Cottages at Artesia Anaheim, the.
Cottages at Artesia Anaheim, the is Ranked in the bottom 4% on repeat-citation rate among California peers with 13 CDSS citations on record; last inspected Apr 2026.
A medium home, reviewed on public record.
Compared to 26 California facilities with a similar number of beds.
RCFE memory care · 36-month window. Higher percentile = better performance on inspection record. Source: California Dept. of Social Services · Community Care Licensing.
Rankings based on 36-month CDSS inspection data. Severity and frequency: fewer citations = higher percentile. Repeat rate: lower repeat citation share = higher percentile.
FACILITY WATCH · FREE
Cottages at Artesia Anaheim, the has 13 citations on record. Know the moment anything changes.
New findings, complaint investigations, or status changes — emailed to you free.
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Citation history, plotted month by month.
13 deficiencies on record. Each bar is a month with a citation.
Finding distribution
12 total · 36 monthsScope × Severity (CMS A–L)
The rules that apply to this facility.
State requirements with the exact regulation citation, plain-language explanation, and a question to ask on tour. Rules this facility has been cited for appear first.
Plain language
Because a facility markets dementia or Alzheimer's care, state law mandates higher training standards: 12 hours of initial dementia training (6 hours before a staff member works independently with residents, 6 more within the first 4 weeks), 8 hours of annual dementia in-service every year thereafter, and an administrator must include 8 hours of dementia-specific continuing education in every 2-year recertification cycle. Training must cover individualized care plans, behavioral expressions, appropriate supervision, and the facility's dementia care philosophy.
Ask on tour
“Can you show me each direct-care staffer's most recent dementia training certificate, and tell me when their next refresher is due?”
Questions to ask before you visit.
A short pre-tour checklist tailored to Cottages at Artesia Anaheim, the's record and state requirements.
The facility has 5 serious citations on file across all inspections — can you provide your corrective-action plan for each cited item, and show families any documentation of remediation steps taken?
Ask the operator on tour. Take notes and compare answers across facilities you visit.
Six complaints are on file with CDSS — were any substantiated, and what remediation did the facility take in response to substantiated findings?
Ask the operator on tour. Take notes and compare answers across facilities you visit.
The facility has 3 citations under §87705 or §87706 (dementia care requirements) — can you provide the written dementia-care program required by §87705, and show families documentation that the cited deficiencies have been corrected?
Ask the operator on tour. Take notes and compare answers across facilities you visit.
Every inspection visit, verbatim.
17 inspections in the public record, most recent first. Click any row to expand — cited rows open automatically.
2026-04-16Complaint InvestigationUnsubstantiatedNo findings
Plain-language summary
An investigator looked into a complaint that a staff member handled a resident roughly. The investigator interviewed staff, family members, and other residents, but could not find enough evidence to confirm the allegation happened—video footage had been recorded over and the resident was no longer at the facility, making it impossible to verify what occurred.
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W1 provided their email account to AD that stated that something drew their attention to S1 and got the impression that S1 spoke to R1 roughly. W1 informed AD via email that they observed S1 pummeling R1s back and shoulders as though playfully, good natured, or mock aggression once S1 saw W1 look over. Witness #2 (W2) informed LPA that W1 informed them that they did not actually see an incident occur between S1 and R1, but saw S1 pummeling/massaging R1s back and found it disturbing. Witness #3 (W3) informed LPA that they had no concerns of R1s care and was at the facility every day to check on R1. W3 informed LPA that they do not believe the incident occurred as reported and had no complaints regarding R1s care. W3 informed LPA that they spoke to facility staff and confirmed that the AD informed them of the alleged incident verbally. LPA interviewed staff and 5 of 5 staff denied the allegations. LPA interviewed 6 residents in care and 2 of 6 residents informed LPA that they have never been harmed or yelled at by facility staff. 4 of 6 residents did not confirm or deny the above mentioned allegations. LPA was unable to view video footage at the facility due to it already being recorded over. LPA was unable to interview R1 due to no longer residing at the facility. LPA reviewed staff training for S1 and observed personal rights training was last conducted on August 18, 2025. The investigation into the facility allegation of staff did not follow reporting requirements revealed the following: It was alleged that staff did not cross report an alleged incident that occurred. The SOC341 was submitted to LPAs email inbox on January 30 th 2026, stating that on January 23 rd , 2026, they were informed of an incident where S1 was handling R1 in a rough manner. LPA interviewed AD and informed LPA that they sent an SOC341 to licensing and the Ombudsman and notified R1s family. AD was unable to verify when they sent the form to the ombudsman. LPA interviewed Witness #4 (W4) and informed LPA that they did not receive an SOC341 from the facility regarding the incident that occurred. Continue on LIC9099C 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 Based on information gathered and interviews conducted, the Department is unable to ascertain if the above allegations occurred as reported. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred; therefore, the allegations are deemed UNSUBSTANTIATED. An exit interview was conducted and a copy of this report was left at the facility.
2026-01-30Other VisitNo findings
Plain-language summary
This was an inspection following complaints about missing hearing aids and alleged verbal abuse. Investigators could not find enough evidence to confirm either allegation—staff accounts conflicted about whether the resident arrived with hearing aids, and interviews with residents and staff did not support the claim of verbal abuse.
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LPA observed a LIC621 for R1 that does not state they have hearing aids as their personal property at the facility that was signed and dated by facility staff on November 25, 2025. LPA observed a theft and loss policy stating that the Responsible Party of the resident shall fill out an LIC621 on the day of move in and all items will be discharged at the time of move out. The policy also states that if an item goes missing, the resident or responsible party can fill out a LIC9060 theft and loss record form. LPA did not observe an LIC9060 for R1. LPA observed a notice of transfer/discharge for R1 from Downey Post Acute stating that on November 25, 2025, R1 will be transferred to the facility. This form has an itemized list of R1s belongings and upon discharge R1 had 2 hearing aids that were noted on the form. This document was signed and dated by W1 and nursing staff on November 25, 2025. Upon interviews with two of three staff it was revealed that R1 arrived at the facility with the clothes they were wearing and their cell phone, and no hearing aids. One of three staff informed LPA that they arrived via non emergency ambulance without family or their responsible party. Two of three staff informed LPA that they did not recall R1 having hearing aids during their short time at the facility. One of three staff informed LPA that R1 did not have hearings aids or a watch and was not informed if staff had received such items. Upon interviews with W1 it was revealed that they handed staff R1s hearing aids, but could not recall the staffs name. W1 informed LPA that they did not fill out a valuables and property form for R1. W1 informed LPA that they are not sure about a watch. Regarding the allegation of Staff was verbally abusive towards resident revealed the following: It was alleged that staff would yell at R1 and call them derogatory names. Upon interviews with three of three staff it was revealed that they never have verbally abused R1 and had not observed other staff in the facility verbally abuse residents. Upon interviews with four of four residents it was revealed that two of four residents were unable to confirm or deny if they had heard staff verbally abuse residents. Two of four residents informed LPA that they have never been verbally abused and had not heard staff verbally abuse other residents in care. Based on interviews, the Department is unable to ascertain if the above allegations occurred as reported. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred; therefore, the allegations are deemed UNSUBSTANTIATED. An exit interview was conducted and a copy of this report was left at the facility.
2026-01-30Complaint InvestigationSubstantiatedCitation on file
Plain-language summary
A complaint investigation found that staff members were administering medications at this facility without proper authorization or training. Multiple staff reported that two employees were passing medications to residents, and one of those employees had expired medication training that was never renewed. The facility has been cited for violating medication administration requirements.
Substantiated — the state found a violation and issued a citation. Full citation details are on file with the state.
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Four of five staff informed LPA that S1 has passed medications. Three of five staff informed LPA that S2 has passed medications including S2. Two of five staff informed LPA that they have never passed medications to residents at the facility. One of five staff informed LPA that S2 had expired training that has not been renewed. Based on interviews conducted, record review and information gathered during the investigation, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22 Division 6 are being cited on the attached LIC 9099D. An exit interview was conducted and a copy of this report, LIC9099-D, LIC811 and appeal rights were left at the facility.
2025-12-16Other VisitNo findings
Plain-language summary
A licensing analyst conducted an unannounced health and safety visit to the facility and met with the new administrator. The medication room was properly locked and inaccessible to residents, the facility was clean and well-maintained, and residents appeared comfortable in their rooms and common areas. No violations were found.
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Licensing Program Analyst (LPA) Hanna Gough made an unannounced visit to the facility to conduct a health and safety case management visit. LPA was greeted and granted entry by staff. LPA met with Administrator (AD) Nora Rodgers and discussed the purpose of the visit. LPA introduced herself to the facilities new AD and answered any questions they had as a new AD of the community. LPA printed requested documentation during the visit such as a blank physicians report and needs and services plan. LPA toured the facility and observed the medication room to be locked and made inaccessible to residents in care. LPA observed residents relaxing in their rooms and watching tv in the dining room. LPA toured the outdoor patio area and it was clean and free of debris and obstructions. Based on today's observations no deficiencies are being noted per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted and a copy of this report was left at the facility.
2025-10-07Other VisitNo findings
Plain-language summary
An unannounced health and safety visit found the facility clean and sanitary, with residents appearing clean and well cared for. The inspector observed residents resting in their rooms and spending time with family on the patio, reviewed medication practices with staff, and found no violations. No deficiencies were noted during this visit.
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Licensing Program Analyst (LPA) Hanna Gough conducted an unannounced health and safety visit to the facility. LPA was greeted and granted entry by staff. LPA met with Administrator (AD) Aldo Apostol and discussed the purpose of the visit. The facility appears clean and sanitary. LPA was introduced to the new AD and discussed any questions that they had. LPA and AD toured the facility and observed a staff meeting taking place in the dining room. LPA observed residents napping in their rooms and on the outdoor patio visiting with family. Residents appeared to be clean and well taken care of. LPA observed resident medication with AD and a medtech on duty. Based on today’s observations no deficiencies are being noted per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted an a copy of this report was left at the facility.
2025-07-21Annual Compliance VisitNo findings
Plain-language summary
An inspector made an unannounced visit to conduct a health and safety check and found the facility clean and safe with no violations. Residents were observed relaxing in their bedrooms and common areas, and the inspector noted no health or safety concerns during the tour. A previous complaint was cleared based on this inspection.
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Licensing Program Analyst (LPA) Hanna Gough made an unannounced visit to the facility for the purpose of conducting a case management health and safety check. LPA was greeted and granted entry by staff and met with Administrator (AD) Rose Martellotti and discussed the purpose of the visit. LPA toured the facility and observed residents in care relaxing in their bedrooms and watching tv in the dining room. Facility appeared clean, safe and sanitary. No health and safety concerns noted during the visit. AD requested LPA print a POC letter for complaint number 22-AS-20240426093629. Based on today’s observation no deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted with AD Rose Martellotti and a copy of this report and POC letter clearance was given at the time of the visit.
2025-07-08Other VisitType A · 1 finding
Plain-language summary
On July 5, 2025, a resident left the facility without staff knowledge and was missing for about two and a half hours before being found by a neighbor and returned by police; staff did not realize the resident had left until police called. An unannounced inspection found that the facility did not have family consent for the resident to leave and did not follow required procedures, resulting in a citation and a $500 penalty. The resident was checked for injuries when returned and none were found.
“Licensee did not ensure supervision of resident with continued safety when wandering from the facility. This poses an immediate health and safety risk to persons in care.”
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Licensing Program Analyst (LPA) Hanna Gough arrived at the facility to conducted an unannounced case management deficiency inspection. LPA was greeted and granted entry by staff. LPA met with Administrator (AD) Rose Martelloti and explained the reason for the visit. The regional office received an unusual incident report on July 8 th , 2025 regarding an incident that occurred on July 5, 2025. The report stated that Resident 1 (R1) eloped from the facility and was found by a neighboring resident to the facility. Facility staff picked R1 up from the neighboring resident’s home and brought R1 back to the facility. LPA toured the facility, gathered necessary documentation, and conducted interviews. LPA attempted to interview R1 but they could not recall leaving the facility. Upon interview with AD it was revealed that the resident was last seen in the dining room around 1:30pm and was received back at the facility around 4pm, making R1s whereabouts unknown for approximately two and a half hours. AD informed LPA that the facility staff was not aware of R1 leaving the facility until they received a phone call from the police. AD informed LPA that R1 did not have family consent at the time of the incident to leave the facility. AD received the resident back to the facility and conducted a body check for R1, no injuries were noted. AD notified hospice of the incident and had a meeting with R1s family on July 8, 2025. Upon file review LPA observed an in service training that was held on July 5, 2025 regarding an elopement training. LPA reviewed R1 physician’s report dated February 25, 2025, which states that the resident is able to leave the facility unassisted with family consent. Based on today’s inspection a deficiency along with a $500 immediate civil penalty is being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted with Administrator Rose Martelloti and a copy of this report, LIC 809D, LIC421IM and appeal rights were given at the time of inspection.
2025-07-03Complaint InvestigationSubstantiatedType B · 2 findings
Plain-language summary
This was a complaint investigation into an incident on July 11, 2025, when staff noticed a resident had redness on their left arm; the resident was later hospitalized the same day with left arm weakness, pain, hand swelling, a rash on the inner arm, and a possible fall. The facility's records and the hospital admission information supported that this incident occurred, and the complaint was substantiated. The facility was cited for violations of state regulations.
“Based on interviews and record review the licensee did not ensure R1 had care and supervision resulting in a hospital visit due to pain, weakness and redness on their arm even though 2 of 4 staff stated they observed the injured arm.”
“Based on interviews and record review the licensee did not assist in appropriate medical arrangements for R1 even though staff observed the injured arm at 8:00am resulting in R1 being taken to the hospital by their responsible party with an admission time of 3:41pm.”
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During file review an incident report submitted to the Department stated that on July 11, 2025, staff noticed R1 had redness on their left arm around 8:00am. Medical records from the VA hospital with an admission date of July 11, 2024 revealed that R1 was admitted at 3:41pm due to left arm weakness, pain and left hand swelling. The medical records also stated that R1 had a rash to their inner arm and a possible fall. Based on observation, interviews, record review and information gathered during the investigation, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. California Code of Regulations, Title 22 Division 6 are being cited on the attached LIC 9099D. An exit interview was conducted with AD Rose Martellotti and a copy of this report, LIC9099-D and appeal rights were left at the facility.
2025-06-03Complaint InvestigationSubstantiatedType B · 2 findings
Plain-language summary
This was a complaint investigation into whether the facility properly cared for and reported a resident's wound. The investigation found that staff members knew about a stage 2 pressure ulcer on the resident's foot but did not tell the resident's family or doctor, who only discovered it during a visit in April 2024; the resident's medical records showed he was bedridden and required help with dressing and bathing. The complaint was substantiated and violations were cited.
“interview and R1 physicians report, R1 required assistance with dressing. This poses a potential risk to resident's health and safety in care.”
“Based on interview and record review the licensee did not comply with the section cited above due to the responsible party not being informed of the resident's medical needs. This poses a potential risk to resident's health and safety in care.”
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R1's Responsible Party informed the department that they did not know of the wound until it was discovered by R1's doctor during a visit on April 23, 2024. R1's responsible party was not informed by the facility of R1's wound prior, despite two of four staff members being aware of the wound. During file review it was revealed that the resident’s physician report dated August 17, 2023 stated that the resident does not have the capacity to bathe, dress or groom themselves and is bedridden. The LIC 603A Appraisal dated August 04, 2020 completed by facility staff documents that R1 requires assistance with dressing. An after visit medical summary dated April 23, 2024, was reviewed that stated the resident had a stage 2 pressure ulcer of the right foot. Following the doctor’s visit a home health agency came to the facility to provide wound care to the resident. Based on observation, interviews, and information gathered during the investigation and review of all documents obtained. The preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. California Code of Regulations, Title 22 Division 6 are being cited on the attached LIC 9099D. An exit interview was conducted with Administrator Rose Martellotti and a copy of this report, LIC 9099-D, LIC811 and appeal rights were left at the facility.
2025-05-16Annual Compliance VisitType B · 1 finding
Plain-language summary
An unannounced annual inspection on May 2, 2026 found the 32-resident facility clean, safe, and properly maintained, with secure medication storage, locked kitchen access, functioning fire safety equipment, and staff and resident files in order. One citation was issued, though the specific violation is not detailed in this summary section of the report.
“Based on observation, the licensee did not comply with the section cited above due to the refrigerator reading at 48 degrees Fahrenheit which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 06/13/2025 Plan of Correction 1 2 3 4 Licensee stated that they will have the maintenance department check the refrigerator and will send LPA proof of service and temperature log for 5 consecutive days by POC due date.”
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Licensing Program Analyst (LPA) Hanna Gough made an unannounced visit to the facility for the purpose of conducting the required annual inspection. LPA was greeted and granted entry by staff. LPA informed Administrator (AD) Rose Martellotti the purpose of the inspection. The facility currently has thirty-two residents in care. The facility is a one story building with nineteen resident bedrooms, bathrooms, dining room, kitchen, medication room, staff office, laundry room, storage rooms, and a courtyard. The facility appears clean, safe and sanitary. LPA observed the required departmental postings at the entrance of the facility. LPA observed the resident bedrooms to have all the required components and furnishings. LPA observed resident bathrooms to have toilet paper, paper towels, and non-slip mats. LPA tested the water in the resident bathrooms to be between 105.2 degrees Fahrenheit and 110.6 degrees Fahrenheit. LPA observed the kitchen to be free of debris and vermin. LPA observed the kitchen to be locked and made inaccessible to residents in care. LPA observed the two day perishable and seven day non-perishable food supply on hand. LPA observed the refrigerator temperature to be tested at forty-eight degrees Fahrenheit. LPA observed the centrally stored medication locked in the medication room in a locked medication cart and made inaccessible to residents in care. LPA observed the fire extinguishers throughout the facility to be charged and with a service date of November 6, 2024. LPA observed the emergency food and water supply to be in a supply closet next to the medication room. LPA observed a shaded seating area for resident use in the outside courtyard. LPA observed all exits that lead outside of the facility to have an operational alarm. LPA observed toxins and chemicals to be stored in a supply closet in the courtyard and made inaccessible to residents in care. Continue on 809-C 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 LPA reviewed staff files and no discrepancies were observed. LPA reviewed resident files and no discrepancies were observed. LPA reviewed resident medication and no discrepancies were observed. LPA observed that the last fire drill conducted was on April 22, 2025. LPA reviewed that the carbon monoxide and smoke detectors are tested yearly and were found operational when tested on November 7, 2024. Based on today’s inspection one citation is being noted per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted with Administrator Rose Martellotti and a copy of this report and 809-D and appeal rights were given at the time of the inspection.
2025-03-25Other VisitType A · 1 finding
Plain-language summary
During an unannounced inspection, the state investigated an incident from February 25, 2025, in which a staff member gave a resident the wrong medication. The resident was monitored every three hours for 12 hours and reported feeling no side effects, the wrong medication was promptly reported to the doctor and family, and the staff member received medication training the next day. A violation was cited for this incident.
“Based on interview and file review administrator did not ensure that S1 gave R1 the correct medication. This poses an immediate health and safety risk to persons in care.”
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Licensing Program Analyst (LPA) Hanna Gough arrived at the facility to conducted an unannounced case management deficiency inspection. LPA was greeted and granted entry by staff. LPA met with Administrator (AD) Rose Martellotti and explained the reason for the inspection. The regional office received an unusual incident report on February 27 th , 2025 regarding an incident that occurred on February 25, 2025. The report stated that Staff #1 (S1) administered the wrong medication to Resident #1 (R1) on this date. S1 informed Staff #2 (S2) of the incident right away and S2 called R1s doctor and responsible party. S1 monitored R1 to ensure that no side effects took place every 3 hours for 12 hours. A medication training was taken place with S1 in attendance. LPA toured the facility, gathered necessary documentation, and conducted interviews with S1, S2 and R1. During interviews S1 and S2 stated that S1 administered the wrong medication and that R1 was monitored per doctors order. R1 stated that they were okay and did not feel any side effects from the medication given. Upon file review LPA observed the daily log that showed R1 being monitored with their vitals being taken every 3 hours for 12 hours. S2 held a three hour in service training and LPA observed that S1 attended the training via the training log sign in sheet on February 26, 2025. Based on today’s inspection a type A deficiency is being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted with Administrator Rose Martellotti and a copy of this report, LIC 809D and appeal rights were given at the time of inspection.
2024-08-26Complaint InvestigationUnsubstantiatedNo findings
Plain-language summary
A complaint alleged that staff inappropriately touched a resident and threw food at them on October 27, 2023. The facility and state investigators reviewed video footage, interviewed the resident (who has dementia and confusion), the staff member in question, and multiple other residents and staff, but found no evidence supporting either allegation. The complaint was determined to be unsubstantiated.
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Regarding the allegation that staff inappropriately touched resident: it was alleged that on October 27, 2023, R1 was observed crying loudly and reported that S1 inappropriately touched their chest. One staff interviewed stated that on October 27, 2023, R1 told them that the staff who cleans the rooms “grabbed them” but did not provide a name or description of the staff, but the staff also reported that when R1 does not get what they want they engage in behavioral outbursts. Department staff reviewed the Facility’s Video Footage regarding R1 showing the outside of R1’s room, but obtained no information corroborating the allegation. When interviewed, AD stated that they conducted an investigation into the allegation and found no information corroborating that S1 acted inappropriately with residents. Per the Facility’s Investigation Summary dated November 8, 2023, AD interviewed R1, S1, and four other staff and did not obtain information corroborating the allegation. Per the Facility’s Staff Statement dated October 28, 2023, four staff stated that R1 has a history of behavioral outbursts while S1 “is not capable of hitting anyone.” Department staff interviewed R1 who showed some confusion, did not present with any signs of injury or abuse, denied any inappropriate incidents, stated they feel safe living at the facility and have no concerns at the facility, and denied knowing who S1 was. Per R1’s Physician’s Report dated November 25, 2022, R1 has dementia and is noted to have confusion. Per AD, R1 has a history of making false statements and also engages in self-harming behavior and blames the resulting injuries on staff. LPA reviewed the Facility’s Video Footage regarding R1 which shows R1 hitting themselves on the chin with an object and, per AD, R1 accused staff of causing a bruise on their chin after engaging in this behavior. LPA interviewed S1 who denied the allegation. LPA reviewed S1’s Staff File, interviewed five additional residents, and interviewed three additional staff and did not obtain information corroborating the allegation. The information obtained did not corroborate the allegation. Regarding the allegation that staff threw food at resident: it was alleged that on October 27, 2023, S1 was observed throwing cookies at R1. Department staff reviewed the Facility’s Video Footage regarding R1 showing the outside of R1’s room, but obtained no information corroborating the allegation. When interviewed, AD stated that they conducted an investigation into the allegation and found no information corroborating that S1 acted inappropriately with residents. Per the Facility’s Investigation Summary dated November 8, 2023, AD interviewed R1, S1, and four other staff and did not obtain information corroborating the allegation. Per the Facility’s Staff Statement dated October 28, 2023, four staff stated that R1 has a history of behavioral outbursts while S1 “is not capable of hitting anyone.” 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 Department staff interviewed R1 who showed some confusion, did not present with any signs of injury or abuse, denied any inappropriate incidents, stated they feel safe living at the facility and have no concerns at the facility, and denied knowing who S1 was. Per R1’s Physician’s Report dated November 25, 2022, R1 has dementia and is noted to have confusion. LPA interviewed S1 who denied the allegation. LPA reviewed S1’s Staff File, interviewed five additional residents, and interviewed three additional staff and did not obtain information corroborating the allegation. The information obtained did not corroborate the allegation. Based on the information gathered during the investigation and review of all documents obtained, the Department is unable to ascertain if the allegations that staff inappropriately touched resident and staff threw food at resident occurred as reported. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove or refute the alleged violations occurred; therefore, these allegations are deemed unsubstantiated. An exit interview was conducted and a copy of this report was discussed with and provided to facility representative.
2024-07-16Other VisitType A · 2 findings
Plain-language summary
During an unannounced inspection connected to a complaint, inspectors found that medication records for one resident did not match the medication bottles on hand, and required staff signatures were missing from medication administration records for multiple months. The facility also did not have documentation for a half bed rail that was in use for this resident. Deficiencies were cited and the facility was provided a copy of the findings and information about appeal rights.
“Based on record review, Licensee failed to ensure care was being provided to R1. Medication audit revealed medications are not being administered per physician order. This poses an immediate health and safety risk to residents in care.”
“Based on record review, Licensee failed to ensure there is a written physician order for half rails for R1. This poses a potential health and safety risk to residents in care.”
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Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced case management visit in conjunction with Complaint #22-AS-20240711133659. LPA was greeted and granted entry into the facility and explained the reason for the visit. During the course of the complaint investigation, LPA toured the facility and reviewed medications as well as reviewed file for Resident 1 (R1). Audit of three of R1's medications showed that medications on hand do not match start date of medication bottles and Medication Administration Record is missing multiple staff initials for May, June and July 2024. Information obtained during complaint investigation indicated R1 had a half bed rail during the time of complaint incident. Facility does not have an order for half bed rails in resident file. Based on the visit conducted, deficiencies are being cited per Title 22 of the California Code of Regulations. An exit interview was conducted and a copy of this report along with appeal rights were left at the facility.
2024-06-18Other VisitType B · 2 findings
Plain-language summary
An unannounced annual inspection found the facility generally well-maintained, with clean bedrooms, proper food storage, secured medications, and accessible emergency plans, but inspectors cited two violations: the emergency signal system console was unplugged and a tray of desserts in the refrigerator was left uncovered. The facility was instructed to correct these issues immediately.
“Based on observation, the licensee did not comply with the section cited above due to the signal system console not being plugged in at the time of inspection which posed a potential safety risk to persons in care. POC Due Date: 07/02/2024 Plan of Correction 1 2 3 4 Administrator stated they will conduct a training with staff to ensure they check the signal system console to ensure it is plugged in and operable. AD stated that, by the assigned POC due date of 7/2/2024, they will email LPA documentation indicating what staff attended the training and what information was covered.”
“Based on observation, the licensee did not comply with the section cited above due to a tray of desserts being uncovered in the refrigerator at the time of inspection which poses a potential health risk to persons in care. POC Due Date: 07/02/2024 Plan of Correction 1 2 3 4 Administrator stated they will conduct a training with kitchen staff to ensure they keep food covered until it is time to serve it. AD stated that, by the assigned POC due date of 7/2/2024, they will email LPA documentation indicating what staff attended the training and what information was covered.”
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Licensing Program Analyst (LPA) Dwayne Mason Jr. made an unannounced visit for the purpose of conducting a Required/Annual Inspection. LPA was greeted and granted entry by Business Office Manager (BOM) Pam Bracamonte. LPA met with BOM and Administrator (AD) Aurelia Olais. The facility is a one-story building with nineteen resident bedrooms with access to shared bathrooms, dining room, kitchen, medication room, staff office, laundry room and courtyard. All resident bedrooms had the required furnishings. LPA observed all resident beds had linens and blankets. LPA observed all windows were screened. The courtyard has shaded seating areas. Water temperature measured between 105 and 120 F degrees in resident bathrooms. LPA observed emergency disaster plan with means of exiting and emergency phone numbers listed and posted throughout the facility. LPA observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food as required by regulations. Smoke alarm and sprinkler system was serviced in November of 2023. LPA initially observed the signal system console to be unplugged. A deficiency is being issued. LPA instructed staff to plug it back in. While inspecting the kitchen, LPA observed a tray of desserts in the refrigerator uncovered. A deficiency is being issued. All and any toxic chemicals, cleaning solutions, laundry toxins and disinfectants are inaccessible to clients. Medication was observed to be locked. LPA reviewed four resident medications, four resident files and four staff files. LPA conducted resident and staff interviews. Based on the observations made during today’s inspection, two deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted, and a copy of this report was provided.
2024-04-03Other VisitNo findings
Plain-language summary
This was a follow-up visit to check whether the facility had fixed a problem with its call system that was cited in February 2024. The inspector found that pull cords used by residents to call for help were still not within reach—including one resident whose cord was at the foot of the bed with no way to alert staff—even though the facility claimed to have corrected the problem, and a civil penalty was issued for the failure to fix it.
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On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility for the purpose of following up on the plan of corrections for one type B deficiency cited during the investigation of complaint #22-AS-20240213154220.. LPA was greeted and granted entry by facility staff after explaining the reason of the visit. Administrator Aurelia Olais was present and assisted with the visit. On February 27, 2024, LPA issued a type B citation for failure to meet the requirements of the California Code of Regulations Section CCR 87303(i)(1)(A) regarding Maintenance and Operations on the operation and accessibility of the facility's call system. During today's visit, LPA verified that the pull cords for the call system were within reach of the residents and that the missing pull cords had been replaced. A proof of an in-service training conducted on February 28, 2024 was provided to LPA by facility administrator via email. During the visit, at least three residents were observed to be provided with an inaccessible pull cord, including one resident for whom the pull cord was positioned at the foot of the bed with no ability to adequately alert facility staff. As a result, a civil penalty is assessed for failure to correct the earlier violation of the California Code of Regulations for the seven-day period from March 28, 2024 until April 3, 2024. An exit interview was provided and a copy of this report along with appeal rights and civil penalty assessmenr were provided to a facility representative.
2024-02-22Other VisitIJ · 1 finding
Plain-language summary
During a follow-up visit to address a previous complaint, inspectors found two pairs of scissors stored in a drawer containing a resident's medical supplies. The facility removed the scissors during the inspection and said it would install a lock on the drawer. A violation was cited and corrected during the visit.
“Based on observations made during the visit, two pairs of scissors are observed to be freely accessible in an unlocked drawer. This constitutes an immediate risk to the health, safety and personal rights of individuals in care.”
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On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility for the purpose of documenting a deficiency observed during an initial complaint investigation visit for complaint reference # 22-AS-20240213154220. During a tour of the facility's physical plant, LPA observed the presence of two pairs of scissors in the drawer used to store a resident's colostomy supplies. Facility staff proceeded to remove the scissors during the visit and indicated a lock would be installed on the drawer in question. Type A citation issued and cleared during the visit. Based on the visit conducted, one deficiency is being cited per Title 22 of the California Code of Regulations. An exit interview was conducted and a copy of this report along with appeal rights were left at the facility.
2023-11-15Other VisitNo findings
Plain-language summary
During a follow-up inspection on May 02, 2026, a water dispenser in the dining room was found to be non-functional and had been turned off due to a leak; the administrator was not aware of the issue but ordered a replacement that day. The facility was advised that maintaining safe and sanitary conditions, including working water access for residents, is required. No violation citation was issued, though a technical advisory note was documented.
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On today's date, Licensing Program Analyst (LPA)LPA Quiroz conducted a Case Management-Other inspection visit while conducting ten day inspection visit regarding complaint control #22-AS-20231113104340. LPA Quiroz met with Administrator (AD) Aurelia Olais and Office Manager (OM) Pamela Bracamonte and discussed purpose of today's Case Management-Other visit. During today’s visit, LPA Quiroz along with (OM) Bracamonte conducted a facility tour inspection of facility premises. On or about 10:47am, while inspecting dining-room area, LPA Quiroz observed Resident 1 (R1) attempting to fill his water bottle from water system placed in dining-room area. LPA Quiroz observed water system to not be functional and operational as evidenced by (R1) not able to fill their water bottle and requesting water from kitchen staff. (OM) Bracamonte indicated "We had to turn it off because it was leaking." (AD) Olais indicated "I didn't know it was leaking but I will order one today." LPA Quiroz provided consultation on the following California Code of Regulations: Maintenance and Operation : 87303 (a) (a)The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. (AD) Olais provided receipt invoice of water system purchase during today's visit. An Advisory Note Technical Violation (LIC 9102 TV) was conducted during today's visit addressing CCR 87303(a). An exit interview was conducted with (AD) Aurelia Olais. A copy of this report along with Confidential Names- LIC 811 and LIC 9102 TV were provided at exit.
4 older inspections from 2022 are not shown above.
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