Clearwater At South Bay is a residential care home for the elderly (RCFE) in Torrance, Los Angeles County, California — state license #198603118, licensed for 137 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 21 dated inspection and complaint documents on file for this home going back to 2021, the most recent dated February 12, 2026 — published below in full, verbatim and unscored.

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Clearwater At South Bay

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Residential care home for the elderly (RCFE) · Large community, 137 residents · Torrance, CA · Los Angeles County
LicensedWheelchairMemory careBedriddenHospice not on file
No openings reportedBeds change hands in days ·
License #198603118, held since 2019 · read from the California state record on August 2, 2026 ·See on State Site →
3210 & 3212 W Sepulveda Blvd · Torrance, Los Angeles County
Phone
(424) 488-6340
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 137 residents
Dementia / memory careVerified in record
Hospice careNot on file — ask the home
Bedridden careApproved for 13 residents

“Not on file” is not a no — approvals can be bed- or room-specific, so confirm current scope with the home on a tour. Where a number is shown it is the state’s own wording for how many residents the approval covers, not how many places are open today; where none is shown, the record simply does not state one.

Specific medical needs — insulin, oxygen, a catheter, an ostomy — aren’t in the state license record; ask the home directly. A feeding tube, tracheostomy, or advanced wound care usually needs skilled nursing →

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What the state record says, word for word
AGE RANGE 60 AND OVER; APPROVED FOR 137 NON-AMBULATORY OF WHICH 13 MAY BE BEDRIDDEN. DELAYED EGRESS APPROVED FOR MEMORY CARE AND TRANSITIONAL UNITS.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 29 times and filed 21 documents. The most recent is a complaint investigation report, dated February 12, 2026.

Most recent state visit
June 25, 2026
Occupancy at the February 4, 2026 visit
105 of 137 beds

The state's published file for this home includes 13 documents with transcribed findings, dated July 20, 2021 to February 4, 2026. 13 of the 13 carry the state's recorded outcome word: “Substantiated” (2), “Unsubstantiated” (11). 13 include the transcribed allegation the state investigated, word for word.

Summary composed by computer from the 13 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 21 documentsFull record on the state’s site →
20262 state visits · 2 documents
Feb 12, 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.

Feb 4, 2026Complaint investigation reportUnsubstantiated

Allegation investigated: Staff did not allow residents to select their hospice provider

On 2/4/26, Licensing Program Analyst (LPA) Felisa Shirley conducted an unannounced visit to this facility. LPA was met by the Executive Director, Paul Gozon and explained the purpose of the visit is to investigate and deliver findings for the allegations mentioned above. LPA was granted access to the facility. The investigation consisted of the following: On 2/4/26, LPA Shirley reviewed copies of the following records: Staff and Resident Roster, Hospice Provider Pamphlets, List of Referrals and List of Residents using Hospice Services. LPA Felisa Shirley conducted a tour of the facility. LPA Shirley interviewed Staff 1 – Staff-5 (S1 – S5), and Witness 1 – Witness 4 (W1-W4). Con'd on 9099-C Unsubstantiatedthe state’s words, verbatim · CDSS document, Feb 4, 2026 · control 11-AS-20260130134136
20257 state visits · 7 documents
Dec 23, 2025Facility evaluation reportReport on file

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

Oct 23, 2025Complaint investigation reportSubstantiated

Allegation investigated: Staff did not properly follow reporting requirements

On 10/23/25 Licensing Program Analyst (LPA) Mario Leon conducted an unannounced initial complaint visit at the facility. LPA was met by staff one, Paul Gozon - Executive Director (S1) and the purpose of the visit was explained. The investigation consisted of the following: LPA requested and reviewed the following documents: Resident and staff roster (dated: 10/23/25), special incident reports of residents in care (dated: 09/01/25 through 10/01/25), hospice care notes (dated: 09/01/25 through 10/01/25) and pre-admission and admission appraisals as well as facility vitals. LPA interviewed seven (7) staff (S1-S7) and three (3) residents (R1-R3). Report continues, please see LIC9099-C. Substantiatedthe state’s words, verbatim · CDSS document, Oct 23, 2025 · control 11-AS-20251014124606
Sep 4, 2025Complaint investigation reportUnsubstantiated

Allegation investigated: Staff did not ensure air conditioner was working properly

On 09/04/2025, Licensing Program Analyst (LPA), Wendy Gibbs conducted an unannounced Complaint Visit to the facility listed above. LPA met with Executive Director, Paul Gozon, and the purpose of today’s visit was explained. LPA was granted entry into the facility. The investigation consisted of the following: During today's visit LPA inspected the facility, interviewed Staff S1-S8, interviewed Residents R1-R10, and received and reviewed documents pertinent to the investigation. The following documents were received and reviewed Staff Roster, Resident Roster, Work Orders, and invoices for C&M Mechanical dated 05/29/2025, 07/09/2025, 07/25/2025, 08/12/2025, 08/15/2025, and 08/29/2025. The investigation revealed the following: Unsubstantiatedthe state’s words, verbatim · CDSS document, Sep 4, 2025 · control 11-AS-20250826092317
Jul 10, 2025Complaint investigation reportUnsubstantiated

Allegation investigated: Staff are not ensuring all staff are criminally record cleared

On July 10, 2025, Licensing Program Analyst (LPA) Deborah Lee conducted unannounced initial complaint visit regarding above allegation. LPA Lee met with Raul Gosan, Executive Director, and Raul Pereirra, Business Office Director, and explained the reason for the visit. Investigation consisted of the following: On 7/10/25, LPA obtained copies of the LIC 500 (dated 6/23/25) LPA reviewed 10 staff files (S2-S11), LPA conducted 2 staff interviews with Executive Director (A1) and Business of Director (S1). LPA and Business Office Director toured the facility. Page 1 of 2 Unsubstantiatedthe state’s words, verbatim · CDSS document, Jul 10, 2025 · control 11-AS-20250703110413
Jun 26, 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.

Apr 30, 2025Complaint investigation reportSubstantiated

Allegation investigated: Staff have not provided authorized representative a copy of resident's file

This report serves as an amendment to change a finding. This report supersedes the complaint investigation findings reflected on report created 01/30/25. On 04/30/2025, Licensing Program Analyst (LPA), conducted an unannounced subsequent complaint visit to the facility listed above to deliver findings. LPA met with Office Business Director, Raul Pereira, and the purpose of today’s visit was explained. LPA was granted entry into the facility. The investigation consisted of the following: During a visit on 01/30/25, LPA toured the facility and received additional documents. The documents received and reviewed are staffing notes for R1. During a subsequent visit conducted on 10/24/23, LPA inspected the facility, interviewed Staff S1-S12, interviewed Residents R3-R11, and received documents pertinent to the investigation. The following documents were received and reviewed Staff Roster, Resident Roster, staff Training Logs regarding ADL’s, Toileting/Incontinence, emails between S1, S2 and rthe state’s words, verbatim · CDSS document, Apr 30, 2025 · control 11-AS-20241016160832
Jan 30, 2025Complaint investigation reportUnsubstantiated

Allegation investigated: Staff have not provided authorized representative a copy of resident's file Due to staff neglect, resident sustained a wound Staff are double diapering resident Staff left resident in soiled diapers

On 01/30/2025, the department conducted a subsequent visit to the facility listed above to deliver findings for a complaint. The department met with Executive Director, Paul Gozon, and the purpose of the visit was explained. During today’s visit, the department toured the facility and received additional documents. The documents received and reviewed are staffing notes for R1. During a subsequent visit conducted on 10/24/23, the Department inspected the facility, interviewed Staff S1-S12, interviewed Residents R3-R11, and received documents pertinent to the investigation. The following documents were received and reviewed Staff Roster, Resident Roster, staff Training Logs regarding ADL’s, Toileting/Incontinence, emails between S1, S2 and residents’ family, Resident’s Face Sheet, Physician’s Report, Consent Forms, Resident South Bay Health and Service Evaluation Service Plan, Power of Attorney, Centrally Stored Medications, Resident Intake Form, Admission Agreement, Outside Agency Documthe state’s words, verbatim · CDSS document, Jan 30, 2025 · control 11-AS-20241016160832
20245 state visits · 5 documents
Sep 6, 2024Complaint investigation reportUnsubstantiated

Allegation investigated: Staff did not safeguard resident's personal items Staff did not document or report incidents to resident's authorized person Staff did not provide activities for residents Staff mismanage resident medication Staff do not safeguard confidential information Staff do not provide utensils for residents Staff are unable to communicate with residents

On 09/06/24, Licensing Program Analyst, Wendy Gibbs, conducted a subsequent visit to the facility listed above to deliver findings. LPA met with Assistant Executive Director/Memory Care Director, Cecille Bernabe, and Office Business Director, Raul Periera, and the purpose of today’s visit was explained the purpose of today’s visit. During a subsequent visit conducted on 12/20/23 LPA interviewed staff (S1-S9) and residents (R2-R3), toured the facility, and received pertinent documents for the investigation. LPA reviewed and received copies of the following documents, staff roster, resident roster, resident Appraisal, Needs and Service Plans, Physician’s Report, Nurse/Staff Notes, Safeguard of property/valuables, incident reports, Centrally Stored Medications, Medication Administration Record (MAR), Weight Log, Activity Schedule, Menu, Laundry Schedule, Cleaning Schedule, and staff Training Logs. On an additional subsequent visit conducted on 02/09/24, Licensing Program Analysts (LPA), Wthe state’s words, verbatim · CDSS document, Sep 6, 2024 · control 11-AS-20231214094359
Aug 2, 2024Facility evaluation reportReport on file

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

Jul 17, 2024Complaint investigation reportUnsubstantiated

Allegation investigated: Facility HVAC is in disrepair.

On 07/17/24, Licensing Program Analyst (LPA), Wendy Gibbs conducted an unannounced complaint visit to the facility listed above. LPA met with Assistant Executive Director, Cecille Bernabe, and Business Office Director, Raul Pereira, and the purpose of today’s visit was explained. During today’s visit LPA toured the facility, took room temperatures, interviewed Staff S1-S8, interviewed residents R1-R10, and received documents pertinent to the investigation. LPA received and reviewed the following documents, Staff Roster, Resident Roster, Work Orders, and invoices from AC company. The investigation revealed the following: Continued On LIC9099-C Unsubstantiatedthe state’s words, verbatim · CDSS document, Jul 17, 2024 · control 11-AS-20240709155106
Mar 19, 2024Complaint investigation reportUnsubstantiated

Allegation investigated: Facility staff do not store cleaning chemicals locked and inaccessible to residents in care

On 03/19/24, Licensing Program Analyst (LPA), Wendy Gibbs, conducted a complaint visit to the facility listed above. LPA met with Executive Director, Paul Gozon, and the purpose of today’s visit was explained. During today’s visit LPA toured the facility, interviewed Staff (S1-S7), interviewed Residents (R1-R8), and received documents pertinent to the investigation. The documents received and reviewed include the Staff Roster, Resident Roster, Relias training logs, and in-service training logs. The investigation revealed the following: Continued on LIC9099-C Unsubstantiatedthe state’s words, verbatim · CDSS document, Mar 19, 2024 · control 11-AS-20240314085546
Feb 10, 2024Complaint investigation reportUnsubstantiated

Allegation investigated: Neglect/Lack of Supervision resulted in severe injury.

On 02/10/24 Licensing Program Analyst (LPA) Ernand Dabuet made an unannounced visit to the facility and was greeted by Lifestyle Director (S4: Kathryn O'Brien). LPA conducted a risk assessment prior to entering the facility and observed COVID-19 protocol. A1 informed LPA that the facility has no COVID cases nor do any of the residents or staff have symptoms. The purpose for today’s visit is to conduct a subsequent visit and deliver the findings pertaining to the above-mentioned allegation. The investigation consisted of the following: An initial visit was conducted by LPA Jeremiah Randle on 08/24/22 with Executive Director/ Administrator (A1: Michele Johnson). LPA toured the facility and observed the facility to be in good condition. Residents were currently sitting in the common area engaged in social activities. Residents that were observed did not show signs of distress or abuse. (Evaluation Report continues LIC 9099-C) Unsubstantiatedthe state’s words, verbatim · CDSS document, Feb 10, 2024 · control 11-AS-20220823144132
20231 state visit · 1 document
Nov 18, 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 citations2typical 1
Substantiated complaints3typical 2
Total complaints15typical 7
State visits on file29typical 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 2019.
Year-by-year trend
YearVisitsDocumentsSubstantiated202622020257722024550202322020224402021220
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 Clearwater At South Bay licensed?

Yes — Clearwater At South Bay is a licensed residential care home for the elderly (RCFE) in Torrance (Los Angeles County): California license #198603118, shown as licensed in the CDSS state record checked August 2, 2026, licensed for 137 residents. State records list 21 inspection and complaint documents since 2021; the most recent, a complaint investigation report dated February 12, 2026, appears in the inspection record on this page.

Can Clearwater At South Bay 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 Clearwater At South Bay 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 recordAGE RANGE 60 AND OVER; APPROVED FOR 137 NON-AMBULATORY OF WHICH 13 MAY BE BEDRIDDEN. DELAYED EGRESS APPROVED FOR MEMORY CARE AND TRANSITIONAL UNITS.

How much does Clearwater At South Bay cost?

California's public licensing record does not include Clearwater At South Bay'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 Clearwater At South Bay accept Medi-Cal or the Assisted Living Waiver?

Clearwater At South Bay 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

105 of 137 beds occupied (77%) when the state visited on February 4, 2026. Availability changes constantly — confirm a current opening with the home.

What do state inspections show for Clearwater At South Bay?

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 29 state visits and 21 dated documents since 2021 for Clearwater At South Bay; 13 complaint-investigation narratives are transcribed verbatim below. The most recent, dated February 4, 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.

13 transcribed reports on file

2026

Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedStaff did not allow residents to select their hospice provider
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
On 2/4/26, Licensing Program Analyst (LPA) Felisa Shirley conducted an unannounced visit to this facility. LPA was met by the Executive Director, Paul Gozon and explained the purpose of the visit is to investigate and deliver findings for the allegations mentioned above. LPA was granted access to the facility. The investigation consisted of the following: On 2/4/26, LPA Shirley reviewed copies of the following records: Staff and Resident Roster, Hospice Provider Pamphlets, List of Referrals and List of Residents using Hospice Services. LPA Felisa Shirley conducted a tour of the facility. LPA Shirley interviewed Staff 1 – Staff-5 (S1 – S5), and Witness 1 – Witness 4 (W1-W4). Con'd on 9099-C UnsubstantiatedCDSS inspection report, February 4, 2026 · control 11-AS-20260130134136

2025

Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedStaff did not properly follow reporting requirements
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
On 10/23/25 Licensing Program Analyst (LPA) Mario Leon conducted an unannounced initial complaint visit at the facility. LPA was met by staff one, Paul Gozon - Executive Director (S1) and the purpose of the visit was explained. The investigation consisted of the following: LPA requested and reviewed the following documents: Resident and staff roster (dated: 10/23/25), special incident reports of residents in care (dated: 09/01/25 through 10/01/25), hospice care notes (dated: 09/01/25 through 10/01/25) and pre-admission and admission appraisals as well as facility vitals. LPA interviewed seven (7) staff (S1-S7) and three (3) residents (R1-R3). Report continues, please see LIC9099-C. SubstantiatedCDSS inspection report, October 23, 2025 · control 11-AS-20251014124606
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedStaff did not ensure air conditioner was working properly
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
On 09/04/2025, Licensing Program Analyst (LPA), Wendy Gibbs conducted an unannounced Complaint Visit to the facility listed above. LPA met with Executive Director, Paul Gozon, and the purpose of today’s visit was explained. LPA was granted entry into the facility. The investigation consisted of the following: During today's visit LPA inspected the facility, interviewed Staff S1-S8, interviewed Residents R1-R10, and received and reviewed documents pertinent to the investigation. The following documents were received and reviewed Staff Roster, Resident Roster, Work Orders, and invoices for C&M Mechanical dated 05/29/2025, 07/09/2025, 07/25/2025, 08/12/2025, 08/15/2025, and 08/29/2025. The investigation revealed the following: UnsubstantiatedCDSS inspection report, September 4, 2025 · control 11-AS-20250826092317
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedStaff are not ensuring all staff are criminally record cleared
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
On July 10, 2025, Licensing Program Analyst (LPA) Deborah Lee conducted unannounced initial complaint visit regarding above allegation. LPA Lee met with Raul Gosan, Executive Director, and Raul Pereirra, Business Office Director, and explained the reason for the visit. Investigation consisted of the following: On 7/10/25, LPA obtained copies of the LIC 500 (dated 6/23/25) LPA reviewed 10 staff files (S2-S11), LPA conducted 2 staff interviews with Executive Director (A1) and Business of Director (S1). LPA and Business Office Director toured the facility. Page 1 of 2 UnsubstantiatedCDSS inspection report, July 10, 2025 · control 11-AS-20250703110413
Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedStaff have not provided authorized representative a copy of resident's file
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
This report serves as an amendment to change a finding. This report supersedes the complaint investigation findings reflected on report created 01/30/25. On 04/30/2025, Licensing Program Analyst (LPA), conducted an unannounced subsequent complaint visit to the facility listed above to deliver findings. LPA met with Office Business Director, Raul Pereira, and the purpose of today’s visit was explained. LPA was granted entry into the facility. The investigation consisted of the following: During a visit on 01/30/25, LPA toured the facility and received additional documents. The documents received and reviewed are staffing notes for R1. During a subsequent visit conducted on 10/24/23, LPA inspected the facility, interviewed Staff S1-S12, interviewed Residents R3-R11, and received documents pertinent to the investigation. The following documents were received and reviewed Staff Roster, Resident Roster, staff Training Logs regarding ADL’s, Toileting/Incontinence, emails between S1, S2 and rCDSS inspection report, April 30, 2025 · control 11-AS-20241016160832
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedStaff have not provided authorized representative a copy of resident's file Due to staff neglect, resident sustained a wound Staff are double diapering resident Staff left resident in soiled diapers
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
On 01/30/2025, the department conducted a subsequent visit to the facility listed above to deliver findings for a complaint. The department met with Executive Director, Paul Gozon, and the purpose of the visit was explained. During today’s visit, the department toured the facility and received additional documents. The documents received and reviewed are staffing notes for R1. During a subsequent visit conducted on 10/24/23, the Department inspected the facility, interviewed Staff S1-S12, interviewed Residents R3-R11, and received documents pertinent to the investigation. The following documents were received and reviewed Staff Roster, Resident Roster, staff Training Logs regarding ADL’s, Toileting/Incontinence, emails between S1, S2 and residents’ family, Resident’s Face Sheet, Physician’s Report, Consent Forms, Resident South Bay Health and Service Evaluation Service Plan, Power of Attorney, Centrally Stored Medications, Resident Intake Form, Admission Agreement, Outside Agency DocumCDSS inspection report, January 30, 2025 · control 11-AS-20241016160832

2024

Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedStaff did not safeguard resident's personal items Staff did not document or report incidents to resident's authorized person Staff did not provide activities for residents Staff mismanage resident medication Staff do not safeguard confidential information Staff do not provide utensils for residents Staff are unable to communicate with residents
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
On 09/06/24, Licensing Program Analyst, Wendy Gibbs, conducted a subsequent visit to the facility listed above to deliver findings. LPA met with Assistant Executive Director/Memory Care Director, Cecille Bernabe, and Office Business Director, Raul Periera, and the purpose of today’s visit was explained the purpose of today’s visit. During a subsequent visit conducted on 12/20/23 LPA interviewed staff (S1-S9) and residents (R2-R3), toured the facility, and received pertinent documents for the investigation. LPA reviewed and received copies of the following documents, staff roster, resident roster, resident Appraisal, Needs and Service Plans, Physician’s Report, Nurse/Staff Notes, Safeguard of property/valuables, incident reports, Centrally Stored Medications, Medication Administration Record (MAR), Weight Log, Activity Schedule, Menu, Laundry Schedule, Cleaning Schedule, and staff Training Logs. On an additional subsequent visit conducted on 02/09/24, Licensing Program Analysts (LPA), WCDSS inspection report, September 6, 2024 · control 11-AS-20231214094359
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedFacility HVAC is in disrepair.
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
On 07/17/24, Licensing Program Analyst (LPA), Wendy Gibbs conducted an unannounced complaint visit to the facility listed above. LPA met with Assistant Executive Director, Cecille Bernabe, and Business Office Director, Raul Pereira, and the purpose of today’s visit was explained. During today’s visit LPA toured the facility, took room temperatures, interviewed Staff S1-S8, interviewed residents R1-R10, and received documents pertinent to the investigation. LPA received and reviewed the following documents, Staff Roster, Resident Roster, Work Orders, and invoices from AC company. The investigation revealed the following: Continued On LIC9099-C UnsubstantiatedCDSS inspection report, July 17, 2024 · control 11-AS-20240709155106
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedFacility staff do not store cleaning chemicals locked and inaccessible to residents in care
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
On 03/19/24, Licensing Program Analyst (LPA), Wendy Gibbs, conducted a complaint visit to the facility listed above. LPA met with Executive Director, Paul Gozon, and the purpose of today’s visit was explained. During today’s visit LPA toured the facility, interviewed Staff (S1-S7), interviewed Residents (R1-R8), and received documents pertinent to the investigation. The documents received and reviewed include the Staff Roster, Resident Roster, Relias training logs, and in-service training logs. The investigation revealed the following: Continued on LIC9099-C UnsubstantiatedCDSS inspection report, March 19, 2024 · control 11-AS-20240314085546
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedNeglect/Lack of Supervision resulted in severe injury.
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
On 02/10/24 Licensing Program Analyst (LPA) Ernand Dabuet made an unannounced visit to the facility and was greeted by Lifestyle Director (S4: Kathryn O'Brien). LPA conducted a risk assessment prior to entering the facility and observed COVID-19 protocol. A1 informed LPA that the facility has no COVID cases nor do any of the residents or staff have symptoms. The purpose for today’s visit is to conduct a subsequent visit and deliver the findings pertaining to the above-mentioned allegation. The investigation consisted of the following: An initial visit was conducted by LPA Jeremiah Randle on 08/24/22 with Executive Director/ Administrator (A1: Michele Johnson). LPA toured the facility and observed the facility to be in good condition. Residents were currently sitting in the common area engaged in social activities. Residents that were observed did not show signs of distress or abuse. (Evaluation Report continues LIC 9099-C) UnsubstantiatedCDSS inspection report, February 10, 2024 · control 11-AS-20220823144132

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

What the state has logged

California has logged 29 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
2
typical for this size: 1
Substantiated complaints
3
typical for this size: 2
Total complaints
15
typical for this size: 7
State visits on file
29
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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