Inspection Reports for
TreVista Senior Living

CA, 94509

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Citations (last 6 years)

Citations (over 6 years) 1.5 citations/year

Citations are regulatory findings recorded during state inspections.

63% better than California average
California average: 4 citations/year

Citations per year

4 3 2 1 0
2021
2022
2023
2024
2025
2026

Occupancy

Latest occupancy rate 88% occupied

Based on a January 2026 inspection.

This facility has shown a steady increase in demand based on occupancy rates.

Occupancy rate over time

40% 60% 80% 100% Apr 2021 Feb 2023 Feb 2024 Jan 2025 Jan 2026 Jan 2026

Inspection Report

Complaint Investigation
Census: 115 Capacity: 131 Citations: 0 Date: Jan 21, 2026

Visit Reason
The visit was conducted as a case management incident investigation related to a self-reported sexual abuse incident involving a caregiver and a resident.

Complaint Details
The complaint involved allegations by resident R1 that caregiver S1 touched her genital area inappropriately during shower assistance on two occasions. The facility notified police and conducted an internal investigation, interviewing multiple residents and the caregiver. The complaint was not substantiated and no deficiencies were cited.
Findings
The investigation found no deficiencies; the caregiver denied inappropriate touching, and interviews with other residents indicated no concerns with staff. A police report was filed and an internal investigation was conducted.

Report Facts
Police report number: 26385 Residents interviewed: 5

Employees mentioned
NameTitleContext
Alberto MaldonadoAdministrator/DirectorFacility administrator named in the report header.
Erika MendezWellness DirectorMet with during the inspection and provided information regarding the incident.
Daisy PanlilioLicensing Program AnalystConducted the investigation and authored the report.
Bennett FongLicensing Program ManagerNamed in the report as Licensing Program Manager.

Inspection Report

Annual Inspection
Census: 115 Capacity: 131 Citations: 0 Date: Jan 14, 2026

Visit Reason
An unannounced required one year inspection was conducted to evaluate compliance with licensing requirements and facility conditions.

Findings
The inspection found the facility to be in compliance with no deficiencies observed. The facility maintained proper infection control measures, safety equipment, and adequate supplies.

Report Facts
Hot water temperature: 117 Facility temperature: 70 Fire extinguisher last inspection date: Nov 10, 2026 Staff files reviewed: 5 Resident files reviewed: 10

Employees mentioned
NameTitleContext
Daisy PanlilioLicensing Program AnalystConducted the inspection and authored the report
Erika MendezWellness DirectorMet with Licensing Program Analyst during inspection
Alberto MaldonadoAdministratorFacility administrator mentioned as infection control leader
Bennett FongLicensing Program ManagerNamed as Licensing Program Manager on report

Inspection Report

Complaint Investigation
Census: 116 Capacity: 131 Citations: 2 Date: Nov 7, 2025

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations that a resident sustained multiple pressure injuries due to lack of care from staff and that staff did not ensure resident needs were met while in care.

Complaint Details
The complaint investigation was substantiated. The resident sustained multiple pressure injuries due to lack of care from staff, and staff did not ensure that resident needs were met while in care. Immediate civil penalty of $500 was assessed during the visit, with additional penalties pending related to the resident's serious bodily injury.
Findings
The investigation substantiated both allegations, finding that the resident developed multiple stage 3 infected pressure injuries due to inadequate care and supervision by staff. The facility failed to perform required skin treatment routines and did not meet the resident's care needs, resulting in hospitalization. Immediate civil penalties were assessed.

Citations (2)
Failure to provide adequate care and supervision to resident resulting in hospitalization and sustaining multiple pressure injuries while in care.
Failure to provide care, supervision, and services that meet residents' individual needs delivered by competent staff.
Report Facts
Civil penalty amount: 500 Capacity: 131 Census: 116

Employees mentioned
NameTitleContext
Daisy PanlilioLicensing Program AnalystConducted the complaint investigation and authored the report.
Alberto MaldonadoAdministratorFacility administrator involved in the investigation.
Erika MendezManager on DutyMet with the evaluator during the unannounced visit.
Bennett FongSupervisorSupervisor overseeing the licensing evaluation.

Inspection Report

Census: 115 Capacity: 131 Citations: 0 Date: Jul 1, 2025

Visit Reason
An unannounced case management visit was conducted following a self-reported incident involving two dementia residents who were observed yelling and hitting each other.

Findings
Staff intervened promptly, redirected the residents, and observed no injuries. No deficiencies were cited during the visit.

Report Facts
Incident date: Jun 28, 2025

Employees mentioned
NameTitleContext
Alberto MaldonadoExecutive DirectorMet with Licensing Program Analyst during the visit
Daisy PanlilioLicensing Program AnalystConducted the unannounced case management visit
Bennett FongLicensing Program ManagerNamed in the report

Inspection Report

Annual Inspection
Census: 113 Capacity: 131 Citations: 0 Date: Jan 16, 2025

Visit Reason
An unannounced required one-year inspection was conducted to evaluate the facility's compliance with licensing regulations and infection control measures.

Findings
The facility was observed to be in compliance with all regulations, including infection control, emergency preparedness, and safety standards. No deficiencies were noted during the visit.

Report Facts
Food supply duration: 2 Food supply duration: 7 PPE supply duration: 30 Hot water temperature: 116 Facility temperature: 71 Fire extinguisher last inspection date: Jan 2, 2025 Staff files reviewed: 5 Resident files reviewed: 5

Employees mentioned
NameTitleContext
Alberto MaldonadoAdministratorMet with Licensing Program Analyst during inspection and identified as infection control leader
Daisy PanlilioLicensing Program AnalystConducted the inspection
Bennett FongSupervisorSupervisor overseeing the inspection

Inspection Report

Capacity: 131 Citations: 0 Date: Nov 7, 2024

Visit Reason
The visit was an unannounced Case Management inspection conducted regarding an incident reported to the Community Care Licensing Division on 11/04/2024 involving a resident hitting another resident.

Findings
The incident involved one resident striking another with a cane due to a misunderstanding about stolen jewelry. Both residents have a history of personal conflict. No deficiencies were issued during the visit, and corrective actions including contacting a physician and notifying a responsible party were underway.

Report Facts
Incident date: Nov 4, 2024

Employees mentioned
NameTitleContext
Alberto MaldonadoExecutive DirectorInterviewed regarding the resident incident and corrective actions

Inspection Report

Complaint Investigation
Capacity: 131 Citations: 0 Date: Nov 7, 2024

Visit Reason
An unannounced Case Management visit was conducted regarding an incident reported on 2024-11-04 involving a resident hitting another resident with a cane.

Complaint Details
The visit was triggered by a reported incident on 2024-11-04 where resident R1 hit resident R2 with a cane. The allegation was investigated and found to be related to a misunderstanding; no deficiencies were cited.
Findings
The incident involved a resident striking another resident due to a misunderstanding about stolen jewelry. Both residents have a history of conflict and have agreed to stay away from each other. No deficiencies were issued during the visit.

Report Facts
Facility capacity: 131

Employees mentioned
NameTitleContext
Alberto MaldonadoExecutive DirectorMet with Licensing Program Analyst during the visit and provided information about the incident.
Tonica Syess-GibsonLicensing Program AnalystConducted the unannounced Case Management visit.
Harpreet HumpalLicensing Program ManagerNamed as Licensing Program Manager on the report.

Inspection Report

Complaint Investigation
Census: 113 Capacity: 131 Citations: 0 Date: Sep 26, 2024

Visit Reason
The visit was an unannounced complaint investigation conducted in response to an allegation that staff did not honor a restraining order for a resident.

Complaint Details
The complaint alleged that staff did not honor a restraining order for a resident. The investigation reviewed multiple documents including restraining orders, physician reports, and sign-out records. Despite some events involving residents leaving the facility together, the evidence did not substantiate the allegation.
Findings
The investigation found no preponderance of evidence to prove the alleged violation occurred, and the allegation that staff did not honor the restraining order was unsubstantiated. No deficiencies were cited during the visit.

Report Facts
Facility capacity: 131 Census: 113

Employees mentioned
NameTitleContext
Daisy PanlilioLicensing Program AnalystConducted the complaint investigation and authored the report
Bennett FongLicensing Program ManagerNamed as Licensing Program Manager on the report
Alberto MaldonadoExecutive Director/AdministratorMet with Licensing Program Analyst during the investigation

Inspection Report

Complaint Investigation
Census: 118 Capacity: 131 Citations: 0 Date: Jul 23, 2024

Visit Reason
The inspection was conducted as an unannounced case management visit following receipt of an incident report regarding aggressive behaviors between a resident and staff.

Complaint Details
The complaint involved an incident on 07/02/24 where a resident became aggressive towards staff, resulting in bruising. The complaint was investigated and substantiated by the facility's actions including suspension and retraining of the staff member.
Findings
The investigation found that a staff member held a resident's wrist in self-defense after the resident became aggressive. The resident had bruising and swelling but denied pain. The staff member was suspended and retrained. No deficiencies were cited.

Report Facts
Incident report reference number: 24038542

Employees mentioned
NameTitleContext
Alberto MaldonadoAdministratorMet during inspection and provided information about the incident and staff actions
Daisy PanlilioLicensing EvaluatorConducted the unannounced case management visit
Bennett FongSupervisorNamed as supervisor in the report

Inspection Report

Complaint Investigation
Census: 113 Capacity: 131 Citations: 0 Date: Jul 23, 2024

Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to an allegation that the facility retained a resident with a restricted health condition.

Complaint Details
The complaint alleged that the facility retained a resident with a restricted health condition. The investigation was unsubstantiated as there was insufficient evidence to prove the violation occurred.
Findings
The investigation found the allegation to be unsubstantiated based on observations, interviews, and record reviews. The resident had a slow-healing wound and was transferred to a skilled nursing facility for continued care. No deficiencies were cited.

Report Facts
Complaint Control Number: 15-AS-20240510155002 Facility Capacity: 131 Census: 113

Employees mentioned
NameTitleContext
Daisy PanlilioLicensing Program AnalystConducted the complaint investigation and delivered findings
Bennett FongLicensing Program ManagerNamed in report as Licensing Program Manager
Alberto MaldonadoAdministratorFacility administrator met during the investigation

Inspection Report

Annual Inspection
Census: 116 Capacity: 131 Citations: 0 Date: Feb 27, 2024

Visit Reason
An unannounced required one year inspection was conducted to evaluate the facility's compliance with licensing regulations.

Findings
The inspection found no deficiencies. The facility was observed to have proper infection control measures, emergency plans, and safety equipment in place. Staff and resident files were reviewed and interviews conducted without issue.

Report Facts
Fire extinguisher last inspection date: Jan 7, 2024 Hot water temperature: 115 Facility temperature: 72 PPE supply duration: 30 Perishable food supply duration: 2 Non-perishable food supply duration: 7 Staff files reviewed: 5 Resident files reviewed: 5 Staff interviews conducted: 5 Resident interviews conducted: 5

Employees mentioned
NameTitleContext
Alberto MaldonadoAdministratorMet with Licensing Program Analyst during inspection and identified as infection control leader
Daisy PanlilioLicensing Program AnalystConducted the inspection visit
Bennett FongLicensing Program ManagerNamed in report header

Inspection Report

Complaint Investigation
Census: 112 Capacity: 131 Citations: 0 Date: Dec 14, 2023

Visit Reason
An unannounced case management visit was conducted regarding a SOC 341 self-reported incident that occurred on 2023-11-25 involving a resident hitting another resident in the community.

Complaint Details
The complaint involved a resident hitting another resident. The situation was resolved, with the victim checked for injuries and the aggressor placed on hospice. No injuries were found and no deficiencies were cited.
Findings
The incident was resolved with no injuries reported. The resident involved was placed on hospice and medication compliance was established. No deficiencies were cited during the visit.

Report Facts
Police report number: Day of incident police report number: E23066740

Employees mentioned
NameTitleContext
Alberto MaldonadoExecutive DirectorSpoke with Licensing Program Analyst regarding the incident
Kelly NguyenLicensing Program AnalystConducted the unannounced case management visit
Bennett FongSupervisorSupervisor overseeing the licensing evaluation

Inspection Report

Census: 112 Capacity: 131 Citations: 0 Date: Dec 14, 2023

Visit Reason
An unannounced case management visit was conducted regarding a SOC 341 self-reported incident that occurred on 2023-11-25 involving a resident hitting another resident while in the community.

Findings
The incident was resolved with no injuries reported. The resident involved was placed on hospice and medication compliance was ensured. No deficiencies were cited during the visit.

Report Facts
Police report number: Day of incident police report number: E23066740

Employees mentioned
NameTitleContext
Alberto MaldonadoExecutive DirectorSpoke with Licensing Program Analyst regarding the incident
Kelly NguyenLicensing Program AnalystConducted the unannounced case management visit
Bennett FongLicensing Program ManagerNamed in report header

Inspection Report

Complaint Investigation
Census: 115 Capacity: 131 Citations: 2 Date: Aug 11, 2023

Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to multiple allegations received on 2022-06-21 regarding unsanitary conditions, unmet hygiene needs, inadequate care and supervision, inadequate food service, unmet laundry needs, and restroom disrepair at Trevista Antioch facility.

Complaint Details
The complaint investigation was substantiated for allegations that a resident's room was unsanitary and that the resident's hygiene needs were not being met. The investigation included review of photos, interviews with witnesses and staff, and record reviews. Other allegations related to care, food service, laundry, and restroom conditions were unsubstantiated.
Findings
The investigation substantiated allegations that a resident's room was unsanitary and that the resident's hygiene needs were not being met, posing potential health and safety risks. Other allegations including inadequate care and supervision resulting in weight loss, inadequate food service, unmet laundry needs, and restroom disrepair were found to be unsubstantiated.

Citations (2)
The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of timely cleaning, sanitation and handling of residents’ dirty personal belongings in compliance with Title 22 Section 87303 regulations. This requirement was not met as evidenced by resident’s unsanitary room which posed a potential health & safety risk to resident in care.
A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (1) The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. This requirement was not met as evidenced by resident’s hygiene needs not being met which posed a potential health & safety risk to resident in care.
Report Facts
Capacity: 131 Census: 115 Deficiencies cited: 2 POC Due Date: Sep 8, 2023

Employees mentioned
NameTitleContext
Alberto MaldonadoExecutive DirectorMet with Licensing Program Analyst during inspection and involved in findings delivery
Daisy PanlilioLicensing Program AnalystConducted complaint investigation and authored report
Bennett FongLicensing Program ManagerNamed as Licensing Program Manager overseeing investigation

Inspection Report

Routine
Census: 113 Capacity: 131 Citations: 0 Date: Feb 23, 2023

Visit Reason
The visit was an unannounced infection control inspection conducted as part of the required 1-year evaluation.

Findings
The inspection found no deficiencies. The facility demonstrated compliance with infection control protocols including universal screening, PPE availability, and mitigation plans.

Report Facts
PPE supply duration: 30 Food supply duration - perishable: 2 Food supply duration - non-perishable: 7 Facility temperature: 74

Employees mentioned
NameTitleContext
Alberto MaldonadoAdministratorMet with Licensing Program Analyst during inspection and identified as infection control leader
Daisy PanlilioLicensing Program AnalystConducted the infection control inspection
Bennett FongSupervisorSupervisor overseeing the inspection

Inspection Report

Complaint Investigation
Capacity: 131 Citations: 0 Date: Sep 13, 2022

Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations that staff were not able to adequately communicate with residents and that staff were not cleaning up after residents were done eating.

Complaint Details
The complaint was unsubstantiated based on the investigation findings.
Findings
The investigation found that staff communicated effectively in English with residents and cleaned up meal trays promptly after residents finished eating. There was no preponderance of evidence to substantiate the allegations, and no deficiencies were cited during the visit.

Report Facts
Facility capacity: 131

Employees mentioned
NameTitleContext
Daisy PanlilioLicensing Program AnalystConducted the complaint investigation visit
Alberto MaldonadoAdministratorFacility administrator mentioned in the report
Bennett FongSupervisorSupervisor overseeing the investigation

Inspection Report

Complaint Investigation
Census: 113 Capacity: 131 Citations: 0 Date: Jun 22, 2022

Visit Reason
The inspection was conducted as a Health and Safety check following receipt of a priority 1 complaint by the department.

Complaint Details
The visit was triggered by a priority 1 complaint. No deficiencies were found and residents were safe with no imminent health or safety concerns.
Findings
The facility was observed to be in good repair with clear pathways and no fire hazards. Residents appeared comfortable and safe with no imminent health or safety concerns. No deficiencies were cited during the health and safety check.

Report Facts
Staff observed: 8 Residents observed: 24 Residents having snack: 10 Residents relaxing: 8 Facility temperature: 72

Employees mentioned
NameTitleContext
Alberto MaldonadoAdministratorMet with Licensing Program Analyst during the inspection
Daisy PanlilioLicensing Program AnalystConducted the health and safety check
Bennett FongLicensing Program ManagerNamed in the report

Inspection Report

Complaint Investigation
Census: 109 Capacity: 131 Citations: 2 Date: Jan 5, 2022

Visit Reason
Unannounced complaint investigation visit conducted due to allegations including illegal eviction of a resident and incorrect billing of an SSI resident.

Complaint Details
The complaint investigation was substantiated. The resident was illegally evicted despite SSI status, and the facility incorrectly billed the resident at the market rate rather than the SSI rate.
Findings
Both allegations were substantiated. The facility illegally evicted a resident despite being informed of the resident's SSI status, and the facility incorrectly billed the resident at the market rate instead of the SSI rate.

Citations (2)
Improper eviction of resident (R1) which posed a potential health & safety risk to resident in care.
Resident being charged the market rate despite SSI eligibility, posing a potential health & safety risk to resident in care.
Report Facts
Capacity: 131 Census: 109 Deficiencies cited: 2 Plan of Correction Due Date: 2022

Employees mentioned
NameTitleContext
Daisy PanlilioLicensing Program AnalystConducted the complaint investigation and delivered findings
Alberto MaldonadoAdministrator/Executive DirectorFacility administrator involved in investigation and findings
Bennett FongLicensing Program ManagerNamed in report as Licensing Program Manager

Inspection Report

Annual Inspection
Census: 109 Capacity: 131 Citations: 0 Date: Jan 5, 2022

Visit Reason
The visit was an unannounced required 1-year annual infection control inspection to evaluate the facility's COVID-19 mitigation plan and infection control practices.

Findings
The facility had a completed COVID-19 mitigation plan and implemented infection control practices including symptom screening, PPE usage, and social distancing. No deficiencies were observed during the visit, and safety equipment such as fire extinguishers and detectors were operational.

Report Facts
Nonperishable food supply days: 7 Perishable food supply days: 2 Administrator onsite hours per week: 20 Facility room temperature: 72

Employees mentioned
NameTitleContext
Alberto MaldonadoAdministrator/Executive DirectorMet with Licensing Program Analyst during inspection
Daisy PanlilioLicensing Program AnalystConducted the infection control annual inspection
Bennett FongLicensing Program ManagerNamed in report header and signature section

Inspection Report

Complaint Investigation
Census: 77 Capacity: 131 Citations: 3 Date: Apr 14, 2021

Visit Reason
This was an unannounced complaint investigation visit triggered by allegations including illegal eviction of a resident, lack of supervision resulting in resident wandering away multiple times, and a non-working facility alarm system.

Complaint Details
The complaint investigation was substantiated based on evidence that the resident was illegally evicted without proper notice, lacked adequate supervision leading to multiple wandering incidents and elopement, and the facility alarm system was not functioning properly. Some allegations such as failure to notify the responsible party immediately and unmet bathing needs were unsubstantiated.
Findings
The investigation substantiated that the facility failed to issue a proper eviction notice when a resident eloped and was sent home with the responsible party without prior notice. The facility also failed to provide adequate supervision to prevent the resident from wandering away multiple times and lacked proper alarm systems to monitor exits. Some allegations such as failure to notify the responsible party immediately and unmet bathing needs were found unsubstantiated.

Citations (3)
Licensee’s failure to issue a required eviction notice and notice to quit to resident’s responsible party.
Licensee’s failure to ensure adequate supervision was maintained to meet resident’s needs resulting in elopement.
Licensee’s failure for alert features that monitor Memory Care stairwell exits.
Report Facts
Capacity: 131 Census: 77 Deficiencies cited: 3 Plan of Correction Due Date: Apr 15, 2021 Plan of Correction Due Date: Apr 21, 2021

Employees mentioned
NameTitleContext
Praveen SinghLicensing Program AnalystConducted the complaint investigation and tele-visit
Erika MendezWellness CoordinatorFacility staff member met during investigation
Neal TorresAdministratorFacility administrator named in the report
Julio MontesSupervisorSupervisor overseeing the investigation

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