Gardena Retirement Center · License #197607366 · 14741 S. Vermont Ave., Gardena, CA · (310) 327-4091 Record printed from covelightcare.com — data as of the dates shown on each item.
Gardena Retirement Center is a residential care home for the elderly (RCFE) in Gardena, Los Angeles County, California — state license #197607366, licensed for 108 residents, listed as licensed in the CDSS record we retrieved August 2, 2026. It appears on the DHCS Assisted Living Waiver participant list checked August 9, 2026, so Medi-Cal may help pay for care services here. California has 79 dated inspection and complaint documents on file for this home going back to 2021, the most recent dated April 27, 2026 — published below in full, verbatim and unscored.
Many small homes have no website — that says nothing about the care inside.
Contact facts come from the state roster, a county Area Agency on Aging roster, the home’s Google listing, or the operator — each labelled, never blended. Operators: add or correct yours, free →
✓Wheelchair / non-ambulatoryApproved for 108 residents
–Dementia / memory careNot on file — ask the home
–Hospice careNot on file — ask the home
–Bedridden careNot on file — ask the home
“Not on file” is not a no — approvals can be bed- or room-specific, so confirm current scope with the home on a tour. Where a number is shown it is the state’s own wording for how many residents the approval covers, not how many places are open today; where none is shown, the record simply does not state one.
Specific medical needs — insulin, oxygen, a catheter, an ostomy — aren’t in the state license record; ask the home directly. A feeding tube, tracheostomy, or advanced wound care usually needs skilled nursing →
FACILITY IS LICENSED TO SERVE 108 NON-AMBULATORY RESIDENTS AGE 60+. DEMENTIA PROGRAM - ALARMED EXITS.State service designation935 - ELDERLYthe CDSS license record, verbatim · checked August 2, 2026
Since 2021, the state has visited this home 95 times and filed 79 documents. The most recent is a facility evaluation report, dated April 27, 2026.
Most recent state visit
July 9, 2026
Occupancy at the April 12, 2022 visit
71 of 108 beds
The state's published file for this home includes 25 documents with transcribed findings, dated July 20, 2021 to April 13, 2022. 25 of the 25 carry the state's recorded outcome word: “Substantiated” (6), “Unsubstantiated” (19). 25 include the transcribed allegation the state investigated, word for word.
Summary composed by computer from the 25 documents below — every count derives from them, and the documents themselves are the state's records, verbatim. We never grade, score, or color a record.
What the state’s words mean
Substantiatedthe state found the allegation more likely true than notUnsubstantiatedinvestigated, but couldn’t be confirmed either way — not a finding of wrongdoingUnfoundedthe state concluded it was false or couldn’t have happenedType A citationthe most serious: an immediate health-or-safety risk, usually fixed on the spot or on a short deadlineType B citationless serious, with a deadline to fix
Apr 27, 2026Facility evaluation reportReport on file
Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.
Mar 20, 2026Complaint investigation reportReport on file
Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.
Jan 8, 2026Complaint investigation reportReport on file
Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.
20256 state visits · 6 documents
Dec 4, 2025Facility evaluation reportReport on file
Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.
Oct 28, 2025Complaint investigation reportReport on file
Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.
Sep 4, 2025Facility evaluation reportReport on file
Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.
Aug 28, 2025Complaint investigation reportReport on file
Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.
Apr 7, 2025Facility evaluation reportReport on file
Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.
Feb 14, 2025Complaint investigation reportReport on file
Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.
20249 state visits · 11 documents
Nov 13, 2024Complaint investigation reportReport on file
Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.
Jul 8, 2024Complaint investigation reportReport on file
Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.
Jun 5, 2024Complaint investigation reportReport on file
Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.
Jun 5, 2024Complaint investigation reportReport on file
Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.
May 1, 2024Complaint investigation reportReport on file
Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.
Apr 18, 2024Complaint investigation reportReport on file
Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.
Mar 25, 2024Complaint investigation reportReport on file
Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.
Mar 25, 2024Facility evaluation reportReport on file
Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.
Mar 18, 2024Complaint investigation reportReport on file
Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.
Feb 26, 2024Complaint investigation reportReport on file
Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.
Jan 18, 2024Complaint investigation reportReport on file
Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.
20235 state visits · 5 documents
Dec 6, 2023Facility evaluation reportReport on file
Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.
Oct 30, 2023Complaint investigation reportReport on file
Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.
Sep 29, 2023Complaint investigation reportReport on file
Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.
Sep 8, 2023Facility evaluation reportReport on file
Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.
Aug 14, 2023Complaint investigation reportReport on file
Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.
Beside homes the same size
Type A citations3typical 1
Type B citations22typical 1
Substantiated complaints22typical 2
Total complaints67typical 7
State visits on file95typical 19
“Typical” is the statewide median across the 1,244 licensed larger communities (16+ beds) in the state record — larger, longer-licensed homes accumulate more visits and reports, so compare like with like. One complaint can contain several allegations. Counts cover this license since 2008.
An “unsubstantiated” complaint is not a finding of wrongdoing — it means the state investigated and could not confirm the allegation. Outcome words are the state’s own; we never grade, score, or color a record.Operate this home? Respond to or correct any document here, free. Respond or correct →
our estimate — Los Angeles County band, market research June 2026; not this home’s quoted price
$3,500 · statewide low$9,000 · statewide high
California’s public record holds no per-home price, so we never invent one. Ask the home for its rate sheet, or
Ways families pay here
Private pay — ask what the base rate includes and what’s billed separately.SSI/SSP — California’s board-and-care payment standard is $1,626.07/mo(2026): $1,444.07 to the home, $182 stays with the resident.Medi-Cal ALW — this home is on the DHCS waiver list (checked August 9, 2026). Details →
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No Google listing is on file for this home. When one exists, its rating, review themes, and hours appear here — attributed to Google, never blended with the state record, and never part of how we rank homes.
This home hasn’t added its own details yet. When the operator claims this page, their photos, tour video, activities, languages, and staffing answers appear here — always labeled as theirs, never blended with the state record. Operators: claim your home, free →
Non-ambulatory approval — whole home or specific rooms, and is a spot open?
If end-of-life care were ever needed, could they stay here? What’s the plan?
How is medication handled and logged day to day?
What’s in the base monthly rate, and what’s billed separately?
Staff-to-resident ratio on day and night shifts?
How are medical emergencies handled after hours?
The first two come straight from this home’s record — a brochure won’t answer them.
Yes — Gardena Retirement Center is a licensed residential care home for the elderly (RCFE) in Gardena (Los Angeles County): California license #197607366, shown as licensed in the CDSS state record checked August 2, 2026, licensed for 108 residents. State records list 79 inspection and complaint documents since 2021; the most recent, a facility evaluation report dated April 27, 2026, appears in the inspection record on this page.
Can Gardena Retirement Center care for dementia, hospice, bedridden, or non-ambulatory residents?
From the CDSS license record, checked August 2, 2026.
The CDSS license record checked August 2, 2026 lists Gardena Retirement Center with clearances for wheelchair / non-ambulatory; it does not list dementia / memory care, hospice care, and bedridden. A clearance that is not on file is not a “no” — it may simply be unrecorded, so if your family needs one of these, ask the home directly and confirm its current scope on a tour.
From the California state record. Some approvals are bed- or room-specific — always confirm current scope with the facility.
What the state record says, word for word
Verbatim, from the CDSS license recordFACILITY IS LICENSED TO SERVE 108 NON-AMBULATORY RESIDENTS AGE 60+. DEMENTIA PROGRAM - ALARMED EXITS.
How much does Gardena Retirement Center cost?
California's public licensing record does not include Gardena Retirement Center's monthly price, so we never show or estimate one for a specific home. As county-level context only, assisted living in Los Angeles County typically runs $5,000–$7,500/mo and small board-and-care homes $4,000–$6,500/mo (market research compiled June 2026 — ranges, not quotes; California's 2026 SSI/SSP board-and-care payment standard is $1,626.07/month, of which $1,444.07 is the room-and-board portion paid to the home). Ask the home for its own rate sheet and what the base rate includes — or use the cost section at the top of this page.
Does Gardena Retirement Center accept Medi-Cal or the Assisted Living Waiver?
Yes — Medi-Cal can help pay for care at Gardena Retirement Center through California's Assisted Living Waiver (ALW): the home appears on the Department of Health Care Services participant list checked August 9, 2026. The waiver pays for assisted-living care services — not room and board — for eligible Medi-Cal members, and each home takes a limited number of waiver residents, so ask the home about a current ALW opening.
71 of 108 beds occupied (66%) when the state visited on April 12, 2022. Availability changes constantly — confirm a current opening with the home.
What do state inspections show for Gardena Retirement Center?
Verbatim from CDSS complaint-investigation reports — the state's own words, never summarized by us. Record checked August 2, 2026.
The CDSS state record checked August 2, 2026 lists 95 state visits and 79 dated documents since 2021 for Gardena Retirement Center; 25 complaint-investigation narratives are transcribed verbatim below. The most recent, dated April 13, 2022, records an allegation the state marked “Unsubstantiated”. Open any entry to read the state's full finding, word for word.
Most licensed homes receive some findings over 36 months; what matters is what was found and whether it was corrected. Counts here are shown compared with homes of similar size, and the state's own words appear in full below.
Allegation the state reviewedResident is not afforded a comfortable accommodation while in care. Staff do not ensure the residents are taking universal precautions.
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
On 04/13/2022 Licensing Program Analyst (LPA) Don Senaha initiated a complaint investigation for the allegation listed above. Today’s complaint investigation was conducted with Administrator Susana Fuentes. The investigation consisted of the following: LPA requested and received resident roster, staff roster and other service documents on 04/13/2022. LPA interviewed staff (S1-S5) and Residents (R1-R8). A plant inspection of the facility was conducted on 04/13/2022. Investigation revealed: See LIC-9099C Unsubstantiated— CDSS inspection report, April 13, 2022 · control 11-AS-20220406152221
Allegation the state reviewedFacility staff is not adequately supervising residents in care.
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
On 04/12/22 Licensing Program Analyst (LPA) Ernand Dabuet conducted an unannounced complaint visit at this facility. LPA met with administrator Susana Fuentes and explained the purpose of today's visit is to gather information for the allegation mentioned above. The investigation consisted of the following: LPA inquired about questions relevant to the nature of the complaint. Interviews with staff #1- #5 (S1-S5), residents #1-#4 (R1-R4), and witness #1 (W1). A copy of resident #1 (R1) physician report and medication administration record, and other pertinent documents related to the allegation. An observation assessment video surveillance footage from 04/10/22. An inspection of the facility was conducted. Evaluation Report continues on LIC 9099 Substantiated— CDSS inspection report, April 12, 2022 · control 11-AS-20220411152451
Allegation the state reviewedResident not provided appointment to see onsite nurse.
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
On 04/11/2022 around 09:00 AM Licensing Program Analyst (LPA) Jose Calderon initiated a complaint investigation to deliver the investigation findings for the allegation listed above. Today’s complaint investigation was conducted at the facility with Administrator Susan Fuentes. The Investigation consisted of the following: On 04/11/2022 LPA Calderon interviewed (R1) for complaint. On 04/11/2022 LPA Calderon received and reviewed needs and services plan, physician report, nurse notes and doctors name for (R1), staff and resident rosters for facility. On 04/11/2022 LPA Calderon interviewed S1-S5 for complaint and on 04/11/2022 LPA Calderon interviewed R1-R8 for complaint. LPA Calderon and Administrator (S1) conducted a tour of the physical plant, no issues were found. The investigation revealed the following: Unsubstantiated— CDSS inspection report, April 11, 2022 · control 11-AS-20220408111359
Allegation the state reviewedMat/rug is in disrepair.
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
On 3/25/2022 Licensing Program Analyst (LPA) Ngozi Nwaokoro initiated a subsequent complaint investigation visit for the allegations listed above. LPA spoke with Administrator Susana Fuentes via telephone prior to entering the facility to conduct a risk assessment and was informed that facility has no COVID-19 cases nor do any of the residents have symptoms. LPA arrived at facility and explained the purposed of the visit is to deliver findings on the allegations listed above. Investigation consisted of the following: On 3/22/2022 LPA Jey Cardenas and LPA Ngozi Nwaokoro conducted an initial 10-day visit to gather information for the allegations listed above. LPAs met with administrator Susana Fuentes. LPAs obtained a copy of the current resident and staff roster, interviewed Staff#1-Staff#7 and Resident#1 -Resident#7, reviewed resident files and obtained copies of records relevant to the investigation. LPAs toured the physical plant. Continued on 9099-C Substantiated— CDSS inspection report, March 25, 2022 · control 11-AS-20220315164036
Allegation the state reviewedFacility has inadequate staffing. Facility does not provide activites for residents.
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
On 03/21/22, Licensing Program Analyst (LPA/RA) Elizabeth Ceniceros conducted an unannounced subsequent visit to the facility at 8:00 a.m. LPA/RA spoke to Staff #1 (S1: Elizabeth Chavez, Med Tech-AM) prior to entering the facility to conduct a risk assessment. Staff #1 informed LPA/RA that the facility has no COVID cases nor do any of the residents or staff have symptoms. LPA/RA was later met by Administrator (A1) Susana Fuentes at 9:30 a.m. and explained the purpose of today’s visit was to investigate the above-mentioned allegations. The investigation consisted of the following: Licensing Program Analyst (LPA) Stephanie Cifuentes conducted the unannounced initial 10-Day complaint investigation on 12/29/21. LPA/RA Ceniceros interviewed Administrator, seven (7) staff members (S1-S7), and eight (8) residents (R1-R8). During the course of this investigation, LPA/RA toured the facility grounds and interviewed facility staff members and residents; reviewed facility records (residents roster— CDSS inspection report, March 21, 2022 · control 11-AS-20211223090835
Allegation the state reviewedSmoke alarms are in disrepair.
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
On 03/10/22 at 3:00 p.m. Licensing Program Analyst (LPA)/Retired Annuitant (RA) Elizabeth Ceniceros, conducted a subsequent complaint investigation visit regarding the above-mentioned allegation. LPA Stephanie Cifuentes conducted the initial 10-Day visit on 12/21/21. LPA/RA Ceniceros was already present conducting another subsequent visit (Complaint Control #11-AS-20211216155411). LPA/RA Ceniceros spoke with Administrator Susana Fuentes at 3:00 p.m. and explained the purpose of today's visit. The investigation consisted of the following: LPA/RA conducted interviews with (9) facility staff and (7) residents and attempted (1) resident. LPA/RA Ceniceros and Administrator Fuentes conducted an inspection of the facility’s physical plant for health and safety measures; observed the facility's wired smoke detectors & fire alarms, fire extinguishers meets regulations, posted "Exit" signs throughout the facility and Emergency Evacuation Routes for the 1st and 2nd floors; records review: fire al— CDSS inspection report, March 10, 2022 · control 11-AS-20211217144410
Allegation the state reviewedFacility is not following COVID-19 guidelines. Resident is being illegally evicted. Facility is retaliating against resident for making complaints.
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
On 03/10/22 at 8:00 a.m. Licensing Program Analyst (LPA)/Retired Annuitant (RA) Elizabeth Ceniceros, conducted an unannounced subsequent complaint investigation visit regarding the above-mentioned allegations. LPA Stephanie Cifuentes conducted the initial 10-Day visit on 12/21/21. Staff #1 (Mari Banuelos, Med Tech) confirmed that the facility had no new COVID cases nor do any of the residents have symptoms and LPA/RA was allowed entry into the facility. LPA/RA Ceniceros spoke with Administrator Susana Fuentes (via telephone) approx. 8:15 a.m. and was later met by Administrator (Suzanna Fuentes) approx. 9:00 a.m. LPA/RA at that time explained the purpose of today's visit. The investigation consisted of the following: LPA/RA conducted interviews with (9) facility staff and (7) residents. LPA/RA Ceniceros and Administrator Fuentes conducted an inspection of the facility’s physical plant for health and safety measures; observation of state-issued License and Administrator Certificate are (— CDSS inspection report, March 10, 2022 · control 11-AS-20211216155411
Allegation the state reviewedFacility do not provide transportation to medical appointments. Resident was injured in while in care. Staff did not provide adequate services to resident in care.
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
On 3/8/2022, Licensing Program Analyst (LPA) Stephanie Cifuentes conducted an unannounced subsequent complaint visit at this facility. LPA spoke with Administrator Susana Fuentes via telephone prior to entering the facility to conduct risk assessment and was informed that facility has no COVID-19 cases nor do any of the clients have symptoms. LPA arrived at facility and explained the purposed of the visit is to deliver findings on the allegations listed above. The investigation consisted of the following: On 2/4/2022 LPA conducted a tour of facility grounds and reviewed records for staff and residents. LPA conducted interviews with (6) staff members (S1-S6), and (6) residents (R1-R6). LPA Cifuentes requested and received the following documents: Client roster, staff schedule, shower schedule and other documents in relation to the investigation. Continued on 9099-C Unsubstantiated— CDSS inspection report, March 8, 2022 · control 11-AS-20220131144606
Allegation the state reviewedResident harassing another resident at facility.
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
On 03/08/22 at 8:07 a.m. Licensing Program Analyst (LPA)/Retired Annuitant (RA) Elizabeth Ceniceros, conducted an unannounced subsequent complaint investigation visit regarding the above-mentioned allegation. LPA Stephanie Cifuentes conducted the initial 10-Day visit on 10/07/21. LPA Cifuentes spoke with Administrator Suzanna Fuentes (via telephone) prior to entering the facility to conduct risk assessment questionnaire; and, she was informed that facility had no COVID cases nor do any of the residents have symptoms. LPA/RA was allowed entry into the facility by Staff #1 (Office Manager, Cynthia LN). LPA/RA was later met by Administrator (Suzanna Fuentes) at 9:05 a.m. and explained the purpose of today's visit. The investigation consisted of the following (related to Complaint Control Number: 11-AS-20211004115959): LPA Cifuentes on 10/19/21 interviewed Administrator Suzanna Fuentes, six (6) staff members (S1-S6), six (6) residents (R1-R6), reviewed residents records (R1-R6), current st— CDSS inspection report, March 8, 2022 · control 11-AS-20211005161649
Allegation the state reviewedFacility has a leaking pipe
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
On 3/8/2022, Licensing Program Analyst (LPA) Stephanie Cifuentes conducted an unannounced complaint investigation at the facility listed above. LPA spoke with Administrator Susana Fuentes via telephone prior to entering the facility to conduct risk assessment and was informed that facility has no COVID-19 cases nor do any of the clients have symptoms. LPA arrived at facility and explained the purposed of the visit was to investigate the allegations listed above and was granted access to the facility. The investigation consisted of the following: LPA Cifuentes conducted a tour of facility grounds. LPA spoke with administrator, reviewed facility files and interviewed staff 1 -Staff 6 (S1-S6) and Residents 1-resident 6 (R1-R6). LPA also received staff roster, resident roster, invoice for plumbing repair. Unsubstantiated— CDSS inspection report, March 8, 2022 · control 11-AS-20220228091331
Allegation the state reviewedStaff did not administer medication to resident.
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
On 2/17/2022 Licensing Program Analyst (LPA) Stephanie Cifuentes conducted an unannounced initial complaint investigation at the facility listed above. LPA spoke with staff Susana Fuentes via telephone call prior to entering the facility to conduct risk assessment questionnaire and was informed that facility had no COVID cases nor do any of the clients have symptoms. LPA arrived at facility and was greeted by staff. LPA explained the purposed of the visit was to investigate the allegation listed above and was granted access to the facility. The investigation consisted of the following: LPA interviewed Administrator Susie Fuentes, five (5) staff (S1-S6) and six (6) residents (R1-R6). LPA inspected the facility. LPA reviewed resident records along with the current staff/resident roster and other documents in association with the allegation. Continued on 9099-C Unsubstantiated— CDSS inspection report, February 17, 2022 · control 11-AS-20220210144354
Allegation the state reviewedFacility is not assisting resident with transportation needs. Facility does not have required postings in public view.
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
On 1/21/2022 at 1:03 pm, Licensing Program Analyst (LPA)/ Susan Campos, initiated a subsequent complaint investigation visit for the allegations listed above. LPA was allowed entry into the facility by Administrator Susana Fuentes. LPA explained to Ms. Fuentes the purpose of the visit. The investigation consisted of the following: LPA conducted interviews with (6) staff members, and (6) residents on 1/20/22. In addition, on 1/20/22, LPA and Ms. Fuentes conducted an inspection, for health and safety of the facilities’ physical plant, and food supply, and also inspected (6) facility resident room call button box stations. LPA also reviewed the following documents provided by Gardena Retirement Center Administrator Susana Fuentes: LIC 500-staff roster, client roster, staff schedule, Incident Reports from December 2021 to present, and Facility Resident Transportation Services Plan . Report continued on LIC 9099C Substantiated— CDSS inspection report, January 21, 2022 · control 11-AS-20220114104631
Allegation the state reviewedStaff do not respond to resident's call button in a timely manner.
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
On 1/21/2022 at 2:40pm, Licensing Program Analyst (LPA)/ Susan Campos, initiated a subsequent complaint investigation visit for the allegation listed above. LPA was allowed entry into the facility by Administrator Susana Fuentes. LPA explained to Ms. Fuentes the purpose of the visit. The investigation consisted of the following: LPA conducted interviews with (6) staff members, and (6) residents on 1/20/22, and (2) staff members on 1/21/22. In addition, on 1/20/22, LPA and Ms. Fuentes conducted an inspection, for health and safety of the facilities’ physical plant, and food supply, and also inspected (6) facility resident room call button box stations. LPA also reviewed the following documents provided by Gardena Retirement Center Administrator Susana Fuentes: LIC 500-staff roster, client roster, staff schedule, Incident Reports from December 2021 to present, and Staff Call Button Response Procedures. Report continued on LIC 9099C Unsubstantiated— CDSS inspection report, January 21, 2022 · control 11-AS-20220118134839
Allegation the state reviewedStaff are failing to meet residents' needs Resident wandered away while in care Staff speak to residents inappropriately Staff failed to provide adequate food service Staff failed to provide a safe and comfortable environment for residents Facility is disrepair
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
/21/2021, Licensing Program Analyst (LPA) Stephanie Cifuentes conducted an unannounced subsequent complaint visit at this facility. LPA met with Susana Fuentes, Administrator and explained the purpose of today's visit is to deliver findings for the allegations listed above. The investigation consisted of the following: On 9/15/2021 LPA Cifuentes conducted a tour of facility grounds. LPA spoke with administrator, reviewed facility files and requested and received the following documents: staff roster, client roster and other documents relevant to the investigation. On 12/8/2021 and 12/9/2021 LPA Cifuentes interviewed staff 1 -Staff 6 (S1-S6) and Residents 1-resident 8 (R1-R8) Continued on 9099-C Unsubstantiated— CDSS inspection report, December 21, 2021 · control 11-AS-20210909155011
Allegation the state reviewedStaff handled resident in a rough manor Resident is being harassed by another resident
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
Licensing Program Analyst (LPA) Stephanie Cifuentes conducted an unannounced subsequent complaint investigation at the facility listed above. LPA spoke with Administrator Susie Fuentes via telephone prior to entering the facility to conduct risk assessment questionnaire and was informed that facility has no COVID cases nor do any of the clients have symptoms. LPA arrived at facility and was greeted by staff Christina Novoa. LPA explained the purposed of the visit was to deliver complaint findings and was allowed access to the facility. The investigation consisted of the following: On 10/7/2021 LPA conducted tour of facility grounds, reviewed facility files and spoke with administrator. On 10/7/2021, 12/8/2021 and 12/9/2021 LPA Cifuentes interviewed eight residents (8) residents (R1-R8), (6) staff (S1-S6) and re-interviewed administrator. LPA requested and received the following documents: staff and client rosters and other documents pertinent to the investigation Continued on 9099-C Un— CDSS inspection report, December 21, 2021 · control 11-AS-20211004122950
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
On 12/3/2021 at 12:03 p.m., Licensing Program Analyst (LPA)/ Susan Campos, initiated a 10-day complaint investigation visit for the allegation listed above. LPA was allowed entry into the facility by Administrator Susana Fuentes. LPA explained to Ms. Fuentes the purpose of the visit. The investigation consisted of the following: LPA and Ms. Fuentes conducted an inspection, for health and safety of the facilities’ physical plant, R1's resident room, and food supply, LPA conducted an interview with Administrator Susana Fuentes, and LPA was provided the following documents from Administrator Susana Fuentes: LIC 500-staff roster; Client roster; Incident Reports from November 2021 to present; R1 case notes; R1 physician report; and R1 service care plan. LPA was informed by Administrator Susana Fuentes that R1 was not evicted, from the facility, and that R1 can return to the Gardena Retirement Center upon discharge from medical facility. Based on information gathered, LPA did not find suffic— CDSS inspection report, December 3, 2021 · control 11-AS-20211129153350
Allegation the state reviewedResident harassing another resident at facility
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
On 10/19/2021 Licensing Program Analyst (LPA) Stephanie Cifuentes conducted an unannounced subsequent investigation at the facility listed above. LPA spoke with staff Elizabeth via telephone call prior to entering the facility to conduct risk assessment questionnaire and was informed that facility had no COVID cases nor do any of the clients have symptoms. LPA arrived at facility and was greeted by staff. LPA explained the purposed of the visit was to investigate the allegations listed above and was granted access to the facility. The investigation consisted of the following: LPA interviewed Administrator Susie Fuentes, six (6) staff (S1-S6) and six (6) residents (R1-R6). LPA inspected the facility. LPA reviewed records for residents 1-6 (R1-R6) along with the current staff/resident roster and other documents in association with the allegation. Substantiated— CDSS inspection report, October 19, 2021 · control 11-AS-20211004115959
Allegation the state reviewedResidents meals are late Residents bed is in disrepair
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
Licensing Program Analyst (LPA) Stephanie Cifuentes conducted an unannounced subsequent investigation at the facility listed above. LPA spoke with staff Elizabeth via telephone call prior to entering the facility to conduct risk assessment questionnaire and was informed that facility had no COVID cases nor do any of the clients have symptoms. LPA arrived at facility and was greeted by staff. LPA explained the purposed of the visit was to investigate the allegations listed above and was granted access to the facility. The investigation consisted of the following: LPA interviewed Administrator Susie Fuentes. Interviews were conducted with six (6) staff (S1-S6) and six (6) residents (R1-R6). LPA inspected the facility. LPA reviewed records for residents 1-6 (R1-R6) along with the current staff/resident roster and other documents in association with the allegations. Unsubstantiated— CDSS inspection report, October 19, 2021 · control 11-AS-20211004141720
Allegation the state reviewedResident is malnourished. Staff sexually abused resident. Resident is being physically abused while in care. Staff administered incorrect medication to resident. Resident's hygiene needs are not being met.
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
On 9/15/21, Licensing Program Analyst (LPA) Stephanie Cifuentes conducted an unannounced subsequent complaint visit at this facility. LPA met with Susie Fuentes, Administrator, and explained the purpose of today's visit is to conduct interviews ans deliver findings for the allegations listed above. The investigation consisted of the following: On 8/10/2021 LPA Cifuentes inspected the facility. LPA reviewed records for residents 1-5 (R1-R5) along with the current staff/resident roster and other documents in association with the allegations. On 9/15/2021 LPA interviewed Administrator Susie Fuentes. Interviews were conducted with five (5) staff (S1-S5) and (6) residents (R1-R6). Unsubstantiated— CDSS inspection report, September 15, 2021 · control 11-AS-20210809161903
Allegation the state reviewedStaff is interfering with the residents hygiene needs Staff is not administering medications as needed Staff is not providing transportation services for the residents Staff is not providing comfortable accommodations for residents while in care Staff threatened a resident with eviction Staff are not properly providing care and supervision to the residents while in care
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
On 08/25/21, Licensing Program Analyst (LPA) Stephanie Cifuentes conducted an unannounced subsequent complaint visit at this facility. LPA met with Susie Fuentes, Administrator, and explained the purpose of today's visit is to deliver findings for the allegations listed above. The investigation consisted of the following: LPA interviewed Administrator Susie Fuentes. Interviews were conducted with seven (7) staff (S1-S7) and (7) residents (R1-R7). LPA inspected the facility. LPA reviewed records for residents 1-5 (R1-R5) along with the current staff/resident roster and other documents in association with the allegations. Unsubstantiated— CDSS inspection report, August 25, 2021 · control 11-AS-20210629115913
Allegation the state reviewedFacility is in disrepair
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
On 08/25/21, Licensing Program Analyst (LPA) Stephanie CIfuentes conducted an unannounced initial complaint visit at this facility. LPA met with Susie Fuentes, Administrator, and explained the purpose of today's visit is to investigate the allegation listed above. The investigation consisted of the following: On 8/25/2021 LPA Cifuentes spoke with administrator, reviewed facility records, was given a tour of facility grounds and interviewed residents 1-resident 6 (R1-R6) as well as staff 1-staff 5 (S1-S5). LPA also requested and received the following: admissions agreement , staff roster and resident roster Continued on 9099-C Unsubstantiated— CDSS inspection report, August 25, 2021 · control 11-AS-20210819151014
Allegation the state reviewedResident sustained multiple falls while in care
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
On 08/5/21, Licensing Program Analyst (LPA) Stephanie CIfuentes conducted an unannounced complaint visit at this facility. LPA met with Susie Fuentes, Administrator, and explained the purpose of today's visit is to conduct interviews and to deliver findings. The investigation consisted of the following: LPA interviewed Administrator Susie Fuentes. Interviews were conducted with seven (7) staff (S1-S7) and (7) residents (R1-R7). LPA inspected the facility. LPA reviewed records for residents 1-5 (R1-R5) along with the current staff/resident roster and other documents in association with the allegations. Continued on 9099-C Substantiated— CDSS inspection report, August 5, 2021 · control 11-AS-20210803145611
Allegation the state reviewedFacility not adhering to Admissions Agreement. Resident is not being allowed to smoke.
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
This report serves as an amendment to clarify finding. It does not supersedes the complaint investigation findings reflected on report created 8/5/2021. On 08/5/21, Licensing Program Analyst (LPA) Stephanie CIfuentes conducted an unannounced subsequent complaint visit at this facility. LPA met with Susie Fuentes, Administrator, and explained the purpose of today's visit is to deliver findings. The investigation consisted of the following: On 7/8/2021 LPA Cifuentes spoke with administrator, reviewed facility records, was given a tour of facility grounds and interviewed residents 1-resident 5 (R1-R5) as well as staff 1-staff 4 (S1-S4). On 7/20/2021 LPA interviewed residents 6-resident 7 (R6-R7) as well as staff 5-staff 6 (S5-S6). LPA also requested and received the following: admissions agreement for R1, staff roster and resident roster. Continued on 9099-C Unsubstantiated— CDSS inspection report, August 5, 2021 · control 11-AS-20210701084959
Allegation the state reviewedResident missed her medical appointment Staff refused to provide transportation for resident's medical appointments Staff failed to meet residents' hygiene needs
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
This report serves as an amendment to clarify finding. It does not supersedes the complaint investigation findings reflected on report created 8/5/2021. On 08/5/21, Licensing Program Analyst (LPA) Stephanie CIfuentes conducted an unannounced subsequent complaint visit at this facility. LPA met with Administrator Susie Fuentes and explained the purpose of today's visit is to deliver findings. The investigation consisted of the following: On 7/8/2021 LPA Cifuentes spoke with administrator, reviewed facility records, was given a tour of facility grounds and interviewed residents 1-resident 5 (R1-R5) as well as staff 1-staff 4 (S1-S4). On 7/20/2021 LPA interviewed residents 6-resident 7 (R6-R7) as well as staff 5-staff 6 (S5-S6). LPA also requested and received the following: staff roster, resident roster and other documents relevant to the allegations. Continued on 9099-C Unsubstantiated— CDSS inspection report, August 5, 2021 · control 11-AS-20210706130137
Allegation the state reviewedStaff interfered with resident's daily living functions Residents not accorded dignity in their relationships with staff
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
Licensing Program Analyst (LPA) Stephanie Cifuentes conducted an unannounced complaint investigation at above facility. LPA arrived at facility at 10:23am and was greeted by staff Carlos Aguirre. LPA explained the purposed of the visit was to investigate the allegations listed above and was granted access to the facility. The investigation consisted of the following: On 7/20/2021 LPA Cifuentes spoke with administrator, reviewed facility records, was given a tour of facility grounds and interviewed residents 1-resident 7 as well as staff 1-staff 5. LPA also requested and received the following: staff and client rosters, admissions agreement for R1. Regarding the allegation: Staff interfered with resident's daily living functions The investigation revealed the following: Continued on 9099-C Unsubstantiated— CDSS inspection report, July 20, 2021 · control 11-AS-20210716163947
Transcribed from CDSS complaint-investigation reports · record checked August 2, 2026.
What the state has logged
California has logged 95 state visits for this home as of August 2, 2026. These are the home's own counts, straight from that record — shown beside the statewide median for larger communities (16+ beds), computed across all 1,244 licensed homes of that size, because larger and longer-licensed homes naturally accumulate more visits and reports. They are facts, not a grade — a citation may be minor and since corrected, and an “unsubstantiated” complaint is not a finding of wrongdoing.
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