Inspection Report Summary
Most inspections were clean, including the original licensing evaluation on September 30, 2024, which had no deficiencies. The most recent report from October 29, 2025, found deficiencies related to failure to report a resident incident promptly and not updating care plans to reflect changes in residents’ conditions; this complaint was substantiated. No fines, enforcement actions, or severe harm-level findings were noted in the available reports. The issues identified were isolated to reporting and documentation rather than direct resident care or safety. The facility’s record shows improvement since the earlier reports were perfect, with only this recent complaint-related inspection citing minor deficiencies.
Deficiencies per Year
4
3
2
1
0
Moderate
Census Over Time
Census
Capacity
Inspection Report
Complaint Investigation
Census: 107
Capacity: 175
Deficiencies: 2
Oct 29, 2025
Visit Reason
The inspection visit was conducted to investigate a complaint regarding the facility's failure to report an incident between residents that occurred on 2025-10-18 and to review compliance with care plan updates and reporting requirements.
Findings
The facility failed to report an incident between residents to appropriate agencies and did not update the care/service plans for residents R1 and R2 to reflect their current care and supervision needs. Deficiencies were cited related to reporting requirements and reappraisals of residents' conditions.
Complaint Details
The visit was complaint-related, investigating complaint Control # 15-AS-20251021141652. The complaint involved failure to report an incident between residents R1 and R2 that occurred on 2025-10-18. The complaint was substantiated based on records review and interviews.
Severity Breakdown
Type B: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to report suspected physical abuse incident to appropriate agencies within 24 hours as required by Welfare and Institutions Code Section 15630(b)(1). | Type B |
| Failure to update residents R1 and R2's Care/Service Plans to reflect significant changes in their physical, mental, cognitive, behavioral, or functional condition. | Type B |
Report Facts
Capacity: 175
Census: 107
Plan of Correction Due Date: Nov 12, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jeff Sumabat | Executive Director | Named in relation to findings about resident care and incident reporting |
| Alicia Delmundo | Licensing Program Analyst | Conducted the inspection and investigation |
| Bennett Fong | Licensing Program Manager | Oversaw the licensing program related to this report |
Inspection Report
Capacity: 175
Deficiencies: 0
Oct 16, 2024
Visit Reason
The visit was conducted for Case Management - Other, specifically an announced Component III Training session with facility leadership.
Findings
Licensing Program Analysts conducted a training session attended by the Executive Director and Regional Vice President of Operations. The training was presented via PowerPoint and included discussion, with an exit interview and report provided at the conclusion.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jeff Sumbat | Executive Director | Attended Component III Training and met with Licensing Program Analysts. |
| Jill Clancy-Czuleger | Licensing Program Analyst | Conducted the Component III Training and signed the report. |
| David Doidge | Licensing Program Analyst | Conducted the Component III Training. |
| Zach Butcher | Regional Vice President of Operations | Attended Component III Training. |
Inspection Report
Original Licensing
Capacity: 175
Deficiencies: 0
Sep 30, 2024
Visit Reason
The visit was an office evaluation conducted as part of the original licensing process for Bellara Senior Living Facility, including verification of applicant and administrator qualifications and understanding of Title 22 regulations.
Findings
The applicant and administrator successfully completed Component II at the Community Care Licensing (CAB) telephone call, confirming understanding of facility operation, staff qualifications, program policies, and application document requirements. No deficiencies or violations were noted in the report.
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