Coral Oaks Care Living is a residential care home for the elderly (RCFE) in Lynwood, Los Angeles County, California — state license #198602099, licensed for 84 residents, listed as licensed in the CDSS record we retrieved August 2, 2026. It appears on the DHCS Assisted Living Waiver participant list checked August 9, 2026, so Medi-Cal may help pay for care services here. California has 26 dated inspection and complaint documents on file for this home going back to 2021, the most recent dated June 11, 2026 — published below in full, verbatim and unscored.

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Coral Oaks Care Living

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Residential care home for the elderly (RCFE) · Large community, 84 residents · Lynwood, CA · Los Angeles County
LicensedWheelchairMemory careBedriddenHospice not on file
No openings reportedBeds change hands in days ·
License #198602099, held since 2015 · read from the California state record on August 2, 2026 ·See on State Site →
4271 Carlin Ave · Lynwood, Los Angeles County
Phone
(310) 763-4881
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 64 residents
Dementia / memory careVerified in record
Hospice careNot on file — ask the home
Bedridden careApproved for 20 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 A TOTAL OF 84 RESIDENTS OF WHICH 64 MAY BE NON-AMBULATORY, 20 MAY BE BEDRIDDEN, AND 10 MAY BE ON HOSPICE.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 28 times and filed 26 documents. The most recent is a complaint investigation report, dated June 11, 2026.

Most recent state visit
June 11, 2026
Occupancy at the February 23, 2026 visit
65 of 84 beds

The state's published file for this home includes 12 documents with transcribed findings, dated January 11, 2022 to February 23, 2026. 12 of the 12 carry the state's recorded outcome word: “Substantiated” (2), “Unsubstantiated” (10). 12 include the transcribed allegation the state investigated, word for word.

Summary composed by computer from the 12 documents below — every count derives from them, and the documents themselves are the state's records, verbatim. We never grade, score, or color a record.

What the state’s words mean
Substantiatedthe state found the allegation more likely true than notUnsubstantiatedinvestigated, but couldn’t be confirmed either way — not a finding of wrongdoingUnfoundedthe state concluded it was false or couldn’t have happenedType A citationthe most serious: an immediate health-or-safety risk, usually fixed on the spot or on a short deadlineType B citationless serious, with a deadline to fix
The last 36 months — 18 of 26 documentsFull record on the state’s site →
20264 state visits · 4 documents
Jun 11, 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 30, 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.

Apr 23, 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 23, 2026Complaint investigation reportUnsubstantiated

Allegation investigated: Staff dropped resident Staff are not meeting residents needs Staff are not following infection control requirements

On February 23, 2026, Licensing Program Analyst (LPA) Pamela Bunker conducted an initial visit to gather information regarding the above allegations. LPA met with Ellen Barrintos, Administrator, and explained the purpose of the visit. LPA was granted entry to the facility. The investigation consisted of the following: On February 23, 2026, the following documents were reviewed and obtained as part of the investigation: Personnel Report (dated 02/22/2026), Resident Roster (dated 02/22/2026), Mitigation Plan Report (dated 04/16/2021), and an approved Infection Control Report (dated May 25, 2022), and Special Incident Report (July 9, 2025) See continued LIC9099-C page 2 Unsubstantiatedthe state’s words, verbatim · CDSS document, Feb 23, 2026 · control 11-AS-20260220123116
20252 state visits · 2 documents
Dec 18, 2025Complaint investigation reportUnsubstantiated

Allegation investigated: Staff did not provide adequate supervision resulting in a resident eloping from the facility.

On December 18, 2025, at 8:30 a.m., Licensing Program Analyst (LPA) Pamela Bunker conducted an initial visit to gather information regarding the above allegations. LPA met with Ellen Barrintos, Administrator, and explained the purpose of the visit. LPA was granted entry to the facility. The investigation consisted of the following: On December 18, 2025, the following documents were reviewed and/or obtained as part of the investigation: Personnel Report (dated 12/18/2025), Resident Roster (dated 12/18/2025), Special Incident Reports (dated 12/15/2025), Admission Agreement (dated 11/09/2023) Identification and Emergency Information (dated 11/07/2023), Physician’s Report (dated 11/03/2023, 04/18/2024 & 10/05/2025), Medical Assessment (dated 10/05/2025), Medication Administration Records (MARs) (dated 11/01/2025 -12/12/2025), Appraisal & Needs and Services Plan (dated 08/20/2025), Functional Capability Assessment (dated 11/06/2023), Preplacement Appraisal Information (dated 11/06/2023), Pethe state’s words, verbatim · CDSS document, Dec 18, 2025 · control 11-AS-20251210130130
Apr 11, 2025Facility evaluation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

20249 state visits · 9 documents
Dec 27, 2024Complaint investigation reportUnsubstantiated

Allegation investigated: Staff does not ensure to provide a safe environment for residents in care.

On 12/27/24 The Department of Social Services, Community Care Licensing Division (CCLD) staff conducted an initial unannounced complaint visit to the facility, to investigate the allegation listed above. CCLD was met by Ellen Barrientos, Administrator (S1), and the purpose of the visit was explained. The investigation consisted of the following: On 12/27/24 CCLD toured the facility inside and out with Ellen Barrientos, interviewed four (4) staff (S1-S4) and six (6) residents (R1-R6). LPA Leon requested and reviewed facility documents, including staff and resident rosters, and resident(s) records. Report continues, see: LIC9099-C. Unsubstantiatedthe state’s words, verbatim · CDSS document, Dec 27, 2024 · control 11-AS-20241223152059
Jun 21, 2024Complaint investigation reportUnsubstantiated

Allegation investigated: Staff hit resident, resulting in resident sustaining a bruise

On 06/21/24 Licensing program analyst (LPA) Villegas conducted a subsequential complaint visit to render findings regarding the allegation above. LPA met with Administrator (A1)Eleanor Barrientos, as the purpose of the visit was explained. Th e investigation consist of the following: On 06/12/24 at 9:30 am Licensing program Analyst (LPA) Villegas conducted a subsequent complaint visit regarding the allegation above. LPA Villegas met with Administrator (A1) Eleanor Barrientos as the purpose of the visit was explained. On 06/12/24 LPA Villegas obtained copies of the following: staff and resident rosters, and the following documents for R1: Emergency I.D. form (dated 08/02/23), admission agreement (dated 08/03/23), physicians report (dated: 08/07/23), physician’s orders, medication list, MAR, needs and service plan (08/08/23), and a copy of the incident report (dated 10/11/23). On 06/12/24 between 10am-11:30 am LPA conducted interviews with resident #2-6 (R2-R6) and between 11:30am-12:30the state’s words, verbatim · CDSS document, Jun 21, 2024 · control 11-AS-20231012094440
Jun 13, 2024Complaint investigation reportUnsubstantiated

Allegation investigated: Staff did not seek medical attention for a resident in care. Staff are abusive towards a resident in care. Staff discriminates against a resident in care.

On 06/13/2024 at around 02:00 PM Licensing Program Analyst (LPA) Leandro continued a complaint investigation regarding the allegations listed above. LPA met with Administrator Ellen Barrientos and the purpose of the visit was explained. The investigation consisted of the following: During today’s investigation LPA requested Resident 1’s (R1) records. LPA interviewed 5 out of 28 staff and 6 out of 67 residents. LPA reviewed facility records which consisted of resident roster, staff roster, staff trainings, etc. LPA reviewed R1’s records which consisted of unusual incident reports, medical records, physicians report, etc. Unsubstantiatedthe state’s words, verbatim · CDSS document, Jun 13, 2024 · control 11-AS-20240603122041
May 22, 2024Complaint investigation reportUnsubstantiated

Allegation investigated: Residents are being neglected Staff member did not treat residents with dignity and respect Staff member yells at residents Staff did not ensure to sanitize facility Facility is malodorous Night shift staff sleep while on duty Staff do not respond to residents’ call assistance button

On 05/22/24 Licensing Program Analyst (LPA) Mario Leon conducted an initial, unannounced, complaint visit at the above-mentioned facility. LPA was met by Ellen Barrientos, administrator (S1), and the purpose of the visit was explained. S1 and LPA toured the facility. The investigation consisted of the following: On 05/22/24 LPA requested and reviewed facility documents and toured the facility. LPA interviewed eight (8) out of seventy (70) residents and four (4) out of twenty-eight (28) staff. The investigation revealed the following: Regarding the allegation “Residents are being neglected” It has been alleged that the staff don’t check on the residents, and they are being neglected. Between 9:00AM and 4:00PM, on 05/22/24, LPA observed numerous caregivers and housekeeping staff constantly browsing the facility grounds and making sure to provide care response to the residents at the above-mentioned facility. Report continues, see LIC9099C Unsubstantiatedthe state’s words, verbatim · CDSS document, May 22, 2024 · control 11-AS-20240516085649
Apr 4, 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 22, 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.

Jan 17, 2024Complaint investigation reportUnsubstantiated

Allegation investigated: Facility staff not storing resident medications properly. Facility staff spoke inappropriately to resident.

On 1/17/24 Licensing Program Analyst (LPA) Felisa Shirley conducted an unannounced complaint visit to the address listed above. LPA arrived and spoke to Administrator Eleanor Barrientos and the purpose of the visit was discussed. LPA was granted access to the facility. The investigation consisted of the following: On 1/17/24 LPA Shirley toured the facility’s first station for medication. LPA also requested and reviewed copies of the following records: Resident Roster, Staff roster, MAR’s, Forms Questionnaire, Preplacement Assessment, Functional Capability Assessment, Daily Communication Log, Appraisal Needs and Services 10/8/23, Admission Agreement and SIR’s that involved resident. The investigation revealed the following: Con’d on 9099-C Unsubstantiatedthe state’s words, verbatim · CDSS document, Jan 17, 2024 · control 11-AS-20240109085526
Jan 12, 2024Complaint investigation reportSubstantiated

Allegation investigated: Staff do not treat resident with dignity

On 01/12/24 Licensing Program Analyst (LPA) Mario Leon conducted a subsequent, unannounced, complaint visit at the above-mentioned facility. LPA was met by Ellen Barrientos, Administrator (S1), and the purpose of the visit was explained. The investigation consisted of the following: On 01/11/24 LPA requested and reviewed facility documents which included admission agreements, safeguards of property and valuables, personnel report, resident census and LPA and S1 toured the facility. LPA interviewed seven (07) out of seventy-two (72) residents and four (04) out of twenty-eight (28) staff. On 01/12/23 LPA further interviewed two (02) of the previously interviewed four (04) staff, conducted on 01/11/24. LPA also interviewed one (1) additional staff member and reviewed additional documents which included restricted/modified diets, kitchen weekly menus, daily notes related to sheriff's attendance and two (02) staff's training documents. Report continues, see 9099C. Substantiatedthe state’s words, verbatim · CDSS document, Jan 12, 2024 · control 11-AS-20240105143359
Jan 11, 2024Complaint investigation reportUnsubstantiated

Allegation investigated: Staff did not prevent resident from physically assaulting another resident

On 01/11/24, Licensing Program Analysts (LPA), Wendy Gibbs, conducted a complaint investigtion at the facility listed above. LPA met with Administrator, Elanore Barrientos, and Assistant Administrator, Michalene Johnson, and the purpose of today's visit was explained. During today's visit, LPA toured the facility, received documents pertinent to the investigation, interviewed staff (S1-S5), and interviewed residents (R1-R7). The following documents were received and reviewed: Staff Roster, Resident Roster, Resident's Physician's Report, Preplacement Appraisal Information, Appraisal/Needs and Services Plan, Special Incident Reports, Daily Communication Log, Nurse's Notes, Administrator Notes, and Hospital Discharge Papers. The investigation revealed the following: Continued on LIC9099-C Unsubstantiatedthe state’s words, verbatim · CDSS document, Jan 11, 2024 · control 11-AS-20240104172800
20233 state visits · 3 documents
Sep 1, 2023Facility evaluation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Aug 24, 2023Facility evaluation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Aug 16, 2023Facility evaluation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Beside homes the same size
Type A citations1typical 1
Type B citations1typical 1
Substantiated complaints2typical 2
Total complaints13typical 7
State visits on file28typical 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
YearVisitsDocumentsSubstantiated202644020252202024991202355120225502021110
An “unsubstantiated” complaint is not a finding of wrongdoing — it means the state investigated and could not confirm the allegation. Outcome words are the state’s own; we never grade, score, or color a record.Operate this home? Respond to or correct any document here, free. Respond or correct →

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

$5,000$7,500 /mo
our estimate — Los Angeles County band, market research June 2026; not this home’s quoted price
$3,500 · statewide low$9,000 · statewide high
California’s public record holds no per-home price, so we never invent one. Ask the home for its rate sheet, or
Ways families pay here
Private pay — ask what the base rate includes and what’s billed separately.SSI/SSP — California’s board-and-care payment standard is $1,626.07/mo (2026): $1,444.07 to the home, $182 stays with the resident.Medi-Cal ALW — this home is on the DHCS waiver list (checked August 9, 2026). Details →

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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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Call (310) 763-4881

Is Coral Oaks Care Living licensed?

Yes — Coral Oaks Care Living is a licensed residential care home for the elderly (RCFE) in Lynwood (Los Angeles County): California license #198602099, shown as licensed in the CDSS state record checked August 2, 2026, licensed for 84 residents. State records list 26 inspection and complaint documents since 2021; the most recent, a complaint investigation report dated June 11, 2026, appears in the inspection record on this page.

Can Coral Oaks Care Living 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 Coral Oaks Care Living with clearances for wheelchair / non-ambulatory, dementia / memory care, and bedridden; it does not list hospice care. A clearance that is not on file is not a “no” — it may simply be unrecorded, so if your family needs one of these, ask the home directly and confirm its current scope on a tour.

Wheelchair / non-ambulatoryDementia / memory careHospice careBedridden

From the California state record. Some approvals are bed- or room-specific — always confirm current scope with the facility.

What the state record says, word for word
Verbatim, from the CDSS license recordLICENSED TO SERVE A TOTAL OF 84 RESIDENTS OF WHICH 64 MAY BE NON-AMBULATORY, 20 MAY BE BEDRIDDEN, AND 10 MAY BE ON HOSPICE.

How much does Coral Oaks Care Living cost?

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

Yes — Medi-Cal can help pay for care at Coral Oaks Care Living through California's Assisted Living Waiver (ALW): the home appears on the Department of Health Care Services participant list checked August 9, 2026. The waiver pays for assisted-living care services — not room and board — for eligible Medi-Cal members, and each home takes a limited number of waiver residents, so ask the home about a current ALW opening.

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

How full it was at the last state visit

65 of 84 beds occupied (77%) when the state visited on February 23, 2026. Availability changes constantly — confirm a current opening with the home.

What do state inspections show for Coral Oaks Care Living?

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 28 state visits and 26 dated documents since 2021 for Coral Oaks Care Living; 12 complaint-investigation narratives are transcribed verbatim below. The most recent, dated February 23, 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.

12 transcribed reports on file

2026

Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedStaff dropped resident Staff are not meeting residents needs Staff are not following infection control requirements
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
On February 23, 2026, Licensing Program Analyst (LPA) Pamela Bunker conducted an initial visit to gather information regarding the above allegations. LPA met with Ellen Barrintos, Administrator, and explained the purpose of the visit. LPA was granted entry to the facility. The investigation consisted of the following: On February 23, 2026, the following documents were reviewed and obtained as part of the investigation: Personnel Report (dated 02/22/2026), Resident Roster (dated 02/22/2026), Mitigation Plan Report (dated 04/16/2021), and an approved Infection Control Report (dated May 25, 2022), and Special Incident Report (July 9, 2025) See continued LIC9099-C page 2 UnsubstantiatedCDSS inspection report, February 23, 2026 · control 11-AS-20260220123116

2025

Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedStaff did not provide adequate supervision resulting in a resident eloping from the facility.
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
On December 18, 2025, at 8:30 a.m., Licensing Program Analyst (LPA) Pamela Bunker conducted an initial visit to gather information regarding the above allegations. LPA met with Ellen Barrintos, Administrator, and explained the purpose of the visit. LPA was granted entry to the facility. The investigation consisted of the following: On December 18, 2025, the following documents were reviewed and/or obtained as part of the investigation: Personnel Report (dated 12/18/2025), Resident Roster (dated 12/18/2025), Special Incident Reports (dated 12/15/2025), Admission Agreement (dated 11/09/2023) Identification and Emergency Information (dated 11/07/2023), Physician’s Report (dated 11/03/2023, 04/18/2024 & 10/05/2025), Medical Assessment (dated 10/05/2025), Medication Administration Records (MARs) (dated 11/01/2025 -12/12/2025), Appraisal & Needs and Services Plan (dated 08/20/2025), Functional Capability Assessment (dated 11/06/2023), Preplacement Appraisal Information (dated 11/06/2023), PeCDSS inspection report, December 18, 2025 · control 11-AS-20251210130130

2024

Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedStaff does not ensure to provide a safe environment for residents in care.
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
On 12/27/24 The Department of Social Services, Community Care Licensing Division (CCLD) staff conducted an initial unannounced complaint visit to the facility, to investigate the allegation listed above. CCLD was met by Ellen Barrientos, Administrator (S1), and the purpose of the visit was explained. The investigation consisted of the following: On 12/27/24 CCLD toured the facility inside and out with Ellen Barrientos, interviewed four (4) staff (S1-S4) and six (6) residents (R1-R6). LPA Leon requested and reviewed facility documents, including staff and resident rosters, and resident(s) records. Report continues, see: LIC9099-C. UnsubstantiatedCDSS inspection report, December 27, 2024 · control 11-AS-20241223152059
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedStaff hit resident, resulting in resident sustaining a bruise
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
On 06/21/24 Licensing program analyst (LPA) Villegas conducted a subsequential complaint visit to render findings regarding the allegation above. LPA met with Administrator (A1)Eleanor Barrientos, as the purpose of the visit was explained. Th e investigation consist of the following: On 06/12/24 at 9:30 am Licensing program Analyst (LPA) Villegas conducted a subsequent complaint visit regarding the allegation above. LPA Villegas met with Administrator (A1) Eleanor Barrientos as the purpose of the visit was explained. On 06/12/24 LPA Villegas obtained copies of the following: staff and resident rosters, and the following documents for R1: Emergency I.D. form (dated 08/02/23), admission agreement (dated 08/03/23), physicians report (dated: 08/07/23), physician’s orders, medication list, MAR, needs and service plan (08/08/23), and a copy of the incident report (dated 10/11/23). On 06/12/24 between 10am-11:30 am LPA conducted interviews with resident #2-6 (R2-R6) and between 11:30am-12:30CDSS inspection report, June 21, 2024 · control 11-AS-20231012094440
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedStaff did not seek medical attention for a resident in care. Staff are abusive towards a resident in care. Staff discriminates against a resident in care.
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
On 06/13/2024 at around 02:00 PM Licensing Program Analyst (LPA) Leandro continued a complaint investigation regarding the allegations listed above. LPA met with Administrator Ellen Barrientos and the purpose of the visit was explained. The investigation consisted of the following: During today’s investigation LPA requested Resident 1’s (R1) records. LPA interviewed 5 out of 28 staff and 6 out of 67 residents. LPA reviewed facility records which consisted of resident roster, staff roster, staff trainings, etc. LPA reviewed R1’s records which consisted of unusual incident reports, medical records, physicians report, etc. UnsubstantiatedCDSS inspection report, June 13, 2024 · control 11-AS-20240603122041
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedResidents are being neglected Staff member did not treat residents with dignity and respect Staff member yells at residents Staff did not ensure to sanitize facility Facility is malodorous Night shift staff sleep while on duty Staff do not respond to residents’ call assistance button
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
On 05/22/24 Licensing Program Analyst (LPA) Mario Leon conducted an initial, unannounced, complaint visit at the above-mentioned facility. LPA was met by Ellen Barrientos, administrator (S1), and the purpose of the visit was explained. S1 and LPA toured the facility. The investigation consisted of the following: On 05/22/24 LPA requested and reviewed facility documents and toured the facility. LPA interviewed eight (8) out of seventy (70) residents and four (4) out of twenty-eight (28) staff. The investigation revealed the following: Regarding the allegation “Residents are being neglected” It has been alleged that the staff don’t check on the residents, and they are being neglected. Between 9:00AM and 4:00PM, on 05/22/24, LPA observed numerous caregivers and housekeeping staff constantly browsing the facility grounds and making sure to provide care response to the residents at the above-mentioned facility. Report continues, see LIC9099C UnsubstantiatedCDSS inspection report, May 22, 2024 · control 11-AS-20240516085649
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedFacility staff not storing resident medications properly. Facility staff spoke inappropriately to resident.
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
On 1/17/24 Licensing Program Analyst (LPA) Felisa Shirley conducted an unannounced complaint visit to the address listed above. LPA arrived and spoke to Administrator Eleanor Barrientos and the purpose of the visit was discussed. LPA was granted access to the facility. The investigation consisted of the following: On 1/17/24 LPA Shirley toured the facility’s first station for medication. LPA also requested and reviewed copies of the following records: Resident Roster, Staff roster, MAR’s, Forms Questionnaire, Preplacement Assessment, Functional Capability Assessment, Daily Communication Log, Appraisal Needs and Services 10/8/23, Admission Agreement and SIR’s that involved resident. The investigation revealed the following: Con’d on 9099-C UnsubstantiatedCDSS inspection report, January 17, 2024 · control 11-AS-20240109085526
Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedStaff do not treat resident with dignity
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
On 01/12/24 Licensing Program Analyst (LPA) Mario Leon conducted a subsequent, unannounced, complaint visit at the above-mentioned facility. LPA was met by Ellen Barrientos, Administrator (S1), and the purpose of the visit was explained. The investigation consisted of the following: On 01/11/24 LPA requested and reviewed facility documents which included admission agreements, safeguards of property and valuables, personnel report, resident census and LPA and S1 toured the facility. LPA interviewed seven (07) out of seventy-two (72) residents and four (04) out of twenty-eight (28) staff. On 01/12/23 LPA further interviewed two (02) of the previously interviewed four (04) staff, conducted on 01/11/24. LPA also interviewed one (1) additional staff member and reviewed additional documents which included restricted/modified diets, kitchen weekly menus, daily notes related to sheriff's attendance and two (02) staff's training documents. Report continues, see 9099C. SubstantiatedCDSS inspection report, January 12, 2024 · control 11-AS-20240105143359
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedStaff did not prevent resident from physically assaulting another resident
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
On 01/11/24, Licensing Program Analysts (LPA), Wendy Gibbs, conducted a complaint investigtion at the facility listed above. LPA met with Administrator, Elanore Barrientos, and Assistant Administrator, Michalene Johnson, and the purpose of today's visit was explained. During today's visit, LPA toured the facility, received documents pertinent to the investigation, interviewed staff (S1-S5), and interviewed residents (R1-R7). The following documents were received and reviewed: Staff Roster, Resident Roster, Resident's Physician's Report, Preplacement Appraisal Information, Appraisal/Needs and Services Plan, Special Incident Reports, Daily Communication Log, Nurse's Notes, Administrator Notes, and Hospital Discharge Papers. The investigation revealed the following: Continued on LIC9099-C UnsubstantiatedCDSS inspection report, January 11, 2024 · control 11-AS-20240104172800

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

What the state has logged

California has logged 28 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
1
typical for this size: 1
Substantiated complaints
2
typical for this size: 2
Total complaints
13
typical for this size: 7
State visits on file
28
typical for this size: 19
See the full inspection record on the state's site →
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What isn't in the state record

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