Inspection Reports for Elder Ashram
3121 Fruitvale Ave, Oakland, CA 94602, United States, CA, 94602
Back to Facility ProfileInspection Report Summary
Most inspections found no deficiencies, including the most recent annual inspection on July 3, 2025, which was perfect. Several complaint investigations were unsubstantiated, showing no evidence of mistreatment or safety issues. However, some deficiencies were cited in earlier reports, primarily involving staff clearance and administrative certification, as well as occasional issues with mask-wearing and eviction notice procedures. These deficiencies were isolated and did not result in fines except for a $250 civil penalty in 2022 related to mask violations. The facility appears to have improved over time, with the latest reports showing no deficiencies and no enforcement actions.
Deficiencies (last 6 years)
Deficiencies (over 6 years)
1.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
58% better than California average
California average: 4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
69% occupied
Based on a July 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Census over time
Inspection Report
Annual Inspection
Census: 62
Capacity: 90
Deficiencies: 0
Date: Jul 3, 2025
Visit Reason
The inspection was an unannounced 1-Year Annual Required inspection conducted to evaluate compliance with licensing requirements.
Findings
The Licensing Program Analyst toured the facility and reviewed resident and staff records, medications, and safety equipment. No deficiencies were cited during the visit.
Report Facts
Residents records reviewed: 5
Staff records reviewed: 5
Fire extinguisher last serviced: Jul 20, 2025
Emergency Disaster Plan last posted: Apr 11, 2025
Emergency disaster drill last conducted: Mar 30, 2025
Hot water temperature: 112
Hallway temperature: 72
Employees mentioned
| Name | Title | Context |
|---|---|---|
| David Doidge | Licensing Program Analyst | Conducted the inspection and authored the report |
| Janelle Ubilas | Interim Administrator | Met with Licensing Program Analyst during inspection |
Inspection Report
Complaint Investigation
Census: 63
Capacity: 90
Deficiencies: 1
Date: Mar 24, 2025
Visit Reason
An unannounced visit was conducted for case management and to follow up on a complaint investigation regarding a caregiver who was not fingerprint cleared nor associated with the facility or a home health agency.
Complaint Details
The visit was complaint-related, triggered by a complaint investigation (15-AS-20250306160421) conducted on 03/12/2025 regarding a caregiver not fingerprint cleared or associated with the facility or a home health agency.
Findings
The investigation found that the licensee allowed an uncleared individual to provide one-on-one care to a resident, violating California Code of Regulation, Title 22. This deficiency was cited and classified as a Type B violation.
Deficiencies (1)
Allowed an uncleared individual to provide one on one care to a resident, not complying with criminal record clearance requirements.
Report Facts
Capacity: 90
Census: 63
Plan of Correction Due Date: Mar 31, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Maria Lourdes V Rivera | Executive Director | Met during inspection and named in relation to the findings |
| David Doidge | Licensing Program Analyst | Conducted the inspection and signed the report |
| Bennett Fong | Licensing Program Manager | Named as Licensing Program Manager overseeing the inspection |
Inspection Report
Complaint Investigation
Census: 61
Capacity: 90
Deficiencies: 0
Date: Mar 12, 2025
Visit Reason
An unannounced complaint investigation visit was conducted following a complaint received on 2025-03-06 regarding alleged violations of residents' personal rights and inadequate hydration.
Complaint Details
The complaint involved allegations that the facility was violating residents' personal rights and that staff did not ensure residents were taking an appropriate amount of liquid. Both allegations were found to be unsubstantiated due to lack of evidence.
Findings
The investigation found that the allegation of violation of residents' personal rights was unsubstantiated as the personal caregiver was not associated with the facility and did not interfere with other residents. The allegation regarding inadequate hydration was also unsubstantiated as the facility had hydration stations and staff regularly reminded residents to drink water and monitored them for dehydration.
Report Facts
Residents reviewed: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| David Doidge | Licensing Program Analyst | Conducted the complaint investigation visit. |
| Janelle Ubilas | Interim Administrator | Met with LPAs during the investigation. |
| Bennett Fong | Licensing Program Manager | Named in the report as Licensing Program Manager. |
Inspection Report
Complaint Investigation
Census: 60
Capacity: 90
Deficiencies: 0
Date: Mar 5, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2024-10-17 regarding staff treatment of residents, privacy, medication management, and food service.
Complaint Details
The complaint included allegations that staff did not treat residents with dignity or respect, did not ensure privacy, mismanaged medication, and did not provide adequate food service. After investigation, all allegations were unsubstantiated.
Findings
The investigation included interviews with staff, residents, and review of records. The allegations of staff not treating residents with dignity, privacy concerns, medication mismanagement, and inadequate food service were all found to be unsubstantiated due to lack of preponderance of evidence.
Report Facts
Facility capacity: 90
Census: 60
Number of staff interviewed: 6
Number of residents interviewed: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Laura Hall | Licensing Program Analyst | Conducted the complaint investigation |
| Harpreet Humpal | Licensing Program Manager | Named in report as Licensing Program Manager |
| Janelle Ublias | Assistant Executive Director | Met with Licensing Program Analyst during inspection |
Inspection Report
Complaint Investigation
Census: 62
Capacity: 90
Deficiencies: 0
Date: Dec 11, 2024
Visit Reason
An unannounced health and safety check was conducted related to complaint 15-AS-20241206141605.
Complaint Details
The visit was triggered by complaint 15-AS-20241206141605. No citations or deficiencies were found, indicating no substantiated violations.
Findings
The facility was inspected inside and outside with no obstructions found. Environmental conditions such as temperature, lighting, and cleanliness were adequate. Medication and cleaning supplies were securely stored, and the fire extinguisher was fully charged and recently serviced. No citations were issued.
Report Facts
Hot water temperature: 114.7
Indoor temperature: 73
Food supply duration: 2
Food supply duration: 7
Fire extinguisher last serviced: Feb 16, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Janelle Ubilas | Interim Administrator | Met with Licensing Program Analysts during inspection |
| David Doidge | Licensing Program Analyst | Conducted the inspection |
| L. Fontanilla | Licensing Program Analyst | Conducted the inspection |
Inspection Report
Complaint Investigation
Census: 65
Capacity: 90
Deficiencies: 0
Date: Nov 12, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that a resident sustained unexplained bruising while in care.
Complaint Details
The complaint alleged that a resident sustained unexplained bruising while in care. Multiple staff and the resident were interviewed, and records were reviewed. The bruising was observed but no evidence was found to prove mistreatment by staff. The complaint was determined to be unsubstantiated.
Findings
The investigation included interviews, document reviews, and observations, and found the allegation of unexplained bruising to be unsubstantiated due to lack of preponderance of evidence.
Report Facts
Capacity: 90
Census: 65
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lori Alexander-Washington | Licensing Program Analyst | Conducted the complaint investigation and visit |
| Maria Rivera | Executive Director | Met with Licensing Program Analyst during the investigation |
| Nader Shabahangi | Administrator | Facility Administrator named in report header |
| Bennett Fong | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 64
Capacity: 90
Deficiencies: 1
Date: Oct 24, 2024
Visit Reason
The visit was an unannounced Case Management visit conducted during a complaint investigation (15-AS-20241017091349) to assess compliance with regulatory requirements.
Complaint Details
The visit was conducted while investigating complaint 15-AS-20241017091349. The deficiency related to the lack of a certified administrator was observed during this complaint investigation.
Findings
The facility was found to be non-compliant for not having a certified administrator on site, which poses a potential health and safety risk to persons in care. The administrator's certification was stated to be in process.
Deficiencies (1)
Facility did not have a qualified and currently certified administrator as required by Title 22 California Code of Regulations Section 87405(a).
Report Facts
Capacity: 90
Census: 64
Deficiencies cited: 1
Plan of Correction Due Date: Oct 25, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Laura Hall | Licensing Program Analyst | Conducted the complaint investigation and inspection |
| Marie Rivera | Executive Director | Met with Licensing Program Analyst during the visit |
| Nader Shabahangi | Administrator | Named as facility administrator without current certification |
Inspection Report
Annual Inspection
Census: 63
Capacity: 90
Deficiencies: 0
Date: Jul 30, 2024
Visit Reason
The inspection was an unannounced 1-Year Annual Required inspection conducted to evaluate compliance with licensing requirements.
Findings
The Licensing Program Analyst toured the facility and reviewed resident and staff records, finding all to be complete. No deficiencies were cited during the visit.
Report Facts
Hot water temperature: 118.8
Fire extinguisher last serviced: Jul 20, 2024
Emergency Disaster Plan last posted: Jun 6, 2024
Emergency disaster drill last conducted: Jun 9, 2024
Residents records reviewed: 5
Staff records reviewed: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Gregory Clark | Licensing Program Analyst | Conducted the inspection and authored the report |
| Janelle Ubilas | Administrator | Met with the Licensing Program Analyst during the inspection |
Inspection Report
Complaint Investigation
Census: 63
Capacity: 90
Deficiencies: 0
Date: Jul 10, 2024
Visit Reason
An unannounced Case Management visit was conducted regarding an incident reported to the Community Care Licensing Division on 7/9/2024 involving a resident who had expired without a stated cause of death.
Complaint Details
The visit was triggered by an incident report stating that resident R1 had expired without an indicated cause of death. The facility was attempting to obtain the cause of death and would notify the regional office upon receipt.
Findings
The visit involved review of multiple documents related to the incident, including physician's report, case notes, death report, care plan, police report, and staff schedule. No deficiencies were issued during the visit.
Report Facts
Facility capacity: 90
Resident census: 63
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Malou Rivera | Executive Director | Met with Licensing Program Analyst during the visit |
| Laura Hall | Licensing Program Analyst | Conducted the unannounced Case Management visit |
| Harpreet Humpal | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 65
Capacity: 90
Deficiencies: 0
Date: Mar 7, 2024
Visit Reason
The inspection was an unannounced complaint investigation conducted in response to allegations that staff did not allow a resident to have visitors and did not allow the resident to go out with a family member.
Complaint Details
The complaint alleged that staff did not allow a resident to have visitors and did not allow the resident to go out with a family member. The complaint was found unsubstantiated as there was no preponderance of evidence to prove the alleged violation did or did not occur.
Findings
The investigation found the complaint to be unsubstantiated due to lack of evidence proving the alleged violations occurred. The facility stated that all family members are allowed to visit during regular visiting hours and there is no policy excluding visitors.
Report Facts
Complaint Control Number: 15
Complaint Control Number (full): 15-AS-20240226103804
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Gregory Clark | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Maria Loudes-Rivera | Associate Executive Director | Met with Licensing Program Analyst during the investigation |
| Yvonne Flores-Larios | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 65
Capacity: 90
Deficiencies: 0
Date: Dec 8, 2023
Visit Reason
The inspection visit was conducted as a health and safety check resulting from a complaint received by the department.
Complaint Details
The visit was triggered by a complaint; no deficiencies or violations were found, indicating no substantiated issues on the date of inspection.
Findings
The facility was found to be clean and in good repair with clients appearing safe. No imminent health or safety concerns were observed and no deficiencies were cited during the visit.
Report Facts
Residents observed in common area: 2
Staff observed at front desk: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Maria Rivera | Associate Executive Director | Met with Licensing Program Analyst during the inspection visit |
| Lori Alexander-Washington | Licensing Program Analyst | Conducted the health and safety check |
| Bennett Fong | Licensing Program Manager | Named in report header |
Inspection Report
Annual Inspection
Census: 65
Capacity: 90
Deficiencies: 0
Date: Nov 29, 2023
Visit Reason
The inspection was an unannounced 1-Year Annual Required inspection conducted to evaluate compliance with licensing requirements.
Findings
The facility was found to be in compliance with no deficiencies cited. The environment was safe and well-maintained, with adequate fire safety measures, proper food supplies, and complete resident and staff records.
Report Facts
Hot water temperature: 111.2
Food supply duration: 7
Food supply duration: 2
Records reviewed: 5
Records reviewed: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Gregory Clark | Licensing Program Analyst | Conducted the inspection |
| Malou Rivera | Assistant Executive Director | Met with Licensing Program Analyst during inspection |
Inspection Report
Census: 68
Capacity: 90
Deficiencies: 0
Date: Feb 23, 2023
Visit Reason
The visit was an unannounced case management visit conducted to provide technical assistance after the facility reported they could no longer meet the needs of resident R1.
Findings
The Licensing Program Analyst found no deficiencies during the visit. The facility had determined that they could no longer meet the needs of resident R1, who was hospitalized and had deteriorated. The analyst advised the administrator to file a 30-day eviction letter to comply with regulatory requirements and avoid an unlawful eviction.
Report Facts
Capacity: 90
Census: 68
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nader Shabahangi | Administrator | Interviewed during the visit |
| Janelle Ubilas | Wellness Director | Interviewed during the visit |
| Gregory Clark | Licensing Program Analyst | Conducted the case management visit |
| Yvonne Flores-Larios | Licensing Program Manager | Named in report header |
Inspection Report
Complaint Investigation
Census: 68
Capacity: 90
Deficiencies: 1
Date: Feb 8, 2023
Visit Reason
An unannounced complaint investigation was conducted following a complaint received on 2023-01-05 regarding multiple allegations against the facility staff and conditions.
Complaint Details
The complaint investigation was substantiated for the allegation that facility staff did not ensure completion of staff paperwork, specifically incomplete health screening for staff S1 employed from September to December 2022. Other allegations were investigated and found unsubstantiated based on observations, interviews, and record reviews.
Findings
One allegation regarding incomplete staff paperwork was substantiated, citing a failure to complete required health screening for a staff member. All other allegations including restriction of religious practice, staff yelling at residents, ineffective communication, segregation of residents, and facility disrepair were unsubstantiated.
Deficiencies (1)
Failure to ensure staff completed health screening as required by regulation, posing potential health and safety risks.
Report Facts
Facility capacity: 90
Census: 68
Deficiency count: 1
Plan of Correction due date: Feb 15, 2023
Inspection Report
Complaint Investigation
Census: 70
Capacity: 90
Deficiencies: 0
Date: Dec 16, 2022
Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that facility staff failed to supervise a resident, resulting in hospitalization.
Complaint Details
The complaint was unsubstantiated based on records review and interviews. There was no preponderance of evidence to support the allegation that staff failed to supervise the resident.
Findings
The investigation found that staff noticed the resident was unwell after prolonged sun exposure and promptly treated the resident and called 911. There was no evidence of lack of care or supervision, and the allegation was unsubstantiated. No deficiencies were cited.
Report Facts
Facility capacity: 90
Census: 70
Employees mentioned
| Name | Title | Context |
|---|---|---|
| John Paul Roddy | Wellness Director | Met with during the investigation |
| Catherine Lin | Licensing Program Analyst | Conducted the complaint investigation |
Inspection Report
Complaint Investigation
Census: 70
Capacity: 90
Deficiencies: 0
Date: Nov 22, 2022
Visit Reason
Unannounced complaint investigation conducted in response to allegations that facility staff physically abused and restrained residents.
Complaint Details
The complaint was unsubstantiated after investigation; no evidence was found to support the allegations of physical abuse or restraint by facility staff.
Findings
The investigation included interviews with residents, staff, witnesses, and the complainant, all of whom denied any physical abuse or restraint by staff. The allegations were found to be unsubstantiated due to lack of preponderance of evidence.
Report Facts
Capacity: 90
Census: 70
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nader Shabahangi | Administrator | Met with Licensing Program Analyst during investigation |
| Grace Luk | Licensing Program Analyst | Conducted complaint investigation |
| Harpreet Humpal | Licensing Program Manager | Named in report header |
Inspection Report
Complaint Investigation
Census: 70
Capacity: 90
Deficiencies: 2
Date: Aug 26, 2022
Visit Reason
An unannounced complaint investigation visit was conducted to investigate an allegation of unlawful eviction at the facility.
Complaint Details
The complaint was substantiated based on the preponderance of evidence. The facility issued two invalid 30-day eviction notices to resident R1 that did not comply with required eviction procedures, posing a potential personal rights risk.
Findings
The investigation found that the facility issued two invalid 30-day eviction notices that lacked effective dates and specific facts required for eviction, resulting in substantiation of the complaint and citation of deficiencies.
Deficiencies (2)
The licensee did not set forth in the 30-day eviction notice the reasons relied upon with specific facts to permit determination of the date, place, witnesses, and circumstances concerning those reasons.
The licensee did not include the effective date of the eviction in the 30-day notice.
Report Facts
Capacity: 90
Census: 70
Deficiencies cited: 2
Plan of Correction Due Date: Sep 9, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Catherine Lin | Licensing Program Analyst | Conducted the complaint investigation and signed the report |
| Bennett Fong | Licensing Program Manager | Named in the report as Licensing Program Manager |
| Janelle Ubilas | Wellness Director | Met with Licensing Program Analysts during the investigation and discussed deficiencies and plan of correction |
Inspection Report
Complaint Investigation
Census: 70
Capacity: 90
Deficiencies: 1
Date: Aug 26, 2022
Visit Reason
The visit was conducted as case management while conducting a complaint investigation regarding staff not wearing face masks during the COVID-19 pandemic.
Complaint Details
The complaint investigation found that staff did not comply with mask-wearing requirements, resulting in a repeated deficiency and a civil penalty of $250.
Findings
Two staff members were observed not wearing face masks in the facility, posing a potential health, safety, or personal rights risk to residents. The facility had two positive COVID-19 cases among residents on 08/15/2022 and was under monitoring by Community Care Licensing and Alameda Public Health.
Deficiencies (1)
Two staff were observed not wearing face masks in the facility, violating personal rights and health safety regulations.
Report Facts
Civil penalty amount: 250
Positive COVID-19 cases: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nader Shabahangi | Administrator | Facility administrator named in the report header |
| Janelle Ubilas | Wellness Director | Met with Licensing Program Analysts during the visit |
| Bennett Fong | Licensing Program Manager | Named as Licensing Program Manager overseeing the inspection |
| Catherine Lin | Licensing Program Analyst | Conducted the inspection and signed the report |
Inspection Report
Complaint Investigation
Census: 67
Capacity: 90
Deficiencies: 0
Date: Jun 24, 2022
Visit Reason
An unannounced complaint investigation was conducted in response to an allegation of neglect of physical care received on 2022-05-03.
Complaint Details
The complaint was unsubstantiated due to lack of preponderance of evidence that the alleged violation occurred.
Findings
The investigation found that both facility staff and outside agency staff provided care to the resident, with documented refusals of care on two occasions. The caregiver who did not properly brush the resident's teeth was from an outside agency, not facility staff. The issue was promptly resolved by the outside agency, and the responsible party was fully aware of the refusals. The allegation was unsubstantiated and no deficiencies were cited.
Report Facts
Capacity: 90
Census: 67
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Catherine Lin | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Bennett Fong | Licensing Program Manager | Named in report as Licensing Program Manager |
| Janelle Ubilas | Wellness Director | Met with during the investigation and received report copy |
Inspection Report
Annual Inspection
Census: 67
Capacity: 90
Deficiencies: 0
Date: Jun 24, 2022
Visit Reason
The visit was an unannounced Infection Control Inspection conducted as a required one-year inspection.
Findings
The inspection found that the facility had proper infection control measures in place, including screening, PPE use, and sufficient food and PPE supplies. No deficiencies were cited during the visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Janelle Ubilas | Wellness Director | Met with Licensing Program Analyst during inspection and exit interview. |
| Catherine Lin | Licensing Program Analyst | Conducted the Infection Control Inspection. |
| Bennett Fong | Licensing Program Manager | Named in report header. |
Inspection Report
Complaint Investigation
Census: 67
Capacity: 90
Deficiencies: 0
Date: Apr 5, 2022
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by multiple allegations received on 2021-08-23 regarding resident care, staff qualifications, and facility conditions.
Complaint Details
The complaint included allegations such as staff not returning all resident belongings, dirty resident rooms, inappropriate furniture, residents not being changed regularly, poor food quality, resident weight loss, unqualified staff for dementia care, and failure to report hospitalizations. The complaint was found unsubstantiated.
Findings
The investigation found the allegations unsubstantiated based on observations, interviews, and records review. The facility was neat, staff completed required dementia training, resident belongings were accounted for, and hospitalizations were reported to the resident's representative.
Report Facts
Resident weight at admission: 131.4
Resident weight per physician report: 137
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Leslie Ibo | Licensing Program Analyst | Conducted the complaint investigation |
| Harpreet Humpal | Licensing Program Manager | Oversaw the complaint investigation |
| Ami Champaneri | Co-founder / Back up administrator | Facility representative met during investigation and exit interview |
Inspection Report
Complaint Investigation
Census: 66
Capacity: 90
Deficiencies: 1
Date: Mar 29, 2022
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2021-08-18 alleging that staff were not wearing masks.
Complaint Details
The complaint was substantiated based on interviews with staff and residents and evidence gathered during the investigation.
Findings
The investigation substantiated the allegation that one staff member did not wear a mask all the time while working, posing an immediate health, safety, or personal rights risk to persons in care.
Deficiencies (1)
One staff member was not always wearing a mask while working, violating Title 22 California Code of Regulations CCR 87468.1(a)(2) regarding safe, healthful, and comfortable accommodations.
Report Facts
Capacity: 90
Census: 66
Deficiencies cited: 1
Plan of Correction Due Date: Apr 8, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Leslie Ibo | Licensing Program Analyst | Conducted the complaint investigation and signed the report |
| Nader Shabahangi | Administrator | Facility administrator named in the report |
| Ami Champaneri | Co-founder | Met with LPAs during the investigation and agreed to train staff |
| Harpreet Humpal | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 66
Capacity: 90
Deficiencies: 0
Date: Mar 29, 2022
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2021-08-23 regarding resident treatment, food service, staff communication, and staffing adequacy at the facility.
Complaint Details
The complaint investigation was unsubstantiated, meaning there was not a preponderance of evidence to prove the alleged violations occurred.
Findings
The investigation found the allegations to be unsubstantiated based on observations, interviews with residents and staff, and document reviews. Residents were free to leave their rooms, menus were posted and matched served food, staff communicated effectively with residents, and no inappropriate staff interactions were observed.
Report Facts
Facility capacity: 90
Resident census: 66
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Leslie Ibo | Licensing Program Analyst | Conducted the complaint investigation |
| Ami Champaneri | Co-founder/Back up Administrator | Met with Licensing Program Analysts during investigation and exit interview |
| Harpreet Humpal | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 65
Capacity: 90
Deficiencies: 0
Date: Mar 18, 2022
Visit Reason
Unannounced complaint investigation conducted in response to allegations including physical abuse of a resident, resident sustaining injuries while in care, and staff not assisting a resident with bathing.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included physical abuse, injuries sustained while in care, and lack of assistance with bathing. Investigations found no evidence to support these claims.
Findings
All allegations were investigated and found to be unsubstantiated based on records review, interviews with staff and residents, and observations. No deficiencies were cited.
Report Facts
Capacity: 90
Census: 65
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Catherine Lin | Licensing Program Analyst | Conducted the complaint investigation |
| Bennett Fong | Licensing Program Manager | Named in report as Licensing Program Manager |
| Janelle Ubilas | Wellness Director | Met with during investigation and provided information |
Inspection Report
Complaint Investigation
Census: 66
Capacity: 90
Deficiencies: 0
Date: Jan 26, 2022
Visit Reason
The inspection was conducted as a result of a priority 2 complaint to perform an unannounced Health & Safety inspection.
Complaint Details
The visit was triggered by a priority 2 complaint. No deficiencies were cited, indicating no substantiated violations.
Findings
The Licensing Program Analyst toured the facility and found no deficiencies. Facility conditions including hot water temperature, food supplies, refrigerator and freezer temperatures, medication storage, first-aid kit, fire extinguisher, and passageways were all satisfactory.
Report Facts
Hot water temperature: 117.1
Food supply duration: 7
Food supply duration: 2
Refrigerator temperature: 35
Freezer temperature: -0.8
Fire extinguisher last serviced: Aug 17, 2021
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nader Shabahangi | Administrator | Met with Licensing Program Analyst during inspection |
| Grace Luk | Licensing Program Analyst | Conducted the inspection |
Inspection Report
Routine
Census: 65
Capacity: 90
Deficiencies: 0
Date: Dec 2, 2021
Visit Reason
Unannounced Infection Control Inspection conducted as a required 1-year visit.
Findings
The facility was toured including key areas and found to have sufficient food supply, posted visitor policies, proper PPE usage, and a mitigation plan with routine screening records. No deficiencies were cited during the visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Janelle Ubilas | Wellness Director | Met with Licensing Program Analysts during the infection control inspection. |
Inspection Report
Complaint Investigation
Census: 60
Capacity: 90
Deficiencies: 0
Date: Jul 6, 2021
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2021-01-21 regarding the facility not following COVID-19 safety procedures.
Complaint Details
The complaint was unsubstantiated due to lack of preponderance of evidence to prove the alleged violation occurred.
Findings
The investigation included interviews with staff and residents and a tour of the facility. The evidence did not substantiate the allegation as staff and residents confirmed COVID-19 positive staff were quarantined, a red zone was designated for positive residents, and designated staff cared for them.
Report Facts
Capacity: 90
Census: 60
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nader Shabahangi | Administrator | Met with Licensing Program Analysts during the investigation |
| Laura Hall | Licensing Program Analyst | Conducted the complaint investigation |
| Harpreet Humpal | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 85
Capacity: 90
Deficiencies: 0
Date: Jun 11, 2021
Visit Reason
The inspection was conducted in response to a complaint alleging that a resident experienced unexplained severe weight loss.
Complaint Details
The complaint alleged that a resident experienced severe weight loss in excess of 40 lbs within less than a year due to unexplained reasons. The complaint was found to be unfounded and dismissed.
Findings
The investigation found that the complaint was unfounded after reviewing weight records, physician reports, resident and staff interviews, and facility policies. The resident's weight was monitored consistently and the facility maintained a weight management program.
Report Facts
Resident weight change: 13.8
Resident interviews conducted: 11
Staff interviews conducted: 9
Facility capacity: 90
Facility census: 85
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Praveen Singh | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Nadar Shabahangi | Administrator | Facility administrator met with during investigation |
| Yvonne Flores-Larios | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 60
Capacity: 90
Deficiencies: 0
Date: May 12, 2021
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to complaints received on 2021-02-19 regarding staff speaking inappropriately in front of residents and the facility being dirty.
Complaint Details
The complaint investigation was unsubstantiated for the allegation that staff spoke inappropriately in front of residents. The complaint alleging the facility was dirty was found to be unfounded and dismissed.
Findings
The investigation found no preponderance of evidence to substantiate the allegation of staff speaking inappropriately in front of residents, and the complaint was unsubstantiated. The facility was observed to be clean and in good repair, and the complaint alleging the facility was dirty was found to be unfounded. No deficiencies were cited.
Report Facts
Facility capacity: 90
Census: 60
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Daisy Panlilio | Licensing Program Analyst | Conducted the complaint investigation and tele-visit |
| Bennett Fong | Licensing Program Manager | Named as Licensing Program Manager on the report |
| Nader Shabahangi | Administrator | Facility administrator named in the report |
| Janelle Ubilas | Wellness Coordinator | Met with Licensing Program Analyst during investigation and tele-visit |
Inspection Report
Complaint Investigation
Census: 60
Capacity: 90
Deficiencies: 1
Date: May 12, 2021
Visit Reason
The inspection was an unannounced complaint investigation visit conducted to investigate the allegation that the facility was not allowing visitors inside the residents' rooms.
Complaint Details
The complaint was substantiated. The allegation was that the facility was not allowing visitors inside residents' rooms, which was confirmed during the investigation.
Findings
The investigation found that the facility was not allowing visitors inside residents' rooms due to not having received updated COVID-19 visitation guidelines until May 7, 2021. The allegation was substantiated as the facility visitation policy dated April 12, 2021, prohibited room visits, contrary to updated guidelines allowing indoor and in-room visitation at all times.
Deficiencies (1)
Facility not allowing visitors inside residents' rooms, infringing on residents' personal rights as required by CCR 87468.1(a)(11).
Report Facts
Capacity: 90
Census: 60
Plan of Correction Due Date: May 31, 2021
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Daisy Panlilio | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Bennett Fong | Licensing Program Manager | Named as Licensing Program Manager on the report |
| Janelle Ubilas | Wellness Coordinator | Met with Licensing Program Analyst during the investigation and confirmed visitation policy |
| Nader Shabahangi | Administrator | Facility Administrator named in the report |
Inspection Report
Complaint Investigation
Census: 62
Capacity: 90
Deficiencies: 2
Date: Apr 6, 2021
Visit Reason
Licensing Program Analyst Praveen Singh conducted a Case Management health and safety inspection in relation to the Department receiving a priority complaint.
Complaint Details
The visit was triggered by a priority complaint received by the Department.
Findings
The inspection found that the facility was generally in good repair with no obstructions in passageways and proper storage of medications and cleaning supplies. However, a deficiency was noted where a resident's bed was restrained by half-bed rails and a night-stand, limiting the resident's ability to move freely in and out of bed.
Deficiencies (2)
Under no circumstances shall postural supports include tying, depriving, or limiting the use of a resident's hands or feet.
Licensee's failure to ensure resident is able to move freely in and out of bed; R1's bed was blocked off by half-bed rails and a night-stand dresser which together blocked the entire length of the bed.
Report Facts
Capacity: 90
Census: 62
Plan of Correction Due Date: Apr 7, 2021
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Praveen Singh | Licensing Program Analyst | Conducted the inspection and cited deficiencies |
| Nader Shabahangi | Administrator | Facility administrator involved in inspection |
| Julio Montes | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 72
Capacity: 90
Deficiencies: 0
Date: Nov 25, 2020
Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that staff made sexual comments to female residents.
Complaint Details
The complaint alleged that staff made comments that were sexual in nature to female residents. The allegation was unsubstantiated due to lack of evidence and inability to confirm contact information.
Findings
The investigation was conducted via tele-visit due to COVID-19 restrictions. Interviews with staff were inconclusive, and there was insufficient evidence to substantiate the allegation. The complaint was determined to be unsubstantiated.
Report Facts
Estimated Days of Completion: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rolanda Pitcher | Licensing Program Analyst | Conducted the complaint investigation and tele-visit |
| Nader Shabahangi | Administrator | Facility administrator met during the investigation and exit interview |
Report
February 11, 2026
Report
February 11, 2026
Report
December 10, 2025
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