Most inspections found no deficiencies, with the facility consistently meeting all regulatory requirements and maintaining a clean, safe environment. The most recent report from October 16, 2025, showed no deficiencies and confirmed continued compliance. An isolated issue occurred in November 2020 when a complaint investigation substantiated that staff delayed a resident’s phone calls, which was cited as a violation of the resident’s rights; a correction plan was implemented. There were no fines, enforcement actions, or severe findings listed in the available reports. The facility’s record shows improvement and stability, with no deficiencies noted in recent years.
The Licensing Program Analyst conducted an unannounced visit to the facility to perform a required annual inspection.
Findings
The facility was found to be in compliance with all applicable requirements, including fire safety, food supply, medication security, and resident records. No issues or concerns were observed during the visit.
Report Facts
Staff present: 2Resident bedrooms: 5Bathrooms: 3Fire extinguisher last serviced: Jun 25, 2025Certificate of liability insurance expiration: Nov 12, 2025Last fire drill date: Sep 30, 2025
Employees Mentioned
Name
Title
Context
Janette Romero
Licensing Program Analyst
Conducted the inspection visit
Daphne Drapeau
Administrator
Met with Licensing Program Analyst during inspection
Licensing Program Analyst Sara Martinez conducted an unannounced annual required visit to evaluate the facility's compliance with regulatory requirements.
Findings
The facility was found to be clean and well-maintained with all safety equipment operational. Staff files, resident records, medication storage, and emergency plans were all in compliance. No deficiencies were cited at the time of the visit.
Licensing Program Analyst Jacqueline Shaw Ross made an unannounced visit to the facility for the purpose of an annual review.
Findings
The facility was found to be in good condition with all required furnishings, safety features, and proper food storage. Staff and client records were current and complete, medications were dispensed according to physician orders, and no deficiencies were cited.
An unannounced case management visit was conducted to amend LIC 9099 reports created on 12/21/2022, relating to complaint #18-AS-20221219140229.
Findings
The Licensing Program Analysts identified themselves, discussed the purpose of the visit with the Administrator, and provided amended reports and a copy of this report at the conclusion of the visit.
Employees Mentioned
Name
Title
Context
Elizabeth Rivera
Administrator
Met with during the visit and discussed the purpose of the visit.
An unannounced annual required licensing inspection was conducted to verify compliance with statutes, regulations, and infection control practices.
Findings
The facility was found to be in compliance with all relevant regulations including infection control practices related to COVID-19. No deficiencies were observed during the visit.
Employees Mentioned
Name
Title
Context
Adam Hamer
Licensing Program Analyst
Conducted the inspection and authored the report.
Claudia Arango
Caregiver
Met with the Licensing Program Analyst during the inspection.
An unannounced complaint investigation was conducted due to an allegation that staff delayed phone calls to a resident.
Findings
The investigation substantiated that staff delayed Resident 1's phone calls, violating the resident's right to reasonable access to the telephone. A citation was issued and a plan of correction was developed with the licensee.
Complaint Details
The complaint was substantiated based on interviews with staff, outside sources, and records reviewed. Staff delayed phone calls to Resident 1 until an outside source spoke with the licensee.
Severity Breakdown
Type B: 1
Deficiencies (1)
Description
Severity
Licensee did not allow Resident 1 reasonable access to the telephone to receive confidential calls, posing a potential personal rights risk.
Type B
Report Facts
Capacity: 6Census: 5Plan of Correction Due Date: Nov 30, 2020
Employees Mentioned
Name
Title
Context
Elizabeth Hamilton
Licensing Evaluator
Conducted the complaint investigation and authored the report
Denise Powell
Licensing Program Manager
Participated in the investigation and exit interview
Ali Naghibi
Licensee
Facility licensee involved in the investigation and findings
Tony Girolami
Supervisor
Supervisor overseeing the investigation
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