Inspection Report Summary
Most inspections found no deficiencies, with the facility consistently meeting licensing requirements and maintaining a safe, clean environment. Several complaint investigations were unsubstantiated, including allegations related to medication administration, resident care, and staff conduct. There were two substantiated deficiencies in the past: one in November 2022 for staff sleeping on duty in the Memory Care Department, which led to suspensions, and another in June 2023 for failing to provide confidential information due to a cyberattack. The most recent report from September 16, 2025, had no deficiencies and noted no immediate health or safety concerns. This suggests the facility has improved and maintained compliance over time.
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/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
73% occupied
Based on a September 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Census: 131
Capacity: 180
Deficiencies: 0
Date: Sep 16, 2025
Visit Reason
The visit was an unannounced case management visit triggered by an Unusual Incident/Injury Report received on 09/12/2025 regarding an incident involving Resident 1 on 09/10/2025.
Findings
No immediate health and safety concerns were observed during the visit, and no deficiencies were cited at this time. The Licensing Program Analyst toured the facility, reviewed requested documents, and conducted an exit interview.
Report Facts
Incident report date: Sep 12, 2025
Incident occurrence date: Sep 10, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Christian Otbo | Executive Director | Met with Licensing Program Analyst during the visit |
| Andrea Mendivil | Licensing Program Analyst | Conducted the unannounced case management visit |
| Alisa Ortiz | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Annual Inspection
Census: 137
Capacity: 180
Deficiencies: 0
Date: Jun 18, 2025
Visit Reason
An unannounced required annual inspection was conducted by Licensing Program Analysts to evaluate compliance with licensing requirements.
Findings
The inspection found no deficiencies. The facility was compliant with regulations including physical plant conditions, medication storage, food supply, and staff and resident record reviews.
Report Facts
Hot water temperature: 115
Hot water temperature: 120
Food supply retention: 2
Food supply retention: 7
Staff records reviewed: 6
Resident records reviewed: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Christian Otbo | Executive Director | Met with during inspection and confirmed current administrator certificate |
| Andrea Mendivil | Licensing Program Analyst | Conducted inspection, toured facility, reviewed medication and resident records |
| Fred Arias | Licensing Program Analyst | Conducted inspection, reviewed staff records and medication storage |
| Daisy Gonzales | Hospitality Service Director | Assisted in touring the facility and inspecting physical plant |
Inspection Report
Complaint Investigation
Capacity: 180
Deficiencies: 0
Date: May 29, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2022-10-18 regarding medication administration, staff treatment of residents, and facility charges.
Complaint Details
The complaint involved allegations that medication was not administered as prescribed, staff did not treat residents with dignity and respect, and the facility charged for services not agreed upon at admission. The investigation concluded these allegations were unsubstantiated.
Findings
The investigation found that residents received medications as prescribed, staff treated residents with dignity and respect, and the facility's charges for services were appropriate based on residents' changing conditions. The allegations were determined to be unsubstantiated due to lack of preponderance of evidence.
Report Facts
Capacity: 180
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Andrea Mendivil | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Alisa Ortiz | Licensing Program Manager | Named as Licensing Program Manager on the report |
| Christian Otbo | Executive Director | Facility representative met during the investigation |
| Myra Aragones | Former Executive Director | Provided statements during the investigation |
Inspection Report
Complaint Investigation
Capacity: 180
Deficiencies: 0
Date: May 29, 2025
Visit Reason
An unannounced complaint investigation visit was conducted in response to a complaint received on 2023-09-06 alleging that staff were mishandling residents' level of care assessments.
Complaint Details
The complaint alleged mishandling of residents' level of care assessments. The allegation was unsubstantiated based on interviews and record reviews.
Findings
The investigation found that due to internal system issues, staff were unable to update assessments electronically but were providing all required services. Interviews with residents and staff supported that care assessments were conducted appropriately. The allegation was determined to be unsubstantiated with no deficiencies cited.
Report Facts
Facility capacity: 180
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Andrea Mendivil | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Christian Otbo | Executive Director | Met with Licensing Program Analyst during the investigation and provided information |
| Myra Lozada Aragones | Administrator | Facility administrator named in the report |
| Alisa Ortiz | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 104
Capacity: 180
Deficiencies: 0
Date: Apr 25, 2025
Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation that staff did not intervene when a visitor caused injury to a resident.
Complaint Details
The complaint alleged that staff did not intervene when a visitor caused injury to a resident. The allegation was determined to be unsubstantiated after investigation including interviews with the resident, staff, witnesses, and review of medical and incident reports as well as a police investigation.
Findings
The investigation found no evidence to substantiate the allegation. Interviews, record reviews, and a police report indicated that staff provided appropriate supervision and safeguards to protect the resident, and no intentional harm was found.
Report Facts
Capacity: 180
Census: 104
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michael Tea | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Myra Lozada Aragones | Administrator | Facility administrator named in the report |
| Christian Otbo | Executive Director | Provided information about staff monitoring and incident response |
| Rose Alcantara | Assisted Living Director | Provided information about supervised visits and safety checks |
| Danna Dsaachs | Woodbridge staff member met with during the investigation | |
| Alisa Ortiz | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Census: 133
Capacity: 180
Deficiencies: 0
Date: Jan 16, 2025
Visit Reason
The visit was an unannounced case management inspection conducted by Licensing Program Analyst Michael Tea.
Findings
The Licensing Program Analyst amended report LIC9099 dated 01/16/2025 and reviewed the amended report with the Executive Director. An exit interview was conducted and a copy of the report was provided to the facility.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michael Tea | Licensing Program Analyst | Conducted the unannounced case management visit and amended the report. |
| Christian Otbo | Executive Director | Greeted the Licensing Program Analyst and participated in the exit interview. |
Inspection Report
Complaint Investigation
Census: 135
Capacity: 180
Deficiencies: 0
Date: Nov 5, 2024
Visit Reason
The inspection was conducted to investigate a complaint received on 2024-10-28 alleging that the facility was accepting bedridden residents without approved fire clearance and not adhering to physician reports.
Complaint Details
Complaint was received on 2024-10-28 alleging acceptance of bedridden residents without fire clearance and non-adherence to physician reports. The complaint was investigated and found to be unfounded.
Findings
The investigation found that the facility is not accepting bedridden residents and is adhering to physician reports. The allegations were determined to be unfounded.
Report Facts
Residents observed: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dwayne L Mason | Licensing Program Analyst | Conducted the complaint investigation |
| Armando J Lucero | Licensing Program Manager | Oversaw the complaint investigation |
| Daizy Gonzalez | Residents Relations Director | Met with LPAs during the inspection |
Inspection Report
Annual Inspection
Census: 130
Capacity: 180
Deficiencies: 0
Date: Aug 21, 2024
Visit Reason
An unannounced Required One Year visit was conducted to ensure substantial compliance with Title 22 regulations for the facility.
Findings
The facility was found to be in substantial compliance with regulations. The environment was safe and clean, emergency systems were operational, food and medication storage were proper, staff records and training were compliant, and residents were treated with dignity with sufficient staffing.
Report Facts
Facility capacity: 180
Census: 130
Hospice waiver capacity: 20
Non-ambulatory capacity: 140
Perishable food supply: 2
Nonperishable food supply: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amy Rodgers | Licensing Program Analyst | Conducted the inspection and signed the report |
| Christian Otbo | Executive Director | Met with Licensing Program Analyst during inspection and discussed report |
| Simon Jacob | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 129
Capacity: 180
Deficiencies: 0
Date: Jul 11, 2024
Visit Reason
The visit was an unannounced case management follow-up on an incident report received by the department regarding an allegation that a resident's private caregiver had hit the resident.
Complaint Details
The complaint involved an allegation that a private caregiver hit a resident. The police case #24-06954 found no criminal activity. The resident changed the story during the interview, and the caregiver denied the accusation. The resident has since moved out of the facility.
Findings
The investigation found that the police determined no criminal activity had occurred, the resident changed the story upon interview, and the private caregiver denied the accusation stating the hand was placed on the resident's neck to guide him to the restroom. The facility requested the private caregiver not be placed in the facility again due to the allegation.
Report Facts
Police case number: 2406954
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Lyman | Licensing Program Analyst | Conducted the unannounced case management visit |
| Christian Otbo | Executive Director | Met with Licensing Program Analyst during the visit |
Inspection Report
Complaint Investigation
Census: 135
Capacity: 180
Deficiencies: 0
Date: Sep 29, 2023
Visit Reason
An unannounced complaint investigation was conducted following a complaint received on 09/22/2023 alleging that the facility did not ensure residents received their medications and did not secure medication from residents in care.
Complaint Details
Complaint received on 09/22/2023 alleging failure to ensure residents received medications and failure to secure medication from residents. Investigation determined allegations to be unsubstantiated due to lack of preponderance of evidence.
Findings
The investigation found that the alleged missed medications were actually refusals by residents that were not properly documented by staff. Staff received retraining on medication refusal documentation. The medication storage was observed to be secure. Based on interviews and records, the allegations were determined to be unsubstantiated.
Report Facts
Residents alleged to have missed medications: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Andrea Mendivil | Licensing Program Analyst | Conducted the complaint investigation |
| Susie Mora | Assistant Executive Director/Memory Care Director | Interviewed during investigation and provided information on medication audit and staff retraining |
| Alisa Ortiz | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 135
Capacity: 180
Deficiencies: 0
Date: Sep 29, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 08/25/2023 alleging that staff handled a resident in a rough manner.
Complaint Details
The complaint alleged that staff handled a resident in a rough manner. Interviews with 6 staff and 3 residents indicated no rough handling. Staff were trained on dementia and challenging behaviors. The resident was combative and would back away. The allegation was unsubstantiated.
Findings
The investigation included interviews with staff and residents, review of records, and an attempt to interview the resident. The allegation was determined to be unsubstantiated due to lack of preponderance of evidence. No deficiencies were cited.
Report Facts
Complaint received date: Aug 25, 2023
Number of staff interviewed: 6
Number of residents interviewed: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Andrea Mendivil | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Susie Mora | Memory Care Director | Met with Licensing Program Analyst during the visit |
| Myra Lozada Aragones | Administrator | Facility administrator named in the report |
| Alisa Ortiz | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 144
Capacity: 180
Deficiencies: 1
Date: Jun 23, 2023
Visit Reason
An unannounced complaint investigation visit was conducted following a complaint received on 2023-06-20 regarding the facility's failure to make confidential information available upon request.
Complaint Details
The complaint was substantiated. The facility failed to make confidential information available upon request, citing delays due to a cyberattack and lack of legal department response or extension request.
Findings
The investigation found that the facility did not provide requested confidential documents due to a ransomware/cyberattack starting on 2023-06-06, and despite contacting their legal department, the requested documents were not produced. The allegation was substantiated, indicating a violation occurred.
Deficiencies (1)
Facility did not provide confidential information upon request, violating CCR 87506(c)(1).
Report Facts
Capacity: 180
Census: 144
Deficiency Type B: 1
Plan of Correction Due Date: Jul 7, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Andrea Mendivil | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Myra Lozada Aragones | Executive Director | Facility administrator who provided information regarding the complaint and cyberattack |
Inspection Report
Complaint Investigation
Census: 117
Capacity: 180
Deficiencies: 0
Date: Dec 15, 2022
Visit Reason
An unannounced case management visit was conducted to follow up on a special incident report dated October 18, 2021, regarding a resident (R1) who had unusual vaginal bleeding and concerns of possible elder abuse.
Complaint Details
The complaint involved concerns of possible elder abuse due to unusual vaginal bleeding and discovery of detached hairs in R1’s vagina. The doctor did not suspect sexual abuse and no corroborating evidence was found. R1 denied sexual abuse and no suspicious incidents were observed in the facility.
Findings
The investigation found no evidence to suggest that R1 was sexually assaulted while at the facility. No deficiencies were cited as per Title 22 of the California Code of Regulations.
Report Facts
Facility capacity: 180
Resident census: 117
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kathrina Chin | Licensing Program Analyst | Conducted the unannounced case management visit |
| Terrie Sherrell | Assisted Living Director | Met with Licensing Program Analyst during the visit |
| Myra Aragones | Executive Director | Met with Licensing Program Analyst during the visit |
Inspection Report
Complaint Investigation
Census: 117
Capacity: 180
Deficiencies: 0
Date: Dec 15, 2022
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 10/28/2021 concerning staff causing bruising, improper resident transfers, residents left on the floor or in soiled clothing, and delayed medical attention.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included staff causing bruising, improper transfers, residents left on the floor or in soiled clothing, and delayed medical care. The investigation found insufficient evidence to prove violations occurred.
Findings
The investigation involved interviews and record reviews and found no preponderance of evidence to substantiate the allegations. The allegations were deemed unsubstantiated despite some evidence of resident falls and health decline.
Report Facts
Capacity: 180
Census: 117
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kathrina Chin | Licensing Program Analyst | Conducted the complaint investigation visit |
| Sheila Santos | Licensing Program Manager | Named in report as Licensing Program Manager |
| Stephen Pratt | Administrator | Facility Administrator mentioned in report header |
| Terrie Sherrell | Assisted Living Director | Met with Licensing Program Analyst during investigation and received report copy |
| Myra Aragones | Executive Director | Met with Licensing Program Analyst during investigation |
| S3 | Wellness Director/LVN | Former Wellness Director/LVN who provided information during investigation |
Inspection Report
Complaint Investigation
Census: 129
Capacity: 180
Deficiencies: 1
Date: Nov 4, 2022
Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation that staff were sleeping during shifts at the facility.
Complaint Details
The complaint investigation was substantiated based on interviews and document review. The allegation involved staff sleeping during shifts, which was confirmed by witnesses and facility management.
Findings
The investigation substantiated the allegation that two staff members were found sleeping on the job in the Memory Care Department while caring for eight residents. Both staff members were suspended and no longer work at the facility. A deficiency was cited for failure to maintain awake night supervision as required by regulations.
Deficiencies (1)
Night Supervision- In facilities caring for sixteen (16) to one hundred (100) residents at least one employee shall be on duty on the premises, and awake. Another employee shall be on call, and capable of responding within ten minutes. This requirement is not met as evidenced by two employees observed sleeping in the Memory Care Department on January 18, 2022, posing an immediate health and safety risk to residents.
Report Facts
Residents in Memory Care Department during incident: 8
Facility census: 129
Facility capacity: 180
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kathrina Chin | Licensing Program Analyst | Conducted the complaint investigation and interviews |
| Sheila Santos | Licensing Program Manager | Oversaw the complaint investigation report |
| Stephen Pratt | Executive Director | Reported the staff sleeping incident and facility actions |
| Terrie Sherrell | Assisted Living Director/LVN | Met with Licensing Program Analyst during investigation |
Inspection Report
Capacity: 180
Deficiencies: 0
Date: Jun 30, 2022
Visit Reason
An unannounced case management visit was conducted to follow up on an incident report dated 06/21/2022 involving a resident who ingested a marijuana cookie.
Findings
No deficiencies were noted during the visit. The resident was assessed by paramedics and monitored in the facility. The Licensing Program Analyst reviewed medication lists and facility policy.
Report Facts
Capacity: 180
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Stephen Pratt | Executive Director | Met during the visit and involved in incident follow-up |
| Jackie Francisco | Resident Care Coordinator | Interviewed regarding resident incident and response |
| Giesla Marcial | Resident Care Supervisor | Met during the visit |
| Frances Pasqual | Med-tech | Noticed resident's behavior change related to incident |
| Andrea Mendivil | Licensing Program Analyst | Conducted the unannounced case management visit |
| Alisa Ortiz | Licensing Program Manager | Named in report header |
Inspection Report
Annual Inspection
Census: 112
Capacity: 180
Deficiencies: 0
Date: Jun 13, 2022
Visit Reason
Licensing Program Analyst Andrea Mendivil conducted an unannounced visit for the purpose of conducting an annual visit at the facility.
Findings
The facility appeared clean and sanitary with all required elements in resident rooms and restrooms. Residents appeared happy and well taken care of. No deficiencies were noted during the visit. The facility has appropriate emergency supplies, medication management, and COVID-19 plans in place.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Stephen Pratt | Executive Director | Met with Licensing Program Analyst during the inspection and mentioned in the report. |
| Andrea Mendivil | Licensing Program Analyst | Conducted the unannounced annual visit and authored the report. |
| Alisa Ortiz | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Complaint Investigation
Census: 115
Capacity: 180
Deficiencies: 0
Date: May 20, 2022
Visit Reason
An unannounced complaint investigation was conducted due to an allegation of lack of care and supervision resulting in a resident falling.
Complaint Details
The complaint was unsubstantiated. The allegation involved a resident fall on 04/13/2022, with investigation including interviews, record reviews, and observations. The resident was a known fall risk with prior history of falls. The facility responded with fall mats, two-person assists, and enhanced hourly checks.
Findings
The investigation found that although the resident did fall and was hospitalized, the facility had implemented appropriate fall prevention measures and there was insufficient evidence to substantiate the allegation of lack of care and supervision. No deficiencies were cited.
Report Facts
Complaint Control Number: 22-AS-20220414161926
Facility Capacity: 180
Census: 115
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Andrea Mendivil | Licensing Program Analyst | Conducted the complaint investigation visit |
| Stephen Pratt | Administrator | Facility administrator named in report header |
Inspection Report
Census: 103
Capacity: 180
Deficiencies: 0
Date: Jan 24, 2022
Visit Reason
The visit was a case management-incident follow-up conducted via telephone and FaceTime due to a self-reported incident involving staff sleeping on duty in the Memory Care Department on January 18, 2022.
Findings
Two care staff members were found sleeping while caring for eight residents. Both staff were immediately suspended and no deficiencies were cited during this review.
Report Facts
Residents in Memory Care Department during incident: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Stephen Pratt | Executive Director | Spoke with Licensing Program Analyst regarding the incident and participated in exit interview |
Inspection Report
Capacity: 180
Deficiencies: 0
Date: Nov 1, 2021
Visit Reason
This unannounced case management visit was conducted to follow up on an incident reported to Community Care Licensing involving resident 1, related to concerns of elder abuse reported by the resident's primary care physician.
Findings
Based on observations during the visit, no deficiencies were noted per Title 22 Division 6 of the California Code of Regulations.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Stephen Pratt | Executive Director | Met with Licensing Program Analyst during the visit and provided information related to the incident. |
Inspection Report
Original Licensing
Census: 80
Capacity: 180
Deficiencies: 0
Date: Jun 1, 2021
Visit Reason
An announced site visit was conducted for the purpose of a pre-licensing evaluation due to a change of ownership application.
Findings
The facility was toured and inspected, including resident units, safety equipment, emergency supplies, and posted policies. It appears the facility meets the requirements for licensure, and both the license and hospice waiver will be granted upon final review and approval.
Report Facts
Memory Care unit capacity: 25
Fire clearance capacity: 140
Fire clearance capacity: 40
Hospice waiver request: 14
Hot water temperature range: 114.3
Hot water temperature range: 121.2
Hot water temperature setpoint: 116
Resident units: 142
Total capacity: 180
Census: 80
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Stephen Pratt | Executive Director | Met with Licensing Program Analyst during inspection and exit interview |
| Kathrina Chin | Licensing Program Analyst | Conducted the announced site visit and evaluation |
| Sheila Santos | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Original Licensing
Capacity: 180
Deficiencies: 0
Date: May 10, 2021
Visit Reason
The visit was conducted as part of the original licensing process for the facility, including a Component II telephone call to verify the applicant and administrator's understanding of Title 22 and other licensing requirements.
Findings
The applicant and administrator successfully completed the Component II telephone call, confirming understanding of facility operation, staff qualifications, program policies, and other licensing requirements. Technical assistance and document review were provided, including verification of criminal record clearance, health screening, fire clearance, and other certifications.
Report Facts
Capacity: 180
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Stephen Pratt | Participant in Component II telephone call | |
| Tammie Sampedro | Administrator | Facility administrator |
| Mirella Quaranta | Licensing Program Manager | Named in report header |
| Stefania Fonteno | Licensing Program Analyst | Named in report header and signed report |
Viewing
Loading inspection reports...
