Inspection Report Summary
Most inspections found no deficiencies, with several complaint investigations unsubstantiated, including the most recent one on July 9, 2025, which had no deficiencies. Earlier reports showed some issues related to staff association before working, posing immediate safety risks, and a substantiated complaint in March 2021 involving inadequate supervision of a resident who eloped and missing admission paperwork. These issues were isolated and addressed, as later inspections found the facility generally in compliance with regulations, including infection control and environment safety. There is no record of fines, license suspensions, or enforcement actions in the available reports. The facility’s recent clean reports suggest improvement over time, especially in staffing compliance and resident care documentation.
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
60% 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: 26
Capacity: 43
Deficiencies: 0
Date: Jul 9, 2025
Visit Reason
An unannounced complaint investigation was conducted based on an allegation that facility staff were inappropriately restraining a resident.
Complaint Details
The complaint alleging inappropriate restraint of a resident was investigated and found to be unsubstantiated based on interviews, observations, and record review.
Findings
The investigation found that the facility has a 'No Restraint' policy, staff are knowledgeable and adhere to this policy, and no evidence of improper restraint was observed. The allegation was unsubstantiated and no deficiencies were noted.
Report Facts
Capacity: 43
Census: 26
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kristin Kontilis | Licensing Program Analyst | Conducted the complaint investigation |
| Yesenia Leon | Director of Resident Services | Met with Licensing Program Analyst during the investigation |
| Kelly Burley | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Annual Inspection
Census: 26
Capacity: 43
Deficiencies: 0
Date: Feb 26, 2025
Visit Reason
An unannounced required Annual Inspection was conducted to evaluate compliance with licensing requirements for the Residential Care Facility for the Elderly.
Findings
The facility was found to be in good repair with no deficiencies noted. The physical environment, fire safety equipment, kitchen, medication storage, and resident files were all inspected and found compliant. Staff files and certifications were also reviewed and found complete.
Report Facts
Staff members present: 9
Residents on hospice: 12
Bedridden residents: 1
Fire extinguisher inspection date: Jun 27, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Yesenia Leon | Resident Services Director | Met with during inspection |
| Kristin Kontilis | Licensing Program Analyst | Conducted the inspection |
| Kelly Burley | Licensing Program Manager | Named in report |
| Mitch Leichter | Administrator | Facility Administrator |
Inspection Report
Complaint Investigation
Census: 26
Capacity: 43
Deficiencies: 0
Date: Apr 5, 2024
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations of illegal eviction and improper notice for rate increases at the facility.
Complaint Details
The complaint involved two allegations: 1) Illegal eviction notice sent by email with only 15 days' notice to Resident 1's Responsible Party, and 2) Facility staff did not provide proper notice for rate increases. Both allegations were found unsubstantiated after review of documentation, interviews, and observations.
Findings
The investigation found insufficient evidence to substantiate the allegations. The facility did not initiate eviction procedures but warned of possible future eviction if payment was not made. The facility provided over 60 days' notice for rate increases, which were justified by increased operational costs.
Report Facts
Outstanding balance: 5645.2
Rate increase percentage: 8
Rate increase amount: 125.4
Previous monthly rate: 1567.5
New monthly rate: 1692.9
Notice period for rate increase: 60
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Brian Phillips | Licensing Program Analyst | Conducted the complaint investigation and authored the report. |
| Kelly Burley | Licensing Program Manager | Oversaw the complaint investigation. |
| Luciana Mitzkun Weston | Community Services Director | Met with Licensing Program Analyst during the investigation. |
| Mitch Leichter | Administrator | Facility administrator mentioned in the report. |
Inspection Report
Annual Inspection
Census: 24
Capacity: 43
Deficiencies: 1
Date: Feb 1, 2024
Visit Reason
The visit was an unannounced required annual site inspection to evaluate compliance with Title 22 Regulations for a Residential Care Facility for the Elderly (RCFE).
Findings
The facility was generally found to be in compliance with health and safety regulations, including proper maintenance of physical plant, kitchen, common areas, bedrooms, restrooms, medication storage, infection control, and documentation. However, a Type A deficiency was cited for failure to ensure one staff member was associated with the facility prior to working, posing an immediate safety risk.
Deficiencies (1)
Failure to ensure that one (1) staff member was associated to the facility prior to working, posing an immediate safety risk to persons in care.
Report Facts
Capacity: 43
Census: 24
Deficiencies cited: 1
Plan of Correction Due Date: Feb 2, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mitch Leichter | Administrator | Facility administrator mentioned as physically unavailable during inspection |
| Luciana Mitzkun Weston | Community Services Director | Met Licensing Program Analyst upon arrival and informed Administrator of visit |
| Brian Phillips | Licensing Program Analyst | Conducted the inspection |
| Kelly Burley | Licensing Program Manager | Oversaw licensing program and signed report |
| Jill Nakata | Supervisor | Supervisor for licensing evaluation |
Inspection Report
Complaint Investigation
Census: 27
Capacity: 43
Deficiencies: 0
Date: Mar 22, 2023
Visit Reason
The visit was conducted as a Case Management - Incident investigation following a self-reported incident where a visitor witnessed a caregiver slapping a resident on the back of the head while guiding the resident for a change of briefs.
Complaint Details
The complaint involved an incident reported on 03/16/2023 regarding an event on 03/12/2023 where a caregiver allegedly slapped a resident. The incident was not reported to the facility administrator until 03/15/2023. Investigation is ongoing.
Findings
Licensing Program Analysts toured the facility, interviewed staff, residents, and witnesses, and requested relevant documents. Further investigation is needed and will continue at a later date.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Karen Dacome | Associate Executive Director | Met with Licensing Program Analysts during the investigation. |
| Luciana Mitzkun Weston | Community Services Director | Met with Licensing Program Analysts during the investigation. |
| Brian Phillips | Licensing Program Analyst | Conducted the Case Management - Incident visit. |
| Jenny Olson | Licensing Program Analyst | Conducted the Case Management - Incident visit. |
Inspection Report
Annual Inspection
Census: 27
Capacity: 43
Deficiencies: 0
Date: Jan 30, 2023
Visit Reason
The inspection was an unannounced 1-year infection control annual visit to evaluate the facility's compliance with infection control protocols.
Findings
No deficiencies were observed during the visit. The facility has implemented and is following all infection control protocols, including screening, PPE use, isolation procedures, and staff training.
Report Facts
PPE supply duration: 30
Medication supply duration: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Karen Dacome | Associate Executive Director | Met with Licensing Program Analyst during inspection |
Inspection Report
Annual Inspection
Census: 26
Capacity: 43
Deficiencies: 1
Date: Feb 28, 2022
Visit Reason
The inspection visit was an unannounced continuance of an Annual Inspection and Infection Control Inspection due to time restraints from a prior inspection conducted on 2022-02-25.
Findings
The facility was found to be generally well maintained, clean, and in good repair with appropriate postings and accommodations for residents. However, deficiencies were cited related to staff criminal record clearance, as two staff members were not associated with the facility prior to working, posing an immediate safety risk.
Deficiencies (1)
Failure to ensure that two out of two staff (S1 and S2) were associated prior to working in the facility, violating criminal record clearance requirements.
Report Facts
Civil penalties assessed: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mitch Leichter | Administrator | Met with Licensing Program Analyst during inspection and named in findings |
| Kristin Kontilis | Licensing Program Analyst | Conducted the inspection and signed the report |
| Kelly Burley | Licensing Program Manager | Named as supervisor in the report |
| Corinne Satterthwaite | Wellness Nurse | Met with Licensing Program Analyst during inspection |
| Viviana Lino | Director of Operations | Met with Licensing Program Analyst during inspection |
Inspection Report
Annual Inspection
Census: 26
Capacity: 43
Deficiencies: 0
Date: Feb 25, 2022
Visit Reason
An unannounced Annual Required visit and Infection Control Inspection of the facility was conducted to evaluate compliance with licensing requirements.
Findings
No deficiencies were noted during the inspection. The Licensing Program Analyst conducted a tour and discussed infection control procedures with staff.
Report Facts
Residents on hospice: 11
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Corinne Satterthwaite | Wellness Nurse | Met with Licensing Program Analyst during inspection and discussed infection control procedures |
| Yesenia Leon | Resident Services Director | Met with Licensing Program Analyst during inspection and discussed infection control procedures |
| Mitch Leichter | Administrator | Facility administrator not available at time of visit |
Inspection Report
Complaint Investigation
Census: 18
Capacity: 43
Deficiencies: 2
Date: Mar 22, 2021
Visit Reason
The inspection was conducted as a case management investigation due to a reported incident where a resident eloped from the facility, and to implement COVID-19 mitigation measures.
Complaint Details
The visit was complaint-related due to a report that resident #1 eloped from the facility on 03/17/21. The complaint was substantiated based on findings of inadequate supervision and missing Admission Agreement.
Findings
The investigation found that the facility failed to supervise the resident who eloped, posing an immediate health and safety risk, and also failed to have a signed Admission Agreement on file for the resident.
Deficiencies (2)
Failure to provide adequate care and supervision as resident left the facility unassisted, posing an immediate health and safety risk.
Failure to have a signed Admission Agreement for the resident, posing a potential personal rights risk.
Report Facts
Deficiencies cited: 2
Plan of Correction Due Date: Mar 23, 2021
Plan of Correction Due Date: Mar 29, 2021
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Joann Rosales | Licensing Program Analyst | Conducted the case management investigation and authored the report. |
| Mitch Leichter | Administrator | Interviewed during investigation and named in findings related to supervision and admission agreement. |
| Kristin Heffernan | Licensing Program Manager | Supervisor overseeing the licensing evaluation. |
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