Bonita Villa Senior Living is a residential care home for the elderly (RCFE) in Chula Vista, San Diego County, California — state license #374604544, licensed for 145 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 72 dated inspection and complaint documents on file for this home going back to 2022, the most recent dated July 15, 2026 — published below in full, verbatim and unscored.

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Bonita Villa Senior Living

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Residential care home for the elderly (RCFE) · Large community, 145 residents · Chula Vista, CA · San Diego County
LicensedWheelchairMemory careHospiceBedridden not on file
No openings reportedBeds change hands in days ·
License #374604544, held since 2023 · read from the California state record on August 2, 2026 ·See on State Site →
3434 Bonita Road · Chula Vista, San Diego County
Phone
(619) 476-9444
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 →
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Wheelchair / non-ambulatoryVerified in record
Dementia / memory careVerified in record
Hospice careVerified in record
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
THE FACILITY IS LICENSED TO SERVE 145 RESIDENTS; AGES 60 AND ABOVE; ALL OF WHOM MAY BE NON-AMBULATORY; NEW MANAGEMENT: BONITA MGR LLC EFFECTIVE: 1/15/2025.State service designations983 - RCFE / DEMENTIA · 985 - RCFE / HOSPICEthe CDSS license record, verbatim · checked August 2, 2026

“RCFE / Dementia” is the state’s designation for a home with an approved Dementia Care Plan of Operation — it’s recorded separately from the comments above, which is why the memory-care approval may not appear in that text.

Since 2022, the state has visited this home 77 times and filed 72 documents. The most recent is a facility evaluation report, dated July 15, 2026.

Most recent state visit
July 15, 2026
Occupancy at the February 20, 2025 visit
130 of 145 beds

The state's published file for this home includes 25 documents with transcribed findings, dated March 9, 2023 to February 20, 2025. 25 of the 25 carry the state's recorded outcome word: “Substantiated” (9), “Unsubstantiated” (16). 25 include the transcribed allegation the state investigated, word for word.

Summary composed by computer from the 25 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 — 60 of 72 documentsFull record on the state’s site →
20269 state visits · 10 documents
Jul 15, 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 27, 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 27, 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 15, 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 6, 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.

Mar 27, 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 23, 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 20, 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 29, 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 27, 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.

202518 state visits · 26 documents
Dec 23, 2025Complaint investigation reportReport on file

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

Dec 22, 2025Complaint investigation reportReport on file

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

Dec 22, 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.

Dec 17, 2025Complaint investigation reportReport on file

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

Dec 17, 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.

Nov 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.

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.

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 15, 2025Complaint investigation reportReport on file

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

Aug 29, 2025Complaint investigation reportReport on file

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

Aug 25, 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 25, 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 8, 2025Complaint investigation reportReport on file

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

Aug 8, 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.

Jul 28, 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.

Jun 19, 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 8, 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 2, 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.

Feb 26, 2025Complaint investigation reportReport on file

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

Feb 20, 2025Complaint investigation reportUnsubstantiated

Allegation investigated: Staff abandoned residents. Staff did not have transportation for resident after hospital visit.

Licensing Program Analyst (LPA) Alyssa Ramirez conducted an unannounced complaint visit to deliver findings on the above allegations. LPA met with Dining Services Director Abraham Botello and discussed the purpose of the visit and elements of the complaint. Community Care Licensing (CCL) has investigated the above allegations. The investigation consisted of records review, interviews with facility staff and outside sources. It was reported to CCL that staff abandoned resident and staff did not have transportation for resident after hospital visit. Regarding the allegation, staff abandoned resident, it was reported that resident (R1) was transported to the hospital for unknown reasons. It was reported that hospital contacted the facility to pick up R1 but facility refused. It was reported that R1 was still at the hospital. Unsubstantiatedthe state’s words, verbatim · CDSS document, Feb 20, 2025 · control 08-AS-20240618085911
Feb 20, 2025Complaint investigation reportUnsubstantiated

Allegation investigated: Staff are charging a resident for services not rendered Staff did not provide resident with a complete admissions agreement

Licensing Program Analyst (LPA) Alyssa Ramirez conducted an unannounced complaint visit to deliver findings on the above allegations. LPA met with Dining Services Director Abraham Botello and discussed the purpose of the visit and elements of the complaint. Community Care Licensing (CCL) has investigated the above allegations. The investigation consisted of records review, interviews with facility staff and outside sources. It was reported to CCL that staff are charging resident for services not rendered and staff did not provide resident with a complete admissions agreement. Regarding the allegation, staff are charging a resident for services not rendered, it was reported that reporting party (RP) made arrangements for resident (R1) to move into facility in April 2024. Unsubstantiatedthe state’s words, verbatim · CDSS document, Feb 20, 2025 · control 08-AS-20241014122752
Feb 20, 2025Complaint investigation reportUnsubstantiated

Allegation investigated: Staff did not refund authorized representative

Licensing Program Analyst (LPA) Alyssa Ramirez conducted an unannounced complaint visit to deliver findings on the above allegations. LPA met with Executive Director Rebecca Toves and discussed the purpose of the visit and elements of the complaint. Community Care Licensing (CCL) has investigated the above allegations. The investigation consisted of records review, interviews with facility staff and outside sources. It was reported to CCL that staff did not refund authorized representative. Unsubstantiatedthe state’s words, verbatim · CDSS document, Feb 20, 2025 · control 08-AS-20241018110036
Feb 20, 2025Complaint investigation reportUnsubstantiated

Allegation investigated: Licensee did not allow resident to have visitors

Licensing Program Analyst (LPA) Alyssa Ramirez conducted an unannounced complaint visit to deliver findings on the above allegations. LPA met with Dining Services Director Abraham Botello and discussed the purpose of the visit and elements of the complaint. Community Care Licensing (CCL) has investigated the above allegations. The investigation consisted of records review, interviews with facility staff, clients and outside agency. It was reported to CCL that licensee did not allow resident to have visitors. Regarding the allegation, it was reported that a former staff was told they could not visit a resident (R1) at the facility. Interviews with facility staff revealed that no one was denied access to visiting residents at the facility and clarified that former staff can visit as long as they are abiding by facility visitor policy. Unsubstantiatedthe state’s words, verbatim · CDSS document, Feb 20, 2025 · control 08-AS-20241127142322
Feb 13, 2025Complaint investigation reportSubstantiated

Allegation investigated: Resident call pendant was not in working condition

Licensing Program Analyst (LPA) Iby Strong conducted an unannounced complaint visit to deliver findings in the above-mentioned allegation. LPA met with Executive Director Rebecca Toves and discussed the purpose of the visit. On October 22, 2024, Community Care Licensing (CCL) received a complaint alleging resident call pendant was not in working condition. During investigation, LPA Strong collected pertinent resident records, made observations, and conducted interviews. According to the allegation, on October 19, 2024, Resident 1 (R1) pressed their call pendant and waited for over three hours for assistance in toileting, when it was reported to staff it was found that pendant was not sending signal to staff. On October 30, 2024, LPA Strong conducted a facility inspection and observed multiple residents pressing their pendants. On this date, LPA Strong observed and video recorded two of five resident pendants malfunctioning as the residents were unable to activate the pendant upon pressthe state’s words, verbatim · CDSS document, Feb 13, 2025 · control 08-AS-20241022165133
Jan 28, 2025Complaint investigation reportSubstantiated

Allegation investigated: Facility staff did not meet resident's medical needs

Licensing Program Analyst (LPA) Ramon Serrano conducted an unannounced complaint visit to deliver findings on the above allegation. LPA met with Executive Director Rebecca Toves and we discussed the purpose of the visit and elements of the complaint. Community Care Licensing (CCL) has investigated the above allegation. The investigation consisted of LPA observation, records review and interviews with facility staff, resident and outside sources. It was alleged that facility staff did not meet Resident 1's (R1) medical needs. It was reported that R1's oxygen tank was not with R1 for several days. LPA interviewed R1 and observed R1's oxygen tank was nearby but R1 was not wearing it. R1 stated that they know they're suppose to be wearing the oxygen all day but they often remove it since R1's nose gets sore. Substantiatedthe state’s words, verbatim · CDSS document, Jan 28, 2025 · control 08-AS-20250124144319
Jan 27, 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.

202415 state visits · 17 documents
Oct 21, 2024Complaint investigation reportUnsubstantiated

Allegation investigated: Licensee is not ensuring that facility is free of rodents & pests

Licensing Program Analyst (LPA) Alyssa Ramirez conducted an unannounced complaint visit to deliver findings on the above allegations. LPA met with Executive Director Rebecca Toves and discussed the purpose of the visit and elements of the complaint. Community Care Licensing (CCL) has investigated the above allegations. The investigation consisted of records review, interviews with facility staff, residents and outside agency. It was reported to CCL that Licensee is not ensuring that facility is free of rodent’s & pests. [Continued on LIC 9099-C] Unsubstantiatedthe state’s words, verbatim · CDSS document, Oct 21, 2024 · control 08-AS-20240828163058
Sep 23, 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.

Sep 13, 2024Complaint investigation reportUnsubstantiated

Allegation investigated: Staff are withholding food from a resident Staff are retaliating against a resident

Licensing Program Analyst (LPA) Alyssa Ramirez conducted an unannounced complaint visit to deliver findings on the above allegations. LPA met with Executive Director Rebecca Toves and discussed the purpose of the visit and elements of the complaint. Community Care Licensing (CCL) has investigated the above allegations. The investigation consisted of records review, interviews with facility staff, clients and outside agency. It was reported to CCL that staff are withholding food from a resident and staff are retaliating against a resident. Regarding the allegation, staff are withholding food from a resident (R1), it was reported that a resident was not being provided their usual food allotment. LPA observations revealed that facility had sufficient food supply. Unsubstantiatedthe state’s words, verbatim · CDSS document, Sep 13, 2024 · control 08-AS-20240721221122
Aug 8, 2024Complaint investigation reportUnsubstantiated

Allegation investigated: Resident eloped from the facility due to lack of care and supervision Staff did not follow reporting requirements

Licensing Program Analyst (LPA) Alyssa Ramirez conducted an unannounced complaint visit to deliver findings on the above allegations. LPA met with Resident Service Director Shayla Mitchelland discussed the purpose of the visit and elements of the complaint. Community Care Licensing (CCL) has investigated the above allegations. The investigation consisted of records review, interviews with facility staff, clients and outside agency. It was reported to CCL that resident (R1) eloped from the facility due to lack of care and supervision and staff did not follow reporting requirements. [Continued on LIC 9099-C] Unsubstantiatedthe state’s words, verbatim · CDSS document, Aug 8, 2024 · control 08-AS-20240209104244
Jun 21, 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.

Jun 18, 2024Complaint investigation reportUnsubstantiated

Allegation investigated: Facility in disrepair

Licensing Program Analyst (LPA) Ramon Serrano conducted an unannounced visit to deliver investigative findings. LPA was granted entry into the facility and met with Executive Director Rebecca Toves to whom LPA explained the purpose of the visit. Community Care Licensing (CCL) has investigated the above listed complaint allegation. The investigation consisted of LPA direct observation, records review and interviews with staff and residents. It was alleged that the facility was in disrepair. It was reported to CCL that Resident 1 (R1)(an LIC 811 Confidential Names List was provided to the facility representative to identify the resident) had a broken window. It was also reported that residents have broken toilets and clogged sinks throughout the facility. LPA visit to the facility on May 30, 2024 revealed a broken window in R1's room. LPA interviewed R1 on May 30, 2024 and June 18, 2024. R1 was not able to state how or when the window in R1's bedroom was broken. R1 stated that R1 was infthe state’s words, verbatim · CDSS document, Jun 18, 2024 · control 08-AS-20240529112342
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.

Apr 2, 2024Complaint investigation reportUnsubstantiated

Allegation investigated: Staff did not assist residents with care needs Facility had incomplete files for residents Staff falsified documents

Licensing Program Analyst (LPA) Alyssa Ramirez conducted an unannounced visit to deliver findings in the above complaint allegations. LPA identified herself and discussed the purpose of the visit with Executive Director Rebecca Toves On January 12, 2024, Community Care Licensing (CCL) received a complaint alleging facility staff do not assist residents with care needs, facility has incomplete files for residents and staff falsified documents. During investigation, LPA Ramirez reviewed records, toured the facility and conducted interviews of staff, residents and outside sources. It was alleged that facility staff did not assist residents with care needs. LPA’s interviews with residents revealed no concern for staff not assisting with care needs. Interviews with facility staff revealed conflicting statements about particular staff not doing their duties and revealed that other staff will take over those duties to ensure that residents are cared for. Outside Source reported no concerns fothe state’s words, verbatim · CDSS document, Apr 2, 2024 · control 08-AS-20240112092031
Apr 2, 2024Complaint investigation reportSubstantiated

Allegation investigated: Facility staff leave residents in soiled bedding

Licensing Program Analyst (LPA) Alyssa Ramirez conducted an unannounced visit to deliver findings in the above complaint allegations. LPA identified herself and discussed the purpose of the visit with Executive Director Rebecca Toves On January 18, 2024, Community Care Licensing (CCL) received a complaint alleging facility staff leave residents in soiled bedding. During investigation, LPA Ramirez reviewed records, toured the facility and conducted interviews of staff, residents and outside sources. It was alleged that facility staff leave residents in soiled bedding. Interviews with facility staff revealed that there have been concerns for staff leaving residents in soiled bedding. LPA conducted records review and verified that a staff member had received a progressive disciplinary action form for an incident where a resident was left soiled during a night shift. [Continued on 9099-C] Substantiatedthe state’s words, verbatim · CDSS document, Apr 2, 2024 · control 08-AS-20240118142103
Apr 2, 2024Complaint investigation reportUnsubstantiated

Allegation investigated: Facility does not have an adequate food supply

Licensing Program Analyst (LPA) Alyssa Ramirez conducted an unannounced visit to deliver findings in the above complaint allegations. LPA identified herself and discussed the purpose of the visit with Executive Director Rebecca Toves On February 5, 2024, Community Care Licensing (CCL) received a complaint alleging that facility does not have adequate food supply. During investigation, LPA Ramirez reviewed records, toured the facility and conducted interviews of staff, residents and outside sources. [Continued on 9099-C] Unsubstantiatedthe state’s words, verbatim · CDSS document, Apr 2, 2024 · control 08-AS-20240205162825
Mar 6, 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 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.

Feb 28, 2024Complaint investigation reportUnsubstantiated

Allegation investigated: Facility retained resident not appropriate for facility Facility had uncleared staff

Licensing Program Analyst (LPA) Renita Hall conducted an unannounced visit to open a complaint and deliver findings. LPA was allowed entry by Ana Solis, Business Office Manager. The interview was later joined by Rebecca Toves, Executive Director. LPA identified herself and disclosed the purpose of the visit and elements of the findings to the Business Office Manager and the Executive Director. On February 22, 2024, the Department received allegations that a resident residing in the facility was not appropriate for the level of care provided by the facility. Additionally, there were claims that the facility had uncleared staff working with residents. This investigation report aims to address these allegations and determine the validity of the claims. The LPA conducted interviews with staff members and outside sources. A review of the resident's medical records and care plans and toured the facility {Continued on 9099C}amended report at 12:22 pm to include additional Resident (R2) Unsubsthe state’s words, verbatim · CDSS document, Feb 28, 2024 · control 08-AS-20240222151847
Feb 23, 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.

Feb 21, 2024Complaint investigation reportSubstantiated

Allegation investigated: Staff did not assist resident with transportation to medical appointments

Licensing Program Analyst (LPA), Sabel Martinez, conducted an unannounced complaint investigation visit to deliver findings. The LPA introduced himself and disclosed the purpose of the visit to Memory Care Director Jeralyn Markiewicz. Throughout the investigation, the Department secured pertinent records and conducted interviews with external and internal sources, including staff and residents. It was alleged the facility did not assist residents with transportation to medical appointments. It was reported to the Department that the facility advertised transportation, but the facility did not transport residents to medical appointments. Interviews revealed the facility had a transportation vehicle but did not have a qualified driver for several months. The transportation vehicle required a staff member to have a commercial drivers license. Due to this the facility had decreased their transportation schedule from Tuesday and Thursdays to only providing transportation on Thursday. The fathe state’s words, verbatim · CDSS document, Feb 21, 2024 · control 08-AS-20240103143529
Feb 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.

Jan 30, 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.

20236 state visits · 7 documents
Dec 27, 2023Complaint investigation reportUnsubstantiated

Allegation investigated: Staff did not follow universal precautions Staff are not isolating residents with infectious diseases

Licensing Program Analyst (LPA) Alyssa Ramirez conducted an unannounced complaint visit to deliver findings on the above allegations. LPA met with Executive Director Rebecca Toves and discussed the purpose of the visit and elements of the complaint. Community Care Licensing (CCL) has investigated the above allegations. The investigation consisted of records review, interviews with facility staff, clients and outside agency. It was reported to CCL that staff do not follow universal precautions for COVID and staff are not isolating residents with infectious diseases. [Continued on LIC 9099-C] Unsubstantiatedthe state’s words, verbatim · CDSS document, Dec 27, 2023 · control 08-AS-20231106122214
Nov 27, 2023Complaint investigation reportSubstantiated

Allegation investigated: Facility staff did not ensure that resident room notification is working properly.

Licensing Program Analyst (LPA) Ramon Serrano conducted an unannounced complaint visit to deliver findings on the above allegation. LPA met with Executive Director Rebecca Toves and we discussed the purpose of the visit and elements of the complaint. Community Care Licensing (CCL) has investigated the above allegation. The investigation consisted of LPA direct observation and interviews with facility staff and residents. It was reported to CCL that Resident 1's (R1) (an LIC 811 Confidential Names List was provided to the facility representative to identify the resident.) call pendent was broken and R1 was unable to get staff's assistance. LPA visited the facility on November 1, 2023. LPA escorted by facility staff went to R1's room. Facility staff pressed R1's pendant button and a red light blinked. Facility staff advised LPA that the blinking light meant the pendant button was working. LPA was then escorted to the Pendant button control room to verify on the computer that the pendantthe state’s words, verbatim · CDSS document, Nov 27, 2023 · control 08-AS-20231027120157
Oct 20, 2023Complaint investigation reportUnsubstantiated

Allegation investigated: Staff inappropriately touched resident

Licensing Program Analyst (LPA) Marisela Garcia-Centeno conducted an unannounced complaint visit to deliver investigative findings. LPA met with Jenifer Brown, Resident Services Director, and shared findings. The Department investigated the above-listed complaint allegation. The investigation consisted of observations, a review of relevant records, and interviews with facility staff, and outside sources. On October 5, 2023, Community Care Licensing (CCL) received a complaint alleging that a facility staff (S1) inappropriately touched a resident (R1), [an LIC 811 Confidential Names List was provided to staff to identify the resident and staff]. On September 19, 2023, R1 communicated that S1 had touched their “private area” inappropriately. Facility staff immediately reported the incident to law enforcement. (continue at LIC9099C) Unsubstantiatedthe state’s words, verbatim · CDSS document, Oct 20, 2023 · control 08-AS-20231005114844
Oct 10, 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.

Sep 26, 2023Complaint investigation reportSubstantiated

Allegation investigated: Staff did not follow food sanitation practices Not sufficient staff scheduled to meet the needs of residents

Licensing Program Analyst (LPA) Marisela Garcia-Centeno conducted an unannounced visit to deliver investigative findings. LPA met with Executive Director, Emily De La Barre, and shared findings. The Department investigated the above-listed complaint allegations. The investigation consisted of multiple inspections of the specific areas in the facility, observations, multiple interviews with staff, and a detailed review of relevant records. On July 25, 2023, Community Care Licensing (CCL) received a complaint alleging that staff did not follow food sanitation practices. It was specifically alleged that food handlers did not wear hair nets or gloves. During multiple visits conducted on 8/2/2023, kitchen staff were observed not wearing hair nets or gloves. During this initial visit, the cook was observed wearing a hat in lieu of wearing a hair net. In addition, while cooking food the cook was observed handling their hat repeatedly without changing their gloves risking food cross-contaminatthe state’s words, verbatim · CDSS document, Sep 26, 2023 · control 08-AS-20230725085018
Sep 26, 2023Complaint investigation reportUnsubstantiated

Allegation investigated: Staff mishandled a resident while in care

Licensing Program Analyst (LPA) Marisela Garcia-Centeno conducted an unannounced complaint visit to deliver investigative findings. LPA met with Business Office Manager, Rebecca Toves, and shared findings. The Department investigated the above-listed complaint allegation. The investigation consisted of observations, a review of relevant records, and interviews with facility staff, residents, and outside sources. On August 17, 2022, Community Care Licensing (CCL) received a complaint alleging that facility staff mishandled a resident (R1) while in care. [an LIC 811 Confidential Names List was provided to staff to identify the resident]. On August 16, 2022, R1 complained of pain in their left wrist. The wrist was observed to be swollen and bruised. It was specifically alleged that R1’s injury was the result of a staff member (S1) [an LIC 811 Confidential Names List was provided to staff to identify the staff member] handling R1 roughly during incontinence care. (Continue at LIC9099C) Unsthe state’s words, verbatim · CDSS document, Sep 26, 2023 · control 08-AS-20230817083804
Sep 13, 2023Complaint investigation reportSubstantiated

Allegation investigated: Staff did not administer medication as prescribed

Licensing Program Analyst (LPA) Marisela Garcia-Centeno made an unannounced visit to open an investigation and deliver findings on the above-mentioned allegation. LPA identified herself and disclosed the purpose of her visit. LPA met with Executive Director, Emily De La Barre and delivered the findings. On September 5, 2023, Community Care Licensing (CCL) received a complaint alleging that staff did not administer medication as prescribed. It was specifically alleged that two medications were not administered as prescribed to one resident (R1) [an LIC 811 Confidential Names List was provided to staff to identify the resident]. The two medications in question were Alprazolam (Xanax) ordered on May 3, 2023, and Xidra Outer eye drops ordered on May 4, 2023. It was alleged that the Xanax was not administered on September 1 – 4, 2023, and that the Xidra eye drops were not administered for several days during the month of August 2023, (exact dates and times were not provided). (continue at Lthe state’s words, verbatim · CDSS document, Sep 13, 2023 · control 08-AS-20230905103636
Beside homes the same size
Type A citations7typical 1
Type B citations12typical 1
Substantiated complaints19typical 2
Total complaints37typical 7
State visits on file77typical 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 2023.
Year-by-year trend
YearVisitsDocumentsSubstantiated202691002025182622024151722023151752022220
An “unsubstantiated” complaint is not a finding of wrongdoing — it means the state investigated and could not confirm the allegation. Outcome words are the state’s own; we never grade, score, or color a record.Operate this home? Respond to or correct any document here, free. Respond or correct →

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$5,000$7,500 /mo
our estimate — San Diego 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.

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Is Bonita Villa Senior Living licensed?

Yes — Bonita Villa Senior Living is a licensed residential care home for the elderly (RCFE) in Chula Vista (San Diego County): California license #374604544, shown as licensed in the CDSS state record checked August 2, 2026, licensed for 145 residents. State records list 72 inspection and complaint documents since 2022; the most recent, a facility evaluation report dated July 15, 2026, appears in the inspection record on this page.

Can Bonita Villa Senior 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 Bonita Villa Senior Living with clearances for wheelchair / non-ambulatory, dementia / memory care, and hospice care; it does not list 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 recordTHE FACILITY IS LICENSED TO SERVE 145 RESIDENTS; AGES 60 AND ABOVE; ALL OF WHOM MAY BE NON-AMBULATORY; NEW MANAGEMENT: BONITA MGR LLC EFFECTIVE: 1/15/2025.

How much does Bonita Villa Senior Living cost?

California's public licensing record does not include Bonita Villa Senior Living's monthly price, so we never show or estimate one for a specific home. As county-level context only, assisted living in San Diego 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 Bonita Villa Senior Living accept Medi-Cal or the Assisted Living Waiver?

Bonita Villa Senior Living 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

130 of 145 beds occupied (90%) when the state visited on February 20, 2025. Availability changes constantly — confirm a current opening with the home.

What do state inspections show for Bonita Villa Senior 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 77 state visits and 72 dated documents since 2022 for Bonita Villa Senior Living; 25 complaint-investigation narratives are transcribed verbatim below. The most recent, dated February 20, 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.

25 transcribed reports on file

2025

Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedStaff abandoned residents. Staff did not have transportation for resident after hospital visit.
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
Licensing Program Analyst (LPA) Alyssa Ramirez conducted an unannounced complaint visit to deliver findings on the above allegations. LPA met with Dining Services Director Abraham Botello and discussed the purpose of the visit and elements of the complaint. Community Care Licensing (CCL) has investigated the above allegations. The investigation consisted of records review, interviews with facility staff and outside sources. It was reported to CCL that staff abandoned resident and staff did not have transportation for resident after hospital visit. Regarding the allegation, staff abandoned resident, it was reported that resident (R1) was transported to the hospital for unknown reasons. It was reported that hospital contacted the facility to pick up R1 but facility refused. It was reported that R1 was still at the hospital. UnsubstantiatedCDSS inspection report, February 20, 2025 · control 08-AS-20240618085911
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedStaff are charging a resident for services not rendered Staff did not provide resident with a complete admissions agreement
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
Licensing Program Analyst (LPA) Alyssa Ramirez conducted an unannounced complaint visit to deliver findings on the above allegations. LPA met with Dining Services Director Abraham Botello and discussed the purpose of the visit and elements of the complaint. Community Care Licensing (CCL) has investigated the above allegations. The investigation consisted of records review, interviews with facility staff and outside sources. It was reported to CCL that staff are charging resident for services not rendered and staff did not provide resident with a complete admissions agreement. Regarding the allegation, staff are charging a resident for services not rendered, it was reported that reporting party (RP) made arrangements for resident (R1) to move into facility in April 2024. UnsubstantiatedCDSS inspection report, February 20, 2025 · control 08-AS-20241014122752
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedStaff did not refund authorized representative
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
Licensing Program Analyst (LPA) Alyssa Ramirez conducted an unannounced complaint visit to deliver findings on the above allegations. LPA met with Executive Director Rebecca Toves and discussed the purpose of the visit and elements of the complaint. Community Care Licensing (CCL) has investigated the above allegations. The investigation consisted of records review, interviews with facility staff and outside sources. It was reported to CCL that staff did not refund authorized representative. UnsubstantiatedCDSS inspection report, February 20, 2025 · control 08-AS-20241018110036
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedLicensee did not allow resident to have visitors
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
Licensing Program Analyst (LPA) Alyssa Ramirez conducted an unannounced complaint visit to deliver findings on the above allegations. LPA met with Dining Services Director Abraham Botello and discussed the purpose of the visit and elements of the complaint. Community Care Licensing (CCL) has investigated the above allegations. The investigation consisted of records review, interviews with facility staff, clients and outside agency. It was reported to CCL that licensee did not allow resident to have visitors. Regarding the allegation, it was reported that a former staff was told they could not visit a resident (R1) at the facility. Interviews with facility staff revealed that no one was denied access to visiting residents at the facility and clarified that former staff can visit as long as they are abiding by facility visitor policy. UnsubstantiatedCDSS inspection report, February 20, 2025 · control 08-AS-20241127142322
Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedResident call pendant was not in working condition
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
Licensing Program Analyst (LPA) Iby Strong conducted an unannounced complaint visit to deliver findings in the above-mentioned allegation. LPA met with Executive Director Rebecca Toves and discussed the purpose of the visit. On October 22, 2024, Community Care Licensing (CCL) received a complaint alleging resident call pendant was not in working condition. During investigation, LPA Strong collected pertinent resident records, made observations, and conducted interviews. According to the allegation, on October 19, 2024, Resident 1 (R1) pressed their call pendant and waited for over three hours for assistance in toileting, when it was reported to staff it was found that pendant was not sending signal to staff. On October 30, 2024, LPA Strong conducted a facility inspection and observed multiple residents pressing their pendants. On this date, LPA Strong observed and video recorded two of five resident pendants malfunctioning as the residents were unable to activate the pendant upon pressCDSS inspection report, February 13, 2025 · control 08-AS-20241022165133
Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedFacility staff did not meet resident's medical needs
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
Licensing Program Analyst (LPA) Ramon Serrano conducted an unannounced complaint visit to deliver findings on the above allegation. LPA met with Executive Director Rebecca Toves and we discussed the purpose of the visit and elements of the complaint. Community Care Licensing (CCL) has investigated the above allegation. The investigation consisted of LPA observation, records review and interviews with facility staff, resident and outside sources. It was alleged that facility staff did not meet Resident 1's (R1) medical needs. It was reported that R1's oxygen tank was not with R1 for several days. LPA interviewed R1 and observed R1's oxygen tank was nearby but R1 was not wearing it. R1 stated that they know they're suppose to be wearing the oxygen all day but they often remove it since R1's nose gets sore. SubstantiatedCDSS inspection report, January 28, 2025 · control 08-AS-20250124144319

2024

Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedLicensee is not ensuring that facility is free of rodents & pests
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
Licensing Program Analyst (LPA) Alyssa Ramirez conducted an unannounced complaint visit to deliver findings on the above allegations. LPA met with Executive Director Rebecca Toves and discussed the purpose of the visit and elements of the complaint. Community Care Licensing (CCL) has investigated the above allegations. The investigation consisted of records review, interviews with facility staff, residents and outside agency. It was reported to CCL that Licensee is not ensuring that facility is free of rodent’s & pests. [Continued on LIC 9099-C] UnsubstantiatedCDSS inspection report, October 21, 2024 · control 08-AS-20240828163058
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedStaff are withholding food from a resident Staff are retaliating against a resident
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
Licensing Program Analyst (LPA) Alyssa Ramirez conducted an unannounced complaint visit to deliver findings on the above allegations. LPA met with Executive Director Rebecca Toves and discussed the purpose of the visit and elements of the complaint. Community Care Licensing (CCL) has investigated the above allegations. The investigation consisted of records review, interviews with facility staff, clients and outside agency. It was reported to CCL that staff are withholding food from a resident and staff are retaliating against a resident. Regarding the allegation, staff are withholding food from a resident (R1), it was reported that a resident was not being provided their usual food allotment. LPA observations revealed that facility had sufficient food supply. UnsubstantiatedCDSS inspection report, September 13, 2024 · control 08-AS-20240721221122
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedResident eloped from the facility due to lack of care and supervision Staff did not follow reporting requirements
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
Licensing Program Analyst (LPA) Alyssa Ramirez conducted an unannounced complaint visit to deliver findings on the above allegations. LPA met with Resident Service Director Shayla Mitchelland discussed the purpose of the visit and elements of the complaint. Community Care Licensing (CCL) has investigated the above allegations. The investigation consisted of records review, interviews with facility staff, clients and outside agency. It was reported to CCL that resident (R1) eloped from the facility due to lack of care and supervision and staff did not follow reporting requirements. [Continued on LIC 9099-C] UnsubstantiatedCDSS inspection report, August 8, 2024 · control 08-AS-20240209104244
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedFacility in disrepair
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
Licensing Program Analyst (LPA) Ramon Serrano conducted an unannounced visit to deliver investigative findings. LPA was granted entry into the facility and met with Executive Director Rebecca Toves to whom LPA explained the purpose of the visit. Community Care Licensing (CCL) has investigated the above listed complaint allegation. The investigation consisted of LPA direct observation, records review and interviews with staff and residents. It was alleged that the facility was in disrepair. It was reported to CCL that Resident 1 (R1)(an LIC 811 Confidential Names List was provided to the facility representative to identify the resident) had a broken window. It was also reported that residents have broken toilets and clogged sinks throughout the facility. LPA visit to the facility on May 30, 2024 revealed a broken window in R1's room. LPA interviewed R1 on May 30, 2024 and June 18, 2024. R1 was not able to state how or when the window in R1's bedroom was broken. R1 stated that R1 was infCDSS inspection report, June 18, 2024 · control 08-AS-20240529112342
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedStaff did not assist residents with care needs Facility had incomplete files for residents Staff falsified documents
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
Licensing Program Analyst (LPA) Alyssa Ramirez conducted an unannounced visit to deliver findings in the above complaint allegations. LPA identified herself and discussed the purpose of the visit with Executive Director Rebecca Toves On January 12, 2024, Community Care Licensing (CCL) received a complaint alleging facility staff do not assist residents with care needs, facility has incomplete files for residents and staff falsified documents. During investigation, LPA Ramirez reviewed records, toured the facility and conducted interviews of staff, residents and outside sources. It was alleged that facility staff did not assist residents with care needs. LPA’s interviews with residents revealed no concern for staff not assisting with care needs. Interviews with facility staff revealed conflicting statements about particular staff not doing their duties and revealed that other staff will take over those duties to ensure that residents are cared for. Outside Source reported no concerns foCDSS inspection report, April 2, 2024 · control 08-AS-20240112092031
Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedFacility staff leave residents in soiled bedding
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
Licensing Program Analyst (LPA) Alyssa Ramirez conducted an unannounced visit to deliver findings in the above complaint allegations. LPA identified herself and discussed the purpose of the visit with Executive Director Rebecca Toves On January 18, 2024, Community Care Licensing (CCL) received a complaint alleging facility staff leave residents in soiled bedding. During investigation, LPA Ramirez reviewed records, toured the facility and conducted interviews of staff, residents and outside sources. It was alleged that facility staff leave residents in soiled bedding. Interviews with facility staff revealed that there have been concerns for staff leaving residents in soiled bedding. LPA conducted records review and verified that a staff member had received a progressive disciplinary action form for an incident where a resident was left soiled during a night shift. [Continued on 9099-C] SubstantiatedCDSS inspection report, April 2, 2024 · control 08-AS-20240118142103
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedFacility does not have an adequate food supply
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
Licensing Program Analyst (LPA) Alyssa Ramirez conducted an unannounced visit to deliver findings in the above complaint allegations. LPA identified herself and discussed the purpose of the visit with Executive Director Rebecca Toves On February 5, 2024, Community Care Licensing (CCL) received a complaint alleging that facility does not have adequate food supply. During investigation, LPA Ramirez reviewed records, toured the facility and conducted interviews of staff, residents and outside sources. [Continued on 9099-C] UnsubstantiatedCDSS inspection report, April 2, 2024 · control 08-AS-20240205162825
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedFacility retained resident not appropriate for facility Facility had uncleared staff
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
Licensing Program Analyst (LPA) Renita Hall conducted an unannounced visit to open a complaint and deliver findings. LPA was allowed entry by Ana Solis, Business Office Manager. The interview was later joined by Rebecca Toves, Executive Director. LPA identified herself and disclosed the purpose of the visit and elements of the findings to the Business Office Manager and the Executive Director. On February 22, 2024, the Department received allegations that a resident residing in the facility was not appropriate for the level of care provided by the facility. Additionally, there were claims that the facility had uncleared staff working with residents. This investigation report aims to address these allegations and determine the validity of the claims. The LPA conducted interviews with staff members and outside sources. A review of the resident's medical records and care plans and toured the facility {Continued on 9099C}amended report at 12:22 pm to include additional Resident (R2) UnsubsCDSS inspection report, February 28, 2024 · control 08-AS-20240222151847
Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedStaff did not assist resident with transportation to medical appointments
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
Licensing Program Analyst (LPA), Sabel Martinez, conducted an unannounced complaint investigation visit to deliver findings. The LPA introduced himself and disclosed the purpose of the visit to Memory Care Director Jeralyn Markiewicz. Throughout the investigation, the Department secured pertinent records and conducted interviews with external and internal sources, including staff and residents. It was alleged the facility did not assist residents with transportation to medical appointments. It was reported to the Department that the facility advertised transportation, but the facility did not transport residents to medical appointments. Interviews revealed the facility had a transportation vehicle but did not have a qualified driver for several months. The transportation vehicle required a staff member to have a commercial drivers license. Due to this the facility had decreased their transportation schedule from Tuesday and Thursdays to only providing transportation on Thursday. The faCDSS inspection report, February 21, 2024 · control 08-AS-20240103143529

2023

Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedStaff did not follow universal precautions Staff are not isolating residents with infectious diseases
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
Licensing Program Analyst (LPA) Alyssa Ramirez conducted an unannounced complaint visit to deliver findings on the above allegations. LPA met with Executive Director Rebecca Toves and discussed the purpose of the visit and elements of the complaint. Community Care Licensing (CCL) has investigated the above allegations. The investigation consisted of records review, interviews with facility staff, clients and outside agency. It was reported to CCL that staff do not follow universal precautions for COVID and staff are not isolating residents with infectious diseases. [Continued on LIC 9099-C] UnsubstantiatedCDSS inspection report, December 27, 2023 · control 08-AS-20231106122214
Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedFacility staff did not ensure that resident room notification is working properly.
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
Licensing Program Analyst (LPA) Ramon Serrano conducted an unannounced complaint visit to deliver findings on the above allegation. LPA met with Executive Director Rebecca Toves and we discussed the purpose of the visit and elements of the complaint. Community Care Licensing (CCL) has investigated the above allegation. The investigation consisted of LPA direct observation and interviews with facility staff and residents. It was reported to CCL that Resident 1's (R1) (an LIC 811 Confidential Names List was provided to the facility representative to identify the resident.) call pendent was broken and R1 was unable to get staff's assistance. LPA visited the facility on November 1, 2023. LPA escorted by facility staff went to R1's room. Facility staff pressed R1's pendant button and a red light blinked. Facility staff advised LPA that the blinking light meant the pendant button was working. LPA was then escorted to the Pendant button control room to verify on the computer that the pendantCDSS inspection report, November 27, 2023 · control 08-AS-20231027120157
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedStaff inappropriately touched resident
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
Licensing Program Analyst (LPA) Marisela Garcia-Centeno conducted an unannounced complaint visit to deliver investigative findings. LPA met with Jenifer Brown, Resident Services Director, and shared findings. The Department investigated the above-listed complaint allegation. The investigation consisted of observations, a review of relevant records, and interviews with facility staff, and outside sources. On October 5, 2023, Community Care Licensing (CCL) received a complaint alleging that a facility staff (S1) inappropriately touched a resident (R1), [an LIC 811 Confidential Names List was provided to staff to identify the resident and staff]. On September 19, 2023, R1 communicated that S1 had touched their “private area” inappropriately. Facility staff immediately reported the incident to law enforcement. (continue at LIC9099C) UnsubstantiatedCDSS inspection report, October 20, 2023 · control 08-AS-20231005114844
Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedStaff did not follow food sanitation practices Not sufficient staff scheduled to meet the needs of residents
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
Licensing Program Analyst (LPA) Marisela Garcia-Centeno conducted an unannounced visit to deliver investigative findings. LPA met with Executive Director, Emily De La Barre, and shared findings. The Department investigated the above-listed complaint allegations. The investigation consisted of multiple inspections of the specific areas in the facility, observations, multiple interviews with staff, and a detailed review of relevant records. On July 25, 2023, Community Care Licensing (CCL) received a complaint alleging that staff did not follow food sanitation practices. It was specifically alleged that food handlers did not wear hair nets or gloves. During multiple visits conducted on 8/2/2023, kitchen staff were observed not wearing hair nets or gloves. During this initial visit, the cook was observed wearing a hat in lieu of wearing a hair net. In addition, while cooking food the cook was observed handling their hat repeatedly without changing their gloves risking food cross-contaminatCDSS inspection report, September 26, 2023 · control 08-AS-20230725085018
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedStaff mishandled a resident while in care
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
Licensing Program Analyst (LPA) Marisela Garcia-Centeno conducted an unannounced complaint visit to deliver investigative findings. LPA met with Business Office Manager, Rebecca Toves, and shared findings. The Department investigated the above-listed complaint allegation. The investigation consisted of observations, a review of relevant records, and interviews with facility staff, residents, and outside sources. On August 17, 2022, Community Care Licensing (CCL) received a complaint alleging that facility staff mishandled a resident (R1) while in care. [an LIC 811 Confidential Names List was provided to staff to identify the resident]. On August 16, 2022, R1 complained of pain in their left wrist. The wrist was observed to be swollen and bruised. It was specifically alleged that R1’s injury was the result of a staff member (S1) [an LIC 811 Confidential Names List was provided to staff to identify the staff member] handling R1 roughly during incontinence care. (Continue at LIC9099C) UnsCDSS inspection report, September 26, 2023 · control 08-AS-20230817083804
Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedStaff did not administer medication as prescribed
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
Licensing Program Analyst (LPA) Marisela Garcia-Centeno made an unannounced visit to open an investigation and deliver findings on the above-mentioned allegation. LPA identified herself and disclosed the purpose of her visit. LPA met with Executive Director, Emily De La Barre and delivered the findings. On September 5, 2023, Community Care Licensing (CCL) received a complaint alleging that staff did not administer medication as prescribed. It was specifically alleged that two medications were not administered as prescribed to one resident (R1) [an LIC 811 Confidential Names List was provided to staff to identify the resident]. The two medications in question were Alprazolam (Xanax) ordered on May 3, 2023, and Xidra Outer eye drops ordered on May 4, 2023. It was alleged that the Xanax was not administered on September 1 – 4, 2023, and that the Xidra eye drops were not administered for several days during the month of August 2023, (exact dates and times were not provided). (continue at LCDSS inspection report, September 13, 2023 · control 08-AS-20230905103636
Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewed- Staff did not meet residents care needs.
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
Licensing Program Analyst (LPA) Carmen Lopez conducted an unannounced complaint visit to deliver investigation findings. LPA identified herself and was granted entry by Christine Quiros, Receptionist. LPA stated the purpose of the visit and reviewed the findings of the complaint with Executive Director Emily DelaBarre. The Department’s investigation consisted of interviews with staff, outside sources and residents, records review of relevant documents pertinent to this investigation, and LPA observations. On March 14, 2023, it was alleged that the staff did not meet the residents care needs. Interviews with residents confirmed there were times when there are insufficient staff to assist residents timely, especially since the facility is large and there are very few caregivers. Residents said that staff do tend to take a while in responding to a resident’s call. Staff interviews confirmed that there are insufficient staff to meet the needs of residents. SubstantiatedCDSS inspection report, May 24, 2023 · control 08-AS-20230314092520
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedFacility staff did not meet residents' needs. Staff did not provide quality food to residents. Facility did not follow Covid-19 reporting requirements. Facility elevator was inoperable. Facility did not make basic laundry services available to residents. Facility did not provide residents access to the internet.
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
Licensing Program Analyst (LPA) Nacole Patterson conducted an unannounced visit to deliver findings regarding the above complaint allegations. LPA introduced herself and disclosed the purpose of the visit to Rebecca Toves, Business Office Manager, and then met with Executive Director Emily DeLaBarre. On 2/6/23 it was alleged that facility staff did not meet residents’ needs, did not provide quality food to residents, did not follow Covid-19 reporting requirements, allowed an elevator to remain inoperable, did not make basic laundry services available to residents, and did not ensure residents had access to the internet. The Department’s investigation consisted of 3 unannounced facility tours, review of facility records, interviews with facility staff, and LPA direct observations. Continued on LIC9099-C... UnsubstantiatedCDSS inspection report, April 27, 2023 · control 08-AS-20230206100908
Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedFacility did not issue resident a refund
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
Licensing Program Analyst (LPA) Iby Strong conducted an unannounced visit to deliver findings in the above complaint allegation. LPA identified herself and discussed the purpose of the visit with Executive Director Emily DeLa Barre On March 9, 2023, Community Care Licensing (CCL) received a complaint alleging facility did not issue resident a refund. According to allegation facility withheld Resident 1’s (R1) prorated community fee and did not issue a refund of such fee. During the investigation, LPA Strong collected pertinent facility records and conducted interviews. Records show that R1 paid a two-thousand-dollar community fee prior to admission. Admissions agreement revealed that if residents leave facility during second month of residency, they are eligible to a refund of sixty percent of the Community Fee after a five-hundred-dollar fee is deducted. According to records collected R1’s moved into facility on November 19, 2022, and moved out on December 24, 2022, due to needing a hCDSS inspection report, April 11, 2023 · control 08-AS-20230309132036
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedLicensee did not issue a refund to responsible party.
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
Licensing Program Analyst (LPA) Liliana Silveira conducted an unannounced visit to open a complaint investigation regarding the above mentioned allegation. LPA identified themselves, stated the purpose of the visit and was granted entry by Business Office Manager Rebecca Toves. LPA explained the purpose of the visit and the elements of the complaint. The Department’s investigation consisted of interviews and a records review. On March 2, 2023, it was alleged that the Licensee did not issue a refund to a responsible party after the death of a resident. A records review, as well as interviews with staff and outside sources, revealed that Resident 1’s (R1- see LIC 809 Confidential Names List) belongings were removed from the facility by December 24, 2022. R1’s Responsible Party (RP) was due a refund of basic services paid for December 25, 2022 to December 31, 2022, in the pro-rated amount of $1,642.71. R1’s RP was also due a refund for basic services charged in advance for the month of JaCDSS inspection report, March 9, 2023 · control 08-AS-20230302094940

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

What the state has logged

California has logged 77 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
7
typical for this size: 1
Type B citations
12
typical for this size: 1
Substantiated complaints
19
typical for this size: 2
Total complaints
37
typical for this size: 7
State visits on file
77
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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