Portola Gardens is a residential care home for the elderly (RCFE) in San Francisco, San Francisco County, California — state license #385601045, licensed for 132 residents, listed as licensed in the CDSS record we retrieved August 2, 2026. It appears on the DHCS Assisted Living Waiver participant list checked August 9, 2026, so Medi-Cal may help pay for care services here. California has 34 dated inspection and complaint documents on file for this home going back to 2021, the most recent dated April 7, 2026 — published below in full, verbatim and unscored.

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Portola Gardens

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Residential care home for the elderly (RCFE) · Large community, 132 residents · San Francisco, CA · San Francisco County
LicensedWheelchairMemory careHospiceBedridden
No openings reportedBeds change hands in days ·
License #385601045, held since 2019 · read from the California state record on August 2, 2026 ·See on State Site →
350 University St · San Francisco, San Francisco County
Phone
(415) 337-1587
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 74 residents
Dementia / memory careVerified in record
Hospice careVerified in record
Bedridden careApproved for 14 residents

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

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

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What the state record says, word for word
AGE RANGE 60 AND OVER;58 AMBULATORY, 74 NON-AMBULATORY; OF WHICH 14 MAY BE BEDRIDDEN; HOSPICE CARE WAIVER APPROVED FOR 18. NEW MANAGEMENT COMPANY PORTOLA MGMT BSD LLC EFFECTIVE 03/10/2026.State service designation983 - RCFE / DEMENTIAthe CDSS license record, verbatim · checked August 2, 2026

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

Since 2021, the state has visited this home 41 times and filed 34 documents. The most recent is a complaint investigation report, dated April 7, 2026.

Most recent state visit
July 17, 2026
Occupancy at the September 5, 2025 visit
97 of 104 beds

The state's published file for this home includes 13 documents with transcribed findings, dated August 25, 2021 to September 5, 2025. 13 of the 13 carry the state's recorded outcome word: “Substantiated” (4), “Unfounded” (2), “Unsubstantiated” (7). 13 include the transcribed allegation the state investigated, word for word.

Summary composed by computer from the 13 documents below — every count derives from them, and the documents themselves are the state's records, verbatim. We never grade, score, or color a record.

What the state’s words mean
Substantiatedthe state found the allegation more likely true than notUnsubstantiatedinvestigated, but couldn’t be confirmed either way — not a finding of wrongdoingUnfoundedthe state concluded it was false or couldn’t have happenedType A citationthe most serious: an immediate health-or-safety risk, usually fixed on the spot or on a short deadlineType B citationless serious, with a deadline to fix
The last 36 months — 23 of 34 documentsFull record on the state’s site →
20264 state visits · 5 documents
Apr 7, 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.

Mar 24, 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.

Mar 24, 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 18, 2026Facility evaluation reportReport on file

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

Feb 4, 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.

20259 state visits · 11 documents
Dec 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.

Nov 4, 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, 2025Complaint investigation reportUnsubstantiated

Allegation investigated: - Staff are not meeting resident's medical needs. - Staff isolates resident. - Resident is not provided with adequate dining accommodations.

THIS IS AN AMENDED REPORT FROM AN ORIGINAL REPORT DATED 09/05/2025. On 11/04/2025, Licensed Program Analyst (LPA) Yi Sam Jian arrived at the facility to deliver an amended copy of LIC9099. LPA met with administrator Gregory Bogart and explained the purpose of the visit. During the visit on 09/05/2025, LPA interviewed R1’s emergency contact, and collected documents. Regarding the allegation that the staff are not meeting resident's medical needs. Interviews with both the R1 and R1’s personal friend revealed conflicting and contradictory informations, indicating that the reported issues were related to an external medical center and a different facility, not the current facility. Continued onto LIC9099-C Unsubstantiatedthe state’s words, verbatim · CDSS document, Sep 5, 2025 · control 14-AS-20250430161305
Jul 18, 2025Complaint investigation reportSubstantiated

Allegation investigated: -Resident was not accorded dignity in their relationship with staff and other residents

On 07/18/2025 Licensing Program Analysts (LPAs) Yi Sam Jian met with staffing coordinator, Lea Salazar, to conduct a complaint investigation. Purpose of visit explained. Administrator, Gregory Bogart arrived later during the visit. LPA gathered information relevant to allegations. LPA conducted staff interviews. Regarding the allegation that Resident was not accorded dignity in their relationship with staff and other residents, multiple staff confirmed the comment was made and found it inappropriate. Staff's comment and lack of understanding regarding resident dignity and privacy policies constitute a violation of residents’ personal rights. Based on interviews and file reviews during the course of the investigation it was determined that the preponderance of evidence standard has been met, therefore the allegations above are found to be SUBSTANTIATED. The deficiency is cited in accordance with California Code of Regulations, Title 22 Division 6, Chapter 8 and is noted on the attachedthe state’s words, verbatim · CDSS document, Jul 18, 2025 · control 14-AS-20250502104955
Jul 18, 2025Complaint investigation reportUnsubstantiated

Allegation investigated: Facility did no allow residents to have visits

On 07/18/2025 Licensing Program Analysts (LPAs) Yi Sam Jian met with staffing coordinator, Lea Salazar, to conduct a complaint investigation. Purpose of visit explained. Administrator, Gregory Bogart arrived later during the visit. LPA gathered information relevant to allegations. LPA conducted resident interview. Regarding the allegation that the facility did not allow residents to have visits, no evidence was found to support this claim beyond the reporting party’s statement. All other resident interviews indicated that visitation was not denied. The Department has investigated the above allegations. The allegations are UNSUBSTANTIATED. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated. Report is reviewed with administrator and a copy is provided. Unsubstantiatedthe state’s words, verbatim · CDSS document, Jul 18, 2025 · control 14-AS-20250603154003
May 28, 2025Complaint investigation reportUnsubstantiated

Allegation investigated: Staff did not ensure a comfortable environment was provided for residents.

On 05/28/2025, Licensing Program Analyst (LPA) Yi Sam Jian conducted an unnannounced 10-day complaint visit. LPA met with administrator, Gregory Bogart, and Health and Wellness Director, Navpreet Kaur, LPA explained the purpose of the visit. During the visit, LPA interviewed staffs, and collected documents. Regarding staff did not ensure a comfortable environment was provided for residents. The reported noise was temporary and related to essential maintenance work during the installation of a sprinkler system. Earplugs were provided to residents to reduce any discomfort, and measures to mitigate the impact were reviewed. No verified harm was reported, no evidence of residents requiring medical attention, and no additional formal complaints were found. The Department has investigated the above allegations. The allegations are UNSUBSTANTIATED. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not othe state’s words, verbatim · CDSS document, May 28, 2025 · control 14-AS-20250523093321
Apr 24, 2025Complaint investigation reportSubstantiated

Allegation investigated: Staff engaged in inappropriate sexual behavior in resident's room. Facility staff are not meeting resident's hygiene needs.

On 04/24/2025, Licensed Program Analyst (LPA) Yi Sam Jian arrived at the facility to deliver an amended copy of LIC9099. LPA met with administrator Greg Bogart and explained the purpose of the visit. Regarding the allegation that Staff engaged in inappropriate behavior in resident's room, the department was provided with video evidence showing a female staff lowering her pant in the presence of a male staff while inside the resident’s room. Regarding the allegation that facility staff was not meeting the resident’s hygiene needs: The Service Plan dated 12/06/2024 indicates that the resident was to receive full assistance with bathing on a daily basis. No shower assistance was logged on 12/06/2024-12/07/2024. Based on interviews and document review during the course of the investigation, the department determined that the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. The deficiency is cited in accordance with California Cthe state’s words, verbatim · CDSS document, Apr 24, 2025 · control 14-AS-20241205100317
Apr 24, 2025Complaint investigation reportSubstantiated

Allegation investigated: -Resident sustained injury due to lack of supervision. -Facility failed to conduct reappraisal of resident after significant change in resident's physical, mental, cognitive, behavioral, or functional condition.

On 04/24/2025, Licensed Program Analyst (LPA) Yi Sam Jian arrived at the facility to deliver conclusionary finding for this complaint received by the Department on 01/24/2025. LPA was greeted by administrator Greg Bogart and explained the purpose of the visit. Regarding the allegation that Resident sustained injury due to lack of supervision, client’s care, supervision and services were not adjusted in December 2024 to prevent harm to other client, despite documented incidents of client exhibiting harm toward staffs in December 2024. Regarding the allegation that facility failed to conduct reappraisal of resident after significant change in resident's physical, mental, cognitive, behavioral, or functional condition, client was not reappraised after documented incidents of exhibiting harm to staffs. Based on interviews and file reviews during the course of the investigation it was determined that the preponderance of evidence standard has been met, therefore the allegations above are fothe state’s words, verbatim · CDSS document, Apr 24, 2025 · control 14-AS-20250124101153
Mar 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.

Feb 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.

Jan 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.

20243 state visits · 4 documents
Jul 15, 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 16, 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 18, 2024Complaint investigation reportUnsubstantiated

Allegation investigated: Staff are sleeping at the facility.

On January 18, 2024, Licensing Program Analyst (LPA) Komal Charitra conducted an unnannounced complaint visit to deliver findings for the above allegation. LPA met with Administrator, Greg Bogart and explained the purpose of the visit. Regarding the allegation staff are sleeping at the facility, according to the reporting party, two staff members on NOC shift have been sleeping in chairs at the facility during their shifts. During the visit, LPA interviewed administrator, assistant administrator, staff and residents. The administrator and the assistant administrator indicated that they have not heard or observed staff sleeping during NOC shift, however they indicated if staff choose to sleep during their (unpaid) 30-minute lunch then it's their decision. Based on 3 staff and 5 residents interviewed, they have not observed or heard of NOC shift staff sleeping during their shift. Although the above allegation may have happened or are valid, there is no evidence to prove the alleged violathe state’s words, verbatim · CDSS document, Jan 18, 2024 · control 14-AS-20231227095941
Jan 18, 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.

20233 state visits · 3 documents
Dec 11, 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 29, 2023Complaint investigation reportUnsubstantiated

Allegation investigated: - Staff did not ensure a resident consumed an appropriate amount of fluids while in care - Staff did not ensure the residents were properly fed while in care - Staff did not meet the residents hygiene needs - Staff did not address a resident's change in medical condition - Staff did not follow infection control procedures

On this day Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced complaint investigation visit in order to investigate the allegations received and deliver findings on the allegations. LPA met with administrator assistant Lea Salazar and explained the purpose of today's visit. During the course of the investigation interviews were conducted, pertinent resident documents are reviewed, and facility observations are made. It is discovered that there is contradicting information in regards to the allegations received versus what the facility was able to provide via interviews, observations made, and documentation. LPA is unable to prove whether the allegations took place or not due to the conflicting information. Based on these observations, the above allegations are UNSUBSTANTIATED. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the above allegations are unsubstthe state’s words, verbatim · CDSS document, Sep 29, 2023 · control 14-AS-20230327163312
Aug 30, 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 citations3typical 1
Type B citations3typical 1
Substantiated complaints6typical 2
Total complaints15typical 7
State visits on file41typical 19
“Typical” is the statewide median across the 1,244 licensed larger communities (16+ beds) in the state record — larger, longer-licensed homes accumulate more visits and reports, so compare like with like. One complaint can contain several allegations. Counts cover this license since 2019.
Year-by-year trend
YearVisitsDocumentsSubstantiated2026450202591132024340202344120224802021220
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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$6,000$9,000 /mo
our estimate — San Francisco County band, market research June 2026; not this home’s quoted price
$3,500 · statewide low$9,000 · statewide high
California’s public record holds no per-home price, so we never invent one. Ask the home for its rate sheet, or
Ways families pay here
Private pay — ask what the base rate includes and what’s billed separately.SSI/SSP — California’s board-and-care payment standard is $1,626.07/mo (2026): $1,444.07 to the home, $182 stays with the resident.Medi-Cal ALW — this home is on the DHCS waiver list (checked August 9, 2026). Details →

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What dementia training does staff have, and is the area secured?
Non-ambulatory approval — whole home or specific rooms, and is a spot open?
How is medication handled and logged day to day?
What’s in the base monthly rate, and what’s billed separately?
Staff-to-resident ratio on day and night shifts?
How are medical emergencies handled after hours?

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

Operate this home? This page is generated from CDSS public records — respond or correct it, free.
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Call (415) 337-1587

Is Portola Gardens licensed?

Yes — Portola Gardens is a licensed residential care home for the elderly (RCFE) in San Francisco (San Francisco County): California license #385601045, shown as licensed in the CDSS state record checked August 2, 2026, licensed for 132 residents. State records list 34 inspection and complaint documents since 2021; the most recent, a complaint investigation report dated April 7, 2026, appears in the inspection record on this page.

Can Portola Gardens 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 Portola Gardens with clearances for wheelchair / non-ambulatory, dementia / memory care, hospice care, and bedridden. Clearances describe what the license permits, not day-to-day staffing — confirm current scope and availability with the home directly 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;58 AMBULATORY, 74 NON-AMBULATORY; OF WHICH 14 MAY BE BEDRIDDEN; HOSPICE CARE WAIVER APPROVED FOR 18. NEW MANAGEMENT COMPANY PORTOLA MGMT BSD LLC EFFECTIVE 03/10/2026.

How much does Portola Gardens cost?

California's public licensing record does not include Portola Gardens's monthly price, so we never show or estimate one for a specific home. As county-level context only, assisted living in San Francisco County typically runs $6,000–$9,000/mo and small board-and-care homes $5,000–$8,000/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 Portola Gardens accept Medi-Cal or the Assisted Living Waiver?

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

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

How full it was at the last state visit

97 of 104 beds occupied (93%) when the state visited on September 5, 2025. Availability changes constantly — confirm a current opening with the home.

What do state inspections show for Portola Gardens?

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 41 state visits and 34 dated documents since 2021 for Portola Gardens; 13 complaint-investigation narratives are transcribed verbatim below. The most recent, dated September 5, 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.

13 transcribed reports on file

2025

Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewed- Staff are not meeting resident's medical needs. - Staff isolates resident. - Resident is not provided with adequate dining accommodations.
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
THIS IS AN AMENDED REPORT FROM AN ORIGINAL REPORT DATED 09/05/2025. On 11/04/2025, Licensed Program Analyst (LPA) Yi Sam Jian arrived at the facility to deliver an amended copy of LIC9099. LPA met with administrator Gregory Bogart and explained the purpose of the visit. During the visit on 09/05/2025, LPA interviewed R1’s emergency contact, and collected documents. Regarding the allegation that the staff are not meeting resident's medical needs. Interviews with both the R1 and R1’s personal friend revealed conflicting and contradictory informations, indicating that the reported issues were related to an external medical center and a different facility, not the current facility. Continued onto LIC9099-C UnsubstantiatedCDSS inspection report, September 5, 2025 · control 14-AS-20250430161305
Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewed-Resident was not accorded dignity in their relationship with staff and other residents
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
On 07/18/2025 Licensing Program Analysts (LPAs) Yi Sam Jian met with staffing coordinator, Lea Salazar, to conduct a complaint investigation. Purpose of visit explained. Administrator, Gregory Bogart arrived later during the visit. LPA gathered information relevant to allegations. LPA conducted staff interviews. Regarding the allegation that Resident was not accorded dignity in their relationship with staff and other residents, multiple staff confirmed the comment was made and found it inappropriate. Staff's comment and lack of understanding regarding resident dignity and privacy policies constitute a violation of residents’ personal rights. Based on interviews and file reviews during the course of the investigation it was determined that the preponderance of evidence standard has been met, therefore the allegations above are found to be SUBSTANTIATED. The deficiency is cited in accordance with California Code of Regulations, Title 22 Division 6, Chapter 8 and is noted on the attachedCDSS inspection report, July 18, 2025 · control 14-AS-20250502104955
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedFacility did no allow residents to have visits
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
On 07/18/2025 Licensing Program Analysts (LPAs) Yi Sam Jian met with staffing coordinator, Lea Salazar, to conduct a complaint investigation. Purpose of visit explained. Administrator, Gregory Bogart arrived later during the visit. LPA gathered information relevant to allegations. LPA conducted resident interview. Regarding the allegation that the facility did not allow residents to have visits, no evidence was found to support this claim beyond the reporting party’s statement. All other resident interviews indicated that visitation was not denied. The Department has investigated the above allegations. The allegations are UNSUBSTANTIATED. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated. Report is reviewed with administrator and a copy is provided. UnsubstantiatedCDSS inspection report, July 18, 2025 · control 14-AS-20250603154003
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedStaff did not ensure a comfortable environment was provided for residents.
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
On 05/28/2025, Licensing Program Analyst (LPA) Yi Sam Jian conducted an unnannounced 10-day complaint visit. LPA met with administrator, Gregory Bogart, and Health and Wellness Director, Navpreet Kaur, LPA explained the purpose of the visit. During the visit, LPA interviewed staffs, and collected documents. Regarding staff did not ensure a comfortable environment was provided for residents. The reported noise was temporary and related to essential maintenance work during the installation of a sprinkler system. Earplugs were provided to residents to reduce any discomfort, and measures to mitigate the impact were reviewed. No verified harm was reported, no evidence of residents requiring medical attention, and no additional formal complaints were found. The Department has investigated the above allegations. The allegations are UNSUBSTANTIATED. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not oCDSS inspection report, May 28, 2025 · control 14-AS-20250523093321
Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedStaff engaged in inappropriate sexual behavior in resident's room. Facility staff are not meeting resident's hygiene needs.
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
On 04/24/2025, Licensed Program Analyst (LPA) Yi Sam Jian arrived at the facility to deliver an amended copy of LIC9099. LPA met with administrator Greg Bogart and explained the purpose of the visit. Regarding the allegation that Staff engaged in inappropriate behavior in resident's room, the department was provided with video evidence showing a female staff lowering her pant in the presence of a male staff while inside the resident’s room. Regarding the allegation that facility staff was not meeting the resident’s hygiene needs: The Service Plan dated 12/06/2024 indicates that the resident was to receive full assistance with bathing on a daily basis. No shower assistance was logged on 12/06/2024-12/07/2024. Based on interviews and document review during the course of the investigation, the department determined that the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. The deficiency is cited in accordance with California CCDSS inspection report, April 24, 2025 · control 14-AS-20241205100317
Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewed-Resident sustained injury due to lack of supervision. -Facility failed to conduct reappraisal of resident after significant change in resident's physical, mental, cognitive, behavioral, or functional condition.
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
On 04/24/2025, Licensed Program Analyst (LPA) Yi Sam Jian arrived at the facility to deliver conclusionary finding for this complaint received by the Department on 01/24/2025. LPA was greeted by administrator Greg Bogart and explained the purpose of the visit. Regarding the allegation that Resident sustained injury due to lack of supervision, client’s care, supervision and services were not adjusted in December 2024 to prevent harm to other client, despite documented incidents of client exhibiting harm toward staffs in December 2024. Regarding the allegation that facility failed to conduct reappraisal of resident after significant change in resident's physical, mental, cognitive, behavioral, or functional condition, client was not reappraised after documented incidents of exhibiting harm to staffs. Based on interviews and file reviews during the course of the investigation it was determined that the preponderance of evidence standard has been met, therefore the allegations above are foCDSS inspection report, April 24, 2025 · control 14-AS-20250124101153

2024

Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedStaff are sleeping at the facility.
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
On January 18, 2024, Licensing Program Analyst (LPA) Komal Charitra conducted an unnannounced complaint visit to deliver findings for the above allegation. LPA met with Administrator, Greg Bogart and explained the purpose of the visit. Regarding the allegation staff are sleeping at the facility, according to the reporting party, two staff members on NOC shift have been sleeping in chairs at the facility during their shifts. During the visit, LPA interviewed administrator, assistant administrator, staff and residents. The administrator and the assistant administrator indicated that they have not heard or observed staff sleeping during NOC shift, however they indicated if staff choose to sleep during their (unpaid) 30-minute lunch then it's their decision. Based on 3 staff and 5 residents interviewed, they have not observed or heard of NOC shift staff sleeping during their shift. Although the above allegation may have happened or are valid, there is no evidence to prove the alleged violaCDSS inspection report, January 18, 2024 · control 14-AS-20231227095941

2023

Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewed- Staff did not ensure a resident consumed an appropriate amount of fluids while in care - Staff did not ensure the residents were properly fed while in care - Staff did not meet the residents hygiene needs - Staff did not address a resident's change in medical condition - Staff did not follow infection control procedures
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
On this day Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced complaint investigation visit in order to investigate the allegations received and deliver findings on the allegations. LPA met with administrator assistant Lea Salazar and explained the purpose of today's visit. During the course of the investigation interviews were conducted, pertinent resident documents are reviewed, and facility observations are made. It is discovered that there is contradicting information in regards to the allegations received versus what the facility was able to provide via interviews, observations made, and documentation. LPA is unable to prove whether the allegations took place or not due to the conflicting information. Based on these observations, the above allegations are UNSUBSTANTIATED. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the above allegations are unsubstCDSS inspection report, September 29, 2023 · control 14-AS-20230327163312
Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedStaff did not repair a resident's medical bed while in care
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
On April 3, 2023, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced 10-day complaint visit. LPA met with Administrator, Jeffrey Dillon nd Director of Wellness, Renafe Mosquera and explained the purpose of the visit. Regarding the allegation that staff did not repair a resident's medical bed while in care, according to the reporting party, staff reported that Resident 1's (R1's) bed had been broken and not working for a while and could not be adjusted to sit R1 upright. During the investigation, LPA toured facility, observed R1's bed, and interviewed the Administrator and the Director of Wellness. According to the Administrator and the Director of Wellness, it was acknowledged that R1's medical bed was not working. The Director of Wellness had the Maintenance Director check the bed and found that the electical outlet was not working. During the visit today, LPA observed the bed to be in good repair and working condition. Based on interviews and observations conductCDSS inspection report, April 3, 2023 · control 14-AS-20230327110439

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

What the state has logged

California has logged 41 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
3
typical for this size: 1
Type B citations
3
typical for this size: 1
Substantiated complaints
6
typical for this size: 2
Total complaints
15
typical for this size: 7
State visits on file
41
typical for this size: 19
See the full inspection record on the state's site →
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