Cottages Of Carmel

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

Allegation investigated: Staff are not documenting residents medication Staff are not meeting resident's hygiene needs Unqualified staff are administering medications

On 04/16/2026 Licensing Program Analyst (LPA) Gorban unannounced visited the facility to commence complaint investigation. LPA introduced self and met by Administrator; LPA stated purpose of the visit and was allowed entry. During the complaint investigation LPA toured the facility conducting health and safety checks, reviewed records, and interviews. Allegations: Staff are not documenting residents’ medication, Staff are not meeting resident's hygiene needs, and Unqualified staff are administering medications. Based records reviews resident’s medications record confirmed medication records confirmed proper documentation. Based on staff interviews, resident will maintain own dental hygiene. Based on records review and staff interviews, training on medication administration provided to staff that have access to med cart. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegation is Unthe state’s words, verbatim · CDSS document, Apr 16, 2026 · control 24-AS-20260115090814

Allegation investigated: Staff are not properly addressing resident’s pressure injuries Staff are not meeting resident’s incontinence needs Staff are not providing quality food service to residents Staff do not respond to residents calls for help

On 11/26/2025, Licensing Program Analyst (LPA) V Gorban conducted subsequent complaint inspection. LPA met with HSD. The purpose of this visit is to deliver the findings of the investigation completed by the Department. During the visit, LPA conducted a tour of the facility, interior and exterior to ensure there is no potential or immediate health and safety risk at the facility. Allegation: Staff are not properly addressing resident’s pressure injuries. Based on records review no pressure injuries observed, reported or documented. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. Report continues on attached LIC9099-C Unsubstantiatedthe state’s words, verbatim · CDSS document, Nov 26, 2025 · control 24-AS-20250822153020

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

Allegation investigated: Staff did not ensure that resident's toileting needs were met. Staff did not seek medical attention for resident in a timely manner. Facility is not adhering to infectious control protocols.

On 08/25/2025, Licensing Program Analyst (LPA) V Gorban conducted subsequent complaint inspection. LPA met with administrator Nelson Rubio. The purpose of this visit is to deliver the findings of the investigation completed by the Department. During the visit, LPA conducted a tour of the facility, interior and exterior to ensure there are no potential or immediate health and safety risk at the facility. Regarding Staff did not ensure that resident's toileting needs were met. Based on observations and interviews no concerns reported or observed regarding patient care. Based on interviews, staff check on residents every two hours. Regarding Staff did not seek medical attention for resident in a timely manner. Based on interviews and record reviews resident R1 was taken to the hospital and responsible party was notifies on the day of the incident, May 11th, 2025. Report continues on attached LIC9099-C Unsubstantiatedthe state’s words, verbatim · CDSS document, Aug 25, 2025 · control 24-AS-20250707165437

Allegation investigated: Facility allowed untrained staff to work independently with dementia care residents Facility does not have a certified administrator on the premises

On 08/25/2025, Licensing Program Analyst (LPA) V Gorban conducted subsequent complaint inspection. LPA met with administrator Nelson Rubio. The purpose of this visit is to deliver the findings of the investigation completed by the Department. During the visit, LPA conducted a tour of the facility, interior and exterior to ensure there are no potential or immediate health and safety risk at the facility. Regarding the allegations: Facility allowed untrained staff to work independently with dementia care residents and Facility does not have a certified administrator on the premises. Base on interview and records reviews staff (S1) completed required training to work at the facility with dementia residents and facility provided files of certified administrator. Although the allegations may have happened or are valid, there are not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the above allegations are UNSUBSTANTIATED. Exit interview was conducthe state’s words, verbatim · CDSS document, Aug 25, 2025 · control 24-AS-20250821093230

Allegation investigated: Facility staff did not provide adequate supervision, resulting in sexual behavior amongst residents. Facility staff did not notify authorized representative of incidents. Facility staff do not ensure facility is free of pests. Facility staff do not ensure the facility is not clean/sanitary.

On 07/10/2025, Licensing Program Analyst (LPA) V Gorban conducted an unannounced complaint inspection. LPA met with administrator Julie Estrellado. The purpose of this visit is to deliver the finding of the investigation completed by the Department. During the visit, LPA conducted a tour of the facility, interior and exterior to ensure there are no potential or immediate health and safety risk at the facility. On 05/13/2025, the Department received a report alleging that facility staff did not provide adequate supervision, resulting in sexual behavior amongst residents. According to the reporting party, the reporting party was told by other staff (name unknown) that Resident R1 sexually touched Resident R2 and Resident R3. However, the reporting party did not witness the incident. Staff denied any incidents involving R2. On 12/07/2024, there was an incident where R1 put R1’s hand inside R3’s pants. Staff intervened and separated both residents. Staff checked on R3 and no injuries or sithe state’s words, verbatim · CDSS document, Jul 10, 2025 · control 24-AS-20250513123829

Allegation investigated: Facility is malodorous Staff leave residents sleeping in common areas Staff do not assist residents in changing into sleeping clothes Staff do not treat residents with respect Staff do not properly store food

On 07/10/2025, Licensing Program Analyst (LPA) V Gorban conducted an unannounced complaint inspection. LPA met with administrator Julie Estrellado. The purpose of this visit is to deliver the findings of the investigation completed by the Department. During the visit, LPA conducted a tour of the facility, interior and exterior to ensure there are no potential or immediate health and safety risk at the facility. Regarding the allegation Facility is malodorous. Based on observations, interview and record reviews no concerns observed and/or reported. Interviews revealed the housekeeping staff able to complete assignment and maintain the facility clean and in good repair. Regarding staff leave residents sleeping in common areas. Staff interviews reported that residents spend evening time in the common room prior to be assisted back to the room for nigh time sleep. Based on family interviews, alleged violation is not witnessed or reported. Based on interviews residents spend time resting, wthe state’s words, verbatim · CDSS document, Jul 10, 2025 · control 24-AS-20250602094900

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