Kensington Sierra Madre, The is a residential care home for the elderly (RCFE) in Sierra Madre, Los Angeles County, California — state license #198601953, licensed for 106 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 16 dated inspection and complaint documents on file for this home going back to 2022, the most recent dated June 15, 2026 — published below in full, verbatim and unscored.

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Kensington Sierra Madre, The

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Residential care home for the elderly (RCFE) · Large community, 106 residents · Sierra Madre, CA · Los Angeles County
LicensedWheelchairMemory careHospiceBedridden
No openings reportedBeds change hands in days ·
License #198601953, held since 2015 · read from the California state record on August 2, 2026 ·See on State Site →
245 W. Sierra Madre Blvd. · Sierra Madre, Los Angeles County
Phone
(626) 355-5700
from the state licensing roster · August 2, 2026
No Google listing is on file for this home.
Website
thekensingtonsierramadre.com
listed in the county’s published care-facility roster
Listing details can lag reality — confirm anything important by phone.
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 106 residents
Dementia / memory careVerified in record
Hospice careVerified in record
Bedridden careApproved for 16 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
LICENSED TO SERVE 106 NON-AMBULATORY RESIDENTS OF WHICH 16 MAY BE BEDRIDDEN. MAY RETAIN UP TO 20 HOSPICE RESIDENTS. CLEARED FOR DELAYED EGRESS.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 2022, the state has visited this home 21 times and filed 16 documents. The most recent is a complaint investigation report, dated June 15, 2026.

Most recent state visit
June 15, 2026
Occupancy at the April 2, 2026 visit
92 of 106 beds

The state's published file for this home includes 10 documents with transcribed findings, dated May 12, 2022 to April 2, 2026. 10 of the 10 carry the state's recorded outcome word: “Substantiated” (3), “Unsubstantiated” (7). 10 include the transcribed allegation the state investigated, word for word.

Summary composed by computer from the 10 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 — 15 of 16 documentsFull record on the state’s site →
20264 state visits · 4 documents
Jun 15, 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 14, 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.

Apr 2, 2026Complaint investigation reportUnsubstantiated

Allegation investigated: Resident sustained an injury due to staff neglect or physical abuse Staff did not seek timely medical attention for a resident

Licensing Program Analyst (LPA) Daniel Konishi conducted an unannounced subsequent 10-Day complaint investigation visit regarding the above allegation. LPA discussed the purpose of the visit with the Executive Director, C. C. De Graff. On 3/24/2026, the initial investigation visit was conducted. The investigation consisted of the following: The investigation consisted of the following: LPA requested a copy of staff and resident rosters. LPA interviewed the Executive Director, Staff #1 (S1) to Staff #10 (S10), Resident #1 (R1) to Resident #10 (R10). LPA attempted to interview Resident #11 (R11) and Resident #12 (R12) but LPA unable to interview because R11 and R12 were unable to answer the questions. LPA interviewed Witness #1 (W1) over the phone. LPA also obtained documents from R1’s file such as the face sheet, Physician’s Report, Medical Notes, and other pertinent documents. LPA also obtained staff training and other pertinent documents. Unsubstantiatedthe state’s words, verbatim · CDSS document, Apr 2, 2026 · control 28-AS-20260319120346
Jan 2, 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.

20257 state visits · 8 documents
Sep 30, 2025Complaint investigation reportUnsubstantiated

Allegation investigated: Staff do not safeguard the residents confidential information

Licensing Program Analyst (LPA) Daniel Konishi conducted an unannounced Initial 10-Day complaint investigation visit regarding the above allegation. LPA discussed the purpose of the visit with the Executive Director, Daniel Orozco. The investigation consisted of the following: LPA requested a copy of staff and resident rosters. LPA interviewed the Executive Director, Staff #1 (S1) - Staff #6 (S6), Resident #1 (R1) - Resident #9 (R9), and Witness #1 (W1) - Witness #2 (W2). LPA also obtained documents from R1’s file such as the face sheet, Physician’s Report, Admission Agreement. LPA also obtained staff in-service training, and documents from S1’s file such as Staff Training such as Resident Rights and HIPAA (Health Insurance Portability and Accountability Act). [Continue in LIC9099-C] Unsubstantiatedthe state’s words, verbatim · CDSS document, Sep 30, 2025 · control 28-AS-20250924154207
Jun 27, 2025Complaint investigation reportUnsubstantiated

Allegation investigated: Facility did not have a designated substitute administrator.

Licensing Program Analyst (LPA) Kimberly Ramirez conducted an unannounced initial complaint investigation visit on 06/27/2025 to regarding the above allegation. During today’s visit, LPA Ramirez was greeted by Associate Executive Director- Daniel Orozco and explained the purpose of the visit. The investigation consisted of the following: LPA Ramirez requested and obtained copies of Resident/Client Roster, Staff Roster, Staff#1 - 7 interviews (S1 – S7), Resident#1- 4 interviews (R1 – R4), Copy of concierge staff contact list, Designation of responsibility (LIC 308), Copy of correspondence addressed to Community Care Licensing dated 04/02/2025 and 05/19/2025, and physical plant tour. See 9099-C Unsubstantiatedthe state’s words, verbatim · CDSS document, Jun 27, 2025 · control 28-AS-20250625112911
Jun 7, 2025Complaint investigation reportSubstantiated

Allegation investigated: Resident is being physically abused while in care.

Licensing Program Analyst (LPA) Kimberly Ramirez conducted an unannounced subsequent visit to deliver findings on 06/07/2025 regarding the above allegation. LPA Ramirez conducted an unannounced subsequent investigation visit on 05/16/2025 to gather additional interviews and documents; a need further investigation was documented. On 05/08/2025, LPA Ramirez conducted initial investigation, and a need further investigation was documented. During today’s visit, LPA Ramirez was greeted by Daniel Orozco and April Vargas and explained the purpose of the visit. The investigation consisted of the following: LPA Ramirez requested and obtained copies of Resident/Client Roster, Staff roster, Staff#1 - 10 interviews (S1 – S10), Attempted interview of Residnet#1(R1), Interview with R1’s Responsible party, Copies of email statements from staff, Copies of S1, S4, S6, S8, S9- Employment application, Copies of various trainings completed by S1, Copies of R1’s: Physician’s Report, Physician Orders, Facilthe state’s words, verbatim · CDSS document, Jun 7, 2025 · control 28-AS-20250429162024
May 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.

May 15, 2025Complaint investigation reportUnsubstantiated

Allegation investigated: Facility is in disrepair. Staff did not provide adequate supervision to residents in care.

Licensing Program Analyst (LPA) Nune Margaryan conducted an unannounced 10 day complaint visit to investigate the allegations listed above. LPA met with Daniel Orozco, Associate Executive Director who assisted with the visit. The reason for the visit was explained. The investigation consisted of the following: Interview(s) with Staff 1 - Staff 5 (S1 - S5), Resident 1- Resident 8 ( R1 - R8), obtained copies of staff and residents roster, Staff structure, Staff schedule for April and May 2025, invoice from Vortex Industries, LLC, Police report number, tour of facility, including common areas, front area and patio area. Continue 9099C Unsubstantiatedthe state’s words, verbatim · CDSS document, May 15, 2025 · control 28-AS-20250509100758
May 1, 2025Complaint investigation reportUnsubstantiated

Allegation investigated: Licensee is falsely advertising, promoting, and holding themselves out as providing special care.

Licensing Program Analysts (LPAs) Bennette Pena and Gabriela Castro conducted an unannounced 10-day complaint visit for the above-mentioned allegation. LPAs met with Cristina Quesada and explained the purpose of the visit. Shortly after, Cecilia DeGraff, Executive Director arrived and assisted LPAs with the investigation. The investigation consisted of the following: LPAs obtained copies of the Resident & Staff Rosters, Staff in-service training about Resident Rights, Elderabuse and Life Enrichment, Visitors Policy, Concierge Desk Personnel list and Schedule (April 2025) and list of newly admitted residents (Jan-Apr 2025). At 12:30pm, LPAs conducted a tour of the physical plant including Assisted living and Memory Care units. LPAs interviewed Staff #1 (S1) - Staff #5 (S5) and Resident #1 (R1) – Resident #7 (R7). ***CONTINUED ON LIC9099-C*** Unsubstantiatedthe state’s words, verbatim · CDSS document, May 1, 2025 · control 28-AS-20250422120638
Jan 27, 2025Complaint investigation reportUnsubstantiated

Allegation investigated: Facility staff are not providing adequate transportation services to residents.

Licensing Program Analyst (LPA) Bennette Pena conducted an unannounced complaint visit regarding the above stated allegation. LPA met with Cecilia DeGraff, Senior Executive Director and explained the reason for the visit. The investigation consisted of the following: LPA obtained copies of Staff & Resident Rosters, a copy of resident's Admission Agreement containing basic and optional transportation services, Medical and non medical Tansportation Logs/schedule (Jan. 2025), owner's email permission to use company vehicle, Resident council meeting minutes (12/17/2024) and 2025 transportation memo to residents/family members. LPA interviewed Staff #1 (S1) - Staff #5 (S5) and Resident #1 (R1) - Resident #9 (R9). The investigation revealed the following: in regards to the allegation " Facility staff are not providing adequate transportation services to residents". It is alleged that between 01/13/2025 - 01/22/2025, multiple medical appointments for residents have been turned down and reschethe state’s words, verbatim · CDSS document, Jan 27, 2025 · control 28-AS-20250122115205
Jan 27, 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.

20243 state visits · 3 documents
May 23, 2024Complaint investigation reportSubstantiated

Allegation investigated: Resident sustained unexplained injuries while in care.

Licensing Program Analyst (LPA) Luis Mora conducted a second subsequent complaint visit in response to the above mentioned allegations. The reason for the visit is to re-cite a specific deficiency observed during the course of the investigation for the facility not developing a care plan based on the resident’s specific needs and to address the resident as a fall risk.The findings for all the remaining allegations will remain the same. LPA met with Executive Director CC DeGraff and explained the reason for the visit. Investigation consisted of the following: On 01/13/22, LPA Mora requested a copy of staff and resident rosters and conducted a tour of facility and common areas. LPA observed a sufficient supply of perishable and non-perishable foods. LPA observed the residents to identify any signs of neglect, abuse, or other immediate health and safety threats. LPA did not observe any immediate health and/or safety concerns. On 01/13/2022, Investigation Bureau Department (IB) investigatothe state’s words, verbatim · CDSS document, May 23, 2024 · control 28-AS-20220112133834
Apr 25, 2024Complaint investigation reportSubstantiated

Allegation investigated: Resident sustained unexplained injuries while in care. Staff did not seek medical assistance for resident in a timely manner.

Licensing Program Analyst (LPA) Luis Mora conducted a subsequent complaint visit in response to the above mentioned allegations. LPA met with Executive Director CC DeGraff and explained the reason for the visit. Investigation consisted of the following: On 01/13/22, LPA Mora requested a copy of staff and resident rosters and conducted a tour of facility and common areas. LPA observed a sufficient supply of perishable and non-perishable foods. LPA observed the residents to identify any signs of neglect, abuse, or other immediate health and safety threats. LPA did not observe any immediate health and/or safety concerns. On 01/13/2022, Investigation Bureau Department (IB) investigator Brian Slatic was assigned to investigate allegations "resident sustained unexplained injuries while in care" and "staff did not seek medical assistance for resident in a timely manner". The IB Investigator conducted interviews with 8 facility staff, physician/hand specialist, and requested R1’s medical recorthe state’s words, verbatim · CDSS document, Apr 25, 2024 · control 28-AS-20220112133834
Feb 13, 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.

Beside homes the same size
Type A citations3typical 1
Type B citations1typical 1
Substantiated complaints4typical 2
Total complaints10typical 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 2015.
Year-by-year trend
YearVisitsDocumentsSubstantiated20264402025781202433220231102022220
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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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.
Claim your home → · See something wrong? → · How we source every fact →
Call (626) 355-5700

Is Kensington Sierra Madre, The licensed?

Yes — Kensington Sierra Madre, The is a licensed residential care home for the elderly (RCFE) in Sierra Madre (Los Angeles County): California license #198601953, shown as licensed in the CDSS state record checked August 2, 2026, licensed for 106 residents. State records list 16 inspection and complaint documents since 2022; the most recent, a complaint investigation report dated June 15, 2026, appears in the inspection record on this page.

Can Kensington Sierra Madre, The 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 Kensington Sierra Madre, The 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 recordLICENSED TO SERVE 106 NON-AMBULATORY RESIDENTS OF WHICH 16 MAY BE BEDRIDDEN. MAY RETAIN UP TO 20 HOSPICE RESIDENTS. CLEARED FOR DELAYED EGRESS.

How much does Kensington Sierra Madre, The cost?

California's public licensing record does not include Kensington Sierra Madre, The'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 Kensington Sierra Madre, The accept Medi-Cal or the Assisted Living Waiver?

Kensington Sierra Madre, The 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

92 of 106 beds occupied (87%) when the state visited on April 2, 2026. Availability changes constantly — confirm a current opening with the home.

What do state inspections show for Kensington Sierra Madre, The?

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 16 dated documents since 2022 for Kensington Sierra Madre, The; 10 complaint-investigation narratives are transcribed verbatim below. The most recent, dated April 2, 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.

10 transcribed reports on file

2026

Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedResident sustained an injury due to staff neglect or physical abuse Staff did not seek timely medical attention for a resident
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
Licensing Program Analyst (LPA) Daniel Konishi conducted an unannounced subsequent 10-Day complaint investigation visit regarding the above allegation. LPA discussed the purpose of the visit with the Executive Director, C. C. De Graff. On 3/24/2026, the initial investigation visit was conducted. The investigation consisted of the following: The investigation consisted of the following: LPA requested a copy of staff and resident rosters. LPA interviewed the Executive Director, Staff #1 (S1) to Staff #10 (S10), Resident #1 (R1) to Resident #10 (R10). LPA attempted to interview Resident #11 (R11) and Resident #12 (R12) but LPA unable to interview because R11 and R12 were unable to answer the questions. LPA interviewed Witness #1 (W1) over the phone. LPA also obtained documents from R1’s file such as the face sheet, Physician’s Report, Medical Notes, and other pertinent documents. LPA also obtained staff training and other pertinent documents. UnsubstantiatedCDSS inspection report, April 2, 2026 · control 28-AS-20260319120346

2025

Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedStaff do not safeguard the residents confidential information
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
Licensing Program Analyst (LPA) Daniel Konishi conducted an unannounced Initial 10-Day complaint investigation visit regarding the above allegation. LPA discussed the purpose of the visit with the Executive Director, Daniel Orozco. The investigation consisted of the following: LPA requested a copy of staff and resident rosters. LPA interviewed the Executive Director, Staff #1 (S1) - Staff #6 (S6), Resident #1 (R1) - Resident #9 (R9), and Witness #1 (W1) - Witness #2 (W2). LPA also obtained documents from R1’s file such as the face sheet, Physician’s Report, Admission Agreement. LPA also obtained staff in-service training, and documents from S1’s file such as Staff Training such as Resident Rights and HIPAA (Health Insurance Portability and Accountability Act). [Continue in LIC9099-C] UnsubstantiatedCDSS inspection report, September 30, 2025 · control 28-AS-20250924154207
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedFacility did not have a designated substitute administrator.
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
Licensing Program Analyst (LPA) Kimberly Ramirez conducted an unannounced initial complaint investigation visit on 06/27/2025 to regarding the above allegation. During today’s visit, LPA Ramirez was greeted by Associate Executive Director- Daniel Orozco and explained the purpose of the visit. The investigation consisted of the following: LPA Ramirez requested and obtained copies of Resident/Client Roster, Staff Roster, Staff#1 - 7 interviews (S1 – S7), Resident#1- 4 interviews (R1 – R4), Copy of concierge staff contact list, Designation of responsibility (LIC 308), Copy of correspondence addressed to Community Care Licensing dated 04/02/2025 and 05/19/2025, and physical plant tour. See 9099-C UnsubstantiatedCDSS inspection report, June 27, 2025 · control 28-AS-20250625112911
Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedResident is being physically abused while in care.
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
Licensing Program Analyst (LPA) Kimberly Ramirez conducted an unannounced subsequent visit to deliver findings on 06/07/2025 regarding the above allegation. LPA Ramirez conducted an unannounced subsequent investigation visit on 05/16/2025 to gather additional interviews and documents; a need further investigation was documented. On 05/08/2025, LPA Ramirez conducted initial investigation, and a need further investigation was documented. During today’s visit, LPA Ramirez was greeted by Daniel Orozco and April Vargas and explained the purpose of the visit. The investigation consisted of the following: LPA Ramirez requested and obtained copies of Resident/Client Roster, Staff roster, Staff#1 - 10 interviews (S1 – S10), Attempted interview of Residnet#1(R1), Interview with R1’s Responsible party, Copies of email statements from staff, Copies of S1, S4, S6, S8, S9- Employment application, Copies of various trainings completed by S1, Copies of R1’s: Physician’s Report, Physician Orders, FacilCDSS inspection report, June 7, 2025 · control 28-AS-20250429162024
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedFacility is in disrepair. Staff did not provide adequate supervision to residents in care.
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
Licensing Program Analyst (LPA) Nune Margaryan conducted an unannounced 10 day complaint visit to investigate the allegations listed above. LPA met with Daniel Orozco, Associate Executive Director who assisted with the visit. The reason for the visit was explained. The investigation consisted of the following: Interview(s) with Staff 1 - Staff 5 (S1 - S5), Resident 1- Resident 8 ( R1 - R8), obtained copies of staff and residents roster, Staff structure, Staff schedule for April and May 2025, invoice from Vortex Industries, LLC, Police report number, tour of facility, including common areas, front area and patio area. Continue 9099C UnsubstantiatedCDSS inspection report, May 15, 2025 · control 28-AS-20250509100758
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedLicensee is falsely advertising, promoting, and holding themselves out as providing special care.
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
Licensing Program Analysts (LPAs) Bennette Pena and Gabriela Castro conducted an unannounced 10-day complaint visit for the above-mentioned allegation. LPAs met with Cristina Quesada and explained the purpose of the visit. Shortly after, Cecilia DeGraff, Executive Director arrived and assisted LPAs with the investigation. The investigation consisted of the following: LPAs obtained copies of the Resident & Staff Rosters, Staff in-service training about Resident Rights, Elderabuse and Life Enrichment, Visitors Policy, Concierge Desk Personnel list and Schedule (April 2025) and list of newly admitted residents (Jan-Apr 2025). At 12:30pm, LPAs conducted a tour of the physical plant including Assisted living and Memory Care units. LPAs interviewed Staff #1 (S1) - Staff #5 (S5) and Resident #1 (R1) – Resident #7 (R7). ***CONTINUED ON LIC9099-C*** UnsubstantiatedCDSS inspection report, May 1, 2025 · control 28-AS-20250422120638
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedFacility staff are not providing adequate transportation services to residents.
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
Licensing Program Analyst (LPA) Bennette Pena conducted an unannounced complaint visit regarding the above stated allegation. LPA met with Cecilia DeGraff, Senior Executive Director and explained the reason for the visit. The investigation consisted of the following: LPA obtained copies of Staff & Resident Rosters, a copy of resident's Admission Agreement containing basic and optional transportation services, Medical and non medical Tansportation Logs/schedule (Jan. 2025), owner's email permission to use company vehicle, Resident council meeting minutes (12/17/2024) and 2025 transportation memo to residents/family members. LPA interviewed Staff #1 (S1) - Staff #5 (S5) and Resident #1 (R1) - Resident #9 (R9). The investigation revealed the following: in regards to the allegation " Facility staff are not providing adequate transportation services to residents". It is alleged that between 01/13/2025 - 01/22/2025, multiple medical appointments for residents have been turned down and rescheCDSS inspection report, January 27, 2025 · control 28-AS-20250122115205

2024

Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedResident sustained unexplained injuries while in care.
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
Licensing Program Analyst (LPA) Luis Mora conducted a second subsequent complaint visit in response to the above mentioned allegations. The reason for the visit is to re-cite a specific deficiency observed during the course of the investigation for the facility not developing a care plan based on the resident’s specific needs and to address the resident as a fall risk.The findings for all the remaining allegations will remain the same. LPA met with Executive Director CC DeGraff and explained the reason for the visit. Investigation consisted of the following: On 01/13/22, LPA Mora requested a copy of staff and resident rosters and conducted a tour of facility and common areas. LPA observed a sufficient supply of perishable and non-perishable foods. LPA observed the residents to identify any signs of neglect, abuse, or other immediate health and safety threats. LPA did not observe any immediate health and/or safety concerns. On 01/13/2022, Investigation Bureau Department (IB) investigatoCDSS inspection report, May 23, 2024 · control 28-AS-20220112133834
Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedResident sustained unexplained injuries while in care. Staff did not seek medical assistance for resident in a timely manner.
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
Licensing Program Analyst (LPA) Luis Mora conducted a subsequent complaint visit in response to the above mentioned allegations. LPA met with Executive Director CC DeGraff and explained the reason for the visit. Investigation consisted of the following: On 01/13/22, LPA Mora requested a copy of staff and resident rosters and conducted a tour of facility and common areas. LPA observed a sufficient supply of perishable and non-perishable foods. LPA observed the residents to identify any signs of neglect, abuse, or other immediate health and safety threats. LPA did not observe any immediate health and/or safety concerns. On 01/13/2022, Investigation Bureau Department (IB) investigator Brian Slatic was assigned to investigate allegations "resident sustained unexplained injuries while in care" and "staff did not seek medical assistance for resident in a timely manner". The IB Investigator conducted interviews with 8 facility staff, physician/hand specialist, and requested R1’s medical recorCDSS inspection report, April 25, 2024 · control 28-AS-20220112133834

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
3
typical for this size: 1
Type B citations
1
typical for this size: 1
Substantiated complaints
4
typical for this size: 2
Total complaints
10
typical for this size: 7
State visits on file
21
typical for this size: 19
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