Inspection Reports for
The Cottages of Carmel

26245 Carmel Rancho Blvd, Carmel, CA 93923, Carmel, CA, 93923

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Deficiencies (last 2 years)

Deficiencies (over 2 years) 0.5 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

88% better than California average
California average: 4 deficiencies/year

Deficiencies per year

4 3 2 1 0
2024
2025

Census

Latest occupancy rate 72% occupied

Based on a November 2025 inspection.

Occupancy over time

40 60 80 100 120 Sep 2024 Jul 2025 Aug 2025 Sep 2025 Nov 2025

Inspection Report

Complaint Investigation
Census: 56 Capacity: 78 Deficiencies: 1 Date: Nov 26, 2025

Visit Reason
The inspection was an unannounced complaint investigation visit conducted to investigate multiple allegations received on 2025-08-22 regarding resident care issues including pressure injuries, incontinence needs, food service quality, and response to calls for help.

Complaint Details
The complaint investigation was unannounced and conducted by Licensing Program Analyst Vadim Gorban. The complaint control number is 24-AS-20250822153020. Allegations included improper addressing of pressure injuries, unmet incontinence needs, poor food service, failure to respond to calls for help, and unclean resident rooms. Only the allegation regarding unclean resident rooms was substantiated.
Findings
The investigation found one allegation substantiated: staff failed to ensure resident rooms were kept clean, posing potential health and safety risks. Other allegations regarding pressure injuries, incontinence care, food service quality, and response to calls for help were unsubstantiated due to lack of preponderance of evidence.

Deficiencies (1)
The facility staff failed to ensure to follow title 22 regulation regarding facility cleanness, which poses potential health and safety to persons in care.
Report Facts
Capacity: 78 Census: 56 Deficiencies cited: 1 Plan of Correction Due Date: Dec 1, 2025

Employees mentioned
NameTitleContext
Vadim GorbanLicensing Program AnalystConducted the complaint investigation and inspection
Lillian RussellHealth Services DirectorMet with Licensing Program Analyst during inspection
Brenda ChanSupervisorSupervisor named in report
Jule May EstrelladoAdministratorFacility administrator named in report

Inspection Report

Annual Inspection
Census: 54 Capacity: 78 Deficiencies: 0 Date: Sep 25, 2025

Visit Reason
The inspection was an unannounced required annual inspection conducted by the Licensing Program Analyst to evaluate compliance with licensing requirements.

Findings
The facility was found to be clean, in good repair, and compliant with regulations including proper food storage, medication management, and safety measures. No deficiencies were issued during this inspection.

Report Facts
Capacity: 78 Census: 54

Employees mentioned
NameTitleContext
Andrea RamirezInterim AdministratorMet with Licensing Program Analyst during inspection
Vadim GorbanLicensing Program AnalystConducted the inspection
Brenda ChanLicensing Program ManagerNamed in report header and narrative

Inspection Report

Annual Inspection
Census: 54 Capacity: 78 Deficiencies: 0 Date: Sep 25, 2025

Visit Reason
The inspection was an unannounced required annual inspection conducted to evaluate compliance with licensing requirements at the facility.

Findings
The facility was found to be clean, in good repair, and compliant with safety and health regulations. No deficiencies were issued during this inspection. Residents and staff files were reviewed and found to be up to date. An exit interview was conducted with the SEA.

Report Facts
Facility capacity: 78 Census: 54

Employees mentioned
NameTitleContext
Andrea RamirezInterim AdministratorMet with Licensing Program Analyst during inspection
Vadim GorbanLicensing Program AnalystConducted the inspection and signed the report
Brenda ChanLicensing Program ManagerNamed as Licensing Program Manager on the report

Inspection Report

Complaint Investigation
Census: 51 Capacity: 78 Deficiencies: 0 Date: Aug 25, 2025

Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations that the facility allowed untrained staff to work independently with dementia care residents and did not have a certified administrator on the premises.

Complaint Details
The complaint was unsubstantiated due to lack of preponderance of evidence to prove the alleged violations occurred.
Findings
The investigation found that staff completed required training and the facility provided files of a certified administrator. There was insufficient evidence to substantiate the allegations, and no deficiencies were cited during the visit.

Report Facts
Capacity: 78 Census: 51

Employees mentioned
NameTitleContext
Nelson RubioAdministratorMet with Licensing Program Analyst during the investigation
Vadim GorbanLicensing Program AnalystConducted the complaint investigation

Inspection Report

Complaint Investigation
Census: 54 Capacity: 78 Deficiencies: 0 Date: Aug 25, 2025

Visit Reason
The visit was an unannounced complaint investigation conducted in response to a complaint received on 2025-07-07 regarding allegations of unmet resident toileting needs, delayed medical attention, and non-adherence to infection control protocols.

Complaint Details
The complaint investigation was unsubstantiated as there was insufficient evidence to prove the alleged violations occurred.
Findings
The investigation found no substantiated evidence for the allegations. Observations and interviews indicated residents' toileting needs were met, medical attention was timely, and infection control protocols were adhered to with adequate PPE and up-to-date infection control files.

Report Facts
Capacity: 78 Census: 54

Employees mentioned
NameTitleContext
Vadim GorbanLicensing Program AnalystConducted the complaint investigation
Nelson RubioAdministratorMet with Licensing Program Analyst during inspection
Brenda ChanSupervisorSupervisor overseeing the investigation

Inspection Report

Complaint Investigation
Census: 51 Capacity: 78 Deficiencies: 0 Date: Aug 25, 2025

Visit Reason
The visit was an unannounced complaint investigation conducted in response to a complaint received on 2025-08-21 regarding allegations that untrained staff were allowed to work independently with dementia care residents and that the facility did not have a certified administrator on the premises.

Complaint Details
The allegations were unsubstantiated due to lack of preponderance of evidence to prove the alleged violations did or did not occur.
Findings
The investigation found that staff had completed required training and the facility provided files of a certified administrator. There was insufficient evidence to substantiate the allegations, and no deficiencies were cited during the visit.

Report Facts
Facility capacity: 78 Census: 51

Employees mentioned
NameTitleContext
Vadim GorbanLicensing Program AnalystConducted the complaint investigation and inspection
Nelson RubioAdministratorMet with Licensing Program Analyst during the inspection

Inspection Report

Complaint Investigation
Census: 54 Capacity: 78 Deficiencies: 0 Date: Aug 25, 2025

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2025-07-07 regarding allegations of unmet resident toileting needs, delayed medical attention, and non-adherence to infection control protocols.

Complaint Details
The complaint investigation was unsubstantiated as there was insufficient evidence to prove the alleged violations occurred.
Findings
The investigation found no evidence to substantiate the allegations. Observations and interviews indicated residents' toileting needs were met, medical attention was timely, and infection control protocols were adhered to with adequate PPE and up-to-date infection control files.

Report Facts
Capacity: 78 Census: 54

Employees mentioned
NameTitleContext
Vadim GorbanLicensing Program AnalystConducted the complaint investigation and authored the report
Brenda ChanLicensing Program ManagerNamed in report as Licensing Program Manager
Nelson RubioAdministratorFacility administrator met during inspection

Inspection Report

Complaint Investigation
Census: 51 Capacity: 78 Deficiencies: 0 Date: Jul 10, 2025

Visit Reason
An unannounced complaint investigation was conducted following a complaint received on 2025-05-13 alleging inadequate supervision resulting in sexual behavior among residents and other facility concerns.

Complaint Details
The complaint alleged inadequate supervision leading to sexual behavior among residents, failure to notify authorized representatives of incidents, pest control issues, and unsanitary conditions. The investigation was unsubstantiated.
Findings
The investigation found no preponderance of evidence to substantiate the allegations. Facility staff intervened in a reported incident, maintained sanitary conditions, and notified responsible parties as required. No deficiencies were cited during the visit.

Report Facts
Capacity: 78 Census: 51

Employees mentioned
NameTitleContext
Julie EstrelladoAdministratorMet with Licensing Program Analyst during the complaint investigation
Vadim GorbanLicensing Program AnalystConducted the complaint investigation
Brenda ChanSupervisorSupervisor overseeing the complaint investigation

Inspection Report

Complaint Investigation
Census: 51 Capacity: 78 Deficiencies: 0 Date: Jul 10, 2025

Visit Reason
An unannounced complaint investigation was conducted following a complaint received on 2025-06-02 regarding multiple allegations including facility odor, staff leaving residents sleeping in common areas, lack of assistance with changing into sleeping clothes, disrespectful treatment of residents, and improper food storage.

Complaint Details
The complaint investigation was unsubstantiated based on lack of evidence to prove the alleged violations occurred. Allegations included facility malodor, residents left sleeping in common areas, lack of assistance with sleepwear, disrespectful staff behavior, and improper food storage.
Findings
The investigation found no substantiated violations related to the allegations. Observations, interviews, and record reviews indicated the facility was clean, residents were appropriately assisted and treated with respect, and food was properly stored. No deficiencies were cited during the visit.

Report Facts
Capacity: 78 Census: 51

Employees mentioned
NameTitleContext
Julie EstrelladoAdministratorMet with Licensing Program Analyst during the complaint investigation
Vadim GorbanLicensing Program AnalystConducted the complaint investigation
Brenda ChanSupervisorSupervisor overseeing the complaint investigation

Inspection Report

Complaint Investigation
Census: 51 Capacity: 78 Deficiencies: 0 Date: Jul 10, 2025

Visit Reason
An unannounced complaint investigation was conducted following a complaint received on 2025-05-13 alleging inadequate supervision resulting in sexual behavior among residents, failure to notify authorized representatives of incidents, pest control issues, and unsanitary conditions.

Complaint Details
The complaint was unsubstantiated. Allegations included inadequate supervision leading to sexual behavior among residents, failure to notify authorized representatives, pest control issues, and unsanitary conditions. The investigation found staff had intervened appropriately, notified responsible parties, and maintained sanitary conditions.
Findings
The investigation found no preponderance of evidence to substantiate the allegations. Staff intervened in a reported incident, notified responsible parties, maintained pest control services, and kept the facility clean and sanitary. No deficiencies were cited during the visit.

Report Facts
Capacity: 78 Census: 51

Employees mentioned
NameTitleContext
Julie EstrelladoAdministratorMet with Licensing Program Analyst during inspection and confirmed notification of responsible parties
Vadim GorbanLicensing Program AnalystConducted the complaint investigation
Brenda ChanLicensing Program ManagerNamed in report header and signature section

Inspection Report

Complaint Investigation
Census: 51 Capacity: 78 Deficiencies: 0 Date: Jul 10, 2025

Visit Reason
An unannounced complaint investigation was conducted following a complaint received on 2025-06-02 regarding multiple allegations including facility odor, staff leaving residents sleeping in common areas, lack of assistance with changing into sleeping clothes, disrespectful staff behavior, and improper food storage.

Complaint Details
The complaint investigation was unsubstantiated as there was insufficient evidence to prove the alleged violations occurred. Allegations included facility malodor, residents left sleeping in common areas, lack of assistance with sleeping clothes, disrespectful staff, and improper food storage.
Findings
The investigation found no substantiated violations related to the allegations. Observations, interviews, and record reviews indicated the facility was clean, residents were appropriately assisted and treated with respect, and food was properly stored. No deficiencies were cited during the visit.

Report Facts
Facility capacity: 78 Resident census: 51

Employees mentioned
NameTitleContext
Julie EstrelladoAdministratorMet with Licensing Program Analyst during the investigation
Vadim GorbanLicensing Program AnalystConducted the complaint investigation
Brenda ChanLicensing Program ManagerNamed in report header and signature section

Inspection Report

Original Licensing
Census: 57 Capacity: 78 Deficiencies: 0 Date: Sep 17, 2024

Visit Reason
An announced pre-licensing inspection visit was conducted to evaluate the facility for initial licensing and compliance with regulatory requirements.

Findings
The inspection included an inside and outside tour of the facility, verification of safety equipment, furnishings, and supplies. No deficiencies were observed during the inspection, and the facility was found to be in compliance with all applicable standards.

Report Facts
Fire extinguisher service date: Jun 27, 2024 Hot water temperature: 109 Facility capacity: 78 Current census: 57

Employees mentioned
NameTitleContext
Julie May EstrelladoAdministratorFacility Administrator present during inspection
Vadim GorbanLicensing Program AnalystConducted the pre-licensing inspection
Brenda ChanSupervisorSupervisor overseeing the inspection process

Inspection Report

Original Licensing
Census: 57 Capacity: 78 Deficiencies: 0 Date: Sep 17, 2024

Visit Reason
The inspection was an announced pre-licensing visit conducted to evaluate the facility for licensing approval.

Findings
The facility was toured inside and outside, with no deficiencies observed. All required furnishings, safety equipment, and postings were in place and functioning properly.

Report Facts
Fire extinguisher service date: Jun 27, 2024 Facility capacity: 78 Current census: 57

Employees mentioned
NameTitleContext
Julie May EstrelladoAdministratorFacility Administrator present during inspection
Vadim GorbanLicensing Program AnalystConducted the pre-licensing inspection
Brenda ChanLicensing Program ManagerNamed as Licensing Program Manager on report

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