Golden Care Living Iii is a residential care home for the elderly (RCFE) in Torrance, Los Angeles County, California — state license #198320024, licensed for 6 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 24 dated inspection and complaint documents on file for this home going back to 2021, the most recent dated January 8, 2026 — published below in full, verbatim and unscored.

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Golden Care Living Iii

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Residential care home for the elderly (RCFE) · Small home, 6 residents · Torrance, CA · Los Angeles County
LicensedWheelchairBedriddenMemory care not on fileHospice not on file
No openings reportedBeds change hands in days ·
License #198320024, held since 2019 · read from the California state record on August 2, 2026 ·See on State Site →
1308 Hickory Ave · Torrance, Los Angeles County
Phone
(310) 787-8369
from the state licensing roster · August 2, 2026
No Google listing is on file for this home.
Website
None on file
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 →
Print tour sheet →

Wheelchair / non-ambulatoryApproved for 6 residents
Dementia / memory careNot on file — ask the home
Hospice careNot on file — ask the home
Bedridden careApproved for 2 residents

“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 →

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What the state record says, word for word
AGE RANGE 60 AND OVER. SIX (6) NONAMBULATORY OF WHICH TWO (2) MAY BE BEDRIDDEN IN ANY ROOM.State service designation935 - ELDERLYthe CDSS license record, verbatim · checked August 2, 2026

Since 2021, the state has visited this home 25 times and filed 24 documents. The most recent is a facility evaluation report, dated January 8, 2026.

Most recent state visit
January 8, 2026
Occupancy at the July 2, 2025 visit
5 of 6 beds

The state's published file for this home includes 12 documents with transcribed findings, dated February 1, 2022 to July 2, 2025. 12 of the 12 carry the state's recorded outcome word: “Substantiated” (4), “Unsubstantiated” (8). 12 include the transcribed allegation the state investigated, word for word.

Summary composed by computer from the 12 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
The last 36 months — 23 of 24 documentsFull record on the state’s site →
20261 state visit · 1 document
Jan 8, 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.

202512 state visits · 14 documents
Nov 14, 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.

Nov 14, 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 27, 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 5, 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.

Jul 17, 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.

Jul 16, 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.

Jul 11, 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.

Jul 2, 2025Complaint investigation reportUnsubstantiated

Allegation investigated: Illegal Eviction

On 7/2/25 Licensing Program Analyst(LPA) Felisa Shirley, conducted an unannounced complaint visit to the address listed above. LPA Shirley arrived and spoke to the Assistant Administrator, Rodolfo Lozada and the purpose of the visit was discussed. LPA was granted access to the facility. The investigation consisted of the following: On 7/2/25 LPA requested and reviewed copies of the following records: Residents file, Resident Roster, Staff roster, 30-day Eviction Notice dated, 4/11/25, Id and Emergency Contact form, Physicians Report, Admission Agreement, House Rules and Special Incident Report regarding R1. LPA Shirley interviewed Staff 1 – Staff 4 and Resident 1 and Resident 2, R3, R4 and R5 were not available for interview. Con'd on 9099-C Unsubstantiatedthe state’s words, verbatim · CDSS document, Jul 2, 2025 · control 11-AS-20250626102911
May 7, 2025Complaint investigation reportUnsubstantiated

Allegation investigated: Resident #1 went to hospital with serious wound issues:Stage 3, Stage 4 and unstageable wounds

On 05/07/2025 at 10:00 A.M., the Department conducted a subsequent visit to gather information regarding the above allegation. The Department met with Caregiver/Staff Jeremy Nebres, and spoke to Licensee Angelique S. Gradney via and the purpose of the visit was explained. LPA was granted entry to the facility. The investigation consisted of the following: On 05/07/2025, interviews were conducted with staff members #1-2 (S1-S2) and residents #2-6 (R2-R6). Resident #1 (R1) no longer resides at the facility. Staff Jeremy and LPA Bunker toured the entire facility, buildings, and grounds to observe and identify any signs of neglect, abuse, or other immediate health and safety threats. We did not observe any signs of neglect or abuse during today's visit. LPA requested and reviewed the resident's records and asked for copies of the following documents: Personnel report (Dated 05/07/2025), Resident Roster (Dated 05/07/2025), Admission Agreement (Dated 10/14/2023), Identification and Emergencythe state’s words, verbatim · CDSS document, May 7, 2025 · control 11-AS-20240131103123
Apr 23, 2025Complaint investigation reportUnsubstantiated

Allegation investigated: Illegal eviction

NOTE: This report supersedes the previous report and does not change the findings. On 04/23/2025, the California Department of Social Services (CDSS) Community Care Community Care Licensing (CCL) Licensing Program Analyst (LPA) Socorro Leandro re-delivered findings. LPA met with Caregiver, Jeremy Nebres was granted entry to the facility. The investigation consisted of the following: On 03/27/2025, a facility tour was conducted which consisted of a health and safety check for residents in care. On 04/18/2025, Records were reviewed which consisted of emails from Administrator, Angelique Gradney (Administrator, Gradney) and Resident 1’s (R1) records. R1 records consisted of 30-day Eviction Notices, Unusual Incident Reports for the year 2025, Physicians Report dated 03/26/2024, Appraisal and Needs Services Plan dated 03/27/2025, Preplacement dated 02/26/2025, Admission Agreement dated 02/20/2025 and other pertinent documents. Unsubstantiatedthe state’s words, verbatim · CDSS document, Apr 23, 2025 · control 11-AS-20250321105226
Apr 18, 2025Complaint investigation reportUnsubstantiated

Allegation investigated: Illegal eviction

On 04/18/2025, the California Department of Social Services (CDSS) Community Care Community Care Licensing (CCL) Licensing Program Analyst (LPA) Socorro Leandro a LPA Jose Anguiano conducted a continuation unannounced complaint visit. LPAs met with Caregiver Dominador Bonifacio and were granted entry to the facility. The investigation consisted of the following: On 03/27/2025, a facility tour was conducted which consisted of a health and safety check for residents in care. On 04/18/2025, Records were reviewed which consisted of emails from Administrator Angelique Gradney and Resident 1’s (R1) records. R1 records consisted of 30-Day Eviction Notices, Unusual Incident Reports for the year 2025, Physicians Report dated 03/26/2024, Appraisal and Needs Services Plan dated 03/27/2025, Preplacement 02/26/2025, Admission Agreement dated 02/20/2025 and other pertinent documents. Unsubstantiatedthe state’s words, verbatim · CDSS document, Apr 18, 2025 · control 11-AS-20250321105226
Apr 18, 2025Complaint investigation reportUnsubstantiated

Allegation investigated: Staff did not prevent a resident from being exposed to sexual activity.

On 04/18/2025, the California Department of Social Services (CDSS) Community Care Community Care Licensing (CCL) Licensing Program Analyst (LPA) Socorro Leandro and LPA Jose Anguiano conducted an initial unannounced complaint visit. LPAs met with Caregiver Dominador Bonifacio and were granted entry to the facility. The investigation consisted of the following: On 04/18/2025, records were reviewed, interviews of staff, residents, and witnesses were conducted. Interviews conducted consisted of 5 staff interviews [Staff 1 (S1) to Staff 5 (S5) were interviewed], 3 resident interviews [Resident 2 (R2) to Resident 4 (R4) were interviewed], and 1 witness interview [Witness 1 (W1) was interviewed]. Records reviewed consisted of Resident 1’s (R1) unusual incident reports. Unsubstantiatedthe state’s words, verbatim · CDSS document, Apr 18, 2025 · control 11-AS-20250416103546
Apr 3, 2025Complaint investigation reportUnsubstantiated

Allegation investigated: Staff did not prevent resident from engaging in a physical altercation Staff did not prevent resident from having access to pepper spray

This report supersedes report dated 03/19/25. On 4/3/25 Licensing program analyst (LPA) Villegas conducted a subsequent unannounced complaint visit regarding the allegations above. LPA met with caregiver Jaremy Nebres as the purpose of the visit was explained. The investigation consisted of the following: On 03/12/25 LPA Villegas obtained copies of the following; staff and resident rosters, and the following documents for residents #1 (R1); admission agreement dated 02/20/25, physicians report dated 03/26/24, resident personal property and valuables: dated 02/24/25, Appraisal/Needs and service plan dated: 02/20/2025, Preplacement appraisal: Dated: 02/20/25, Resident appraisal: Dated 02/20/25, and copies of unusual incident reports dated 02/23/25 and 03/05/25. On 03/12/25 between 10am-11 am LPA conducted interviews with residents #1-3 (R1-R3), and between 11am-11:40am LPA conducted interviews with staff #1-2 (S1-S2). On 3/12/25 LPA conducted a facility tour. On 03/19/25 LPA conducted athe state’s words, verbatim · CDSS document, Apr 3, 2025 · control 11-AS-20250303094055
Jan 23, 2025Complaint investigation reportSubstantiated

Allegation investigated: Resident developed a Stage 3 pressure injury while in care.

On 01/23/2025, the Department of Social Services (DSS) - Community Care Licensing Division (CCLD) staff conducted an unannounced subsequent complaint visit at this facility. CCLD staff met with Administrator, Angelique Gradney. CCLD staff explained the purpose of this visit. The investigation consisted of the following: On 10/14/2024, CCLD staff initiated the complaint investigation and requested: Personnel Report LIC 500, residents service records which included: Physicians Reports, Identification and Emergency Information’s, Admission Agreements, Resident Appraisals, and Medication Administration Records and a tour of the facility was conducted. On 10/17/2024 to 12/20/2024, CCLD staff: interviewed facility residents, facility staff, witnesses (Home Health staff, Physicians, Social Workers, Registered Nurses, etc.); and requested R1’s records from several agencies which included medical records. On 01/08/2024, CCLD staff submitted an Investigation Care Report of interviews conducted athe state’s words, verbatim · CDSS document, Jan 23, 2025 · control 11-AS-20241011142515
20245 state visits · 6 documents
Oct 30, 2024Complaint investigation reportSubstantiated

Allegation investigated: Staff did not check on resident every 2 hours for incontinence care Staff did not answer residents calls for assistance

On 10/30/2024, the Department of Social Services (DSS) - Community Care Licensing Division (CCLD) staff conducted an unannounced subsequent complaint visit at this facility. CCLD staff was greeted by Caregiver Daniel Aliony. CCLD staff explained the purpose of this visit. The investigation consisted of the following: On 10/17/2024, The department interviewed 4 out 6 residents and 3 staff. The department gathered facility timesheets for the month of October 2024 and resident records. On 10/30/2024, The department interviewed 1 out 6 residents. The department attempted to interview 1 out 6 residents but resident was sleeping. The department conducted a tour of the facility. Substantiatedthe state’s words, verbatim · CDSS document, Oct 30, 2024 · control 11-AS-20241016091424
Oct 30, 2024Complaint investigation reportUnsubstantiated

Allegation investigated: Facility staff pushed resident.

On 10/30/2024, the Department of Social Services (DSS) - Community Care Licensing Division (CCLD) staff conducted an unannounced subsequent complaint visit at this facility. CCLD staff was greeted by Caregiver Daniel Aliony. CCLD staff explained the purpose of this visit. The investigation consisted of the following: On 10/14/2024, The department gathered facility records. On 10/17/2024, The department interviewed 4 out 6 residents and 3 staff. On 10/30/2024, The department interviewed 1 out 6 residents and conducted a tour of the facility. The department attempted to interview 1 out 6 residents but the resident was sleeping. Unsubstantiatedthe state’s words, verbatim · CDSS document, Oct 30, 2024 · control 11-AS-20241011142515
Oct 14, 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.

Aug 9, 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.

Jul 2, 2024Complaint investigation reportSubstantiated

Allegation investigated: Staff left residents in soiled diapers for an extended time Staff are not meeting residents needs

Licensing Program Analyst (LPA) Pamela Bunker conducted an unannounced complaint visit on Tuesday, July 02, 2024, upon arrival at the facility. LPA Bunker called the facility via telephone and conducted a Risk Assessment. Based on the assessment, the facility is cleared of COVID-19 infection. LPA Bunker met with staff member Jeremy Nebres. During the visit, Administrator Katerine Espino arrived to assist with the visit. LPA Bunker explained the purpose of today's visit. The investigation consisted of the following: LPA Bunker conducted interviews with staff 1-3 (S1-S3) and residents 1-2 (R1-R2). Resident 3 (R3) was unable to communicate effectively due to a stroke, Resident 4 (R4) was non-verbal, and Resident 5 (R5) was not available for an interview as she was out with her family. LPA Bunker asked questions relevant to the nature of the complaint. S1-S3 agreed and stated it was true that the resident was left in soiled diapers for an extended time because one of the staff did not repothe state’s words, verbatim · CDSS document, Jul 2, 2024 · control 11-AS-20240624162458
Jan 6, 2024Complaint investigation reportSubstantiated

Allegation investigated: Staff refused to allow resident’s hospice agency to provide care to resident as ordered by a physician

On 1/6/2024, Licensing Program Analyst (LPAs) Alfonso Iniguez conducted a subsequent complaint visit at this facility to deliver the complaint investigation findings. LPA met with the Jeremy Nebres/Caregiver, who assisted with the visit. The purpose of the visit was explained. The investigation consisted of the following: On 1/9/2023, LPA Montoya conducted a tour of the facility. LPA interviewed staff and witnesses. LPA’s attempt to interview all five residents was unsuccessful. LPA obtained copies of Staff Roster (LIC 500), Register of Facility Clients/Residents (LIC 9020) and resident’s (R1) Admission Agreement, Physician’s Report, Preplacement Appraisal, and Needs and Services Plan. During this visit, LPA did not observe R1’s Medication Administration Records and hospice referral order. Report continued in LIC 9099C Substantiatedthe state’s words, verbatim · CDSS document, Jan 6, 2024 · control 11-AS-20230106110553
20232 state visits · 2 documents
Sep 7, 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.

Sep 1, 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.

Beside homes the same size
Type A citations0typical 0
Type B citations6typical 0
Substantiated complaints6typical 0
Total complaints9typical 0
State visits on file25typical 6
“Typical” is the statewide median across the 5,773 licensed small board-and-care homes (6 or fewer 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 2019.
Year-by-year trend
YearVisitsDocumentsSubstantiated20261102025121412024563202322020222202021110
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 →

See an error in these counts? Report it — free →

$5,000$7,500 /mo
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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Cost range look wrong? Report it — free →Medi-Cal waiver fact wrong? Report it — 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.

Operate this home? This page is generated from CDSS public records — respond or correct it, free.
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Call (310) 787-8369

Is Golden Care Living Iii licensed?

Yes — Golden Care Living Iii is a licensed residential care home for the elderly (RCFE) in Torrance (Los Angeles County): California license #198320024, shown as licensed in the CDSS state record checked August 2, 2026, licensed for 6 residents. State records list 24 inspection and complaint documents since 2021; the most recent, a facility evaluation report dated January 8, 2026, appears in the inspection record on this page.

Can Golden Care Living Iii 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 Golden Care Living Iii with clearances for wheelchair / non-ambulatory and bedridden; it does not list dementia / memory care and hospice care. 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.

Wheelchair / non-ambulatoryDementia / memory careHospice careBedridden

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 recordAGE RANGE 60 AND OVER. SIX (6) NONAMBULATORY OF WHICH TWO (2) MAY BE BEDRIDDEN IN ANY ROOM.

How much does Golden Care Living Iii cost?

California's public licensing record does not include Golden Care Living Iii'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 Golden Care Living Iii accept Medi-Cal or the Assisted Living Waiver?

Yes — Medi-Cal can help pay for care at Golden Care Living Iii 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.

Medi-Cal / ALW homes in Los Angeles County →Assisted living on Medi-Cal in California →See the DHCS list →

How full it was at the last state visit

5 of 6 beds occupied (83%) when the state visited on July 2, 2025. Availability changes constantly — confirm a current opening with the home.

What do state inspections show for Golden Care Living Iii?

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 25 state visits and 24 dated documents since 2021 for Golden Care Living Iii; 12 complaint-investigation narratives are transcribed verbatim below. The most recent, dated July 2, 2025, 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.

12 transcribed reports on file

2025

Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedIllegal Eviction
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
On 7/2/25 Licensing Program Analyst(LPA) Felisa Shirley, conducted an unannounced complaint visit to the address listed above. LPA Shirley arrived and spoke to the Assistant Administrator, Rodolfo Lozada and the purpose of the visit was discussed. LPA was granted access to the facility. The investigation consisted of the following: On 7/2/25 LPA requested and reviewed copies of the following records: Residents file, Resident Roster, Staff roster, 30-day Eviction Notice dated, 4/11/25, Id and Emergency Contact form, Physicians Report, Admission Agreement, House Rules and Special Incident Report regarding R1. LPA Shirley interviewed Staff 1 – Staff 4 and Resident 1 and Resident 2, R3, R4 and R5 were not available for interview. Con'd on 9099-C UnsubstantiatedCDSS inspection report, July 2, 2025 · control 11-AS-20250626102911
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedResident #1 went to hospital with serious wound issues:Stage 3, Stage 4 and unstageable wounds
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
On 05/07/2025 at 10:00 A.M., the Department conducted a subsequent visit to gather information regarding the above allegation. The Department met with Caregiver/Staff Jeremy Nebres, and spoke to Licensee Angelique S. Gradney via and the purpose of the visit was explained. LPA was granted entry to the facility. The investigation consisted of the following: On 05/07/2025, interviews were conducted with staff members #1-2 (S1-S2) and residents #2-6 (R2-R6). Resident #1 (R1) no longer resides at the facility. Staff Jeremy and LPA Bunker toured the entire facility, buildings, and grounds to observe and identify any signs of neglect, abuse, or other immediate health and safety threats. We did not observe any signs of neglect or abuse during today's visit. LPA requested and reviewed the resident's records and asked for copies of the following documents: Personnel report (Dated 05/07/2025), Resident Roster (Dated 05/07/2025), Admission Agreement (Dated 10/14/2023), Identification and EmergencyCDSS inspection report, May 7, 2025 · control 11-AS-20240131103123
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedIllegal eviction
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
NOTE: This report supersedes the previous report and does not change the findings. On 04/23/2025, the California Department of Social Services (CDSS) Community Care Community Care Licensing (CCL) Licensing Program Analyst (LPA) Socorro Leandro re-delivered findings. LPA met with Caregiver, Jeremy Nebres was granted entry to the facility. The investigation consisted of the following: On 03/27/2025, a facility tour was conducted which consisted of a health and safety check for residents in care. On 04/18/2025, Records were reviewed which consisted of emails from Administrator, Angelique Gradney (Administrator, Gradney) and Resident 1’s (R1) records. R1 records consisted of 30-day Eviction Notices, Unusual Incident Reports for the year 2025, Physicians Report dated 03/26/2024, Appraisal and Needs Services Plan dated 03/27/2025, Preplacement dated 02/26/2025, Admission Agreement dated 02/20/2025 and other pertinent documents. UnsubstantiatedCDSS inspection report, April 23, 2025 · control 11-AS-20250321105226
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedIllegal eviction
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
On 04/18/2025, the California Department of Social Services (CDSS) Community Care Community Care Licensing (CCL) Licensing Program Analyst (LPA) Socorro Leandro a LPA Jose Anguiano conducted a continuation unannounced complaint visit. LPAs met with Caregiver Dominador Bonifacio and were granted entry to the facility. The investigation consisted of the following: On 03/27/2025, a facility tour was conducted which consisted of a health and safety check for residents in care. On 04/18/2025, Records were reviewed which consisted of emails from Administrator Angelique Gradney and Resident 1’s (R1) records. R1 records consisted of 30-Day Eviction Notices, Unusual Incident Reports for the year 2025, Physicians Report dated 03/26/2024, Appraisal and Needs Services Plan dated 03/27/2025, Preplacement 02/26/2025, Admission Agreement dated 02/20/2025 and other pertinent documents. UnsubstantiatedCDSS inspection report, April 18, 2025 · control 11-AS-20250321105226
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedStaff did not prevent a resident from being exposed to sexual activity.
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
On 04/18/2025, the California Department of Social Services (CDSS) Community Care Community Care Licensing (CCL) Licensing Program Analyst (LPA) Socorro Leandro and LPA Jose Anguiano conducted an initial unannounced complaint visit. LPAs met with Caregiver Dominador Bonifacio and were granted entry to the facility. The investigation consisted of the following: On 04/18/2025, records were reviewed, interviews of staff, residents, and witnesses were conducted. Interviews conducted consisted of 5 staff interviews [Staff 1 (S1) to Staff 5 (S5) were interviewed], 3 resident interviews [Resident 2 (R2) to Resident 4 (R4) were interviewed], and 1 witness interview [Witness 1 (W1) was interviewed]. Records reviewed consisted of Resident 1’s (R1) unusual incident reports. UnsubstantiatedCDSS inspection report, April 18, 2025 · control 11-AS-20250416103546
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedStaff did not prevent resident from engaging in a physical altercation Staff did not prevent resident from having access to pepper spray
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
This report supersedes report dated 03/19/25. On 4/3/25 Licensing program analyst (LPA) Villegas conducted a subsequent unannounced complaint visit regarding the allegations above. LPA met with caregiver Jaremy Nebres as the purpose of the visit was explained. The investigation consisted of the following: On 03/12/25 LPA Villegas obtained copies of the following; staff and resident rosters, and the following documents for residents #1 (R1); admission agreement dated 02/20/25, physicians report dated 03/26/24, resident personal property and valuables: dated 02/24/25, Appraisal/Needs and service plan dated: 02/20/2025, Preplacement appraisal: Dated: 02/20/25, Resident appraisal: Dated 02/20/25, and copies of unusual incident reports dated 02/23/25 and 03/05/25. On 03/12/25 between 10am-11 am LPA conducted interviews with residents #1-3 (R1-R3), and between 11am-11:40am LPA conducted interviews with staff #1-2 (S1-S2). On 3/12/25 LPA conducted a facility tour. On 03/19/25 LPA conducted aCDSS inspection report, April 3, 2025 · control 11-AS-20250303094055
Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedResident developed a Stage 3 pressure injury while in care.
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
On 01/23/2025, the Department of Social Services (DSS) - Community Care Licensing Division (CCLD) staff conducted an unannounced subsequent complaint visit at this facility. CCLD staff met with Administrator, Angelique Gradney. CCLD staff explained the purpose of this visit. The investigation consisted of the following: On 10/14/2024, CCLD staff initiated the complaint investigation and requested: Personnel Report LIC 500, residents service records which included: Physicians Reports, Identification and Emergency Information’s, Admission Agreements, Resident Appraisals, and Medication Administration Records and a tour of the facility was conducted. On 10/17/2024 to 12/20/2024, CCLD staff: interviewed facility residents, facility staff, witnesses (Home Health staff, Physicians, Social Workers, Registered Nurses, etc.); and requested R1’s records from several agencies which included medical records. On 01/08/2024, CCLD staff submitted an Investigation Care Report of interviews conducted aCDSS inspection report, January 23, 2025 · control 11-AS-20241011142515

2024

Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedStaff did not check on resident every 2 hours for incontinence care Staff did not answer residents calls for assistance
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
On 10/30/2024, the Department of Social Services (DSS) - Community Care Licensing Division (CCLD) staff conducted an unannounced subsequent complaint visit at this facility. CCLD staff was greeted by Caregiver Daniel Aliony. CCLD staff explained the purpose of this visit. The investigation consisted of the following: On 10/17/2024, The department interviewed 4 out 6 residents and 3 staff. The department gathered facility timesheets for the month of October 2024 and resident records. On 10/30/2024, The department interviewed 1 out 6 residents. The department attempted to interview 1 out 6 residents but resident was sleeping. The department conducted a tour of the facility. SubstantiatedCDSS inspection report, October 30, 2024 · control 11-AS-20241016091424
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedFacility staff pushed resident.
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
On 10/30/2024, the Department of Social Services (DSS) - Community Care Licensing Division (CCLD) staff conducted an unannounced subsequent complaint visit at this facility. CCLD staff was greeted by Caregiver Daniel Aliony. CCLD staff explained the purpose of this visit. The investigation consisted of the following: On 10/14/2024, The department gathered facility records. On 10/17/2024, The department interviewed 4 out 6 residents and 3 staff. On 10/30/2024, The department interviewed 1 out 6 residents and conducted a tour of the facility. The department attempted to interview 1 out 6 residents but the resident was sleeping. UnsubstantiatedCDSS inspection report, October 30, 2024 · control 11-AS-20241011142515
Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedStaff left residents in soiled diapers for an extended time Staff are not meeting residents needs
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
Licensing Program Analyst (LPA) Pamela Bunker conducted an unannounced complaint visit on Tuesday, July 02, 2024, upon arrival at the facility. LPA Bunker called the facility via telephone and conducted a Risk Assessment. Based on the assessment, the facility is cleared of COVID-19 infection. LPA Bunker met with staff member Jeremy Nebres. During the visit, Administrator Katerine Espino arrived to assist with the visit. LPA Bunker explained the purpose of today's visit. The investigation consisted of the following: LPA Bunker conducted interviews with staff 1-3 (S1-S3) and residents 1-2 (R1-R2). Resident 3 (R3) was unable to communicate effectively due to a stroke, Resident 4 (R4) was non-verbal, and Resident 5 (R5) was not available for an interview as she was out with her family. LPA Bunker asked questions relevant to the nature of the complaint. S1-S3 agreed and stated it was true that the resident was left in soiled diapers for an extended time because one of the staff did not repoCDSS inspection report, July 2, 2024 · control 11-AS-20240624162458
Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedStaff refused to allow resident’s hospice agency to provide care to resident as ordered by a physician
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
On 1/6/2024, Licensing Program Analyst (LPAs) Alfonso Iniguez conducted a subsequent complaint visit at this facility to deliver the complaint investigation findings. LPA met with the Jeremy Nebres/Caregiver, who assisted with the visit. The purpose of the visit was explained. The investigation consisted of the following: On 1/9/2023, LPA Montoya conducted a tour of the facility. LPA interviewed staff and witnesses. LPA’s attempt to interview all five residents was unsuccessful. LPA obtained copies of Staff Roster (LIC 500), Register of Facility Clients/Residents (LIC 9020) and resident’s (R1) Admission Agreement, Physician’s Report, Preplacement Appraisal, and Needs and Services Plan. During this visit, LPA did not observe R1’s Medication Administration Records and hospice referral order. Report continued in LIC 9099C SubstantiatedCDSS inspection report, January 6, 2024 · control 11-AS-20230106110553

2022

Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedStaff are smoking marijuana at the facility
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
On 2/1/2022, Licensing Program Analysts (LPAs) Lourdes Montoya conducted a 10-day complaint visit at this facility regarding the allegation mentioned above. LPA Montoya called and conducted a risk assessment with Administrator Angelique Gradney. LPA met with the Licensee/Administrator Angelique Gradney, who assisted with the visit. The purpose of the visit was explained. The investigation consisted of the following: LPA inquired questions relevant to the nature of the complaint. LPA Montoya conducted a tour of the facility; interviewed staff, residents, and a witness. LPA requested and obtained copies of the Staff roster (LIC 500), Resident roster (LIC 9020), residents’ physician’s report, facility house rules, staff rules and personnel file of (S2). Report continued in LIC 9099C UnsubstantiatedCDSS inspection report, February 1, 2022 · control 11-AS-20220127102225

Transcribed from CDSS complaint-investigation reports · record checked August 2, 2026.

What the state has logged

California has logged 25 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 small board-and-care homes (6 or fewer beds), computed across all 5,773 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.

Type A citations
0
typical for this size: 0
Type B citations
6
typical for this size: 0
Substantiated complaints
6
typical for this size: 0
Total complaints
9
typical for this size: 0
State visits on file
25
typical for this size: 6
See the full inspection record on the state's site →
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