Inspection Report Summary
Most inspections found no deficiencies, including the most recent report on March 14, 2025, which noted no health or safety issues during a wellness check. Earlier complaint investigations were largely unsubstantiated, with residents receiving appropriate care and the facility maintaining cleanliness and safety. Some deficiencies were cited in 2023, including missed medication doses and failure to notify responsible parties about a resident’s hospitalization, both of which were addressed with corrective actions and staff training. A serious issue involving financial elder abuse by a staff member was documented in 2021, resulting in criminal conviction and a citation. Since then, the facility’s record shows improvement with no recent deficiencies or enforcement actions.
Deficiencies per Year
4
3
2
1
0
Moderate
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Census: 332
Capacity: 511
Deficiencies: 0
Mar 14, 2025
Visit Reason
The visit was an unannounced Case Management visit in response to the self-reported death of Resident 1 on 2025-03-11.
Findings
A wellness check was conducted with no health or safety issues identified. Residents appeared appropriate for the facility and no deficiencies were cited or observed.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Justin Webber | Executive Director | Met with Licensing Program Analyst during the visit. |
| Iby Strong | Licensing Program Analyst | Conducted the unannounced Case Management visit. |
Inspection Report
Annual Inspection
Census: 325
Capacity: 511
Deficiencies: 0
Feb 11, 2025
Visit Reason
An unannounced required annual inspection was conducted to evaluate the facility's compliance with licensing regulations.
Findings
The facility was found to be clean, sanitary, and in good repair with no deficiencies cited. All required equipment, furnishings, and safety measures were verified to be in working order.
Report Facts
Capacity: 511
Census: 325
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Justin Weber | Executive Director | Met during inspection and named in report |
| Iby Strong | Licensing Program Analyst | Conducted the inspection |
| Simon Jacob | Licensing Program Manager | Named in report |
Inspection Report
Complaint Investigation
Census: 315
Capacity: 511
Deficiencies: 0
Aug 28, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations that the licensee did not provide residents with reappraisals and staff did not assist residents with incontinence care.
Findings
The investigation found no preponderance of evidence to substantiate the allegations. Interviews and record reviews indicated that residents received timely reappraisals and incontinence care as required.
Complaint Details
The complaint alleged that the licensee did not provide residents with reappraisals after aggressive behaviors and that staff did not assist residents with incontinence care. The investigation was unsubstantiated based on interviews, record reviews, and corroborating evidence.
Report Facts
Capacity: 511
Census: 315
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Iby Strong | Licensing Program Analyst | Conducted the complaint investigation and unannounced visit |
| Claudia Rubio | Director of Human Resources | Interviewed during the investigation and received the exit interview |
| Simon Jacob | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Capacity: 511
Deficiencies: 0
Aug 12, 2024
Visit Reason
The visit was an unannounced Case Management visit in response to the self-reported death of Resident 1 on 2024-08-03.
Findings
No health or safety issues were identified during the wellness check, and no deficiencies were cited or observed on this date.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Justin Weber | Executive Director | Met with Licensing Program Analyst during the visit and discussed the purpose of the visit. |
| Iby Strong | Licensing Program Analyst | Conducted the unannounced Case Management visit. |
| Simon Jacob | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Annual Inspection
Census: 310
Capacity: 511
Deficiencies: 0
Feb 21, 2024
Visit Reason
An unannounced required one-year inspection was conducted to evaluate compliance with licensing regulations for the facility.
Findings
The facility was found to be in compliance with all licensing requirements. No deficiencies were cited. The environment was safe, sanitary, and well-maintained, with sufficient staff and appropriate resident care observed.
Report Facts
Residents bedridden: 370
Food supply duration: 2
Food supply duration: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Justin Weber | Executive Director | Met with Licensing Program Analyst during inspection and acknowledged receipt of report |
| Amy Rodgers | Licensing Program Analyst | Conducted the unannounced one-year inspection |
| Denise Powell | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Census: 370
Capacity: 511
Deficiencies: 0
Dec 6, 2023
Visit Reason
The visit was an unannounced Case Management Visit conducted in response to the self-reported death of Resident 1 on 2023-11-27.
Findings
A wellness check was conducted with no health or safety issues identified. Residents appeared appropriate for the facility. No deficiencies were cited or observed during this visit.
Report Facts
Capacity: 511
Census: 370
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Justin Weber | Executive Director | Met with Licensing Program Analyst during the visit |
| Claudia Rubio | Director of Human Resources | Met with Licensing Program Analyst during the visit |
Inspection Report
Complaint Investigation
Census: 311
Capacity: 511
Deficiencies: 0
May 22, 2023
Visit Reason
The inspection was conducted in response to a complaint received on 2023-04-18 alleging that food is served cold, residents are not pre-appraised, and residents' needs are not being met.
Findings
The investigation found that residents generally do not receive cold food during in-person dining, and food delivery protocols include warming methods and insulated bags. All residents reviewed had documented pre-appraisals prior to admission. Interviews and record reviews indicated that residents' needs were being met and no evidence supported the allegations.
Complaint Details
The complaint was unsubstantiated based on facility inspection, interviews, and record reviews. Allegations included cold food service, lack of resident pre-appraisals, and unmet resident needs, none of which were supported by evidence.
Report Facts
Facility capacity: 511
Census: 311
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Iby Strong | Licensing Program Analyst | Conducted the complaint investigation and inspection |
| Justin Webber | Executive Director | Met with Licensing Program Analyst during inspection and exit interview |
| John Rante | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Census: 311
Capacity: 511
Deficiencies: 0
May 22, 2023
Visit Reason
The visit was a case management visit to deliver an amended report from a complaint visit conducted on 2023-04-25.
Findings
The amended report was reviewed with the Executive Director, signatures were obtained, and an exit interview was conducted. All staff present have current criminal record clearances.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Justin Webber | Executive Director | Met with Licensing Program Analyst during the visit and involved in review and signature of amended report. |
| Iby Strong | Licensing Program Analyst | Conducted the case management visit and delivered the amended report. |
| John Rante | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Follow-Up
Census: 312
Capacity: 511
Deficiencies: 0
May 9, 2023
Visit Reason
An unannounced case management visit was conducted to follow-up on an incident reported to Community Care Licensing involving a resident who was physically injured by an unknown source.
Findings
During the visit, pertinent resident records were collected and a health and safety check was conducted. No deficiencies were cited during the visit.
Complaint Details
The visit was triggered by an incident report received on 2023-05-01 regarding physical injury to Resident #1 by an unknown source.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Iby Strong | Licensing Program Analyst | Conducted the unannounced case management visit. |
| Rowena Lomboy | Executive Assistant | Met with Licensing Program Analyst during the visit. |
| John Rante | Licensing Program Manager | Named as Licensing Program Manager in the report. |
Inspection Report
Complaint Investigation
Census: 317
Capacity: 511
Deficiencies: 1
Apr 21, 2023
Visit Reason
The visit was an unannounced Case Management inspection conducted in response to an LIC624 Incident Report submitted by the licensee regarding missed antibiotic medication doses for Resident #1 (R1).
Findings
The licensee failed to assist one resident (R1) with self-administered medications as prescribed, resulting in two missed antibiotic doses over a ten-day period. A deficiency was cited and a Plan of Correction was developed. Staff received remedial training following the incident.
Complaint Details
The visit was complaint-related, triggered by an incident report of missed medication doses for Resident #1. The missed doses did not result in visible adverse health consequences. Staff involved were identified and received training. The complaint was substantiated by the deficiency citation.
Deficiencies (1)
| Description |
|---|
| The licensee did not assist 1 of 317 residents (R1) with self-administered medications as needed/prescribed, posing a potential health risk. |
Report Facts
Deficiencies cited: 1
Missed medication doses: 2
Medication prescribed duration: 10
Medication pills dispensed: 20
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dang Nguyen | Licensing Program Analyst | Conducted the unannounced Case Management visit and authored the report |
| Lizzette Tellez | Licensing Program Manager | Supervisor overseeing the inspection and cited deficiency |
| Aurora Galicia | Director of Resident Health Services | Facility representative present during exit interview |
| Rowena Lomboy | Executive Assistant | Facility representative met during the visit |
Inspection Report
Complaint Investigation
Census: 320
Capacity: 511
Deficiencies: 1
Feb 23, 2023
Visit Reason
An unannounced complaint investigation was conducted regarding an allegation that staff did not notify responsible parties of a resident's hospitalization.
Findings
The investigation found that staff failed to notify the responsible party of Resident #1's hospitalization after a fall on 01/24/2023, despite the responsible party residing at the facility. The facility also failed to submit required incident reports to the licensing agency. The allegation was substantiated.
Complaint Details
The complaint alleged that staff did not notify responsible parties of a resident's hospitalization. The allegation was substantiated based on interviews and record review.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to submit a written incident report and notify the resident's responsible party and licensing agency within seven days of the occurrence. | Type B |
Report Facts
Residents in care: 320
Licensed capacity: 511
Deficiency count: 1
Plan of Correction due date: Mar 23, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ben Geske | Executive Director | Named in relation to notification procedure and exit interview |
| Natasha Persaud | Licensing Program Analyst | Conducted complaint investigation |
| Lizzette Tellez | Licensing Program Manager | Oversaw complaint investigation |
Inspection Report
Complaint Investigation
Census: 320
Capacity: 511
Deficiencies: 0
Feb 23, 2023
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations that residents were being left unsupervised and that the facility was unsanitary.
Findings
The investigation found no preponderance of evidence to support the allegations. Staff and resident interviews, as well as facility tours, indicated that memory care residents were supervised and the facility was clean and sanitary with no urine odor detected.
Complaint Details
The complaint was unsubstantiated. Allegations included residents being left unsupervised and the facility being unsanitary. Investigations included interviews and tours, which did not corroborate the allegations.
Report Facts
Capacity: 511
Census: 320
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ben Geske | Executive Director | Met with during investigation and named in report |
| Natasha Persaud | Licensing Program Analyst | Conducted the complaint investigation |
| Lizzette Tellez | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Census: 315
Capacity: 511
Deficiencies: 0
Jan 30, 2023
Visit Reason
An unannounced Case Management Visit was conducted to follow up on events self-reported by the licensee regarding an unusual incident involving a resident who left the facility and was later returned safely.
Findings
The Licensing Program Analyst toured the facility, performed a welfare check on the resident involved, reviewed records and staff interviews, and found that the resident was able to safely leave unassisted and that staff followed the facility's Absentee Notification Plan. No deficiencies were identified or cited during the visit.
Report Facts
Facility capacity: 511
Census: 315
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dang Nguyen | Licensing Program Analyst | Conducted the unannounced Case Management Visit |
| Robert Rubio | Executive Assistant | Met with Licensing Program Analyst to discuss the purpose of the visit and exit interview |
Inspection Report
Annual Inspection
Census: 315
Capacity: 511
Deficiencies: 0
Jan 30, 2023
Visit Reason
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, provided technical assistance on COVID-19 mitigation, and found no deficiencies during this inspection.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dang Nguyen | Licensing Program Analyst | Conducted the inspection and provided technical assistance. |
| Robert Rubio | Executive Assistant | Met with the Licensing Program Analyst during the inspection. |
| Lizzette Tellez | Licensing Program Manager | Named in the report header. |
Inspection Report
Follow-Up
Census: 284
Capacity: 511
Deficiencies: 1
Sep 14, 2021
Visit Reason
An unannounced Case Management Inspection was conducted to follow-up on previous incidents initiated on December 12, 2018, related to theft of residents' credit/debit cards and fraudulent charges on residents' financial accounts.
Findings
The investigation determined that a staff member committed fraud and theft against the financial welfare of elderly residents, involving unauthorized charges and purchases. The staff member pleaded guilty to four felony counts including financial elder abuse and was sentenced to four years in county prison. A citation was issued and a Plan of Correction was developed.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Engaged in conduct that is inimical to the financial welfare of three of the 276 residents at the facility, posing a potential financial risk to residents in care. | Type B |
Report Facts
Residents affected: 3
Census: 284
Total capacity: 511
Felony counts: 4
Sentence length: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ben Geske | Executive Director | Met with Licensing Program Analysts during inspection and involved in Plan of Correction development |
| Simon Jacob | Licensing Program Manager | Supervisor and Licensing Program Manager overseeing the inspection |
| Alexandre Vo | Licensing Program Analyst | Conducted the inspection and signed the report |
| Rebecca Ruiz | Licensing Program Analyst | Conducted the inspection |
Inspection Report
Census: 278
Capacity: 511
Deficiencies: 0
Aug 5, 2021
Visit Reason
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
During the visit, no deficiencies were cited. The team conducted interviews and a walk-through of the facility, concluding with a debriefing with the Administrator.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ben Geske | Administrator | Named in relation to the visit and discussions during the inspection. |
| Melanie Thompson | Director of Resident Health Services | Named in relation to the visit and discussions during the inspection. |
| Robert Rubio | Administrative Assistant | Named in relation to the visit and discussions during the inspection. |
| Rebecca Ruiz | Licensing Program Analyst | Conducted the on-site visit and identified herself to the facility. |
| Robert Montinallo | County of San Diego Nurse Contractor | Part of the inspection team conducting the visit. |
| Elizar Perez | County of San Diego Nurse Contractor | Part of the inspection team conducting the visit. |
| Maggie Turner | Health Facility Evaluator Nurse (HFEN) | Part of the inspection team conducting the visit. |
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