Inspection Report Summary
Most inspections found no deficiencies, and several complaint investigations were unsubstantiated, indicating that many concerns raised were not supported by evidence. The most recent report from April 10, 2025, was clean with no deficiencies cited. Earlier reports showed some isolated issues, including staff training gaps and delayed response to call buttons in early 2024, as well as a period in mid-2024 when the facility lacked a certified administrator, which was substantiated and cited as a deficiency. These issues have not recurred in the latest inspections, showing improvement over time. No fines, enforcement actions, or severe harm-level findings were noted in the available reports.
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
88% occupied
Based on a April 2025 inspection.
Census over time
Inspection Report
Complaint Investigation
Census: 87
Capacity: 99
Deficiencies: 0
Date: Apr 10, 2025
Visit Reason
The visit was an unannounced complaint investigation conducted to address allegations including residents not being assisted with medication administration, inadequate food service, and non-adherence to resident contracts.
Complaint Details
The complaint investigation was unsubstantiated, meaning there was insufficient evidence to prove the alleged violations occurred. Allegations investigated included failure to assist residents with medication, inadequate food service, and non-adherence to resident contracts.
Findings
The investigation found that residents were assisted with medication as appropriate, food service was adequate and timely with a variety of options, and resident contracts were adhered to with consent for changes. All three allegations were deemed unsubstantiated with no deficiencies cited.
Report Facts
Staff interviewed: 6
Residents interviewed: 7
Capacity: 99
Census: 87
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mary Rico | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Melissa Villafana | Assisted Living Coordinator | Met with Licensing Program Analyst during the investigation and exit interview |
| Efren Malagon | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Annual Inspection
Census: 87
Capacity: 99
Deficiencies: 0
Date: Jan 22, 2025
Visit Reason
The inspection was an unannounced required annual inspection conducted to evaluate compliance with licensing regulations for the facility.
Findings
The facility was found to be generally compliant with regulations, including proper food storage, secured medications, updated resident files, and operational fire safety systems. The fire alarms were last tested on 2024-03-14 and found to be functioning properly. No issues or concerns were observed during the visit.
Report Facts
Hospice residents: 18
Hospice waiver capacity: 30
Bedridden residents allowed: 10
Bedridden residents currently: 1
Fire drill date: Dec 17, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Janette Romero | Licensing Program Analyst | Conducted the inspection and authored the report |
| Lyssa Irani | Community Resources Manager | Met with the Licensing Program Analyst during the inspection |
| Kathleen Williams | Administrator | Facility administrator named in the report |
| Tricia Danielson | Licensing Program Manager | Named in the report |
Inspection Report
Complaint Investigation
Census: 85
Capacity: 99
Deficiencies: 0
Date: Dec 16, 2024
Visit Reason
The visit was an unannounced complaint investigation conducted in response to an allegation that staff were not administering medication to a resident according to physician's instructions.
Complaint Details
The complaint alleged that staff were not administering medication to Resident 1 as prescribed by a physician. The investigation included interviews with the resident's Power of Attorney agent, Assistant Healthcare Director, and review of medical and medication records. It was found that the facility was awaiting a signed doctor's order before administering the medication and began administration promptly upon receipt. The complaint was unfounded.
Findings
The investigation found that the facility did not have a signed doctor's order to administer the medication until 8/8/2024, and the medication was administered as prescribed from that date. The complaint was determined to be unfounded as the allegation was false or without reasonable basis.
Report Facts
Facility capacity: 99
Resident census: 85
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Janette Romero | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Ricardo Gomez | Administrator | Met with Licensing Program Analyst during investigation |
| Veronica Chavez | Assistant Healthcare Director | Interviewed regarding medication administration and resident assessment |
Inspection Report
Complaint Investigation
Census: 97
Capacity: 99
Deficiencies: 0
Date: Sep 25, 2024
Visit Reason
An unannounced complaint investigation was conducted to investigate the allegation that staff does not ensure the bedroom door for a resident is in good repair.
Complaint Details
The complaint alleged that staff did not ensure the resident's bedroom door was in good repair. The investigation included interviews with staff and review of maintenance records, finding no issues or repair requests. The complaint was found to be unfounded.
Findings
The investigation found that the resident's bedroom door knob was functioning properly, with residents and staff able to unlock the door without issue. The complaint was determined to be unfounded as there was no evidence of disrepair.
Report Facts
Staff interviewed: 5
Keys observed: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Janette Romero | Licensing Program Analyst | Conducted the complaint investigation |
| Ricardo Gomez | Administrator | Met with Licensing Program Analyst during investigation |
| Daryl Wilkes | Maintenance Manager | Met with Licensing Program Analyst during investigation |
| Susanne Larson | Health Director | Met with Licensing Program Analyst during investigation |
Inspection Report
Complaint Investigation
Census: 97
Capacity: 99
Deficiencies: 1
Date: Aug 16, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit conducted to investigate allegations that the facility did not have an active Director on site and that facility staff did not ensure residents' rooms were clean and orderly.
Complaint Details
The complaint investigation was substantiated regarding the lack of an active Director with a valid administrator's certificate on site. The allegation about pets causing odor in resident rooms was unsubstantiated.
Findings
The allegation that the facility lacked an active Director with a valid administrator's certificate was substantiated, as no current employees possessed the required certification and no one was acting as administrator during the absence of the newly hired administrator. The allegation regarding pets urinating and defecating in resident rooms causing odor was unsubstantiated based on interviews and observations during the visit.
Deficiencies (1)
87405(a) All facilities shall have a qualified and currently certified administrator. This requirement was not met as evidenced by the facility not having a designated substitute with an administrator's certificate to provide coverage during the current administrator's absence, posing a potential health/safety/personal rights risk to residents.
Report Facts
Capacity: 99
Census: 97
Deficiency count: 1
Plan of Correction due date: Aug 30, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Janette Romero | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Lyssa Irani | Community Resources Manager | Met with Licensing Program Analyst during investigation |
| Melissa Villafana | Assisted Living Coordinator | Met with Licensing Program Analyst during investigation and received report copy |
| Melanie Danielson | Director of Operations | Interviewed and reported not possessing administrator's certificate and not acting as administrator |
| Ricardo Gomez | Administrator | Newly hired administrator scheduled to begin work but was ill during inspection |
| Georgianna Mendez | Previous Administrator | Last day was 8/9/2024 and was asked to provide coverage but separated from facility |
Inspection Report
Complaint Investigation
Census: 88
Capacity: 99
Deficiencies: 1
Date: Mar 12, 2024
Visit Reason
An unannounced visit was conducted regarding an open complaint currently under investigation related to the care of residents with dementia.
Complaint Details
The visit was triggered by an open complaint currently under investigation. The deficiency relates to failure to comply with care requirements for persons with dementia.
Findings
The facility failed to have an updated Physician's Report for Resident One diagnosed with dementia, with the last report dated 03/02/2022. This deficiency was cited under Title 22 Regulation 87705(c)(5) and poses a potential health and safety risk.
Deficiencies (1)
Failure to ensure each resident with dementia has an annual medical assessment and reappraisal, specifically Resident One's Physician Report was not updated since 03/02/2022.
Report Facts
Residents with dementia reviewed: 4
Plan of Correction Due Date: Mar 29, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sara Martinez | Licensing Program Analyst | Conducted the unannounced visit and evaluation. |
| Georgianna Mendez | Executive Director | Met with Licensing Program Analyst during the visit. |
| Martha Batchelor | LVN Health Care Director | Confirmed the facility did not have an updated Physician Report for Resident One. |
Inspection Report
Complaint Investigation
Census: 93
Capacity: 99
Deficiencies: 2
Date: Jan 30, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to multiple allegations including staff training deficiencies and delayed response to residents' call buttons.
Complaint Details
The complaint investigation was substantiated for allegations that staff lacked appropriate training and did not answer residents' call buttons in a timely manner. The allegations regarding the facility operating without an administrator and heater units being in disrepair were unsubstantiated.
Findings
The investigation substantiated that staff were behind on required training and that response times to residents' call buttons were sometimes excessively delayed, ranging from two to five hours. Other allegations, such as operating without an administrator and heater disrepair, were found unsubstantiated.
Deficiencies (2)
Personnel Requirements – General: Staff assisting residents with personal activities of daily living were missing required initial and annual training.
Residents' personal rights were not met due to staff not responding to residents in a timely manner.
Report Facts
Capacity: 99
Census: 93
Response time: 2
Response time: 5
Plan of Correction Due Date: Feb 9, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Chinwe Nwogene | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Rikesha Stamps | Licensing Program Manager | Oversaw the complaint investigation |
| Georgianna Mendez | Executive Director | Facility representative met during the investigation and exit interview |
| Lyssa Irani | Community Resource Manager | Facility representative met during the investigation |
| Kathleen Williams | Administrator | Named as the facility administrator |
Inspection Report
Annual Inspection
Census: 92
Capacity: 99
Deficiencies: 0
Date: Jan 16, 2024
Visit Reason
The visit was an unannounced annual inspection conducted by the Licensing Program Analyst to evaluate compliance with regulatory standards at the facility.
Findings
The facility was found to be in good repair and operating within approved capacity. Resident rooms and bathrooms were safe and sanitary, emergency systems were functional, and medication storage and documentation were appropriate. No deficiencies were cited during this visit.
Report Facts
Food supply duration: 2
Food supply duration: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lyssa Irani | Community Resource Manager | Met with Licensing Program Analyst during inspection and discussed facility operations |
| Chinwe Nwogene | Licensing Program Analyst | Conducted the annual inspection visit |
| Rikesha Stamps | Licensing Program Manager | Named in report header and narrative |
Inspection Report
Follow-Up
Census: 90
Capacity: 99
Deficiencies: 0
Date: Oct 3, 2023
Visit Reason
The visit was an unannounced health and safety follow-up conducted to assess the facility after a fire incident that occurred in the kitchen on 10/02/2023.
Findings
The inspection found that the fire was extinguished by the sprinkler system with no injuries reported. There were only cosmetic damages to the kitchen wall and ceiling, and the kitchen remains closed pending repairs and approval. No immediate health and safety concerns were observed during the visit.
Report Facts
Facility capacity: 99
Census: 90
Fire incident date: Oct 2, 2023
Kitchen reopening date: Oct 9, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Janette Romero | Licensing Program Analyst | Conducted the inspection and authored the report |
| Lyssa Irani | Community Resources Manager | Met with the Licensing Program Analyst during the visit and notified resident's responsible parties of the fire incident |
| Daryl Wilkes | Maintenance Manager | Met with the Licensing Program Analyst during the visit |
| Kathleen Williams | Administrator | Facility administrator named in the report header |
| Lorri Larson | Fire Safety Specialist | Conducted fire safety inspection and assessed damages |
Inspection Report
Complaint Investigation
Census: 96
Capacity: 99
Deficiencies: 0
Date: Jan 20, 2023
Visit Reason
An unannounced complaint investigation visit was conducted to investigate allegations of verbal abuse, physical abuse, and staff going through a resident's personal items.
Complaint Details
The complaint investigation was unsubstantiated due to lack of preponderance of evidence to prove the alleged violations occurred.
Findings
The investigation found insufficient evidence to substantiate the allegations of verbal abuse, physical abuse, or staff going through resident's personal items. Interviews with residents and staff, as well as file reviews, did not support the claims.
Report Facts
Capacity: 99
Census: 96
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Chinwe Nwogene | Licensing Program Analyst | Conducted the complaint investigation |
| Lyssa Irani | Community Resource Manager | Met with Licensing Program Analyst during investigation |
| Kathleen Williams | Administrator | Facility administrator named in report header |
Inspection Report
Census: 96
Capacity: 99
Deficiencies: 0
Date: Dec 30, 2022
Visit Reason
An unannounced case management visit was conducted to follow up on an Incident Report received on December 22, 2022, regarding a resident’s unauthorized checks that were cashed.
Findings
During the visit, the Licensing Program Analyst toured the facility, interviewed residents, reviewed staff files, and collected pertinent documents. No deficiencies were cited during the visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kathleen Williams | Executive Director | Met with Licensing Program Analyst during the visit and discussed the report. |
| Chinwe Nwogene | Licensing Program Analyst | Conducted the unannounced case management visit. |
| Deborah Mullen | Licensing Program Manager | Named in the report as Licensing Program Manager. |
Inspection Report
Follow-Up
Census: 98
Capacity: 99
Deficiencies: 0
Date: Dec 21, 2022
Visit Reason
An unannounced case management visit was conducted to follow up on a self-reported incident at the facility.
Findings
No health or safety concerns were observed during the visit. The facility had sufficient staff, adequate food and medication supplies, and utilities were operating without issue. Additional time was needed to conclude the follow-up on the incident.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kathleen Williams | Administrator | Met with Licensing Program Analyst during the visit. |
| Venus Mixson | Licensing Program Analyst | Conducted the unannounced case management visit. |
| Jazmond D Harris | Licensing Program Manager | Named in the report header. |
Inspection Report
Complaint Investigation
Census: 91
Capacity: 99
Deficiencies: 0
Date: Apr 21, 2022
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by multiple allegations regarding resident care at Highgate Senior Living-Temecula.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included resident developing a pressure injury, sustaining multiple falls, staff not following doctor's orders, not re-appraising resident, not ensuring proper clothing fit, not assisting with hygiene, not seeking timely medical attention, and not safeguarding personal property. Documentation and interviews supported that care and procedures were appropriately followed.
Findings
The investigation found insufficient evidence to substantiate any of the allegations, including claims of pressure injury development, multiple falls, failure to follow doctor's orders, lack of resident re-appraisal, improper clothing fit, inadequate hygiene assistance, delayed medical attention, and failure to safeguard personal property.
Report Facts
Capacity: 99
Census: 91
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Javier Prieto | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Kathleen Williams | Executive Director | Met with Licensing Program Analyst during investigation |
| Karen Clemons | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Annual Inspection
Census: 94
Capacity: 99
Deficiencies: 0
Date: Feb 25, 2022
Visit Reason
An unannounced annual inspection was conducted with an emphasis on infection control to evaluate compliance with Community Care Licensing guidelines.
Findings
The facility demonstrated proper infection control measures including signage, hand hygiene supplies, cleaning provisions, and PPE use. No deficiencies were cited during the inspection.
Report Facts
Staff present during visit: 20
Residents present during visit: 94
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kathleen Williams | Administrator | Met with Licensing Program Analyst during inspection and explained purpose of visit |
| Yolanda Delgado | Licensing Program Analyst | Conducted the inspection visit |
| Jazmond D Harris | Licensing Program Manager | Named in report header |
Inspection Report
Complaint Investigation
Census: 98
Capacity: 99
Deficiencies: 0
Date: Aug 16, 2021
Visit Reason
An unannounced complaint investigation was conducted regarding the allegation that the facility did not have a designated person acting in the Administrator's absence during an unexpected emergency absence of the Administrator.
Complaint Details
The complaint alleged that the facility lacked a designated person acting as Administrator during Kathleen Williams' absence from February 16 to February 20, 2020. The allegation was investigated and found unsubstantiated due to lack of evidence of violation.
Findings
The investigation found that although the Administrator was absent for one week, coverage was ensured by staff members who did not hold Administrator certification. Operations proceeded as usual with no reported concerns to resident health, safety, or personal rights. Therefore, the allegation was deemed unsubstantiated and no citations were issued.
Report Facts
Capacity: 99
Census: 98
Absence duration (days): 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kathleen Williams | Administrator | Named in allegation regarding absence and lack of designated acting Administrator |
| Stephanie Torres | Licensing Program Analyst | Conducted the complaint investigation |
| Stephanie Love | Health Care Director | Met with Licensing Program Analyst during investigation |
| Nedra Brown | Licensing Program Manager | Named as Licensing Program Manager on report |
Report
January 26, 2026
Report
October 16, 2025
Report
March 12, 2024
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