Inspection Report Summary
Most inspections found no deficiencies, showing the facility generally maintained compliance with licensing requirements and safety standards. However, some complaint investigations identified issues, particularly related to eviction procedures and resident care documentation. The most recent report from October 22, 2025, was clean with no deficiencies noted. Earlier substantiated complaints included failure to provide proper eviction notices and inadequate monitoring of a resident’s condition after a fall, but these were isolated events. Several other complaint investigations were unsubstantiated, and the facility appears to have improved its practices over time.
Deficiencies (last 5 years)
Deficiencies (over 5 years)
1.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
55% better than California average
California average: 4 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
54% occupied
Based on a October 2025 inspection.
Census over time
Inspection Report
Annual Inspection
Census: 107
Capacity: 200
Deficiencies: 0
Date: Oct 22, 2025
Visit Reason
An unannounced required annual inspection was conducted to evaluate compliance with licensing requirements for the facility.
Findings
The facility was found to be clean, sanitary, and in good repair with no deficiencies observed or cited during the inspection. Safety equipment and required postings were in place and functioning, and staff and client records were complete and compliant.
Report Facts
Facility capacity: 200
Census: 107
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amy Rodgers | Licensing Program Analyst | Conducted the unannounced required annual inspection |
| Ronald Ellenich | Executive Director | Met with Licensing Program Analyst during inspection and exit interview |
| Damien Rapp | Administrator/Director | Facility Administrator/Director named in report header |
Inspection Report
Complaint Investigation
Census: 106
Capacity: 200
Deficiencies: 7
Date: May 8, 2025
Visit Reason
An unannounced Case Management Visit was conducted to cite deficiencies identified during a separate complaint investigation related to eviction procedures and failure to notify the licensing agency.
Complaint Details
The visit was triggered by a complaint investigation related to eviction procedures and failure to notify the licensing agency of a new administrator. The complaint was substantiated with multiple deficiencies cited.
Findings
The investigation found multiple deficiencies in the eviction notice served to a resident, including failure to notify the licensing agency within five days, lack of required information in the eviction notice, and failure to notify the Department in writing within 30 days of hiring a new administrator. Seven Type B deficiencies were cited.
Deficiencies (7)
Licensee did not send a written report of eviction regarding 1 of 106 residents to the licensing agency within five days.
Licensee did not include the effective date of the eviction in the notice to quit regarding 1 of 106 residents.
Licensee did not set forth specific facts to permit determination of the date, place, witnesses, and circumstances concerning the reasons for eviction in the notice to quit regarding 1 of 106 residents.
Licensee did not include resources available to assist in identifying alternative housing and care options in the notice to quit regarding 1 of 106 residents.
Licensee did not include a statement informing residents of their right to file a complaint with the licensing agency in the notice to quit regarding 1 of 106 residents.
Licensee did not include the exact statement regarding unlawful detainer action and residents' rights to contest eviction as required by Health and Safety Code Section 1569.683(a)(4) in the notice to quit regarding 1 of 106 residents.
Licensee did not notify the Department in writing within thirty days of hiring a new administrator.
Report Facts
Deficiencies cited: 7
Census: 106
Total Capacity: 200
Plan of Correction Due Date: May 9, 2025
Plan of Correction Due Date: May 16, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dang Nguyen | Licensing Program Analyst | Conducted the unannounced Case Management Visit and authored the report. |
| Lizzette Tellez | Licensing Program Manager | Named as Licensing Program Manager overseeing the inspection. |
| Tim Jeffers | Executive Director | Met with Licensing Program Analyst during the visit and involved in exit interview. |
| Carol Braun | Resident Services Coordinator | Met with Licensing Program Analyst during the visit and involved in exit interview. |
Inspection Report
Annual Inspection
Census: 97
Capacity: 200
Deficiencies: 0
Date: Oct 23, 2024
Visit Reason
The inspection was an unannounced required one-year inspection to ensure substantial compliance with Title 22 regulations.
Findings
The facility was found to be in substantial compliance with no deficiencies observed or cited. Resident rooms, food storage, staff training, and records were all compliant and satisfactory.
Report Facts
Residents served: 200
Non-ambulatory residents: 6
Hospice waiver residents: 3
Census: 97
Food supply duration: 2
Food supply duration: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amy Domingo | Licensing Program Analyst | Conducted the inspection and authored the report |
| Carol Braun | Resident Services Coordinator | Met with Licensing Program Analyst and accompanied during facility tour |
| Damien Rapp | Administrator/Director | Facility administrator mentioned in report |
| Simon Jacob | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Census: 64
Capacity: 200
Deficiencies: 0
Date: Feb 28, 2024
Visit Reason
An unannounced Case Management visit was conducted to perform a health and safety welfare check on residents and discuss facility management issues such as recent heating and air conditioning repair.
Findings
The facility was found to be safe with comfortable ambient internal air temperature and compliant conditions. No deficiencies were observed or cited during the visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dang Nguyen | Licensing Program Analyst | Conducted the unannounced Case Management visit. |
| Damien Rapp | Administrator | Facility administrator mentioned in the report header. |
| Carol Braun | Resident Services Coordinator | Met with the Licensing Program Analyst during the visit. |
| Tim Jeffers | Executive Director | Discussed the purpose of the visit with the Licensing Program Analyst. |
| Lizzette Tellez | Licensing Program Manager | Named in the report. |
Inspection Report
Complaint Investigation
Census: 64
Capacity: 200
Deficiencies: 2
Date: Jan 11, 2024
Visit Reason
An unannounced Case Management visit was conducted to cite deficiencies resulting from an incident self-reported by the licensee involving a resident fall and subsequent hospitalization.
Complaint Details
The visit was complaint-related due to a resident fall incident reported on 08/31/2023. The complaint was substantiated based on evidence that the licensee failed to meet care requirements and eviction procedures.
Findings
The investigation found that the licensee failed to observe, document, and report changes in a resident's physical functioning to the physician and did not provide appropriate assistance, resulting in serious bodily injury. Additionally, the licensee evicted the resident without providing the required 30-day written notice.
Deficiencies (2)
Failure to ensure residents are regularly observed for changes in physical functioning and that such changes are documented and brought to the attention of the resident’s physician.
Eviction of a resident without providing the required thirty (30) days written notice.
Report Facts
Civil penalty: 500
Deficiencies cited: 2
Plan of Correction due dates: Type A deficiency POC due 01/12/2024; Type B deficiency POC due 02/10/2024.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dang Nguyen | Licensing Program Analyst | Conducted the unannounced Case Management visit and authored the report. |
| Lizzette Tellez | Licensing Program Manager | Supervised the licensing evaluation and is named in the report. |
| Carol Braun | Resident Services Coordinator | Met with Licensing Program Analyst during the visit. |
| Tim Jeffers | Executive Director | Met with Licensing Program Analyst during the visit. |
Inspection Report
Annual Inspection
Capacity: 200
Deficiencies: 0
Date: Oct 24, 2023
Visit Reason
An unannounced required one-year inspection was conducted to ensure substantial compliance with Title 22 regulations.
Findings
The facility was found to be in substantial compliance with regulations, with clean and sufficient linens, properly equipped resident rooms, sanitary bathrooms, operational safety systems, proper food storage, and sufficient qualified staff on duty. Residents were observed to be treated with dignity.
Report Facts
Capacity: 200
Hospice waiver residents: 3
Non-ambulatory residents: 6
Food supply days: 2
Food supply days: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amy Rodgers | Licensing Program Analyst | Conducted the inspection and authored the report |
| Timothy Jeffers | Executive Director | Facility representative who granted entry and participated in the inspection |
| Carol Braun | Resident Service Coordinator | Accompanied the Licensing Program Analyst during the facility tour |
Inspection Report
Census: 54
Capacity: 200
Deficiencies: 0
Date: Sep 18, 2023
Visit Reason
The visit was an unannounced Case Management - Incident inspection conducted in response to an LIC624 Incident Report involving Resident #1, which was self-submitted by the licensee to the CCLD San Diego Regional Office.
Findings
No deficiencies were observed or cited during the visit. The Licensing Program Analyst toured the facility, collected pertinent records, and interviewed relevant staff.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dang Nguyen | Licensing Program Analyst | Conducted the unannounced Case Management - Incident visit. |
| Carol Braun | Resident Services Coordinator | Met with the Licensing Program Analyst during the visit. |
| Timothy Jeffers | Administrator who was briefly spoken with and participated in the exit interview. |
Inspection Report
Complaint Investigation
Census: 60
Capacity: 200
Deficiencies: 0
Date: May 24, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to an allegation that the facility was not following COVID-19 guidance, specifically related to reporting requirements.
Complaint Details
The complaint alleged that the facility was not following COVID-19 guidance. The investigation found that while the facility had an outbreak in December 2021 and followed internal reporting procedures, there was no confirmation that all cases were reported to the CDPH. Staff were unaware of any CDPH contact attempts. The allegation was unsubstantiated.
Findings
The investigation included interviews, records review, and a facility tour. It was found that the Executive Director was in contact with Department staff to report new COVID-19 cases, but it could not be confirmed if the corporate management reported all cases to the California Department of Public Health. The allegation was deemed unsubstantiated due to insufficient evidence.
Report Facts
Capacity: 200
Census: 60
Estimated Days of Completion: 0
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rebecca A Ruiz | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Timothy Jeffers | Executive Director | Facility representative interviewed during the investigation |
| Damien Rapp | Administrator | Facility administrator named in the report |
| Lizzette Tellez | Licensing Program Manager | Oversaw the complaint investigation |
Inspection Report
Annual Inspection
Census: 70
Capacity: 200
Deficiencies: 0
Date: Oct 17, 2022
Visit Reason
An unannounced Required 1-Year Visit was conducted to evaluate the facility's compliance, including implementation of their COVID-19 Mitigation Plan.
Findings
No deficiencies were cited during this inspection. The Licensing Program Analyst observed staff and residents, provided technical assistance, and evaluated infection control measures.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Damien Rapp | Administrator | Met with Licensing Program Analyst during inspection and discussed purpose of visit. |
| Amy Domingo | Licensing Program Analyst | Conducted the unannounced Required 1-Year Visit and evaluation. |
| Carol Braun | Resident Services Coordinator | Provided a tour of the facility during the inspection. |
Inspection Report
Census: 86
Capacity: 200
Deficiencies: 0
Date: Apr 21, 2022
Visit Reason
An unannounced case management visit was conducted to follow up on multiple incident reports received by the Regional Office in October 2021 and December 2021.
Findings
No deficiencies were observed or cited during the visit. Residents were observed and staff were interviewed.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rebecca A Ruiz | Licensing Program Analyst | Conducted the unannounced case management visit. |
| Jean Nagle | Admissions Coordinator who was met during the visit. | |
| Carol Braun | Resident Services Coordinator | Interviewed during the visit and received a copy of the report. |
Inspection Report
Annual Inspection
Census: 88
Capacity: 200
Deficiencies: 0
Date: Sep 29, 2021
Visit Reason
The inspection was an unannounced required 1-year visit to evaluate the facility's compliance with licensing requirements and infection control measures.
Findings
The Licensing Program Analyst conducted a tour and evaluation of the facility's COVID-19 Mitigation Plan, including disinfection, testing surveillance, screening protocols, and PPE use. No deficiencies were cited or observed during this visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Damien Rapp | Administrator | Met with Licensing Program Analyst during inspection and participated in exit interview. |
| Rebecca A Ruiz | Licensing Program Analyst | Conducted the inspection and evaluation of the facility. |
| Alexandre Vo | Licensing Program Manager | Named in the report as Licensing Program Manager. |
Inspection Report
Census: 92
Capacity: 200
Deficiencies: 0
Date: Sep 10, 2021
Visit Reason
An unannounced case management visit was conducted to perform a health and safety check and review COVID-19 mitigation strategies at the facility.
Findings
During the virtual visit conducted via FaceTime, Licensing Program Analysts toured the facility and interviewed the Administrator. No deficiencies were issued during this visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Damien Rapp | Administrator | Met with Licensing Program Analysts during the visit. |
| Rebecca Ruiz | Licensing Program Analyst | Conducted the unannounced case management visit. |
| Esther Iriarte-Rendon | Licensing Program Analyst | Conducted the unannounced case management visit. |
| Alexandre Vo | Licensing Program Manager | Named in the report header. |
Inspection Report
Census: 96
Capacity: 200
Deficiencies: 0
Date: May 28, 2021
Visit Reason
An unannounced case management visit was conducted to ensure confirmation of removal of an individual (S1) from the facility.
Findings
The Director of Nursing confirmed that S1 was never an employee nor an applicant at the facility. No deficiencies were cited during the visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lisa Codina | Director of Nursing | Met with Licensing Program Analyst during the visit and confirmed information about S1. |
| Cory Fish | Human Resource Director | Confirmed that S1 was never an employee nor an applicant at the facility. |
| Debbie Correia | Licensing Program Analyst | Conducted the unannounced case management visit. |
Report
May 8, 2025
Report
January 11, 2024
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