Inspection Reports for ActivCare 4S Ranch
10603 Rancho Bernardo Rd, San Diego, CA 92127, United States, CA, 92127
Back to Facility ProfileInspection Report Summary
Most inspections found no deficiencies, with the facility consistently clean, sanitary, and in good repair. The most recent report from May 7, 2025, was perfect with no deficiencies cited. An isolated staffing deficiency was noted in January 2023 related to a resident leaving the facility unattended, but no injuries occurred and no further enforcement actions were taken. Several complaint investigations, including one in November 2024 about a resident fall, were unsubstantiated. The facility’s record shows improvement since the staffing issue, with recent inspections showing no deficiencies.
Deficiencies (last 5 years)
Deficiencies (over 5 years)
0.2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
95% better than California average
California average: 4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
82% occupied
Based on a May 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Annual Inspection
Census: 49
Capacity: 60
Deficiencies: 0
Date: May 7, 2025
Visit Reason
An unannounced, required annual inspection was conducted to evaluate compliance with licensing requirements for the facility.
Findings
The facility was found to be clean, sanitary, and in good repair with no deficiencies cited. Resident rooms, safety equipment, and emergency preparedness were all compliant. Interviews and record reviews revealed no regulatory concerns.
Report Facts
Residents in care: 49
Licensed capacity: 60
Hospice waiver capacity: 20
Bedridden capacity: 15
Days of perishable food stored: 2
Days of non-perishable food stored: 7
Date of most recent emergency drill: Jan 26, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Denise Notter | Executive Director | Met during inspection and participated in facility tour and exit interview |
| Arian Golbakhsh | Licensing Program Analyst | Conducted the inspection and reviewed facility records |
| Ahdiyeh Dargahi | Front Desk Staff | Met and discussed purpose of visit |
Inspection Report
Complaint Investigation
Census: 53
Capacity: 60
Deficiencies: 0
Date: Nov 21, 2024
Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that staff left a resident on the floor after a fall.
Complaint Details
The complaint alleged that staff left Resident 1 on the floor after a fall on October 27, 2024. Interviews and record reviews showed Resident 1 chose to crawl and was not injured or left unattended. The allegation was unsubstantiated.
Findings
The investigation found no evidence to support the allegation; the resident was observed crawling voluntarily and was not left unattended after a fall. The complaint was unsubstantiated.
Report Facts
Facility capacity: 60
Census: 53
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Iby Strong | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Denise Notter | Executive Director | Met with Licensing Program Analyst during the investigation and exit interview |
Inspection Report
Annual Inspection
Census: 52
Capacity: 60
Deficiencies: 0
Date: Jun 26, 2024
Visit Reason
An unannounced required annual inspection was conducted to evaluate compliance with licensing requirements for the facility.
Findings
The facility was found to be clean, sanitary, and in good repair with no deficiencies observed or cited during the inspection. All required safety measures, equipment, and postings were present and in order.
Report Facts
Licensed capacity: 60
Current census: 52
Hospice waiver capacity: 20
Bedridden resident capacity: 15
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sabel Martinez | Licensing Program Analyst | Conducted the inspection |
| Denise Notter | Executive Director | Facility representative met during inspection |
Inspection Report
Annual Inspection
Census: 56
Capacity: 60
Deficiencies: 0
Date: Oct 16, 2023
Visit Reason
An unannounced required one-year inspection was conducted to ensure substantial compliance with Title 22 regulations.
Findings
The facility was found to be in substantial compliance with regulations, with operational safety features, sanitary conditions, proper food storage, adequate staff certifications, and resident dignity maintained throughout the visit.
Report Facts
Residents bedridden allowed: 15
Hospice waiver approved residents: 20
Sampled resident units during tour: 10
Food supply days: 2
Food supply days: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mark Alsop | Administrator | Facility Administrator who accompanied the Licensing Program Analyst during the inspection and was involved in the exit interview. |
| Amy Rodgers | Licensing Program Analyst | Conducted the unannounced one-year inspection and authored the report. |
| Denise Powell | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Census: 54
Capacity: 60
Deficiencies: 0
Date: Sep 6, 2023
Visit Reason
An unannounced Case Management visit was conducted by the Licensing Program Analyst to secure report signatures and deliver an amended report.
Findings
The Licensing Program Analyst identified himself, explained the purpose of the visit to the Executive Director, secured report signatures, delivered an amended report, and conducted an exit interview with the Executive Director.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mark Alsop | Executive Director | Met during the visit and participated in the exit interview. |
| Sabel Martinez | Licensing Program Analyst | Conducted the unannounced Case Management visit. |
| Lizzette Tellez | Licensing Program Manager | Named in the report header. |
Inspection Report
Census: 50
Capacity: 60
Deficiencies: 0
Date: Jan 18, 2023
Visit Reason
The visit was an unannounced Case Management inspection conducted in response to an Incident Report and a Death Certificate submitted for Resident #1, who sustained a fall and subsequently passed away.
Findings
No health and safety concerns were identified and no deficiencies were cited during the visit. A tour of the facility was conducted and pertinent records were secured.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mark Alsop | Executive Director | Met during the visit and involved in exit interview |
| Denise Notter | Program Director | Met during the visit |
| Sabel Martinez | Licensing Program Analyst | Conducted the unannounced Case Management visit |
| Denise Powell | Licensing Program Manager | Named in report header |
Inspection Report
Complaint Investigation
Census: 50
Capacity: 60
Deficiencies: 1
Date: Jan 6, 2023
Visit Reason
The visit was initiated to cite a deficiency in response to a self-reported incident where a resident was absent without leave (AWOL) from the facility and returned by local law enforcement on the same day.
Complaint Details
The visit was complaint-related due to a self-reported incident of a resident absent without leave (AWOL) on November 29, 2022. The resident was returned by law enforcement the same day. No injuries were reported.
Findings
A deficiency was cited for failure to ensure an adequate number of direct care staff to support residents, evidenced by the AWOL incident involving one resident who left the facility unobserved and was absent for approximately one hour.
Deficiencies (1)
Failure to ensure an adequate number of direct care staff to support each resident’s physical, social, emotional, safety and health care needs as identified in his/her current appraisal, evidenced by an AWOL incident involving one resident.
Report Facts
Deficiencies cited: 1
Resident count during visit: 50
Total licensed capacity: 60
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mark Alsop | Director | Facility Director involved in the visit and Plan of Correction development |
| Tammer De Los Santos | Licensing Program Analyst | Conducted the unannounced case management visit |
| Denise Powell | Licensing Program Manager | Supervisor overseeing the licensing evaluation |
Inspection Report
Annual Inspection
Census: 40
Capacity: 60
Deficiencies: 0
Date: Jun 16, 2022
Visit Reason
The inspection was an unannounced Required 1-Year Visit conducted to evaluate the facility's compliance with licensing requirements and infection control practices.
Findings
The Licensing Program Analyst observed the facility's implementation of the COVID-19 Mitigation Plan and infection control measures, finding the facility in compliance with no deficiencies noted during the visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Denise Notter | Program Director | Met with Licensing Program Analyst during the inspection and participated in the exit interview. |
| Sabel Martinez | Licensing Program Analyst | Conducted the unannounced Required 1-Year Visit and evaluation. |
Inspection Report
Complaint Investigation
Census: 29
Capacity: 60
Deficiencies: 0
Date: Dec 14, 2021
Visit Reason
The visit was an unannounced Case Management Visit to follow up on events self-reported by the licensee, specifically regarding an unusual incident and death report involving a resident.
Complaint Details
The visit was triggered by an LIC624 Unusual Incident Report and an LIC624A Death Report concerning Resident #1, who was found deceased with head trauma after being last seen two hours earlier. The reports were self-reported by the licensee.
Findings
The Licensing Program Analyst toured the facility, performed welfare checks, and reviewed pertinent care records. The case requires further investigation, and no deficiencies were cited during this visit.
Report Facts
Capacity: 60
Census: 29
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mark Alsop | Executive Director | Met with Licensing Program Analyst during the visit and involved in the exit interview |
| Dang Nguyen | Licensing Program Analyst | Conducted the unannounced Case Management Visit |
Inspection Report
Annual Inspection
Census: 21
Capacity: 60
Deficiencies: 0
Date: Jun 29, 2021
Visit Reason
Licensing Program Analyst Laarni Santiago visited the facility to conduct an annual required licensing inspection.
Findings
The inspection verified compliance with infection control practices including COVID-19 mitigation measures. No deficiencies were cited during the visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mark Alsop | Administrator | Met with Licensing Program Analyst during inspection and discussed the purpose of the visit. |
| Laarni Santiago | Licensing Program Analyst | Conducted the annual required licensing inspection. |
| Simon Jacob | Licensing Program Manager | Named in the report as Licensing Program Manager. |
Report
December 22, 2025
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