Westmont Of Santa Barbara is a residential care home for the elderly (RCFE) in Goleta, Santa Barbara County, California — state license #425802106, licensed for 99 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 38 dated inspection and complaint documents on file for this home going back to 2022, the most recent dated May 13, 2026 — published below in full, verbatim and unscored.

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Westmont Of Santa Barbara

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Residential care home for the elderly (RCFE) · Large community, 99 residents · Goleta, CA · Santa Barbara County
LicensedWheelchairMemory careHospiceBedridden
No openings reportedBeds change hands in days ·
License #425802106, held since 2017 · read from the California state record on August 2, 2026 ·See on State Site →
190 Viajero Dr · Goleta, Santa Barbara County
Phone
(805) 265-4327
from the state licensing roster · August 2, 2026
No Google listing is on file for this home.
Website
westmontliving.com
listed by the county Area Agency on Aging, April 7, 2025
Listing details can lag reality — confirm anything important by phone.
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 99 residents
Dementia / memory careVerified in record
Hospice careApproved for 20 residents
Bedridden careApproved for 10 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. 99 NON-AMBULATORY, OF WHICH 10 MAY BE BEDRIDDEN. HOSPICE WAIVER FOR 20.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 45 times and filed 38 documents. The most recent is a complaint investigation report, dated May 13, 2026.

Most recent state visit
May 13, 2026
Occupancy at the December 30, 2025 visit
72 of 99 beds

The state's published file for this home includes 15 documents with transcribed findings, dated March 30, 2022 to December 30, 2025. 15 of the 15 carry the state's recorded outcome word: “Substantiated” (10), “Unsubstantiated” (5). 15 include the transcribed allegation the state investigated, word for word.

Summary composed by computer from the 15 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 — 25 of 38 documentsFull record on the state’s site →
20262 state visits · 3 documents
May 13, 2026Complaint investigation reportReport on file

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

Jan 27, 2026Complaint investigation reportReport on file

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

Jan 27, 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.

20256 state visits · 8 documents
Dec 30, 2025Complaint investigation reportSubstantiated

Allegation investigated: Facility has inadequate staffing.

Licensing Program Analyst (LPA) De Leon conducted a subsequent complaint visit to the facility above. LPA met with Administrator Jade Alma-Harris and explained the purpose of the visit. LPA Kontilis conducted the 10-day complaint visit on 03/13/2025, collected records and conducted interviews with residents at 5:20pm, 5:23pm, 5:30pm, 5:37pm, 5:40pm, 5:42pm, 5:45pm, and 5:58pm. LPA conducted interviews with staff on 03/13/2025 at 5:45pm and 6:00pm. LPA conducted interviews with witnesses on 03/14/2025 at 12:11pm, on 08/18/2025 by email and on 05/21/2025 at 3:12pm. LPA conducted additional staff interview on 03/17/2025 at 12:07pm. LPA De Leon conducted a subsequent complaint visit on 11/21/2025, collected records and interviewed staff at 10:30am, 11:02am, 11:25am, 12:20pm, 2:10pm and 2:41pm. LPA conducted interviews with residents on 11/21/2025 at 2:26pm and 3:05pm. LPA De Leon conducted a subsequent complaint visit on 11/25/2025 conducted interviews with residents at 12:55pm, 1:15pm, 1:the state’s words, verbatim · CDSS document, Dec 30, 2025 · control 29-AS-20250310142840
Dec 30, 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 25, 2025Complaint investigation reportSubstantiated

Allegation investigated: Staff did not provide resident with a reappraisal Staff did not report incidents to appropriate parties Staff did not provide resident with a 60 day notice prior to rate increase

Licensing Program Analyst (LPA) De Leon conducted a subsequent complaint visit to the facility to deliver final findings of the investigation. LPA met with Administrator Jade Alma-Harris and explained the purpose of the visit. LPA Kontilis conducted the initial 10-day complaint visit, interviewed residents around 1:07pm-1:30pm and collected records on 12/06/2024. LPA De Leon conducted a subsequent complaint visit on 11/21/2025, requested a staff roster and a resident roster, interviewed staff that worked in the facility around 11/2024-06/2025 at 10:30am, 11:02am, 11:25am, 12:20pm, 2:10pm, 2:41pm and interviewed residents that lived in the facility during 11/2024-06/2025 at 2:26pm and 3:05pm. LPA De Leon reviewed records on 11/22/2025-11/24/2025. Continued 9099-C Substantiatedthe state’s words, verbatim · CDSS document, Nov 25, 2025 · control 29-AS-20241205123921
Nov 19, 2025Complaint investigation reportSubstantiated

Allegation investigated: Staff are not being properly trained Staff mishandled a resident's medication Staff interfered from reporting incidents involving a resident

Licensing Program Analyst (LPA) De Leon conducted a subsequent complaint visit to the facility above. LPA met with Administrator Jade Alma-Harris and explained the purpose of the visit. LPA Kontilis conducted the original 10-day complaint visit to the facility on 11/08/2024, requested records and interviewed staff at 11:21am and 2:38pm. LPA Kontilis conducted additional interviews with witnesses on 11/12/2024 at 12:06pm, 11/13/2024 at 8:47am, and with Administrator on 08/29/2025 at 11:13am. LPA De Leon reviewed the complaint, interviews and records and conducted further investigation from 11/05/2025-11/19/2025. LPA requested additional records on 11/13/2025 from Administrator, partial records were received. On the allegation: Staff are not being properly trained, LPA Kontilis requested training records for staff handling medications on 11/08/2024, only emails were provided. Cont. 9099-C Substantiatedthe state’s words, verbatim · CDSS document, Nov 19, 2025 · control 29-AS-20241104104759
Sep 10, 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 10, 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, 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 13, 2025Complaint investigation reportUnsubstantiated

Allegation investigated: Staff do not communicate effectively with authorized representatives. Staff do not properly reassess a resident while in care. Staff do not ensure a resident is being properly fed.

At 3:00pm on 08/13/2025, Licensing Program Analyst (LPA) Jeffries arrived unannounced to issue final findings to the allegations to this complaint. LPA met with Business Office Director, Carolina Nava announced who he is and the reason for the visit. The findings to the allegations to this complaint are as follows: As to the allegation of, “Staff do not communicate effectively with authorized representatives.” It was alleged that, “facility has absolutely no communication with families.” It was discovered through interviews, documentation and observations that on 06/03/2025, Licensing Program Analyst (LPA) Jeffries conducted interviews with 4 direct care staff (S1, S2, S3, and S4). S1, S2, S3, and S4 all stated that Resident 1’s (R1) Family Member (F1) visit R1 daily and communicate with staff on R1’s condition daily. On 06/18/2025 LPA Jeffries conducted an interview with Facility Administrator, Jade Alma, who stated that they have been in daily contact with F1, in person and on the tethe state’s words, verbatim · CDSS document, Aug 13, 2025 · control 29-AS-20250530141639
20248 state visits · 12 documents
Nov 8, 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.

Jul 25, 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.

Jul 24, 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.

Jul 23, 2024Facility evaluation reportReport on file

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

Jul 12, 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.

Jul 2, 2024Facility evaluation reportReport on file

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

Jun 17, 2024Complaint investigation reportSubstantiated

Allegation investigated: Facility staff did not meet the needs of resident(s) in care. Facility has insufficient staffing. Facility staff did not respond to residents’ call for help. Facility staff are not adequately trained. Facility staff did not treat resident with dignity and respect.

Licensing Program Analyst (LPA) Kristin Kontilis conducted a subsequent complaint visit to the facility above to issue final findings. LPA met with Sheryl McCaskill, Interim Administrator and explained the purpose of the visit. During the investigation, LPA Kontilis conducted an initial visit on 11/30/2023 from 12:35 pm to 6:10 pm, toured the facility, conducted interviews, and obtained documents. LPA also interviewed staff and residents on 6/13/2024 and 6/17/2024 and obtained additional documents. On the allegation: Facility has insufficient staffing. It was alleged the facility had insufficient staffing. LPA observed staffing schedules for July 2022 through November 2022. LPA also observed additional agency staff the facility contracted from July 2022 through November 2022, that coincided with days when less facility staff were present. LPA observed a large number of agency staff used in October and November 2022. Residents interviewed indicated sometimes the staff are spread thin, bthe state’s words, verbatim · CDSS document, Jun 17, 2024 · control 29-AS-20221121125215
Jun 17, 2024Complaint investigation reportSubstantiated

Allegation investigated: Staff are mismanaging resident's medication. Staff are not ensuring residents medication are refilled timely.

Licensing Program Analyst (LPA) Kristin Kontilis conducted a subsequent complaint visit to the facility above to issue final findings. LPA met with Sheryl McCaskill, Interim Administrator and explained the purpose of the visit. During the investigation, LPA Kontilis conducted an initial visit on 7/18/2023 from 11:40 am to 3:30 pm, toured the facility and obtained documents. LPA also conducted a medication audit on 8/9/2023 at 12:35 pm. On 6/13/24, LPA collected additional documents. On the allegation: Staff are mismanaging resident's medication. On 6/30/2023, R1 stated they had not received their Colchicine for two days. Although Responsible Party 1 (RP1) provided the facility R1’s medication on 6/26/2023, staff could not find the medication and called RP1 twice asking for the refills. RP1 brought up the issue to facility management, who indicated via email they found the Colchicine in their ‘overflow’ area once it was brought to their attention, and addressed the issue with staff. Plethe state’s words, verbatim · CDSS document, Jun 17, 2024 · control 29-AS-20230711113736
Jun 17, 2024Complaint investigation reportSubstantiated

Allegation investigated: Staff did not provide residents personal representative with copy of resident's records. Staff did not ensure residents room was kept in clean sanitary conditions. Staff did not ensure residents room was free of mal odors. Facility staff did not safeguard resident's personal belongings.

Licensing Program Analyst (LPA) Kristin Kontilis conducted an unannounced complaint visit to issue final findings on the allegations above. LPA met with Sheryl McCaskill to issue the final findings. During the investigation, LPA Kontilis conducted a visit on 5/21/2024 from 10:00 am to 5:30 pm to interview staff and residents and obtain relevant documents. LPA also conducted interviews on 6/14/2024 and 6/17/2024. On the allegation: Staff did not provide residents personal representative with copy of resident's records. It was alleged that a personal representative was not provided a copy of the resident’s records. Responsible Party (RP) for Resident 1 (R1) stated they asked the now former administrator for a copy of R1’s resident records multiple times via email and once in person. Per RP, the former administrator indicated the facility no longer releases records in order to protect the identify of the caregivers. LPA observed an email dated 1/22/2024 to facility management asking for Rthe state’s words, verbatim · CDSS document, Jun 17, 2024 · control 29-AS-20240515122500
Jun 13, 2024Complaint investigation reportSubstantiated

Allegation investigated: Staff did not respond to resident's request for assistance as necessary. Staff did not report an incident involving resident to their Responsible Party as required.

Licensing Program Analyst (LPA) Kristin Kontilis conducted a subsequent complaint visit to the facility above to issue final findings. LPA met with Sheryl McCaskill, Interim Administrator and explained the purpose of the visit. During the investigation, LPA Kontilis conducted an initial visit on 10/25/2023 from 11:00 am to 4:15 pm. LPA conducted staff interviews and obtained documents. On the allegation: Staff did not respond to resident's request for assistance as necessary: It was alleged that Resident 1 (R1) fell and broke their hip on 10/4/2023. It was alleged R1 pushed their call button for an extended period of time and cried for help. However, R1 did not receive assistance until a visitor opened their door and called 9-1-1. R1’s family member stated R1 typically goes to dinner between 4:45 pm and 5:00 pm. R1 stated on 10/4/2023, they were in their bathroom changing their clothes for dinner, and suddenly fell. R1 stated they pushed their call button, and it took the staff a “longthe state’s words, verbatim · CDSS document, Jun 13, 2024 · control 29-AS-20231020165322
Jun 13, 2024Complaint investigation reportSubstantiated

Allegation investigated: Staff speak inappropriately to residents in care.

Licensing Program Analyst (LPA) Kristin Kontilis conducted a subsequent complaint visit to the facility above to issue final findings. LPA met with Sheryl McCaskill, Interim Administrator and explained the purpose of the visit. During the investigation, LPA Kontilis conducted an initial visit on 12/12/2023 from 1:05 pm to 4:00 pm, and toured the facility and obtained documents. LPA also interviewed staff and residents on 6/13/2024 and obtained additional documents. On the allegation: Staff speak inappropriately to residents in care. It was alleged that a staff spoke inappropriately to a resident. Responsible Party 1 (RP1) stated they observed the business office manager speak inappropriately to a resident. Responsible Party 2 (RP2) stated on 11/9/2022 they emailed the facility nurse that R2 gets agitated when they feel the staff are disrespectful or aggressive toward them. RP2 stated some of the staff were “not kind.” RP2 stated on 11/4/2022, R2 told the staff they did not get breakfasthe state’s words, verbatim · CDSS document, Jun 13, 2024 · control 29-AS-20221215114140
Jun 13, 2024Complaint investigation reportUnsubstantiated

Allegation investigated: Staff did not meet a resident's health needs while in care.

Licensing Program Analyst (LPA) Kristin Kontilis conducted an unannounced complaint visit to issue final findings on the allegation above. During the investigation, LPA Kontilis conducted a visit on 5/17/2023 from 11:40 am to 4:00 pm to interview staff and obtain relevant documents. LPA Kontilis conducted a subsequent visit on 8/2/2023 from 2:00 pm to 5:15 pm to conduct staff interviews and obtain additional documents. On the allegation: Staff did not meet a resident's health needs while in care. It was alleged that Resident 1 (R1) did not receive appropriate wound care, which lead to R1 developing osteomyelitis in their right great toe. LPA interviewed Administrator, facility nurse, and hospital nurse. LPA reviewed R1’s facility records and medical records. Please continue to 9099-C, Pg 2. Unsubstantiatedthe state’s words, verbatim · CDSS document, Jun 13, 2024 · control 29-AS-20230512135542
20232 state visits · 2 documents
Sep 13, 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 8, 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 citations23typical 1
Substantiated complaints35typical 2
Total complaints19typical 7
State visits on file45typical 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 2017.
Year-by-year trend
YearVisitsDocumentsSubstantiated202623020256832024812520237702022582
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 — Santa Barbara 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 Westmont Of Santa Barbara licensed?

Yes — Westmont Of Santa Barbara is a licensed residential care home for the elderly (RCFE) in Goleta (Santa Barbara County): California license #425802106, shown as licensed in the CDSS state record checked August 2, 2026, licensed for 99 residents. State records list 38 inspection and complaint documents since 2022; the most recent, a complaint investigation report dated May 13, 2026, appears in the inspection record on this page.

Can Westmont Of Santa Barbara 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 Westmont Of Santa Barbara 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. 99 NON-AMBULATORY, OF WHICH 10 MAY BE BEDRIDDEN. HOSPICE WAIVER FOR 20.

How much does Westmont Of Santa Barbara cost?

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

Westmont Of Santa Barbara 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

72 of 99 beds occupied (73%) when the state visited on December 30, 2025. Availability changes constantly — confirm a current opening with the home.

What do state inspections show for Westmont Of Santa Barbara?

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 45 state visits and 38 dated documents since 2022 for Westmont Of Santa Barbara; 15 complaint-investigation narratives are transcribed verbatim below. The most recent, dated December 30, 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.

15 transcribed reports on file

2025

Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedFacility has inadequate staffing.
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
Licensing Program Analyst (LPA) De Leon conducted a subsequent complaint visit to the facility above. LPA met with Administrator Jade Alma-Harris and explained the purpose of the visit. LPA Kontilis conducted the 10-day complaint visit on 03/13/2025, collected records and conducted interviews with residents at 5:20pm, 5:23pm, 5:30pm, 5:37pm, 5:40pm, 5:42pm, 5:45pm, and 5:58pm. LPA conducted interviews with staff on 03/13/2025 at 5:45pm and 6:00pm. LPA conducted interviews with witnesses on 03/14/2025 at 12:11pm, on 08/18/2025 by email and on 05/21/2025 at 3:12pm. LPA conducted additional staff interview on 03/17/2025 at 12:07pm. LPA De Leon conducted a subsequent complaint visit on 11/21/2025, collected records and interviewed staff at 10:30am, 11:02am, 11:25am, 12:20pm, 2:10pm and 2:41pm. LPA conducted interviews with residents on 11/21/2025 at 2:26pm and 3:05pm. LPA De Leon conducted a subsequent complaint visit on 11/25/2025 conducted interviews with residents at 12:55pm, 1:15pm, 1:CDSS inspection report, December 30, 2025 · control 29-AS-20250310142840
Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedStaff did not provide resident with a reappraisal Staff did not report incidents to appropriate parties Staff did not provide resident with a 60 day notice prior to rate increase
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
Licensing Program Analyst (LPA) De Leon conducted a subsequent complaint visit to the facility to deliver final findings of the investigation. LPA met with Administrator Jade Alma-Harris and explained the purpose of the visit. LPA Kontilis conducted the initial 10-day complaint visit, interviewed residents around 1:07pm-1:30pm and collected records on 12/06/2024. LPA De Leon conducted a subsequent complaint visit on 11/21/2025, requested a staff roster and a resident roster, interviewed staff that worked in the facility around 11/2024-06/2025 at 10:30am, 11:02am, 11:25am, 12:20pm, 2:10pm, 2:41pm and interviewed residents that lived in the facility during 11/2024-06/2025 at 2:26pm and 3:05pm. LPA De Leon reviewed records on 11/22/2025-11/24/2025. Continued 9099-C SubstantiatedCDSS inspection report, November 25, 2025 · control 29-AS-20241205123921
Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedStaff are not being properly trained Staff mishandled a resident's medication Staff interfered from reporting incidents involving a resident
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
Licensing Program Analyst (LPA) De Leon conducted a subsequent complaint visit to the facility above. LPA met with Administrator Jade Alma-Harris and explained the purpose of the visit. LPA Kontilis conducted the original 10-day complaint visit to the facility on 11/08/2024, requested records and interviewed staff at 11:21am and 2:38pm. LPA Kontilis conducted additional interviews with witnesses on 11/12/2024 at 12:06pm, 11/13/2024 at 8:47am, and with Administrator on 08/29/2025 at 11:13am. LPA De Leon reviewed the complaint, interviews and records and conducted further investigation from 11/05/2025-11/19/2025. LPA requested additional records on 11/13/2025 from Administrator, partial records were received. On the allegation: Staff are not being properly trained, LPA Kontilis requested training records for staff handling medications on 11/08/2024, only emails were provided. Cont. 9099-C SubstantiatedCDSS inspection report, November 19, 2025 · control 29-AS-20241104104759
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedStaff do not communicate effectively with authorized representatives. Staff do not properly reassess a resident while in care. Staff do not ensure a resident is being properly fed.
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
At 3:00pm on 08/13/2025, Licensing Program Analyst (LPA) Jeffries arrived unannounced to issue final findings to the allegations to this complaint. LPA met with Business Office Director, Carolina Nava announced who he is and the reason for the visit. The findings to the allegations to this complaint are as follows: As to the allegation of, “Staff do not communicate effectively with authorized representatives.” It was alleged that, “facility has absolutely no communication with families.” It was discovered through interviews, documentation and observations that on 06/03/2025, Licensing Program Analyst (LPA) Jeffries conducted interviews with 4 direct care staff (S1, S2, S3, and S4). S1, S2, S3, and S4 all stated that Resident 1’s (R1) Family Member (F1) visit R1 daily and communicate with staff on R1’s condition daily. On 06/18/2025 LPA Jeffries conducted an interview with Facility Administrator, Jade Alma, who stated that they have been in daily contact with F1, in person and on the teCDSS inspection report, August 13, 2025 · control 29-AS-20250530141639

2024

Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedFacility staff did not meet the needs of resident(s) in care. Facility has insufficient staffing. Facility staff did not respond to residents’ call for help. Facility staff are not adequately trained. Facility staff did not treat resident with dignity and respect.
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
Licensing Program Analyst (LPA) Kristin Kontilis conducted a subsequent complaint visit to the facility above to issue final findings. LPA met with Sheryl McCaskill, Interim Administrator and explained the purpose of the visit. During the investigation, LPA Kontilis conducted an initial visit on 11/30/2023 from 12:35 pm to 6:10 pm, toured the facility, conducted interviews, and obtained documents. LPA also interviewed staff and residents on 6/13/2024 and 6/17/2024 and obtained additional documents. On the allegation: Facility has insufficient staffing. It was alleged the facility had insufficient staffing. LPA observed staffing schedules for July 2022 through November 2022. LPA also observed additional agency staff the facility contracted from July 2022 through November 2022, that coincided with days when less facility staff were present. LPA observed a large number of agency staff used in October and November 2022. Residents interviewed indicated sometimes the staff are spread thin, bCDSS inspection report, June 17, 2024 · control 29-AS-20221121125215
Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedStaff are mismanaging resident's medication. Staff are not ensuring residents medication are refilled timely.
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
Licensing Program Analyst (LPA) Kristin Kontilis conducted a subsequent complaint visit to the facility above to issue final findings. LPA met with Sheryl McCaskill, Interim Administrator and explained the purpose of the visit. During the investigation, LPA Kontilis conducted an initial visit on 7/18/2023 from 11:40 am to 3:30 pm, toured the facility and obtained documents. LPA also conducted a medication audit on 8/9/2023 at 12:35 pm. On 6/13/24, LPA collected additional documents. On the allegation: Staff are mismanaging resident's medication. On 6/30/2023, R1 stated they had not received their Colchicine for two days. Although Responsible Party 1 (RP1) provided the facility R1’s medication on 6/26/2023, staff could not find the medication and called RP1 twice asking for the refills. RP1 brought up the issue to facility management, who indicated via email they found the Colchicine in their ‘overflow’ area once it was brought to their attention, and addressed the issue with staff. PleCDSS inspection report, June 17, 2024 · control 29-AS-20230711113736
Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedStaff did not provide residents personal representative with copy of resident's records. Staff did not ensure residents room was kept in clean sanitary conditions. Staff did not ensure residents room was free of mal odors. Facility staff did not safeguard resident's personal belongings.
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
Licensing Program Analyst (LPA) Kristin Kontilis conducted an unannounced complaint visit to issue final findings on the allegations above. LPA met with Sheryl McCaskill to issue the final findings. During the investigation, LPA Kontilis conducted a visit on 5/21/2024 from 10:00 am to 5:30 pm to interview staff and residents and obtain relevant documents. LPA also conducted interviews on 6/14/2024 and 6/17/2024. On the allegation: Staff did not provide residents personal representative with copy of resident's records. It was alleged that a personal representative was not provided a copy of the resident’s records. Responsible Party (RP) for Resident 1 (R1) stated they asked the now former administrator for a copy of R1’s resident records multiple times via email and once in person. Per RP, the former administrator indicated the facility no longer releases records in order to protect the identify of the caregivers. LPA observed an email dated 1/22/2024 to facility management asking for RCDSS inspection report, June 17, 2024 · control 29-AS-20240515122500
Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedStaff did not respond to resident's request for assistance as necessary. Staff did not report an incident involving resident to their Responsible Party as required.
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
Licensing Program Analyst (LPA) Kristin Kontilis conducted a subsequent complaint visit to the facility above to issue final findings. LPA met with Sheryl McCaskill, Interim Administrator and explained the purpose of the visit. During the investigation, LPA Kontilis conducted an initial visit on 10/25/2023 from 11:00 am to 4:15 pm. LPA conducted staff interviews and obtained documents. On the allegation: Staff did not respond to resident's request for assistance as necessary: It was alleged that Resident 1 (R1) fell and broke their hip on 10/4/2023. It was alleged R1 pushed their call button for an extended period of time and cried for help. However, R1 did not receive assistance until a visitor opened their door and called 9-1-1. R1’s family member stated R1 typically goes to dinner between 4:45 pm and 5:00 pm. R1 stated on 10/4/2023, they were in their bathroom changing their clothes for dinner, and suddenly fell. R1 stated they pushed their call button, and it took the staff a “longCDSS inspection report, June 13, 2024 · control 29-AS-20231020165322
Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedStaff speak inappropriately to residents in care.
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
Licensing Program Analyst (LPA) Kristin Kontilis conducted a subsequent complaint visit to the facility above to issue final findings. LPA met with Sheryl McCaskill, Interim Administrator and explained the purpose of the visit. During the investigation, LPA Kontilis conducted an initial visit on 12/12/2023 from 1:05 pm to 4:00 pm, and toured the facility and obtained documents. LPA also interviewed staff and residents on 6/13/2024 and obtained additional documents. On the allegation: Staff speak inappropriately to residents in care. It was alleged that a staff spoke inappropriately to a resident. Responsible Party 1 (RP1) stated they observed the business office manager speak inappropriately to a resident. Responsible Party 2 (RP2) stated on 11/9/2022 they emailed the facility nurse that R2 gets agitated when they feel the staff are disrespectful or aggressive toward them. RP2 stated some of the staff were “not kind.” RP2 stated on 11/4/2022, R2 told the staff they did not get breakfasCDSS inspection report, June 13, 2024 · control 29-AS-20221215114140
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedStaff did not meet a resident's health needs while in care.
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
Licensing Program Analyst (LPA) Kristin Kontilis conducted an unannounced complaint visit to issue final findings on the allegation above. During the investigation, LPA Kontilis conducted a visit on 5/17/2023 from 11:40 am to 4:00 pm to interview staff and obtain relevant documents. LPA Kontilis conducted a subsequent visit on 8/2/2023 from 2:00 pm to 5:15 pm to conduct staff interviews and obtain additional documents. On the allegation: Staff did not meet a resident's health needs while in care. It was alleged that Resident 1 (R1) did not receive appropriate wound care, which lead to R1 developing osteomyelitis in their right great toe. LPA interviewed Administrator, facility nurse, and hospital nurse. LPA reviewed R1’s facility records and medical records. Please continue to 9099-C, Pg 2. UnsubstantiatedCDSS inspection report, June 13, 2024 · control 29-AS-20230512135542

2023

Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedStaff yell at residents. Staff do not provide adequate food service for residents.
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
Licensing Program Analyst (LPA) Kristin Kontilis conducted an unannounced initial 10-Day complaint visit to address the above-stated allegations. Administrator Mark Cortes became available at approximately 12:50 pm. LPA stated the purpose of the visit. During the visit, LPA obtained documents pertaining to the investigation and interviewed 10 residents and 6 staff between 11:30 am and 2:45 pm. Regarding the allegation “Staff yell at residents”, LPA interviewed Administrator who stated that if someone alleged a staff spoke inappropriately to residents, they would address it with the staff, put the staff member on a 3-day administrative leave, and contact the Corporate office to make them aware of the situation. Administrator stated that yelling or inappropriately speaking to a resident is a zero tolerance incident and it would be reported to Licensing as a personal rights violation. Resident interviews conducted revealed that on one occasion a staff member was heard to tell a resident ‘CDSS inspection report, August 2, 2023 · control 29-AS-20230728161400
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedFacility does not have an adequate emergency disaster plan in place for residents requiring use of the elevator
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
Licensing Program Analyst (LPA) Brian Phillips conducted an unannounced subsequent complaint visit to issue final findings for the allegation above. LPA arrived at the facility at approximately 11:30am and announced the purpose of the visit. LPA met with Mark Cortes, Executive Director. During the initial complaint visit, LPA conducted in-person interviews on 3/28/2023 from 11:45am through 2:15pm and obtained copies of documents pertaining to the investigation. LPA conducted additional interviews with responsible parties and witnesses on 4/11/2023 from 9:15am to 9:45am, and on 4/10/2023 from 11:00am through 11:30am. On the allegation: Facility does not have an adequate emergency disaster plan in place for residents requiring use of the elevator. It was alleged the power went out at the facility at 4 AM on 3/22/23 and the facility elevator is not hooked up to the generator so there is no working elevator during a power outage. It was alleged staff told all the residents to stay in theirCDSS inspection report, April 12, 2023 · control 29-AS-20230322155008

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

What the state has logged

California has logged 45 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
23
typical for this size: 1
Substantiated complaints
35
typical for this size: 2
Total complaints
19
typical for this size: 7
State visits on file
45
typical for this size: 19
See the full inspection record on the state's site →
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