Inspection Report Summary
Most inspections found no deficiencies, and several complaint investigations were unsubstantiated, indicating generally good compliance with regulations. The most recent report from September 3, 2025, was a meeting to discuss resident care and did not identify any deficiencies. Earlier reports showed isolated issues such as a medication error in January 2025 and missing documentation related to staff clearances and emergency drills in November 2023, but no fines or enforcement actions were listed. The facility addressed these concerns with staff training and administrative follow-up. Overall, the record shows improvement over time with the latest inspections free of deficiencies.
Deficiencies (last 5 years)
Deficiencies are regulatory violations found during state inspections.
Deficiencies per year
Census
Based on a January 2025 inspection.
Census over time
Inspection Report
| Name | Title | Context |
|---|---|---|
| Lauren Crocker | Licensing Program Manager | Attended the office meeting regarding resident care options. |
| Kayla Adkison | Licensing Program Analyst | Attended the office meeting regarding resident care options. |
| Melissa Morales | Administrator | Attended the office meeting regarding resident care options. |
| Michelle Cartier | Assistant Administrator | Attended the office meeting regarding resident care options. |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Farhaan Sarangi | Licensing Program Analyst | Conducted the complaint investigation and signed the report |
| Lauren Crocker | Licensing Program Manager | Oversaw the complaint investigation |
| Michelle Sans-Cartier | Assistant Administrator | Facility representative who met with LPAs during the investigation |
| Melissa Morales | Administrator | Signed medication error documentation |
Inspection Report
Annual Inspection| Name | Title | Context |
|---|---|---|
| Melissa Aceves | Administrator | Met with Licensing Program Analysts during inspection and was educated on training and documentation requirements |
| Farhaan Sarangi | Licensing Program Analyst | Conducted the inspection and identified technical violations |
| Lauren Crocker | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Melissa Aceves | Administrator | Met with Licensing Program Analyst during inspection and named in findings |
| Farhaan Sarangi | Licensing Program Analyst | Conducted the complaint investigation |
| Lauren Crocker | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Melissa Morales | Administrator | Named in complaint allegation and investigation regarding alleged alcohol use while disbursing medications. |
| Lauren Crocker | Licensing Program Manager | Named as Licensing Program Manager involved in the report. |
| Jaynae Boyles | Licensing Program Analyst | Named as Licensing Program Analyst involved in the report. |
Inspection Report
Annual Inspection| Name | Title | Context |
|---|---|---|
| Melissa Morales | Administrator | Met with Licensing Program Analyst during inspection and involved in plan of correction discussions. |
| Jaynae Boyles | Licensing Program Analyst | Conducted the inspection and authored the report. |
| Lauren Crocker | Licensing Program Manager | Supervisor overseeing the inspection. |
Inspection Report
Annual Inspection| Name | Title | Context |
|---|---|---|
| Rebecca Knight | Licensing Program Analyst | Conducted the inspection and was involved in infection control domain evaluation. |
| Melissa Morales | Administrator / Executive Director | Facility administrator and recipient of the inspection report. |
| Michelle Sans-Cartier | Resident Care Coordinator | Met with the Licensing Program Analyst during the inspection and toured the facility. |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Melissa Morales | Administrator | Met with during investigation and named in findings |
| Rebecca Knight | Licensing Program Analyst | Conducted the complaint investigation |
| Troy Ordonez | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
| Name | Title | Context |
|---|---|---|
| Jaclyn Avila | Licensing Program Analyst | Conducted the case management visit and served the Order to Individual of Immediate Exclusion. |
| Melissa Morales | Administrator | Met with Licensing Program Analyst during the visit. |
| Jacqueline Mejia | Staff Person | Subject of the Immediate Exclusion Order due to actions related to the facility. |
Inspection Report
Annual Inspection| Name | Title | Context |
|---|---|---|
| Melissa Morales | Administrator | Met with Licensing Program Analyst during inspection and named in report. |
| Jaclyn Avila | Licensing Program Analyst | Conducted the inspection and named in report. |
| Rayna L Bryson | Licensing Program Manager | Named in report as Licensing Program Manager. |
Inspection Report
Annual Inspection| Name | Title | Context |
|---|---|---|
| Melissa Morales | Executive Director | Met with Licensing Program Analyst during inspection and named in report narrative. |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Melissa Morales | Administrator | Met with during complaint investigation and involved in findings |
| Pheej Cheng | Licensing Program Analyst | Conducted the complaint investigation |
| Rayna L Bryson | Licensing Program Manager | Oversaw the complaint investigation |
Report
Report
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