Vista Terrace Of Belmont is a residential care home for the elderly (RCFE) in Belmont, San Mateo County, California — state license #415601080, licensed for 68 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 47 dated inspection and complaint documents on file for this home going back to 2022, the most recent dated May 18, 2026 — published below in full, verbatim and unscored.

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Vista Terrace Of Belmont

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Residential care home for the elderly (RCFE) · Large community, 68 residents · Belmont, CA · San Mateo County
LicensedWheelchairMemory careHospiceBedridden not on file
No openings reportedBeds change hands in days ·
License #415601080, held since 2020 · read from the California state record on August 2, 2026 ·See on State Site →
900 Sixth Avenue · Belmont, San Mateo County
Phone
(650) 591-2008
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 68 residents
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
AGE RANGE 60 AND OVER. APPROVED FOR 68 NON-AMBULATORY. HOSPICE WAIVER APPROVED FOR 10 RESIDENTS. NEW MGMT CO, INTEGRAL SENIOR LIVING MANAGEMENT LLC, EFFECTIVE 12/1/21. NEW MGMT CO, COGIR SL BELMONT LLC, EFFECTIVE 12/1/23.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 2022, the state has visited this home 53 times and filed 47 documents. The most recent is a facility evaluation report, dated May 18, 2026.

Most recent state visit
July 16, 2026
Occupancy at the August 26, 2025 visit
51 of 68 beds

The state's published file for this home includes 14 documents with transcribed findings, dated May 17, 2022 to August 26, 2025. 14 of the 14 carry the state's recorded outcome word: “Substantiated” (7), “Unfounded” (1), “Unsubstantiated” (6). 14 include the transcribed allegation the state investigated, word for word.

Summary composed by computer from the 14 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 — 33 of 47 documentsFull record on the state’s site →
20264 state visits · 5 documents
May 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.

May 5, 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 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.

Apr 23, 2026Facility evaluation reportReport on file

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

Jan 28, 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.

202513 state visits · 15 documents
Dec 11, 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 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.

Nov 20, 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.

Nov 13, 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 13, 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 16, 2025Facility evaluation reportReport on file

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

Aug 26, 2025Complaint investigation reportSubstantiated

Allegation investigated: Staff are not administering residents' medications as prescribed Facility failed to report incident to CCLD Facility failed to ensure resident's beds were in good repair

On August 26, 2025, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced complaint visit to deliver the findings for the above allegations. LPA met with Regional Sales Specialist, Jessica Wiggins and explained the purpose of the visit. Regarding the allegation, staff are not administering residents' medications as prescribed, according to the reporting party, Resident 1 (R1) is not being administered the correct dosage of his/her Gabapentin medication as prescribed by the physician. During the investigation, LPA interviewed R1, reviewed R1's file, including but not limited to; physician's orders for medication, medication list, medication administration record (MAR), and R1's medication bottles. According to R1, on 8/8/25 and 8/10/25, he/she was supposed to receive 3 tablets of Gabapentin at 8pm, however on both days, only 1 tablet was provided. Resident 2 (R2) noticed and reported to the med-tech that R1 is supposed to receive three tablets of Gabapentin instead. Ththe state’s words, verbatim · CDSS document, Aug 26, 2025 · control 14-AS-20250813150601
Jul 1, 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.

May 15, 2025Complaint investigation reportSubstantiated

Allegation investigated: Licensee does not ensure safe pathways are provided for residents use Staff does not ensure elevators are made accessible for residents at all times.

On May 15, 2025, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced complaint visit to deliver the findings for the above allegations. LPA met with Administrator, Jose Acumabig and explained the purpose of the visit. Regarding the allegation, Licensee does not ensure safe pathways are provided for residents use, according to the reporting party, the facility is currently undergoing construction and the walk path that is available for use has uneven pavement and bricks on the ground making it difficult for residents who are disabled and require wheelchair access. During the investigation, LPA toured the outdoor passageway at the facility that residents use to come into the facility and leave the facility. LPA observed uneven pavement, uneven bricks, and overgrown greenery on the side of the walk way. Regarding the allegation, staff does not ensure elevators are made accessible to residents at all times, according to the reporting party, the staff are not tending tothe state’s words, verbatim · CDSS document, May 15, 2025 · control 14-AS-20250428155423
May 6, 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.

May 6, 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 29, 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.

Mar 18, 2025Complaint investigation reportUnsubstantiated

Allegation investigated: Facility staff did not intervene in verbal altercation between residents.

On March 18, 2025, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced complaint visit to deliver findings for the above allegation. LPA met with Administrator, Kaitlyn Clarey and explained the purpose of the visit. Regarding the allegation, facility staff did not intervene in verbal altercation between residents, according to the reporting party, on March 6, 2025, it was observed Resident 1 (R1) and Resident 2 (R2) had a verbal altercation outside the dining room after a town hall meeting. Reporting party indicated, there were about 8-10 staff members present but they did not take action or step in. During the investigation, LPA interviewed administrator, reviewed staff schedule and interviewed staff. According to the administrator, there were 9 staff members on the schedule the day of the town hall meeting but none of them witnessed the altercation. The administrator indicated, she was also at the building during the town hall meeting but did not observe the alterthe state’s words, verbatim · CDSS document, Mar 18, 2025 · control 14-AS-20250307083648
Feb 27, 2025Complaint investigation reportSubstantiated

Allegation investigated: Facility staff did not dispense medications as prescribed

On February 27, 2025, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced 10-day complaint visit. LPA met with Culinary Service Director, Justin Kang and explained the purpose of the visit. Regarding the allegation, facility staff did not dispense medications as prescribed, according to the reporting party, Resident 1 (R1) supposed to receive his/her Carbidopa Parkinson’s medication between 6am-6:30am every morning before breakfast, however on 2/25/25, R1 did not receive his/her medication as prescribed because there was med-tech working to dispense his/her medication. R1 did not receive his/her Carbidopa medication until 8:45am. During the investigation, LPA interviewed the nurse that was on shift in the morning of 2/25/25, reviewed R1’s medications and reviewed R1’s medication administration record (MAR). According to the nurse, the AM med-tech did not show up for work and he/she had to go to the facility to give residents their medications. In addition, the nursethe state’s words, verbatim · CDSS document, Feb 27, 2025 · control 14-AS-20250225152851
20246 state visits · 8 documents
Dec 11, 2024Complaint investigation reportUnsubstantiated

Allegation investigated: Staff do not ensure that resident's toilet is in good repair Staff do not ensure that the facility temperature is comfortable

On December 11, 2024, Licensing Program Analyst (LPA) Komal Charitra conduted an unannounced 10-day complaint visit. LPA met with Administrator, Kaitlyn Clarey and explained the purpose of the visit. Regarding the allegation staff do not ensure that resident's toilet is in good repair, according to the reporting party, the toilet in Resident 1’s (R1’s) room has been broken and repaired approximately three times recently. In addition, reporting party stated the toilet lever isn't working in the R1’s room. During the investigation, LPA toured R1’s room and observed the toilet. Toilet was observed to be in good working condition and the toilet lever was observed to be in good repair. Regarding the allegation staff do not ensure that the facility temperature is comfortable, according to the reporting party, the dining room is cold and the staff don’t turn the heat on in the dining room. (Cont. to 9099C) Unsubstantiatedthe state’s words, verbatim · CDSS document, Dec 11, 2024 · control 14-AS-20241210153327
Nov 14, 2024Complaint investigation reportSubstantiated

Allegation investigated: Staff did not inform residents of planned fire inspection

On November 14, 2024, Licensing Program Analyst (LPA) Komal Charitra conduted an unannounced 10-day complaint visit. LPA met with Administrator, Kaitlyn Clarey and explained the purpose of the visit. Regarding the allegation, staff did not inform residents of planned fire inspection, according to the reporting party, on 11/7/24, the facility conducted some sort of fire drill/inspection at the facility and staff failed to inform and communicate with residents about this matter, resulting in panick and stress. During the investigation, LPA interviewed administrator, staff and residents. The administrator acknowledged that no notice was provided to the residents. According to the Maintenance Director, this is a yearly fire inspection where outside vendor, Cintas comes to the facility and checks the sprinkler system and fire alarms. The Maintenance Director acknowledged that he was aware that Cintas was going to conduct their inspection for only the sprinkler system on 11/7/24 a few days pthe state’s words, verbatim · CDSS document, Nov 14, 2024 · control 14-AS-20241107125642
Jul 12, 2024Complaint investigation reportUnsubstantiated

Allegation investigated: Staff did not assist resident with toileting

On 7/12/24, Licensing Program Analyst (LPA) Grace Donato conducted an unannounced complaint investigation visit. LPA met with Executive Director Douglas Blake & Resident Care Coordinator Nelsaand explained the purpose of today's visit. Regarding the allegation of staff did not assist resident (R1) with toileting, Reporting Party (RP) stated that R1 called for staff to come help to the bathroom during the night and no one would come. Based on records review, the pendant or call buttons pressed by the R1 was all answered by staff. The log reviewed were from March 16 to June 26, 2024. It showed that all calls were answered by the staff. LPA also interviewed ED and Resident Care Coordinator and mentioned that the staff normally does 2-hour intervals for checking on residents. Response time for call buttons is between 2 to 8 minutes. Based on interviews & records review, the department has determined that although the allegation may have happened or is valid, there is not a preponderance ofthe state’s words, verbatim · CDSS document, Jul 12, 2024 · control 14-AS-20240612121234
Jul 12, 2024Complaint investigation reportUnfounded

Allegation investigated: Facility staff did not dispense medications as prescribed

*** This is an amended report *** On 7/16/24, Licensing Program Analyst (LPA) Grace Donato conducted an unannounced complaint investigation visit. LPA met with Executive Director Douglas Blake and explained the purpose of today's visit. Regarding the allegation facility staff did not dispense medications as prescribed, Reporting Party (RP) stated that staff do not dispense medications as prescribed to resident (R1). Per RP, on Tuesday 5/28/24 the resident was given a yellow pill with his morning meds (6am). R1 knew he/she doesn't normally take a yellow pill so he/she told the staff who immediately told him/her not to take it because the pill was given in error. page 1 of 2 Unfoundedthe state’s words, verbatim · CDSS document, Jul 12, 2024 · control 14-AS-20240530100108
May 1, 2024Complaint investigation reportSubstantiated

Allegation investigated: Facility failed to ensure residents received hot water prior to emergency evacuation Facility failed to provide sufficient staffing to meet residents needs

On May 1, 2024, Licensing Program Analyst (LPA) John Calandra conducted a conclusionary complaint investigation at the facility and met with Michelle Baker, Business Office Director. The purpose of the visit was to deliver conclusionary findings to the initial complaint investigation on October 31, 2023. LPA gathered information relevant to the above complaint allegations and interviewed staff and residents. Regarding the allegation that residents did not have hot water prior to an emergency evacuation, based on interviews, it was determined to be true that residents had lost access to hot water after the power outage. In regards to the allegation of insufficient staffing to meet the needs of residents, it was determined to be true based on conducted interviews. During the time of the power outage, there was not enough staff to meet residents’ needs. Substantiatedthe state’s words, verbatim · CDSS document, May 1, 2024 · control 14-AS-20231023131617
Mar 19, 2024Complaint investigation reportSubstantiated

Allegation investigated: -Facility staff do not properly dispose of medications which were not taken with the resident(s) upon termination of services

On March 27, 2024, Licensing Program Analyst (LPA) Komal Charitra delivered an amended copy of the LIC9099. LPA met with Co-administrator, Douglas Blake and explained the purpose of the visit. During visit today, LPA changed the report from confidential to public. Report is reviewed with Co-administrator and a copy is provided. On March 19, 2024, Licensing Program Analyst (LPA) Komal Charitra delivered a copy of amended LIC9099. LPA met with Administrator, Kaitlyn Clarey and explained the purpose of the visit. On March 19, 2024, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced 10-day complaint visit. LPA met with Administrator, Kaitlyn Clarey and explained the purpose of the visit. Regarding the allegation, facility staff do not properly dispose of medications which were not taken with the resident(s) upon termination of services, according to the reporting party, facility has old medication stored for clients who no longer reside at the facility and/or are expirthe state’s words, verbatim · CDSS document, Mar 19, 2024 · control 14-AS-20240315135733
Mar 19, 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.

Jan 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.

20235 state visits · 5 documents
Dec 6, 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.

Nov 28, 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.

Oct 24, 2023Complaint investigation reportUnsubstantiated

Allegation investigated: Staff are not ensuring resident has privacy Staff are discriminating against resident Staff did not ensure resident's room was free of pest

On October 24, 2023, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced complaint visit to deliver the findings for the above allegations. LPA met with Administrator, Joan Johnson and explained the purpose of the visit. Regarding the allegation staff are not ensuring resident has privacy, according to the reporting party, staff are entering into Resident 1's (R1's) room without permission. According to the reporting party, R1 is germaphobic and does not want anyone to enter his/her room. In addition, according to the reporting party, an agency staff member (name not identified) entered R1's room without knocking and was staring at R1's shower curtain while R1 was taking a shower. During the investigation, LPA interviewed staff and reviewed records. According to staff interviewed, staff respects R1's wishes and does not go into his/her room unless R1 allows staff to enter. In addition, interviewed staff acknowledged that the facility did use agency caregivers and ththe state’s words, verbatim · CDSS document, Oct 24, 2023 · control 14-AS-20231002160539
Sep 29, 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 22, 2023Complaint investigation reportUnsubstantiated

Allegation investigated: -Illegal eviction -Facility failed to notify family members of emergency situation and relocation -Facility failed to have an adequate emergency preparedness plan

On September 22, 2023, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced complaint visit to deliver the findings for the above allegations. LPA met with Resident Care Director, Edward Dewitt and explained the purpose of the visit. Regarding the allegation of illegal eviction, according to the reporting party, due to an emergency situation, the facility moved residents without any notice. During the investigation, LPA interviewed the administrator, reviewed facility's plan of operation and and resident admission agreement. The administrator denied this allegation and indicated that the facility had a disrepair in their electrical system which caused a power outage at the facility. The facility tried to ensure residents were receiving care and supervision with back up generators, however due to the extent of the electrical disrepair and the uncertainty of how long repairs would take, the facility had to relocate residents to their sister facilities. Based on the resthe state’s words, verbatim · CDSS document, Sep 22, 2023 · control 14-AS-20230430171642
Beside homes the same size
Type A citations6typical 1
Type B citations7typical 1
Substantiated complaints15typical 2
Total complaints17typical 7
State visits on file53typical 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 2020.
Year-by-year trend
YearVisitsDocumentsSubstantiated202645020251315320246832023101012022890
An “unsubstantiated” complaint is not a finding of wrongdoing — it means the state investigated and could not confirm the allegation. Outcome words are the state’s own; we never grade, score, or color a record.Operate this home? Respond to or correct any document here, free. Respond or correct →

See an error in these counts? Report it — free →

$6,000$9,000 /mo
our estimate — San Mateo County band, market research June 2026; not this home’s quoted price
$3,500 · statewide low$9,000 · statewide high
California’s public record holds no per-home price, so we never invent one. Ask the home for its rate sheet, or
Ways families pay here
Private pay — ask what the base rate includes and what’s billed separately.SSI/SSP — California’s board-and-care payment standard is $1,626.07/mo (2026): $1,444.07 to the home, $182 stays with the resident.Medi-Cal ALW — this home isn’t on the DHCS waiver list (checked August 9, 2026). Details →

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

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

Operate this home? This page is generated from CDSS public records — respond or correct it, free.
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Is Vista Terrace Of Belmont licensed?

Yes — Vista Terrace Of Belmont is a licensed residential care home for the elderly (RCFE) in Belmont (San Mateo County): California license #415601080, shown as licensed in the CDSS state record checked August 2, 2026, licensed for 68 residents. State records list 47 inspection and complaint documents since 2022; the most recent, a facility evaluation report dated May 18, 2026, appears in the inspection record on this page.

Can Vista Terrace Of Belmont 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 Vista Terrace Of Belmont 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 recordAGE RANGE 60 AND OVER. APPROVED FOR 68 NON-AMBULATORY. HOSPICE WAIVER APPROVED FOR 10 RESIDENTS. NEW MGMT CO, INTEGRAL SENIOR LIVING MANAGEMENT LLC, EFFECTIVE 12/1/21. NEW MGMT CO, COGIR SL BELMONT LLC, EFFECTIVE 12/1/23.

How much does Vista Terrace Of Belmont cost?

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

Vista Terrace Of Belmont 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

51 of 68 beds occupied (75%) when the state visited on August 26, 2025. Availability changes constantly — confirm a current opening with the home.

What do state inspections show for Vista Terrace Of Belmont?

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 53 state visits and 47 dated documents since 2022 for Vista Terrace Of Belmont; 14 complaint-investigation narratives are transcribed verbatim below. The most recent, dated August 26, 2025, records an allegation the state marked “Substantiated. 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.

14 transcribed reports on file

2025

Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedStaff are not administering residents' medications as prescribed Facility failed to report incident to CCLD Facility failed to ensure resident's beds were in good repair
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
On August 26, 2025, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced complaint visit to deliver the findings for the above allegations. LPA met with Regional Sales Specialist, Jessica Wiggins and explained the purpose of the visit. Regarding the allegation, staff are not administering residents' medications as prescribed, according to the reporting party, Resident 1 (R1) is not being administered the correct dosage of his/her Gabapentin medication as prescribed by the physician. During the investigation, LPA interviewed R1, reviewed R1's file, including but not limited to; physician's orders for medication, medication list, medication administration record (MAR), and R1's medication bottles. According to R1, on 8/8/25 and 8/10/25, he/she was supposed to receive 3 tablets of Gabapentin at 8pm, however on both days, only 1 tablet was provided. Resident 2 (R2) noticed and reported to the med-tech that R1 is supposed to receive three tablets of Gabapentin instead. ThCDSS inspection report, August 26, 2025 · control 14-AS-20250813150601
Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedLicensee does not ensure safe pathways are provided for residents use Staff does not ensure elevators are made accessible for residents at all times.
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
On May 15, 2025, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced complaint visit to deliver the findings for the above allegations. LPA met with Administrator, Jose Acumabig and explained the purpose of the visit. Regarding the allegation, Licensee does not ensure safe pathways are provided for residents use, according to the reporting party, the facility is currently undergoing construction and the walk path that is available for use has uneven pavement and bricks on the ground making it difficult for residents who are disabled and require wheelchair access. During the investigation, LPA toured the outdoor passageway at the facility that residents use to come into the facility and leave the facility. LPA observed uneven pavement, uneven bricks, and overgrown greenery on the side of the walk way. Regarding the allegation, staff does not ensure elevators are made accessible to residents at all times, according to the reporting party, the staff are not tending toCDSS inspection report, May 15, 2025 · control 14-AS-20250428155423
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedFacility staff did not intervene in verbal altercation between residents.
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
On March 18, 2025, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced complaint visit to deliver findings for the above allegation. LPA met with Administrator, Kaitlyn Clarey and explained the purpose of the visit. Regarding the allegation, facility staff did not intervene in verbal altercation between residents, according to the reporting party, on March 6, 2025, it was observed Resident 1 (R1) and Resident 2 (R2) had a verbal altercation outside the dining room after a town hall meeting. Reporting party indicated, there were about 8-10 staff members present but they did not take action or step in. During the investigation, LPA interviewed administrator, reviewed staff schedule and interviewed staff. According to the administrator, there were 9 staff members on the schedule the day of the town hall meeting but none of them witnessed the altercation. The administrator indicated, she was also at the building during the town hall meeting but did not observe the alterCDSS inspection report, March 18, 2025 · control 14-AS-20250307083648
Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedFacility staff did not dispense medications as prescribed
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
On February 27, 2025, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced 10-day complaint visit. LPA met with Culinary Service Director, Justin Kang and explained the purpose of the visit. Regarding the allegation, facility staff did not dispense medications as prescribed, according to the reporting party, Resident 1 (R1) supposed to receive his/her Carbidopa Parkinson’s medication between 6am-6:30am every morning before breakfast, however on 2/25/25, R1 did not receive his/her medication as prescribed because there was med-tech working to dispense his/her medication. R1 did not receive his/her Carbidopa medication until 8:45am. During the investigation, LPA interviewed the nurse that was on shift in the morning of 2/25/25, reviewed R1’s medications and reviewed R1’s medication administration record (MAR). According to the nurse, the AM med-tech did not show up for work and he/she had to go to the facility to give residents their medications. In addition, the nurseCDSS inspection report, February 27, 2025 · control 14-AS-20250225152851

2024

Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedStaff do not ensure that resident's toilet is in good repair Staff do not ensure that the facility temperature is comfortable
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
On December 11, 2024, Licensing Program Analyst (LPA) Komal Charitra conduted an unannounced 10-day complaint visit. LPA met with Administrator, Kaitlyn Clarey and explained the purpose of the visit. Regarding the allegation staff do not ensure that resident's toilet is in good repair, according to the reporting party, the toilet in Resident 1’s (R1’s) room has been broken and repaired approximately three times recently. In addition, reporting party stated the toilet lever isn't working in the R1’s room. During the investigation, LPA toured R1’s room and observed the toilet. Toilet was observed to be in good working condition and the toilet lever was observed to be in good repair. Regarding the allegation staff do not ensure that the facility temperature is comfortable, according to the reporting party, the dining room is cold and the staff don’t turn the heat on in the dining room. (Cont. to 9099C) UnsubstantiatedCDSS inspection report, December 11, 2024 · control 14-AS-20241210153327
Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedStaff did not inform residents of planned fire inspection
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
On November 14, 2024, Licensing Program Analyst (LPA) Komal Charitra conduted an unannounced 10-day complaint visit. LPA met with Administrator, Kaitlyn Clarey and explained the purpose of the visit. Regarding the allegation, staff did not inform residents of planned fire inspection, according to the reporting party, on 11/7/24, the facility conducted some sort of fire drill/inspection at the facility and staff failed to inform and communicate with residents about this matter, resulting in panick and stress. During the investigation, LPA interviewed administrator, staff and residents. The administrator acknowledged that no notice was provided to the residents. According to the Maintenance Director, this is a yearly fire inspection where outside vendor, Cintas comes to the facility and checks the sprinkler system and fire alarms. The Maintenance Director acknowledged that he was aware that Cintas was going to conduct their inspection for only the sprinkler system on 11/7/24 a few days pCDSS inspection report, November 14, 2024 · control 14-AS-20241107125642
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedStaff did not assist resident with toileting
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
On 7/12/24, Licensing Program Analyst (LPA) Grace Donato conducted an unannounced complaint investigation visit. LPA met with Executive Director Douglas Blake & Resident Care Coordinator Nelsaand explained the purpose of today's visit. Regarding the allegation of staff did not assist resident (R1) with toileting, Reporting Party (RP) stated that R1 called for staff to come help to the bathroom during the night and no one would come. Based on records review, the pendant or call buttons pressed by the R1 was all answered by staff. The log reviewed were from March 16 to June 26, 2024. It showed that all calls were answered by the staff. LPA also interviewed ED and Resident Care Coordinator and mentioned that the staff normally does 2-hour intervals for checking on residents. Response time for call buttons is between 2 to 8 minutes. Based on interviews & records review, the department has determined that although the allegation may have happened or is valid, there is not a preponderance ofCDSS inspection report, July 12, 2024 · control 14-AS-20240612121234
Complaint investigationAllegation reviewed · Unfounded
Allegation the state reviewedFacility staff did not dispense medications as prescribed
State's findingUnfoundedThe state investigated and found the allegation to be false.
*** This is an amended report *** On 7/16/24, Licensing Program Analyst (LPA) Grace Donato conducted an unannounced complaint investigation visit. LPA met with Executive Director Douglas Blake and explained the purpose of today's visit. Regarding the allegation facility staff did not dispense medications as prescribed, Reporting Party (RP) stated that staff do not dispense medications as prescribed to resident (R1). Per RP, on Tuesday 5/28/24 the resident was given a yellow pill with his morning meds (6am). R1 knew he/she doesn't normally take a yellow pill so he/she told the staff who immediately told him/her not to take it because the pill was given in error. page 1 of 2 UnfoundedCDSS inspection report, July 12, 2024 · control 14-AS-20240530100108
Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedFacility failed to ensure residents received hot water prior to emergency evacuation Facility failed to provide sufficient staffing to meet residents needs
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
On May 1, 2024, Licensing Program Analyst (LPA) John Calandra conducted a conclusionary complaint investigation at the facility and met with Michelle Baker, Business Office Director. The purpose of the visit was to deliver conclusionary findings to the initial complaint investigation on October 31, 2023. LPA gathered information relevant to the above complaint allegations and interviewed staff and residents. Regarding the allegation that residents did not have hot water prior to an emergency evacuation, based on interviews, it was determined to be true that residents had lost access to hot water after the power outage. In regards to the allegation of insufficient staffing to meet the needs of residents, it was determined to be true based on conducted interviews. During the time of the power outage, there was not enough staff to meet residents’ needs. SubstantiatedCDSS inspection report, May 1, 2024 · control 14-AS-20231023131617
Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewed-Facility staff do not properly dispose of medications which were not taken with the resident(s) upon termination of services
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
On March 27, 2024, Licensing Program Analyst (LPA) Komal Charitra delivered an amended copy of the LIC9099. LPA met with Co-administrator, Douglas Blake and explained the purpose of the visit. During visit today, LPA changed the report from confidential to public. Report is reviewed with Co-administrator and a copy is provided. On March 19, 2024, Licensing Program Analyst (LPA) Komal Charitra delivered a copy of amended LIC9099. LPA met with Administrator, Kaitlyn Clarey and explained the purpose of the visit. On March 19, 2024, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced 10-day complaint visit. LPA met with Administrator, Kaitlyn Clarey and explained the purpose of the visit. Regarding the allegation, facility staff do not properly dispose of medications which were not taken with the resident(s) upon termination of services, according to the reporting party, facility has old medication stored for clients who no longer reside at the facility and/or are expirCDSS inspection report, March 19, 2024 · control 14-AS-20240315135733

2023

Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedStaff are not ensuring resident has privacy Staff are discriminating against resident Staff did not ensure resident's room was free of pest
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
On October 24, 2023, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced complaint visit to deliver the findings for the above allegations. LPA met with Administrator, Joan Johnson and explained the purpose of the visit. Regarding the allegation staff are not ensuring resident has privacy, according to the reporting party, staff are entering into Resident 1's (R1's) room without permission. According to the reporting party, R1 is germaphobic and does not want anyone to enter his/her room. In addition, according to the reporting party, an agency staff member (name not identified) entered R1's room without knocking and was staring at R1's shower curtain while R1 was taking a shower. During the investigation, LPA interviewed staff and reviewed records. According to staff interviewed, staff respects R1's wishes and does not go into his/her room unless R1 allows staff to enter. In addition, interviewed staff acknowledged that the facility did use agency caregivers and thCDSS inspection report, October 24, 2023 · control 14-AS-20231002160539
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewed-Illegal eviction -Facility failed to notify family members of emergency situation and relocation -Facility failed to have an adequate emergency preparedness plan
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
On September 22, 2023, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced complaint visit to deliver the findings for the above allegations. LPA met with Resident Care Director, Edward Dewitt and explained the purpose of the visit. Regarding the allegation of illegal eviction, according to the reporting party, due to an emergency situation, the facility moved residents without any notice. During the investigation, LPA interviewed the administrator, reviewed facility's plan of operation and and resident admission agreement. The administrator denied this allegation and indicated that the facility had a disrepair in their electrical system which caused a power outage at the facility. The facility tried to ensure residents were receiving care and supervision with back up generators, however due to the extent of the electrical disrepair and the uncertainty of how long repairs would take, the facility had to relocate residents to their sister facilities. Based on the resCDSS inspection report, September 22, 2023 · control 14-AS-20230430171642
Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedFacility failed to maintain an electrical system in good working condition.
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
On May 17, 2023, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced complaint visit to deliver the finding for the above allegation. LPA met with Administrator, Joan Johnson and explained the purpose of the visit. Regarding the allegation, facility failed to maintain an electrical system in good working condition, according to the reporting party, the facility has been out of power since 4/24/2023 and this has been the second time that the facility has had a power failure, as the first time was back in January 2023. In addition, the reporting party indicated that after the January incident, another generator was to be purchased for additional back-up, however it was not purchased and now residents are without power again, leaving rooms cold, residents with no lights and inability to contact caregivers for assistance. During the investigation, LPA toured the facility and interviewed the Administrator. According to the administrator, the power has been out since 4/24CDSS inspection report, May 17, 2023 · control 14-AS-20230427165107

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

What the state has logged

California has logged 53 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
6
typical for this size: 1
Type B citations
7
typical for this size: 1
Substantiated complaints
15
typical for this size: 2
Total complaints
17
typical for this size: 7
State visits on file
53
typical for this size: 19
See the full inspection record on the state's site →
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