Terraces At Via Verde-a Memory Care Community, The is a residential care home for the elderly (RCFE) in San Dimas, Los Angeles County, California — state license #198603383, licensed for 60 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 24 dated inspection and complaint documents on file for this home going back to 2021, the most recent dated February 13, 2026 — published below in full, verbatim and unscored.

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Terraces At Via Verde-a Memory Care Community, The

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Residential care home for the elderly (RCFE) · Large community, 60 residents · San Dimas, CA · Los Angeles County
LicensedWheelchairHospiceMemory care not on fileBedridden not on file
No openings reportedBeds change hands in days ·
License #198603383, held since 2021 · read from the California state record on August 2, 2026 ·See on State Site →
1155 Via Verde · San Dimas, Los Angeles County
Phone
(909) 293-6466
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 60 residents
Dementia / memory careNot on file — ask the home
Hospice careApproved for 20 residents
Bedridden careNot on file — ask the home

“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 60 NON-AMBULATORY. ALL BEDROOMS APPROVED FOR NON-AMBULATORY. APPROVED HOSPICE WAIVER FOR 20. NEW MANAGEMENT COMPANY, AGEMARK MANAGEMENT LLC, EFFECTIVE 04/02/2024.State service designation935 - ELDERLYthe CDSS license record, verbatim · checked August 2, 2026

Since 2021, the state has visited this home 34 times and filed 24 documents. The most recent is a complaint investigation report, dated February 13, 2026.

Most recent state visit
July 7, 2026
Occupancy at the December 15, 2025 visit
49 of 60 beds

The state's published file for this home includes 15 documents with transcribed findings, dated July 21, 2022 to December 15, 2025. 15 of the 15 carry the state's recorded outcome word: “Substantiated” (3), “Unsubstantiated” (12). 15 include the transcribed allegation the state investigated, word for word.

Summary composed by computer from the 15 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 — 23 of 24 documentsFull record on the state’s site →
20263 state visits · 4 documents
Feb 13, 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 13, 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.

Jan 26, 2026Complaint investigation reportReport on file

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

Jan 17, 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.

20258 state visits · 9 documents
Dec 15, 2025Complaint investigation reportUnsubstantiated

Allegation investigated: Facility staff did not dispense medications as prescribed Resident sustained unexplained injuries in care Facility staff did not ensure that resident was adequately fed Facility staff did not ensure that resident had clean linens

Licensing Program Analyst (LPA) Tena Herrera conducted an unannounced subsequent complaint visit to investigate the above allegations. LPA met with Executive Director Suby Kumar and discussed the purpose of the visit. The investigation consisted of the following: On 2/10/25 LPA Wesley conducted initial visit, toured facility, Interviewed Administrator, staff, and residents, received copies of facility food menu's, and requested specific documents from Resident (R1) file. Furher investigation needed. During todays visit 12/15/25 LPA Herrera conducted the supsequent visit and obtained copies of the resident/ staff rosters, copy of December 2025 menus, and copies of the following documents from R1's file: MAR, Charting Notes (observations), and weight record. LPA toured facility, inspected food supply,a total of 5 resident rooms were entered and inspected, LPA observed storage with incontinence supplies and linen supply, LPA interviewed 4 staff (S1-S5) and 5 residents (R1-R6), and deleivethe state’s words, verbatim · CDSS document, Dec 15, 2025 · control 28-AS-20250207091124
Nov 7, 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 30, 2025Facility evaluation reportReport on file

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

Sep 5, 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.

Aug 26, 2025Complaint investigation reportUnsubstantiated

Allegation investigated: Staff did not check on residents in a timely manner Staff inappropriately removed the signal systems from residents’ rooms Staff are not answering the facility phone

Licensing Program Analysts (LPA) Luis De Leon conducted an initial unannounced complaint investigation visit for the allegation listed above. LPA met with the Office Manager Courtney Cortez and explained the reason for the visit. Executive Director Subashsani Kumar joined the visit sometime after. The investigation consisted of the following: On today’s visit, LPA De Leon toured the physical plant, random rooms in the first and second floor, and common areas with Environmental Service Director Mark Chisum. LPA obtained staff/resident roster, Resident #1 (R1) files such as: Identification and Emergency Information/Face sheet, Physician's Report, Pre-placement Appraisal, and Admission Agreement. CONTINUED ON LIC-9099C Unsubstantiatedthe state’s words, verbatim · CDSS document, Aug 26, 2025 · control 28-AS-20250819141728
Jul 17, 2025Complaint investigation reportUnsubstantiated

Allegation investigated: Licensee does not provide a safe environment for residents in care.

Licensing Program Analyst (LPA) Daniel Konishi conducted an subsequent unannounced initial complaint visit at the facility and met with Mark Chism to discuss the purpose for today's visit. The Executive Director, Subishsani Kumar arrived shortly after and LPA explained the purpose of the visit. The purpose of the visit is to investigate the above allegation. On 05/27/2025, the initial investigation visit was conducted. The investigation consisted of the following: LPA interviewed the Executive Director, Maintenance Director, Staff #1 (S1) - Staff #7 (S7). LPA also interviewed Resident #3 (R3) – Resident #7 (R7). LPA attempted to interview Resident #1 (R1) and Resident #2 (R2), however, due to the residents’ inability to answer questions, LPA terminated the interviews. LPA obtained copies from R1’s to R2’s file, including the Physician's Report, Identification and Emergency Information LIC 601 form, Pre-placement Appraisal, Admission Agreement, Personal Rights and Internal Incident Repothe state’s words, verbatim · CDSS document, Jul 17, 2025 · control 28-AS-20250522082507
Jun 19, 2025Complaint investigation reportUnsubstantiated

Allegation investigated: Staff left residents in wet diapers for extended periods of time Staff did not ensure resident's showering needs were met

Licensing Program Analyst (LPA) Alberto Lopez conducted a complaint investigation regarding the allegations listed above. LPA arrived unannounced and met with the Executive Director, Suby Kumar and Mark Chisum, Environmental Services Director. The purpose of the visit was explained. LPA toured the facility with staff Mark Chisum, including common areas and all the rooms on the second floor and five random rooms on the first floor, obtained copies of documents, and held interviews with eight (8) residents (R#1-R#8) and six (6) staff (S#1-S#6), and four (4) witnesses W#1-W#4 The investigation revealed the following: Allegation: Staff left residents in wet diapers for extended periods of time. It is alleged that some residents are left in wet diapers for extended periods of time. LPA interviewed eight (8) residents, and all eight (8) residents were not able to corroborate the allegation. (Continued on 9099C) Unsubstantiatedthe state’s words, verbatim · CDSS document, Jun 19, 2025 · control 28-AS-20250609145039
Jun 19, 2025Complaint investigation reportUnsubstantiated

Allegation investigated: Staff do not safeguard resident's personal belongings while in care. Staff do not ensure that resident is provided with clean clothing while in care. Staff do not ensure that resident's room is maintained in a clean condition while in care. Staff do not ensure that communications to the facility from resident's representative are answered promptly and appropriately.

Licensing Program Analyst (LPA) Nune Margaryan conducted an unannounced complaint investigation visit regarding the above allegations. LPA Margaryan met with Executive Director and the porpose of the visit was explained. During today's visit LPA obtained copies of staff & residents Rosters, reviewed R1's file and collected relevant documents. Interviews conducted with Executive Director, Staff 1 - Staff 4 (S1 - S4) and Residents 1 - Residents 5 (R1 - R5). LPA conducted a tour of facility including R1's room and randomly chossen 5 other residents room. Continue 9099C Unsubstantiatedthe state’s words, verbatim · CDSS document, Jun 19, 2025 · control 28-AS-20250610144343
Jun 5, 2025Complaint investigation reportUnsubstantiated

Allegation investigated: Allegation - Staff do not provide adequate supervision to residents.

Licensing Program Analyst (LPA) Cynthia Chan conducted a complaint investigation regarding the allegation listed above. LPA arrived unannounced and met with the Executive Director, Suby Kumar. The purpose of the visit was explained. LPA toured the facility, obtained copies of documents, and held interviews. The investigation revealed the following: Allegation - Staff do not provide adequate supervision to residents. During the visit today, LPA interviewed the Executive Director, 4 Staff, and 4 Residents. Staff interviewed stated that there are always staff supervising residents. The morning and afternoon shifts have a med tech and 2 caregivers on each floor, and the overnight shift consists of a med tech and 2 caregivers. Unsubstantiatedthe state’s words, verbatim · CDSS document, Jun 5, 2025 · control 28-AS-20250603080828
20248 state visits · 9 documents
Jul 11, 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 1, 2024Complaint investigation reportUnsubstantiated

Allegation investigated: Staff mismanaged residents' medication

** This report supersedes the previous report dated 05/23/24. The reason for the visit was to provide additional information not documented on the 9099 dated 5/23/24 and to conduct interviews of residents. Licensing Program Analyst (LPA) Nune Margaryan conducted a visit to supersede the report dated 05/23/24 for the allegation listed above. LPA met with Robert Jakini, Administrator and explained the purpose of the visit. The investigation consisted of the following: During the visits on 03/07/45 and 05/23/24 LPA Nune Margaryan obtained a copy of the resident and staff roster, copy of Med Staff Schedule. Medication Administration Records (Quick MAR) were reviewed. LPA also conducted interviews with Administrator and Staff #1 - Staff # 4 (S #1 - S #4). During todays visit LPA conducted a tour of the facility, interviewed Resident #1 - Resident #6 (R#1 - R#6). Continue 9099C Unsubstantiatedthe state’s words, verbatim · CDSS document, Jul 1, 2024 · control 28-AS-20240304141910
Jul 1, 2024Complaint investigation reportReport on file

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

Jun 14, 2024Complaint investigation reportSubstantiated

Allegation investigated: Facility did not notify appropriate doctor of resident's change in condition.

*This report is a corrected version for report dated 6/11/24 to correct missing census and executive director's last name.* Licensing Program Analyst (LPA) Mary Flores conducted an unannounced subsequent complaint visit regarding the above allegation. LPA met with Robert Jakini and explained the reason for the visit. The investigation consisted of the following: On 8/22/22, LPA Galarza and Ramirez conducted a health and safety check visit at the facility, no concerns were observed. Interviews with 2 staff were conducted and copies of incident report and other documents were obtained. On 8/23/22, LPA Galarza interviewed Resident #1’(R1’s) representative and Skilled Nursing Facility over the phone. On 8/25/22, Investigation Bureau of the department accepted assignment to request medical records for R1. On 2/26/24, LPA Flores was re-assigned complaint investigation. On 3/8/24, LPA Flores requested additional records from the facility. On 3/13/24, LPA Flores subpoenaed medical records forthe state’s words, verbatim · CDSS document, Jun 14, 2024 · control 28-AS-20220818172814
Jun 11, 2024Complaint investigation reportSubstantiated

Allegation investigated: Facility did not notify appropriate doctor of resident's change in condition.

Licensing Program Analyst (LPA) Mary Flores conducted an unannounced subsequent complaint visit regarding the above allegation. LPA met with Robert … and explained the reason for the visit. The investigation consisted of the following: On 8/22/22, LPA Galarza and Ramirez conducted a health and safety check visit at the facility, no concerns were observed. Interviews with 2 staff were conducted and copies of incident report and other documents were obtained. On 8/23/22, LPA Galarza interviewed Resident #1’(R1’s) representative and Skilled Nursing Facility over the phone. On 8/25/22, Investigation Bureau of the department accepted assignment to request medical records for R1. On 2/26/24, LPA Flores was re-assigned complaint investigation. On 3/8/24, LPA Flores requested additional records from the facility. On 3/13/24, LPA Flores subpoenaed medical records for hospitalization and skilled nursing facility. On 5/24/24, LPA Flores interviewed 6 staff over the phone. On 6/3/24, LPA Flores cothe state’s words, verbatim · CDSS document, Jun 11, 2024 · control 28-AS-20220818172814
May 23, 2024Complaint investigation reportUnsubstantiated

Allegation investigated: Staff mismanaged residents' medication

Licensing Program Analyst (LPA) Nune Margaryan conducted a subsequent unannounced complaint visit to deliver finding to the above mentioned allegation. LPA met with Robert Jakini and explained the reason for the visit. The investigation consisted of the following: On 03/07/24 LPA Nune Margaryan obtained a copy of the resident and staff roster, copy of Med Staff Schedule, Medication Administration Records (Quick MAR) were reviewed. LPA also conducted interviews with Administrator and Staff #1 - Staff # 4 (S #1 - S #4). Continue 9099C Unsubstantiatedthe state’s words, verbatim · CDSS document, May 23, 2024 · control 28-AS-20240304141910
Apr 23, 2024Complaint investigation reportUnsubstantiated

Allegation investigated: Questionable deaths Residents had severe UTI. Staff did not seek medical attention for residents. Staff did not follow prescribed meals for residents. Staff did not report incidents to CCL. Staff did not document residents falls.

Licensing Program Analyst (LPA) Luis Mora conducted a subsequent complaint investigation visit regarding the above mentioned allegations. LPA met with Robert Jakini (Executive Director) and explained the reason for the visit. Investigation consisted of the following: On 07/18/2022, LPA requested copies of Emergency and Identification Information, Most current Physician report, Admission Agreement, Most current Needs and Services Plan, Most current incident reports, Hospice notes or Home Health Notes, Case Notes, Death Report for Resident 1 - Resident 6 (R1 - R6). LPA conducted a tour of facility and common areas. LPA observed a sufficient supply of perishable and non-perishable foods and 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 02/13/2024, LPA interviewed Executive Director, Staff 1 - 4 (S1 - S4), and Resident 7 - Resident 15 (R7 - R15). LPA also obtathe state’s words, verbatim · CDSS document, Apr 23, 2024 · control 28-AS-20220714141442
Mar 5, 2024Complaint investigation reportSubstantiated

Allegation investigated: Unqualified staff are administering insulin.

On 3/05/24 at 9:10 a.m., Licensing Program Analyst (LPA) Jewel Baptiste conducted an unannounced complaint visit to the facility. Upon arrival LPA met with the Executive Director Robert Jakini and explained the reason for the visit. During the visit LPA toured the facility with Staff #1 and obtained the resident roster and staff roster. LPA also conducted file review for a former resident (R1) and obtained the following documents: Physicians report, centrally stored medication and destruction record dated 5/04/2020 and 9/30/2021, and Medication administration record that included discontinue request. LPA conducted file review for former staff and obtained the following documents: Staff #4 personnel record, signed SOC 341, and training. Staff #5 copy of Registered Nurse PN license. Staff# 6 through Staff #7 Vocational nursing details. LPA conducted file review for current staff and obtained the following documents: Staff #1 copy of Vocational nursing details. Staff #2’s personnel recordthe state’s words, verbatim · CDSS document, Mar 5, 2024 · control 28-AS-20240228132910
Feb 13, 2024Complaint investigation reportUnsubstantiated

Allegation investigated: Staff did not follow COVID protocol. Staff did not aid residents with incontinence needs. Staff did not observe change in residents condition. Staff did not feed bedridden residents Staff did not aid residents with hygiene needs

Licensing Program Analyst (LPA) Luis Mora conducted a subsequent complaint investigation visit regarding the above mentioned allegations. LPA met with Robert Jakini (Executive Director) and explained the reason for the visit. Investigation consisted of the following: On 07/18/2022, LPA requested copies of Emergency and Identification Information, Most current Physician report, Admission Agreement, Most current Needs and Services Plan, Most current incident reports, Hospice notes or Home Health Notes, Case Notes, Death Report for Resident 1 - Resident 6 (R1 - R6). LPA conducted a tour of facility and common areas. LPA observed a sufficient supply of perishable and non-perishable foods and 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. During today's visit, LPA interviewed Executive Director, Staff 1 - 4 (S1 - S4), and Resident 7 - Resident 15 (R7 - R15). LPA althe state’s words, verbatim · CDSS document, Feb 13, 2024 · control 28-AS-20220714141442
20231 state visit · 1 document
Sep 15, 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 citations3typical 1
Substantiated complaints4typical 2
Total complaints15typical 7
State visits on file34typical 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 2021.
Year-by-year trend
YearVisitsDocumentsSubstantiated202634020258902024893202311020224402021110
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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Non-ambulatory approval — whole home or specific rooms, and is a spot open?
Ask how the 2024 complaint investigation report was corrected — what changed?
How is medication handled and logged day to day?
What’s in the base monthly rate, and what’s billed separately?
Staff-to-resident ratio on day and night shifts?
How are medical emergencies handled after hours?

The first two come straight from this home’s record — a brochure won’t answer them.

Operate this home? This page is generated from CDSS public records — respond or correct it, free.
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Call (909) 293-6466

Is Terraces At Via Verde-a Memory Care Community, The licensed?

Yes — Terraces At Via Verde-a Memory Care Community, The is a licensed residential care home for the elderly (RCFE) in San Dimas (Los Angeles County): California license #198603383, shown as licensed in the CDSS state record checked August 2, 2026, licensed for 60 residents. State records list 24 inspection and complaint documents since 2021; the most recent, a complaint investigation report dated February 13, 2026, appears in the inspection record on this page.

Can Terraces At Via Verde-a Memory Care Community, 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 Terraces At Via Verde-a Memory Care Community, The with clearances for wheelchair / non-ambulatory and hospice care; it does not list dementia / memory care and bedridden. 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 60 NON-AMBULATORY. ALL BEDROOMS APPROVED FOR NON-AMBULATORY. APPROVED HOSPICE WAIVER FOR 20. NEW MANAGEMENT COMPANY, AGEMARK MANAGEMENT LLC, EFFECTIVE 04/02/2024.

How much does Terraces At Via Verde-a Memory Care Community, The cost?

California's public licensing record does not include Terraces At Via Verde-a Memory Care Community, 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 Terraces At Via Verde-a Memory Care Community, The accept Medi-Cal or the Assisted Living Waiver?

Terraces At Via Verde-a Memory Care Community, 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

49 of 60 beds occupied (82%) when the state visited on December 15, 2025. Availability changes constantly — confirm a current opening with the home.

What do state inspections show for Terraces At Via Verde-a Memory Care Community, 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 34 state visits and 24 dated documents since 2021 for Terraces At Via Verde-a Memory Care Community, The; 15 complaint-investigation narratives are transcribed verbatim below. The most recent, dated December 15, 2025, 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.

15 transcribed reports on file

2025

Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedFacility staff did not dispense medications as prescribed Resident sustained unexplained injuries in care Facility staff did not ensure that resident was adequately fed Facility staff did not ensure that resident had clean linens
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
Licensing Program Analyst (LPA) Tena Herrera conducted an unannounced subsequent complaint visit to investigate the above allegations. LPA met with Executive Director Suby Kumar and discussed the purpose of the visit. The investigation consisted of the following: On 2/10/25 LPA Wesley conducted initial visit, toured facility, Interviewed Administrator, staff, and residents, received copies of facility food menu's, and requested specific documents from Resident (R1) file. Furher investigation needed. During todays visit 12/15/25 LPA Herrera conducted the supsequent visit and obtained copies of the resident/ staff rosters, copy of December 2025 menus, and copies of the following documents from R1's file: MAR, Charting Notes (observations), and weight record. LPA toured facility, inspected food supply,a total of 5 resident rooms were entered and inspected, LPA observed storage with incontinence supplies and linen supply, LPA interviewed 4 staff (S1-S5) and 5 residents (R1-R6), and deleiveCDSS inspection report, December 15, 2025 · control 28-AS-20250207091124
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedStaff did not check on residents in a timely manner Staff inappropriately removed the signal systems from residents’ rooms Staff are not answering the facility phone
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
Licensing Program Analysts (LPA) Luis De Leon conducted an initial unannounced complaint investigation visit for the allegation listed above. LPA met with the Office Manager Courtney Cortez and explained the reason for the visit. Executive Director Subashsani Kumar joined the visit sometime after. The investigation consisted of the following: On today’s visit, LPA De Leon toured the physical plant, random rooms in the first and second floor, and common areas with Environmental Service Director Mark Chisum. LPA obtained staff/resident roster, Resident #1 (R1) files such as: Identification and Emergency Information/Face sheet, Physician's Report, Pre-placement Appraisal, and Admission Agreement. CONTINUED ON LIC-9099C UnsubstantiatedCDSS inspection report, August 26, 2025 · control 28-AS-20250819141728
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedLicensee does not 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.
Licensing Program Analyst (LPA) Daniel Konishi conducted an subsequent unannounced initial complaint visit at the facility and met with Mark Chism to discuss the purpose for today's visit. The Executive Director, Subishsani Kumar arrived shortly after and LPA explained the purpose of the visit. The purpose of the visit is to investigate the above allegation. On 05/27/2025, the initial investigation visit was conducted. The investigation consisted of the following: LPA interviewed the Executive Director, Maintenance Director, Staff #1 (S1) - Staff #7 (S7). LPA also interviewed Resident #3 (R3) – Resident #7 (R7). LPA attempted to interview Resident #1 (R1) and Resident #2 (R2), however, due to the residents’ inability to answer questions, LPA terminated the interviews. LPA obtained copies from R1’s to R2’s file, including the Physician's Report, Identification and Emergency Information LIC 601 form, Pre-placement Appraisal, Admission Agreement, Personal Rights and Internal Incident RepoCDSS inspection report, July 17, 2025 · control 28-AS-20250522082507
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedStaff left residents in wet diapers for extended periods of time Staff did not ensure resident's showering needs were met
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
Licensing Program Analyst (LPA) Alberto Lopez conducted a complaint investigation regarding the allegations listed above. LPA arrived unannounced and met with the Executive Director, Suby Kumar and Mark Chisum, Environmental Services Director. The purpose of the visit was explained. LPA toured the facility with staff Mark Chisum, including common areas and all the rooms on the second floor and five random rooms on the first floor, obtained copies of documents, and held interviews with eight (8) residents (R#1-R#8) and six (6) staff (S#1-S#6), and four (4) witnesses W#1-W#4 The investigation revealed the following: Allegation: Staff left residents in wet diapers for extended periods of time. It is alleged that some residents are left in wet diapers for extended periods of time. LPA interviewed eight (8) residents, and all eight (8) residents were not able to corroborate the allegation. (Continued on 9099C) UnsubstantiatedCDSS inspection report, June 19, 2025 · control 28-AS-20250609145039
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedStaff do not safeguard resident's personal belongings while in care. Staff do not ensure that resident is provided with clean clothing while in care. Staff do not ensure that resident's room is maintained in a clean condition while in care. Staff do not ensure that communications to the facility from resident's representative are answered promptly and appropriately.
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 complaint investigation visit regarding the above allegations. LPA Margaryan met with Executive Director and the porpose of the visit was explained. During today's visit LPA obtained copies of staff & residents Rosters, reviewed R1's file and collected relevant documents. Interviews conducted with Executive Director, Staff 1 - Staff 4 (S1 - S4) and Residents 1 - Residents 5 (R1 - R5). LPA conducted a tour of facility including R1's room and randomly chossen 5 other residents room. Continue 9099C UnsubstantiatedCDSS inspection report, June 19, 2025 · control 28-AS-20250610144343
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedAllegation - Staff do not provide adequate supervision to residents.
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
Licensing Program Analyst (LPA) Cynthia Chan conducted a complaint investigation regarding the allegation listed above. LPA arrived unannounced and met with the Executive Director, Suby Kumar. The purpose of the visit was explained. LPA toured the facility, obtained copies of documents, and held interviews. The investigation revealed the following: Allegation - Staff do not provide adequate supervision to residents. During the visit today, LPA interviewed the Executive Director, 4 Staff, and 4 Residents. Staff interviewed stated that there are always staff supervising residents. The morning and afternoon shifts have a med tech and 2 caregivers on each floor, and the overnight shift consists of a med tech and 2 caregivers. UnsubstantiatedCDSS inspection report, June 5, 2025 · control 28-AS-20250603080828

2024

Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedStaff mismanaged residents' medication
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
** This report supersedes the previous report dated 05/23/24. The reason for the visit was to provide additional information not documented on the 9099 dated 5/23/24 and to conduct interviews of residents. Licensing Program Analyst (LPA) Nune Margaryan conducted a visit to supersede the report dated 05/23/24 for the allegation listed above. LPA met with Robert Jakini, Administrator and explained the purpose of the visit. The investigation consisted of the following: During the visits on 03/07/45 and 05/23/24 LPA Nune Margaryan obtained a copy of the resident and staff roster, copy of Med Staff Schedule. Medication Administration Records (Quick MAR) were reviewed. LPA also conducted interviews with Administrator and Staff #1 - Staff # 4 (S #1 - S #4). During todays visit LPA conducted a tour of the facility, interviewed Resident #1 - Resident #6 (R#1 - R#6). Continue 9099C UnsubstantiatedCDSS inspection report, July 1, 2024 · control 28-AS-20240304141910
Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedFacility did not notify appropriate doctor of resident's change in condition.
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
*This report is a corrected version for report dated 6/11/24 to correct missing census and executive director's last name.* Licensing Program Analyst (LPA) Mary Flores conducted an unannounced subsequent complaint visit regarding the above allegation. LPA met with Robert Jakini and explained the reason for the visit. The investigation consisted of the following: On 8/22/22, LPA Galarza and Ramirez conducted a health and safety check visit at the facility, no concerns were observed. Interviews with 2 staff were conducted and copies of incident report and other documents were obtained. On 8/23/22, LPA Galarza interviewed Resident #1’(R1’s) representative and Skilled Nursing Facility over the phone. On 8/25/22, Investigation Bureau of the department accepted assignment to request medical records for R1. On 2/26/24, LPA Flores was re-assigned complaint investigation. On 3/8/24, LPA Flores requested additional records from the facility. On 3/13/24, LPA Flores subpoenaed medical records forCDSS inspection report, June 14, 2024 · control 28-AS-20220818172814
Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedFacility did not notify appropriate doctor of resident's change in condition.
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
Licensing Program Analyst (LPA) Mary Flores conducted an unannounced subsequent complaint visit regarding the above allegation. LPA met with Robert … and explained the reason for the visit. The investigation consisted of the following: On 8/22/22, LPA Galarza and Ramirez conducted a health and safety check visit at the facility, no concerns were observed. Interviews with 2 staff were conducted and copies of incident report and other documents were obtained. On 8/23/22, LPA Galarza interviewed Resident #1’(R1’s) representative and Skilled Nursing Facility over the phone. On 8/25/22, Investigation Bureau of the department accepted assignment to request medical records for R1. On 2/26/24, LPA Flores was re-assigned complaint investigation. On 3/8/24, LPA Flores requested additional records from the facility. On 3/13/24, LPA Flores subpoenaed medical records for hospitalization and skilled nursing facility. On 5/24/24, LPA Flores interviewed 6 staff over the phone. On 6/3/24, LPA Flores coCDSS inspection report, June 11, 2024 · control 28-AS-20220818172814
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedStaff mismanaged residents' medication
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 a subsequent unannounced complaint visit to deliver finding to the above mentioned allegation. LPA met with Robert Jakini and explained the reason for the visit. The investigation consisted of the following: On 03/07/24 LPA Nune Margaryan obtained a copy of the resident and staff roster, copy of Med Staff Schedule, Medication Administration Records (Quick MAR) were reviewed. LPA also conducted interviews with Administrator and Staff #1 - Staff # 4 (S #1 - S #4). Continue 9099C UnsubstantiatedCDSS inspection report, May 23, 2024 · control 28-AS-20240304141910
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedQuestionable deaths Residents had severe UTI. Staff did not seek medical attention for residents. Staff did not follow prescribed meals for residents. Staff did not report incidents to CCL. Staff did not document residents falls.
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
Licensing Program Analyst (LPA) Luis Mora conducted a subsequent complaint investigation visit regarding the above mentioned allegations. LPA met with Robert Jakini (Executive Director) and explained the reason for the visit. Investigation consisted of the following: On 07/18/2022, LPA requested copies of Emergency and Identification Information, Most current Physician report, Admission Agreement, Most current Needs and Services Plan, Most current incident reports, Hospice notes or Home Health Notes, Case Notes, Death Report for Resident 1 - Resident 6 (R1 - R6). LPA conducted a tour of facility and common areas. LPA observed a sufficient supply of perishable and non-perishable foods and 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 02/13/2024, LPA interviewed Executive Director, Staff 1 - 4 (S1 - S4), and Resident 7 - Resident 15 (R7 - R15). LPA also obtaCDSS inspection report, April 23, 2024 · control 28-AS-20220714141442
Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedUnqualified staff are administering insulin.
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
On 3/05/24 at 9:10 a.m., Licensing Program Analyst (LPA) Jewel Baptiste conducted an unannounced complaint visit to the facility. Upon arrival LPA met with the Executive Director Robert Jakini and explained the reason for the visit. During the visit LPA toured the facility with Staff #1 and obtained the resident roster and staff roster. LPA also conducted file review for a former resident (R1) and obtained the following documents: Physicians report, centrally stored medication and destruction record dated 5/04/2020 and 9/30/2021, and Medication administration record that included discontinue request. LPA conducted file review for former staff and obtained the following documents: Staff #4 personnel record, signed SOC 341, and training. Staff #5 copy of Registered Nurse PN license. Staff# 6 through Staff #7 Vocational nursing details. LPA conducted file review for current staff and obtained the following documents: Staff #1 copy of Vocational nursing details. Staff #2’s personnel recordCDSS inspection report, March 5, 2024 · control 28-AS-20240228132910
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedStaff did not follow COVID protocol. Staff did not aid residents with incontinence needs. Staff did not observe change in residents condition. Staff did not feed bedridden residents Staff did not aid residents with hygiene needs
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
Licensing Program Analyst (LPA) Luis Mora conducted a subsequent complaint investigation visit regarding the above mentioned allegations. LPA met with Robert Jakini (Executive Director) and explained the reason for the visit. Investigation consisted of the following: On 07/18/2022, LPA requested copies of Emergency and Identification Information, Most current Physician report, Admission Agreement, Most current Needs and Services Plan, Most current incident reports, Hospice notes or Home Health Notes, Case Notes, Death Report for Resident 1 - Resident 6 (R1 - R6). LPA conducted a tour of facility and common areas. LPA observed a sufficient supply of perishable and non-perishable foods and 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. During today's visit, LPA interviewed Executive Director, Staff 1 - 4 (S1 - S4), and Resident 7 - Resident 15 (R7 - R15). LPA alCDSS inspection report, February 13, 2024 · control 28-AS-20220714141442

2022

Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedStaff is not assisting resident's with hygiene needs. Staff is not assisting with resident's laundry needs. Staff do not keep up with the cleanliness of resident's room. Staff do not provide resident's toiletries. Staff does not safeguard resident's personal items. Facility's food services is inadequate.
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
Licensing Program Analyst(s)(LPA) Mary Flores conducted an unannounced complaint investigation visit regarding the above allegation(s). LPA met with Vicky Torres - Executive Director and explained the reason for the visit. The investigation consisted of the following: LPA Flores requested a copy of staff/resident roster, conducted a tour of the facility and observed room #101,108,110,117,120,206, activity rooms, laundry, and kitchen, conducted interviews with resident #1(R1),#2(R2),#3(R3),#4(R4),#5(R5),#6(R6) and staff #1(S1),#2(S2),#3(S3),#4(S4),#5(S5). LPA requested copies of caregiver shower logs for the past month, resident meal roster for 8/30/22, physician's reports, resident personal property and valueables, and resident service plan for R1,R2,R3,R4,R5,R6. The investigation revealed the following: Regarding allegation: Staff is not assisting resident's with hygiene needs. It is alleged residents receive little or no individual care in regards to hygiene, or dressing. (CONTINUEDCDSS inspection report, August 30, 2022 · control 28-AS-20220826095508
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedResident sustained multiple pressure injuries while in care. Staff did not seek medical attention for resident in a timely manner. Staff did not give resident medications as prescribed. Staff did not ensure that resident's hygiene needs were met. Facility is retaining a resident that requires a higher level of care.
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
Licensing Program Analyst (LPA) Vasallo conducted a subsequent complaint visit to investigate the allegations listed above. LPA met with Administrator, Vicky Torres and explained the reason for the visit. LPA conducted the initial complaint visit on 12/1/21. Investigator, Kujawa investigated further. The investigation consisted of the following: Interviews were conducted with facility staff. Documents were reviewed which included facility notes, hospice care notes, home health records, physician’s report, preplacement appraisal, emergency contacts, Power of Attorney (POA) documents, Medication Administration Record (MAR), and physician’s notes and prescriptions. The investigation revealed the following: Allegation - Resident sustained multiple pressure injuries while in care. On 11/19/21, facility noted skin irritation on Resident #1 (R1). On 11/28/21, facility noted R1 had an open wound on right buttocks. On 11/29/21, facility contacted home health to evaluate the wound. Family was alCDSS inspection report, July 21, 2022 · control 28-AS-20211130113301

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

What the state has logged

California has logged 34 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
3
typical for this size: 1
Substantiated complaints
4
typical for this size: 2
Total complaints
15
typical for this size: 7
State visits on file
34
typical for this size: 19
See the full inspection record on the state's site →
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