Inspection Reports for Ansel Park Independent Living
1250 Orchid Dr, Rocklin, CA 95765, CA, 95765
Back to Facility ProfileInspection Report Summary
Most inspections found no deficiencies, showing the facility generally meets regulatory standards and maintains a clean, safe environment. Several complaint investigations were unsubstantiated, including allegations about food service, staffing, hygiene, and resident care. However, some deficiencies were cited in recent reports, such as failure to obtain criminal background clearance for a staff member in July 2025 and issues with water temperature and resident dignity in late 2024. The most recent report from July 10, 2025, found one deficiency related to staff background clearance but no enforcement actions or fines were listed in the available reports. The facility’s record shows some isolated issues but no clear pattern of worsening conditions, with many inspections showing compliance and improvements after prior deficiencies.
Deficiencies (last 5 years)
Deficiencies (over 5 years)
0.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
80% better than California average
California average: 4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
78% occupied
Based on a July 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Complaint Investigation
Census: 78
Capacity: 100
Deficiencies: 1
Date: Jul 10, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations including staff lacking criminal background clearance and unsafe maintenance of facility transportation vehicles.
Complaint Details
The complaint investigation was substantiated for the allegation that staff did not have criminal background clearance. The allegation regarding unsafe maintenance of transportation vehicles was found to be unfounded.
Findings
One allegation regarding staff lacking criminal background clearance was substantiated, citing a deficiency for failure to obtain required fingerprint clearance for a staff member who transports residents. Another allegation about unsafe maintenance of facility transportation vehicles was found to be unfounded based on documentation of a passed bus safety inspection.
Deficiencies (1)
Facility did not ensure that a criminal record clearance was obtained for one staff member, posing an immediate health, safety, or personal rights risk to persons in care.
Report Facts
Capacity: 100
Census: 78
Deficiencies cited: 1
Plan of Correction Due Date: Jul 11, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Keith Payne | Executive Director | Met with Licensing Program Analyst during investigation and named in findings |
| Angela Hood | Licensing Program Analyst | Conducted complaint investigation and authored report |
| Amanda Farley | Assistant Executive Director | Met with Licensing Program Analyst during investigation |
Inspection Report
Follow-Up
Census: 77
Capacity: 100
Deficiencies: 1
Date: Nov 14, 2024
Visit Reason
The visit was conducted as a follow-up to additional findings discovered during a complaint investigation regarding staff conduct and resident personal rights.
Complaint Details
This follow-up visit was related to complaint investigation #59-AS-20241104155417. The complaint involved staff not requesting prior approval to visit residents and the manner in which the visitor was asked to leave, which was not respectful and caused confusion to residents. The complaint findings were substantiated by interviews with residents and staff.
Findings
The facility was found deficient for not ensuring residents were accorded dignity when a former staff member was told to leave the facility in a manner that confused and upset residents. The conversation occurred in front of residents, violating their personal rights.
Deficiencies (1)
Failure to accord residents dignity in their personal relationships when a former staff member was told to leave the facility in front of residents.
Report Facts
Capacity: 100
Census: 77
Plan of Correction Due Date: Nov 28, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Keith Payne | Executive Director | Met with during inspection and mentioned in relation to staff visit approval |
| Angela Hood | Licensing Program Analyst | Conducted the inspection and authored the report |
| Maribeth Senty | Licensing Program Manager | Named as Licensing Program Manager overseeing the inspection |
Inspection Report
Complaint Investigation
Census: 77
Capacity: 100
Deficiencies: 0
Date: Nov 14, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that staff interfered with residents' visitation.
Complaint Details
The complaint alleged that staff interfered with residents' visitation. The investigation was unsubstantiated due to lack of preponderance of evidence.
Findings
The investigation found that a former staff member visited residents without prior written approval from the Executive Director as required by facility policy. However, there was insufficient evidence to substantiate the allegation, and no deficiencies were cited.
Report Facts
Complaint Control Number: 59-AS-20241104155417
Capacity: 100
Census: 77
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Angela Hood | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Keith Payne | Executive Director | Facility administrator involved in the investigation |
| Maribeth Senty | Licensing Program Manager | Oversaw the licensing program and signed the report |
Inspection Report
Annual Inspection
Census: 77
Capacity: 100
Deficiencies: 0
Date: Nov 8, 2024
Visit Reason
The inspection was conducted as a Required-1 Year Inspection to ensure compliance with Title 22 regulations at the Ansel Park Senior Living Community Facility.
Findings
The inspection found the facility to be in compliance with regulations, with properly furnished apartments, sanitary bathrooms, adequate food supplies, secured toxins, and no safety hazards observed. No deficiencies were cited during this visit.
Report Facts
Food supply: 2
Food supply: 7
Bedrooms observed: 3
Bedrooms observed: 2
Bathrooms observed: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Keith Payne | Executive Director | Met with Licensing Program Analyst during inspection |
| Angela Hood | Licensing Program Analyst | Conducted the inspection |
| Maribeth Senty | Licensing Program Manager | Named in report header |
Inspection Report
Annual Inspection
Census: 77
Capacity: 100
Deficiencies: 0
Date: Nov 7, 2024
Visit Reason
The inspection was an unannounced Required-1 Year Inspection conducted to evaluate compliance with regulations at the Ansel Park Senior Living Community Facility.
Findings
During the visit, resident and staff files were reviewed, water temperatures in several apartments were checked and found within regulatory range, and no deficiencies were cited according to California Code of Regulations, Title 22.
Report Facts
Water temperature readings: 105.2
Water temperature readings: 112.5
Water temperature readings: 112.3
Water temperature readings: 111.4
Resident files reviewed: 6
Staff files reviewed: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Keith Payne | Executive Director | Met with Licensing Program Analyst during inspection |
| Angela Hood | Licensing Program Analyst | Conducted the Required-1 Year Inspection |
Inspection Report
Plan of Correction
Census: 77
Capacity: 100
Deficiencies: 0
Date: Nov 7, 2024
Visit Reason
The visit was conducted as a follow-up on a plan of correction (POC) related to water temperature issues in the facility.
Findings
The inspection found that water temperatures in multiple apartments were within the regulatory range. The facility provided documentation of repairs and current water temperature logs. The plan of correction was cleared during this visit.
Report Facts
Water temperature readings: 105.2
Water temperature readings: 112.5
Water temperature readings: 112.3
Water temperature readings: 111.4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Keith Payne | Executive Director | Met with Licensing Program Analyst during the inspection and named in relation to the plan of correction follow-up |
| Angela Hood | Licensing Program Analyst | Conducted the inspection visit and follow-up on the plan of correction |
Inspection Report
Complaint Investigation
Census: 72
Capacity: 100
Deficiencies: 1
Date: Oct 30, 2024
Visit Reason
The inspection was an unannounced complaint investigation triggered by an allegation that staff do not ensure that facility faucets deliver hot water.
Complaint Details
The complaint was substantiated. The allegation was that staff do not ensure that facility faucets deliver hot water. The investigation included interviews, water temperature checks, and review of repair efforts. The facility is working with a plumbing company and vendor to resolve the issue.
Findings
The investigation found that water temperature was within regulatory range in most apartments checked, but two of seven residents' apartments did not receive hot water, posing a potential health and safety risk. The allegation was substantiated and a deficiency was cited related to maintenance and operation of water supplies and plumbing fixtures.
Deficiencies (1)
Facility did not ensure that two of seven residents' apartments are receiving hot water, violating water temperature regulations requiring faucets to deliver hot water between 105 and 120 degrees F.
Report Facts
Census: 72
Total Capacity: 100
Water temperature checks: 11
Water temperature checks: 5
Water temperature checks: 3
Deficiency Plan of Correction Due Date: Nov 13, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Angela Hood | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Keith Payne | Executive Director | Facility administrator met with LPA and provided information during investigation |
| Maribeth Senty | Licensing Program Manager | Named in report as Licensing Program Manager overseeing the investigation |
Inspection Report
Complaint Investigation
Capacity: 100
Deficiencies: 0
Date: May 9, 2024
Visit Reason
The visit was an unannounced complaint investigation conducted in response to an allegation that residents' rooms were not being kept clean and sanitary.
Complaint Details
The complaint alleged that residents' rooms were not being kept clean and sanitary. The investigation found no preponderance of evidence to substantiate the allegation, resulting in an unsubstantiated finding.
Findings
The Licensing Program Analyst toured five residents' apartments and found all rooms to be clean, safe, sanitary, and in good repair. Interviews with the Maintenance Director confirmed cleaning staff clean residents' rooms daily and perform monthly deep cleaning. The allegation was unsubstantiated and no deficiencies were cited.
Report Facts
Capacity: 100
Cleaning staff: 2
Rooms cleaned per staff per day: 8
Residents' apartments toured: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Deborah Taylor | Executive Director | Met with Licensing Program Analyst during the investigation |
| Angela Hood | Licensing Program Analyst | Conducted the complaint investigation |
| Maribeth Senty | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Capacity: 100
Deficiencies: 1
Date: May 9, 2024
Visit Reason
The visit was an unannounced case management inspection conducted on 05/09/2024 regarding information obtained during a complaint investigation completed on 04/17/2024.
Complaint Details
The visit was related to complaint investigation #59-AS-20240306093035 completed on 04/17/2024. The deficiency was substantiated based on records and interviews.
Findings
The facility was cited for not requesting or obtaining an exception for a resident's stage 3 pressure wound, which posed an immediate health, safety, and personal rights risk to residents in care.
Deficiencies (1)
Facility did not request or obtain an exception for resident R1's stage 3 pressure wound, posing an immediate health, safety, and personal rights risk.
Report Facts
Capacity: 100
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Angela Hood | Licensing Program Analyst | Conducted the case management visit and cited the deficiency |
| Deborah Taylor | Executive Director | Met with during the inspection |
| Maribeth Senty | Licensing Program Manager | Supervisor overseeing the inspection |
Inspection Report
Complaint Investigation
Census: 82
Capacity: 100
Deficiencies: 0
Date: Apr 17, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by multiple allegations including residents not receiving ADLs, inadequate food services, staff negligence causing resident injuries, and failure to provide a 60-day notice of rate increases.
Complaint Details
The complaint investigation was unannounced and addressed allegations including failure to provide ADLs, inadequate food services, staff negligence resulting in pressure injuries and falls, staff leaving a resident on the floor, and failure to provide a 60-day notice of rate increases. The findings were unsubstantiated or unfounded with no deficiencies cited.
Findings
The investigation found no substantiated violations regarding residents receiving ADLs or food services, with evidence showing adequate care and nutrition. Allegations related to staff negligence, resident falls, and failure to provide notice of rate increases were found to be unfounded based on interviews, documentation, and incident reports. No deficiencies were cited.
Report Facts
Capacity: 100
Census: 82
Rent increase amount: 343
Dates of home health services: 3/28/23 to 12/30/23 (period resident R1 received home health services)
Dates of pressure wound onset and resolution: Pressure wound onset 5/9/23, resolved 12/30/23; stage three wound onset 7/25/23, resolved 8/11/23
Date of fall incident: 9/13/21 fall incident with unsubstantiated findings
Date of fall incident: 11/28/23 fall incident with no injuries
911 call time: 911 call made at 5:15pm on 11/28/23
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Angela Hood | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Deborah Taylor | Executive Director | Facility administrator met during investigation and interviewed |
| Maribeth Senty | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 78
Capacity: 100
Deficiencies: 0
Date: Oct 25, 2023
Visit Reason
The inspection was conducted as an unannounced complaint investigation following allegations that staff do not provide adequate food service and that facility staff are not ensuring the facility is maintained.
Complaint Details
The complaint investigation was triggered by allegations regarding inadequate food service and poor facility maintenance. The allegations were found to be unfounded after review of food handling practices, resident interviews, and facility cleanliness assessments.
Findings
The investigation found that food supplies were plentiful, fresh, and properly handled, with no evidence of substandard food service. The facility maintenance was found to be within acceptable cleanliness standards despite some marks on the kitchen floor. Both allegations were determined to be unfounded.
Report Facts
Residents interviewed: 12
Dishwasher washing frequency: 3
Frequency of lettuce orders: 3
Inspection start time: 11
Inspection end time: 14
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Deborah Taylor | Executive Director | Met with Licensing Program Analyst during complaint investigation |
| Todd Tryon | Licensing Program Analyst | Conducted the complaint investigation |
| Troy Ordonez | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Annual Inspection
Census: 78
Capacity: 100
Deficiencies: 0
Date: Sep 21, 2023
Visit Reason
The inspection was an annual unannounced visit conducted using the CARE Tool to evaluate the facility's compliance with regulatory standards.
Findings
The facility was found to be clean, well-maintained, and in substantial compliance with Title 22 and Health and Safety Code. No deficiencies were cited during this visit.
Report Facts
Resident files reviewed: 8
Staff files reviewed: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Deborah Taylor | Executive Director | Met with Licensing Program Analyst during the inspection |
Inspection Report
Complaint Investigation
Capacity: 100
Deficiencies: 0
Date: Sep 12, 2023
Visit Reason
The visit was conducted to investigate an incident involving a resident fall and hospitalization at the facility.
Complaint Details
The visit was complaint-related, investigating a resident fall/hospitalization incident. No substantiation status is stated.
Findings
Staff responded immediately to the fall, assessed the resident and situation, notified responsible parties, and followed up appropriately respecting the resident's and family's wishes. Further review of documents and consultation with managers will determine if additional action is needed.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rebecca Reaves | Resident Services Director | Interviewed regarding the incident and resident history. |
Inspection Report
Complaint Investigation
Census: 82
Capacity: 100
Deficiencies: 0
Date: Jul 28, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to a complaint received on 2023-01-04 regarding multiple allegations of neglect and improper care at the facility.
Complaint Details
The complaint included nine allegations concerning family notification, thermostat operability, missing resident jewelry, hearing aid placement, room cleanliness, hygiene, eating assistance, laundering, and sleeping in urine-stained bedding. All allegations were found unsubstantiated due to insufficient evidence or plausible alternative explanations.
Findings
The investigation found all allegations unsubstantiated after interviews, facility tour, and document review. The Licensing Program Analyst was unable to confirm neglect or violations related to family communication, thermostat operability, missing jewelry, hearing aid use, room cleanliness, hygiene, eating assistance, laundering, and bedding conditions.
Report Facts
Capacity: 100
Census: 82
Number of allegations: 9
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Deborah Taylor | Executive Director | Met with Licensing Program Analyst during investigation |
| Todd Tryon | Licensing Program Analyst | Conducted the complaint investigation |
| Troy Ordonez | Licensing Program Manager | Oversaw the complaint investigation |
Inspection Report
Complaint Investigation
Census: 85
Capacity: 100
Deficiencies: 0
Date: Feb 2, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that the facility failed to provide hot water.
Complaint Details
The complaint alleged that the facility failed to provide hot water. The allegation was investigated and found to be unfounded.
Findings
The Licensing Program Analyst investigated the complaint by reviewing receipts, interviewing the administrator, and testing water temperature. The plumbing issue was fixed on January 16th, and hot water was observed in all tested bathrooms. The allegation was found to be unfounded.
Report Facts
Capacity: 100
Census: 85
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Bethany Mirlohi | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Deborah Taylor | Administrator | Interviewed during the investigation |
Inspection Report
Complaint Investigation
Census: 79
Capacity: 100
Deficiencies: 0
Date: Dec 20, 2022
Visit Reason
The inspection visit was conducted as an unannounced complaint investigation following allegations that the facility has insufficient staffing to meet resident needs and is retaining residents that require a higher level of care.
Complaint Details
The complaint alleged insufficient staffing to meet resident needs and retention of residents requiring a higher level of care. After investigation, including interviews with residents and staff and review of facility documentation, the allegations were found to be unsubstantiated due to lack of preponderance of evidence.
Findings
The investigation found the allegations to be unsubstantiated. Interviews with residents and staff, as well as documentation review, indicated staffing levels were generally adequate with some use of caregiver agencies to supplement staff. No prohibited health conditions were observed among residents, and the facility's daily activities did not appear to require additional staff.
Report Facts
Capacity: 100
Census: 79
Staffing levels: 3
Staffing levels: 1
Staffing levels: 2
Staffing levels: 3
Staffing levels: 2
Staffing levels: 2
Staffing levels: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| DeAnna Williams-Lyons | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Deborah Taylor | Executive Director | Facility representative met with during the investigation and exit interview |
| Laura Munoz | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Annual Inspection
Census: 68
Capacity: 100
Deficiencies: 0
Date: Oct 11, 2022
Visit Reason
The inspection was a required unannounced 1-year inspection conducted to evaluate the health and safety compliance of 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 this inspection.
Report Facts
Capacity: 100
Census: 68
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kevin Mknelly | Licensing Program Analyst | Conducted the inspection and authored the report |
| Deborah Taylor | Executive Director | Met with Licensing Program Analyst during inspection |
| James Stacy | Administrator | Facility Administrator mentioned in report header |
Inspection Report
Complaint Investigation
Capacity: 100
Deficiencies: 0
Date: Feb 23, 2022
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations received on 09/16/2021 that multiple residents sustained injuries due to lack of care and supervision and that staff did not attend to resident pendant calls in a timely manner.
Complaint Details
The complaint alleged that multiple residents sustained injuries while in care and that staff did not attend to resident pendant calls in a timely manner. The investigation concluded the allegations were unsubstantiated.
Findings
The investigation found that although multiple residents fell and sustained injuries, the allegations of lack of supervision and untimely response to pendant calls were unsubstantiated due to insufficient evidence. No citations were issued.
Report Facts
Capacity: 100
Response time to pendant calls: 11
Response time to pendant calls: 12
Number of residents with falls described: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| DeAnna Williams-Lyons | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Deborah Taylor | Executive Director | Facility representative met during the investigation and exit interview |
| Laura Munoz | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 56
Capacity: 100
Deficiencies: 0
Date: Feb 23, 2022
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations received on 10/25/2021 regarding staff not reporting incidents as required and delayed timely medical care for a change of condition.
Complaint Details
The complaint investigation was unsubstantiated, meaning there was not a preponderance of evidence to prove the alleged violations occurred. A prior allegation regarding failure to report incidents was substantiated with citation issued on 09/10/2021.
Findings
The investigation found that the allegations were unsubstantiated due to insufficient evidence to prove violations occurred. The delay in medical testing did not risk resident health, and no medication errors or incidents were confirmed. A prior related allegation was substantiated with citation issued.
Report Facts
Facility capacity: 100
Census: 56
Employees mentioned
| Name | Title | Context |
|---|---|---|
| DeAnna Williams-Lyons | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Deborah Taylor | Executive Director | Met with Licensing Program Analyst during the investigation |
| Laura Munoz | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Capacity: 100
Deficiencies: 0
Date: Feb 17, 2022
Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that a resident did not get blood sugar checks in a timely manner.
Complaint Details
The complaint alleged that a resident did not receive timely blood sugar checks. After review of medical records, blood sugar logs, and staff interviews, it was found that the resident was receiving blood sugar checks as ordered. The allegation was unfounded.
Findings
The investigation found that the facility was following the resident's physician's orders for blood sugar checks, which were conducted four times a day relatively close to the indicated times. The allegation was determined to be unfounded.
Report Facts
Capacity: 100
Blood sugar checks per day: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| DeAnna Williams-Lyons | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Deborah Taylor | Executive Director | Met with Licensing Program Analyst during the investigation and exit interview |
| Laura Munoz | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Census: 59
Capacity: 100
Deficiencies: 0
Date: Dec 20, 2021
Visit Reason
A case management visit was conducted to address the newly appointed interim Administrator, Melinda Clevenger-Klick, and to inform the licensee about Ms. Klick's exclusion order and revoked Administrator certificate.
Findings
The facility was not cited during this visit as it was unaware of Ms. Klick's exclusion due to a system error. No deficiencies were cited during the visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amanda Farley | H.R Coordinator | Met with Licensing Program Analyst during the case management visit. |
| Melinda Clevenger-Klick | Newly appointed interim Administrator who was issued an exclusion order and had her Administrator certificate revoked. |
Inspection Report
Capacity: 100
Deficiencies: 0
Date: Dec 1, 2021
Visit Reason
The visit was an informal conference to discuss the number of complaints received for the facility since licensure, including current open complaints and topics such as medication management, staff training, and COVID vaccination mandates.
Complaint Details
The facility has received 9 complaints since licensure on 11/14/2019, with 3 complaints currently open and under investigation.
Findings
No citations were issued during this informal conference. Discussions included resident medication management, staff training, regulation clarifications, re-assessments, resident record documentation, and COVID mitigation procedures.
Report Facts
Complaints received since licensure: 9
Open complaints: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lori Berkeley | Executive Director | Met with during the informal conference and recipient of the report |
| Laura Munoz | Licensing Program Manager | Present at the informal conference |
| De Anna Williams-Lyons | Licensing Program Analyst | Present at the informal conference |
| Jim Stacy | Regional Director of Operations | Present at the informal conference |
Inspection Report
Complaint Investigation
Capacity: 100
Deficiencies: 0
Date: Oct 21, 2021
Visit Reason
The visit was an unannounced complaint investigation conducted in response to a complaint received on 08/11/2021 regarding a resident sustaining a fracture while in care and requiring a higher level of care.
Complaint Details
The complaint was substantiated. The resident sustained a fracture after an unwitnessed fall and required a higher level of care. The facility implemented hourly checks and relocated the resident. No citations were issued.
Findings
The investigation found that a resident (R1) had an unwitnessed fall resulting in a fractured left femur and required a higher level of care, leading to relocation from the facility. The allegations were substantiated but no citations were issued as the facility had implemented hourly checks and there was no evidence of negligence.
Report Facts
Facility capacity: 100
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lori Berkeley | Executive Director | Met with during investigation and named in report |
| Laura Munoz | Licensing Program Manager | Conducted the complaint investigation |
| DeAnna Williams-Lyons | Licensing Program Analyst | Conducted the complaint investigation |
Inspection Report
Complaint Investigation
Census: 47
Capacity: 100
Deficiencies: 0
Date: Oct 21, 2021
Visit Reason
Unannounced visit/investigation of a complaint received on 10/06/2021 regarding allegations that staff were not following physician's orders and that a resident did not get blood sugar checks in a timely manner.
Complaint Details
Complaint investigation was conducted for allegations that staff were not following physician's orders and that a resident did not receive timely blood sugar checks. The allegations were found to be unfounded.
Findings
The investigation found that although the facility was not checking blood sugar at the exact ordered times due to the resident's varying meal times, blood sugar was checked four times a day relatively close to the ordered times. The facility was following the physician's orders and the allegations were determined to be unfounded.
Report Facts
Blood sugar checks per day: 4
Facility capacity: 100
Census: 47
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lori Berkeley | Executive Director | Met with during investigation and exit interview |
| DeAnna Williams-Lyons | Licensing Program Analyst | Conducted the complaint investigation |
| Laura Munoz | Licensing Program Manager | Conducted the complaint investigation |
Inspection Report
Complaint Investigation
Census: 44
Capacity: 100
Deficiencies: 0
Date: Aug 27, 2021
Visit Reason
The inspection was conducted as an unannounced complaint investigation following allegations that staff do not attend to residents' hygiene care needs in a timely manner, residents do not receive meals in a timely manner, and residents are not assisted with their medication in a timely manner.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included untimely hygiene care, meal delivery, and medication assistance. Interviews and record reviews were conducted, but no substantiated violations were found.
Findings
The investigation included interviews with staff and residents, and review of facility records. Staff confirmed some incidents of residents receiving meals late since Covid-19. The complaint was ultimately unsubstantiated.
Report Facts
Capacity: 100
Census: 44
Employees mentioned
| Name | Title | Context |
|---|---|---|
| DeAnna Williams-Lyons | Licensing Program Analyst | Conducted the complaint investigation |
| Benjinim Martin | Sales Director | Met with investigator to discuss findings |
| Laura Munoz | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Annual Inspection
Census: 45
Capacity: 100
Deficiencies: 0
Date: Aug 16, 2021
Visit Reason
The inspection was an unannounced required 1 year inspection conducted to evaluate compliance with licensing regulations.
Findings
The facility was found to be in compliance with no deficiencies cited. Observations included valid administrator certificate, stocked first aid kit, charged fire extinguishers, proper hot water temperature, clean common areas, required bedroom furnishings, adequate food supplies, and proper medication storage.
Report Facts
Hot water temperature: 105
Perishable food supply: 2
Non-perishable food supply: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lori Berkley | Executive Director | Met with Licensing Program Analyst during inspection and received report copy |
| DeAnna Williams-Lyons | Licensing Program Analyst | Conducted the inspection |
Report
November 25, 2025
Report
November 21, 2025
Report
November 18, 2025
Report
November 14, 2024
Report
May 9, 2024
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