Aegis Assisted Living of Carmichael.
Aegis Assisted Living of Carmichael is Ranked in the top 20% of California memory care with 4 CDSS citations on record; last inspected May 2026.
A large home, reviewed on public record.
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Compared to 56 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.
among peers to rank.
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 · BETA
Aegis Assisted Living of Carmichael has 4 citations on record. Know the moment anything changes.
New findings, complaint investigations, or status changes — emailed to you free.
Citation history, plotted month by month.
4 deficiencies on record. Each bar is a month with a citation.
Finding distribution
4 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 Aegis Assisted Living of Carmichael's record and state requirements.
The facility has 4 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.
Two deficiencies related to Title 22 §87705 or §87706 dementia-care requirements appear in the facility's compliance history — can you provide the written dementia-care program required by §87705 and explain what corrective actions were taken to address those cited deficiencies?
Ask the operator on tour. Take notes and compare answers across facilities you visit.
Eight 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.
Every inspection visit, verbatim.
23 inspections in the public record, most recent first. Click any row to expand — cited rows open automatically.
2026-05-13Other VisitNo findings
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Licensing Program Analyst (LPA) Kevin Mknelly arrived at the facility unannounced on to conduct a Annual Inspection utilizing the CARE inspection tool. LPA met with staff and explained the purpose of the visit. Administrator was present to assist. LPA toured the interior and exterior of the facility together with staff to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, resident bedrooms, bathroom, kitchen, laundry room, and backyard. In the areas toured no immediate health, safety, or personal rights violations were observed. The home is very clean and well maintained. LPA reviewed 6 resident files. Files are complete and well organized. LPA reviewed 5 staff files. Files are complete. LPA requested the following documents to update the facility file: LIC 308- designee (if applicable), Liability Ins. cert. and Current LIC 500. No deficiencies are being cited as a result of todays inspection. Exit interview conducted with licensee and copy of report left at the facility .
2026-04-22Complaint InvestigationType B · 1 finding
Plain-language summary
A resident with mild cognitive impairment left the facility unattended on April 10, 2026, and was absent for about 25 minutes before returning on their own. The front door alarm and the resident's wander guard device both failed to alert staff to the departure, even though the resident's doctor had recommended they not leave unassisted. The facility was found to have not properly verified that its monitoring systems and alarm procedures were working as intended.
“Reappraisals- (g) The licensee shall ensure corresponding changes are made in the care and supervision provided to the resident. This requirement was not met based on records and interviews. This posed a potential risk to R1.”
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On 4/22/26, LPA Kevin Mknelly conducted a case management visit and met with Administrator. The purpose of the visit is to review a recent incident involving R1's elopement on 4/10/26. On 4/10/26, a med tech discovered R1 to not be in their room at approximately 8 PM. A search of the Assisted Living area where R1 resides found R1 to not be present. R1 returned on their own and unharmed at approximately 8:25 PM. Review of medical records found that R1 has a diagnosis of mild cognitive impairment and to use a walker as an ambulation assisted device. Interview found that experience recent episode of confusion and exit seeking and that resident had agreed to use of a wander guard. On the day of the elopement, R1 did not demonstrate active exit seeking before going to their apartment. LPA reviewed the security measures used at the community for entering /exiting the building. The front door has an alarm that is to be activated after 7 PM. The community also used the "Augi " monitoring system in resident rooms (if agreed to). In the 4/10/26 incident, staff were not alerted by the front door alarm nor the wander guard alert, allowing R1 to leave the facility unassisted until a staff check for their absence. R1's physician report on file has the recommendation that R1 not leave unassisted. 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 R1's recent change of condition warranted a significant change for which a reappraisal was to be conducted. While a wander guard was in place, all additional measures of monitoring and procedures such as facility door alarm function and that staff would be alerted to the alarm were not verified. As a result of this inquiry, a deficiency was found. Report was reviewed with copy and appeal rights provided.
2026-04-02Other VisitNo findings
Plain-language summary
A complaint was investigated regarding a resident who speaks loudly and whether the facility should make accommodations to address this. The investigation found the complaint to be unfounded—the resident's speech volume does not pose a safety or privacy concern, and disability rights protections prevent discrimination based on how a disability presents when it causes no harm to others.
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family and healthcare providers for possibilities of additional voice volume corrections for the resident who speaks loudly. As Title 22 regulations address personal accommodations in terms of safety, environmental comfort and privacy, personal accommodations requirements are not applicable to this situation. Additionally, resident personal rights protect person's with disability from discrimination and exclusion when the disability presentation poses no harm to others. Therefore this complaint is unfounded. This agency has investigated the above complaint allegations. We have found that the complaint is UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. We have therefore dismissed the complaint. Exit interview conducted and report provided by email.
2026-02-23Other VisitNo findings
Plain-language summary
A state inspector visited the facility on December 2, 2025 to review incident reports involving residents and discuss how the facility manages behavioral issues and ensures resident safety. The inspector found no violations.
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On 12/2/25, Licensing Program Analyst (LPA) Kevin Mknelly, conducted a case management visit met with the Executive Director . The department has received three incident reports, between 1/30/26 and 2/16/25, regarding R1 and and two other residents (R2 and R3). LPA and Director, health service director discussed behavioral expressions and the communities methods for addressing R1's behaviors. Also discussed the supervision and monitoring of R1's movements and status in the community to ensure R1's safety. As a result of today’s inspection, no deficiencies were noted. Report reviewed. Copy of report and appeal rights provided
2025-12-02Annual Compliance VisitNo findings
Plain-language summary
During a December 2025 visit, inspectors reviewed an incident from the previous month in which one resident sustained a minor skin tear after accidentally touching another resident's walker; the facility explained that when the second resident pulled their walker back, it caused the scratch. No further incidents occurred between these residents, and inspectors found no violations or deficiencies at the facility.
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On 12/2/25, Licensing Program Analyst (LPA) Kevin Mknelly, conducted a case management visit while delivering complaint findings and met with the Executive Director . On 11/21/25 , the department received an incident report that described an interaction between R1 and R2 in which R1 sustained a small skin tear. LPA and director reviewed the incident and measures taken. It was found that R1 had inadvertently touched R2's walker as they past one another. When R2 pulled their walker back, R1 was scratched by the walker. No prior or further incidents have occurred between the two. LPA and Director discussed behavioral expressions and the communities methods for addressing behaviors. LPA received a copy of licensee's Plan of Operations. As a result of today’s inspection, no deficiencies were noted. Report reviewed. Copy of report and appeal rights provided
2025-06-17Other VisitNo findings
Plain-language summary
A licensing inspector conducted a routine annual inspection of the facility and found no violations. The inspector checked bedrooms, bathrooms, kitchen, outdoor areas, emergency equipment, medication storage, and resident and staff files, and confirmed that all areas met state requirements for safety, sanitation, and care standards.
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Licensing Program Analyst (LPA) Angela Hood arrived at the facility unannounced and met with the General Manager, Paul Oseso, to conduct a Required-1 Year Inspection. LPA conducted an inspection of the care home to ensure compliance with Title 22 regulations. LPA observed four (4) bedrooms in assisted living, three (3) bedrooms in memory care, and three (3) common area bathrooms. LPA observed apartments to be properly furnished, with appropriate bedding and lighting. The bathrooms were in sanitary condition, properly maintained, and the hot water temperature was observed to be 110.8 degrees F. LPA checked the kitchen area for the ability to prepare and store food. Care home has required (2) two-day perishable and (7) seven-day non-perishable food supply on hand. LPA observed knives, cleaning products and other toxins to be locked away and inaccessible to residents. LPA observed the outdoor area and perimeter of the care home to be free of clutter and debris and there appeared to be no potential safety hazards to the residents in care. Smoke and carbon monoxide detectors are operational. Fire extinguishers are maintained and ready for emergency use. LPA reviewed three (3) assisted living resident files and two (2) memory care resident files. LPA also reviewed five (5) staff files. LPA checked medication storage and found medications to be locked away and inaccessible to the residents. As a result of this visit, no deficiencies were cited per California Code of Regulations, Title 22. Exit interview conducted and copy of report provided.
2025-03-26Other VisitNo findings
Plain-language summary
This was a compliance review on March 26, 2025 to check whether the facility was meeting the terms of a court order from 2023. The inspector verified that staff had required background clearances and CPR training, that medications and hazardous materials were properly locked and secured, and that the facility was clean and safe. No violations were found.
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Licensing Program Analyst (LPA) Angela Hood arrived at the facility unannounced on 3/26/2025 to conduct a Case Management Legal visit in accordance with the Stipulation and Order effective 3/28/2023-3/28/2025. A copy of the Stipulation and Order is posted in a conspicuous place and is available for review upon request. LPA met with the Care Director, Kelly Smitley. During today's visit, LPA reviewed the following stipulations of the order: 1. Staff shall have criminal record clearance -LPA checked criminal record clearance for all staff 2. Staff have current CPR training certification -LPA observed current CPR certifications for staff 3. All medications and toxins shall be locked away and inaccessible to residents -LPA observed all medications and toxins to be locked away 4. Facility shall be clean, safe, and sanitary -LPA toured facility which was clean, safe, and sanitary LPA observed facility to be in compliance and residents receiving care. No deficiencies are being cited. Exit interview conducted and copy of report provided.
2025-02-20Complaint InvestigationSubstantiatedType B · 1 finding
Plain-language summary
A complaint investigation found that the facility improperly applied a pre-admission fee toward a resident's rent without written permission. The facility has agreed to refund the resident 60% of that fee and will now obtain written consent before applying any pre-admission fees to other balances owed.
“Based on documentation reviewed and interviews conducted, the facility did not refund resident (R1) 60% of their Community Pre-Admission Fee upon moving out of the facility, which poses a potential health, safety, and personal rights risk to residents in care.”
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However, the Community Pre-Admission Fee is a separate charge than a resident's rent. Facility agrees to refund R1 the 60% Community Pre-Admission Fee, and moving forward will obtain written consent from a resident or responsible party if applying the Community Pre-Admission Fee towards any other remaining balance owed to the facility. Based on records reviewed and interviews conducted, the preponderance of evidence standards have been met. Therefore, the above allegation is found to be SUBSTANTIATED. Per California Code of Regulations, Title 22, Division 6, Chapter 8, a deficiency is being cited on the attached 9099-D page. Exit interview conducted. A copy of report and appeal rights were provided.
2025-01-16Annual Compliance VisitNo findings
Plain-language summary
On January 16, 2025, the state conducted a routine inspection to check the facility's compliance with a previous enforcement order that required staff background clearances, current CPR training, secure medication storage, and facility cleanliness and safety. The inspector verified that all these requirements were met: staff had proper clearances and certifications, medications were locked up securely, and the facility was clean and safe. No violations were found.
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Licensing Program Analyst (LPA) Angela Hood arrived at the facility unannounced on 1/16/25 to conduct a Case Management Legal visit in accordance with the Stipulation and Order effective 3/28/2023-3/28/2025. A copy of the Stipulation and Order is posted in a conspicuous place and is available for review upon request. LPA met with the Executive Director, Tracy Lehner. During today's visit, LPA reviewed the following stipulations of the order: 1. Staff shall have criminal record clearance -LPA checked criminal record clearance for all staff 2. Staff have current CPR training certification -LPA observed current CPR certifications for staff 3. All medications and toxins shall be locked away and inaccessible to residents -LPA observed all medications and toxins to be locked away 4. Facility shall be clean, safe, and sanitary -LPA toured facility which was clean, safe, and sanitary LPA observed facility to be in compliance and residents receiving care. No deficiencies are being cited. Exit interview conducted and copy of report provided.
2025-01-16Complaint InvestigationMixedType B · 1 finding
Plain-language summary
A complaint was investigated that alleged staff did not provide housekeeping services to a resident. Interviews with other residents and staff found that garbage is changed daily in residents' rooms, and other residents reported no issues with housekeeping services. The facility found insufficient evidence to prove the complaint occurred, so no violation was cited, though the findings were later revised in a subsequent report dated February 20, 2025.
“Based on documentation reviewed, the facility did not ensure resident (R1) was receiving assistance with bathing as agreed in the Individualized Assessment, which poses a potential health, safety, and personal rights risk to residents in care.”
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Allegation: Staff did not provide housekeeping services to resident in care Interviews with R2 and R3 indicated that they have never had issues with not receiving housekeeping services. R2 and R3 indicated that their garbage is changed daily. Interviews with staff (S1, S2, S3, and S4) indicated that the garbage is dumped daily in each residents' room. Based on records reviewed and interviews conducted, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. Therefore, the allegation is UNSUBSTANTIATED. No deficiencies are being cited. Exit interview conducted. A copy of the report was provided. 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 *** The findings for this complaint report were changed and a new 9099 now supersedes it. New findings can be found on subsequent 9099 dated February 20, 2025 ***
2024-09-05Complaint InvestigationNo findings
2024-07-23Complaint InvestigationNo findings
2024-05-13Other VisitNo findings
Plain-language summary
The facility received an unannounced annual inspection on May 13, 2024, during which the inspector reviewed resident and staff files, toured all areas including memory care units, and checked emergency preparedness and safety equipment. No violations were found — all required documentation was in place, staff training was current, fire drills were up to date, and emergency supplies and safety equipment were properly maintained. The facility is in compliance with state requirements.
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Licensing Program Analyst (LPA) Melissa Parks arrived on Monday May 13, 2024 to conduct the unannounced annual inspection. During today's annual inspection, the Compliance and Regulatory Enforcement Tool was used. LPA reviewed resident (7) and staff (7) files. All resident files contained the required paperwork. All staff files contained the required paperwork and training. Facility is complaint with fire drills. LPA and Maintenance Director toured the facility together to ensure the health and safety of residents in care. The areas toured included memory care apartments, memory care common areas, memory care courtyard, assisted living apartments, assisted living courtyard, lobby, kitchen, and dining room. LPA observed the facility's emergency food, water storage and PPE. LPA observed all required postings. LPA observed emergency evacuation chairs in each stairwell. First aid kit was fully stocked. In the areas toured, there were no health or safety violations observed. LPA obtained a copy of the facility's current liability insurance, LIC500, and LIC610E. No deficiencies cited. Exit interview conducted. A copy of this report was emailed to the Administrator.
2024-03-26Other VisitNo findings
Plain-language summary
On March 26, 2024, state licensing conducted a compliance review based on a prior agreement with the facility. The inspection found that staff had required criminal clearances and CPR training, medications and toxins were properly locked up, the facility was clean and safe, and required quality assurance audits were being completed monthly. No violations were found.
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Licensing Program Analyst (LPA) Angela Hood arrived at the facility unannounced on 3/26/24 to conduct a Case Management Legal visit in accordance with the Stipulation and Order effective 3/28/2023-3/28/2025. A copy of the Stipulation and Order is posted in a conspicuous place and is available for review upon request. LPA met with the Executive Director, Tracy Lehner. During today's visit, LPA reviewed the following stipulations of the order: 1. Staff shall have criminal record clearance -LPA checked criminal record clearance for all staff 2. Staff have current CPR training certification -LPA observed current CPR certifications for staff 3. All medications and toxins shall be locked away and inaccessible to residents -LPA observed all medications and toxins to be locked away 4. Facility shall be clean, safe, and sanitary -LPA toured facility which was clean, safe, and sanitary 5. Facility shall conduct monthly quality assurance audits for 1 year -LPA observed monthly quality assurance audit reports LPA observed facility to be in compliance and residents receiving care. No deficiencies are being cited. Exit interview conducted and copy of report left at the facility.
2024-01-23Other VisitNo findings
Plain-language summary
This was a follow-up visit to investigate an incident from January 2024 when a resident left the facility grounds and was found about two blocks away; staff responded by calling 911 and the resident was located and returned safely within about 1.5 hours. The facility's physician had documented that the resident was not at risk if allowed to leave unsupervised and did not have a dementia diagnosis. The facility completed an elopement drill with staff and reviewed its elopement protocol training.
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Licensing Program Analyst (LPA) Michael Hood arrived at the facility and met with General Manager (GM), Tracy Lehner, to conduct a case management visit. The purpose of today's visit is to follow up on an Unusual Incident/Injury Report (SIR) that was received by the Department on 1/18/2024. On 1/14/2024, at approximately 3:40pm, Life's Neighborhood courtyard gate sounded and alerted facility staff. Staff responded and conducted a full sweep of the community and identified resident (R1) was missing from the community. Staff called 911 and alerted R1's family. R1's family informed staff of R1's Airtag and began tracking R1 via GPS. R1 was located at Bel Air on Cypress by police. R1 was found at approximately 5:20pm and brought back to the community. GM stated that R1 was located approximately 2 blocks away from the facility. GM stated that an elopement drill was completed with facility staff and R1 will be moving to Life’s Neighborhood. LPA observed Training Attendance Record for Elopement Protocol Training. LPA observed R1's Physician's Report for RCFE LIC 602A dated 8/23/2023, which states that R1 is not at risk if allowed to leave the community unsupervised due to dementia or cognitive decline. LPA observed that R1 does not have a diagnosis of dementia according to their LIC 602A dated 8/23/2023. Exit interview was conducted with GM. A copy of this report was provided. The GM’s signature on these forms acknowledges receipt of these documents.
2023-08-23Other VisitNo findings
Plain-language summary
State regulators made an unannounced visit on August 23, 2023, to check whether the facility was following a court-ordered agreement from March 2023. Inspectors verified that staff had completed required background checks and CPR training, medications and cleaning supplies were properly locked away, the facility was clean and safe, and the facility was conducting monthly quality reviews as required. No violations were found.
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Licensing Program Analysts (LPAs) Angela Hood and Jaynae Boyles arrived at the facility unannounced on 8/23/2023 to conduct a Case Management Legal visit in accordance with the Stipulation and Order effective 3/28/2023-3/28/2025. A copy of the Stipulation and Order is posted in a conspicuous place and is available for review upon request. LPAs met with the Executive Director, Tracy Lehner. During today's visit, LPAs reviewed the following stipulations of the order: 1. Staff shall have criminal record clearance -LPAs checked criminal record clearance for all staff 2. Staff have current CPR training certification -LPAs observed current CPR certifications for staff 3. All medications and toxins shall be locked away and inaccessible to residents -LPAs observed all medications and toxins to be locked away 4. Facility shall be clean, safe, and sanitary -LPAs toured facility which was clean, safe, and sanitary 5. Facility shall conduct monthly quality assurance audits for 1 year -LPAs observed monthly quality assurance audit reports LPAs observed facility to be in compliance and residents receiving care. No deficiencies are being cited. Exit interview conducted and copy of report left at the facility.
2023-08-09Other VisitNo findings
Plain-language summary
This was a case management inspection following an incident report about a resident who developed a high fever and was hospitalized on August 1, 2023, with a diagnosis of sepsis and a urinary tract infection. Staff recognized the fever as a warning sign and promptly sent the resident to the hospital; the resident returned to the facility on antibiotics and recovered to their baseline condition. The inspector found no deficiencies and confirmed that staff are tracking the resident's toileting assistance and monitoring their health appropriately.
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Licensing Program Analyst (LPA) Angela Hood arrived at the care home unannounced to conduct a case management inspection related to an incident report received by the Department. On 8/5/23, an incident report was received regarding a memory care resident (R1). On 8/1/23, R1 was observed to have a cough, chills, and 103.1 degree F fever. R1 was tested for COVID-19 and the results came back negative. R1 was transported to the hospital and was discharged with a diagnosis of severe sepsis with acute organ failure and UTI. R1 returned to the facility with a new medication order of antibiotics. During today's visit, LPA toured the memory care units and observed R1 in the activity room. LPA was informed that R1 does not have frequent UTIs. R1 has a Dementia diagnosis and experiences confusion. R1's fever was an indicator to the facility staff to have R1 sent to the hospital. Upon return from the hospital, R1 is back at baseline. R1 has a follow-up appointment scheduled with their primary care physician on 8/15/23. Facility staff provide R1 assistance with toileting needs and keep track of set times for assistance electronically. LPA obtained a copy of R1's service plan and electronic tracking of R1's toileting needs for the week of 8/1/23-8/9/23. There are no deficiencies noted during today's inspection. Exit interview was conducted. Copy of report provided to Executive Director.
2023-08-01Other VisitType B · 1 finding
Plain-language summary
On August 1, 2023, the facility was visited to review a citation issued on July 19, 2023. The facility had completed its plan to correct the problem cited, no new issues were found, and the citation was modified. No new violations have occurred since the original citation.
“This requirement was not met based on records and statements that S1 financially exploit three residents. This posed a potential risk to resident’s.”
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On 8/1/23, Licensing Program Analyst (LPA) Kevin Mknelly, conducted a case management visit and met with the Administrator. On 7/19/23, the department issued a citation for this facility. Today's visit is to modify the citation issued on that date. No new incident related to the 7/19/23 citation have occurred. The licensee has completed the plan of correction. As a result of today’s inspection, no new deficiencies were noted. Report reviewed. Copy of report and provided
2023-07-19Other VisitNo findings
Plain-language summary
During a case management visit in July 2023, the facility reported theft and loss incidents involving three residents who had money missing from their rooms (totaling $900) and one resident whose debit card was compromised, with the account email and password changed without authorization. The department's investigation found circumstantial evidence of suspicious behavior by a staff member, including being in areas where she wasn't assigned, being near residents' rooms when they were away, and video evidence of facility items in her home; this staff member was terminated. The department substantiated the allegations and cited deficiencies that pose an immediate health and safety risk to residents.
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On 7/19/23, Licensing Program Analyst (LPA) Kevin Mknelly, conducted a case management visit findings and met with Executive Director (ED), Tracy Lehner . The department has received theft/ loss reports regarding two (2) residents R1 and R2. In April 2023 and again in July 2023, R1 reported losses of $200 in April and July 2023 incidents. Also in July 2023, it was reported that R2 had $700 missing. All incidents of theft/ loss noted in this report were reported as required. Local law enforcement have been notified and their findings are not available at this time. The department collected records and conducted interviews of the three incidents. Visits to the facility to investigate the incidents occurred on 4/27/23, 7/6/23 and 7/11/23. It was found that R1 and R2 had their money in their rooms. Both R1 and R2 had lock boxes available to them and in two of the three incidents, money was taken from the lockboxes. Neither R1 nor R2 identified suspects for stealing their money. On 7/11/23, LPA Mknelly conducted a facility visit and discussed the licensee’s internal investigation results. Interview statements and a video provided to the Director found circumstantial evidence of suspicious behavior of S1 over the previous months. Staff reported S1 to be in areas of the community to which she was not assigned. S1 was alleged to be in the vicinity of the facility when food or supplies were found missing in the facility. S1 had been observed to be in a resident room when that resident was away at the hospital. In these previous observations, S1 was not caught with stolen items. 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 A video, provided to the Director, by a person who knew S1, of the inside of S1’s home showed what appeared to be trash bags from the same supplier as the facility’s and what appeared to be a vacuum clearer missing from the facility. Based on the evidence to date, S1’s employment was terminated. On 7/18/23, the ED contacted LPA Mknelly by phone to notify LPA that a third resident, R3, reported suspicious activity on their debit card. R3’s family reported that R3’s card had had the account’s email address and password changed. The ED recognized the information as being related to people known to S1. As a result of this investigation, LPA finds allegation to be (S) Substantiated - A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. The following deficiencies were cited on 809-D, per Title 22 Regulations, Division 6. (A)This poses an immediate Health and Safety risk to clients/residents in care or personal rights. (B) This poses a potential Health and Safety risk, or personal rights violation, to clients/residents in care. Report reviewed. Copy of report and appeal rights provided
2023-07-11Other VisitNo findings
Plain-language summary
On July 11, 2023, licensing staff visited the facility to follow up on a reported incident involving possible theft or loss by a resident. The facility had already suspended the suspected caregiver and reported the matter to local police, and the investigation was still ongoing at the time of the visit. No violations were found during this inspection.
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On 7/11/23, Licensing Program Analyst (LPA) Kevin Mknelly, conducted a case management visit while delivering complaint findings and met with Executive Director (ED). On 7/10/23, the department received an incident report of resident theft or loss. LPA was informed by ED that an internal investigation has been conducted and a caregiver suspected has been suspended. The report was given to local police as well. LPA interviewed R1. LPA also received records regarding S1. Further investigation is needed. As a result of today’s inspection, no deficiencies were noted at this time. Report reviewed. Copy of report provided.
2023-07-06Other VisitNo findings
Plain-language summary
A state licensing analyst visited on July 6, 2023, to follow up on an unexpected death of a resident and a theft or loss report involving another resident. Interviews with the facility's director, nurse, and medical technician found no lack of care or supervision, and no deficiencies were identified at that time. The facility was asked to provide a death certificate when received, and the analyst planned to contact the resident involved in the theft matter for an interview.
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On 7/6/23, Licensing Program Analyst (LPA) Kevin Mknelly, met with the Director to follow-up on a recent incident and report regarding R1 and a death report for R2. R2 had an unexpected death. Interviews with director, RN and med tech found no lack of care or supevision at this time. Director will forward the death certificate when received. R1 had a theft/loss report in June. R1 was off site and unavailable for interview. LPA will contact R1 for interview. As a result of today’s inspection, no deficiencies were found at this time. Report was reviewed with the Director and copy provided.
2023-06-16Annual Compliance VisitNo findings
Plain-language summary
This was a follow-up inspection on June 16, 2023, regarding a resident in memory care who sometimes displays aggressive behavior. The facility and licensing staff discussed management strategies for this resident's care and explored whether other communities might be a better fit, and no violations were found.
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On 6/16/23, Licensing Program Analyst (LPA) Kevin Mknelly, met with the Director to follow-up on a recent incident and report regarding R1. R1 is a resident in memory care that continues to, at times, have aggressive intentions. LPA and the Director discussed current and ongoing strategies and interventions which may be most effective for caregivers working with R1. The licensee is also exploring options, with R1's responsible parties, for other communities which may meet R1's needs. LPA and the Director observed and met with R1 in his community. R1 was engaging and not demonstrating overt behaviors during the time of the visit. As a result of today’s inspection, no deficiencies were found at this time. Report was reviewed with the Director and copy provided.
2023-06-13Other VisitNo findings
Plain-language summary
This was a routine annual inspection and case management visit on June 13, 2022. The facility met all required conditions and no violations were found. The residence was clean, safe, and sanitary.
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On 6/13/22, Licensing Program Analyst (LPA) Kevin Mknelly, conducted a case management visit as well as an annual inspection (reported separately) and met with the Administrator . The purpose of the visit was to review compliance with conditions of the Stipulation. All conditions are met. The residence is clean, safe and sanitary. As a result of today’s inspection, no deficiencies were noted. Report reviewed. Copy of report provided
17 older inspections from 2021 are not shown in the free view.
17 older inspections from 2021 are not shown in the free view.
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