Oakmont Of Riverpark is a residential care home for the elderly (RCFE) in Oxnard, Ventura County, California — state license #565850168, licensed for 140 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 37 dated inspection and complaint documents on file for this home going back to 2021, the most recent dated June 2, 2026 — published below in full, verbatim and unscored.

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Oakmont Of Riverpark

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Residential care home for the elderly (RCFE) · Large community, 140 residents · Oxnard, CA · Ventura County
LicensedWheelchairMemory careHospiceBedridden
No openings reportedBeds change hands in days ·
License #565850168, held since 2021 · read from the California state record on August 2, 2026 ·See on State Site →
901 Town Center Drive · Oxnard, Ventura County
Phone
(805) 940-0390
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 140 residents
Dementia / memory careVerified in record
Hospice careApproved for 15 residents
Bedridden careApproved for 8 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. 140 NON-AMBULATORY, OF WHICH 8 MAY BE BEDRIDDENHOSPICE WAIVER FOR 15.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 53 times and filed 37 documents. The most recent is a facility evaluation report, dated June 2, 2026.

Most recent state visit
July 16, 2026
Occupancy at the May 22, 2025 visit
90 of 140 beds

The state's published file for this home includes 19 documents with transcribed findings, dated July 1, 2022 to May 22, 2025. 19 of the 19 carry the state's recorded outcome word: “Substantiated” (10), “Unsubstantiated” (9). 19 include the transcribed allegation the state investigated, word for word.

Summary composed by computer from the 19 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 — 24 of 37 documentsFull record on the state’s site →
20264 state visits · 5 documents
Jun 2, 2026Facility evaluation reportReport on file

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

May 28, 2026Facility evaluation reportReport on file

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

Mar 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.

Jan 26, 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 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 · 9 documents
Dec 5, 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 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.

Oct 23, 2025Facility evaluation reportReport on file

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

Aug 26, 2025Complaint investigation 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 20, 2025Complaint investigation reportReport on file

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

Jul 17, 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 22, 2025Complaint investigation reportSubstantiated

Allegation investigated: Resident lost significant amount of weight.

Licensing Program Analyst (LPA) Esther Cortez conducted a subsequent complaint investigation visit regarding the above noted allegations. LPA met with Business Office Director Ricardo Viveros and explained the reason for the visit. Executive Director Keiley Vanderwall was not able to be present during today's visit. On 07/25/24, LPA Camara conducted interviews with the ED, memory care director, and health services director starting at 10:32 a.m. LPA obtained pertinent documents starting at 10:48 a.m. LPA conducted a telephone interview with a witness at 11:16 a.m. On 05/21/24, LPA Cortez interviwed the ED, Resident 1 (R1), toured R1's room, and obtained pertinent documents. During today's visit the LPA interviewed one (1) witness, two (2) staff, toured R1's room and briefly spoke with R1, conducted a file review and obtained pertinent documents. Report will continue on LIC9099-C, 2nd page. Substantiatedthe state’s words, verbatim · CDSS document, May 22, 2025 · control 29-AS-20240723161809
Mar 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.

Jan 16, 2025Complaint investigation reportSubstantiated

Allegation investigated: Staff do not prevent resident from entering other residents' rooms

Report was amended to reflect allegation was Substantiated. Amended Report emailed for signature. Signature on file. Licensing Program Analyst (LPA), Esther Cortez conducted an unannounced subseqent complaint visit for the above allegation. Upon arrival, LPA met with the Executive Director (ED), Kailey Vanderwall , and was explained the reason for the visit. Entrance interview conducted. On 02/12/2024, between 01:50 p.m. and 5:00 p.m., the LPA interviewed the ED, six (6) residents, conducted a file review, and obtained copies of resident records and other pertinent documents relevant to the investigation. On 01/14/2024, between 12:35 p.m. and 4:15 p.m., the LPA interviewed the ED, three (3) residents, five (5) staff, and obtained copies of resident records and other pertinent documents relevant to the investigation. During today's visit the LPA interviewed the current ED, Kailey Vanderwall and conducted a file review. Report will continue on LIC9099-C, 2nd page. Substantiatedthe state’s words, verbatim · CDSS document, Jan 16, 2025 · control 29-AS-20240206103814
20245 state visits · 7 documents
Dec 23, 2024Complaint investigation reportSubstantiated

Allegation investigated: Resident was left in an unkempt room overnight. Resident had access to an item that could pose a danger.

Licensing Program Analyst (LPA), Erica Mosley conducted an unannounced subsequent complaint visit to deliver findings the above allegations. Upon arrival, LPA met with Executive Director Kailey Vanderwall and explained the reason for the visit. On todays visit LPA Mosley conducted a physical plant tour at 10:35 a.m. to ensure there are no immediate health and safety hazards and facility is in compliance with Title 22 Regulations. On 12/17/2024, LPA Esther Cortez between 03:15 p.m. and 5:00 p.m., interviewed the ED, MC Director, two (2) staff, and obtained copies of resident records and other pertinent documents relevant to the investigation. On 12/19/2024, between 08:30 a.m. and 3:00 p.m., LPA Cortez conducted a file review and interviewed six (6) staff. Report continued on LIC9099-C.... Substantiatedthe state’s words, verbatim · CDSS document, Dec 23, 2024 · control 29-AS-20241217142256
Dec 23, 2024Complaint investigation reportUnsubstantiated

Allegation investigated: Facility staff spoke inappropriately to resident. Facility staff refused to assist resident with mobility. Facility staff refused to assist resident with dressing.

Report has been amended. Amended report emailed for signature. Signature is on file. At 10:30 a.m., Licensing Program Analyst (LPA) Erica Mosley conducted a subsequent complaint investigation visit to deliver findings for the above allegations. The LPA met with Executive Director (ED) Kailey Vanderwall and explained the reason for the visit. On todays visit LPA Mosley conducted a physical plant tour at 10:35 a.m. to ensure there are no immediate health and safety hazards and facility is in compliance with Title 22 Regulations. On 11/29/2023, the LPA received pertinent documents and conducted interviews with three (3) residents and two (2) staff from 03:18 pm to 4:15 pm. On 12/17/2024, the LPA interviewed the ED, MC Director, conducted six (6) staff interviews, four (4) resident interviews and obtained resident records and copies of pertinent documents relevant to the investigation. On 12/19/2024, between 08:30 a.m. and 3:30 p.m., the LPA conducted a file review, and three (3) staff intthe state’s words, verbatim · CDSS document, Dec 23, 2024 · control 29-AS-20231121093226
Dec 23, 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 6, 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 28, 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 27, 2024Complaint investigation reportSubstantiated

Allegation investigated: Staff did not notify resident's responsible party of an incident Staff did not communicate with resident's family regarding increase in medication

Licensing Program Analyst (LPA) Valeria Cownay conducted an unannounced subsequent complaint visit to the above facility. The purpose of the visit is to deliver final findings for a complaint initiated by LPA Z. Chochian on 09/13/2023. Upon arrival LPA met with Excecutive Director, Kailey Vanderwall, and the reason for the visit was explained. On 09/05/2023, Community Care Licensing Division (CCLD) received a complaint with the above allegations. On 9/13/2023, LPA Z. Chochain conducted the initial visit. During the visit, between 12 p.m. – 3 p.m. LPA reviewed resident records, and interviewed staff and residents. Continued on LIC 9099 Substantiatedthe state’s words, verbatim · CDSS document, Sep 27, 2024 · control 29-AS-20230905101021
Apr 18, 2024Complaint investigation reportUnsubstantiated

Allegation investigated: Facility staff failed to provide an appropriate level of supervision which resulted in Resident #1 (R1) being sexually assaulted by Resident #2 (R2). Facility staff failed to provide an appropriate level of supervision which resulted in Resident #1 (R1) being physically assaulted by Resident #2 (R2).

Licensing Program Analyst (LPA) Zabel Chochian conducted a subsequent complaint visit to deliver final findings for the above allegation. During today’s visit, LPA Chochian met with Executive Director Christopher Andersen and explained the reason for the visit. On 08/31/2023, the Department received a complaint regarding an allegation of Neglect/Lack of Supervision. It was alleged that facility staff failed to provide an appropriate level of supervision which resulted in Resident #1 (R1) being sexually and physically assaulted by Resident #2 (R2). The complaint investigation was assigned to the Community Care Licensing Division (CCLD) Investigations Branch (IB) Investigator Douglas Real. On 09/01/2023, between 10:18 a.m. and 12:06 p.m., LPA Teresa Camara conducted an initial complaint visit. During the visit, the LPA met with the ED and requested records. At 11:17 a.m., the LPA reviewed and obtained pertinent records. (Continue to LIC9099c.) Unsubstantiatedthe state’s words, verbatim · CDSS document, Apr 18, 2024 · control 29-AS-20230831162554
20232 state visits · 3 documents
Dec 7, 2023Complaint investigation reportSubstantiated

Allegation investigated: Due to lack of supervision, resident fell, resulting in injury.

Licensing Program Analyst (LPA) Zabel Chochian conducted unannounced subsequent visit to the above listed facility. The purpose of today’s visit is to conclude an investigation initiated by LPA Kelly Dulek on 12/14/2022. During today’s visit, LPA met with Executive Director Chris Andersen and the purpose of the visit was explained. Entrance interview conducted. During the initial 10-day visit on 12/14/2022, LPA Dulek interviewed staff from approximately 1:20 PM to 1:45 PM, toured the facility with the Executive Director and Memory Care Director at approximately 1:45 PM, and obtained copies of pertinent documents. A subsequent visit was conducted by LPA Zabel Chochian on 2/09/2023, additional staff were interviewed from approximately 11:30 AM to 3:45 PM; LPA toured the Memory Care at approximately 4pm with staff and residents were observed and interviews were attempted during the tour. Additional interviews were conducted on 11/1/2023, 11/13/2023 and 12/06/2023 with potiential witnessesthe state’s words, verbatim · CDSS document, Dec 7, 2023 · control 29-AS-20221205110809
Dec 7, 2023Complaint investigation reportUnsubstantiated

Allegation investigated: Staff video recorded resident without permission. Staff mocked resident. Staff speak to residents disrespectfully.

Licensing Program Analyst (LPA) Zabel Chochian conducted unannounced subsequent visit to the above listed facility. The purpose of today’s visit is to conclude an investigation initiated by LPA Chochian on 02/09/2023. During today’s visit, LPA met with Chris Andersen, Executive Director (ED) and the purpose of the visit was explained. Entrance interview conducted. During the initial visit, LPA met with ED at approximately 09:30AM. The reason for the visit was explained. ED provided copies of pertinent documents for LPAs review. During the initial visit, LPA also conducted interviews with staff from approximately 11:30AM to 3:45PM. LPA and Sheila Ramirez, Memory Care Director toured the Memory Care at approximately 4pm. Resident interviews were also attempted during tour. Following is a summary of the investigation: Allegations “Staff video recorded resident without permission and Staff mocked resident” – Information was received that, about a month or two ago a video recording was seenthe state’s words, verbatim · CDSS document, Dec 7, 2023 · control 29-AS-20230201102747
Oct 24, 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 citations5typical 1
Type B citations11typical 1
Substantiated complaints18typical 2
Total complaints22typical 7
State visits on file53typical 19
“Typical” is the statewide median across the 1,244 licensed larger communities (16+ beds) in the state record — larger, longer-licensed homes accumulate more visits and reports, so compare like with like. One complaint can contain several allegations. Counts cover this license since 2021.
Year-by-year trend
YearVisitsDocumentsSubstantiated2026450202599220245722023912320225532021220
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 →

$5,000$7,500 /mo
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 →

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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 Oakmont Of Riverpark licensed?

Yes — Oakmont Of Riverpark is a licensed residential care home for the elderly (RCFE) in Oxnard (Ventura County): California license #565850168, shown as licensed in the CDSS state record checked August 2, 2026, licensed for 140 residents. State records list 37 inspection and complaint documents since 2021; the most recent, a facility evaluation report dated June 2, 2026, appears in the inspection record on this page.

Can Oakmont Of Riverpark 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 Riverpark 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. 140 NON-AMBULATORY, OF WHICH 8 MAY BE BEDRIDDENHOSPICE WAIVER FOR 15.

How much does Oakmont Of Riverpark cost?

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

Oakmont Of Riverpark 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

90 of 140 beds occupied (64%) when the state visited on May 22, 2025. Availability changes constantly — confirm a current opening with the home.

What do state inspections show for Oakmont Of Riverpark?

Verbatim from CDSS complaint-investigation reports — the state's own words, never summarized by us. Record checked August 2, 2026.

The CDSS state record checked August 2, 2026 lists 53 state visits and 37 dated documents since 2021 for Oakmont Of Riverpark; 19 complaint-investigation narratives are transcribed verbatim below. The most recent, dated May 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.

19 transcribed reports on file

2025

Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedResident lost significant amount of weight.
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
Licensing Program Analyst (LPA) Esther Cortez conducted a subsequent complaint investigation visit regarding the above noted allegations. LPA met with Business Office Director Ricardo Viveros and explained the reason for the visit. Executive Director Keiley Vanderwall was not able to be present during today's visit. On 07/25/24, LPA Camara conducted interviews with the ED, memory care director, and health services director starting at 10:32 a.m. LPA obtained pertinent documents starting at 10:48 a.m. LPA conducted a telephone interview with a witness at 11:16 a.m. On 05/21/24, LPA Cortez interviwed the ED, Resident 1 (R1), toured R1's room, and obtained pertinent documents. During today's visit the LPA interviewed one (1) witness, two (2) staff, toured R1's room and briefly spoke with R1, conducted a file review and obtained pertinent documents. Report will continue on LIC9099-C, 2nd page. SubstantiatedCDSS inspection report, May 22, 2025 · control 29-AS-20240723161809
Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedStaff do not prevent resident from entering other residents' rooms
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
Report was amended to reflect allegation was Substantiated. Amended Report emailed for signature. Signature on file. Licensing Program Analyst (LPA), Esther Cortez conducted an unannounced subseqent complaint visit for the above allegation. Upon arrival, LPA met with the Executive Director (ED), Kailey Vanderwall , and was explained the reason for the visit. Entrance interview conducted. On 02/12/2024, between 01:50 p.m. and 5:00 p.m., the LPA interviewed the ED, six (6) residents, conducted a file review, and obtained copies of resident records and other pertinent documents relevant to the investigation. On 01/14/2024, between 12:35 p.m. and 4:15 p.m., the LPA interviewed the ED, three (3) residents, five (5) staff, and obtained copies of resident records and other pertinent documents relevant to the investigation. During today's visit the LPA interviewed the current ED, Kailey Vanderwall and conducted a file review. Report will continue on LIC9099-C, 2nd page. SubstantiatedCDSS inspection report, January 16, 2025 · control 29-AS-20240206103814

2024

Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedResident was left in an unkempt room overnight. Resident had access to an item that could pose a danger.
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
Licensing Program Analyst (LPA), Erica Mosley conducted an unannounced subsequent complaint visit to deliver findings the above allegations. Upon arrival, LPA met with Executive Director Kailey Vanderwall and explained the reason for the visit. On todays visit LPA Mosley conducted a physical plant tour at 10:35 a.m. to ensure there are no immediate health and safety hazards and facility is in compliance with Title 22 Regulations. On 12/17/2024, LPA Esther Cortez between 03:15 p.m. and 5:00 p.m., interviewed the ED, MC Director, two (2) staff, and obtained copies of resident records and other pertinent documents relevant to the investigation. On 12/19/2024, between 08:30 a.m. and 3:00 p.m., LPA Cortez conducted a file review and interviewed six (6) staff. Report continued on LIC9099-C.... SubstantiatedCDSS inspection report, December 23, 2024 · control 29-AS-20241217142256
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedFacility staff spoke inappropriately to resident. Facility staff refused to assist resident with mobility. Facility staff refused to assist resident with dressing.
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
Report has been amended. Amended report emailed for signature. Signature is on file. At 10:30 a.m., Licensing Program Analyst (LPA) Erica Mosley conducted a subsequent complaint investigation visit to deliver findings for the above allegations. The LPA met with Executive Director (ED) Kailey Vanderwall and explained the reason for the visit. On todays visit LPA Mosley conducted a physical plant tour at 10:35 a.m. to ensure there are no immediate health and safety hazards and facility is in compliance with Title 22 Regulations. On 11/29/2023, the LPA received pertinent documents and conducted interviews with three (3) residents and two (2) staff from 03:18 pm to 4:15 pm. On 12/17/2024, the LPA interviewed the ED, MC Director, conducted six (6) staff interviews, four (4) resident interviews and obtained resident records and copies of pertinent documents relevant to the investigation. On 12/19/2024, between 08:30 a.m. and 3:30 p.m., the LPA conducted a file review, and three (3) staff intCDSS inspection report, December 23, 2024 · control 29-AS-20231121093226
Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedStaff did not notify resident's responsible party of an incident Staff did not communicate with resident's family regarding increase in medication
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
Licensing Program Analyst (LPA) Valeria Cownay conducted an unannounced subsequent complaint visit to the above facility. The purpose of the visit is to deliver final findings for a complaint initiated by LPA Z. Chochian on 09/13/2023. Upon arrival LPA met with Excecutive Director, Kailey Vanderwall, and the reason for the visit was explained. On 09/05/2023, Community Care Licensing Division (CCLD) received a complaint with the above allegations. On 9/13/2023, LPA Z. Chochain conducted the initial visit. During the visit, between 12 p.m. – 3 p.m. LPA reviewed resident records, and interviewed staff and residents. Continued on LIC 9099 SubstantiatedCDSS inspection report, September 27, 2024 · control 29-AS-20230905101021
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedFacility staff failed to provide an appropriate level of supervision which resulted in Resident #1 (R1) being sexually assaulted by Resident #2 (R2). Facility staff failed to provide an appropriate level of supervision which resulted in Resident #1 (R1) being physically assaulted by Resident #2 (R2).
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
Licensing Program Analyst (LPA) Zabel Chochian conducted a subsequent complaint visit to deliver final findings for the above allegation. During today’s visit, LPA Chochian met with Executive Director Christopher Andersen and explained the reason for the visit. On 08/31/2023, the Department received a complaint regarding an allegation of Neglect/Lack of Supervision. It was alleged that facility staff failed to provide an appropriate level of supervision which resulted in Resident #1 (R1) being sexually and physically assaulted by Resident #2 (R2). The complaint investigation was assigned to the Community Care Licensing Division (CCLD) Investigations Branch (IB) Investigator Douglas Real. On 09/01/2023, between 10:18 a.m. and 12:06 p.m., LPA Teresa Camara conducted an initial complaint visit. During the visit, the LPA met with the ED and requested records. At 11:17 a.m., the LPA reviewed and obtained pertinent records. (Continue to LIC9099c.) UnsubstantiatedCDSS inspection report, April 18, 2024 · control 29-AS-20230831162554

2023

Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedDue to lack of supervision, resident fell, resulting in injury.
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
Licensing Program Analyst (LPA) Zabel Chochian conducted unannounced subsequent visit to the above listed facility. The purpose of today’s visit is to conclude an investigation initiated by LPA Kelly Dulek on 12/14/2022. During today’s visit, LPA met with Executive Director Chris Andersen and the purpose of the visit was explained. Entrance interview conducted. During the initial 10-day visit on 12/14/2022, LPA Dulek interviewed staff from approximately 1:20 PM to 1:45 PM, toured the facility with the Executive Director and Memory Care Director at approximately 1:45 PM, and obtained copies of pertinent documents. A subsequent visit was conducted by LPA Zabel Chochian on 2/09/2023, additional staff were interviewed from approximately 11:30 AM to 3:45 PM; LPA toured the Memory Care at approximately 4pm with staff and residents were observed and interviews were attempted during the tour. Additional interviews were conducted on 11/1/2023, 11/13/2023 and 12/06/2023 with potiential witnessesCDSS inspection report, December 7, 2023 · control 29-AS-20221205110809
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedStaff video recorded resident without permission. Staff mocked resident. Staff speak to residents disrespectfully.
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
Licensing Program Analyst (LPA) Zabel Chochian conducted unannounced subsequent visit to the above listed facility. The purpose of today’s visit is to conclude an investigation initiated by LPA Chochian on 02/09/2023. During today’s visit, LPA met with Chris Andersen, Executive Director (ED) and the purpose of the visit was explained. Entrance interview conducted. During the initial visit, LPA met with ED at approximately 09:30AM. The reason for the visit was explained. ED provided copies of pertinent documents for LPAs review. During the initial visit, LPA also conducted interviews with staff from approximately 11:30AM to 3:45PM. LPA and Sheila Ramirez, Memory Care Director toured the Memory Care at approximately 4pm. Resident interviews were also attempted during tour. Following is a summary of the investigation: Allegations “Staff video recorded resident without permission and Staff mocked resident” – Information was received that, about a month or two ago a video recording was seenCDSS inspection report, December 7, 2023 · control 29-AS-20230201102747
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedStaff handled resident roughly. Staff not properly trained.
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
Licensing Program Analyst (LPA), Martha Arroyo conducted a subsequent visit to the facility to issue findings for the above allegations. The initial visit was conducted on 10/27/2022 by LPA K. Dulek and a subsequent visit was conducted on 05/12/2023 by LPA M. Arroyo. During today's visit, LPA met with Executive Director (ED), Chris Anderson and the reason for the visit was explained. Entrance interview. During the initial visit on 10/27/2022, LPA Dulek walked the facility to ensure there are no health and safety hazards at 12:37 p.m., interviewed the ED at 10:37 a.m., and obtained copies of pertinent documents. On 05/12/2023, LPA Arroyo conducted interviews with three Memory Care staff and one Memory Care resident between 1:45 p.m. and 2:17 pm., and conducted a facility file review at 2:25 p.m. and obtained copies of pertinent documents. On 07/05/2023, LPA Arroyo also conducted telephonic interviews with resident family members at 1:20 p.m. and 1:37 p.m. (Report Continued on LIC 9099C.CDSS inspection report, July 27, 2023 · control 29-AS-20221026142548
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedResidents are being handled roughly
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
This report was originally issued on 11/29/2022. Due to formatting/pagination issues with the original report the findings for the above noted allegation are being reissued. Licensing Program Analyst (LPA) Teresa Camara conducted a subsequent complaint visit to deliver findings for the above allegation. LPA met with administrator Chris Andersen and explained the reason for the visit. On 06/27/2022, the Department received a complaint regarding an allegation of physical abuse. It was alleged that Resident #1 (R1) sustained repeated unexplained bruising on face and body as a result of being handled roughly by facility staff. The complaint was referred to the Community Care Licensing Investigations Branch (IB) and assigned to Investigator Jose Santana. (continued on 9099-C, page 2) UnsubstantiatedCDSS inspection report, May 4, 2023 · control 29-AS-20220627090021
Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedFacility staff are not reporting all of resident's falls
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
Licensing Program Analyst (LPA) Teresa Camara conducted a subsequent complaint visit to address the above noted allegations. LPA met with Executive Director (ED) Chris Andersen and explained the reason for the visit. On 8/5/2022, LPA conducted an initial complaint investigation visit. During that visit LPA interviewed staff, a witness and reviewed records between 10:00 a.m. to 12:30 p.m. On 11/29/2022, LPA conducted a subsequent complaint visit. During that visit LPA interviewed staff between 4:00 p.m. to 4:54 p.m. During today's visit, 5/4/2023, LPA conducted records review and staff interview between 12:15 p.m. to 3:40 p.m. On 1/29/2024, LPA conducted a subsequent visit to deliver an amended report as findings on one of the allegations in the original report was incorrect. (continued on 9099-C, page 2) SubstantiatedCDSS inspection report, May 4, 2023 · control 29-AS-20220729163942
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedStaff are not showering residents
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
Licensing Program Analyst (LPA) Elsie Campos conducted a subsequent complaint visit to deliver the findings on the the above allegations. LPA met with administrator Chris Andersen and explained the reason for the visit. On 07/01/2022, from 9:30am to 12:38pm, Licensing Program Analysts (LPAs) Teresa Camara and Elsie Campos conducted the initial complaint visit. LPAs Camara and Campos met with Memory Care Director Sylvia Williams, LVN; at 10:55am, LPAs conducted an interview with a visitor. At approximately 10:15am, LPAs conducted a brief tour of memory care and the main lobby area of the facility. LPAs obtained pertinent documents at approximately 12:15pm. LPAs determined further investigation was needed prior to issuing findings. On 1/17/2023 LPA Campos conducted a subsequent visit. LPA Campos met with Memory Care Director Sheila Ramirez at 11:15 a.m. LPA conducted an interview with staff at 11:40 a.m., 12:25 p.m., 1:25 p.m. 2:40 p.m., 3:05 p.m. and 4:08 p.m. The LPA obtained pertinentCDSS inspection report, March 3, 2023 · control 29-AS-20220628083047
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedStaff denied resident food
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
Licensing Program Analyst (LPA) Elsie Campos conducted a subsequent complaint visit to investigate the above allegations. LPA met with Memory Care Director Sheila Ramirez and explained the reason for the visit. On 07/01/2022, from 9:30am to 12:38pm, Licensing Program Analysts (LPAs) Teresa Camara and Elsie Campos conducted the initial complaint visit. LPAs Camara and Campos met with Memory Care Director Sylvia Williams, LVN; at 10:55am, LPAs conducted an interview with a visitor. At approximately 10:15am, LPAs conducted a brief tour of memory care and the main lobby area of the facility. LPAs obtained pertinent documents at approximately 12:15pm. LPAs determined further investigation was needed prior to issuing findings. On 1/17/2023 LPA Campos conducted a subsequent visit. LPA Campos met with Memory Care Director Sheila Ramirez at 11:15 a.m. LPA conducted an interview with staff at 11:40 a.m., 12:25 p.m., 1:25 p.m. 2:40 p.m., 3:05 p.m. and 4:08 p.m. The LPA obtained pertinent documentCDSS inspection report, February 16, 2023 · control 29-AS-20220628083047
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedStaff caused injury to resident in care Staff yells at residents in care
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
Licensing Program Analyst (LPA) Ashley Smith arrived unannounced to conduct a subsequent visit to issue findings. The LPA met with Executive Director Chris Andersen and explained the reason for the visit. The initial visit was conducted on 07/14/2022 by LPAs Teresa Camara and Elsie Campos, where the LPAs interviewed staff at 1:40 p.m., 2:58 p.m., 3:29 p.m. and obtained documents. On 02/08/2023, LPA Ashley Smith conducted a subsequent visit in which they interviewed eleven (11) staff from 9:30 a.m. – 3:10 p.m. and interviewed the responsible party of Resident #1 (R1) at 3:16 p.m. On 02/10/2022, LPA Smith conducted a subsequent visit and interviewed seven (7) residents from 12:30 p.m. – 1:15 p.m. Additional staff interviews took place on 2/11/2023 at 1:47 p.m. and 1:58 p.m. UnsubstantiatedCDSS inspection report, February 15, 2023 · control 29-AS-20220708092257
Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedFacility staff failed to provide an appropriate level of supervision which resulted in Resident #1 (R1) falling and sustaining a fracture.
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
Licensing Program Analyst (LPA) conducted a subsequent complaint visit to deliver findings for the above allegation. LPA met with Chris Anderson, Executive Director and explained the reason for the visit. On 09/06/2022, the Department received a complaint regarding an allegation of Neglect/Lack of Supervision. It was alleged that facility staff failed to provide an appropriate level of supervision which resulted in Resident #1 (R1) falling and sustaining a fractured right shoulder. The complaint was referred to the Community Care Licensing Investigations Branch (IB) and assigned to Investigator Douglas Real. On 09/08/2022, from 1:34pm to 5:48pm, Licensing Program Analyst (LPA) Kelly Dulek conducted an initial complaint investigation for the allegation listed above. LPA Dulek arrived at the facility at 1:34pm and met with Executive Director Chris Andersen. During the visit, the LPA interviewed staff at 1:50pm, reviewed files at 2:03pm, obtained copies of pertinent documents, and touredCDSS inspection report, February 9, 2023 · control 29-AS-20220906140504
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedFacility is not making the disaster plan available to residents
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 a subsequent complaint investigation for the allegation listed above. LPA met with facility Executive Director (ED) Chris Andersen and explained the reason for today's visit. During today's visit, LPA conducted an interview with ED at 10:50AM, staff interviews at 10:57AM and from 11:33AM to 01:20PM, tour of the facility along with Executive Director at 11:22AM, medication review at 01:22PM and resident interviews from 01:41PM to 03:02PM. During a visit conducted on 10/10/2022, LPA Dulek and LPA Diego Cortez toured the facility at 11:30 AM with staff Sylvia Williams and obtained copies of pertinent documents. During an intial complaint visit conducted on 04/14/2022, LPA Rosales toured the facility with staff Jorge Moreno, interviewed random resident and staff and obtained copies of pertinent documents. Throughout the course of the investigation, LPA Dulek reviewed pertinent documentation. The following was then determined: Report ConCDSS inspection report, January 31, 2023 · control 29-AS-20220405094555

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

What the state has logged

California has logged 53 state visits for this home as of August 2, 2026. These are the home's own counts, straight from that record — shown beside the statewide median for larger communities (16+ beds), computed across all 1,244 licensed homes of that size, because larger and longer-licensed homes naturally accumulate more visits and reports. They are facts, not a grade — a citation may be minor and since corrected, and an “unsubstantiated” complaint is not a finding of wrongdoing.

Type A citations
5
typical for this size: 1
Type B citations
11
typical for this size: 1
Substantiated complaints
18
typical for this size: 2
Total complaints
22
typical for this size: 7
State visits on file
53
typical for this size: 19
See the full inspection record on the state's site →
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