Oakmont Of Redwood City is a residential care home for the elderly (RCFE) in Redwood City, San Mateo County, California — state license #415601114, licensed for 127 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 29 dated inspection and complaint documents on file for this home going back to 2021, the most recent dated May 21, 2026 — published below in full, verbatim and unscored.

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Oakmont Of Redwood City

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Residential care home for the elderly (RCFE) · Large community, 127 residents · Redwood City, CA · San Mateo County
LicensedWheelchairMemory careHospiceBedridden
No openings reportedBeds change hands in days ·
License #415601114, held since 2021 · read from the California state record on August 2, 2026 ·See on State Site →
1 East Selby Lane · Redwood City, San Mateo County
Phone
(650) 885-7992
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 127 residents
Dementia / memory careVerified in record
Hospice careVerified in record
Bedridden careApproved for 20 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. APPROVED FOR 127 NON-AMBULATORY, OF WHICH 20 MAY BE BEDRIDDEN. HOSPICE WAIVER APPROVED FOR 20 RESIDENTS. NEW MGMT. CO, OAKMONT MANAGEMENT GROUP LLC, EFFECTIVE 7/1/23.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 2021, the state has visited this home 32 times and filed 29 documents. The most recent is a complaint investigation report, dated May 21, 2026.

Most recent state visit
July 16, 2026
Occupancy at the October 22, 2025 visit
79 of 127 beds

The state's published file for this home includes 9 documents with transcribed findings, dated December 14, 2023 to October 22, 2025. 9 of the 9 carry the state's recorded outcome word: “Substantiated” (3), “Unsubstantiated” (6). 9 include the transcribed allegation the state investigated, word for word.

Summary composed by computer from the 9 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 — 27 of 29 documentsFull record on the state’s site →
20265 state visits · 5 documents
May 21, 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.

May 11, 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 8, 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 17, 2026Complaint investigation reportReport on file

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

Feb 26, 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
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.

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.

Oct 22, 2025Complaint investigation reportSubstantiated

Allegation investigated: Staff did not ensure reporting requirements were followed

On October 22, 2025, Licensing Program Analyst (LPA) Komal Curley conducted an unannounced complaint visit to deliver the findings for the above allegation. LPA met with Regional Operations Specialist, Tammie Sampedro and explained the purpose of the visit. Regarding the allegation, staff did not ensure reporting requirements were following, according to the reporting party, after the alleged abuse incident that occurred on 10/3/25, the facility did not submit an incident report (LIC624) to CCLD and did not submit an APS report. Based on records reviewed and staff interviewed, there were no incident reports submitted to CCLD regarding the alleged abuse incident that occurred on 10/3/25. The facility was unable to provide any documentation to show that an incident report or an SOC341 was submitted to CCLD. Based on the investigation, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. Deficiencies of the California Code of Rethe state’s words, verbatim · CDSS document, Oct 22, 2025 · control 14-AS-20251009094007
Oct 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.

Aug 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.

Aug 5, 2025Facility evaluation reportReport on file

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

Jul 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.

Jul 10, 2025Complaint investigation reportSubstantiated

Allegation investigated: Resident sustained unexplained fracture while in care.

On July 10, 2025, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced complaint visit to deliver the findings for the above allegation. LPA met with Interim Executive Director, Kathleen Olson and explained the purpose of the visit. Regarding the allegation, resident sustained unexplained fracture while in care, according to the reporting party, on 10/13/24, it was observed the Resident 1 (R1) was in distress, complaining of pain in his/her groin area. In addition, the reporting party indicated, after transporting R1 to the hospital, various tests and an X-ray revealed a fracture on the left side of his/her pelvis. The reporting party reported that the staff at the facility did not know how or when the fracture occurred. During the investigation, the Department reviewed R1's file, interviewed staff and reviewed R1's medical records. According to R1's file reviewed, R1 was evaluated at low risk for falling, however staff interviewed thought R1 had fallen at an earlierthe state’s words, verbatim · CDSS document, Jul 10, 2025 · control 14-AS-20250113154240
Jun 18, 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 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.

May 15, 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.

20244 state visits · 6 documents
Oct 31, 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.

May 10, 2024Complaint investigation reportUnsubstantiated

Allegation investigated: - Staff lock residents in their room - Residents eloped from the facility - Staff did not report unusual incident to resident's representative - Staff did not feed resident in care - Staff did not dress resident in care - Staff not provide resident with hygiene needs

On 05/10/2024, Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced complaint investigation visit in order to deliver the findings regarding the allegations received. LPA met with administrator Siobhan Surraco and explained the purpose of today's visit. During the investigation LPA conducted interviews and made observations. Interviews with staff, and a tour of resident rooms, show that the rooms are able to be unlocked from the inside by just turning the door handle. The locking mechanism is on the inside and can be unlocked from the outside via room key. LPA and administrator was able to unlock the residents room with a key as a demonstration and the resident inside locked the door themself after it was unlocked and announced entrance to the room. Interviews with staff do contradict with the allegation that residents are being locked in their rooms intentionally. Continued on next page... Unsubstantiatedthe state’s words, verbatim · CDSS document, May 10, 2024 · control 14-AS-20230807085356
Feb 21, 2024Complaint investigation reportUnsubstantiated

Allegation investigated: - Staff spoke to resident in an inappropriate manner - Staff did not ensure faucet was delivering warm water during showers - Staff threatened resident - Facility failed to report an incident to licensing

On 02/21/2024, Licensing Program Analyst (LPA) Jaime Vado conducted an unannouced complaint investigation visit in order to deliver findings regarding the allegations received. LPA met with administrator Siobhan Surraco and explained the purpose of today's visit. During the investigation LPA conducted interviews and made observations. Interviews with residents and staff contradict one another. LPA cannot prove or disprove the statements made to the resident were said in the manner reported as part of this complaint. LPA observed the shower area of resident and confirmed that warm water is being delivered to the shower. The incident was investigated by the department and the facility itself but no conclusions or perponderance of evidence was found. These allegations are unsubstantiated. 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 dithe state’s words, verbatim · CDSS document, Feb 21, 2024 · control 14-AS-20230809112435
Jan 10, 2024Complaint investigation reportUnsubstantiated

Allegation investigated: - Staff are not responding to resident's representative's requests for communication in a timely manner

On this day Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced complaint investigation visit in order to deliver findings regarding the above allegation. LPA met with Interim executive director Eugenia Smith and explained the purpose of today's visit. During the course of the investigation LPA conducted multiple interviews and reviewed protocols with previous executive director Meghan Leone and interim executive director Jessica Pryor. According to Meghan, she began working at the facility on Monday July 24th, 2023. A COVID outbreak in memory care began the week prior to her starting work at the facility close to the weekend before the Monday she started. There was not an administrator in place to access the information of the affected residents family members to alert them in mass. She started on July 24, 2023 and worked on informing and reporting the COVID outbreak to families and the Department that same week. The Department did receive COVID incident reports from Mthe state’s words, verbatim · CDSS document, Jan 10, 2024 · control 14-AS-20230725115745
Jan 10, 2024Complaint investigation reportUnsubstantiated

Allegation investigated: - Resident sustained injuries while in care - Staff are not fully trained

On this day Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced complaint investigation visit in order to deliver findings regarding the above allegation. LPA met with Interim executive director Jessica Pryor and explained purpose of today's visit. During the course of the investigation LPA conducted multiple interviews with residents and staff. LPA also reviewed training documents as well. LPA concluded that based off the records of staff training, staff are being trained regularly thorugh out the year and using their training database and shadowing hours. LPA observed names from both assisted living and memory care staff attended these regular training. As for resident sustaining injuries while in care, through records review and interviews it was found that the resident in question did have falls due to physical limitations and not from other reasons besides falls that occurred. These falls are documented. These allegations are unsbustantiated. Based on these observathe state’s words, verbatim · CDSS document, Jan 10, 2024 · control 14-AS-20230803111423
Jan 10, 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.

20232 state visits · 5 documents
Dec 14, 2023Complaint investigation reportUnsubstantiated

Allegation investigated: - Staff did not assist resident to and from restroom

On this day, Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced complaint investigation visit in order to deliver findings regarding the allegation received. LPA met with business office director Ana Gobaleza and explained the purpose of today's visit. During the course of the investigation, LPA conducted interviews, made facility observations, and reviewed documents. Per interviews with staff, they did not witness the situation described per details received. Staff recall being present but did not see the situation. Staff indicated that the resident did not ask for assistance. The location of the bathroom where this took place was not in sight of the staff who was providing an activity with other residents in the memory care's living room area. The bathroom is around the corner out of the line of sight from the nearest staff person at the time this took place. The resident's room is also located across the hall from where the bathroom is. The resident does require assthe state’s words, verbatim · CDSS document, Dec 14, 2023 · control 14-AS-20230919091925
Dec 14, 2023Complaint investigation reportSubstantiated

Allegation investigated: - Staff are not following infection control requirements.

On this day Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced complaint investigation visit in order to deliver findings regarding the above allegation. LPA met with Business Office Director Ana Gobeleza and explained purpose of today's visit. During the course of the investigation LPA conducted multiple interviews and reviewed protocols with previous administrator Meghan Leone. LPA discovered that there was not enough COVID test kits on hand during an outbreak in memory care. Additionally, isolation procedures, social distancing, appropriate signs, hand sanitizer, gowns, and masking requirements were not being fully adhered to during the outbreak. Residents were congregating despite of COVID status and there was a lack of PPE being utilized to help mitigate the spread of COVID. This allegation is substantiated. Based on LPA interviews and items letters received, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANthe state’s words, verbatim · CDSS document, Dec 14, 2023 · control 14-AS-20230725115745
Dec 14, 2023Complaint investigation reportUnsubstantiated

Allegation investigated: - Staff mismanaged residents' medication - Untrained staff

*** This is an amended document marking the report as public *** On this day Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced complaint investigation visit in order to deliver findings regarding the above allegation. LPA met with interim executive director Jessica Pryor and explained purpose of today's visit. During the course of the investigation LPA made observations of the facility medication administration practices, med cart oraganization, reviewed resident medication administration recording process, and reviewed training records. LPA observed that all observed items are in place. LPA asked two med techs to demonstrate their medication handling practices. Medication training for med techs are reviewed as current. These allegations are unsubstantiated. 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 nthe state’s words, verbatim · CDSS document, Dec 14, 2023 · control 14-AS-20231205135135
Dec 14, 2023Complaint 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 16, 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 citations2typical 1
Type B citations0typical 1
Substantiated complaints3typical 2
Total complaints12typical 7
State visits on file32typical 19
“Typical” is the statewide median across the 1,244 licensed larger communities (16+ beds) in the state record — larger, longer-licensed homes accumulate more visits and reports, so compare like with like. One complaint can contain several allegations. Counts cover this license since 2021.
Year-by-year trend
YearVisitsDocumentsSubstantiated202655020259112202446020233612021110
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 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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Call (650) 885-7992

Is Oakmont Of Redwood City licensed?

Yes — Oakmont Of Redwood City is a licensed residential care home for the elderly (RCFE) in Redwood City (San Mateo County): California license #415601114, shown as licensed in the CDSS state record checked August 2, 2026, licensed for 127 residents. State records list 29 inspection and complaint documents since 2021; the most recent, a complaint investigation report dated May 21, 2026, appears in the inspection record on this page.

Can Oakmont Of Redwood City 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 Oakmont Of Redwood City 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. APPROVED FOR 127 NON-AMBULATORY, OF WHICH 20 MAY BE BEDRIDDEN. HOSPICE WAIVER APPROVED FOR 20 RESIDENTS. NEW MGMT. CO, OAKMONT MANAGEMENT GROUP LLC, EFFECTIVE 7/1/23.

How much does Oakmont Of Redwood City cost?

California's public licensing record does not include Oakmont Of Redwood City'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 Oakmont Of Redwood City accept Medi-Cal or the Assisted Living Waiver?

Oakmont Of Redwood City 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

79 of 127 beds occupied (62%) when the state visited on October 22, 2025. Availability changes constantly — confirm a current opening with the home.

What do state inspections show for Oakmont Of Redwood City?

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 32 state visits and 29 dated documents since 2021 for Oakmont Of Redwood City; 9 complaint-investigation narratives are transcribed verbatim below. The most recent, dated October 22, 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.

9 transcribed reports on file

2025

Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedStaff did not ensure reporting requirements were followed
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
On October 22, 2025, Licensing Program Analyst (LPA) Komal Curley conducted an unannounced complaint visit to deliver the findings for the above allegation. LPA met with Regional Operations Specialist, Tammie Sampedro and explained the purpose of the visit. Regarding the allegation, staff did not ensure reporting requirements were following, according to the reporting party, after the alleged abuse incident that occurred on 10/3/25, the facility did not submit an incident report (LIC624) to CCLD and did not submit an APS report. Based on records reviewed and staff interviewed, there were no incident reports submitted to CCLD regarding the alleged abuse incident that occurred on 10/3/25. The facility was unable to provide any documentation to show that an incident report or an SOC341 was submitted to CCLD. Based on the investigation, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. Deficiencies of the California Code of ReCDSS inspection report, October 22, 2025 · control 14-AS-20251009094007
Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedResident sustained unexplained fracture while in care.
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
On July 10, 2025, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced complaint visit to deliver the findings for the above allegation. LPA met with Interim Executive Director, Kathleen Olson and explained the purpose of the visit. Regarding the allegation, resident sustained unexplained fracture while in care, according to the reporting party, on 10/13/24, it was observed the Resident 1 (R1) was in distress, complaining of pain in his/her groin area. In addition, the reporting party indicated, after transporting R1 to the hospital, various tests and an X-ray revealed a fracture on the left side of his/her pelvis. The reporting party reported that the staff at the facility did not know how or when the fracture occurred. During the investigation, the Department reviewed R1's file, interviewed staff and reviewed R1's medical records. According to R1's file reviewed, R1 was evaluated at low risk for falling, however staff interviewed thought R1 had fallen at an earlierCDSS inspection report, July 10, 2025 · control 14-AS-20250113154240

2024

Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewed- Staff lock residents in their room - Residents eloped from the facility - Staff did not report unusual incident to resident's representative - Staff did not feed resident in care - Staff did not dress resident in care - Staff not provide resident with hygiene needs
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
On 05/10/2024, Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced complaint investigation visit in order to deliver the findings regarding the allegations received. LPA met with administrator Siobhan Surraco and explained the purpose of today's visit. During the investigation LPA conducted interviews and made observations. Interviews with staff, and a tour of resident rooms, show that the rooms are able to be unlocked from the inside by just turning the door handle. The locking mechanism is on the inside and can be unlocked from the outside via room key. LPA and administrator was able to unlock the residents room with a key as a demonstration and the resident inside locked the door themself after it was unlocked and announced entrance to the room. Interviews with staff do contradict with the allegation that residents are being locked in their rooms intentionally. Continued on next page... UnsubstantiatedCDSS inspection report, May 10, 2024 · control 14-AS-20230807085356
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewed- Staff spoke to resident in an inappropriate manner - Staff did not ensure faucet was delivering warm water during showers - Staff threatened resident - Facility failed to report an incident to licensing
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
On 02/21/2024, Licensing Program Analyst (LPA) Jaime Vado conducted an unannouced complaint investigation visit in order to deliver findings regarding the allegations received. LPA met with administrator Siobhan Surraco and explained the purpose of today's visit. During the investigation LPA conducted interviews and made observations. Interviews with residents and staff contradict one another. LPA cannot prove or disprove the statements made to the resident were said in the manner reported as part of this complaint. LPA observed the shower area of resident and confirmed that warm water is being delivered to the shower. The incident was investigated by the department and the facility itself but no conclusions or perponderance of evidence was found. These allegations are unsubstantiated. 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 diCDSS inspection report, February 21, 2024 · control 14-AS-20230809112435
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewed- Staff are not responding to resident's representative's requests for communication in a timely manner
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 deliver findings regarding the above allegation. LPA met with Interim executive director Eugenia Smith and explained the purpose of today's visit. During the course of the investigation LPA conducted multiple interviews and reviewed protocols with previous executive director Meghan Leone and interim executive director Jessica Pryor. According to Meghan, she began working at the facility on Monday July 24th, 2023. A COVID outbreak in memory care began the week prior to her starting work at the facility close to the weekend before the Monday she started. There was not an administrator in place to access the information of the affected residents family members to alert them in mass. She started on July 24, 2023 and worked on informing and reporting the COVID outbreak to families and the Department that same week. The Department did receive COVID incident reports from MCDSS inspection report, January 10, 2024 · control 14-AS-20230725115745
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewed- Resident sustained injuries while in care - Staff are not fully trained
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 deliver findings regarding the above allegation. LPA met with Interim executive director Jessica Pryor and explained purpose of today's visit. During the course of the investigation LPA conducted multiple interviews with residents and staff. LPA also reviewed training documents as well. LPA concluded that based off the records of staff training, staff are being trained regularly thorugh out the year and using their training database and shadowing hours. LPA observed names from both assisted living and memory care staff attended these regular training. As for resident sustaining injuries while in care, through records review and interviews it was found that the resident in question did have falls due to physical limitations and not from other reasons besides falls that occurred. These falls are documented. These allegations are unsbustantiated. Based on these observaCDSS inspection report, January 10, 2024 · control 14-AS-20230803111423

2023

Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewed- Staff did not assist resident to and from restroom
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 deliver findings regarding the allegation received. LPA met with business office director Ana Gobaleza and explained the purpose of today's visit. During the course of the investigation, LPA conducted interviews, made facility observations, and reviewed documents. Per interviews with staff, they did not witness the situation described per details received. Staff recall being present but did not see the situation. Staff indicated that the resident did not ask for assistance. The location of the bathroom where this took place was not in sight of the staff who was providing an activity with other residents in the memory care's living room area. The bathroom is around the corner out of the line of sight from the nearest staff person at the time this took place. The resident's room is also located across the hall from where the bathroom is. The resident does require assCDSS inspection report, December 14, 2023 · control 14-AS-20230919091925
Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewed- Staff are not following infection control requirements.
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
On this day Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced complaint investigation visit in order to deliver findings regarding the above allegation. LPA met with Business Office Director Ana Gobeleza and explained purpose of today's visit. During the course of the investigation LPA conducted multiple interviews and reviewed protocols with previous administrator Meghan Leone. LPA discovered that there was not enough COVID test kits on hand during an outbreak in memory care. Additionally, isolation procedures, social distancing, appropriate signs, hand sanitizer, gowns, and masking requirements were not being fully adhered to during the outbreak. Residents were congregating despite of COVID status and there was a lack of PPE being utilized to help mitigate the spread of COVID. This allegation is substantiated. Based on LPA interviews and items letters received, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANCDSS inspection report, December 14, 2023 · control 14-AS-20230725115745
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewed- Staff mismanaged residents' medication - Untrained staff
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
*** This is an amended document marking the report as public *** On this day Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced complaint investigation visit in order to deliver findings regarding the above allegation. LPA met with interim executive director Jessica Pryor and explained purpose of today's visit. During the course of the investigation LPA made observations of the facility medication administration practices, med cart oraganization, reviewed resident medication administration recording process, and reviewed training records. LPA observed that all observed items are in place. LPA asked two med techs to demonstrate their medication handling practices. Medication training for med techs are reviewed as current. These allegations are unsubstantiated. 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 nCDSS inspection report, December 14, 2023 · control 14-AS-20231205135135

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

What the state has logged

California has logged 32 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
2
typical for this size: 1
Type B citations
0
typical for this size: 1
Substantiated complaints
3
typical for this size: 2
Total complaints
12
typical for this size: 7
State visits on file
32
typical for this size: 19
See the full inspection record on the state's site →
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