270708716-12-4-2025-24-AS-SMOA-DP3Q7T-20251205105540

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 270708716
Report Date: 12/02/2025
Date Signed: 12/04/2025 09:43:12 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SIERRA CASCADE AC/SC, 1314 E SHAW AVE
FRESNO, CA 93710

This is an official report of an unannounced visit/investigation of a complaint received in our office on
11/25/2025 and conducted by Evaluator Vadim Gorban

PUBLIC

COMPLAINT CONTROL NUMBER: 24-AS-20251125171355

FACILITY NAME:	VISIONARY CARMEL-BY-THE-SEA ASSISTED LIVING		FACILITY NUMBER:	270708716
ADMINISTRATOR:	CONNERS, MARGARET P.		FACILITY TYPE:	740
ADDRESS:	LINCOLN & 7TH STREET		TELEPHONE:	(831) 624-1003
CITY:	CARMEL	STATE: CA	ZIP CODE:	93921
CAPACITY:	10	CENSUS: 8	DATE:	12/02/2025
		UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	administrator designee Shawniee Jackson		TIME COMPLETED:	04:00 PM

ALLEGATION(S):

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Staff did not properly transfer a resident in care.
Staff did not ensure that resident had supplies for medical device.

INVESTIGATION FINDINGS:

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On 12/02/2025, Licensing Program Analyst (LPA) V. Gorban arrived unannounced to deliver findings on a complaint investigation. LPA explained the purpose of the visit to house manager Veronica Magana and was allowed entry, administrator was notified of licensing visit.
During the course of the investigation, LPA conducted a facility tour, conducted interviews, and reviewed records.
The Department has investigated the allegations:
Staff did not properly transfer a resident in care and Staff did not ensure that resident had supplies for medical device. Based on interviews staff are sufficient in numbers and trained/educated to provide services to residents in care. Based on interviews and observation, facility store sufficient amount of care supplies to provide services to all residents in care. Although the allegations may have happened or valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated.
Exit interview conducted, report signed and copy of this report provided to facility staff.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: Vadim Gorban
LICENSING EVALUATOR SIGNATURE:	DATE: 12/02/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/02/2025

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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