Merrill Gardens At Rolling Hills Estates is a residential care home for the elderly (RCFE) in Rolling Hills, Los Angeles County, California — state license #198320089, licensed for 150 residents, listed as licensed in the CDSS record we retrieved August 2, 2026. It does not appear on the DHCS Assisted Living Waiver participant list checked August 9, 2026 — that list covers the state waiver only, not a home's own payment arrangements. California has 20 dated inspection and complaint documents on file for this home going back to 2021, the most recent dated February 25, 2026 — published below in full, verbatim and unscored.

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Merrill Gardens At Rolling Hills Estates

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Residential care home for the elderly (RCFE) · Large community, 150 residents · Rolling Hills, CA · Los Angeles County
LicensedWheelchairHospiceBedriddenMemory care not on file
No openings reportedBeds change hands in days ·
License #198320089, held since 2020 · read from the California state record on August 2, 2026 ·See on State Site →
627 Silver Spur Rd · Rolling Hills, Los Angeles County
Phone
(310) 974-3339
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 150 residents
Dementia / memory careNot on file — ask the home
Hospice careApproved for 15 residents
Bedridden careApproved for 15 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; APPROVED FOR CAPACITY OF 150 NON-AMBULATORY OF WHICH 15 MAY BE BEDRIDDEN; HOSPICE WAIVER APPROVED FOR 15 HOSPICE RESIDENTSState service designation935 - ELDERLYthe CDSS license record, verbatim · checked August 2, 2026

Since 2021, the state has visited this home 21 times and filed 20 documents. The most recent is a complaint investigation report, dated February 25, 2026.

Most recent state visit
February 25, 2026
Occupancy at the January 13, 2026 visit
106 of 150 beds

The state's published file for this home includes 11 documents with transcribed findings, dated February 1, 2023 to January 13, 2026. 11 of the 11 carry the state's recorded outcome word: “Substantiated” (2), “Unsubstantiated” (9). 11 include the transcribed allegation the state investigated, word for word.

Summary composed by computer from the 11 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 — 13 of 20 documentsFull record on the state’s site →
20262 state visits · 3 documents
Feb 25, 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 13, 2026Complaint investigation reportUnsubstantiated

Allegation investigated: Facility does not employ sufficient staff to meet residents needs. Staff does not ensure that resident's hygiene needs are being met. Staff does not ensure that resident's dental hygiene needs are being met.

On 01/13/26 Licensing Program Analyst (LPA) Mario Leon conducted a subsequent complaint visit at the facility. LPA was met by staff one, Tracey Mallaret - General Manager (S1) and the purpose of the visit was explained. The investigation consisted of the following: On 10/08/25 LPA requested and received the following documents: resident and staff rosters, staff schedule for the months of September and October of 2025 (09/25 & 10/25). LPA also requested six (6) resident documents (R1-R6), listed as follows: face sheets (emergency ID) (dated: varioius), physician reports (LIC602a) (dated:various), needs and services plan (dated: various) and care logs of 6 residents in care. LPA interviewed six (6) residents (R1 through R4 & R6), R5 is non-verbal and therefore LPA was unable to interview R5, and two (2) staff (S1-S2). On 01/13/26 LPA interviewed three (3) staff (S3-S5) and conducted further record review. Report continues, please see LIC 9099-C. Unsubstantiatedthe state’s words, verbatim · CDSS document, Jan 13, 2026 · control 11-AS-20251002131508
Jan 13, 2026Complaint investigation reportUnsubstantiated

Allegation investigated: Staff did not meet resident's hygiene care needs resulting in a unknown skin condition to resident in care Staff did not meet resident's dental hygiene care needs Staff left resident in soiled clothing

On 01/13/26 Licensing Program Analyst (LPA) Mario Leon conducted a subsequent complaint visit at the facility. LPA was met by staff one, Tracey Mallaret - General Manager (S1) and the purpose of the visit was explained. The investigation consisted of the following: On 10/08/25 LPA requested and received the following documents: resident and staff rosters, staff schedule for the months of September and October of 2025 (09/25 & 10/25). LPA also requested six (6) resident documents (R1-R6), listed as follows: face sheets (emergency ID) (dated: varioius), physician reports (LIC602a) (dated:various), needs and services plan (dated: various) and care logs of these 6 residents in care. LPA interviewed six (6) residents (R1 through R4 & R6), R5 is non-verbal and therefore LPA was unable to interview R5, and two (2) staff (S1-S2). On 01/13/26 LPA interviewed three (3) staff (S3-S5) and conducted further record review. Report continues, please see LIC 9099-C. Unsubstantiatedthe state’s words, verbatim · CDSS document, Jan 13, 2026 · control 11-AS-20251003084145
20252 state visits · 2 documents
Oct 22, 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.

May 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.

20244 state visits · 5 documents
Sep 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.

Sep 3, 2024Complaint investigation reportUnsubstantiated

Allegation investigated: Staff does not serve food of good quality

On 09/03/24 Licensing Program Analyst (LPA) Mario Leon conducted an initial, unannounced, complaint visit at the above-mentioned facility. LPA was met by Tracey Mallaret, General Manager (S1) and the purpose of the visit was explained. S1 and LPA toured the facility. The investigation consisted of the following: On 09/03/24 LPA requested and reviewed facility documents and toured the facility. LPA interviewed eleven (11) out of one-hundred and nine (109) clients and two (2) out of sixty-three (63) staff. The investigation revealed the following: regarding the allegation, “Staff does not serve food of good quality”, it has been alleged that the food being served to residents always has the same taste. Between 10:00AM and 10:45AM LPA received the monthly menu for August and the latest dietician's report, dated 07/11/24. Between 10:45AM and 3:00PM LPA interviewed eleven (11) residents and two (2) staff. Between 3:30PM and 5:00PM LPA wrote facilty report and conducted an exit interview witthe state’s words, verbatim · CDSS document, Sep 3, 2024 · control 11-AS-20240827114916
Jun 1, 2024Complaint investigation reportUnsubstantiated

Allegation investigated: Resident sustained a fracture while in care.

Licensing Program Analyst (LPA: Ernand Dabuet) made an unannounced visit to the facility and was greeted by Resident Care Director (S3: Yvette Lem). LPA conducted a risk assessment prior to entering the facility. Front desk informed LPA that the facility has no COVID cases nor do the residents or staff have symptoms. The purpose for today’s visit is to conduct a subsequent visit to deliver the findings pertaining to the above-mentioned allegation. A 24-hour visit was conducted by LPA Jeremiah Randle on 07/20/23 who was met by the Staff #1 (S1: Tracey Mallaret, General Manager) as the Administrator (A1: Debbie Infield) was unavailable. During the visit, LPA Randle toured the physical plant for the health and safety of residents in care. Residents were observed sitting in the Day Area engaged in social activities. Residents observed did not show signs of distress or abuse. (Evaluation Report continues LIC 9099-C) Unsubstantiatedthe state’s words, verbatim · CDSS document, Jun 1, 2024 · control 11-AS-20230719093521
Feb 7, 2024Complaint investigation reportUnsubstantiated

Allegation investigated: Staff yelled at a resident. Staff handled a resident in a rough manner. Staff did not respond to a resident's call for assistance in a timely manner. Staff did not follow reporting requirements.

This report serves as an amendment to clarify the findings. It does not supersede the complaint investigation findings reflected in the report created on 2/7/2024. On 2/7/2024 LPA Alfonso Iniguez conducted an unannounced complaint visit. LPA Iniguez met with Trace Mallaret /Administrator. LPA explained the purpose of this visit. Investigation Consisted of: LPA conducted the following interviews: Residents interviews (R#1-R#10) and Staff Interviews(S#1-S#10). LPA obtained and reviewed the following documents: Resident’s roster, Personnel roster, (R#1-R#5) Identification and Emergency Information, (R#1-R#5) Admissions agreements, (R#1-R#5) Physicians Report for Residential Care Facilities for the Elderly, (R#1-R#5) Needs and Services Plan, (R#1-R#5) Medication Administration Record (MAR) for the month of January 2024, copies of SRI’s dated on 2/3/24 and copy of Report Information and Victims’ Bill of Rights by Los Angeles Sherrif Department dated on 2/3/24. Evaluation Report continues LIthe state’s words, verbatim · CDSS document, Feb 7, 2024 · control 11-AS-20240202093615
Feb 7, 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.

20232 state visits · 3 documents
Nov 11, 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 19, 2023Complaint investigation reportUnsubstantiated

Allegation investigated: Facility staff did not properly transfer resident causing resident to fall. Facility staff did not respond to residents call button in a timely manner. Facility staff not maintaining residents hygiene.

On 10/11/23, at 9:40am, Licensing Program Analyst (LPA) Perry Scott initiated a complaint investigation to obtain additional information regarding the allegations listed above. LPA met with Tracey Mallaret, General Manager, and explained the purpose of today’s visit. On 10/11/23, the investigation consisted of the following: During today’s visit LPA toured the facility. LPA requested the following records: Resident roster, staff roster, resident record (Physicians report, ID/Emergency Information, Showering Schedule, Staff training in transferring/Fall Risk for residents, Call Log, Assessment and Needs Plan, Preplacement Appraisal Plan, MAR, and Progress notes). LPA interviewed staff (S1-S5) and residents (R1-R10). The investigation revealed the following- Allegation # 1 Facility staff did not properly transfer resident causing resident to fall. Report continued on LIC9099-C Unsubstantiatedthe state’s words, verbatim · CDSS document, Oct 19, 2023 · control 11-AS-20221221111340
Oct 19, 2023Complaint investigation reportUnsubstantiated

Allegation investigated: Facility staff did not provide residents current medical records to emergency personnel. Facility staff did not report incident accurately. Staff did not dispense medication as prescribed.

On 10/11/23, at 9:40am, Licensing Program Analyst (LPA) Perry Scott conducted a subsequent complaint investigation to obtain additional information regarding the allegations listed above. LPA met with Tracey Mallaret, General Manager, and explained the purpose of today’s visit. The investigation consisted of the following: During today’s visit LPA toured the facility. LPA requested the following records: Resident roster, staff roster, resident record (Physicians report, ID/Emergency Information, Showering Schedule, Staff training in transferring/Fall Risk for residents, Call Log, Assessment and Needs Plan, Preplacement Appraisal Plan, MAR, and Progress notes). LPA interviewed staff (S1-S5) and residents (R1-R10). The investigation revealed the following- Allegation # 1 Facility staff did not provide residents current medical records to emergency personnel. Report continued on LIC9099-C Unsubstantiatedthe state’s words, verbatim · CDSS document, Oct 19, 2023 · control 11-AS-20221116170557
Beside homes the same size
Type A citations0typical 1
Type B citations3typical 1
Substantiated complaints2typical 2
Total complaints11typical 7
State visits on file21typical 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 2020.
Year-by-year trend
YearVisitsDocumentsSubstantiated202623020252202024450202378220221102021110
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 →

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$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 isn’t on the DHCS waiver list (checked August 9, 2026). Details →

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Non-ambulatory approval — whole home or specific rooms, and is a spot open?
Ask how the 2023 complaint investigation report was corrected — what changed?
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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Is Merrill Gardens At Rolling Hills Estates licensed?

Yes — Merrill Gardens At Rolling Hills Estates is a licensed residential care home for the elderly (RCFE) in Rolling Hills (Los Angeles County): California license #198320089, shown as licensed in the CDSS state record checked August 2, 2026, licensed for 150 residents. State records list 20 inspection and complaint documents since 2021; the most recent, a complaint investigation report dated February 25, 2026, appears in the inspection record on this page.

Can Merrill Gardens At Rolling Hills Estates 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 Merrill Gardens At Rolling Hills Estates with clearances for wheelchair / non-ambulatory, hospice care, and bedridden; it does not list dementia / memory 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; APPROVED FOR CAPACITY OF 150 NON-AMBULATORY OF WHICH 15 MAY BE BEDRIDDEN; HOSPICE WAIVER APPROVED FOR 15 HOSPICE RESIDENTS

How much does Merrill Gardens At Rolling Hills Estates cost?

California's public licensing record does not include Merrill Gardens At Rolling Hills Estates'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 Merrill Gardens At Rolling Hills Estates accept Medi-Cal or the Assisted Living Waiver?

Merrill Gardens At Rolling Hills Estates is not in the DHCS Assisted Living Waiver participant record we checked August 9, 2026 — that list covers only the state's ALW program, not a home's own payment policies, so ask the home directly about private Medi-Cal arrangements. The waiver pays for assisted-living care services (not room and board) at participating homes; every DHCS-listed home appears on our statewide Medi-Cal page.

Assisted living on Medi-Cal in California →See the DHCS list →

How full it was at the last state visit

106 of 150 beds occupied (71%) when the state visited on January 13, 2026. Availability changes constantly — confirm a current opening with the home.

What do state inspections show for Merrill Gardens At Rolling Hills Estates?

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 21 state visits and 20 dated documents since 2021 for Merrill Gardens At Rolling Hills Estates; 11 complaint-investigation narratives are transcribed verbatim below. The most recent, dated January 13, 2026, 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.

11 transcribed reports on file

2026

Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedFacility does not employ sufficient staff to meet residents needs. Staff does not ensure that resident's hygiene needs are being met. Staff does not ensure that resident's dental hygiene needs are being met.
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
On 01/13/26 Licensing Program Analyst (LPA) Mario Leon conducted a subsequent complaint visit at the facility. LPA was met by staff one, Tracey Mallaret - General Manager (S1) and the purpose of the visit was explained. The investigation consisted of the following: On 10/08/25 LPA requested and received the following documents: resident and staff rosters, staff schedule for the months of September and October of 2025 (09/25 & 10/25). LPA also requested six (6) resident documents (R1-R6), listed as follows: face sheets (emergency ID) (dated: varioius), physician reports (LIC602a) (dated:various), needs and services plan (dated: various) and care logs of 6 residents in care. LPA interviewed six (6) residents (R1 through R4 & R6), R5 is non-verbal and therefore LPA was unable to interview R5, and two (2) staff (S1-S2). On 01/13/26 LPA interviewed three (3) staff (S3-S5) and conducted further record review. Report continues, please see LIC 9099-C. UnsubstantiatedCDSS inspection report, January 13, 2026 · control 11-AS-20251002131508
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedStaff did not meet resident's hygiene care needs resulting in a unknown skin condition to resident in care Staff did not meet resident's dental hygiene care needs Staff left resident in soiled clothing
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
On 01/13/26 Licensing Program Analyst (LPA) Mario Leon conducted a subsequent complaint visit at the facility. LPA was met by staff one, Tracey Mallaret - General Manager (S1) and the purpose of the visit was explained. The investigation consisted of the following: On 10/08/25 LPA requested and received the following documents: resident and staff rosters, staff schedule for the months of September and October of 2025 (09/25 & 10/25). LPA also requested six (6) resident documents (R1-R6), listed as follows: face sheets (emergency ID) (dated: varioius), physician reports (LIC602a) (dated:various), needs and services plan (dated: various) and care logs of these 6 residents in care. LPA interviewed six (6) residents (R1 through R4 & R6), R5 is non-verbal and therefore LPA was unable to interview R5, and two (2) staff (S1-S2). On 01/13/26 LPA interviewed three (3) staff (S3-S5) and conducted further record review. Report continues, please see LIC 9099-C. UnsubstantiatedCDSS inspection report, January 13, 2026 · control 11-AS-20251003084145

2024

Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedStaff does not serve food of good quality
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
On 09/03/24 Licensing Program Analyst (LPA) Mario Leon conducted an initial, unannounced, complaint visit at the above-mentioned facility. LPA was met by Tracey Mallaret, General Manager (S1) and the purpose of the visit was explained. S1 and LPA toured the facility. The investigation consisted of the following: On 09/03/24 LPA requested and reviewed facility documents and toured the facility. LPA interviewed eleven (11) out of one-hundred and nine (109) clients and two (2) out of sixty-three (63) staff. The investigation revealed the following: regarding the allegation, “Staff does not serve food of good quality”, it has been alleged that the food being served to residents always has the same taste. Between 10:00AM and 10:45AM LPA received the monthly menu for August and the latest dietician's report, dated 07/11/24. Between 10:45AM and 3:00PM LPA interviewed eleven (11) residents and two (2) staff. Between 3:30PM and 5:00PM LPA wrote facilty report and conducted an exit interview witCDSS inspection report, September 3, 2024 · control 11-AS-20240827114916
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedResident sustained a fracture while in care.
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
Licensing Program Analyst (LPA: Ernand Dabuet) made an unannounced visit to the facility and was greeted by Resident Care Director (S3: Yvette Lem). LPA conducted a risk assessment prior to entering the facility. Front desk informed LPA that the facility has no COVID cases nor do the residents or staff have symptoms. The purpose for today’s visit is to conduct a subsequent visit to deliver the findings pertaining to the above-mentioned allegation. A 24-hour visit was conducted by LPA Jeremiah Randle on 07/20/23 who was met by the Staff #1 (S1: Tracey Mallaret, General Manager) as the Administrator (A1: Debbie Infield) was unavailable. During the visit, LPA Randle toured the physical plant for the health and safety of residents in care. Residents were observed sitting in the Day Area engaged in social activities. Residents observed did not show signs of distress or abuse. (Evaluation Report continues LIC 9099-C) UnsubstantiatedCDSS inspection report, June 1, 2024 · control 11-AS-20230719093521
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedStaff yelled at a resident. Staff handled a resident in a rough manner. Staff did not respond to a resident's call for assistance in a timely manner. Staff did not follow reporting requirements.
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 the findings. It does not supersede the complaint investigation findings reflected in the report created on 2/7/2024. On 2/7/2024 LPA Alfonso Iniguez conducted an unannounced complaint visit. LPA Iniguez met with Trace Mallaret /Administrator. LPA explained the purpose of this visit. Investigation Consisted of: LPA conducted the following interviews: Residents interviews (R#1-R#10) and Staff Interviews(S#1-S#10). LPA obtained and reviewed the following documents: Resident’s roster, Personnel roster, (R#1-R#5) Identification and Emergency Information, (R#1-R#5) Admissions agreements, (R#1-R#5) Physicians Report for Residential Care Facilities for the Elderly, (R#1-R#5) Needs and Services Plan, (R#1-R#5) Medication Administration Record (MAR) for the month of January 2024, copies of SRI’s dated on 2/3/24 and copy of Report Information and Victims’ Bill of Rights by Los Angeles Sherrif Department dated on 2/3/24. Evaluation Report continues LICDSS inspection report, February 7, 2024 · control 11-AS-20240202093615

2023

Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedFacility staff did not properly transfer resident causing resident to fall. Facility staff did not respond to residents call button in a timely manner. Facility staff not maintaining residents hygiene.
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
On 10/11/23, at 9:40am, Licensing Program Analyst (LPA) Perry Scott initiated a complaint investigation to obtain additional information regarding the allegations listed above. LPA met with Tracey Mallaret, General Manager, and explained the purpose of today’s visit. On 10/11/23, the investigation consisted of the following: During today’s visit LPA toured the facility. LPA requested the following records: Resident roster, staff roster, resident record (Physicians report, ID/Emergency Information, Showering Schedule, Staff training in transferring/Fall Risk for residents, Call Log, Assessment and Needs Plan, Preplacement Appraisal Plan, MAR, and Progress notes). LPA interviewed staff (S1-S5) and residents (R1-R10). The investigation revealed the following- Allegation # 1 Facility staff did not properly transfer resident causing resident to fall. Report continued on LIC9099-C UnsubstantiatedCDSS inspection report, October 19, 2023 · control 11-AS-20221221111340
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedFacility staff did not provide residents current medical records to emergency personnel. Facility staff did not report incident accurately. Staff did not dispense medication as prescribed.
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
On 10/11/23, at 9:40am, Licensing Program Analyst (LPA) Perry Scott conducted a subsequent complaint investigation to obtain additional information regarding the allegations listed above. LPA met with Tracey Mallaret, General Manager, and explained the purpose of today’s visit. The investigation consisted of the following: During today’s visit LPA toured the facility. LPA requested the following records: Resident roster, staff roster, resident record (Physicians report, ID/Emergency Information, Showering Schedule, Staff training in transferring/Fall Risk for residents, Call Log, Assessment and Needs Plan, Preplacement Appraisal Plan, MAR, and Progress notes). LPA interviewed staff (S1-S5) and residents (R1-R10). The investigation revealed the following- Allegation # 1 Facility staff did not provide residents current medical records to emergency personnel. Report continued on LIC9099-C UnsubstantiatedCDSS inspection report, October 19, 2023 · control 11-AS-20221116170557
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedStaff are mismanaging resident medication.
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
Licensing Program Analyst (LPA) Ana Soto conducted a subsequent complaint investigation to deliver findings and decisions for the allegation listed above. Today’s complaint investigation was conducted with Yvette Lem, LVN -Director of Care Services, The investigation consisted of following: Interviews and Record reviews. On 06/16/23, LPA Soto conducted interviews with S#1- Executive Director, S#2 - Director of Care Services, & S#3 - S#6, and via telephone S#7 - S#10, and R#1 - R#10. The LPA also requested copies of the following documents: R#1; Face sheets, Admissions agreement, Physicians report, EMars (March, April, May, June 2023) Medication training for S#2, S#3, S#6, S#7, S#8, S#9, & S#10. Copy of Care Manual section (Training for disposing of dropped medication and refused medication by resident.) UnsubstantiatedCDSS inspection report, July 14, 2023 · control 11-AS-20230608091820
Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedStaff are not providing adequate food service.
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
This amended report supersedes report dated 03/17/23. Licensing Program Analyst (LPA) Ana Soto conducted subsequent complaint visit to deliver amended findings and decisions for the allegation listed above. Today’s complaint investigation was conducted with Tracey Holder, Executive Director. The investigation consisted of following: Interviews and Record reviews. On 02/23/23, LPA Soto interviewed S#1 - Operations Specialist. LPA toured the 2 kitchens (split kitchen), dining area, and inspected food (soups) and stove burners. LPA also requested copies of the following documents on 02/23/23: Resident Roster, Staff Roster, Menus (2 weeks), Staff trainings for S#2 - S#6, Invoice for repair/replace heat lamp. On 03/17/23, LPA interviewed S#2 - S#10, R#1 - R#10. Received invoice for repairs completed on Heat lamp. SubstantiatedCDSS inspection report, April 14, 2023 · control 11-AS-20230215162835
Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedStaff are not providing adequate food service
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
Licensing Program Analyst (LPA) Ana Soto conducted an initial complaint investigation for the allegation listed above. Today’s complaint investigation was conducted telephonically with ?????, the facility administrator. The investigation consisted of following: Interviews and Record reviews. On 02/23/23, LPA Soto interviewed S#1 - Operations Specialist. LPA toured the 2 kitchens (split kitchen), dining area, and inspected food (soups) and stove burners. LPA also requested copies of the following documents on 02/23/23: Resident Roster, Staff Roster, Menus (2 weeks), Staff trainings for S#2 - S#6, Invoice for repair/replace heat lamp. On 03/17/23, LPA interviewed S#2 - S#10, R#1 - R#10. Received invioce for repairs completed on Heat lamp. SubstantiatedCDSS inspection report, March 17, 2023 · control 11-AS-20230215162835
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedFood is served cold Food is not prepared in a safe/healthful mamanner Staff are not observing personal hygiene and food services sanitation practices which protect the food from contamination
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
On 2/1/2023, Licensing Program Analyst (LPA) Lourdes Montoya conducted a subsequent complaint visit at this facility to gather additional information and deliver complaint investigation findings. LPA Montoya called and conducted a risk assessment with Administrator Will Carter who confirmed one resident is under isolation. LPA met with Administrator Will Carter who assisted with the visit. LPA explained the purpose of the visit. The investigation consisted of the following: On 1/30/23, LPA Montoya conducted a tour of the inside and outside grounds of the facility. LPA interviewed seven (7) staff and ten (10) residents. LPA requested and obtained client roster, staff roster, food menu, and other pertinent records. Report continued in LIC 9099C UnsubstantiatedCDSS inspection report, February 1, 2023 · control 11-AS-20230123082158

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

What the state has logged

California has logged 21 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.

Type A citations
0
typical for this size: 1
Type B citations
3
typical for this size: 1
Substantiated complaints
2
typical for this size: 2
Total complaints
11
typical for this size: 7
State visits on file
21
typical for this size: 19
See the full inspection record on the state's site →
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