Inspection visit

ComplaintMarch 11, 2026

TODOS SANTOS ASSISTED LIVING AND MEMORY CARELicense 0792008552 citations on this visit

2 citations recorded

Inspector’s narrative

What the inspector wrote

LIC9099- (Page ) On 11/19/2025, LPA interviewed Staff (S1), who stated that R1’s daughter submitted a 60-day written notice for R1 to vacate the apartment; however, according to S1, R1 did not fully vacate the building. S1 stated that the facility does not have possession of the security or pet deposits because those funds were managed by a former management group. LPA reviewed the Resident Service Agreement (Admission Agreement) signed and dated by R1 on 09/10/2022, which lists a move-in date of 09/11/2022 . LPA reviewed R1’s Resident Billing Information, which listed a security deposit of $500.00 and a pet deposit of $500.00, totaling $1,000.00. LPA also reviewed the Community Fee provision, which states that the Community Fee is not a security deposit and may only be refundable under certain conditions. The agreement states that if a resident terminates the agreement during the third month of residency, the resident may be entitled to 40% of the balance after a $500 deduction. The agreement further states that after the third month of residency, no portion of the Community Fee is refundable. Documentation reviewed indicated that the Community Fee was waived at the time of admission. Staff (S1) further stated that, according to information provided by the previous management group, the $500 security deposit and $500 pet deposit are forfeited 90 days after the admission date. Based on record review, R1 moved over 90 days after the admission date. Therefore, pre-admission fees are forfeited. Based on the information obtained, there is insufficient evidence to support the allegation that staff did not provide a refund to the resident. Therefore, the allegation is Unfounded. LIC9099-C (Page 2) R1’s Observation Notes (dated 03/01/2025 through 11/19/2025); R1’s 60-Day Notice to Move-Out (dated 06/17/2025); email correspondence (dated 10/19/2025 through 10/20/2025); Resident Pendant Call Log (dated 03/17/2025); and R1’s pendant call activity (dated 07/10/2025 and 07/27/2025). Allegation: Staff did not respond to resident's call button Finding: Substantiated On 11/19/2025 LPA interviewed W1 that stated R1 fell in their room and was unable to get up. W1 stated that R1 activated the emergency pendant, but staff did not respond for approximately 30 minutes. W1 further stated that R1 contacted them by phone, which prompted W1 to come to the facility. W1 reported that upon arrival, R1’s bedroom door was locked, and facility staff did not have a key readily available to unlock the door. Once the door was opened, W1 stated that R1 was found wedged between the bed and the nightstand and unable to get up. LPA reviewed the facility call log, which indicates that on 03/17/2025 R1 activated the call pendant alert system two times. The first activation occurred at 3:14:48 PM with a response time of 26.87 minutes, which was answered by staff. The second activation occurred at 5:08:38 PM, documented as a non-emergency accidental press, and was answered within 0.47 minutes. On 03/07/2026 LPA interviewed, S2, S3, S4, S5 and S6 and all collaborated that residents may activate the call button for extended periods before staff are able to respond due to insufficient staffing and workload demands. Based on interviews conducted and records reviewed, the preponderance of evidence standard has been met. Therefore, the allegation that staff did not respond to Resident (R1)’s call button is substantiated . LIC9099-C Continued... LIC9099-C (Page 3) Allegation: Staff did not ensure resident received medical care as needed Finding: Substantiated On 11/19/2025 LPA interviewed Witness (W1) stated that on 03/17/2025 Resident (R1) sustained a large open wound on their hand. W1 reported that facility staff did not ensure that R1 received necessary medical care. W1 stated that they personally administered first aid to R1 for the injury. W1 further stated that the incident was reported to Staff (S1) on the same day. W1 reported informing S1 that if R1 had hit their head during the fall, R1 may not admit it because it could require a hospital visit. According to W1, S1 advised that the facility’s new health nurse evaluate R1 and follow up regarding the injury. W1 reported that no follow-up evaluation or communication occurred after the report was made. On 11/19/2025 LPA interviewed S1 that stated that the former Director of Nursing left on 03/01/2025. On 03/07/2026 LPA interviewed S2, S3, S4, S5 and S6 all stated if any resident has sustained an injury such as a cut that a medication technician or nurse can administer first aid such a bandage. S2, S3, S4, S5 and S6 do not recall the incident occurring on 03/17/25 with R1. LPA reviewed Accident/Incident Report (dated 03/17/25) indicating that R1 sustained an injury with a cut on left arm and that an ointment was applied to arm. LPA reviewed “Observations for R1” (dated 03/01/25 – 11/19/25) that notes an observation by staff indicating R1 had an unwitnessed fall in their room. Cut was observed on left arm and that staff clean the cut an applied an antibiotic ointment. Based on interviews conducted, the preponderance of evidence standard has been met; therefore, the allegation that staff did not ensure Resident (R1) received medical care as needed is substantiated. LIC9099-C Continued...

Citations

7 citations recorded^*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

87211(a)(1)Type B
Report specified resident events within seven days
87211(a)(1) Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: (1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case.This requirement is not met as evidenced by: Based on record review and interview, the licensee did not comply with the section cited above in by not reporting the fall incident with R1 to Licensing which poses a potential health, safety or personal rights risk to persons in care.
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87463(a)(b)Type B
87463 Reappraisals(a) The pre-admission appraisal, as specified in Section 87457, Pre-Admission Appraisal, shall be updated in writing as frequently as necessary or once every 12 months, whichever occurs first, to note significant changes in condition…(b) The reappraisal shall document significant changes in the resident's physical, mental, cognitive, behavioral, or functional condition, including those required to be documented as specified in Section 87466, Observation of the Resident.This requirement is not met as evidenced by: Based on record review and interview, the licensee did not comply with the section cited above in by not updating reappraisals for R1 with the frequent falls which poses a potential health, safety or personal rights risk to persons in care.
87465(g)Type B
Call 9-1-1 for imminent health threats
87465(g) Incidental Medical and Dental Care(g) The licensee shall immediately telephone 9-1-1 if an injury or other circumstance has resulted in an imminent threat to a resident’s health including, but not limited to, an apparent life-threatening medical crisis except as specified in Sections 87469(c)(2), (c)(3), or (c)(4).This requirement is not met as evidenced by: Based on record review and interviews, the licensee did not comply with section above by not activating 9-1-1 if an injury or other circumstance which poses a potential health and safety risk to the persons in care.
87468.2(a)(19)(2)Type B
87468.2 (a)(19) Additional Personal Rights of Residents in Privately Operated Facilities(a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (19) To have prompt access to review all of their records and to purchase photocopies of their records. Photocopied records shall be provided within two (2) business days and at a cost that does not exceed the community standard for photocopies.This requirement is not met as evidenced by: Based on record review and interview, the licensee did not comply with the section cited above in by not giving R1 and/or R1's representative copies of R1's records as requested which poses a potential health, safety or personal rights risk to persons in care.
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87506(d)Type B
Records available to licensing agency for inspection
87506(d) Resident Records(d) All resident records shall be available to the licensing agency to inspect, audit, and copy upon demand during normal business hours. Records may be removed if necessary for copying. Removal of records shall be subject to the following requirements:This requirement is not met as evidenced by: Based on record review and interview, the licensee did not comply with the section cited above in by not ensuring that complete and former resident records were maintained and available for review as required. Specifically, the financial records for R1 from the year 2022 were not available during the visit on 11/19/25 and 03/11/26. In which poses a potential health, safety or personal rights risk to persons in care.
87465(a)Type B
Develop required incidental medical care plan
87465(a) Incidental Medical and Dental Care ServicesA plan for incidental medical and dental care shall be developed by each facility to ensure that residents receive necessary medical and dental services.This requirement is not met as evidenced by: Based on interviews, and record review the licensee did not comply with the section cited above in by to ensure that Resident (R1) received appropriate medical evaluation or follow-up after sustaining an open wound to their hand. This failure resulted in R1 not receiving timely medical assessment following an injury. This poses a potential health and safety risk to residents in care.
87468.2(a)(4)Type B
Right to sufficient care and qualified staff
87468.2(a)(4) Additional Personal Rights Residents in all residential care facilities for the elderly shall have the following personal rights: (a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs.This requirement is not met as evidenced by: Based on interviews and record review the licensee did not comply with the section cited above in by to ensure that Resident (R1)’s request for assistance through the call pendant system was responded to promptly. This resulted in R1 remaining on the floor after a fall and unable to get up for approximately 26 minutes until staff responded. This poses a potential health and safety risk to residents in care.
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FAQ · About this visit

Common questions about this visit

What happened during the March 11, 2026 inspection of TODOS SANTOS ASSISTED LIVING AND MEMORY CARE?

This was a complaint inspection of TODOS SANTOS ASSISTED LIVING AND MEMORY CARE on March 11, 2026. 2 citations were issued: 2 Type B.

Were any citations issued to TODOS SANTOS ASSISTED LIVING AND MEMORY CARE on March 11, 2026?

Yes, 2 citations were issued (0 Type A, 2 Type B). The first citation was for: "87211(a)(1) Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports as the Departm..."

What type of inspection was this?

This was a complaint inspection. Complaint inspections are triggered when someone reports a concern about the facility to CCLD.

SourceView on CCLD View original report

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Data from CCLD public records. Last updated June 15, 2026. If you believe any information is inaccurate, report it here.

Complaint·March 11, 2026