Studio Royale is a residential care home for the elderly (RCFE) in Culver City, Los Angeles County, California — state license #198601566, licensed for 175 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 47 dated inspection and complaint documents on file for this home going back to 2021, the most recent dated June 26, 2026 — published below in full, verbatim and unscored.

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Studio Royale

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Residential care home for the elderly (RCFE) · Large community, 175 residents · Culver City, CA · Los Angeles County
LicensedWheelchairMemory careHospiceBedridden
No openings reportedBeds change hands in days ·
License #198601566, held since 2013 · read from the California state record on August 2, 2026 ·See on State Site →
3975 Overland Avenue · Culver City, Los Angeles County
Phone
(310) 836-5854
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 74 residents
Dementia / memory careVerified in record
Hospice careApproved for 5 residents
Bedridden careVerified in record

“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
HOSPICE WAVIER FOR FIVE CLIENTS, FIVE BEDRIDDEN CLIENTS ON THE FIRST FLOOR AND 74 NON-AMBULATORY CLIENTS. NEW MANAGEMENT COMPANY, CULVER CITY OPERATIONS WEST, LLC EFFECTIVE 06/01/2026.State service designation983 - RCFE / DEMENTIAthe CDSS license record, verbatim · checked August 2, 2026

“RCFE / Dementia” is the state’s designation for a home with an approved Dementia Care Plan of Operation — it’s recorded separately from the comments above, which is why the memory-care approval may not appear in that text.

Since 2021, the state has visited this home 59 times and filed 47 documents. The most recent is a complaint investigation report, dated June 26, 2026.

Most recent state visit
June 26, 2026
Occupancy at the November 14, 2024 visit
94 of 175 beds

The state's published file for this home includes 25 documents with transcribed findings, dated July 8, 2021 to November 14, 2024. 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
The last 36 months — 32 of 47 documentsFull record on the state’s site →
20267 state visits · 7 documents
Jun 26, 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.

May 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.

May 7, 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.

Mar 19, 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.

Mar 5, 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.

Feb 18, 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 7, 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.

20259 state visits · 9 documents
Dec 15, 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.

Oct 28, 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.

Sep 3, 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.

Aug 8, 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 3, 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.

May 29, 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 2, 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.

Jan 21, 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.

Jan 9, 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.

202410 state visits · 10 documents
Nov 15, 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.

Nov 14, 2024Complaint investigation reportUnsubstantiated

Allegation investigated: Staff did not provide resident with a call button. Staff did not ensure that resident was hydrated. Staff did not provide responsible party with a refund.

The investigation consisted of the following: On 11/14/2024, Community Care Licensing Division (CCLD) Staff conducted a complaint investigation at the above facility to address the following allegations. CCLD Staff met with Health and Wellness Director Tamera Gant and explained the purpose of the visit. CCLD Staff conducted resident and staff interviews, toured the facility, and reviewed resident and facility records. Allegation: Regarding the allegation "Staff did not provide resident with a call button,” it is being alleged during the night shift, staff would take Resident #1’s (R1) personal call button because R1 called staff too much. Record review revealed that R1 slipped and fell on 10/12/24 9:15 AM while trying to get R1’s pendant. The incident report revealed R1 said the caregiver took R1’s pendant and placed it on R1’s desk. Continue to LIC9099-C. Unsubstantiatedthe state’s words, verbatim · CDSS document, Nov 14, 2024 · control 11-AS-20241108095743
Oct 30, 2024Complaint investigation reportUnsubstantiated

Allegation investigated: Staff did not prevent resident from choking another resident.

On 10/30/2024, the department conducted a complaint investigation at the above facility to address the following allegation. The department met with Health Wellness Nurse Director Tamera Gant and explained the purpose of the visit. The department conducted interviews, reviewed resident records, and requested copies of supporting documents. The investigation consisted of the following: The department interviews five staff members 1- 5(S1-S5) and six residents 1-6 (R1-R6). The department asked questions relevant to the nature of the complaint. During the course of the investigation, the department toured the first floor of the facility building to check for health and safety threats of residents. The department requested the following supporting documents for two residents (R1-R2) including Physician’s report, medical records, admission agreement, identification and emergency information, medication log, medication administration records (MARs) medical assessment, consent form, and apprathe state’s words, verbatim · CDSS document, Oct 30, 2024 · control 11-AS-20241022090726
Jun 19, 2024Complaint investigation reportUnsubstantiated

Allegation investigated: Facility is prohibiting resident from receiving private care of their own choosing. Facility did not report an incident involving resident as necessary.

On 06/19/24, Licensing Program Analyst (LPA) Elvira Gonzalez conducted an unannounced subsequent complaint visit at this facility. LPA Gonzalez met with Tamara Gant, Health and Wellness Director, and the purpose of today's visit was explained. The investigation consisted of the following: On 05/08/24, LPA Gonzalez obtained a copy of the Resident Roster, Staff Roster, Physician’s Reports, Admission Agreement, Preplacement Appraisal Information, and Care Plan, interviewed staff #1- staff #4 (S1-S5), and attempted to interview Witness #1 (W1). On 06/19/24 LPA obtained the Resident Roster, interviewed residents #1-#9 (R1-R9), and attempted to interview W1. Investigation revealed the following: Continued on LIC809-C Unsubstantiatedthe state’s words, verbatim · CDSS document, Jun 19, 2024 · control 11-AS-20240501111302
Apr 4, 2024Complaint investigation reportUnsubstantiated

Allegation investigated: Resident's invoice statement is not correct Staff would not give an itemized invoice to resident Staff threatened resident with eviction

On 04/04/24, Licensing Program Analyst (LPA), Wendy Gibbs, conducted a subsequent complaint visit to the facility listed above. During today’s visit LPA met with Health and Wellness Director, Tamera Grant, and the purpose of today’s visit was explained. We were later joined by Executive Director, EJ Lewis. During todays visit LPA toured the facility, interviewed Staff (S2-S8), and interviewed Residents (R7-R11). During a previous visit on 10/25/23, LPA toured the facility, interviewed staff (S1), interviewed residents (R1-R6), and received documents pertinent to the investigation. The documents include a Staff Roster, Resident Roster, Admission Agreement, Billing Statements, Itemized Billing, Needs and Service Plans, and Pre-Appraisal. The investigation revealed the following: Unsubstantiatedthe state’s words, verbatim · CDSS document, Apr 4, 2024 · control 11-AS-20231018150058
Mar 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.

Mar 8, 2024Complaint investigation reportSubstantiated

Allegation investigated: Staff does not safeguard resident's personal items. Staff did not address resident's abusive behavior. Staff does not prevent resident from hoarding various items. Staff does not keep the facility free of roaches.

On 03/07/24, at 09:00am, Licensing Program Analyst (LPA) Perry Scott conducted a subsequent unannounced visit to the facility and was greeted by Ernesto Lewis, Administrator. LPA explained the purpose of this visit is to gather additional information and deliver findings for the allegations mentioned above. The investigation consisted of the following: An initial complaint visit was completed by LPA Jeremiah Randle on 11/18/22. A subsequent visit was completed by LPA Perry Scott on 03/07/24. LPAs investigated the allegations mentioned in this complaint; and conducted interviews with staff (S1-S4) and residents (R1-R10). Client Roster, Staff Roster, Admissions Agreement, and Pest control invoices were obtained from the facility. The investigation revealed the following: Allegation #1- Staff does not safeguard resident's personal items. Report continued on LIC9099-C Substantiatedthe state’s words, verbatim · CDSS document, Mar 8, 2024 · control 11-AS-20221114111732
Mar 7, 2024Complaint investigation reportSubstantiated

Allegation investigated: Facility staff mismanaged residents' medications

On 3/7/24 Licensing Program Analyst (LPA) Felisa Shirley conducted an unannounced complaint visit to the address listed above. LPA arrived and spoke to Executive Director, Ernest (EJ) Lewis and the purpose of the visit was discussed. LPA was granted access to the facility. The investigation consisted of the following: A review of the facility's roster for residents and staff. Interviews with residents -1 through residents - 9 (R-1 - R-9), and staff -1 through staff – 6 (S-1 – S-6). A review of resident files, MARs logs, incident reports for last 6 months and any records associated with this complaint was conducted. A tour of the facility was performed. The investigation revealed the following: Con’d on 9099-C Substantiatedthe state’s words, verbatim · CDSS document, Mar 7, 2024 · control 11-AS-20231207091941
Jan 6, 2024Complaint investigation reportUnsubstantiated

Allegation investigated: Staff do not respond to resident requests for assistance in a timely manner.

On 01/06/24, Licensing Program Analyst (LPA) Ernand Dabuet conducted a subsequent complaint visit to this facility. LPA was greeted by the Resident LIfestyle Director Danilo Aguilan. LPA contacted executive director EJ Lewis by telephone and explained the purpose of the visit is to deliver findings for the allegation mentioned above. The investigation consisted of the following: A review of the facility's roster for residents and staff. Interviews with residents #1-#10 (R1-R10), staff #1-#4. A review of resident #1 (R1's) service records. and resident Monitoring Shift Logs and other pertinent records associated with this complaint was conducted. A tour of the facility was performed on 11/30/23. (Evaluation Report continues LIC 9099-C) Unsubstantiatedthe state’s words, verbatim · CDSS document, Jan 6, 2024 · control 11-AS-20231128151552
Jan 4, 2024Complaint investigation reportUnsubstantiated

Allegation investigated: Staff did not ensure resident's bandages were being changed.

Licensing Program Analyst (LPA) Pamela Bunker conducted an unannounced complaint visit on Thursday, January 04, 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 Executive Director Ernest Lewis. LPA Bunker explained the purpose of today's visit. The investigation consisted of the following: Interviews with staff members 1-2 (S1-S2) and residents 1-8 (R1-R8). According to the statements from S1-S2, there were no instances where staff did not ensure resident's bandages were not being changed. LPA Bunker thoroughly reviewed R1's records and requested copies of relevant supporting documents for a detailed analysis. It was clarified by S1-S2 that the decision to change the resident's bandage indicated that the facility had no direct control over the wound. S1-S2 stated the facility is providing supporting care and supervision needed to mthe state’s words, verbatim · CDSS document, Jan 4, 2024 · control 11-AS-20231226112219
20235 state visits · 6 documents
Dec 20, 2023Complaint investigation reportUnsubstantiated

Allegation investigated: Staff did not respond to resident’s call in a timely manner. Staff does not ensure water temperature was appropriate for residents Facility dishwasher is in disrepair.

On 12/20/2023 LPA Alfonso Iniguez conducted an unannounced complaint visit. LPA Iniguez met with Ernesto Lewis/Administrator. LPA explained the purpose of this visit. Investigation Consited on the following: Administrator’s Interview (A#1), Resident interviews (R#1-R#9), Staff interviews (S#1-S#9), a tour of the facility including 10 residents’ rooms bathrooms and kitchen. LPA obtained and reviewed the following documents: Resident’s Roster, Personnel Roster, (R#1-R#9) Identification and Emergency Information, (R#1-R#9) Admissions agreements, (R#1-R#9) Physicians Report for Residential Care Facilities for the Elderly, (R#1-R#9) Needs and Services Plan, (R#1-R#9) Medication Administration Record (MAR) for the month of December 2023 and copies of facility water temperature log. Evaluation Report continues LIC 9099-C Unsubstantiatedthe state’s words, verbatim · CDSS document, Dec 20, 2023 · control 11-AS-20231215133906
Nov 30, 2023Complaint investigation reportUnsubstantiated

Allegation investigated: Licensee does not ensure faucets for personal care deliver adequate water for residents. Staff do not provide adequate food service to residents.

On 11/30/23, Licensing Program Analyst (LPA) Ernand Dabuet conducted a complaint visit at this facility. LPA was greeted by the Marketing Director Rhonda Madrid. This inspection visit is to gather information for the allegation mentioned above and deliver findings. The investigation consisted of the following: A review of the facility's roster for residents and staff. Interviews with residents #1-#10 (R1-R10), staff #1-#4. A review of faciilty menu, service reports and other pertinent records associated with this complaint was conducted. A tour of the facility was performed. (Evaluation Report continues LIC 9099-C) Unsubstantiatedthe state’s words, verbatim · CDSS document, Nov 30, 2023 · control 11-AS-20231128151552
Nov 27, 2023Complaint investigation reportUnsubstantiated

Allegation investigated: Facility is not following infection control protocols.

On 11/27/2023, Licensing Program Analyst (LPA) Antonine Richard conducted a 10-day complaint visit at this facility. LPA Richard conducted a risk assessment with Zoila Marroquin. The facility is free of Covid-19 infection. LPA met with Community Relations Director Rhonda Madrid S2. Administrator Lewis Ernest (S1) arrived shortly after and assisted LPA with the visit. LPA explained the purpose of the visit. The investigation consisted of the following: On 11/27/2023, LPA Antonine Richard toured the facility with Comunity Relations director Rhonda Madrid S2. LPA observed six (6) staff and six (6) residents during the visit. LPA reviewed records for staff and residents. LPA interviewed six (6) staff (S1-S6) and 6 residents (R1- R6). LPA Richard interviewed six (6) out of Thirty four (34) staff members, and inspection of apartments #131, #138, #157, #205, #213, #214, #227, #252, #241, Lounge, Screening, Dining, and A review of staff and resident rosters was conducted. REPORT CONTINUED IN Lthe state’s words, verbatim · CDSS document, Nov 27, 2023 · control 11-AS-20231121125759
Nov 2, 2023Complaint investigation reportUnsubstantiated

Allegation investigated: Staff did not address a change in resident's condition Staff did not ensure the resident was adequately fed Staff did not keep the resident's room clean & sanitary Staff left resident soiled in urine for an extended period of time Staff left resident's mattress on the floor Staff did not keep the facility free of flies

On 11/02/2023 at 8:07 am Licensing Program Analyst (LPA) David España conducted an initiated a 10-day complaint investigation subsequent visit for the allegation listed above. Upon arriving at the facility, LPA met with S#2 who assisted with the visit. The purpose of today’s visit was discussed. Upon arrival at the facility, LPA conducted a risk assessment at the front door. Based on the assessment, the facility is clear of Covid-19 infection. LPA was granted access and allowed to enter the facility to conduct inspections. The investigation consisted of the following: On 11/02/2023 at 8:19 am LPA España conducted a tour of facility plant; reviewed records for staff and residents and observations. LPA España conducted interviews with Ten (10) out of Eighty-nine (89) residents. LPA España interviewed Eight (8) out of Fifty-one (51) staff members. LPA España interviewed with two (2) out of 2 Witnesses. Contunied 9099-C Unsubstantiatedthe state’s words, verbatim · CDSS document, Nov 2, 2023 · control 11-AS-20231025142545
Nov 2, 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.

Oct 6, 2023Complaint investigation reportUnsubstantiated

Allegation investigated: Facility staff do not ensure incontinent residents are cleaned properly. Facility staff transfer residents in a rough manor.

**This report serves as an amendment to clarify findings. It does not supersede the complaint investigation findings reflected on report created 11/07/2022.** On 10/06/2023 at 12:31 pm Licensing Program Analyst (LPA) David España conducted a subsequent complaint investigation at the above facility to address the following allegations. LPA met with Administrator, Ernest “EJ” Lewis and explained the purpose of this visit was to deliver findings for this complaint. Upon arrival at the facility, LPA España conducted a risk assessment at the facility entrance. Based on the assessment, the facility is clear of Covid-19 infection. At approximately 10:55am LPA conducted a tour of the facility. During the course of the investigation at approximately 11:25am LPA spoke with five (05) staff members. Between 12:35pm – 1:45pm LPA interviewed ten (10) out of ninety-seven (97) residents. In addition, LPA Alvizar spoke with the witnesses that have pertinent information about the allegation. See LIC 909the state’s words, verbatim · CDSS document, Oct 6, 2023 · control 11-AS-20221103104439
Beside homes the same size
Type A citations1typical 1
Type B citations13typical 1
Substantiated complaints12typical 2
Total complaints37typical 7
State visits on file59typical 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 2013.
Year-by-year trend
YearVisitsDocumentsSubstantiated2026770202599020241010220231014220225502021552
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 isn’t on the DHCS waiver list (checked August 9, 2026). Details →

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What dementia training does staff have, and is the area secured?
Non-ambulatory approval — whole home or specific rooms, and is a spot open?
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 Studio Royale licensed?

Yes — Studio Royale is a licensed residential care home for the elderly (RCFE) in Culver City (Los Angeles County): California license #198601566, shown as licensed in the CDSS state record checked August 2, 2026, licensed for 175 residents. State records list 47 inspection and complaint documents since 2021; the most recent, a complaint investigation report dated June 26, 2026, appears in the inspection record on this page.

Can Studio Royale 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 Studio Royale with clearances for wheelchair / non-ambulatory, dementia / memory care, hospice care, and bedridden. Clearances describe what the license permits, not day-to-day staffing — confirm current scope and availability with the home directly 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 recordHOSPICE WAVIER FOR FIVE CLIENTS, FIVE BEDRIDDEN CLIENTS ON THE FIRST FLOOR AND 74 NON-AMBULATORY CLIENTS. NEW MANAGEMENT COMPANY, CULVER CITY OPERATIONS WEST, LLC EFFECTIVE 06/01/2026.

How much does Studio Royale cost?

California's public licensing record does not include Studio Royale'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 Studio Royale accept Medi-Cal or the Assisted Living Waiver?

Studio Royale 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

94 of 175 beds occupied (54%) when the state visited on November 14, 2024. Availability changes constantly — confirm a current opening with the home.

What do state inspections show for Studio Royale?

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 59 state visits and 47 dated documents since 2021 for Studio Royale; 25 complaint-investigation narratives are transcribed verbatim below. The most recent, dated November 14, 2024, 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.

25 transcribed reports on file

2024

Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedStaff did not provide resident with a call button. Staff did not ensure that resident was hydrated. Staff did not provide responsible party with a refund.
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
The investigation consisted of the following: On 11/14/2024, Community Care Licensing Division (CCLD) Staff conducted a complaint investigation at the above facility to address the following allegations. CCLD Staff met with Health and Wellness Director Tamera Gant and explained the purpose of the visit. CCLD Staff conducted resident and staff interviews, toured the facility, and reviewed resident and facility records. Allegation: Regarding the allegation "Staff did not provide resident with a call button,” it is being alleged during the night shift, staff would take Resident #1’s (R1) personal call button because R1 called staff too much. Record review revealed that R1 slipped and fell on 10/12/24 9:15 AM while trying to get R1’s pendant. The incident report revealed R1 said the caregiver took R1’s pendant and placed it on R1’s desk. Continue to LIC9099-C. UnsubstantiatedCDSS inspection report, November 14, 2024 · control 11-AS-20241108095743
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedStaff did not prevent resident from choking another 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 conducted a complaint investigation at the above facility to address the following allegation. The department met with Health Wellness Nurse Director Tamera Gant and explained the purpose of the visit. The department conducted interviews, reviewed resident records, and requested copies of supporting documents. The investigation consisted of the following: The department interviews five staff members 1- 5(S1-S5) and six residents 1-6 (R1-R6). The department asked questions relevant to the nature of the complaint. During the course of the investigation, the department toured the first floor of the facility building to check for health and safety threats of residents. The department requested the following supporting documents for two residents (R1-R2) including Physician’s report, medical records, admission agreement, identification and emergency information, medication log, medication administration records (MARs) medical assessment, consent form, and appraCDSS inspection report, October 30, 2024 · control 11-AS-20241022090726
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedFacility is prohibiting resident from receiving private care of their own choosing. Facility did not report an incident involving resident as necessary.
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
On 06/19/24, Licensing Program Analyst (LPA) Elvira Gonzalez conducted an unannounced subsequent complaint visit at this facility. LPA Gonzalez met with Tamara Gant, Health and Wellness Director, and the purpose of today's visit was explained. The investigation consisted of the following: On 05/08/24, LPA Gonzalez obtained a copy of the Resident Roster, Staff Roster, Physician’s Reports, Admission Agreement, Preplacement Appraisal Information, and Care Plan, interviewed staff #1- staff #4 (S1-S5), and attempted to interview Witness #1 (W1). On 06/19/24 LPA obtained the Resident Roster, interviewed residents #1-#9 (R1-R9), and attempted to interview W1. Investigation revealed the following: Continued on LIC809-C UnsubstantiatedCDSS inspection report, June 19, 2024 · control 11-AS-20240501111302
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedResident's invoice statement is not correct Staff would not give an itemized invoice to resident Staff threatened resident with eviction
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
On 04/04/24, Licensing Program Analyst (LPA), Wendy Gibbs, conducted a subsequent complaint visit to the facility listed above. During today’s visit LPA met with Health and Wellness Director, Tamera Grant, and the purpose of today’s visit was explained. We were later joined by Executive Director, EJ Lewis. During todays visit LPA toured the facility, interviewed Staff (S2-S8), and interviewed Residents (R7-R11). During a previous visit on 10/25/23, LPA toured the facility, interviewed staff (S1), interviewed residents (R1-R6), and received documents pertinent to the investigation. The documents include a Staff Roster, Resident Roster, Admission Agreement, Billing Statements, Itemized Billing, Needs and Service Plans, and Pre-Appraisal. The investigation revealed the following: UnsubstantiatedCDSS inspection report, April 4, 2024 · control 11-AS-20231018150058
Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedStaff does not safeguard resident's personal items. Staff did not address resident's abusive behavior. Staff does not prevent resident from hoarding various items. Staff does not keep the facility free of roaches.
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
On 03/07/24, at 09:00am, Licensing Program Analyst (LPA) Perry Scott conducted a subsequent unannounced visit to the facility and was greeted by Ernesto Lewis, Administrator. LPA explained the purpose of this visit is to gather additional information and deliver findings for the allegations mentioned above. The investigation consisted of the following: An initial complaint visit was completed by LPA Jeremiah Randle on 11/18/22. A subsequent visit was completed by LPA Perry Scott on 03/07/24. LPAs investigated the allegations mentioned in this complaint; and conducted interviews with staff (S1-S4) and residents (R1-R10). Client Roster, Staff Roster, Admissions Agreement, and Pest control invoices were obtained from the facility. The investigation revealed the following: Allegation #1- Staff does not safeguard resident's personal items. Report continued on LIC9099-C SubstantiatedCDSS inspection report, March 8, 2024 · control 11-AS-20221114111732
Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedFacility staff mismanaged residents' medications
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
On 3/7/24 Licensing Program Analyst (LPA) Felisa Shirley conducted an unannounced complaint visit to the address listed above. LPA arrived and spoke to Executive Director, Ernest (EJ) Lewis and the purpose of the visit was discussed. LPA was granted access to the facility. The investigation consisted of the following: A review of the facility's roster for residents and staff. Interviews with residents -1 through residents - 9 (R-1 - R-9), and staff -1 through staff – 6 (S-1 – S-6). A review of resident files, MARs logs, incident reports for last 6 months and any records associated with this complaint was conducted. A tour of the facility was performed. The investigation revealed the following: Con’d on 9099-C SubstantiatedCDSS inspection report, March 7, 2024 · control 11-AS-20231207091941
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedStaff do not respond to resident requests for assistance in a timely manner.
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
On 01/06/24, Licensing Program Analyst (LPA) Ernand Dabuet conducted a subsequent complaint visit to this facility. LPA was greeted by the Resident LIfestyle Director Danilo Aguilan. LPA contacted executive director EJ Lewis by telephone and explained the purpose of the visit is to deliver findings for the allegation mentioned above. The investigation consisted of the following: A review of the facility's roster for residents and staff. Interviews with residents #1-#10 (R1-R10), staff #1-#4. A review of resident #1 (R1's) service records. and resident Monitoring Shift Logs and other pertinent records associated with this complaint was conducted. A tour of the facility was performed on 11/30/23. (Evaluation Report continues LIC 9099-C) UnsubstantiatedCDSS inspection report, January 6, 2024 · control 11-AS-20231128151552
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedStaff did not ensure resident's bandages were being changed.
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
Licensing Program Analyst (LPA) Pamela Bunker conducted an unannounced complaint visit on Thursday, January 04, 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 Executive Director Ernest Lewis. LPA Bunker explained the purpose of today's visit. The investigation consisted of the following: Interviews with staff members 1-2 (S1-S2) and residents 1-8 (R1-R8). According to the statements from S1-S2, there were no instances where staff did not ensure resident's bandages were not being changed. LPA Bunker thoroughly reviewed R1's records and requested copies of relevant supporting documents for a detailed analysis. It was clarified by S1-S2 that the decision to change the resident's bandage indicated that the facility had no direct control over the wound. S1-S2 stated the facility is providing supporting care and supervision needed to mCDSS inspection report, January 4, 2024 · control 11-AS-20231226112219

2023

Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedStaff did not respond to resident’s call in a timely manner. Staff does not ensure water temperature was appropriate for residents Facility dishwasher is in disrepair.
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
On 12/20/2023 LPA Alfonso Iniguez conducted an unannounced complaint visit. LPA Iniguez met with Ernesto Lewis/Administrator. LPA explained the purpose of this visit. Investigation Consited on the following: Administrator’s Interview (A#1), Resident interviews (R#1-R#9), Staff interviews (S#1-S#9), a tour of the facility including 10 residents’ rooms bathrooms and kitchen. LPA obtained and reviewed the following documents: Resident’s Roster, Personnel Roster, (R#1-R#9) Identification and Emergency Information, (R#1-R#9) Admissions agreements, (R#1-R#9) Physicians Report for Residential Care Facilities for the Elderly, (R#1-R#9) Needs and Services Plan, (R#1-R#9) Medication Administration Record (MAR) for the month of December 2023 and copies of facility water temperature log. Evaluation Report continues LIC 9099-C UnsubstantiatedCDSS inspection report, December 20, 2023 · control 11-AS-20231215133906
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedLicensee does not ensure faucets for personal care deliver adequate water for residents. Staff do not provide adequate food service to residents.
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
On 11/30/23, Licensing Program Analyst (LPA) Ernand Dabuet conducted a complaint visit at this facility. LPA was greeted by the Marketing Director Rhonda Madrid. This inspection visit is to gather information for the allegation mentioned above and deliver findings. The investigation consisted of the following: A review of the facility's roster for residents and staff. Interviews with residents #1-#10 (R1-R10), staff #1-#4. A review of faciilty menu, service reports and other pertinent records associated with this complaint was conducted. A tour of the facility was performed. (Evaluation Report continues LIC 9099-C) UnsubstantiatedCDSS inspection report, November 30, 2023 · control 11-AS-20231128151552
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedFacility is not following infection control protocols.
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
On 11/27/2023, Licensing Program Analyst (LPA) Antonine Richard conducted a 10-day complaint visit at this facility. LPA Richard conducted a risk assessment with Zoila Marroquin. The facility is free of Covid-19 infection. LPA met with Community Relations Director Rhonda Madrid S2. Administrator Lewis Ernest (S1) arrived shortly after and assisted LPA with the visit. LPA explained the purpose of the visit. The investigation consisted of the following: On 11/27/2023, LPA Antonine Richard toured the facility with Comunity Relations director Rhonda Madrid S2. LPA observed six (6) staff and six (6) residents during the visit. LPA reviewed records for staff and residents. LPA interviewed six (6) staff (S1-S6) and 6 residents (R1- R6). LPA Richard interviewed six (6) out of Thirty four (34) staff members, and inspection of apartments #131, #138, #157, #205, #213, #214, #227, #252, #241, Lounge, Screening, Dining, and A review of staff and resident rosters was conducted. REPORT CONTINUED IN LCDSS inspection report, November 27, 2023 · control 11-AS-20231121125759
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedStaff did not address a change in resident's condition Staff did not ensure the resident was adequately fed Staff did not keep the resident's room clean & sanitary Staff left resident soiled in urine for an extended period of time Staff left resident's mattress on the floor Staff did not keep the facility free of flies
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
On 11/02/2023 at 8:07 am Licensing Program Analyst (LPA) David España conducted an initiated a 10-day complaint investigation subsequent visit for the allegation listed above. Upon arriving at the facility, LPA met with S#2 who assisted with the visit. The purpose of today’s visit was discussed. Upon arrival at the facility, LPA conducted a risk assessment at the front door. Based on the assessment, the facility is clear of Covid-19 infection. LPA was granted access and allowed to enter the facility to conduct inspections. The investigation consisted of the following: On 11/02/2023 at 8:19 am LPA España conducted a tour of facility plant; reviewed records for staff and residents and observations. LPA España conducted interviews with Ten (10) out of Eighty-nine (89) residents. LPA España interviewed Eight (8) out of Fifty-one (51) staff members. LPA España interviewed with two (2) out of 2 Witnesses. Contunied 9099-C UnsubstantiatedCDSS inspection report, November 2, 2023 · control 11-AS-20231025142545
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedFacility staff do not ensure incontinent residents are cleaned properly. Facility staff transfer residents in a rough manor.
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 findings. It does not supersede the complaint investigation findings reflected on report created 11/07/2022.** On 10/06/2023 at 12:31 pm Licensing Program Analyst (LPA) David España conducted a subsequent complaint investigation at the above facility to address the following allegations. LPA met with Administrator, Ernest “EJ” Lewis and explained the purpose of this visit was to deliver findings for this complaint. Upon arrival at the facility, LPA España conducted a risk assessment at the facility entrance. Based on the assessment, the facility is clear of Covid-19 infection. At approximately 10:55am LPA conducted a tour of the facility. During the course of the investigation at approximately 11:25am LPA spoke with five (05) staff members. Between 12:35pm – 1:45pm LPA interviewed ten (10) out of ninety-seven (97) residents. In addition, LPA Alvizar spoke with the witnesses that have pertinent information about the allegation. See LIC 909CDSS inspection report, October 6, 2023 · control 11-AS-20221103104439
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedFacility staff failed to maintain a comfortable temperature at facility.
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
On 07/27/23, Licensing Program Analyst (LPA) Ernand Dabuet conducted an unannounced complaint visit at this facility, LPA was greeted by Vice President of Operation Kelly Metz and Executive Director EJ Lewis. LPA explained the purpose of the visit is to investigate the allegation mentioned above. The investigation consisted of the following: Interviews with the Vice President and Executive Director, staff #1-#2 (S1-S2), residents #1-#8 (R1-R8), an inspection of apartments #135, #157, #214, #227, #237, #239, #241, Lounge, Screening, Dining, and Physical Therapy rooms. A review of staff and resident rosters was conducted. (Evaluation Report continues on LIC 9099-C) UnsubstantiatedCDSS inspection report, July 27, 2023 · control 11-AS-20230726113120
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedFacility is not meeting the needs of the resident in care.
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
On 6/2/2023 Licensing Program Analysts (LPAs) Ernand Dabuet and Alfonso Iniguez conducted an unannounced Initial Complaint Visit at the facility named above, LPAs meet with wellness director Wilfredo Guerrero and the purpose of this visit was explain to him. Investigation consisted of the following: LPAs and Wellnes Director did a physical toured of the facility. LPAs requested the following documentaion: personnel report, resident's roster and 3 clients charts. LPA's Interview the folowing people: 4 staff members, 9 residents and 1 witness. CONTINUE on LIC 9099-C UnsubstantiatedCDSS inspection report, June 2, 2023 · control 11-AS-20230531134049
Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedStaff did not notify Responsible Party of resident's change in condition. Staff did not seek medical attention for resident in a timely manner.
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
On 06/01/2023, Licensing program Analyst (LPA) Mario Leon conducted an unannounced subsequent complaint visit to the facility. LPA was met by Wilfred Guerrero, Resident Services Director, who was informed that this visit was conducted to continue an investigation of the complaint allegations, previously initiated on 05/25/2023. The investigation consisted of the following: On 05/25/23, Licensing Program Analyst (LPA) Mario Leon conducted an unannounced complaint visit at this facility. LPA Leon toured the facility and interviewed 8 out of 92 residents and 4 staff and one witness. LPA requested and reviewed resident records which consisted of: Medical assessments and internal assessments, Resident appraisals, admission agreements and Identification and Emergency information sheets. LPA also requested and reviewed staff training records and facility records. Report continues, see LIC9099C. SubstantiatedCDSS inspection report, June 1, 2023 · control 11-AS-20230523115439
Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedFacility bathrooms are in disrepair
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, May 30, 2023. 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 Health Wellness Director Wilford (Willie) Guerrero. LPA Bunker explained the purpose of today's visit. The investigation consisted of the following: LPA Bunker conducted interviews with staff member 1 (S1) and residents (R1-R10) regarding the nature of the complaint. Relevant questions were asked by LPA Bunker to gather necessary information. LPA Bunker and Mr. Guerrero, conducted a through inspection of the facility's public restrooms on both the downstairs and upstairs levels. It was found that the restrooms on the first floor were temporarily out of order. Additionally, the individual bathrooms of the residents were inspected, and it was confirmed that they were in proper opeCDSS inspection report, May 30, 2023 · control 11-AS-20230522120849

2022

Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedStaff did not dispense medications as prescribed
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
Licensing Program Analyst (LPA) Antonia Alvizar conducted an unannounced complaint visit on 12/13/2022. Upon arrival at the facility. LPA Alvizar called the facility via- phone and conducted a Risk Assessment with Chanel Lee, Care Coordinator Medication. Based on the assessment, the facility has 2 resident positive COVID-19 infection cases. LPA Alvizar met with Care Coordinator Medication, Chanel Lee and toured the facility. LPA Alvizar explained the purpose of today's visit. The investigation consisted of the following: During the course of the investigation staff #1-#4 (S#1-S#4) and residents #1-#10 (R#1-R#10) were interviewed. Allegation: Staff did not dispense medications as prescribed. Care Coordinator Medication, Chanel stated, “No, I am always ordering medication to be refilled” 0 out of 3 Staff agreed with the allegation. Continue on LIC9099-C UnsubstantiatedCDSS inspection report, December 13, 2022 · control 11-AS-20221205083824
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedStaff disclosed resident's personal information to other residents.
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
On 10/26/2022 Licensing Program Analyst (LPA) Don Senaha initiated a complaint investigation for the allegation listed above. Today’s complaint investigation was conducted with Care coordinator medication Chanel Lee, Interim Executive Director Kimberly Eldridge and Vice President Kelly Metz joined on the phone. The investigation consisted of the following: LPA requested resident roster, staff roster and other service documents. LPA interviewed resident (R1-R10) and staff (S1-S6). A plant inspection of the facility was conducted. There were no deficiencies found during any visits. Investigation revealed: UnsubstantiatedCDSS inspection report, October 26, 2022 · control 11-AS-20221018105105
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedResident was left on the floor after falling until the next morning. Facility does not provide a safe environment for resident.
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
Licensing Program Analyst (LPA) Pamela Bunker conducted an unannounced complaint visit on Monday, August 01, 2022. Upon arrival at the facility. LPA Bunker called the facility via telephone and conducted a Risk Assessment. Based on the assessment, the facility is clear of COVID-19 infection. LPA Bunker met with Executive Director (ED) Terri Weitzman. LPA Bunker explained the purpose of today's visit. The investigation consisted of the following: During the course of the investigation staff 1-3 (S1-S3) and residents 1-11 ( R1-R11) were Interviewed. Allegation #1: Resident was left on the floor after falling until the next morning. Executive Director (ED) Terri Weitzman stated staff doesn't know what time R1 fell or how long she was on the floor, but there is no way she was on the floor for hours until the next morning. The facility has an awake staff that does room checks throughout the night and in the morning. Ms. Weitzman and LPA Bunker toured R1 and R2 room 222 for a health and safeCDSS inspection report, August 1, 2022 · control 11-AS-20220525111041

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

What the state has logged

California has logged 59 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
1
typical for this size: 1
Type B citations
13
typical for this size: 1
Substantiated complaints
12
typical for this size: 2
Total complaints
37
typical for this size: 7
State visits on file
59
typical for this size: 19
See the full inspection record on the state's site →
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