report |
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