Sage Mountain Senior Living · License #565802462 · 3499 Grande Vista Dr, Thousand Oaks, CA · (805) 375-0695 Record printed from covelightcare.com — data as of the dates shown on each item.
Sage Mountain Senior Living is a residential care home for the elderly (RCFE) in Thousand Oaks, Ventura County, California — state license #565802462, licensed for 145 residents, listed as licensed in the CDSS record we retrieved August 2, 2026. It does not appear on the DHCS Assisted Living Waiver participant list checked August 9, 2026 — that list covers the state waiver only, not a home's own payment arrangements. California has 64 dated inspection and complaint documents on file for this home going back to 2021, the most recent dated June 15, 2026 — published below in full, verbatim and unscored.
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 →
✓Wheelchair / non-ambulatoryApproved for 133 residents
✓Dementia / memory careVerified in record
✓Hospice careVerified in record
✓Bedridden careApproved for 12 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 →
AGE RANGE 60 AND OVER. 133 NON-AMBULATORY OF WHICH 12 MAY BE BEDRIDDEN. HOSPICE APPROVED FOR 14. NEW MANAGEMENT COMPANY, AGEMARK MANAGEMENT LLC, EFFECTIVE 6/1/2023.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 82 times and filed 64 documents. The most recent is a facility evaluation report, dated June 15, 2026.
Most recent state visit
June 24, 2026
Occupancy at the May 7, 2024 visit
99 of 145 beds
The state's published file for this home includes 25 documents with transcribed findings, dated July 22, 2021 to May 7, 2024. 25 of the 25 carry the state's recorded outcome word: “Substantiated” (9), “Unsubstantiated” (16). 25 include the transcribed allegation the state investigated, word for word.
Summary composed by computer from the 25 documents below — every count derives from them, and the documents themselves are the state's records, verbatim. We never grade, score, or color a record.
What the state’s words mean
Substantiatedthe state found the allegation more likely true than notUnsubstantiatedinvestigated, but couldn’t be confirmed either way — not a finding of wrongdoingUnfoundedthe state concluded it was false or couldn’t have happenedType A citationthe most serious: an immediate health-or-safety risk, usually fixed on the spot or on a short deadlineType B citationless serious, with a deadline to fix
Jun 15, 2026Facility evaluation reportReport on file
Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.
Feb 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.
202510 state visits · 15 documents
Dec 18, 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 20, 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 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.
Oct 21, 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.
Oct 21, 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 28, 2025Facility evaluation reportReport on file
Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.
Aug 28, 2025Facility evaluation reportReport on file
Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.
Aug 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.
Aug 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.
May 19, 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.
May 19, 2025Facility evaluation reportReport on file
Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.
Mar 24, 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 14, 2025Facility evaluation reportReport on file
Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.
Jan 9, 2025Facility evaluation reportReport on file
Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.
Jan 9, 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.
202410 state visits · 13 documents
Dec 27, 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.
Dec 27, 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.
Nov 21, 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.
Nov 18, 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.
Oct 22, 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.
Oct 7, 2024Facility evaluation reportReport on file
Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.
Sep 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.
Jun 25, 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.
Jun 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.
Jun 18, 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 7, 2024Complaint investigation reportUnsubstantiated
Allegation investigated: Facility has inadequate food service. Facility staff are not meeting resident's needs. Facility does not provide adequate transportation services.
Licensing Program Analysts (LPA) Sandra Urena and Esther Cortez conducted an unannounced subsequent complaint investigation regarding the allegations listed above. The LPAs arrived at the facility at 10:10 a.m., met with Betsy McCoy, Executive Director, and explained the reason for the visit. On 07/25/2023, Licensing Program Analyst (LPA) KaSandra Lopez conducted an unannounced complaint inspection at the facility regarding the above allegation. The LPA met with Business Office Manager Jennifer Miller and explained the reason for the inspection. During today's inspection between 12:46 PM and 3:15 PM, the LPA conducted interviews with the, Ms. Miler, Ian Gadea Nursing Director, three residents, and three staff members. The LPA also conducted record review at 2:36 p.m. Continues on LIC 9099C... Unsubstantiatedthe state’s words, verbatim · CDSS document, May 7, 2024 · control 29-AS-20230721163427
Feb 1, 2024Complaint investigation reportSubstantiated
Allegation investigated: Neglect/Lack of Care and Supervision – Resident #1 (R1) choked to death without any medical intervention while under the care and supervision of the facility.
Licensing Program Analyst (LPA) Esther Cortez conducted a subsequent complaint visit to the facility. The purpose of today’s visit is to conclude an investigation initiated by LPA KaSandra Lopez on 01/26/2023. LPA met with Nursing Director Betsy Mccoy and explained the reason for the visit. Administrator was unable to be present during todays visit, and authorized Betsy Mccoy to review and sign reports. On 01/25/2023, the Department received a complaint regarding an allegation of Neglect/Lack of Supervision. It was alleged that due to neglect/lack of supervision resident #1 (R1) choked to death without any medical intervention while under the care and supervision of the facility. The complaint was referred to the Community Care Licensing Investigations Branch (IB) and assigned to Investigator Philippe Ryan Miles. Report will continue on LIC9099-C (2nd page). Substantiatedthe state’s words, verbatim · CDSS document, Feb 1, 2024 · control 29-AS-20230125125751
Feb 1, 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 · 2 documents
Nov 15, 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 25, 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 citations13typical 1
Type B citations12typical 1
Substantiated complaints26typical 2
Total complaints29typical 7
State visits on file82typical 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 2018.
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 →
our estimate — Ventura 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 →
Free for families · We never sell your information · Homes never pay to appear, and rankings are never affected by fees.
No Google listing is on file for this home. When one exists, its rating, review themes, and hours appear here — attributed to Google, never blended with the state record, and never part of how we rank homes.
This home hasn’t added its own details yet. When the operator claims this page, their photos, tour video, activities, languages, and staffing answers appear here — always labeled as theirs, never blended with the state record. Operators: claim your home, free →
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.
Yes — Sage Mountain Senior Living is a licensed residential care home for the elderly (RCFE) in Thousand Oaks (Ventura County): California license #565802462, shown as licensed in the CDSS state record checked August 2, 2026, licensed for 145 residents. State records list 64 inspection and complaint documents since 2021; the most recent, a facility evaluation report dated June 15, 2026, appears in the inspection record on this page.
Can Sage Mountain Senior Living care for dementia, hospice, bedridden, or non-ambulatory residents?
From the CDSS license record, checked August 2, 2026.
The CDSS license record checked August 2, 2026 lists Sage Mountain Senior Living 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.
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. 133 NON-AMBULATORY OF WHICH 12 MAY BE BEDRIDDEN. HOSPICE APPROVED FOR 14. NEW MANAGEMENT COMPANY, AGEMARK MANAGEMENT LLC, EFFECTIVE 6/1/2023.
How much does Sage Mountain Senior Living cost?
California's public licensing record does not include Sage Mountain Senior Living's monthly price, so we never show or estimate one for a specific home. As county-level context only, assisted living in Ventura County typically runs $5,000–$7,500/mo and small board-and-care homes $4,000–$6,500/mo (market research compiled June 2026 — ranges, not quotes; California's 2026 SSI/SSP board-and-care payment standard is $1,626.07/month, of which $1,444.07 is the room-and-board portion paid to the home). Ask the home for its own rate sheet and what the base rate includes — or use the cost section at the top of this page.
Does Sage Mountain Senior Living accept Medi-Cal or the Assisted Living Waiver?
Sage Mountain Senior Living is not in the DHCS Assisted Living Waiver participant record we checked August 9, 2026 — that list covers only the state's ALW program, not a home's own payment policies, so ask the home directly about private Medi-Cal arrangements. The waiver pays for assisted-living care services (not room and board) at participating homes; every DHCS-listed home appears on our statewide Medi-Cal page.
99 of 145 beds occupied (68%) when the state visited on May 7, 2024. Availability changes constantly — confirm a current opening with the home.
What do state inspections show for Sage Mountain Senior Living?
Verbatim from CDSS complaint-investigation reports — the state's own words, never summarized by us. Record checked August 2, 2026.
The CDSS state record checked August 2, 2026 lists 82 state visits and 64 dated documents since 2021 for Sage Mountain Senior Living; 25 complaint-investigation narratives are transcribed verbatim below. The most recent, dated May 7, 2024, records an allegation the state marked “Unsubstantiated”. Open any entry to read the state's full finding, word for word.
Most licensed homes receive some findings over 36 months; what matters is what was found and whether it was corrected. Counts here are shown compared with homes of similar size, and the state's own words appear in full below.
Allegation the state reviewedFacility has inadequate food service. Facility staff are not meeting resident's needs. Facility does not provide adequate transportation services.
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
Licensing Program Analysts (LPA) Sandra Urena and Esther Cortez conducted an unannounced subsequent complaint investigation regarding the allegations listed above. The LPAs arrived at the facility at 10:10 a.m., met with Betsy McCoy, Executive Director, and explained the reason for the visit. On 07/25/2023, Licensing Program Analyst (LPA) KaSandra Lopez conducted an unannounced complaint inspection at the facility regarding the above allegation. The LPA met with Business Office Manager Jennifer Miller and explained the reason for the inspection. During today's inspection between 12:46 PM and 3:15 PM, the LPA conducted interviews with the, Ms. Miler, Ian Gadea Nursing Director, three residents, and three staff members. The LPA also conducted record review at 2:36 p.m. Continues on LIC 9099C... Unsubstantiated— CDSS inspection report, May 7, 2024 · control 29-AS-20230721163427
Allegation the state reviewedNeglect/Lack of Care and Supervision – Resident #1 (R1) choked to death without any medical intervention while under the care and supervision of the facility.
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
Licensing Program Analyst (LPA) Esther Cortez conducted a subsequent complaint visit to the facility. The purpose of today’s visit is to conclude an investigation initiated by LPA KaSandra Lopez on 01/26/2023. LPA met with Nursing Director Betsy Mccoy and explained the reason for the visit. Administrator was unable to be present during todays visit, and authorized Betsy Mccoy to review and sign reports. On 01/25/2023, the Department received a complaint regarding an allegation of Neglect/Lack of Supervision. It was alleged that due to neglect/lack of supervision resident #1 (R1) choked to death without any medical intervention while under the care and supervision of the facility. The complaint was referred to the Community Care Licensing Investigations Branch (IB) and assigned to Investigator Philippe Ryan Miles. Report will continue on LIC9099-C (2nd page). Substantiated— CDSS inspection report, February 1, 2024 · control 29-AS-20230125125751
Allegation the state reviewedFacility staff initial training is incomplete Facility staff annual training is not completed
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
Licensing Program Analyst (LPA) KaSandra Lopez conducted an unannounced subsequent complaint inspection at the facility regarding the above allegations. The LPA met with Business Office Manager Jennifer Miller and New Administrator Shahrzad "Sherry" Nazari and explained the reason for the inspection. The investigation for the complaint was initiated on 03/22/2022. During the initial visit, the LPA conducted interviews with Administrator at the time, Jill Ford, and Director of Health and Wellness at the time, Nicole Hoznor and conducted record review between 3:10 PM and 4:30 PM. Pertinent copies of records were obtained. At 4:33 PM, the LPA conducted a physical plant tour of the kitchen. On 07/26/2022, a subsequent visit was conducted. The LPA met with Culinary Director Michael Tabada, toured the kitchen, and observed the food storage areas. Between 12:45 PM and 2:30 PM, the LPA conducted interviews with six staff members. Report continued on LIC 9099-C. Substantiated— CDSS inspection report, August 1, 2023 · control 29-AS-20220321114529
Allegation the state reviewedResident was sexually harassed 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) KaSandra Lopez conducted an unannounced subsequent complaint inspection at the facility regarding the above allegation. The LPA met with Business Office Manager Jennifer Miller and explained the reason for the inspection. The allegation of 'Resident was sexually harassed while in care' alleges that an unknown person exposed them self to Resident #1 (R1) while on the patio during an unknown date or time. The investigation for this complaint was initiated on 06/30/2023. During the inspection, between 10:01 AM and 12:30 PM, LPA Lopez reviewed facility records and conducted interviews with one staff member and four residents. The LPA attempted to interview R1 but they were not available for interview. Report continued on LIC 9099-C. Unsubstantiated— CDSS inspection report, July 25, 2023 · control 29-AS-20230626122339
Allegation the state reviewedPhysical abuse to resident while in care
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
Licensing Program Analyst (LPA) KaSandra Lopez conducted a subsequent complaint visit to deliver findings for the above allegations. LPA met with interim Administrator Julius Osorio and explained the reason for the visit. On 03/22/2022, Community Care Licensing Division (CCLD) received a complaint regarding an allegation of physical abuse. It was reported that on 03/18/2022, Resident #1 (R1) arrived at the hospital with a laceration to their labia. R1 allegedly fell while being assisted in the shower but there was concern due to the injury being in an odd location and the victim is wheelchair bound. On 03/22/2022, LPA Lopez conducted an unannounced initial complaint inspection at the facility and met with Administrator at the time Jill Ford, and Director of Health Wellness at the time Nicolle Hoznor. A review of facility records for R1 revealed an internal Resident Incident report dated 03/18/22 reflects on 03/18/2022 at 7:35 a.m., R1 had a witnessed fall. Staff #1 (S1) was identified— CDSS inspection report, July 12, 2023 · control 29-AS-20220322104533
Allegation the state reviewedResidents are not receiving appropriate care Resident records are not accurate
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
Licensing Program Analyst (LPA) KaSandra Lopez conducted an unannounced subsequent complaint investigation regarding the above allegations. The LPA met with Business Office Manager Jennifer Miller and explained the reason for the inspection. During a previous inspection on 09/01/2021, the LPA reviewed resident records beginning at 2:16 PM and obtained pertinent copies. At 3:54 PM, an interview was conducted with Resident #1 (R1). During today's inspection between 10:30 AM and 2:30 PM, the LPA reviewed additional facility records and conducted interviews with three staff members. Report continued on LIC 9099-C. Unsubstantiated— CDSS inspection report, July 7, 2023 · control 29-AS-20210826104708
Allegation the state reviewedFacility staff financially abused resident(s)
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
Licensing Program Analyst (LPA) KaSandra Lopez conducted an unannounced complaint inspection to deliver the findings regarding the above allegation. The LPA met with Regional Nurse Leticia Higares at 9:55 AM and explained the reason for the inspection. The visit was concluded with Director of Nursing Ian Gadea. Allegation: Facility staff financially abused resident(s) The allegation alleges while Resident #1 (R1) resided at the facility a credit card was taken from R1’s wallet and used unauthorized at retail establishments. Information received also revealed there was a pending theft investigation with law enforcement pertaining to another resident in the facility later identified as Resident # 2 (R2). Report continued on LIC9099-C. Unsubstantiated— CDSS inspection report, June 30, 2023 · control 29-AS-20210721151329
Allegation the state reviewedMedications not given to resident timely Staff mismanaged resident's medication Staff does not respond to pendent calls timely
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
Licensing Program Analyst (LPA) KaSandra Lopez conducted an unannounced subsequent complaint inspection at the facility today regarding the above allegations. The LPA met with Business Officer Manager Jennifer Miller at 10:27 AM and explained the reason for the visit. During a previous visit on 06/14/2021, between 10:58 AM and 12:45 PM, LPA Lopez conducted interviews with Resident #1 (R1), Resident #2 (R2), Resident #3 (R3), Resident #4 (R4), and Resident #5 (R5). Beginning at 12:54 PM, the LPA reviewed medications and records for R1. At 1:00 PM the LPA conducted an interview with Staff #1 (S1). At 2:21 PM the LPA conducted an interview with Staff #2 (S2). On a subsequent visit, on 07/22/2021 the LPA conducted interviews with one resident (Resident #6) and one staff (Staff #3). Report continued on LIC 9099-C. Substantiated— CDSS inspection report, May 24, 2023 · control 29-AS-20210610131205
Allegation the state reviewedResident made to wait an excessive amount of time for assistance.
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
Licensing Program Analyst (LPA) KaSandra Lopez conducted an unannounced subsequent complaint inspection at the facility today regarding the above allegations. The LPA met with Business Officer Manager Jennifer Miller at 10:27 AM and explained the reason for the visit. The investigation was initiated on 06/21/2021 by LPAs Martha Guzman Chavez and Brian Balisi. During their inspection, the LPAs conducted a physical plant with Adminstrator Martha Berard, interviewed staff, residents and reviewed and obtained copies of documents relevant to the investigation On 07/22/2021, LPA Lopez conducted a subsequent visit, and conducted a physical plant tour at 12:53 PM and conducted a interviews with six residents between 1:24 PM and 3:00 PM and with one staff beginning at 3:33 PM. Report continued on LIC 9099-C. Substantiated— CDSS inspection report, May 24, 2023 · control 29-AS-20210618140653
Allegation the state reviewedInsufficient staffing
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
Licensing Program Analyst (LPA) KaSandra Lopez conducted an unannounced subsequent complaint inspection at the facility to deliver the findings for the above allegation. The LPA met with Business Office Manager Jennifer Miller and informed her of the reason for today's inspection. During a previous inspection on 07/22/2021, the LPA met with interim Administrator Jacob Primeau and reviewed facility records beginning at 11:42 AM and conducted interviews with six residents (Resident #1, Resident #2, Resident #3, Resident #4, Resident #5, and Resident #6) during the time period of 1:24 PM and 3:00 PM and interviewed Staff #1 at 3:33 PM. Allegation: Insufficient staffing The allegation alleges the complainant did not receive information timely due staff on duty not have access to the resident roster and staffing shortage due to the facility having an interim Administrator. Report continued on LIC 9099-C. Unsubstantiated— CDSS inspection report, May 24, 2023 · control 29-AS-20210720151601
Allegation the state reviewedFacility staff does not respond to resident's requests for assistance in a timely manner.
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
Licensing Program Analyst (LPA) KaSandra Lopez conducted an unannounced subsequent inspection at the facility today regarding the above allegations. LPA Lopez met with Business Office Manager, Jennifer Miller at 10:07 AM and explained the reason for the inspection. Administrator Jill Ford arrived during the inspection. During the initial inspection on 04/07/2023, the LPA conducted a brief physical plant tour with the Administrator and observed nine resident apartments between 11:13 AM and 12:20 PM. The LPA conducted interviews with three residents between 11:35 AM and 12:30 PM and with five staff members between 12:35 PM and 2:24 PM. At 2:24 PM, the LPA took of tour of the kitchen area with the Dining Room Manager. At 2:45 PM, LPA reviewed pendent call records. During today's inspection, the LPA conducted an interview with the Maintenance Director Jace Evans at 10:20 AM, reviewed facility records beginning at 10:38 AM, conducted interviews with five residents between 1:25 PM and 1:30 P— CDSS inspection report, April 12, 2023 · control 29-AS-20230405082631
Allegation the state reviewedLicensee is allowing resident's personal rights to be violated
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
Licensing Program Analyst (LPA) KaSandra Lopez conducted an unannounced subsequent complaint inspection regarding the above allegation. The LPA met with Jill Ford at 10:11 AM and explained the reason for the visit. The allegation of 'Licensee is allowing resident's personal rights to be violated' alleges Resident #1 (R1) is blocking and/or restricting the Certified Ombudsman from attending Resident Council meetings and the facility is allowing it. On 08/24/2021, the LPA conducted interviews with seven residents, including R1, between 1:50 PM and 2:59 PM. The interview with R1 revealed they have invited the ombudsman to council meetings in the past when they have had problems but they are not always needed at every meeting. Interviews with the other six residents revealed no one has ever told them not to invite the ombudsman to their council meeting and they had no issues or concerns if the ombudsman was invited. Based on the information obtained, there is insufficient evidence to suppo— CDSS inspection report, February 16, 2023 · control 29-AS-20210824100751
Allegation the state reviewedFacility does not provide a comfortable environment for residents.
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
Licensing Program Analyst (LPA) KaSandra Lopez conducted an unannounced subsequent complaint inspection at the facility today regarding the above allegation. The LPA met with Administrator Jill Ford at 10:11 AM and explained the reason for the visit. The allegation of 'Facility does not provide a comfortable environment for residents' alleges residents are fearful to speak with the long term care ombudsman. During the course of the investigation, on 07/21/2021, the LPA interviewed with six residents between 1:24 PM and 3:00 PM. Interviews revealed residents interviewed had no fear of speaking with the long term care ombudsman or fear of retaliation by anyone if they spoke with the ombudsman. Based on this information, there is insufficient evidence to support the allegation occurred. Therefore, the allegation is deemed unsubstantiated at this time. Unsubstantiated— CDSS inspection report, February 16, 2023 · control 29-AS-20210720151601
Allegation the state reviewedStaff drinks alcohol while on duty
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
Licensing Program Analyst (LPA) KaSandra Lopez conducted an unannounced subsequent complaint inspection to deliver the findings for the above allegation. The LPA met with Business Office Manager Jennifer Miller and Director of Health and Wellness Ian Gadea at 10:08 AM and explained the reason for the inspection. Administrator Jill Ford was unavailable today. On 01/17/2023, Community Care Licensing Division (CCLD) received a complaint alleging 'Staff drank alcohol while on duty'. On 01/18/2023, LPA Lopez conducted an inspection at the facility initiating the investigation and conducted interviews with eight staff members in person and one staff member on the telephone, including Staff #1 (S1), Staff #2 (S2), and Staff #3 (S3) between approximately 10:50 AM and 1:15 PM. The LPA also conducted a physical plant tour with Ms. Miller and Mr. Gadea, including but not limited to the memory care, memory care kitchen, and memory care kitchen storage area. Records were also reviewed during the vi— CDSS inspection report, February 10, 2023 · control 29-AS-20230117111024
Allegation the state reviewedServices not being provided in a timely manner Residents are being left soiled for extended amount of time
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
Licensing Program Analyst (LPA) Kelly Dulek conducted an unannounced subsequent complaint investigation with the purpose of delivering findings for the allegations listed above. LPA met with Executive Director Jill Ford and discussed the reason for today’s visit. Entrance interview conducted. Previously, LPA Dulek conducted a virtual initial complaint inspection on 01/21/2021. During that visit, LPA conducted a telephone interview with the administrator Martha Berard at 12:05PM, a FaceTime virtual tour of the facility at 12:14PM, and LPA requested copies of pertinent documents. LPA then conducted a subsequent complaint inspection in person on 10/06/2022 where LPA toured the facility with Business Office Manager Jennifer Miller at 01:29PM, and conducted resident and staff interviews from 01:51PM to 03:00PM. LPA conducted additional telephone interviews with residents, residents’ family members, as well as staff and resident interviews intermittently throughout the investigation. LPA als— CDSS inspection report, December 13, 2022 · control 29-AS-20210112140705
Allegation the state reviewedInadequate staffing to meet the needs of the residents Facility is not safeguarding residents’ belongings Residents’ authorized representatives are not notified of changes in residents’ conditions Residents are not being offered activities Appropriate variety of foods not provided to residents Staff did not ensure resident received meal
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
Licensing Program Analyst (LPA) Kelly Dulek conducted an unannounced subsequent complaint investigation with the purpose of delivering findings for the allegations listed above. LPA met with Executive Director Jill Ford and discussed the reason for today’s visit. Entrance interview conducted. Previously, LPA Dulek conducted a virtual initial complaint inspection on 02/05/2021. During that visit, LPA conducted a telephone interview with Administrator Martha Berard at 9:07AM. A video visit via FaceTime was initiated at 11:56AM to conduct a virtual tour and ensure the health and safety of residents in care. LPA also requested copies of pertinent documents. LPA then conducted a subsequent complaint inspection in person on 10/06/2022 where LPA toured the facility with Business Office Manager Jennifer Miller at 01:29PM, and conducted resident and staff interviews from 01:51PM to 03:00PM. LPA conducted additional telephone interviews with residents, residents’ family members, as well as staff— CDSS inspection report, December 13, 2022 · control 29-AS-20210128140336
Allegation the state reviewedStaff did not report a change in condition to resident's authorized representative. Staff did not seek medical attention for resident in a timely manner. Staff mismanaged resident's medication. Staff did not ensure that resident's needs were met. Resident fell multiple times while in care.
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
Licensing Program Analyst (LPA) Kelly Dulek conducted an unannounced subsequent complaint investigation with the purpose of delivering findings for the allegations listed above. LPA met with Executive Director Jill Ford and discussed the reason for today’s visit. Entrance interview conducted. Previously, LPA Dulek conducted an initial complaint inspection on 07/03/2020 telephonically with facility Designee Jade Alma-Harris. During that visit, LPA Dulek conducted a telephone interview with the facility Designee at 02:47PM and LPA requested documents pertinent to the investigation. LPA Dulek also conducted a subsequent complaint inspection on 07/13/2020 with facility Designee Jade Alma-Harris, where LPA interviewed Designee at 10:35AM and the LPA requested additional documents related to Resident #1 (R1). Throughout the course of the investigation, LPA Dulek interviewed R1’s family members and conducted interviews with facility staff. Additionally, Community Care Licensing (CCL) Program— CDSS inspection report, October 26, 2022 · control 29-AS-20200624145514
Allegation the state reviewedResident passed away due to lack of care and supervision
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
Licensing Program Analyst (LPA) Kelly Dulek conducted an unannounced subsequent complaint investigation with the purpose of delivering findings for the allegation listed above. LPA met with Executive Director Jill Ford and discussed the reason for today’s visit. Entrance interview conducted. Previously, LPA Dulek conducted an initial complaint inspection on 07/13/2020 telephonically with facility Designee Jade Alma-Harris. During that visit, LPA Dulek conducted a telephone interview with the facility Designee at 02:47PM and the LPA requested documents pertinent to the investigation. Throughout the course of the investigation, LPA Dulek interviewed Resident #1 (R1)’s family members and conducted interviews with facility staff. Additionally, Community Care Licensing (CCL) Program Clinical Consultant (PCC) conducted a medical record review for R1, which was completed on 09/22/2022. The following was then determined: Report Continued on LIC 9099-C Unsubstantiated— CDSS inspection report, October 26, 2022 · control 29-AS-20200710125947
Allegation the state reviewedResident was physically abused 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) Kelly Dulek initiated a subsequent complaint investigation for the allegation listed above. LPA arrived at 10:45AM and met with Executive Director Jill Ford. Entrance interview conducted. During today’s visit, LPA interviewed Executive Director Jill Ford throughout the visit, reviewed pertinent records at 11:00AM, toured the facility with Health and Wellness Director at 02:15PM, and conducted interviews between 02:22PM and 03:55PM. Previously, during an initial complaint inspection on 12/28/2020, LPA Dulek conducted a telephone interview with the Associate Executive Director Jade Alma at 4:25PM and LPA requested copies of pertinent documents. LPA conducted a subsequent complaint inspection on 09/09/2021 where LPA conducted a facility tour at 12:02PM with Sales and Marketing Director Melissa Saldibar and gathered copies of pertinent documents. Throughout the investigation, LPA reviewed REPORT CONTINUED ON LIC 9099-C Unsubstantiated— CDSS inspection report, September 15, 2022 · control 29-AS-20201215114039
Allegation the state reviewedFacility staff are not assisting resident with hygiene needs
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
Licensing Program Analyst (LPA) Kelly Dulek initiated a subsequent complaint investigation for the allegation listed above. LPA arrived at 10:45AM and met with Executive Director Jill Ford. Entrance interview conducted. During today’s visit, LPA interviewed Executive Director Jill Ford throughout the visit, reviewed pertinent records at 11:00AM, toured the facility with Health and Wellness Director at 02:15PM, and conducted interviews between 02:22PM and 03:55PM. Previously, during an initial complaint inspection on 02/05/2021, LPA Dulek conducted a telephone interview with the administrator at 9:07AM, a video tour at 11:56AM, and LPA requested copies of pertinent documents. The following was then determined: It was alleged that facility staff are not assisting resident (Resident #1 – R1) with showering. Record CONTINUED ON LIC 9099-C Unsubstantiated— CDSS inspection report, September 15, 2022 · control 29-AS-20210126140443
Allegation the state reviewedLicensee failed to meet resident's hygiene needs
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
Licensing Program Analyst (LPA) Kelly Dulek initiated a subsequent complaint investigation for the allegation listed above. LPA arrived at 10:45AM and met with Executive Director Jill Ford. Entrance interview conducted. During today’s visit, LPA interviewed Executive Director Jill Ford throughout the visit, reviewed pertinent records at 11:00AM, toured the facility with Health and Wellness Director at 02:15PM, and conducted interviews between 02:22PM and 03:55PM. Previously, during an initial complaint inspection on 02/26/2021 conducted virtually, LPA Dulek conducted a telephone interview with the administrator at 04:20PM, a virtual tour at 04:33PM. During a subsequent complaint inspection conducted on 09/09/2021, LPA Dulek conducted a facility tour at 12:02PM with Sales and Marketing Director Melissa Saldibar and gathered copies of pertinent documents. The following was then determined: REPORT CONTINUED ON LIC 9099-C Unsubstantiated— CDSS inspection report, September 15, 2022 · control 29-AS-20210219171530
Allegation the state reviewedFood served is not of good quality
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
Licensing Program Analyst (LPA) KaSandra Lopez conducted an unannounced initial 10 day complaint inspection at the facility today. The LPA arrived at 11:39 AM and met with the concierge. At 11:58 AM, the LPA met with Nicolle Hozner, Director of Health and Wellness as the Administrator Jill Ford was not available. The allegation of 'Food served is not of good quality' alleges the food the facility serves make the resident sick and the resident was served spoiled cole slaw and a spoiled sandwich. During today's inspection between 11:58 AM and 4:00 PM, the LPA conducted interviews with Ms. Hozner, met with Culinary Director Michael Tabada, toured the kitchen, observed the food storage areas, interviewed Mr. Tabada, interviewed six staff, and interviewed two residents. Report continued on LIC 9099-C. Substantiated— CDSS inspection report, July 26, 2022 · control 29-AS-20220718165553
Allegation the state reviewedDue to lack of care and supervision, resident developed a pressure injury while in care
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
Licensing Program Analyst (LPA) Kelly Dulek conducted a subsequent complaint visit to the above noted facility. The purpose of the visit is to conclude an investigation regarding the above allegation initiated by LPA Rosales on 10/27/2020. LPA met with Senior Executive Director Jill Ford and explained the reason for the visit. Entrance interview conducted. On 10/26/2020, the Department received a complaint which alleged that due to lack of care and supervision, Resident #1 (R1) had sustained a Stage IV pressure injury while in care and the facility continued to retain this resident without informing nor requesting an exception from CCLD to retain this resident. This allegation was referred to CCLD Investigation Branch (IB) on 10/26/2020 and assigned to Investigator Christine Ferris. On 10/27/2020, due to the situation surrounding Coronavirus-19 (COVID-19) and to implement mitigation measures, LPA Rosales conducted an initial virtual complaint from 11:04AM to 11:43AM. LPA Rosales virtua— CDSS inspection report, March 30, 2022 · control 29-AS-20201026131122
Transcribed from CDSS complaint-investigation reports · record checked August 2, 2026.
What the state has logged
California has logged 82 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.
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